為恭醫院 20070913

Kang-Ping Lin Dept. of Electrical Engineering Chung-Yuan Christian University Handheld ECG A new step in Home care

Background on health management ,[object Object],[object Object],[object Object],[object Object],[object Object]

Current Status - Taiwan ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Importance of Monitoring Heart Function Problems: Cardiovascular diseases (CVDs) is the second leading cause of death in the world, right behind cancer. There is no simple way to monitor heart function (ECG) easily except in hospital because traditional ECG require technicians to perform while Holters and event recorders are an inconvenience. They are only recording for a short term. It is difficult for users to monitor their ECG for a long term because there is no home use ECG tool available. ,[object Object],[object Object],[object Object],[object Object],[object Object]

Need ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Purpose Create a new health and wellness management system - Focusing on Heart Function (Handheld ECG) Health Care provider Ageing Society

Before: ~100 years ago Handheld ECG recorder Now: Hospital Grade ECG ,[object Object],[object Object],[object Object],Home Care Medical Devices With 3H Now: Home Use ECG

Features of Handheld ECG Handheld ECG and its Operation

Data Storage and ECG review software ,[object Object],[object Object],[object Object],[object Object],Features of Handheld ECG ,[object Object],[object Object],[object Object]

Features of Handheld ECG 1) Easily operated 2) Measure anytime and anywhere 3) Event recording and data storage 4) Health and wellness management 5) Telemedicine capability

Clinical Study I: Measurement accuracy (1) Correlation between handheld ECG & GE MAC-5000 Heart rate QRS interval CC=0.99 CC=0.98 Correlation between handheld ECG & GE MAC-5000

Clinical Study I: Measurement accuracy (2) Correlation between handheld ECG & Marquette CASE-8000 Heart rate ST segment CC=0.99 CC=0.97 Correlation between handheld ECG & Marquette CASE-8000

Clinical Study II: Focus on Transmission Purpose: Cardiovascular Wellness Management To verify the tele-transmission function of handheld ECG ,[object Object],[object Object],2. Device & System Provider: Handheld ECG and database system. ReadMyHeart V2.0 Mini-HCC Software Material and Methods :

Record ECG Data Tele-Transmission Health Service Interpretation 3. Operation Step: Material and Methods : via internet or Modem Clinical Study II: Focus on Transmission

Result: Subjects Information: Clinical Study I: Focus on Transmission 5376 times (48 times per subject) Trans. number ,[object Object],[object Object],[object Object],[object Object],Subjects 47.7y (range: 6 ~79) Average age ~96% Trans. success rate 2006/08/01 ~ 2006/12/31 Trail Period

[object Object],[object Object],[object Object],Classified: Result: The group of subjects and category of transmission results Clinical Study II: Focus on Transmission 47.7 (6-79) 63 ： 49 5151 671 (12.9%) 764 (14.8%) 3716 (72.3%) 112 Total 41 (6-79) 25 ： 31 3767 418 (10.9%) 404 (10.9%) 2945 (78.1%) 56 Volunteer 44.3 (29-68) 25 ： 12 1282 235 (18.5%) 312 (24.3%) 735 (57.2%) 37 OPD 55.7 (30-79) 13 ： 6 102 18 (17.6%) 48 (47.1%) 36 (35.3%) 19 VIP Center Age (range) M ： F Trans. Number Noise (%) Abnormal (%) Normal (%) Subject number

Purpose: Cardiovascular Wellness Management To record ECG data for screening in clinics ,[object Object],[object Object],2. Device provider: Handheld ECG (InstantCheck V4.0) Material and Methods : Clinical Study III: Clinical Screening

Record ECG Data Interpretation 3. Operation Step: Material and Methods : Clinical Study III: Clinical Screening Record 3 sets for Lead I and Lead II Data

Result: Subjects Information: Clinical Study III: Clinical Application 171 Male(119) Female(52) Subjects 64.4y (range: 33 ~87) Average age 2007/03/01 ~ 2007/6/30 Trail Period

Clinical Study III: Clinical Screening 13 25 40 150 Total Subjects 0 1 1 6 Noise 0 0 2 4 Abnormal waveform 0 0 0 1 Arrhythmia, Inverse T-wave 0 0 0 1 ST segment depression, Inverse T-wave 0 0 0 4 ST segment depression 0 0 0 2 ST-Segment Elevation 2 1 1 3 Inverse T-wave 5 11 13 44 Arrhythmia 0 0 0 1 Deep Q 6 12 23 84 Normal Category First visit CAD+DIA Diabetes Cardiovascular Disease

ITRI Wellness Center Home & Office Background of ITRI : The largest industrial research institute in Taiwan with around 6,000 employees. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Telemonitoring and e-Health Service Health Prevention for high-tech workaholics

[object Object],Telemonitoring and e-Health Service EKG Health Care

Handheld ECG and its Applications Case A Case B

Handheld ECG and its Applications Case A Case B Normal subject Workaholic

Applications: Telemonitoring JMS, Japan : Many private health service providers only offers blood pressure, glucose meter, weight, etc as they are widely available in the market. Accurate, portable, easy to use personal ECG recorder is required to upgrade their current service system.

Handheld ECG and its Applications Applications : For Doctor For User Arrhythmia Control Drug evaluation Off-hospital monitoring Screening Health Management Health Prevention Prevention and Wellness Management

Conclusion ,[object Object],[object Object],[object Object],[object Object]

為恭醫院 20070913

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