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TeleMentoring 2.0: Application of
wearable devices in Medicine
@SCAI #SCAI2014@Christianassad
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HistoryUniversity of Nebraska implemented telemedicine network to support education since 1959
used for the first time for telementoring in Psychiatry
Two-way television in group therapy. WITTSON CL, AFFLECK DC, JOHNSON V. PMID: 14007789
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Transcontinental Telementoring2003
Rodrigues Netto N Jr1 et al J Endourol. 2003 May;17(4):217-20. Telementoring between Brazil and the United States: initial experience.
1st case a surgical robot, AESOP 3000 was attached to a laparoscope, and the remote surgeon controlled the robot via a controller on the remote computer.
2nd case, robot PAKY (Percutaneous Access to the Kidney;) was used for percutaneous needle placement into the renal collecting system.
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Dr. R. Netto and his team (São Paulo).Rodrigues Netto N Jr1 et al J Endourol. 2003 May;17(4):217-20. Telementoring between Brazil and the United States: initial experience.
Doctor Kavoussi (Baltimore)
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This is in 2003
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2010
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8 GENERAL SURGERY RESIDENTS
proctored
unproctored
Penetrating RV Injury Repair
Open tibial fracture external fixation
Traumatic subdural hematoma requiring
craniectomy
vs
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2010
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The Past
The Present
The future
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Moore’s Law• Gordon E. Moore in 1970
• Approximately every 18 to 24 months the number of transistors in an integrated circuit Doubles
• Computational power doubles every 2 years. • better,• Cheaper• faster
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muito melhor!! Thanks kavoussi,
think I will call you more often now!!
Hey netto, looking good
my friend
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Glass components
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GLASS in the Hospital?• Collaborate w/ MD Glass
Explorers
• Create an app that demonstrates its potential
• Have a publication to add validity in the Hospital
• Implement it in cases
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6/26/2013 1ST Glass-Glass Teleconsult
Rafael Grossman MD – Christian Assad, MD
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6/6/2013 - CPRGLASS
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9/23/2013 :First GLASS Publication
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11/19/2013
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1st Publication of GLASShigh impact journal
Assad-Kottner, MD; Abdul Hakeem, MD; Eudice Fontenot, MD; Barry F. Uretsky, MD “Tele-Mentoring”: An Interventional Procedure Using a Wearable Computer First-in-Man J Am Coll Cardiol. 2014;63(10):1022-1022
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Problems we will face?1)HIPAA compliance issues
2)Cathlab A)Leaded walls affecting signal
3)WiFI Security
4)GLASS Battery life
5)Audio / bone conduction
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We have entered an interconnected era where Telemedicine, Telehealth, and Telementoring will play a crucial role in patient care.
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