ICUAS

Overview of ICU Automation Project
Industrial Training
Mini Project
Thesis Phase-1

Intensive Care Unit Automation

Joms Antony

Guided by
Mr.Santhosh GS, AP CSE Dept

AMAL JYOTHI COLLEGE OF ENGINEERING

March 8, 2013

MCSCS 301&302 REVIEW PHASE-2 1of 26

Overview of ICU Automation Project Timeline of events
Industrial Training Automation & Research Possibilities
Mini Project Development Tools Used
Thesis Phase-1 Network Architecture

1 Overview of ICU Automation Project
Timeline of events
Automation & Research Possibilities
Development Tools Used
Network Architecture
2 Industrial Training
Mobilexion Technologies
Proﬁle
Core Competencies
Support & Training
3 Mini Project
Android Implementations
Patient Data-App Demonstration
4 Thesis Phase-1
Introduction
Literature Survey
Scope of proposed work
Preliminary Work


Timeline of events

The notiﬁcation regarding MCSCS 301 was done on 21/11/2013.
With the consent of the Department and Project guides, our team
was allotted to involve in the ICU-Automation Project from
3/12/2013 onwards.
It was agreed that a part of our team will shift to JMMC Trichur
after the initial set-up.
Our team was expected to provide technical support for the project
from Mobilexion Technologies, Techno Park.
The ﬁrst review of MCSCS 301 was done on 6/2/2013.
We had interactions with JMMC & ICFOSS during this period-12
days.
Our primary focus was on Technical Implementation.



Intensive Care Unit

An Intensive Care Unit (ICU), also known as a Critical Care Unit (CCU)
is a special department of a hospital that provides intensive-care
medicine. Intensive Care Units cater to patients with the most serious
injuries and illnesses, most of which are life-threatening and need
constant, close monitoring and support from specialist equipment and
medication in order to maintain normal bodily functions



Automation & Research Possibilities

Generation of Electronic
Medical Records
Dynamic Decision Support
Progress notes Systems Eg: Alert generation
Charts & recommendations.
Documents
Patient Data Ubiquitous Computing Eg:
Ubiquitous patient Monitoring.
Automated Monitoring and
Alert Generation. Human Machine Interface
Systems Eg: Touch user
Interfacing of Bed Side interface, Intelligent user
Monitors and Data Storage inteface(gestures)
Bar Code Integration Context Aware Computing Eg:
Lab Tests and Results Doctor/Patient context.
and many more...


Development Tools Used

Programming Language: DBMS:

Java FrameWork:

IDE: Mobile/Tab Platform:

SERVER: Server Machine OS:



Network Architecture


Overview of ICU Automation Project Mobilexion Technologies
Industrial Training Proﬁle
Mini Project Core Competencies
Thesis Phase-1 Support & Training

Mobilexion Technologies

Mobilexion Technologies is a start-up company located in Techno Park
which hosts over 270 IT and ITES companies employing over 40,000 IT
professionals. Mobilexion Technologies incubated our team for the
execution of this project from 3/12/2013.



Mobilexion Technologies-Proﬁle

Private Limited Company incorporated in July 2012.
Located at Amstor House, Technopark, Trivandrum.
Vision - Explore Areas Others Wont Venture.
Areas of interest Health Informatics, Biomedical, Acoustic, Sonar,
Space, Astronomy, etc.



Mobilexion- Core Competencies

Mobilexion Technologies is a Science and Engineering Company aims to
provide Core Competencies in the following areas.
Ubiquitous Computing for Scientiﬁc and Engineering Applications
Image processing
Communications
Mathematical Modeling and Visualization
Healthcare Informatics
Contract R&D



Support & Training

The Company provided us with 24/7 working environment with
internet facility.
Provided and initiated Technical Training in different domains
Jboss Server Configuration(CDAC)
WIFI Network Configuration in Linux
Aakash Workshop(ICFOSS)
Open Hardware Workshop(ICFOSS)
Ubuntu Server Configuration(IIT-M)



Support & Training

Procured and provided the following for testing and implementation
Server Machine
WIFI Modem & adapter.
Local Network.
Provided directions for creation and maintenance of a publicly
accessible protected wiki icuautomation.wikispaces.com
Provided assistance in preparing the research paper which got
accepted in IEEE ICT-2013 Conference.
Discussion under progress with ICFOSS for training on Web
Services, JSON parsing etc.


Industrial Training Android Implementations
Mini Project Patient Data-App Demonstration
Thesis Phase-1

Mini Project

Title:“Intensive Care Unit Automation-Android Implementations”
This Mini-Project focusses on design& development Android
Implementations for ICUAS.
Some of the Apps under development is
1 Patient Data
2 Vitals Chart
3 ICU Direct Monitor
4 Lab Wizard


Thesis Phase-1

Android Implementation

Our requirement was to create a Android App which can send requests
and receive responses from a server. In that process the android client
need to retrieve values from database located in a server. In our case the
Application Server was Jboss and the database was Postgres. So our
focus was on Android Implementations that talks to a database located
in a remote server.
We were able to retrieve values from a database using the Android App.
Writing to the Database requires the use of Web Services, JSON
Parsing/XML Parsing.


