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New PDA Listens To Your Heartbeat

Roland Piquepaille writes "CardioNet Inc., a company based in San Diego, has developed a wireless technology to monitor heart patients. According to this Computerworld article, the technology was 'originally developed by Qualcomm Inc. to track and send messages to large truck fleets.' CardioNet's service is initially focused on the 2 million U.S. people suffering from arrhythmia. Each patient is equipped with a PDA-type electrocardiogram (ECG) monitoring device connected by a short-range wireless system to electrodes on his chest. Data is sent to his doctor via a built-in cell phone chip. More details, including a diagram and pictures showing how the system works are also available."

57 comments

  1. well by Tirel · · Score: 4, Funny

    I don't see a point unless this includes a tracking device.. I mean, what good is it if my doctor knows I'm dying, but doesn't know where I am??

    1. Re:well by in7ane · · Score: 3, Insightful

      Ahh, but better yet are the false positives when it gets disconnected etc.

      I think it would be more useful for monitoring (heart beat up, irregular - shove into a database, data-mine, look for high risk 'patterns') rather than notifying people of your death.

    2. Re:well by Stephen+Samuel · · Score: 3, Funny
      Ahh, but better yet are the false positives when it gets disconnected etc.

      It won't be a false positive for very long. When the alarm goes off, it'll give you a heart attack

      (talk about mrbid humor...)

      --
      Free Software: Like love, it grows best when given away.
    3. Re:well by Cerlyn · · Score: 2, Interesting

      Yes, there may be false positives/negatives. No machine I know of (and I've heard stories about several) can perfectly predict when someone is going to have a heart attack. There simply are too many variables and too many different varients and types of irregularities for a "one size fits all solution".

      As long as the machine passes the ECG it sees to the doctor there should be no problems. If there is a cause for concern in the relayed data, the doctor can talk to the patient via other (non-PDA) means.

      Probe disconnection should be easy to detect. Your skin has an electrical resistance much lower than an air gap. While human skin resistance is normally in the megaohms, a properly designed device should be able to detect this. Any decent digital multimeter which can read 20+ Megaohms likely can verify this (DMMs use low current, but I do *not* vouch for the safety of this procedure!).

      Note IANAMD. Though I hope to be a Ph. D. someday :)

    4. Re:well by technut · · Score: 1

      exactly.. so they would also need to some how pack into some poor b*****ds chest a GPS system, heart monitoring equipment, a PDA! and a mobile phone... not to mention you'll be charged special tariffs by vodaphone or whoever (5/min?) for special near death calls!! to put it another way its not gonna work ;)

    5. Re:well by Anonymous Coward · · Score: 3, Informative

      I happen to have arrhythmia. First note that there is wide variation in how arrhythmia affects people. For example, I'm not sure if this device would help me because my condition is not an extreme form of arrhythmia.

      By itself, arrhythmia is not particularly serious; however, it can have serious secondary effects. Basically arrhythmia messes up the circulation of blood, which can lead to blood clots (because of pools of blood that aren't moving), which can lead to stroke, which is serious.

      I'm currently on medication, which keeps my heart out of arrhythmia. However, it is possible that I occasionally go in and out of arrhythmia without knowing it. If I could establish that I'm not going into arrhythmia, then I could drop one of the medications I'm taking to lessen the chance of blood clots. This particular medication requires that I make periodic visits to a clinic to get the dose "calibrated."

      Thus, the point of the device is to determine if the person being monitored is going in and out of arrhythmia and what kind of arrhythmia it is. Thus, in turn affects the treatment of the individual with respect to surgery, medication, etc.

    6. Re:well by Davak · · Score: 1

      Only very, very seldom can I look at a ECG tracing and be able to tell that someone will soon die. Even people who go into dangerous patterns such as ventricular tachycardia (VTach) usually spontaneously come out of it without any symptoms. (Thus the need for the monitoring)

      The more we study electrophysiology, the more we realize that more and more patients will really gain from pacemakers and AICDs (shock boxes).

      Routine ECG and BP monitoring for a couple of days per year may one day be an effective screening test for early heart disease, hypertension, electrical abnormalities, and such.

      Why is a PDA associated device good for this? Cause PDAs are mass produced; therefore, the ability to monitor at home becomes much cheaper. I mean I'm not going to beam you the programs to your personal PDA... but a slightly redesigned PDA will hopefully be much cheaper than our current home monitoring devices.

