The FDA finally issued a guidance for industry and FDA staff about mobile medical applications. I think they meant medical mobile applications, but still. The point is they are moving forward. Here is the PDF.
Posts from the ‘Mobile’ Category
The new technology developed by Nymi was just announced and will certainly raise important questions about security. This is a bracelet using ECG authentication serving as a password to access computers or open doors.
The benefit of the Nymi’s new and exciting ECG authentication is that it is highly secure without compromising convenience. The Nymi has a 3-Factor system ensures that you and only you have access to your Nymi, and control of your identity. To access the Nymi you must first have possession of the wristband. Second, you must possess your unique heart rhythm, and finally, you must have access to the secure application on a registered smartphone. Once you’ve authenticated, you will remain authenticated so long as the wristband is not removed.
While the idea is great, what about people with different forms of arrhythmia? What about ECG results available in medical records of almost everyone? I hope the team behind Nymi will give us the responses.
The new Samsung Galaxy Gear Smartwatch was just presented and based on its features it has the potential to replace medical pagers while smartphones could not make this step.
- Obviously, it works like a watch.
- It can record videos.
- Play music.
- Has a pedometer
- Make phone calls
- Has its own applications
- Weather, taking notes, sending messages and many more.
A clinic in Germany started experimenting with an application using augmented reality on iPads in the OR. During operations, surgeons can see through anatomical structures such as blood vessels in the liver without opening organs therefore they can perform more precise excisions.
A CT scan is performed before the surgery and the imaged vessels are identified within software, all of which is then transferred to the iPad. During the procedure the surgeon can navigate the imaged liver to see where the vessels are, and if the camera is turned on and pointed at the exposed liver the app automatically superimposes the vessel structure of the organ onto the live picture. Notably, the app is not simply a concept, but was already tested successfully during a liver tumor removal at Asklepios Klinik Barmbek in Hamburg.
Years ago, I wrote about an experiment of similar kind performed at the Computer Assisted Medical Procedures Institute at the Technische Universitat München.
The technology is now there, we just have to put evidence behind using it in practice. Exciting times ahead!
As I mentioned in the first part of this series, the job of a medical futurist is to give a good summary of the ongoing projects and detect the ones with the biggest potential to be used in everyday medical practices and to determine the future of medicine. Here is the second part of the list of 20 technological advances:
11) Switching from long and extremely expensive clinical trials to tiny microchips which can be used as models of human organs or whole physiological systems provides clear advantages. Drugs or components could be tested on these without limitations which would make clinical trials faster and even more accurate (in each case the conditions and circumstances would be the same). The picture below shows a microchip with living cells that models how a lung works. Obviously, we need more complicated microchips that can mimic the whole human body, but this ultimate solution will arrive soon.
12) Medical students will study anatomy on virtual dissection tables and not on human cadavers. What we studied in small textbooks will be transformed into virtual 3D solutions and models using augmented reality. We can observe, change and create anatomical models as fast as we want, as well as analyze structures in every detail. Examples include Anatomage, ImageVis3D and 4DAnatomy.
13) Optogenetics will provide new solutions in therapies. A recent study published in Science reported that scientists were able to create false memories in the hippocampus of mice. This is the first time fear memory was generated via artificial means. By time, we will understand the placebo effect clearly; and just imagine the outcomes we can reach when false memories of taking drugs can be generated in humans as well. The idea is a bit futuristic, but the basics of the method are almost available now.
14) With the growing number of elderly patients, introducing robot assistants to care homes and hospitals is inevitable. It could be a fair solution from moving patients to performing basic procedures. The robot in the picture below is the prototype made by a company based in California that aims at combining robotics and image-analysis technology so then it can find a good vein in your arm and also draw your blood. In the next step, it will also perform analysis on the blood from detecting biomarkers to obtaining genetic data.
15) Now we wear a FitBit and other devices that measure easily quantifiable data, but the future belongs to digestible and wearable sensors that can work like a thin e-skin. These sensors will measure all important health parameters and vital signs from temperature, and blood biomarkers to neurological symptoms 24 hours a day transmitting data to the cloud and sending alerts to medical systems when a stroke is happening real time. It will call the ambulance itself and sends all the related data immediately.
16) It is not just about checking and monitoring vital signs but intervention is also the key to a better health. Imagine tooth-embedded sensors that can recognize jaw movements, coughing, speaking and even smoking so it records when you eat too much or smoke no matter what the doctor told you. Again, it’s going to be extremely hard not to keep the doctor’s pieces of advice. Imagine the same wireless technology used in organs providing real-time data.
17) If wearing thin e-skins or having embedded sensors is not a viable option for us, then let’s make an old dream come true. The concept of the tricorder from Star Trek has been there for decades and we still don’t have it. The Qualcomm Tricorder X Prize challenge will hopefully lead to the development of a device that can diagnose any diseases and give individuals more choices in their own health. The competition is hard as devices such as Scanadu are also being developed. What matters is patients will control their own health.
18) I’ve always been a fan of IBM Watson and seen its potentials as huge opportunities in medicine. Watson will assist physicians in everyday medical decision-making, although it will not substitute humans at all. While a physician can follow a few papers, maybe a few dozens of papers with digital solutions, Watson can process over 200 million pages in 3 seconds, therefore with the increasing amount of scientific data, it would be a wise decision using this in the practice of medicine.
19) Since the completion of the Human Genome Project, we have been envisioning the era of personalized medicine in which everyone gets customized therapy with customized dosages. The truth is that there are only about 30 cases when personal genomics can be applied with evidence in the background according to the Personalized Medicine Coalition. As we move along this path, we will have more and more opportunities for using DNA analysis at the patient’s bedside which should be a must have before actually prescribing drugs.
20) I thought I would put the simplest and most predictable medical advance to the bottom of this list. In the near future, whether it is the right and reliable medical information, dynamic resources or medical records; everything will simply be available to everyone which might not sound that interesting, but this would purely be the most important development in the history of medicine.
It would be great if you could share your insights about other technological advances in the comment section after the post. I hope you enjoyed these two journeys into the future of medicine.
A few weeks ago Stanford University asked me to make a video with a professional crew and talk about mobile health from the medical futurist’s perspective which they can add to the Mobile Health Without Borders course. I was happy to accept this challenge; and I hope you will find the video interesting and useful.
What happens when a university lecturer published a mobile application with questions-answers about different medical specialties and decides to include some of those public questions in the test of a university examination? Well, trouble.
Students from Kings College London who recently sat through an Obstetrics & Gynaecology exam were surprised to note that a large proportion of the questions were identical to those found in an OB/GYN medical question app.
The author of the £1.49 app is a lecturer at the University who wrote some of the questions on the exam paper using information from the medical app that had been published.
This is why I don’t think it’s enough to teach medical students about the meaningful use of social media and digital technologies, but medical professionals and lecturers as well.