The last decade has witnessed a rapid surge of
interest in new sensing and monitoring devices for healthcare. One key
development in this area is implantable in vivo monitoring and
intervention devices. While the problem of long-term stability and
biocompatibility is being addressed, several promising clinical
prototypes are starting to emerge. For example, in the case of managing
patients with acute diabetes, the blood glucose level can be monitored
continuously in vivo, which controls the insulin delivery from an
implanted reservoir. For the treatment of epilepsy and other
debilitating neurological disorders, there are already on the market
implantable, multiprogrammable brain stimulators which save the patient
from surgical operations of removing brain tissue. In cardiology, the
value of implantable cardioverter-defibrillators (ICD) has increasingly
been recognized for the effective prevention of sudden cardiac death
(SCD). In Europe 900,000 patients die suddenly each year and about
ninety percent of these deaths are caused by an arrhythmogenic event.
Disturbingly, many arrhythmogenic deaths could be prevented if ICD
implantation had been made available when the risk of SCD was
identified. It is possible to envisage a large percentage of the
population having permanent implants which would provide continuous
monitoring of the most important physiological parameters for
identifying the precursors of major adverse cardiac events including
sudden death. Such technological development echoes the social,
industrial, and clinical perspectives of future healthcare delivery.
Objectives
- Techniques for portable communicator interactions with implantable sensors and interventional devices.
- Wearable communicator performing multi-sensor interfacing.
- Automated techniques for integrating multi-sensory data leading to an intervention strategy.
- Preliminary clinical evaluation for management of patients with ischaemic and arrhythmic heart disease.
Primary Deliverables
- Novel micro-power circulatory for fully integrated sensory processing.
- Incorporation of ambient sensors, context awareness for improved sensing and episode detection
- Intelligent data fusion and mining for reliable prediction of critical events
Technical innovations
- Low power sensor coupling and telemetry suitable for long term implants
- Context aware and adapt to environment changes
- Integrated local processing with remote long term trend analysis
- Multi-sensory fusion and data mining with prediction for critical events
UbiMon is aimed at addressing general issues related to using
wearable and implantable sensors for distributed mobile monitoring. As
an exemplar, the value of the research is to be demonstrated in the
management of patients with arrhythmic heart disease. This is motivated
by the fact that cardiovascular disease remains the major cause of
mortality and morbidity in the industrialised world despite significant
progress in its prevention and treatment. Clinically, there is a
growing need for continuous monitoring under natural physiological
states of the patient so that transient but life threatening
abnormalities to be detected or predicted. We will also investigate in
parallel the use of implantable sensors for post surgical care,
especially in conjunction with minimal access surgery.UbiMon represents
a coherent cross-disciplinary integration of different expertise of the
consortium, bringing together computing, electronics, bioengineering
and medicine.
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