7. chris van hoof new 100313dl

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    BioMEMS

    Enabling Killer Apps inHealthcare & Lifestyle

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    Chronic diseasesstem in large partfrom lifestyle related

    risk factors

    BioMEMSEnabling Killer Appsin

    Healthcare & Lifestyle

    Chris Van Hoof, imec, Belgium

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    LAST MONTH

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    I LEARNED ABOUT MYHEALTH RISKS

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    Chronic diseasesstem in large partfrom lifestyle related

    risk factors

    HEALTH=

    Genetics

    Bill Davenhall, geo-medicine guru, ESRI

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    LANDSCAPE OF POC DX

    Type Benchtop Portable Smartphone

    Where? Clinical lab Clinical lab or Drsoffice

    Home or Drs office

    What? Expensive and dedicatedinstrument, low-costdisposable

    Lower cost dedicatedinstrument, low-cost

    disposable

    No instrument. Morefunctions integrated into

    disposable. Data processing

    in smartphone or cloud.

    Instrument cost $10-100k $5-20k $0

    Disposable cost $10-200 $10-200 $0.50-10

    Well-servicedSolutions exist

    Nocompelling

    solutions on

    the market

    yet

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    disposablemicrofabricated

    test

    flexible:blood,saliva,

    urine

    smartphone

    healthtracking

    app +

    webservices

    iLabTECHNICAL CONCEPT

    Wireless link

    ONE PLATFORM - MANY MARKERS

    DNA/RNA Mutations miRNA: marker for cancer and other diseases Pathogen DNA/RNA: infectious diseases (HepC,

    HIV, et.)

    Proteins Biomarkers for disease (cancer, Alzheimers,

    infectious diseases, heart disease, etc.)

    Small molecules and metabolites Metabolic information (e.g. cholesterol)

    Microscopy Blood cell count (e.g. HIV CD4+) Blood disorders (e.g. sickle cell anemia)

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    disposablemicrofabricated

    test

    flexible:blood,saliva,

    urine

    smartphone

    healthtracking

    app +

    webservices

    Detection chip

    ~1 cm

    2-4 cm

    Fluidics chip

    PCB with

    radio,

    power,

    control

    Package

    Exploded view

    iLabTECHNICAL CONCEPT

    Wireless link

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    200MM BIOMEMS WAFER

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    inlets outlet

    MICRO-PILLAR ARRAY FILTER

    Injection volume

    200m

    supply

    c

    hannel

    distributor

    micro-pillars

    50m 5m

    injection area distribution area separation area

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    Chip-PCR

    Conv.PCR

    MICRO-REACTOR FOR DNA

    AMPLIFICATION

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    http://www.diginfo.tv/v/13-0022-r-en.phpPanasonic-imec result

    HALF CREDIT CARD SIZE BIOMEMSachieving on-chip DNA amplification and detection from whole blood sample

    SEPARATION OF 11 DNA STRANDS IN 2CM LONG CHANNELDNA fragments are 10, 15, 20, 25, 35, 50, 75, 100, 150, 200 and 300bp

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    Chronic diseasesstem in large partfrom lifestyle related

    risk factors

    HEALTH=

    Genetics+Lifestyle

    + Environment

    Bill Davenhall, geo-medicine guru, ESRI

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    Chronic diseasesstem in large partfrom lifestyle related

    risk factors

    3lifestyle-related RISK FACTORS

    are responsiblefor all chronic diseases

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    PREVENTIONTRACK RISK FACTORS & ADAPT LIFESTYLE

    Raised blood pressure

    Raised blood glucose

    Overweight/obesity

    Abnormal blood lipids

    Unhealthy diet

    Physical inactivity

    Tobacco use

    Behavioral / lifestylerisk factors

    GENETICS

    ENVIRONMENT

    Intermediate risk factors

    Heart disease | Stroke | Cancer |Chronic pulmonary diseases | Diabetes

    MAIN CHRONIC DISEASES

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    REDUCING DIABETES AND

    HYPERTENSION PREVALENCEBY 5% WOULD SAVEAPPROXIMATELY

    $9 BILLION ANNUALLY IN THENEAR TERM

    PREVENTION WORKS !

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    Reviewo

    ver1Mp

    eople

    Source:Wo

    odcocketal,Int

    JofEpidemiolog

    y,2010Reduction in global risk

    mortality by increasingphysical activity

    PREVENTION WORKS !

