HealthTech Industry Update | Digital Healthcare Trends for patient treatment

As we had published in our weekly Industry Update already, digital healthcare is evolving more and more every day. 

This time we give the overview of some new innovative ways of providing patients treatment and digital healthcare services. 

The main areas which will improve the interactions between patients, doctors and health institutions are:

➡️️ No-code appointment setting

➡️️ Teleconsultation

➡️️ Convenient cashless payment options

➡️️ Virtual wellness checks

➡️️ Easy online medical history retrievals & updates

For better a better health system and effective patient service!

If you would like to see more interesting posts, visit our knowledge database: https://thaumatec.com/knowledge/

HealthTech Industry Update | Wearable technology in HealthTech

In our weekly post series we had two Industry Updates with medical deserts, and medical drug delivery with drones . Here is an additional important component using e.g. the microneedle sensors from last week’s Industry update, to support shortage of care in rural and urban areas.

Wearable technology devices are smart electronic devices that can be physically worn by individuals in order to automatically collect, monitor, analyse and communicate personal data, advice, warning, and in emergency case alarms. Examples of wearable devices are smartwatches, wristbands, accessories, sensors embedded in garments, and even tattooed on the skin.

Here some aspects which are explained in more detail in the video below:

➡️️ Telemed, remote patient monitoring, clinical trials, self administration

➡️ Glucose monitoring, Heart monitor, on-body infusion

➡️️ Designing aspects

➡️️ Ergonomics optimised

➡️️ Robust performance

➡️️ Design strategy

Whilst most smart devices monitor biometric data for medical purposes, wearable technology has expanded into a wide array of other fields, ranging from sports technology to entertainment and fashion which also makes these applications easier to use in the medical field and encourages even more people to go for telemedicine.  

Here is an interesting discussion about medical wearables …

https://youtu.be/KBT2L_n-ynI

If you would like to see more interesting posts, visit our knowledge database: https://thaumatec.com/knowledge/

HealthTech Knowledge | What are Medical Deserts

and how can technology alleviate them? Medical desert is a term used to describe regions whose population has inadequate access to healthcare due to geographical and economic causes, whether the lack of healthcare is general or in a specific field, such as dental or pharmaceutical.

It is primarily used to describe rural areas although it is sometimes applied to urban areas as well.

The term is inspired by the analogous concept of a food desert.

AI-infused health IT tools and telehealth can help in the areas below :

➡️️ Mobile clinics

➡️ Virtual care 24/7

➡️️ Chatbots and Telemedicine

➡️️ Remote patient monitoring 

➡️ Predictive analytics


With these solutions and the technology behind the healthcare industry can address medical deserts by understanding a community’s needs and building trust and credibility within that population 

https://healthtechmagazine.net/article/2022/06/what-are-medical-deserts-perfcon

If you would like to see more interesting posts, visit our knowledge database: https://thaumatec.com/knowledge/

HealthTech Industry Update | Emerging technologies for diabetes care

Diabetes has always been at the forefront of technological advances in patient care. This overview introduces connected and continuous glucose sensing technologies, smart insulin delivery systems and more innovations that help patients and doctors monitor and manage glucose levels and guide decision-making in diabetes care.

➡️️ Connected Care – Realtime, remote monitoring of glucometers, with its data being combined with data from Apps that monitor food and carbohydrate intake.

➡️️ Non-/ minimal invasive glucose monitoring – Wireless driven “smart contact lens” technology that could detect diabetes and further treat diabetic retinopathy just by wearing the lense

➡️️ Insulin delivery: smart pens and pumps- Self learning AI that is specifically adapted to the patient’s history

➡️️ Artificial pancreas – Bionic or artificial pancreases basically replicate the function of a healthy organ

The emergence and advancement of these technologies have improved the quality of life for patients tremendously!

https://healthcare-in-europe.com/en/news/emerging-technologies-for-diabetes-care.html

Diabetes Applicator Neckpiece, 2007, Cast Silver with stainless steel internal mechanisms. Source: Photographer Narelle Sheean, © Leah Heiss.

If you would like to see more interesting posts, visit our knowledge database: https://thaumatec.com/knowledge/

Interview with Paweł Adamek | QA in Thaumatec Tech Group

What challenges do you need to overcome to deliver outstanding software for medical-grade devices? One crucial stage, that many hopefuls fumble, is testing. 

At Thaumatec Tech Group, we know that expert testing is essential to the development lifecycle and the success of your end product. That’s why we have dedicated teams who test, define test strategies and automate the execution.

Today, we are talking with Pawel Adamek, the Lead Quality Assurance Engineer at Thaumatec. He shares his experiences and explains how our unique approach to testing minimizes software failures and the risks related to software embedded in medical devices.

Pawel Adamek

Pawel, could you tell us a little about yourself?

I live in Wroclaw with my family and like to spend most of my free time with them. Besides my family, my passion is exploring new technologies. 

I love diving deep into topics… I try to truly understand them so that I can resolve any related issues that may pop up in the future. I’m lucky because this process of exploring and investigating is what I get to do daily at Thaumatec. Having my career and my passion align is very rewarding and simplifies my life a lot! 

Currently, I’m the Lead Quality Assurance Engineer in Thaumatec. This means I’m responsible for planning, executing, automating, and measuring quality targets throughout the whole development lifecycle.

And Thaumatec is focused on HealthTech and medical devices, do you have a particular interest in this area?

Yes, Thaumatec is a HealthTech company. This means we engage in projects which are from the people for the people, to help them, to improve their quality of life.