      Davak

    7. Re:well by Davak · · Score: 2, Informative

      No machine I know of (and I've heard stories about several) can perfectly predict when someone is going to have a heart attack.


      No machine that exists can predict when/if a person will have a heart attack. Even a cardiac catherization that allows one to visualize the coronary arteries can't predict this... which is kinda cool.

      Heart attacks usually occur when a clot forms on a previous plaque in one of the vessels feeding the heart. Logicially you would think that the tighter and bigger the plaque, the higher the risk of a clot forming and causing a heart attack. However, this is apparently not true. Often large heart attacks are caused by clots from the smaller plaques.

      Of course, this article is talking about arrhythmias... not coronary artery disease. Arrhythmias can occur from ischemia but this would be likely be a very poor way to screen somebody for this disease.

      Davak
    8. Re:well by Goldberg's+Pants · · Score: 1

      I think it's quite useful. My PDA knows everything else about me, only fair it knows when I'm dead...

  2. I want one by Exiler · · Score: 4, Funny

    If I had one of these babies I could have it log onto IRC and AIM and inform my friends via e-mail of my death =D

    --
    Banaaaana!
  3. PERSONAL DIGITAL ASSISTANT by Anonymous Coward · · Score: 1, Interesting

    So, now my personal digital assistant can listen to my heart and assist me in the event of a heart attack. Should be handy on my Handspring Trio with a built in cell phone to call 911.

  4. Only one problem... by dnaboy · · Score: 4, Funny

    A lot of hospitals still require people to turn off cell phones, as they allegedly might have an effect on other equipment. Talk about valuing your own life over others...

    1. Re:Only one problem... by Ekman · · Score: 1
      A lot of hospitals still require people to turn off cell phones, as they allegedly might have an effect on other equipment. Talk about valuing your own life over others...

      Ironically enough, one of the problems they can cause is noise in ECG traces.

  5. BSD by runderwo · · Score: 3, Funny

    Someone use it on *BSD! Finally, we can know for sure whether it is really dying, or not!

  6. In other news: by Anonymous Coward · · Score: 0

    Every BSD distribution to ship with one of these things attached.

    (it's no good if only one of them dies - we shall not be happy until all of BSD is finally dead!)

  7. Real world blood pressure? by Anonymous Coward · · Score: 1, Interesting

    Whenever we're at the hospital or doctor's office, our blood pressure is up, so it's tough for doctors to get a real world grasp on how a patient's doing, even when taking Heisenberg's uncertaintly principle into consideration. That's where I see the biggest benefit in this device--monitoring high risk patients and getting a more accurate picture of how s/he is doing.

    Aex.

    1. Re:Real world blood pressure? by xanderwilson · · Score: 1

      I don't remember hitting the "post anonymous" button. Or spelling my name "Aex" for that matter. The rest of my message looks familiar. Though I do remember blacking out just before I hit submit...

      Alex.

  8. Don't use any Microsoft programs... by JamesP · · Score: 4, Funny


    Clippy: It seems you're having a heart attack... Do you want me to call for help?

    --
    how long until /. fixes commenting on Chrome?
  9. Handspring by brokencomputer · · Score: 1

    There is a handspring handspring.com springboard expansion ECG device smilar to this except it uses wires and is designed for anisthesiologists.

  10. Possibilities by tomakaan · · Score: 2, Insightful

    I think this presents some neat possibilities beyond the mentioned focuses. It'd be pretty cool to have a PDA respond differently to you based on your heart rate (which can be an indicator to certain emotions).

  11. love tester by Ugodown · · Score: 2, Funny

    Sombody will hack it and be able to hijack the wireless signal. Then love-less geeks will be able to tell by heart rate if she actually likes me... No, I mean them!

    --
    --- to swing on the spiral...
  12. PDA resus by vevva · · Score: 1

    Now all we need is a PDA battery pack with enough juice to get the old ticker started again.

  13. Bluetooth by vevva · · Score: 5, Funny

    Bluetooth has discovered a new device "Human Heart" - Autoconfigure (Yes/No)?

    1. Re:Bluetooth by Anonymous Coward · · Score: 1, Funny

      Thanks for upgrading to PocketPC Longhorn edition.

      [information message box pops up]
      Windows has detected that the device "Human Heart" has not been properly signed. To protect you, the device has been terminated. Please reboot PocketPC.

    2. Re:Bluetooth by Anonymous Coward · · Score: 0

      Execute pairing? Type your PIN code in your heart...

