Custos Remote on-demand healthcare aided with wireless sensors and mobile phones

Telemonitoring and remote healthcare are two ICT techniques promise to deliver cost effective long-term healthcare services to the aging population worldwide. Anticipating an emerging market opportunity, NCTU Kannon project team is creating Custos, an open composeable platform for developing remote on-demand healthcare applications using smart phones and wireless sensor networks. Custos is integrated readily with Internet web services and UPnP digital-home platform so that it can be used to detect abnormal health conditions through multi-sensor data fusion, adapt environment conditions to user needs, dispatch medical alerts and instigate remedial actions via SMS/RSS communication. Moreover, Custos is easy to program because it uses Sun SPOT and Squawk Java J2ME as its sensor/actuator hub. In this position paper, we present the design principles, system architecture and operation concepts of Custos as well as a pilot plan for clinical trials in the Geriatric Psychiatry Ward of Wei-Gong Memorial Hospital in Miaoli, Taiwan.

[1]  Jing Bai,et al.  A portable ECG and blood pressure telemonitoring system. , 1999, IEEE engineering in medicine and biology magazine : the quarterly magazine of the Engineering in Medicine & Biology Society.

[2]  Paul Lukowicz,et al.  AMON: a wearable multiparameter medical monitoring and alert system , 2004, IEEE Transactions on Information Technology in Biomedicine.

[3]  Astro Teller.  A platform for wearable physiological computing , 2004, Interact. Comput..

[4]  John Kar-Kin Zao,et al.  Ubiquitous e-Helpers: An UPnP-based home automation platform , 2007, 2007 IEEE International Conference on Systems, Man and Cybernetics.

[5]  John Kar-Kin Zao,et al.  Activity-Oriented Design of Health Pal: A Smart Phone for Elders' Healthcare Support , 2008, EURASIP J. Wirel. Commun. Netw..

[6]  K. F. Tan,et al.  Detection of the QRS complex, P wave and T wave in electrocardiogram , 2000 .

[7]  H. Asada,et al.  The ring sensor: a new ambulatory wearable sensor for twenty-four hour patient monitoring , 1998, Proceedings of the 20th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. Vol.20 Biomedical Engineering Towards the Year 2000 and Beyond (Cat. No.98CH36286).

[8]  Chung-Chih Lin,et al.  A Healthcare Integration System for Disease Assessment and Safety Monitoring of Dementia Patients , 2008, IEEE Transactions on Information Technology in Biomedicine.

[9]  G. Hripcsak,et al.  Internet-based home asthma telemonitoring: can patients handle the technology? , 2000, Chest.

[10]  G. Eysenbach.  What is e-health? , 2001, Journal of Medical Internet Research.

[11]  S. Meystre.  The current state of telemonitoring: a comment on the literature. , 2005, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[12]  D. Mancini,et al.  Use of telemonitoring to decrease the rate of hospitalization in patients with severe congestive heart failure. , 1999, The American journal of cardiology.