The perfect example of how we do this is through medical device development. At Thaumatec, our main focus is the software side of development. In the medical sphere, this requires stringent preparation of documentation for certification, which is also one of my responsibilities. So having a keen eye for detail and accuracy is paramount.

That’s interesting. When you say “documentation”, what needs to be considered? What are the steps in the process?

When we are talking about the development and testing of medical devices there are certain requirements and rules which must be met to pass certification. 

For example, Thaumatec is ISO13485 certified, which means Thaumatec has a Quality Management System which meets the ISO13485 standard, which is required to develop medical-grade software. We prepare our software according to the IEC62304 standard. 

The order that one must follow according to these standards is very strict… but it’s also logical! 

First off, you need to prepare the project requirements and planning documentation, which includes the development and verification plans. Once these are complete, then the development stage can begin. 

It’s at this stage that our developers start implementing our plan and we create test cases and automated test scripts. Once the test plan and scripts are ready, our testers trial them and provide feedback about the software quality to the developers so that the developers can fix any issues. This is an iterative process.

Once it’s sufficiently tested, it’s time to release the software. At this stage, we prepare a set of documents called “the release documentation”. This includes reports, traceability, and coverage information. We then gather the implementation and required documentation and share them with the notified body for certification.

Let’s focus on the testing part. What’s important when testing a medical device?

The testing scope depends on the software safety classification, which is described in IEC62304. There is no limit for testing per se, but there are minimal requirements regarding testing for each software safety class. For example, IEC62304 specifies 3 classes: A, B, and C. 

Software is considered to fall under class A when it does not contribute to hazardous situations or where the hazardous situations could result in an acceptable risk. Class B is when a hazardous situation could lead to a non-serious injury and class C is when the software could cause serious injury or death. As you can imagine, class C requires much more testing.

Can you tell us more about how the flow and testing are impacted by the safety classifications?

Okay, let’s take class A as an example. The first testing step is to prepare a verification plan. This plan needs to contain all the rules required for testing in that class. Next, we organize a set of tests to cover all the software requirements. When these are prepared and a software version is ready for testing, test execution can start. When anomalies are found during testing, we funnel them through a software problem resolution process. This involves documenting the issue, repairs, and verifications. 

It’s also possible to leave anomalies unresolved if stakeholders decide that it does not pose an unacceptable risk, but such a decision needs to be documented in writing and include the rationale behind it. 

When retests are done all records need to be collected, including the name of the tester, their steps taken, and a list of anomalies. This way, tests can be repeated if need be.

Here it’s important to mention the review process, which is also a type of testing. When it comes to medical products, reviewing the development is crucial at every stage and during each level of development. Reviews are required for the source code, and therefore, they must be properly documented.

As I already mentioned, more testing is required for classes B and C. These classes are very similar in that similar testing activities need to be done for both. Of course, all actions described for class A are also valid for B and C classes, but in addition, unit and integration testing is also necessary. 

That’s a lot of information. It’s clear that you are an expert in your field. What would you like to say to others who may be interested in pursuing a similar career?

In real life, going about our daily tasks, there often isn’t enough time to set up and test activities before we dive into them. In medical product development, there is no way to omit these processes because it will result in failure at the certification phase. 

Because it is so strictly structured, I think software development for medical products is a fantastic way to hone your knowledge and grow your testing abilities. The standards can seem intimidating at first, but in actuality, they are a very useful resource –  you can read them, study them, and refer back to them whenever you need.  

Another way to learn is by doing, through mentorship and on-the-job practice. At Thaumatec, we are big on knowledge sharing. If that sounds like something you’d be interested in, we are always on the lookout for talent. You can reach us at hr@thauamtec.com.

How has your career developed since starting with Thaumatec, would you recommend the company to others in the field? 

Absolutely. One thing that springs to mind right away is the responsibility, trust, and respect the team gave me as soon as I walked in the door. It’s satisfying that I have the flexibility to make changes and improvements. 

I also really enjoy having direct contact with management and clients. The culture of communication is very open in this way. We all share our opinions, problems, and ideas and collaborate on solutions, which is very intellectually rewarding. I think this stems from the fact that we are all inquisitive people. We love learning about new tech, it’s in our DNA. 

I feel seen and my efforts are rewarded. I would definitely recommend it!.

Kamil Grabarczyk and Pawel Adamek

Thanks for sharing these insights, Pawel!

Thanks for the opportunity to share it!

IOT Wireless | The rise of connectivity | diversity and choice

IOT  Wireless | The rise of connectivity | diversity and choice

In my 40-year career, I have seen hundreds of tech trends come and go, experienced innovation first-hand, and witnessed a worldwide, technological evolution. 

Internet of things (IoT) started as one of these hypes but now, after many years, it has earned its place in the history books as an innovation. Today, IoT is essential to the function of almost every industry, company, and private life. Although many don’t realize this because IoT works quietly in the background. 

One of the core characteristics of IoT systems is wireless connectivity with low power consumption solutions for sensors, actuators, and devices with long lifespans. 

But not all IoT solutions are equal. At Thaumatec labs we have undertaken many experiments and trials to understand how different connectivity technologies interact and how to produce reliable, secure, and well-performing systems. 

We are proud to share with you some of the connectivity insights we’ve gained while working on IoT solutions for clients in the automotive, smart city, healthtech, and safety and security industries.