Thesis Phase-1

Patient Data Monitor

This App is used for the overall monitoring of an ICU patient. The
doctors or the clinical staff can easily review a patient selected by his bed
number. The different review facets include charts, documents, images,
lab results etc. The different iconic interfaces are carefully designed
which will allow an end user to collect the required information within a
few taps.

Thesis Phase-1

Vitals Chart

This App is used for hourly recording of vital signs and for providing a
chart view to the consulting clinicians. This App had a major impact by
making life easier for ICU nursing staff. In the conventional system the
nursing staff will have to run around different beds to collect the reading
and again re-enter these to the system/forms.


Thesis Phase-1

ICU Direct Monitor

This App is used for live monitoring of vital signs without coming to the
bedside. This is made possible by interfacing the patient monitoring
devices like multipara-monitors and other instruments to the central ICU
server. Most of the modern devices have common protocols and TCP/IP
interfaces and thus can be Hopefully interfaced.


Thesis Phase-1

Lab Wizard

This App is used to issue lab test request and retrieve the details of
investigation results. This App took away a lot of overhead involved
when it was done manually.The procedure for requesting for a lab test
and retrieving results is as shown.


Thesis Phase-1

Patient Data-App Demonstration

This Android App retrieves the patient Demographics data from a
postgres database running on a Jboss Server.


Overview of ICU Automation Project Introduction
Industrial Training Literature Survey
Mini Project Scope of proposed work
Thesis Phase-1 Preliminary Work

Introduction

Research Area: Ubiquitous Computing
Thesis title:“Bedside Monitoring Device Interface for Ubiquitous
patient monitoring using android applications”
The thesis is an extension to the IEEE paper accepted in ICT-2013 titled
as “A Context Aware System for Generation and Propagation of
Automated Alerts from an Intensive Care Unit”



Details of IEEE Conference

Conference: ICT 2013(IEEE Conference)
Paper submitted on: February 15
Paper accepted on: February 28
To be presented on: April 11 or 12
Venue :NIU Kanyakumari
Category :e-health
Authors : Joms Antony, Bichu Vijayan, Sudhin Joy, Santhoshkumar
GS



Literature Survey

Thongpithoonrat, Pongnarin; McKneely, Paul K.; Gumudavelli, Suman; Gurkan, D.; Chapman, Frank M.
Networking and plug-and-play of bedside medical instruments. EMBS 2008; 1514 - 1517.

Insup Lee, Oleg Sokolsky, Sanjian Chen. Challenges and Research Directions in Medical Cyber-Physical
Systems. Invited Paper in Special Issue on Cyber-Physical Systems, Proceedings of the IEEE, vol.100, no.1,
pp.75-90, Jan. 2.

Apkon M, Singhaviranon P. Impact of an electronic information system on physician workﬂow and data
collection in the intensive care unit. Intensive Care Med 2000; 27: 122130. 11.

Waylon Brunette, Rita Sodt, Rohit Chaudhri, Mayank Goel, Michael Falcone, Jaylen VanOrden, Gaetano
Borriello. Open Data Kit Sensors: A Sensor Integration Framework for Android at the Application-Level*
*An interesting paper shared by Dr.Beth Kolko, Washington University during the open hardware conference



Interfacing

Monitoring of Vital Parameters happen only at bedside monitors or at
central station inside the ICU. The measurements from these instruments
are stored using archaic methods such as a patient history record on a
paper. The access to these records is cumbersome and not available
unless the medical personnel is present at the point of care.
Data Communication
RS232
RS422
Via network using TCP/IP



Issues in Interfacing

Unfortunately, each medical instrument has its unique proprietary API
(application programming interface - if any) to provide automated and
electronic access to monitoring data.
There are some IP addressable Multipara Monitoring devices. Our Eﬀort
is to interface these instruments to the Tablet PC. Hopefully we will be
able provide the implementation for the same.
Our focus is to provide monitoring of Vitals using a Tablet PC and
Storage of the Vital parameters(some if not all) by logging these values
into ﬁle or database.



Preliminary Work

Work done

Checked the diﬀerent types of equipment in JMMC.
Studied about Starplus monitor(L & T).
Received the Starplus service manual from L & T.
Studied about Philips MP-20 monitor device which is IP
addressable.
Learned about Arduino/Raspberry Pi micro controller boards.



Preliminary Work

Was able to create a data logging application using arduino micro
controller board
Learned about diﬀerent shields that can be connected to the
arduino board like SDCard, Bluetooth, WIFI etc


Thank You


ICUAS

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