  14. Dangerous for nerds by rde · · Score: 3, Funny

    Can you see the conversation between a doctor and a nerd about this?

    Doctor: Now, Poindexter, I've just set this PDA up...
    PDA: Thump... thump... thump...
    Doctor: And I'm giving it to you.
    PDA: Kathump...kathump...kathump...
    Doctor: As well as the regular functions, it's got a few more...
    PDA: KathumpKathumpKathump
    Doctor:It records your heartbeat, for instance
    PDA: KathumpityKathumpityKathumpity
    Doctor: Oh. 180? That can't be right. It musn't work. Here, take this stopwatch, and sms me with your pulse every half an hour.
    PDA: Beeeeeeeeeeeeeeep

  15. Licensing agreement by texaport · · Score: 1
    Why would Microsoft's WinCE code do any better than Windows 2003 Server, which specifically forbids the licensee from using in the monitoring of nuclear power plants and lifesupport equipment in hospitals?

    --
    Hit [F8] to agree with the preceding terms

  16. A net-connected holter monitor by dopaz · · Score: 2

    From the article, I believe this device is simply a holter monitor that immediately sends the data elsewhere. Typical holter monitors log all the data on a device the patient wears for 24hrs. When the patient returns to the doctor's office, the device is removed and the data is transferred to one or more formats (CD, paper hardcopy, etc). If the data was being streamed and analyzed in realtime, doctors may be able to call a patient into the hospital before symptoms present themselves.

  17. This is a great idea for parents. by AntiOrganic · · Score: 4, Funny

    Just hook it up to your kid's heart, and you'll know by his increased heartrate when he's downloading porn on the thing and fapping away.

  18. Where will it end by Timesprout · · Score: 1

    I know this is a valuable application of technology, something we dont see enough of but my very first thought was where will this monitoring end. In the future will my woman be getting wireless messages that my blood alcohol levels are rising so she can put an end to my fun in the pub. Will she be able to get messages that my testosterone levels are increasing while I'm looking at an attractive woman. God forbid the damn things are interactive so she can administer electric shocks in this scenario.

    --
    Do not try to read the dupe, thats impossible. Instead, only try to realize the truth
    What truth?
    There is no dupe
  19. Rate of Transfer by SynKKnyS · · Score: 1

    Let us just hope it doesn't have a TCP/IP stack written in BASIC on a 6502 then. The doctor can't help the patient if they already croaked 30 seconds ago.

  20. Great way to keep people from roaming... by JRHelgeson · · Score: 1

    I can just see a patient dying because they went out of cell phone range.

    --
    Good security is based upon reality and common sense. Common sense is a function of having common knowledge.
  21. Is anyone else wondering... by Anonymous Coward · · Score: 0

    ...when this guy is going to stop Piquepaille-ing out his blog on slashdot?

    This post story is only slightly more interesting than his 'Cognitive Machines' story yesterday.

    This isn't even that original, there have been machines to do this type of diagnostics over the phone for years. So they've hooked it up to a PDA, big deal. It's not a bad idea, just not very original or spectacular from where I'm sitting.

  22. Similar story.. by Flabby+Boohoo · · Score: 4, Interesting

    Friend of mine has developed software that monitor's the heartbeats of infants when they come out of delivery. This software runs on an iPaq (standard, off the shelf variety). Similar features as described in the article.

    Amazing the amount of work required to get that accepted by the medical establishment.

    I would imagine his solution, because it does not require special hardware (for the PDA) would be more affordable.

  23. Can you hear me now by GillBates0 · · Score: 4, Funny
    Each patient is equipped with a PDA-type electrocardiogram (ECG) monitoring device connected by a short-range wireless system to electrodes on his chest. Data is sent to his doctor via a built-in cell phone/ chip.

    Can you hear my heart beat now *dub* *dub*
    Can you hear it now. *dub* *dub*
    Can you hear it now. *silence*... OH MY GOD THEY KILLED KENNY
    YOU BAS...Naah, just lost the signal there for a while.

    --
    An Indian-American Hindu committed to non-violent thought/speech/action alarmed by the global explosion of radical Islam
  24. Finally by gooru · · Score: 1

    Great! Now, I can finally tell if the people beside me really are cold heartless bastards.

    1. Re:Finally by Anonymous Coward · · Score: 0

      Unless they have a "Super-Special Sterling Heart Emulator Transmitter". Several lovely... yaddayadda.