Kurt Neubauer, Technology Network and SOO

  1. Overview 

Wireless and mobile connectivity is one of the most quickly growing access methods and is used in almost every industry to gain independence from location and enable freedom of movement. Many different radio technologies and standards are available on the market, but they are usually only designed for, applicable with, and perform well in particular use cases

IOT Radio Access Infrastructure:

Thaumatec is using its comprehensive IoT expertise and experience in different types of radio access to create prototypes and design, develop and test wireless and mobile devices and applications to improve these systems. 

Typically, we use 3 types of wireless access: 

  1. Low-power, long-range radio technology

LPWAN (low-power wide area networks) transport data, status and information from connected low power and autonomous sensors and devices to the decision-making application for storage in the data backend. The network infrastructure can be set up in its own network, which requires environmental and maintenance costs or fee-based operator services. When it comes to LPWAN, we offer LoRa WAN, NB-IOT, CAT-M and Sigfox solutions.

  1. Short range radio technology

This refers to transporting data, status and information from close (room- or house distance) sensors, access-points and devices to the decision-making application for storage in the data backend. The network infrastructure can be set up in its own network, which may require environmental and maintenance costs. For short-range radio technology, we offer RFID, NFC, BLE and Wi-Fi-based solutions.

  1. IoT mesh technology and solutions

IoT mesh technologies transport the data, status and information from close (room- or house distance) sensors, industrial areas, and closer rural areas via access points and devices to the decision-making application for storage in the data backend. This is completed without any network planning or any other physical or technical construction works related to connectivity. 

Simply place and play: the radio network configures itself and is prepared to handle many nodes and comprehensive infrastructure. The reliability, performance, safety and security features for this solution have been greatly improved in the last decade. Here we offer ZigBee and Wirepas mesh solutions.

Decision-making criteria 

The differences in these technologies can be examined using the following parameters:

  • Range and urban range
  • Power usage and long life
  • Reliability
  • Security

Performance and data rates

  • Environmental and operating costs

These parameters must be matched, tailored, and customized carefully according to your requirements. For example, IoT applications with radio network functionality often require a combination of two or more radio standards. In some cases, this means a mediation between long and short range, in other circumstances, it ensures security during outages.

Compare your options

This table provides an overview of the existing criteria, capabilities, weaknesses, and strengths of the available technologies. 

Low-power, long-range radio technology:

Comparison parameterLoRa WANLTE NB-IoTLTE-CAT-MSigfox
Urban – rural area range (km)15 – 30303030-50
Urban area range (km)2-55-8113-10
power usage for long life(mw)1001000-50001000-500050
ReliabilityIn the case of full, real-time requirements, LoRa is not the best choice due to message delay constraints.Reliable high level 3GPP standardReliable high level 3GPP standardAlternative network operator, private and independent network, good performance, bigger range
SecurityLoRaWAN™ application payloads are always encrypted end-to-end between the end-device and the application server.Unauthorized use of the dedicated spectrum is subject to prosecution. All mobile operators employ SIMs with secure integrated circuits,layer two tunnelling protocol (L2TP), or internet protocol security (IPsec).Unauthorized use of the dedicated spectrum is subject to prosecution. All mobile operators employ SIMs with secure integrated circuits,layer two tunnelling protocol (L2TP), or internet protocol security (IPsec).In a Sigfox network, each IoT device stores a unique ID, a Network Authentication Key (NAK), and an Encryption Key (Ke), the last two being secret and 128 bits in length.
Performance and data rates (kbps)2711010000.8(140 messages/hour)
1 device costs(per Modul EUR)10-148-1410-406-12
Environmental and operating costs(per monthly fee EUR)1-2 (public)0.25 (private)<1 (100kB)2-6 (1 Mb)<1
Overall performanceLoRa communications are reasonably resilient to detection and jamming and are immune to Doppler deviation. Very low power consumption.Globally available, good safety,global service by operator and vendorsGlobally available, good safety,global service by operator and vendors#1 rating in shipping and services
Typical usageLoRa is a very useful and good choice in case of small data transfers and actions needed in networks to connect small and battery powered devices without cabling.Leased infrastructure and smaller data rate, mobile IoT devices as in vehicles or in non-urban area, agriculture, telematics, real time closeLeased infrastructure and higher data rate, mobile IoT devices as in vehicles, telematics, real time closeCompanies, production, manufacturing sites
Plus & minus+ Open protocol and very low power consumption- Urban range short, not for real time applications, smallest urban range+ power save, simple radio technique, global reach- No HOV, fee to pay,  does not support VoLTE for speech transmission+ TCP/IP use (connect servers), low data on small costs, good coverage (especially USA), global reach- Higher energy consumption, fee to pay+ message efficiently due LwProt, wide coverage- sigfox device interference to wideband systems, one way communication without acknowledgement

Short range radio technology:

