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Raymond  Poon
Customer  Solutions  Architect
July  2016
IoT for  Smarter  Health  Care
2©  2015     Cisco   and/or  its  affiliates.  All   rights  reserved.       Cisco  Confidential
Digital  Disruption  on  an  Exponential  Scale
Hotel
Print
Advertising
Point-­
of-­Sale
Taxi Music
Car
Cisco Confidential
3©  2015     Cisco   and/or  its  affiliates.  All   rights  reserved.       Cisco  Confidential
4©  2015     Cisco   and/or  its  affiliates.  All   rights  reserved.       Cisco  Confidential
Sustainable  Application  Economics
$$$,$$$,$$$
CAPEX  +  OPEX
5©  2015     Cisco   and/or  its  affiliates.  All   rights  reserved.       Cisco  Confidential
6  x  AA  Lithium  
Batteries
Smart  Home  Wifi
6©  2015     Cisco   and/or  its  affiliates.  All   rights  reserved.       Cisco  Confidential
Street  Lights  with  Wifi
City  Operator  Applications
Citizen  Services  
Lighting  
Control
Energy  
Reports
City  Safety/
Security
Situational  
Awareness
City  Air/Noise/
Pollution  Maps
Parking  
Enforcement
Incident  
Detection
Parking  
Availability  
Public  
Wi-­Fi
Traffic  
Alerts
Incident  
Detection110/220VAC
7©  2015     Cisco   and/or  its  affiliates.  All   rights  reserved.       Cisco  Confidential
Many  sensors  are  low  cost,  low  power,  constrained  devices
Battery/solar/scavenger  energy
Wireless
Low  CPU
Autonomous
Huge  scale
Cellular  &  WiFi not  Suitable  for  Constrained  Devices
New  type    of  network  
is  required
Low  Power  Wide  Area  
(LPWA)
7
8©  2015     Cisco   and/or  its  affiliates.  All   rights  reserved.       Cisco  Confidential
Long
Range
Short
Range
Long
Range
Medium
Range
RF
Mesh
WiFi
RF
Mesh
Seria
l
WiFi
RF
Mesh
PLC
IoT – Wireless  Technologies  Landscape
Cellular
Backhaul
Pub/Priv
outdoor  WiFi
Wearables
Smart Home
Smart Building
Smart City
P
Smart Grid
ISA
100
Pub/Priv
Outdoor  WiFi
IndustrialB-­LE
Agriculture
Mining etc..
WiFi2G
3G
Connecting the Unconnected
P
Backhaul LPWAApproach
Backhaul
W’less
HART
9©  2015     Cisco   and/or  its  affiliates.  All   rights  reserved.       Cisco  Confidential
Wireless  IOT  Connectivity  Options
Technology 2G   3G LTE WiFi Zigbee Wireless
Hart
802.15.4g LPWA
(LoRa,  SigFox,  etc.)
Range Yes Yes Yes No No No Limited  (<1  km) >10  km (rural)
>1  km  (urban)
Topology P2P P2P P2P P2P/Mesh Mesh Mesh Mesh P2P
Tx Current  
Consumption  (3V)
30mA to
400mA
500 to
1000mA
600 to  
1100 mA
19  to  
400  mA
34mA 28mA ~  35mA <20 mA
Standby  Current  
Consumption  (3V)
0.35  mA 1.2  to
3.5mA
1.5  to
5.5mA
1.1 mA 0.003mA 0.008mA ~.005mA <0.005mA
Energy Harvesting No No No No Possible Possible Possible Possible
Operating Life  on  battery  
(2000mAh)
h=hours;;  d=days
A=active;;  I=Idle
4-­8  h (A)  
36  d  (I)
2-­4  h  (A)  
20  d  (I)
2-­3  h (A)
12  d  (I)
4-­8 h  (A)  
50 h  (I)
60  h  (A) 8-­10 years Variable 10-­20 years
Estimated  Module  Cost $12 $35-­$50 $40-­$80 $5-­$8 $6-­$12 NC $3 $2-­$5
Spectrum  Costs Yes Yes Yes No  
(Unlicensed)
No  
(Unlicensed)
No  
(Unlicensed
)
No  
(Unlicensed)
Typically  unlicensed
Existing  SP  Network Private  Network Emerging
9
10©  2015     Cisco   and/or  its  affiliates.  All   rights  reserved.       Cisco  Confidential
LPWA  Characteristics
Characteristic Order of  magnitude Typical  value
Spectrum Licensed  (3GPP)  vs Unlicensed Sub-­GHz,  2.4GHz
Range Long  in  star  topology From  1  to  +10  kms (urban/rural)
Objects Many Many thousands
Data  volume Small  (upstream  vs downstream) Few  kBytes per  day  (mostly  upstream)
Data  rate Low  (upstream vs downstream) From  60bs  to  few  100kbs
Data  payload Small From  10 to  few  100 bytes
Latency Low to  high Up  to  minutes
Battery  life Long From  months  to  +20  years
Module cost Low <$5
Service cost Low <$10 per  year
