wireless telemedicine (swiss stock exchange zurich presentation)
DESCRIPTION
Wireless technology revolutionizes the delivery of medical services. Japan is an early and intense adopter of wireless technologies and internet medical services. This presentation describes the impact of wireless technology development on tele-medicine from the Japan viewpoint. Presentation given at an investors event at the Zurich Stock Exchange.TRANSCRIPT
Wireless telemedicine (technology trends) May 5, 2004
©2004 Gerhard Fasol www.eurotechnology.com1
byGerhard Fasol PhD
Eurotechnology Japan K. K.www.eurotechnology.com
Zurich, May 5, 2004©2004 Eurotechnology Japan K. K. All Rights Reserved
Wireless TeleMedicineTechnology Trends
Wireless telemedicine (technology trends) May 5, 2004
©2004 Gerhard Fasol www.eurotechnology.com2
Executive SummaryBroadband wireless communications (3G and beyond) are in rapid development andpromise great opportunities to improve health care. Integration of internet access, JAVAprograms, 3Mbyte cameras with autofocus and lighting, GPS (satellite global positioningsystem), multi-application smartcards enable a great variety of innovative healthcareapplications. Generally mobile communications in Japan are 3-5 years in advance ofdevelopments in Europe. Studying mobile communications in Japan today give a goodindication for which developments to expect in Europe about 3-5 years from now.◆ Video telephony will allow delivery of generalist or specialist consultation at a distance, for
example at the location of an accident, in disaster area, in emergencies. A general practitioner canconduct an emergency video conversation with an emergency patient arriving at his/her practiceroom while he/she is out on a patient visit.
◆ Mobile phones with 3Mbyte cameras with autofocus and flashlight generate high quality images,which can be transmitted from the scene of an accident to a waiting operating team, orconsultation of distant experts.
◆ Many mobile phones in Japan have integrated GPS (satellite position determination) services.Integration of GPS into mobile phone handsets allow to monitor aged people and have manyapplications in nursing care and emergency care.
◆ Internet access to remote data bases, and integration of JAVA programs, multi-applicationsmartcards and sensors, enable mobile phones to be key component of innovative illnessmanagement programs, e.g. for diabetes, where a patient uses specialized mobile phones tomanage his/her illness continuously.
◆ Telemedicine applications are not only “high-end”, telemedicine also has important applications ineconomically challenged situations, e.g. in developing countries.
Wireless telemedicine (technology trends) May 5, 2004
©2004 Gerhard Fasol www.eurotechnology.com3
IssuesTechnology state-of-the-art and trends◆ Radio layer: 3G state-of-the-art and WiFi integration
◆ Imaging and video◆ GPS integration
◆ Multi-application smart card integration◆ Optical diagnostics, bio-chips
Imaging and video:◆ projecting vision and expertise
Ubiquitous care and health management:◆ ubiquitous care
◆ positioning systems
Telepresence◆ Dr. Tachikawa: “what is the impact of SARS on telecommunications?”
◆ Deliver healthcare and consultations at a distance
Wireless telemedicine (technology trends) May 5, 2004
©2004 Gerhard Fasol www.eurotechnology.com4
Technology:State-of-the-Art and Trends
Wireless telemedicine (technology trends) May 5, 2004
©2004 Gerhard Fasol www.eurotechnology.com5
3G State of the Art & Trends (Japan)while 3G (UMTS) is in the introduction phase in Europe, 3G in Japan is alreadymainstream and in the second or third stage of upgrades towards 4G
200,00012 million3G/FOMA: 3 million (2004)(total subscr. 40 million)
Subscribers
384kbpsCDMA 20001x: 144 kbps
CDMA 2000 1xEV-DO: 2.4Mbps384kbps
HSDPA from 2005:handsets: 3.6 Mbpsnetwork: 14 Mbps
Data rates(downlink)
64 kbpsCDMA 20001x: 64 kbpsCDMA 2000 1xEV-DO: 144 kbps
64 kbpsData rates(uplink)
tests: June 2002commercial: Dec 20,2002
wCDMA
Vodafone
April 1, 2002
CDMA 2000-1x
from 28 Nov 2003:CDMA2000 1xEV-DO
KDDI/AU
tests: May 2001commercial: Oct 2001
start date
wCDMA3G Network
NTT DoCoMo
Wireless telemedicine (technology trends) May 5, 2004
©2004 Gerhard Fasol www.eurotechnology.com6
DoCoMo’s 3G FOMA900i series (2004)
CCD + AUTOFOCUScamera 2.02 Mpixelrecord: 2.0 Mpixel
262,144 colors2.4 inch240 x 320
13,000 dpi
300hrs120minsTV:80mins
130gSH900i
CCD + AUTOFOCUS
camera 1.28 Mpixelrecord: 1.23 Mpixel
65,536 colors
2.4 inch
300hrs
140minsTV:90mins
130gP900i
Super Honeycombcamera 1.0 Mpixelrecord: 2.0 Mpixel
65,536 colors2.2 inch
300hrs140minsTV:90mins
115gN900i
camera 1.28 Mpixelrecord: 1.23 Mpixel
(fingerprint recognition)
Super Honeycomb
camera 1.0 Mpixelrecord: 1.92 Mpixel
Camera(stills + video)
262,144 colors2.2 inch
262,144 colors
2.2 inch
Main display
300hrs140mins
TV:90mins
300hrs
140minsTV:70mins
