IOMT FOR GYNAE & OBSTETRICS

USE CASES
 • “To create a National Digital Health Eco-system that supports Universal Health Coverage in an
efficient, accessible, inclusive, affordable, timely and safe manner, through provision of a wide-range
of data, information and infrastructure services, duly leveraging open, interoperable, standards-based
digital systems, and ensuring the security, confidentiality and privacy of health-related personal
information.”

A few of the ongoing initiatives in Digital Health being implemented by MoHFW include:

NATIONAL DIGITAL •
•
Reproductive Child Healthcare (RCH)

Integrated Disease Surveillance Program (IDSP)

HEALTH MISSION : • eHospital

VISION (2019) • e-Shushrut

• Electronic Vaccine Intelligence Network (eVIN)

• National Health Portal (NHP)

• National Identification Number (NIN)

• Online Registration System (ORS)

• Mera Aspatal (Patient Feedback System) and

• National Medical College Network (NMCN).

NATIONAL DIGITAL
HEALTH MISSION
ACTION PLAN
(SUGGESTED)
 WHAT IS INTERNET OF MEDICAL THINGS (IOMT)
IoMT comprises of a network of interconnected medical devices and
other appliances that can have machine to machine conversation over
a network to form a connection of smart devices. The internet of
medical things, also known as healthcare IoT basically the extension of
the internet of things into the healthcare domain.
The computing devices embedded into the medical devices enables
them to send and receive data over a shared network like a wi-fi.
Equipped with state-of-the-art sensors, these devices are able to
capture and transmit vital healthcare data thus improving the efficiency
of healthcare delivery and resulting in improved patient outcomes.
 CLASSIFICATION OF IOMT DEVICES
Clinical
1. Wearables
They include biosensors for monitoring blood pressure, heart rhythm, respiratory rate,
blood oxygen saturation, temperature, eye pressure, glucose level, brain waves, sleep
metrics, etc. These can be used for monitoring inpatients and for remotely monitoring
patients after they are discharged from hospitals or under home care.
2. Implants
They include ingestible or implantable sensors used for tumor detection, tracking
genomic signals, drug tailoring and inflammation detection

Non-Clinical
1. Equipment
It includes bedside monitors, smarts beds, community kiosks, medication dispensers and
medicine adherence trackers. These can be used in a hospital or for home care.
2. Location-based trackers
They include sensors or RFID tags used for tracking patient movement. The data is
used to improve operational efficiency, track critical equipment and identify whether
a patient has fallen and not recovered, etc.

3. Sensors for legacy devices

They include sensors that are used to simply transmit the data captured by legacy
biomedical devices. These devices are costly and sometimes do not offer connectivity
options. The sensors thus enhance their utilization by connecting them tothe enterprise
applications.
IOMT ECOSYSTEM
 MATERNAL ANTENATAL MONITORING -
MOBILE OBSTETRICS MONITORING (MOM)
PROBLEM

Challenges in Shortage of doctors

Poor access to care in
antenatal care and minimally
remote locations
delivery in India equipped midwives

Need for early Difficult to share non-

identification of high- electronic patient
risk pregnancies data
SOLUTION
• Solution connects home to health center
via several components:

• Mobile Obstetrics Monitoring (MOM)

software - this consists of MOM web
app, MOM caregiver app and MOM
doctor app which help maintain
comprehensive digital patient records
that allow calculation of a clinical
decision support pregnancy risk level,
helping standardize pregnancy risk
stratification so that high-risk cases are
not missed

• Community worker backpack - Allows

data collection at patient's home using
weighing scale, fetal Doppler, blood
pressure apparatus, thermometer, tests
for urine protein, hemoglobin level,
blood glucose

• Ultrasound - Simple and mobile, quick

to learn and use, with easy integration
of images with MOM
Note : This solution has already been recognized by IoT panel of IET
• Clinical partner - Facilitates effective
adoption of MOM and provides clinical
training to the users
UNIQUE VALUE PROPOSITION