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    Totalexpenditur

    eonheal

    th,

    %

    GDP

    OECD dataad

    1970 1980 1990 2000 2008

    16

    14

    12

    10

    8

    6

    4

    UNITED STATES

    GERMANY

    SWITZERLAND

    UNITED KINGDOM

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    Technology should

    EMPOWERpeople towards

    disease prevention

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    QUALITY OF DATA

    DESIRABLEFORMFACTOR

    LOWCOST

    LOWPOWER

    REQUIRES RADICALINNOVATIONS

    inSENSOR, CIRCUIT, SYSTEM, INTEGRATION

    TECHNOLOGY, ALGORITHM & DATA ANALYTICS

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    KILLER APPS

    THAT

    SAVE LIVES

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    Chronic diseasesstem in large partfrom lifestyle related

    risk factors

    KILLER APP #1

    STAY FIT

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    18kcal/kg/day 4.3kcal/kg/day

    THE ADVERSE EFFECT OF

    EVOLUTION

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    WITH DRAMATIC CONSEQUENCES

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    NEEDS A BEHAVIOR CHANGE

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    A MULTITUDE OF DEVICES

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    IMEC CIRCUITS SYSTEMS &

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    IMECs CIRCUITS, SYSTEMS &ALGORITHMS FOR ENERGY EXPENDITURE

    90%Accuracy

    Reliablein everyday situations

    1 monthAutonomy

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    GRAND CHALLENGE: ENERGY INTAKE

    imec HYPERSPECTRAL SENSOR

    imec PHYSIOLOGICAL SENSOR

    CHANGING BEHAVIOR IS TOUGH

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    CHANGING BEHAVIOR IS TOUGH

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    Chronic diseasesstem in large partfrom lifestyle related

    risk factors

    KILLER APP #2

    MANAGESTRESS

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    Stressed person

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    30-40%

    25%

    4/10

    $42-300B

    STRESS MANAGEMENT APPS

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    STRESS MANAGEMENT APPS

    STRESS BIOMARKERS

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    Sympathetic

    and

    Parasympathetic

    Autonomic

    Nervous

    System

    Heart rate

    Respiration rate

    Salivation

    Perspiration

    Pupil dilation

    STRESS BIOMARKERS

    EMERGING t l

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    EMERGING tools

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    Parametersmeasured today

    Skin conductance3D-accelerometerSkin temperatureSkin humidityAmbient

    temperature

    Ambient humidity

    STRESS AT WORK STRESS PATIENTS

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    STRESS AT WORK

    80% accuracyin classifying stress from rest

    STRESS PATIENTS

    75% accuracyin classifying patients from controls

    SALIVA STRESS SENSOR

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    SALIVA STRESS SENSOR

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    Chronic diseasesstem in large part

    from lifestyle related

    risk factors

    KILLER APP #3

    DISPOSABLEHEALTH PATCH

    REDESIGN FOR

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    ROLL-TO-ROLLMANUFACTURING

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    TAKEAN IMEC WIRELESS SENSOR DESIGN

    ADAPT IT FOR FOIL INTEGRATION

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    ADAPT IT FOR FOIL INTEGRATION

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    INTEGRATE PASSIVES AND ICS

    LOW-COST

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    LOW COST

    SKIN TEMPERATUREPATCH

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    Chronic diseasesstem in large part

    from lifestyle related

    risk factors

    HEALTH

    =

    Genetics+ Lifestyle

    + Environment

    Bill Davenhall, geo-medicine guru, ESRI

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    Chronic diseasesstem in large part

    from lifestyle related

    risk factors

    KILLER APP #4

    KEEP YOUR

    ENVIRONMENT IN

    CHECK

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    imec ENVIRONMENTAL NO2 SENSOR

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    imec ENVIRONMENTAL NO2 SENSOR

    CONTINUOUSMEASUREMENT

    at ambient temperature

    in varying humidity

    EMERGING ppb NO2 MONITORING

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    2

    12 14 16 18 20 22-120

    -100

    -80

    -60

    -40

    -20

    0

    Time (hours)

    Relativeresponse(%)

    Parking garage

    Clean air in nature

    EMERGING environmental MONITORING

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    Chronic diseasesstem in large part

    from lifestyle related

    risk factors

    Basic NOSE functionality: array of eNose sensors on single chip

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    MEDICALQUALITY

    DATA

    IN

    CONSUMERHANDS

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    Technology

    mustEMPOWERPEOPLE

    towards disease prevention and towardsa healthier lifestyle

    ENCOURAGE & MOTIVATE

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    BioMEMSEnabling Killer Apps in

    Healthcare & Lifestyle