standbytalk
120gF900i
124gD900i
weight
Wireless telemedicine (technology trends) May 5, 2004
©2004 Gerhard Fasol www.eurotechnology.com7
3G Imaging and Video
Video telephony (32 or 64kbps digital data channel)◆ Quality probably not sufficient for most medical applications, where tissue
needs to be examined. Needs to be combined with still photographtransmission
◆ Maybe sufficient for general overview e.g. scene of an accident◆ Remote observation, e.g. care of seniors, or ill people, or observation of
children in care, nursing applications
Imaging (upload: 64kbps - 144kbps)◆ for DoCoMo’s FOMA-3G: maximum image size for sending over the wireless
network: 480 x 640 = 0.3 Megapixel◆ Applications:◆ emergency care, remote consultations, consult distant specialist at scene of
accident, …
Imaging (download: 384kbps - 2.4Mbps)◆ Applications:◆ remote support at scene of accident◆ remote consultation of patient data, remote consultation of supporting
materials
Wireless telemedicine (technology trends) May 5, 2004
©2004 Gerhard Fasol www.eurotechnology.com8
3G vs WiFi
3G (3G = third generation mobile communications)◆ ubiquitous◆ 99% coverage of the country in the future (now in Japan)◆ towards flat data rate
WiFi, wireless LAN (LAN = Local Area Network)◆ Wireless LAN, local within one building◆ at specific locations◆ replaces ethernet
Note, that there is some discussion that Wireless LAN (WiFi) couldreplace 3G communications. In my view this will not happen: 3G andWiFi will cooperate, not compete. 3G gives ubiquitous access, whileWiFi only operates in certain locations as local networks. Someterminals will contain both 3G and WiFi radio access.
Wireless telemedicine (technology trends) May 5, 2004
©2004 Gerhard Fasol www.eurotechnology.com9
Picture Mail and GPS (Global Positioning System)Applications◆ Location of aged people or blind or handcapped people: the blind
person who has lost his or her way takes an image, determines theposition with GPS, sends this information to his friend, who canaccurately locate the blind person using the photograph and the GPSdata, and come to help.
◆ Police work: Japanese police in cooperation with the security firmSECOM has started to distribute GPS enabled security devices tovictims of stalking or other suspected crime to protect the victim,enable the victim to call for help, and also to enable the victim tocollect evidence for investigations.
More about camera-phones:◆ http://www.eurotechnology.com/store/camera-phone/
Wireless telemedicine (technology trends) May 5, 2004
©2004 Gerhard Fasol www.eurotechnology.com1 0
GPS (Satellite Positioning) IntegrationKDDI/AU 3G “Infobar (November 2003)
CCCD-Camera0.31 Megapixel
stillss & movies
Lighht/Flash
2inch132 x 176 pixel65,536 colorTFT display
GPS3G (144kbps)JAVA/BrewBattery: 200 hrs standby 150 mins talk
Wireless telemedicine (technology trends) May 5, 2004
©2004 Gerhard Fasol www.eurotechnology.com1 1
KDDI/AU INFOBAR with GPS
(Images are taken with a P2102V camera phone with 640 x 480 pixel resolution)
Wireless telemedicine (technology trends) May 5, 2004
©2004 Gerhard Fasol www.eurotechnology.com1 2
Demonstration of Picture Mail & GPS by AU/KDDIrecipient of the image finds the URL to the mapbelow, which shows the location where the picturewas taken (the map is interactive and enlargedmap images zooming into the neighborhood canbe selected)
Image of a AU5302CA handset taken by aAU5302CA handset.640 x 480 pixel (VGA format option fordisplay on PC)
5302CAincludes GPSsatellite globalpositioning
photograph canbe sent with theURL leading to amap with theactual positionwhere the picturewas taken
Wireless telemedicine (technology trends) May 5, 2004
©2004 Gerhard Fasol www.eurotechnology.com1 3
BioMetric Sensor (DoCoMo F505i by Fujitsu)
Wireless telemedicine (technology trends) May 5, 2004
©2004 Gerhard Fasol www.eurotechnology.com1 4
Multi-Application Smart Cards integrated into PhonesConcept: up to 40 applications stored in a secure Smartcard in the mobile phone with internet accessSecure wireless access online or offline transactionsJAVA applications have secure access to FeliCa smartcardallows health data, etc to be safely stored in the mobile phone with remote access to server
More about wallet phones and multi-application smartcards:◆http://www.eurotechnology.com/store/walletphone/◆http://www.eurotechnology.com/store/suica/
Wireless telemedicine (technology trends) May 5, 2004
©2004 Gerhard Fasol www.eurotechnology.com1 5
Imaging and Video
Wireless telemedicine (technology trends) May 5, 2004
©2004 Gerhard Fasol www.eurotechnology.com1 6
Imaging and Video Applications
■ Telepresence of experts in remote locations
■ Transmit images from the scene of an accident to the operationroom to allow preparations
■ Remote viewing of patent data, images, background information,access to data base, consulting of back-up experts etc.