Portable Lightweight Convenient to use

Economical than what is

Able to be personalized
currently used for Mobile
to the patient.
Obstetrics Monitoring
WIRELESS PATCH SYSTEM FOR
MATERNAL/FETAL MONITOR
PROBLEM

Patients are looking for more in their birthing experience and care providers Patients expect more during their labor and birthing experience and
are ready for something new. Empowering caregivers and patients with a caregivers are looking for ways to increase patient satisfaction. Patients are
solution that puts patient comfort first while helping to optimize caregiver often uncomfortable during labor and restrictions on movement can make that
workflow discomfort increase. Patients are looking for more.
 BELTLESS FETAL MONITORING SOLUTION
A caregiver, want to sustain patient’s mobility and comfort. Base Station, Fetal and Maternal Pod & Patch
Cableless (CL) transducers can help, without sacrificing essential
monitoring. However, traditional cableless technology has
limitations, such as mothers with a high BMI or those undergoing
epidural procedures. This is where the beltless maternal and fetal
monitoring solution provides an alternative.
The solution consists of the reusable CL Fetal & Maternal Pod, and the
single-use CL Fetal & Maternal Patch. You attach the adhesive
electrodes of the patch to mother’s abdomen, then magnetically connect
Fetal and Maternal Pod with Charging station
the pod to the patch. The pod communicates with the CL base station,
and the comfortable patch replaces the sweat soaked and pinching
belt, removing the need for readjustment as the delivery progresses.
You can concentrate on caring for the mother and rely on the
technology to provide you with continuous monitoring, even under
challenging conditions.

Wide Range Pod


PATIENT COMFORT
Freedom
enables freedom of movement with a belt-free
laboring experience to help empower mom and
enable caregivers to provide personalized care.
Instead of conventional ultrasound technology, the
beltless solution uses ECG and EMG signals to
extract fetal and maternal heart rates and uterine
activity from the mother’s abdomen.
The separate labels (aFHR, aHR, and aToco)
document the measurement sources with clarity
and consistency.
Solution avoid breaks in records, because - rather
than disconnecting and connecting - can use the
beltless solution in parallel with cableless
transducers.
Create a wireless experience for your patient and
empower your patients with mobility.
Mobility Choice
As with other CL measurements, the beltlesss Monitor your patient without putting
solution digitizes and processes the measurements restrictions on labor and birthing
directly. The values stay digital all the way to the choices. Empower your patients to
display, whether through the base station or with do what is best for them and provide
our CL Wide Range Pod, for monitoring wherever flexible choices during labor.
the coverage of Wireless LAN allows. The Patch & Pod, when
connected, are waterproof and can be
In addition, it uses the same CL base station, so do left in place during a bath or shower.**
not need to manage extra interface devices or For those patients receiving an epidural
cabling. In fact, you get the same cableless placement, FHR monitoring can
convenience connecting to the fetal monitor continue unrestricted by cords or belts.
without cable clutter, and the same ease of patient Empower your patients with choice. Break free and
assignment by associating the CL Fetal & Maternal give patients the freedom to mobilize and to feel
Pod with base station. more comfortable
PERINATAL INFORMATION SYSTEM

Obstetrics information management solution, is designed to provide comprehensive

coverage across the obstetrical care continuum—from the first antepartum visit to
delivery, and postpartum follow-up visits.