      Too easy.

  25. Cool by Anonymous Coward · · Score: 0

    I sold these guys a spectrum analyzer on eBay a couple of years ago. Glad to see it was put to good use. :)

  26. Spyware by Skapare · · Score: 2, Funny

    Spyware will now know just what great discount offers really excite you, and can report those back so you then get spammed with more such offers (until you finally have a heart attack).

    --
    now we need to go OSS in diesel cars
  27. Welcome! by Anonymous Coward · · Score: 0

    I for one welcome our new Cardio overlords.

  28. Listens To Your Heart...? by kentyman · · Score: 1

    Like Roxette?

    --
    You know where you are? You're in the $PATH, baby. You're gonna get executed!
  29. Sounds like Vitaphone by stesch · · Score: 1

    Vitaphone GmbH has a similar product.

  30. muzack by Anonymous Coward · · Score: 0

    Listen to your hear-eart - when he's callin' for you

    Listen to your hear-eart - there's nothin' else you can do

    I don't know where you're goin' and I don't know why-y

    But listen to your hear-eart - before you tell him goodbye-ye

  31. It need not to be a heart attack by AchmedHabib · · Score: 1

    But it might be the beginning of one. If it could detect early warning signs it could be a good thing

  32. my heartrate monitor is cooler and smaller by Anonymous Coward · · Score: 0

    big deal. my heartrate monitor is more advanced.

  33. PROGRESS! I love it! Embedded Systems by Tsu+Dho+Nimh · · Score: 2, Informative

    Way back when I was just out of medical technology school, there was an article about the possibility of having all the lab machines hooked up to a mainframe that would control them, perhaps by the year 2000. (we had sophisticated, but pure analog eqiupment) That was just about the time Intel released the 8008, then the 8080. The first computer controlled lab equipment rolled in the door in early 1975, and by the late 1970s we were fully wired, with a network of PDP8s.

    The diagnostic difficulty with cardiac arrythmias is that they are intermittent ... the chances of having one show up in the cardiologist's office is slim to none.

    Then they developed the "Holter" monitor ... huge, battery operated thing that could be pushed around the wards by inpatients.

    Then it was battery operated and in a fanny pack, and you wore electrodes for a few days, periodically hooking it to a special phone device to transmitted data. (similar device is/was used for high-risk pregnancies - they have a special belt to spot early labor contractions so mum-to-be can come in if needed)

    Now it's continuous monitoring with something embedded that is smart enough to email the doc ... if it can make it through all that spam. There are remote embedded defibrillators. It's apparently like being kicked by a mule when it gets activated by your heart malfunctioning.

  34. Real Time Heart Network. Hackz ? by Anonymous Coward · · Score: 0

    DoS from some collective event (power outages) ?

    A new way to collect statistics on consumer response ? On political response ? Oh, you Orwell !

    Worms inducing "flutter" to this or that particular interest ?

    Fun with e-m interference ?

    More "patient" lifestyle correlation ?

    Hacking by insurance / "health" co's ?

    Employers will require you to sign a waiver to allow them to monitor your heart transmit, at their convenience ? And forbid you from turning it off, mute it, or otherwise ... ad nauseam ?

    How soon before some jerk sues / is sued for having his heart beat just like someone else's patented heartbeat ?

    More silliness to put "live" on personal web pages ?

    Why did Heinlein's "Puppetmasters" just come to mind ?

  35. Analysis, too! by LordByronStyrofoam · · Score: 1

    The article seems to be from the Qualcomm perspective. This device draws from many technologies beside Qualcomm communications infrastructure, but that gives it a big bandwidth boot. I worked at Cardionet when they started up, for about a year. Great concept, well realized. The device contained a small GPS receiver so as to be able to report your position (if outdoors), or the location of the door you entered (GPS doesn't work well inside buildings).

    However the belt-worn device does more than simply send the patient's heartbeat waveform to a monitoring center. It actually performs a realtime cardiac waveform analysis, looking for specific anomalies and arrhythmias, comparing levels against physician-defined thresholds. Only when a threshold is exceeded is an action taken. See bullet 4 from in the diagram.

    --
    Slashdot's name? When my compiler sees /. it generates a warning about a badly formed comment.
  36. Re:Personal Injury by Anonymous Coward · · Score: 0

    apparently thats extremly dangerous. There was a guy in the paper who by doing that started having random erections ;-)