Comparison parameterWi-FiBLE (BT 5 best)NFCRFID
Range (max)100m, (11 b/g/n)1 km (11ah)3km + (11af)50m-150m4cm100m
ReliabilityGood performance and long experience on the marketError correction procedures during set up (but reduction on the data rate)NFC possible if devices are switched off or empty battery, no battery NFC tags (power via antenna induction)Specific use, fast connection set up and data exchange, safety features and safety worker suits and gloves, access control solutions
SecurityWired Equivalent Privacy (WEP), weakWi-Fi Protected Access (WPA, WPA2), 256-bit  Key brings some improvement Main security issues: pairing process and BLE in general are passive, eavesdropping, man in the middle. (MITM) attacks and conducts identity tracking.Very limited distance to the reader,2 factor authentication with OSs or web browser, NFC itself not secured against Third Party side channel attacksSecure mechanisms can be applied to prevent attacks: cryptography, automatic detection of rogue devices, cloning resistance, secure storage of critical data in remote databases, use of secure physical modulations and medium access control (MAC) protocols.
Performance and data rates (kbps)till 100 Mbit/still 9.6 Gbit/s (802.11ax)till 2 Mbit/s (Bluetooth 5.0)till 424 kbit/still 100 Mbit/s
Overall performanceSeveral Wi-Fi standards allow selection of the most suitable oneas it is available in all smartphones,highly applicable for monitoring and sensor solutionsAvailable in almost all smartphones,single chip solutions availableFast transaction usage possible due to fast set up with reader, NFC tags and devices in no power mode make inductive accessible, available in more and more smartphonesInduction powered RFID tags without battery/power supply, read/write on tags, many devices at once
Typical usagee.g. applications in smart home area, shops and malls, officesSmartphones and tablets, wireless headphones, digital signage, car stereos, fitness trackers, smartwatches, beacons, HW devices, machine monitoringIdentity documents, contactless and mobile payment, key cards, electronic ticket smart cards, mobile phones, keys/car keysShops, retail, warehouses, Stock lists, inventory data, animal id implants, smart cards (Mifare, Desfire), defense apps, railroads
Plus & minus+ Very popular, little investment, easy installation and integration- Not the most secure + Low power consumption and costs, easy integration- Security issues+ Fast connection set up, e.g. pay and go- No certificate according to common criteria, low data rate+ Fast scanning of many devices- Further security implementations needed

Mesh technology

This table compares the features and specialties of a mesh set up. The physical radio part for both is similar.

Comparison parameterWirepasZigbee
Rural area range5 km100m
Urban area range40m30m
Power consumptionLow power modeRouter: 25uA / 1.5 packets per second non-routing: 12uA with 8 sec access cycle12uA sleeping mode54 mA transmitting mode
InterferenceWirepas Mesh dynamically avoids using the channel that other devices are using nearby.Wirepas Mesh dynamically adjusts the transmission power to the lowest setting to avoid interfering other devicesThe 2.4 GHz band that ZigBee uses is often crowded. Crowded frequencies can cause interference which will result in lost or unreliable signals. You may also experience poor reliability if your devices are out of range.
ReliabilityWirepas Mesh does handle acknowledgements and re-transmitsautomatically for each message in case of packets lost. Messages are buffered until those have been successfully delivered.Router will automatically find an alternative route. No need for an application to have logic.Lower network reliability will occur due to network complexity,more resource usage, and complex object relationships.
SecuritySignaling message encrypted with AES128.Every message encrypted with AES128 CTR 128-bit AES encryption for secure data connections
Performance and data ratesTransmission of maximum 102 bytes dataPackage takes only milliseconds, thanks to 1Mbps bandwidth20kbps – 250 kbps
environmental and operating costs(per Modul EUR)e.g. Worth appr. 10 Eur> 5.00 EUR
Environmental and operating costsNo operating costs for private networkNo operating costs for private network
FeaturesDecentralized operation, low latency mode, Synchronous operation, ,self-healing of connectionsno single point failure, industry standard security, automatic roaming, OTA Update
Low duty cycle,low latency,direct sequence spread spectrum,
Network element size max.>1.000.000 Nodes65.000 Nodes
Overall performanceExcellent self-configuration,highest security and reliability standard,effective operation and maintenance features,highest scalable IoT connectionNetwork increase and complexitycauses lower reliability,latency increases as network size grows
Typical usageindustrial mesh IoT networksSmart lighting, HVAC controls, securityand energy management, home NW
Plus & minus+ rentability for all kind of networks, both big and small + Good performance – Network growthcauses less reliability

Decision

These are just a selection of the radio technologies that we are experienced in. If they interest you, great. But there are many other technologies available that may fit your needs even better.

Before deciding, it’s important to always:

  1. Investigate the relevant use cases
  2. Collect all valid connectivity criteria for these use cases
  3. Check the connectivity standards and technology
  4. Create a decision table and flow

Then, select the best fitting radio technology

Here is an example of a simple decision table which may help:

Making a selection using your most important criteria
Do you need a
data rate >50kbps ?
YESNO
Do you need a
data rate >500kbs
Do you need a
range > 10 km
YESNONOYES
NB-IoTCAT-MLoRASigfox

Bandwidth and range are examples, but you can add any relevant criteria to this process to ensure your project is aligned at all decision levels. 

Conclusion 

To avoid surprises during testing and operation, you should always compare the details of the connectivity technologies you are considering before diving in. At Thaumatec, we have a wealth of experience and knowledge in this field and are happy to help you find a solution that fits your needs. 

IOT Wireless | The rise of connectivity | Different radio access methods

  1. Overview of a broad field of specialized technology

Wireless and mobile connectivity is one of the most quickly growing access methods and is used in almost every industry to gain independence from location and enable freedom of movement. Many different radio technologies and standards are available on the market, but they are usually only designed for, applicable with, and perform well in particular use cases


In the previous article, we outlined how different types of radio access could be used for IoT applications and what the associated advantages and disadvantages were. In this article, we will provide definitions and elaborations on these radio technologies.

  1. Low-power, long-range radio technology

(LPWAN low power wide area networks)

LPWAN (low-power wide area networks) transport data, status and information from connected low power and autonomous sensors and devices to the decision-making application for storage in the data backend. 