• Patient-focused surveillance unifies patient records

• Alerting and storage to support clinical excellence

• Universal access to information improves efficiency

• Interfacing to improve efficiency and help reduce errors

• Modular design for flexibility and efficiency

• Remote access enhances clinical responsiveness

• Runs alongside other applications for added convenience

• High Availability to preserve operation

UNIQUE VALUE PROPOSITION
Be confident that you are
monitoring the fetal heart. All
caregivers should feel
empowered by their technology –
combined with their clinical skill -
Gives Confidence to drive the best possible
outcomes.
Your time is valuable and you
deserve technology that helps you
focus on your patient – not the
Saves Time technology. When intermittent
monitoring is done for MHR,
precious time is used to get that
information.
detects the Fetal ECG and
Maternal ECG rather than fetal
heart rate through ultrasound
doppler and a separate device
for maternal heartrate. This
alternative method, with the
power to acquire, convert and
process digital data, allows
mECG and fECG to be
simultaneously monitored and
differentiated. This allows the
MHR and FHR to be easily
separated to help avoid
maternal/fetal confusion. The rate
of MHR and FHR confusion is less
frequent with noninvasive fECG
than doppler ultrasound.
Using a large amount of time
repositioning ultrasound
transducers, to ensure a continued
trace, can be a burden in
workflow. Frequently needing to
move the transducer can increase
concerns that you are missing
something and can take time
away from focusing on the
patient.
HOSPITAL-WIDE INFANT PROTECTION
AND MOTHER/INFANT MATCHING
INFANT PROTECTION : CHALLENGES

Newborn infants face specific and unique security and

safety risks, in the form of abduction and
mother/infant mismatches. The abduction of newborns
is a threat faced by all hospitals offering maternal
Mother/infant mismatches are a common occurrence,
child care services. Abductions have occurred in
despite the universal use of the matching ID band
hospitals of varying sizes and types, in urban and
system. This purely manual system is prone to human
rural areas, and in countries around the world.
error from similar or identical names, misreading
Abduction attempts are usually carefully planned,
numbers or returning an infant to the wrong bassinet.
often involve impersonation of staff or other forms of
These factors demand that hospitals put in place
deception and can feature violence. They can also
comprehensive procedures and solutions to protect
occur in different parts of the hospital. While the
infants.
majority of abductions originate in the mother’s room,
a significant percentage of successful abductions have
occurred in the Nursery, in Pediatrics and in other
parts of the hospital.
HUGS® INFANT
PROTECTION :
SOLUTION
The Hugs solution provides hospital-wide protection against
infant abduction and mother/infant mismatches, with each
infant individually protected by multiple layers of security.
As a part of STANLEY Healthcare’s Wi-Fi RTLS platform, the
Hugs solution offers several options and integrations to
expand security, increase patient safety and support
efficient workflow.

The Hugs solution enables infant protection not just in the

Obstetrics Unit, but everywhere in the hospital.

Benefits:

• Increased protection for infants throughout the hospital

• Support for correct matching of mothers and infants

• Peace of mind for staff and family

 Hospital-wide infant protection: Leverage your existing Wi-Fi network to protect
events everywhere in your hospital, not just the OB unit

Automatic mother/infant matching: Kisses® is the only audible and automatic

mother/infant matching solution

Multiple notification options: Monitor alarms on any PC or tablet, or push information

SOLUTION to staff via IP phones, Vocera badges, text message and e-mail

HIGHLIGHTS Enterprise solution: Modular and scalable architecture with high availability and
clustering capabilities, central management of distributed sites and enterprise
databases

Additional applications: Temperature and humidity monitoring, asset management,

hand hygiene compliance monitoring, patient visibility and staff assist

Comprehensive implementation support: Starting with a detailed site assessment,

STANLEY Healthcare works in partnership with IT, clinical and security staff for an
effective solution aligned with clinical workflow
COMPONENTS
OVERVIEW
COMPONENTS
OVERVIEW
CONTD..
PATIENT PRE SCREENING
PRE-SCREENING :
CHALLENGES

Despite advancements in medicine, the ratio

of the number of qualified doctors to
patients seeking care remains poor. While
technology has made it possible to test vital
parameters with ease and alacrity, the
unavailability of doctors to interpret reports
has led
to increased waiting time for diagnosis.
As a result, the time that could be spent
getting treatment is needlessly spent on
diagnosis instead.
PRE-SCREENING
DIAGNOSTIC SOLUTION

Increasingly long waiting times for

patients to avail primary care prompted
HealthCube to reimagine and transform
healthcare delivery. To make this vision a
reality, a comprehensive ecosystem exists
that allows you to perform a wide range
of tests and measure all your vital
parameters quickly and easily
PRE-SCREENING
DIAGNOSTIC
SOLUTION
COVERAGE
ONE HEALTHCUBE
–COMPLETE
HEALTH
MANAGEMENT
SOLUTION SUPPORT