1
11©  2015     Cisco   and/or  its  affiliates.  All   rights  reserved.       Cisco  Confidential
Connecting  the  Millions  of  
Sensors  with  
Low  Power  Wide  Area  Networks
1
12©  2015     Cisco   and/or  its  affiliates.  All   rights  reserved.       Cisco  Confidential
Connected  Hospital  – Tracking  of  Medical  Gas  Bottles
13©  2015     Cisco   and/or  its  affiliates.  All   rights  reserved.       Cisco  Confidential
Smart  &  Connected  Facility  Management
14©  2015     Cisco   and/or  its  affiliates.  All   rights  reserved.       Cisco  Confidential
Smart  &  Connected  Health  Wearables
15©  2015     Cisco   and/or  its  affiliates.  All   rights  reserved.       Cisco  Confidential
Smart  &  Connected  Glass
16©  2015     Cisco   and/or  its  affiliates.  All   rights  reserved.       Cisco  Confidential
LPWAN  Adoption
17©  2015     Cisco   and/or  its  affiliates.  All   rights  reserved.       Cisco  Confidential
SP  to  build  Platform  for  providing  LoRA
Services  to  17  French  Cities
http://www.orange.com/en/Responsibility/Environment/COP21/LoRa
18©  2015     Cisco   and/or  its  affiliates.  All   rights  reserved.       Cisco  Confidential
LoRa Alliance  -­ http://lora-­alliance.org
245+ member by Jun 2016
Sponsor Member Contributor Member Adopter Member
Four  activity  tracks
-­ Strategy
-­ Technical
-­ Certification
-­ Marketing
1
19©  2015     Cisco   and/or  its  affiliates.  All   rights  reserved.       Cisco  Confidential
Summary
To  be  sucessful from  IoT solutions  for  health  
care…
• Deploy  sensors  network,  not  networks  of  Sensors
• Technologies  will  always  have  constraints
• Adopt  new  innovation  by  driving  pilots
• Near  Real  Time  responses  builds  better  process
• Must  be  scalable  for  better  business  justification
Thank you.

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IoT for Smarter Health Care

  • 1. Raymond  Poon Customer  Solutions  Architect July  2016 IoT for  Smarter  Health  Care
  • 2. 2©  2015    Cisco   and/or  its  affiliates.  All   rights  reserved.      Cisco  Confidential Digital  Disruption  on  an  Exponential  Scale Hotel Print Advertising Point-­ of-­Sale Taxi Music Car Cisco Confidential
  • 3. 3©  2015    Cisco   and/or  its  affiliates.  All   rights  reserved.      Cisco  Confidential
  • 4. 4©  2015    Cisco   and/or  its  affiliates.  All   rights  reserved.      Cisco  Confidential Sustainable  Application  Economics $$$,$$$,$$$ CAPEX  +  OPEX
  • 5. 5©  2015    Cisco   and/or  its  affiliates.  All   rights  reserved.      Cisco  Confidential 6  x  AA  Lithium   Batteries Smart  Home  Wifi
  • 6. 6©  2015    Cisco   and/or  its  affiliates.  All   rights  reserved.      Cisco  Confidential Street  Lights  with  Wifi City  Operator  Applications Citizen  Services   Lighting   Control Energy   Reports City  Safety/ Security Situational   Awareness City  Air/Noise/ Pollution  Maps Parking   Enforcement Incident   Detection Parking   Availability   Public   Wi-­Fi Traffic   Alerts Incident   Detection110/220VAC
  • 7. 7©  2015    Cisco   and/or  its  affiliates.  All   rights  reserved.      Cisco  Confidential Many  sensors  are  low  cost,  low  power,  constrained  devices Battery/solar/scavenger  energy Wireless Low  CPU Autonomous Huge  scale Cellular  &  WiFi not  Suitable  for  Constrained  Devices New  type    of  network   is  required Low  Power  Wide  Area   (LPWA) 7
  • 8. 8©  2015    Cisco   and/or  its  affiliates.  All   rights  reserved.      Cisco  Confidential Long Range Short Range Long Range Medium Range RF Mesh WiFi RF Mesh Seria l WiFi RF Mesh PLC IoT – Wireless  Technologies  Landscape Cellular Backhaul Pub/Priv outdoor  WiFi Wearables Smart Home Smart Building Smart City P Smart Grid ISA 100 Pub/Priv Outdoor  WiFi IndustrialB-­LE Agriculture Mining etc.. WiFi2G 3G Connecting the Unconnected P Backhaul LPWAApproach Backhaul W’less HART