Overview LPWAN

Narrow-band IoT (NB-IoT)

LTE Cat NB1 is a derivation of the LTE standard which is also specified in 3GPP release 13. It is designed for IoT applications that are even more constrained than those using eMTC. This technology is based on narrow-band communications and uses a bandwidth of 180 kHz. As a result, the data rate is greatly reduced (around 250 kbps down-link and 20 kbps up-link), which makes FotA updates hard to achieve using NB-IoT. On the bright side, NB-IoT consumes less energy and benefits from a greater range than eMTC.

Enhanced Machine-Type Com. (eMTC, LTE-M)

Long Term Evolution (4G) is a standard from the 3GPP. LTE Cat M1, which is known as either LTE-M or eMTC, is derived from the LTE standard and designed for Machine to Machine (M2M) communications (e.g., IoT). eMTC is a simplified version of LTE that aims to draw less battery power and to extend its range. In contrast to classic LTE, eMTC reduces the data rate to a tenth of LTE (up to 1 Mbps) and strips down the bandwidth from 20 MHz to 1.4 MHz. eMTC supports full-duplex and optional half-duplex operations to reduce consumed power.

Long Range (LoRa) 

LoRa is a proprietary technology from Semtech. Based on Chirp Spread Spectrum (CSS) modulation, it can use several bands of the ISM sub-GHz spectrum depending on the geographical location. LoRa communications are reasonably resilient to detection and jamming and are immune to Doppler deviation. LoRa offers several parameters that can be modified (e.g., spreading factor) to adjust the trade-off between range and data rate (from 0.3 to 50 kbps). LoRa is the technology of the physical layer LoRaWAN, supported by the LoRa Alliance, and is an open protocol for the MAC and network layers.

Sigfox (proprietary end-to-end solution for IoT connectivity) 

Sigfox positions itself as an alternative network operator and deploys base stations around the world. This technology uses Binary Phase Shift Keying (BPSK) modulation over an Ultra-Narrow-Band (UNB) carrier of the sub-GHz ISM bands. UNB greatly reduces noise levels, which extends the communication range. The counterpart is a very slow data rate of 100 bps. To respect the duty cycle regulation imposed on the sub-GHz bands, Sigfox limits up-link communications to 140 transmissions of 12 bytes payload, and down-link to 4 transmissions of 8 bytes payload, per day and per device.

Cost factors

Telcom versus other low-power, long-range technology costs to connect [in USD]

Technologyone moduleconnectivityinfrastructure
LTE-M10-153-5 / Month for 1 Mb
NB-IOT7-12<1 / Monthfor 100 kb
Sigfox5-10<1 / Month
LoRa WAN Public9-121-2 / Month
LoRa WAN Private9-120.25 / Month500
  1. Short range radio technology

This refers to transporting data, status and information from close (room- or house distance) sensors, access-points and devices to the decision-making application for storage in the data backend

Overview short range tech

WLAN/Wi-Fi

Wi-Fi is a family of wireless network protocols, based on the IEEE 802.11 family of standards. Wi‑Fi is a trademark of the non-profit Wi-Fi Alliance. Wi-Fi technology may be used to provide local network and Internet access to devices that are within Wi-Fi range of one or more routers that are connected to the Internet. Exceptional for long range the HaLow extends Wi-Fi into the 900-MHz band, enabling the low-power connectivity necessary for applications, including sensors and wearables. Because this frequency is freely available for basic communications, HaLow is also a standard for IoT.

Bluetooth / BLE

Bluetooth is a wireless technology standard used for exchanging data between fixed and mobile devices over short distances using short-wavelength UHF radio waves in the industrial, scientific, and medical radio bands, from 2.402 GHz to 2.480 GHz, and for building personal area networks (PANs). Bluetooth Low Energy (Bluetooth LE) is a wireless personal area network technology designed and marketed by the Bluetooth Special Interest Group (Bluetooth SIG) aimed at novel applications in the healthcare, fitness, beacons, security, and home entertainment industries.

NFC

Near-field communication (NFC) is a set of communication protocols for communication between two electronic devices over a distance of 4 cm (1​1⁄2 in) or less. NFC offers a low-speed connection with simple setup that can be used to bootstrap more capable wireless connections.

NFC devices can act as electronic identity documents and key cards. They are used in contactless payment systems and allow mobile payment replacing or supplementing systems such as credit cards and electronic ticket smart cards. NFC can be used for sharing small files (e.g., contacts) and bootstrapping fast connections to share larger media such as photos, videos, etc.

RFID

Radio-frequency identification (RFID) uses electromagnetic fields to automatically identify and track tags attached to objects. An RFID tag contains a tiny radio transponder (a combination of radio receiver and transmitter). When triggered by an electromagnetic interrogation pulse from a nearby RFID reader device, the tag transmits digital data, usually an identifying inventory number, back to the reader. This number can be used to inventory goods. RFID tags are used in many industries. For example, automobile companies often use it to track progress through the assembly line, pharmaceutical companies often use it to track inventory through their warehouses, and farmers and pet owners are increasingly implanting RFID microchips to track and identify livestock and pets.

  1. IoT mesh technology and solutions

IoT mesh technologies transport the data, status and information from close (room- or house distance) sensors, industrial areas, and closer rural areas via access points and devices to the decision-making application for storage in the data backend. This is completed without any network planning or any other physical or technical construction works related to connectivity. 

