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Logo of Marquette University BIEN 167 Module 3 Telerehabilitation

Wireless Standards & Tele-Medical/Rehab

Outline Universal Access Models of Tele-Encounters Tele-Technologies Telerehab Apps
Part 5 (Technologies): | tele-standards | H.320 ISDN | H.324 POTS | H.323 & SIP | Wireless | Multi-Node |

Reading material: part of Chapter 11 (Winters), pp. 100-103.

Wireless Technologies - General Concepts

  • Within wireless volumevs line-of-sight (e.g., IRDA standard)
  • One-way vs two-way telecommunication protocols
  • Signal strength typically drops with distance
  • Usability analysis
  • Wireless as an "enabling" technology

Classification scheme being used in the IEEE wireless standards process:

  • wMAN (metropolitan-area networks or wide-area WANs)
    • Cell phone technologies
    • "2-G" - digital
      • low-bandwidth voice, 8-14 Kbps voice, 900 MHz / 1.7 GHz
    • "2.5G" - GSM/GPRS (short text messaging, email, pictures), WAP/XML
      • data: 16-64 Kbps (pay by MB or time or flat?)
      • phone or PC cards
    • "3G" - still "coming"
    • Discussion: How needed?
  • wLAN (wireless local area networks)
    • License-free bands: 900 MHz, 2.4 GHz (ISM band)
    • ~ = IEEE 802.11b/g standards (e.g., WiFi)
    • Medium-bandwidth (up to 11 Mbps for 802.11b and 54 Mbps for 802.11g, function of distance)
    • Coverage volume ~ size of a small house (30-1000 m)
  • wPAN (wireless personal area networks)
    • Bluetooth - “Short-range 2-way radio” (10 m, e.g. in room, vehicle)
    • License-free 2.4 GHz ISM band
    • Person-centered voice/data "radios" (up to 721 Kbps for data)
    • Low-power
    • Distributed "radios" that spontaneously network
  • Integrated MAN-LAN-PAN Systems
    • Example: PocketPC
    • Discussion: Wearable devices?

Existing Medical Telemetry Products

  • Medical devices: most communicate via a proprietary system
    • Many operate over selected VHF or UHF one-way broadcast channels
    • Wireless Medical Telemetry Service (WMTS)
      • UHF TV channel 37 (608-614 MHz)
    • Medical Information Bus (IEEE 1073) collection of cross-product interoperability standards
  • Medical Informatics/IT/Electronic Healthcare Records
    • Most use IEEE 802.11b (e.g., hospitals wings at Zablocki VAMC)
    • Dealing with HIPAA challenging but working
  • Tradeoffs
    • Supports non-medical use?
    • Standards-based transmission?
    • Supports Voice, PDAs?
    • Uses hospital IT infrastructure?
    • HIPAA / confidentiality / security?
    • Range?
    • Implementation cost?
    • World-wide products?

 

| telerehab outline || tele-standards | H.320 ISDN | H.324 POTS | H.323 & SIP | Wireless | Multi-Node |

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