The Impact of Mobile Technologies on HealthcareWhats Coming

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The Impact of Mobile Technologies on
HealthcareWhats Coming?
Norm Fjeldheim - CIO, QUALCOMM
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Wireless Internet
gt
Wired Internet
3
Wireless Internet Revolution
Bandwidth (bps)
100,000,000
Fixed Internet
Wireless Internet
10,000,000
9M ADSL
1,000,000
3.1M CDMA2000 1xEVDO-A
3M Cable
2.4M CDMA2000 1xEVDO-0
384k
WCDMA (UMTS)
128k
100,000
128k
CDMA2000 1X
56k
64k
cdmaOne IS-95B
28.8k
10,000
9.6k
14.4k
cdmaOne IS-95A
9.6k
2400
1200
1,000
300
100
1970
1975
1980
1985
1990
1995
2000
2005
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3G Evolution Today Tomorrow
Timeline depicts initial commercial availability
for each technology
3G Technologies
CDMA2000 1xEV-DO
Enhanced EV-DO
1.25 MHz Data IP Voice
Designed for In-Band Migration
Revision A
IS-856 Release 0
Dedicated for packet data 2.4 Mbps peak rates
(fwd link) 300 700 kbps average end user rates
3.1 Mbps fwd link 1.8 Mbps reverse link, VoIP,
lower latency
CDMA2000 1X
1xEV-DV?
1.25 MHz Voice Data
Rev. C
Rev. D
IS-2000 Release 0
Revision A
3.1 Mbps fwd link 1.8 Mbps reverse link
Double voice capacity 153.6 kbps packet data 50
80 kbps average end user rates

• 307 kbps packet data
• Simultaneous voice and data

WCDMA (UMTS)
HSDPA
Designed for New Spectrum
5 MHz Voice Data
3GPP Release 99
Rel. 5
64/384 kbps circuit switched / packet data Soft
handoff 64 250 kbps average end user rates
1.8 to 14.4 Mbps fwd link
2006
2005
2004
2003
2002
2001
2007
2008/9
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Increase in Mobile Processing Power Over Time
MSM7200 Convergence Dual-Core ARM9 ARM11 Up to
740 MIPS 400 MHz
MSM6550 Enhanced Platform ARM9 Up to 250
MIPS (225 MHz)
MHz
MSM6500 Multimedia Platform ARM9 Up to 160
MIPS (146 MHz)
MSM2300 ARM MCU lt 20 MIPS
MSM2 Intel 80186 10 MIPS (2.5 MHz)
MSM3000 ARM7TDMI 23 MIPS (27 MHz)
Dhrystone 2.1
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Verizon to be 1st U.S. operator to launch MediaFLO
2005
2006
Q1
Q4
Q2
Q1
Q4
Q2
Q3
Q3
Commercial Trials
Commercial Launch
Technical Trials
On-going Technology Development
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EV-DO VoIP
EV-DO VoIP
EV-DO VoIP
EV-DO VoIP
EV-DO VoIP
BluetoothTM
EV-DO Data
EV-DO Data
EV-DO Data
EV-DO Data
GPS
BluetoothTM
MediaFLO
Wi-Fi
BluetoothTM
BluetoothTM
At home, playing multiplayer 3D game, wirelessly
sending video to nearby display 2010
VoIP call to doctors office 2006
While on call, checks email health status
statistics 2006
Checks location directions to doctors
office 2006
Watches game on MediaFLO group video chat with
friends in waiting room 2006/2008
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Internet Mobility Location Sensitivity
Time Sensitivity Always On, Always With You
Wireless Internet
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Whats ComingFor HealthCare?
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Smart band-aids, implants, medical devices
handset convergence
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Biotronik - First Pacemaker/ICD Wireless
(Europe/US)

• Wireless monitoring of patient device
• In use in Europe and the US over 6,000 patients
  (April 2004)
• Pacemaker and ICD patients
• Proactively monitors patient
• 88 of patients experience an increase in sense
  of security
• Completely automatic data transfer patient just
  has to have device turned on

Source Company Web Site
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First Embedded Glucose Meter Cell Phone (Korea)
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24/7 Wireless
Cardiac Telemetry (US)
Patient freedom to go anywhere at anytime
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HealthPia LG Diabetes Phone (Korea)
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Ringtone Vibration Data Entry Alerts
XML/HL7
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12
10
11
Adverse Event Log
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BioWatch (US)

• Tackling prescribed and consumer markets

Vital Signs TransmitterClinical Monitoring
CenterGlobal Positioning System (GPS) Event
ButtonImmediate Voice ResponseReports for
Evaluation and Tracking
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• Card Guard health mobile phones (Israel)
• 1 and 12-lead ECG event recorder
• Blood pressure
• Glucometer
• Thermometer
• Spirometer
• Sp02

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VitaPhone (Germany)
The patient takes an ECG by holding phone to chest
The patient is automatically connected to
VitaPhone call-center
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(No Transcript)
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TelcoMed (Israel)

Heart rate Breathing rate Heart rhythm
regularity One lead ECG Body temperature Event
recorder Panic button
250-meter range to cell phone
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eMedonline In development by NIH, Amerisourse
and Motorola (US)

• eMedonline Integrates RFID Rx packaging
• Targeting the elderly clinical trials
• Alerts patients at programmed intervals, delivers
  tailored messages about taking medication, and
  dispenses medications directly to the patient
• Built-in RFID reader confirms dosage and delivery

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SIMPILL (South Africa)
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e-San Ltd (in UK trials)

• Testing wireless solutions to improve disease
  management

• Multiple trials with asthma, diabetes and CHF
  patient populations
• Asthma trial - pulse oximetry and peak flow
  meters
• Diabetes trial - Vodafone and JJ Lifescan
  OneTouch Ultra glucometers
• CHF trial - pulse oximetry, BMI and scales

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Take a photo and get advice
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QUALCOMM Health Phone Concept

• Handset platform tailored to both seniors phone
  and health phone applications and services
• Customize-able to individual offering
  requirements

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family
concierge
doctors
experts
call center
health phone
emergency
advice
nurse
LINQ Services
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pharmacy
wireless medicine cell
medication
emergency
Pharmacy Services
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family
doctors
emergency center
cardio phone
cardio belt monitor
Health Monitoring
emergency
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The Future is hereBuilding Wireless Health
Environments
140/90
130/80
220/120
MDconsultation
Paraprofessionalintervention
911emergencyresponse
Self-careinstructions
Credit Forrester Research, blood pressure
parameters
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ENTERPRISE OVERVIEW February 09, 2006
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