Simply place and play: the radio network configures itself and is prepared to handle many nodes and comprehensive infrastructure. The reliability, performance, safety and security features for this solution have been greatly improved in the last decade. 

Wirepas Mesh solution (for massive IoT, reliable and cost-efficient IoT solutions)

Wirepas Mesh is a wireless connectivity technology for massive IoT. Wirepas Mesh running in the devices enables a scalable, reliable, and cost-efficient IoT solution. The network provides one horizontal connectivity layer for all IoT use cases: collect data from your sensors to an IoT application in the cloud, control remotely located devices, communicate device-to-device in the network with or without cloud and track the location of moving assets. All the networking intelligence is included in the Wirepas Mesh software to form a resilient large-scale wireless mesh network. The relevant radio standard is compliant IEEE 802.15.1, which is suitable with Zigbee, Thread, and other similar protocols. Currently supported are off shelf SoC Nordic nrF52832/33/40 and Silabs EFR 32 FG12/13.

Zigbee®

Robust, low-power mesh networks for smart homes and buildings

Zigbee is a standards-based wireless mesh network used widely in building automation, lighting, smart city, medical, and asset tracking. We have been a promoting member of the Zigbee Alliance for more than 10 years, providing robust stack delivery with the latest standards. Our Zigbee portfolio offers the lowest power mesh solutions enabling multi-year coin cell use or battery-less operation across industrial temperatures.

The technology defined by the Zigbee specification is intended to be simpler and less expensive than other wireless personal area networks (WPANs), such as Bluetooth and more general wireless networking such as Wi-Fi. Applications include wireless light switches, home energy monitors, traffic management systems, and other consumer and industrial equipment that requires short-range low-rate wireless data transfer.

Its low power consumption limits transmission distances to 10–100 meters line-of-sight, depending on power output and environmental characteristics.[2] Zigbee devices can transmit data over long distances by passing data through a mesh network of intermediate devices to reach more distant ones. Zigbee is typically used in low data rate applications that require long battery life and secure networking. Zigbee networks are secured by 128-bit symmetric encryption keys. Zigbee has a defined rate of 250 kbit/s, best suited for intermittent data transmissions from a sensor or input device.

Bluetooth Low Energy direction finding

Since 2019 when the Bluetooth Special Interest Group announced a direction-finding feature based on angles finding in their specification for Bluetooth 5.1 I was impatient to check if it is working!

Unfortunately, there is no mutch commercial DevKits or solutions to verify that feature, nevertheless, luckily now one of our engineers Arkadiusz Jagodzinski has prepared a custom HW solution based on the Nordic nRF52811 chip and verify how this feature works and how accurate it is based on measurements in special EM isolated chamber. In this first post I’d like to share with you 

Bluetooth Low Energy Location Services

Bluetooth Low Energy is one of the most popular wireless technology standards. Around 4 billion Bluetooth enabled devices were shipped to the market in 2020. This number will grow and annual Bluetooth device shipments will exceed 6 billion by 2025 according to Bluetooth SIG forecast.

One of the Bluetooth key features is location services. 119 Million devices that use location services were shipped in 2020, mostly for Indoor Navigation and Point of Interest Information purposes.

Until now Bluetooth location services solutions were using Received Signal Strength Indicator. RSSI measurements allow determining the presence of a device or rough distance estimation to it.

Source: Enhancing Bluetooth Location Services with Direction Finding, bluetooth.com

By using some more sophisticated approaches Real-time Locating Systems and Indoor Positioning Systems are also possible by mixing together RSSI measurements, multiple transmitters or receivers and trilateration.

Source: Enhancing Bluetooth Location Services with Direction Finding, bluetooth.com

Bluetooth Direction Finding

In 2019 Bluetooth SIG announced Bluetooth 5.1 specification which introduces Direction 

Finding features designed to improve location services. Direction Finding makes it possible to determine the direction of the received signal by using an antenna array and signal-phase comparisons.

Direction finding delivers two methods: Angle of Arrival (AoA) and Angle of Departure (AoD) which use the same principles.

In both methods, there are two devices: transmitter and receiver. The transmitter transmits Constant Tone Extension (CTE) signal after the regular BLE packet. The receiver role is to sample that signal and calculate the angle from which the signal comes.

In Angle of Arrival:

  • The transmitter has one antenna.
  • The receiver has an antenna array and it switches antennas when receiving CTE signal from the transmitter.

The angle of Departure is slightly different:

  • Transmitter has an antenna array and it does the switching when transmitting.
  • The receiver has only one antenna used to sample CTE signal from the transmitter.
Source: Enhancing Bluetooth Location Services with Direction Finding, bluetooth.com

Angle Estimation

After the sampling phase, we have IQ samples linked to each antenna. IQ samples represent the phase and amplitude of a signal. Using this data it is possible to calculate the signal phase difference between each antenna. Then using some trigonometry it is possible to calculate the angle of arrival.

Example angle of arrival estimation using two antennas in the receiver:

Using phase difference to derive angle of arrival

Source: Bluetooth Direction Finding A Technical Overview, Martin Woolley, 22 February 2021

Exploring Angle of Arrival method

In cooperation with Wrocław University of Science and Technology we will explore Angle of Arrival capabilities, mainly we will focus on examining the accuracy of:

  • Estimation of the angle of the transmitter to the receiver.
  • Transmitter positioning in 2D when using two receivers.

To do it we will use custom boards with Nordic nRF52811 chip and a uniform circular antenna array that can contain up to 8 antennas.

