Machine-to-Machine (M2M) concept and gateway devicesPatient Care Examples:Wireless blood glucose monitoring systemImplantable inducer firmware support systemRemote cardiac implant monitorRemote EMT emergency cardiac monitoringRemote neuro implant monitoringChallengesBig Data opportunities- - Who is GlobalLogic?Product Development ServicesHeadquartered in Silicon ValleyExperience Design studios in San Francisco, New York and LondonEngineering centers in the US, Ukraine, India, Argentina, China250 active clients7,000 people10 years medical device development experience; ISO 13485 certifiedEstablished practice in Ukraine; expanding to IndiaTechnical Expertise: Embedded, Mobile, Cloud, Analytics, Security
What is Machine-to-Machine Communication?Can refer to peer-to-peer communication between devices, but also used to describe remote communication through a networkImplies some intelligence in the system—either in the devices or in the connection between them—not just data capture and displayIn today’s context we will discuss intelligent device-to-device communication via the Cloud
Cloud Provides Devices with:High-end, elastically scalable computational and analytic capabilitiesHigh-bandwidth access to distributed resourcesUnlimited storageTypically data processing and data storage takes place in the Cloud rather than on the devicesGenerally devices act as sensors and support user interactionDevices connect to a process or server in the Cloud through a “gateway” interface which may be separate or built into the device itself
Three basic gateway topologies:Device contains its own gatewayDevice connects to a separate gatewayDevice connects to a gateway in the cloud
Smart Devices as GatewaysMedical M2M GatewaysThe Gateway:Authenticates the device and userProvides a secure connection between the medical device and the telemedicine applicationMay cache data from the device, and information or updates from the telemedicine application, for disconnected useMay provide scalability by integrating results from multiple devicesCommon Gateways:A smartphone or dedicated gateway deviceA web services interface in a cloud processAn embedded communications and protocol translation systemCommon in hospital devices, for exampleImpact of the Cloud and M2M:Cloud has Raised Expectations for data availability: Medical Device data can be gathered from anywhere devices are locatedData is available to Medical Personnel and, increasingly, to Patients any time, any placeMachine-to-Machine enables data exchange:Data may be transparently gathered from any device anywhereFirmware and configuration data can be gathered and kept current
Obvious: Reduce cost for device maker and customerImprove availability of most recent software to the end userRemote capture of configuration data allows in-field replacement of pre-configured equipmentIf device is used by children, for example, they may drop it in a pool or break itBy capturing configuration information remotely, a service center can pre-configure a replacement device before sending it to the patientAllows delivery of a pre-configured device direct to the patient without requiring a clinic visit—important in remote or rural areasDirect connect of device to Cloud avoids the need for device registrationFor economic reasons, most devices connect to Cloud via a gateway and therefore require bluetooth or other configurationIf the gateway is on the device, it does not need to be registered before use as it can be shipped with a pre-configured data planDevice data and readings are uploaded to the Cloud anonymously, identified only by device serial numberLater an application can be used to correlate the anonymous readings to an individual patient in a secure way