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Internet of medical things (IOMT)

  1. Internet of Medical Things (IoMT) Dr KR Sethuraman MD PGDHE FICA Dean and Senior Professor of Medicine AIMST University NB: All the images shown are available through internet; the respective originators are thankfully acknowledged for permitting non-commercial use of their creations
  2. E-health to M-health to IOMT Time-Line ( Red is My timeline )
  3. IOMT will subsume All These E-Health technologies
  4. Internet of Things (IOT) (Coined by Kevin Ashton in 1999) • “Computers and Internet are dependent on human beings for information. • The problem is, people have limited, time, attention and accuracy—all of which means • they are not very good at capturing data about things in the real world.” • The solution is empowering devices to gather accurate. reliable and timely information on their own – Internet of Things, not of Humans. (Ashton K, 2009) Kevin Ashton, June 22, 2009
  5. IOMT progress is due to – 1 • Advances in sensor and connectivity technology allow devices to collect, record and analyze data that was not accessible before. • In healthcare, Sensors can collect and transmit patient data over time • to help enable preventive care, • allow early recognition of any complications • monitor how a therapy helps improve a patient’s parameters.
  6. IOMT progress is due to – 2 • Ability of devices to gather data on their own removes the limitations of human-entered data • automatically obtaining the data doctors need, at the time and in the way they need it. • The automation reduces the risk of error. • Fewer errors can mean increased efficiency, lower costs and improvements in quality. • A vital need in healthcare, where human error can result in morbidity and mortality. David Niewolny, How the Internet of Things Is Revolutionizing Healthcare.
  7. Implantable Sensors for IOMT
  8. Smartphone ECG transmission
  9. Smart e-bottles and e-pouches
  10. Wellness and Lifestyle Monitoring
  11. “Medical Smartphone” • Stethoscope • Electrocardiogram (ECG) • Electroencephalogram (EEG) • The otoscope • The ophthalmoscope • Imaging (USG/Echo) • Patient monitoring • Communication aid with device manufacturers
  12. Remote Monitoring
  13. The 4-Layered IOMT Healthcare Model Application of Internet of Things in the Field of Medical and Smart Health Care
  14. IOMT Can Help Us to Achieve – • True patient-orientation • “seamless info gathering for seamless care” • Quality in care delivery, viz., • give the right treatment to the right patient, • at the right time and in the right place, • regularly and reliably. • We have not been able to do it till now using only traditional paper-based records and communication
  15. Concerns & Challenges
  16. Healthcare industry concerns • Cybersecurity when using IoT devices • How to use big-data collected from IoT devices • Value of healthcare IoT devices resides in data collection and Utilisation (DIKW progression) • DATA –> INFORMATION –> KNOWLEDGE –> WISDOM • Hospital IT struggles to manage IoT medical devices • Connectivity and seamless flow of information-action A guide to healthcare IoT possibilities and obstacles.
  17. Concerns & Challenges… Are we creating a “Digital Black hole”? (KRS, 2019) 7 Billion People with 1 peta-byte of data each = 7 billion PB or 7 Quadrillion GB of Data (7,000,000,000,000,000 GB) This will truly be mind-boggling and may put even our super- computing power under a great strain.
  18. From being a “Google Doc” to a “Smartphone Quack” • patients might take too much medical care into their own hands, • close provider-patient interaction is needed to use the Smartphone device without harm to self or others
  19. Wrap-up: “5 Drivers IOMT” • Mobile ‘smart’ technology • Engaged patients and pro-active providers • Increasing awareness of the value of digital health • Demand for “Value-based medicine” • Industries are embracing digital healthcare technology • Apprx 14 billion connected devices in IOT and 160 million medical devices in 2020 in IoMT
  20. Summing Up… • E-health is based on networked I-C-T devices of the humans, operated by the humans for human healthcare and wellness • Internet of Medical Things is the network of the ‘smart-devices’, operated by the devices for human healthcare and wellness
  21. I believe – “What electric motor has done to enhance human muscle power in 20th C, the “Chip” will do for human brain power in 21st C” – KRS, (1987 at Doctor-Computer Forum, JIPMER, Pondicherry, India) Thank You All !