Sources:

IoT and the Importance of Strategic Differentiation

This is the third part in a three-part series on IoT value drivers.

Our previous post outlined Operational Effectiveness and how IoT can help optimize operational performance, risk management, and reduce product and service costs.

Here we will discuss Strategic Differentiation and how IoT can provide new and exciting opportunities for companies.

We will continue to center our attention on the Healthtech industry.

Strategic Differentiation 

Each product or service that comes to market should have a Unique Selling Proposition (“USP”) that distinguishes it from other products or services in a similar field. 

But what is a USP? According to Entrepreneur Asia Pacific, a USP is a,

“… factor or consideration presented by a seller as the reason that one product or service is different from and better than that of the competition.”

Strategic Differentiation then is a strategy that aims to create this USP for a product or service.

To be specific, Strategic Differentiation looks at elements such as product design, features, brand image, quality, and customer service.

For businesses, there are hidden opportunities in each that can be used to set themselves apart from others. They just need to be discovered.

The power behind a differentiation strategy is found in its customer first approach. It seeks to develop products and services that provide intrinsic value to the customers the business serves. 

By utilizing the above approach, a company can succeed in creating a unique image in the market and can command a premium price for its uniqueness.

We have identified three areas where you can improve your strategic differentiation with IoT:

  • Improve Customer Experience
  • Differentiate Product and Service Offering
  • Enable New Revenue Streams 

Customer Experience (CX) 

The term customer experience (CX) covers the full range of customer interaction with the company, from initial contact to order fulfilment and after-sales service. Each interaction will either develop a positive or negative perception of the organization.

Developing a quality CX is critical to business longevity. In a study conducted by Oracle, 74% of senior executives believed CX was paramount to acquiring loyal customers.

If a customer does not have a good experience with a business, why should they return?

It is for this reason that customer experience has been listed at the top of executives priority lists over the next 5 years along with pricing and product development.

What is striking however, is less than half of all organizations are planning on investing resources into developing their overall customer experience.

It appears that whilst this may be on the top of executives lists, few organizations ever get around to doing something about it.

We believe that now more than ever, organizations must focus on providing a better customer experience. This includes Healthtech companies investing in IoT.

Luckily, IoT can provide many benefits to those wishing to improve their customer experience.

Typical elements that IoT can directly help with include,

  1. Response Times

The power of providing real-time data {link to former post} cannot be overestimated. Today customers expect rapid response times. IoT will deliver just that.

  1. Customer Support

According to Gartner, 64% of customers find customer experience takes priority over the price of a product or service. IoT can help by identifying potential customer issues before they occur and relaying those issues back to support team members.

  1. Personalized Service

Every customer wants a personalized experience. It is hard however, to offer personalized experiences at scale. Furthermore, it requires great resources from both finances and personnel. This is where IoT can help.

“You can suggest relevant products or guide them to use the specific features of a product based on the gathered statistics through IoT. The personalized interaction makes the consumers feel valuable, and they bond an emotional connection with your business. Using a passionate connective action significantly improves overall customer experience.” – Readwrite

Customer experience is one of the three elements we have identified that can help with your Strategic Differentiation.

Differentiate Product and Service Offering 

In our experience, often Healthtech companies center developing their USP around their customer requirements. This is useful, but it is only one third of the equation.

These companies must also consider strategically defining their product and service differentiation as well.

The reason that companies do not consider strategically differentiating their products and services is in part because they are generic.

Harvard Business Review writes further,

“On the commodities exchanges, for example, dealers in metals, grains, and pork bellies trade in totally undifferentiated generic products. But what they “sell” is the claimed distinction of their execution—the efficiency of their transactions in their clients’ behalf, their responsiveness to inquiries, the clarity and speed of their confirmations, and the like. In short, the offered product is differentiated, though the generic product is identical.”

Why do your customers buy from you? If your product or service is “generic” there may be others offering the same solutions. Yet, your customers continue to use your solutions.

Without knowing it, you may have already differentiated yourself from the crowd. In this case, it is a matter of identifying your differentiation and developing it further.

In the case of those who are yet to find product and service differentiation, a strategic partnership with a consultant or purposeful meetings with executive teams should help.

So where does IoT fit into this?

Real-time data can provide valuable input to marketing and sales.  It gives instant insights into potential and existing customer behavior which can result in identifying new opportunities that help to differentiate your business.

An example of an identified opportunity could be billing and pricing models. This leads us to our next IoT value driver.

Enable New Revenue Streams

All businesses seek to maximize revenue opportunities and capture additional value. This is fundamental to good business.

IoT can help here in many respects. According to ITChroniclestwo thirds of companies currently utilizing IoT have credited the technology with increasing revenue by 1% to 5%.

There are many ways that IoT can be used to increase profits. Propane gives one example saying,

“When nearly everything is connected, consumers will have the ability to search for and purchase things from almost anywhere. More and more often, consumers will be able to get recommendations and make purchases directly from products.”

Conclusion

Strategic differentiation can give insight into various opportunities available to a business via a connected product.

Customer experience, business differentiation, and new revenue streams should result by implementing the above strategy.

In our opinion these value drivers unearth low hanging fruit that would have otherwise been hidden.

We are still only at the beginning of understanding the true potential of IoT. Whether you are a Healthtech business, or any other business for that matter, IoT presents some intriguing opportunities that are waiting to be explored.