■ 3G phone can be linked to video-interphone at entrance ofpharmacy, practitioners’ practice. Scenario:◆ Country doctor is called to attend to a patient. While he is out
attending a patient, an emergency case arrives at his practice. Withthe 3G phone the Doctor can answer the door video phone andinterview the emergency patient who has arrived in his absence at thepractice
■ Scenario (not so much talked about…):◆ Deliver healthcare to prisons, difficult circumstances, economically
challenged situations, disaster areas, emergency care, etc…
Wireless telemedicine (technology trends) May 5, 2004
©2004 Gerhard Fasol www.eurotechnology.com1 7
Ubiquitious Care andHealth Management
Wireless telemedicine (technology trends) May 5, 2004
©2004 Gerhard Fasol www.eurotechnology.com1 8
Ubiquitious Health Care
■ i-mode (mobile internet) based health managementsystems, e.g. implemented in the mass market in Japan◆Diabetes management system
◆Conception/contraception (base temperature) management
■more about i-mode and mobile internet:◆http://www.eurotechnology.com/store/imode/
■Can be combined with:◆Sensors
◆GPS
◆Smart cards
◆Remote data base
◆Video link to responsible doctor
Wireless telemedicine (technology trends) May 5, 2004
©2004 Gerhard Fasol www.eurotechnology.com1 9
Some Characteristic DifferencesBetween The Mobile
Communications Industry in the“GSM World” and Japan
Wireless telemedicine (technology trends) May 5, 2004
©2004 Gerhard Fasol www.eurotechnology.com2 0
Some Characteristic Differences BetweenJapan and the “GSM World”
Nokia & VodafoneDoCoMoWho are the 5000pound Gorillas?
Equipment manufacturers (e.g. Nokia,Siemens, Ericsson…)
Carriers (DoCoMo, J-Phone, AU/KDDI)Who is in the drivingseat?
Technology focus - brands are abbreviations:“GSM”, “GPRS”, “SIM” , “UMTS”
Consumer focus: “ I-mode”, “ sha-mail” ,“ movie-mail” , FOMA, “H”
Brands
very high (around 20%-30%)very low (around 1% to 2%)Churn
low - typically: subscriptions: US$ 30prepay: US$ 10
high - typically: US$ 80/monthARPU
Prepaid dominatesAlmost only monthly creditsubscribers, almost no prepaid
Prepaid vs. credit
Corporate executives (“busy executive in theairport business class lounge”)
Consumers (“ young people havingfun on the beach” )
Marketing focus
Nokia dominatesMany manufacturers competeHandsets
Single Standardized radio networkMany competing radio networksNetworks
GSM-WorldJapan
Wireless telemedicine (technology trends) May 5, 2004
©2004 Gerhard Fasol www.eurotechnology.com2 1
ARPU (Average Revenue per User/Month) in Japanis a lot higher than in other countries
Total US$ 29.3 6/monthCredit: US$ 47.75
Prepay: US$ 12.2 9
Vodafone D2
(ex-Mannesmann)
Total US$ 66.50/monthvoice: US$ 52.40
I-mode: US$ 14.10
Prepay: ? (very small number of users in Japan)
DoCoMo
ARPUCarrier
Wireless telemedicine (technology trends) May 5, 2004
©2004 Gerhard Fasol www.eurotechnology.com2 2
Japan vs “GSM World” -> Trends
SMSMMS, WAP
i-mode (full mobile internet) + full emailwireless data
yesyes, to be integrated with 3G, 4GWIFI -HotSpots…
?R&D, testing4G
UMTS (=wCDMA)-
1. wCDMA (DoCoMo + J-Phone/Vodafone)2. CDMA 2000-1X -> WIN (KDDI/AU) download:2.4Mb/s3. Upgrades to 14Mb/s planned for 2005
3G
does not exist inEurope
full ubiquitous low-price wireless internetaccess (128 kb/s) + voice
2G - PHS
GSMGRPS-
PDC (DoCoMo + J-Phone)PDC-DoPa packet data serviceCDMA (AU)
2G
GSM-WorldJapan
Wireless telemedicine (technology trends) May 5, 2004
©2004 Gerhard Fasol www.eurotechnology.com2 3
