Trial employment of the efficiency nature check in the 2005 fiscal year of the "mobile telemedicine" which realizes improvement in the rate of national first lifesaving by the standards of mobile telemedicine study group medical use data communications is aimed at.

------- Circulatory organ emergency mobile telemedicine study group (representation : National Cardiovascular Center urgent manager : Dr.Hiroshi Nonogi MD.) carried out real-time transmission of the patient data from the ambulance in the hospital, and checked efficiency nature in the exact early checkup and the actual proof experiment of the mobile telemedicine which realizes improvement in the rate of lifesaving by suitable conveyance place hospital determination. It is the emergency patient conveyance assumption experiment which carried related apparatus in the ambulance by cooperation of Suita-shi (mayor : Yoshio Sakaguchi), and the employment by standards adoption of the data communications for medical treatments is the first in the whole country.

[Background]
The 21st century will come around, aging is progressing in our country, and the measure to the myocardial infarction, apoplexy, etc. which is the main causes of a factor requiring care is important. The medical treatment to these diseases has improved the mortality rate in a hospital sharply in recent years by maintenance of an intensive care unit, the spread of revascularization treatments, etc. However, in Acute Myocardial Infarction, it is supposed that the half of death is generated in nonparliamentary and life-save ratio is not still so low as 26 - 40%. In order to improve this, the earliest possible diagnosis and special medical treatment are required from development of symptoms. In recent years, the formation of small highly efficient of information machines and equipment, and improvement in the speed and low-pricing of mobile communications progress, and a new field called mobile telemedicine is quickly developed. As compared with the West, the development and the spread of commercial mobile communications are progressing, and Japan can say that it is suitable for the systems development using these.

[Measure for the present lifesaving emergency]
Many of communication means between an ambulance and a hospital are depended on the sound using fire-fighting radio or the cellular phone. Although disposition of 12 guidance electrocardiogram transmission system which is useful to myocardial infarction or which arrhythmic diagnosis is advanced centering on the high standard ambulance under these circumstances, the actual condition is that the exclusive receiver is not fully utilized by complicatedness and transmission time having necessity and long operation etc. by the incompatible system. Moreover, in the data communications of an ambulance and a hospital, although various measures are made, there is much what is depended on an exclusive system, it lacks flexibility, and is in the situation which cannot carry out level deployment easily.


[Outline of an actual proof experiment]
In an actual proof experiment, the micro server for connecting the bedside monitor which displays 12 guidance electrocardiograph, the electrocardiogram, the blood pressure, the degree of blood oxygen saturation, etc. which are useful to myocardial infarction or which arrhythmic diagnosis, the network cameras which operate it by the hospital side and carry out the monitoring of a patient's condition, and these apparatus to the ambulance of the Suita possession which works, and transmitting data to it is carried. By easy operation, data is sent to the National Cardiovascular Center with a third generation cellular phone (wideband CDMA) through a micro server. In this center, the data transmitted to real time is perused with a commercial personal computer. In addition to a sound, a patient's living body information and picture come to be told on real time, communication with a paramedic and a doctor is substantial, and "exact directions to a paramedic", "suitable conveyance to a special hospital", "establishment of the early treatment organization by the diagnosis before hospital arrival", etc. are attained. By having adopted as transmission of data MFER (Medical Waveform Encoding Rule) expected as standards of Internet Protocol and the waveform data communications for medical treatments, it has the flexibility independent of use apparatus or a transmission system. Moreover, the data transmitted by two or more doctors of the distant place serves as a system which combines possibilities and extendibility so that may be seen gazing at improvement in the further diagnostic accuracy, and maintaining security

[an old measure and future deployment]
circulatory organ emergency -- the mobile telemedicine study group to kick started inauguration and research and development in July, 2002 for the purpose of the systems development which is useful to circulatory organ emergency The prototype was developed in April, 2003 and it succeeded in data communications. It started in December, 2003 and the actual proof experiment using the ambulance has checked efficiency nature by verification of operativity, practicality, and safety by transmission of imitation data until now. From now on, it will apply to an emergency patient in a tentative way by the end of the year through the data communications of a healthy living body. It is based on the result, and after adjusting with the organs concerned, the start of the trial employment by related apparatus reserving is scheduled for the 2005 fiscal year to the ambulance so that it can always respond to an emergency patient. Moreover, through an actual proof experiment or experimental employment, to each organization concerned, the practical use to medical treatment control, such as directions organization and substantial ex post facto verification organization, is influenced, and improvement in the medical quality is always to the introduction to the emergency medical spot, and a paramedic aimed at. The U.S. remote medical society held in U.S. Florida state Tampa announces an old measure on May 3.

[a study group composition member's role] -
National Cardiovascular Center (Suita-shi, Osaka --) President of a university: Soichiro Kitamura The needs of the emergency spot (prehospital care which supports the disposal which the dispatch and paramedic who distribute the triage which judges the degree of serious illness, and a patient to a suitable hospital perform), Mediation
-NTT Comway, Inc. (Minato-ku, Tokyo, representative director president:Yuji Matsuo) which ties up technical SHIZU Offer of the micro server developed based on Linux, at large systems development
- Nihon Kohden Corp. of mobile telemedicine (Shinjuku-ku, Tokyo --) representative director president: --
- Fukuda electronic incorporated company (Bunkyo-ku, Tokyo --) of a Kazuo Ogino 12 guidance electrocardiograph and its interface specification information representative director president: --
- Matsushita Electric Industrial Co., Ltd. health care company (Tsuzuki-ku, Yokohama-shi --) of the bedside monitor which displays data, such as a Kotaro Fukuda electrocardiogram, a pulse, and blood pressure, and its interface specification information president: -- - independent administrative agency industrial technical research institute Kansai center (Ikeda-shi, Osaka --) of the small network camera dealing with Yoriaki Nishida remote control Head: Koji Ukekawa Coordination * Suita-shi of the whole mobile telemedicine study group (cooperation) Cooperation by offer and the paramedic of an ambulance

[Reference from report-related you]
Independent administrative agency industrial technical research institute Kansai center Keisuke
an industry, academia and government cooperation coordinator
and
Oguro call : 072-751-9703 facsimile : 072-751-9970 e-mail : oguro-keisuke@aist.go.jp
The Matsushita Electric Industrial Co., Ltd. health care company http://panasonic.co.jp/healthcare/