IoT and the Importance of Operational Effectiveness

As outlined in the previous post in this three-piece series, there are 3 fundamental reasons why many IoT projects fail:

  • Lack of a solid IoT Value proposition
  • Underestimation of the complexity of IoT projects
  • Organizations not ready for the impact of IoT on their employees, processes, IT systems and business models.

However, we believe that each of these elements can be mitigated by implementing the appropriate plans and procedures which we will talk about further here.

We regularly brainstorm with our customers about the additional business value IoT can create. We observe as they dream about the potential for their business. 

It is an exciting exercise, but it generally leads to the same complicated outcome, namely setting up a completely new business with new revenue streams. 

Whilst IoT can most definitely be utilized in this manner there are simpler business models that can generate substantial additional value in much less time. 

In the next two articles, we will look at two distinct categories used to analyze different IoT business value drivers, namely:

  • Operational Effectiveness
  • Strategic Differentiation

Here I will address how Operational Effectiveness in relation to IoT can aid in improving HealthTech settings.

Operational Effectiveness

Operational effectiveness is one of the core objectives of enterprise and IT governance. Organizations are always seeking to maximize the efficient use of resources in their business operations. 

This is understandable as it pertains to quality and productivity across the board, as well as improving competitive positioning in the markets in which they participate. 

Operational Effectiveness deals with establishing and extending best operating practices. This includes the continuous validation and execution of those processes after they’ve been prepared and implemented.

IoT is often overlooked when it comes to analyzing Operational Effectiveness. Reasons for this vary, but the likely reason is that people overestimate the complexities. 

What we have discovered, however, is Operational Effectiveness in IoT initiatives can be very easy to implement and quick to provide value.  

Here are three areas where you can improve your Operational Effectiveness with IoT:

  • Optimize Operational Performance
  • Improve Risk Management
  • Reduce Product- and Service Cost

Optimize Operational Performance

Operational Performance is the process of using real-time data to monitor and manage reporting. The desired result is to increase the operational efficiency of equipment, plants and logistics.

Some other areas Operational Performance can optimize are, 

  • Asset and material tracking, 
  • Connected operations intelligence, 
  • Operations management.
  • Real-time health monitoring.

The key to Operational Performance is utilizing real-time data which is supplied by IoT

“Real time analytics refers to the process of preparing and measuring data as soon as it enters the database. In other words, users get insights or can draw conclusions immediately (or very rapidly after) the data enters their system.”

Sisense

There are various benefits that come with using real-time data.

  • Quicker response times to potential incidents.

Response time in the medical environment is critical to success and failure. According to Safety.com, medical emergency response times across the US range from 5.4 to 11.6 minutes.

In relation to internal operational performance, IoT also has the potential scope to improve elements such as patient tracking and care.

  • Ability to stay agile during project implementation.

Project implementation can rise and fall on management agility. If organizations could identify project issues and pivot before failure, they could greatly decrease resource wastage.

  • Greater cost efficiencies. 

Along similar lines, real-time data can identify potential opportunities for cost-savings.

These each aid in achieving the main objective which is, Operational Effectiveness.

Improved Risk Management

Risk Management has a much higher profile in current management protocols in contrast to operational performance and reducing costs. 

We all fear risk in business. Whether the risk is financial, loss of market share, loss of personnel, or something related. It all effects business growth.

Lack of business growth can result in irrelevance. This is where real-time data can show its true strength.

Real-time data can provide businesses with critical information that they can then use to proactively identify and mitigate many of these risks. 

Risk Management consists of the following elements, expressed in chronological order:

  • Identify potential and imminent threats.
  • Assess the vulnerability of critical assets to these threats.
  • Determine the risk (i.e. the expected likelihood and consequences of threats on business assets).
  • Identify ways to reduce those risks.
  • Prioritize risk reduction measures.

By analyzing the above elements with real-time data, a business can then develop a risk register.

A risk register presents these elements in a manner that management can use to measure potential threats.

This register will list things such as identified threats, the likelihood of their occurrence, the cost of risk prevention and any related costs involved if a risk should eventuate

Overall, the expected likelihood and consequences of risks are reduced

Real-time data will also provide a better audit trail concerning any compliance risk.

Reduce Product and Service Cost 

Reducing product and service costs are always high on the priority list for Healthtech businesses.

Reducing costs can be addressed by implementing proactive procedures and policies. These procedures and policies can help in numerous ways. 

One such way is optimizing the service and product development processes.

By utilizing real-time data Healthtech businesses can examine products currently under development and provide a quality analysis that can for instance shorten the product development lifecycle

The below graph by Jabil illustrates the average product lifecycle for healthcare solutions between 2018 and 2020.

Similarly, the service and support area can utilize real-time data to improve monitoring and diagnosticscondition-based predictive maintenance, and warranty cost management

It will also aid in validating remote service concepts and facilitating customer self-service. 

One such remote service concept was mentioned by Business Insider. They described the concept stating,

“This type of patient care leverages connected devices with IoT sensors to offer providers a continuous stream of real-time health data such as heart rate, blood pressure, and glucose monitoring.”

Conclusion 

Within the Healthtech sector, IoT boasts great promise. But it will take numerous policies and procedures to bring about superior results from new innovations.

We believe that value drivers such as operational effectiveness are the answer.

Examining operational effectiveness can give insight into the different opportunities your connected product can provide.  This will help in identifying low hanging fruit that your business can benefit from. 

By utilizing real-time data provided by connected IoT devices, results can be presented to a potential or existing customer and used to support decisions made by the company’s senior management. 

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