SummaryThird generation (3G) wireless communications already today allow transmissionof data at up to 2.4 Mbps in Japan, and we expect that similar transition rateswill become available in Europe in the future.Integration of internet access, JAVA programs, 3Mbyte cameras with autofocusand lighting, GPS (satellite global positioning system), multi-applicationsmartcards enable a great variety of innovative healthcare applications.Generally mobile communications in Japan are 3-5 years in advance ofdevelopments in Europe. Studying mobile communications in Japan today give agood indication for which developments to expect in Europe about 3-5 yearsfrom now.We expect these new developments to enhance medical care. Some examplesof new services are:◆ Video telephony for remote consultation◆ Transmission of high-quality photographs from scenes of accidents or for remote
consultation◆ Access to data base during a patient visit or from an emergency location◆ Using mobile phones with bio-sensors, GPS, JAVA programs, multi-application smart
cards by chronically ill patients for managing their illness on a continuous basis, e.g.diabetes or heart disease
◆ Telemedicine applications are not only “ high-end”, telemedicine also has importantapplications in economically challenged situations, e.g. in developing countries.
Wireless telemedicine (technology trends) May 5, 2004
©2004 Gerhard Fasol www.eurotechnology.com2 4
More information:We publish insights and market reports in our online store:
◆ http://www.eurotechnology.com/store/
i-mode◆ “Understanding i-mode and how it drives the wireless internet industry” (version 5
of August 25, 2003) http://www.eurotechnology.com/store/imode/
Camera phones◆ “Camera phones and wireless imaging: disruptive innovation for the photographic
industry” (version 4 of January 14, 2004)http:/ /www.eurotechnology.com/store/camera-phone/
Wallet Phones◆ “Wallet phones - internet phones with smartcards” (version 3 of March 3, 2004)
http:/ /www.eurotechnology.com/store/walletphone/
Wireless Japan 2003 trade show◆ “Wireless Japan 2003 trade show” (version 1 of July 23, 2003)
http:/ /www.eurotechnology.com/store/wirelessjapan2003/
Blue laser report◆ “Blue and white GaN light emitters and lasers for lighting, displays, data storage,
and traffic signals - background and implications” (version 6 of April 21, 2004)http:/ /www.eurotechnology.com/store/bluelaser/
Wireless telemedicine (technology trends) May 5, 2004
©2004 Gerhard Fasol www.eurotechnology.com2 5
aboutEurotechnology Japan Corporation
www.eurotechnology.com
Wireless telemedicine (technology trends) May 5, 2004
©2004 Gerhard Fasol www.eurotechnology.com2 6
About Eurotechnology Japan Corporation
We are the only European company in Tokyo 100% focused ondeveloping high-tech business between Europe-Japan and US-JapanProjects:
◆ Market research, strategy development, business development◆ Spin-outs, incubation of Japan-subsidiaries◆ Restructuring, acquisitions, corporate finance, corporate transactions◆ Technology business development, development of licensing business
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Wireless telemedicine (technology trends) May 5, 2004
©2004 Gerhard Fasol www.eurotechnology.com2 7
Thank You
We are looking forward toworking with you
Wireless telemedicine (technology trends) May 5, 2004
©2004 Gerhard Fasol www.eurotechnology.com2 8
Eurotechnology Japan K. K.Shinagawa Intercity Tower A 28F2-15-1 Konan, Minato-kuTokyo 108-6028, JapanTel. +81-3-6717-4160FAX +81-3-6717-4141 and +81-3-5477-7044http://www.eurotechnology.com/[email protected]
CEO: Gerhard Fasol, [email protected]: +81-90-8594-6291