  • 9. 9©  2015    Cisco   and/or  its  affiliates.  All   rights  reserved.      Cisco  Confidential Wireless  IOT  Connectivity  Options Technology 2G   3G LTE WiFi Zigbee Wireless Hart 802.15.4g LPWA (LoRa,  SigFox,  etc.) Range Yes Yes Yes No No No Limited  (<1  km) >10  km (rural) >1  km  (urban) Topology P2P P2P P2P P2P/Mesh Mesh Mesh Mesh P2P Tx Current   Consumption  (3V) 30mA to 400mA 500 to 1000mA 600 to   1100 mA 19  to   400  mA 34mA 28mA ~  35mA <20 mA Standby  Current   Consumption  (3V) 0.35  mA 1.2  to 3.5mA 1.5  to 5.5mA 1.1 mA 0.003mA 0.008mA ~.005mA <0.005mA Energy Harvesting No No No No Possible Possible Possible Possible Operating Life  on  battery   (2000mAh) h=hours;;  d=days A=active;;  I=Idle 4-­8  h (A)   36  d  (I) 2-­4  h  (A)   20  d  (I) 2-­3  h (A) 12  d  (I) 4-­8 h  (A)   50 h  (I) 60  h  (A) 8-­10 years Variable 10-­20 years Estimated  Module  Cost $12 $35-­$50 $40-­$80 $5-­$8 $6-­$12 NC $3 $2-­$5 Spectrum  Costs Yes Yes Yes No   (Unlicensed) No   (Unlicensed) No   (Unlicensed ) No   (Unlicensed) Typically  unlicensed Existing  SP  Network Private  Network Emerging 9
  • 10. 10©  2015    Cisco   and/or  its  affiliates.  All   rights  reserved.      Cisco  Confidential LPWA  Characteristics Characteristic Order of  magnitude Typical  value Spectrum Licensed  (3GPP)  vs Unlicensed Sub-­GHz,  2.4GHz Range Long  in  star  topology From  1  to  +10  kms (urban/rural) Objects Many Many thousands Data  volume Small  (upstream  vs downstream) Few  kBytes per  day  (mostly  upstream) Data  rate Low  (upstream vs downstream) From  60bs  to  few  100kbs Data  payload Small From  10 to  few  100 bytes Latency Low to  high Up  to  minutes Battery  life Long From  months  to  +20  years Module cost Low <$5 Service cost Low <$10 per  year 1
  • 11. 11©  2015    Cisco   and/or  its  affiliates.  All   rights  reserved.      Cisco  Confidential Connecting  the  Millions  of   Sensors  with   Low  Power  Wide  Area  Networks 1
  • 12. 12©  2015    Cisco   and/or  its  affiliates.  All   rights  reserved.      Cisco  Confidential Connected  Hospital  – Tracking  of  Medical  Gas  Bottles
  • 13. 13©  2015    Cisco   and/or  its  affiliates.  All   rights  reserved.      Cisco  Confidential Smart  &  Connected  Facility  Management
  • 14. 14©  2015    Cisco   and/or  its  affiliates.  All   rights  reserved.      Cisco  Confidential Smart  &  Connected  Health  Wearables
  • 15. 15©  2015    Cisco   and/or  its  affiliates.  All   rights  reserved.      Cisco  Confidential Smart  &  Connected  Glass
  • 16. 16©  2015    Cisco   and/or  its  affiliates.  All   rights  reserved.      Cisco  Confidential LPWAN  Adoption
  • 17. 17©  2015    Cisco   and/or  its  affiliates.  All   rights  reserved.      Cisco  Confidential SP  to  build  Platform  for  providing  LoRA Services  to  17  French  Cities http://www.orange.com/en/Responsibility/Environment/COP21/LoRa
  • 18. 18©  2015    Cisco   and/or  its  affiliates.  All   rights  reserved.      Cisco  Confidential LoRa Alliance  -­ http://lora-­alliance.org 245+ member by Jun 2016 Sponsor Member Contributor Member Adopter Member Four  activity  tracks -­ Strategy -­ Technical -­ Certification -­ Marketing 1
  • 19. 19©  2015    Cisco   and/or  its  affiliates.  All   rights  reserved.      Cisco  Confidential Summary To  be  sucessful from  IoT solutions  for  health   care… • Deploy  sensors  network,  not  networks  of  Sensors • Technologies  will  always  have  constraints • Adopt  new  innovation  by  driving  pilots • Near  Real  Time  responses  builds  better  process • Must  be  scalable  for  better  business  justification