TeleMentoring 2.0: Application of

wearable devices in Medicine

@SCAI #SCAI2014@Christianassad

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

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.

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)

This is in 2003

2010

8 GENERAL SURGERY RESIDENTS

proctored

unproctored

Penetrating RV Injury Repair

Open tibial fracture external fixation

Traumatic subdural hematoma requiring

craniectomy

vs

2010

The Past

The Present

The future

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

muito melhor!! Thanks kavoussi,

think I will call you more often now!!

Hey netto, looking good

my friend

Glass components

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

6/26/2013 1ST Glass-Glass Teleconsult

Rafael Grossman MD – Christian Assad, MD

6/6/2013 - CPRGLASS

9/23/2013 :First GLASS Publication

11/19/2013

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

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

We have entered an interconnected era where Telemedicine, Telehealth, and Telementoring will play a crucial role in patient care.