ARCHIVE FOR THE ‘medical’ CATEGORY

MedicAir, an Italian provider of home health medical services and a distributor of medical supplies, has chosen Comarch to enhance delivery of medical gas cylinders, and to upgrade both installations and service maintenance planning to all the medical devices provided to healthcare institutions.

IoT connectivity and remote monitoring, used by companies to monitor the safety of their lone workers, straddles into medical sphere to keep tabs on patients' health. 
The number of remotely monitored patients grew by 41% to 16.5 million in 2017 as the market acceptance continues to grow in several key verticals, according to research by Berg Insight.

This number includes all patients enrolled in mHealth care programs in which connected medical devices are used as a part of the care regimen. Connected medical devices used for various forms of personal health tracking are not included in this figure. Berg Insight estimates that the number of remotely monitored patients will grow at a Compound Annual Growth Rate (CAGR) of 31.0% to reach 83.4 million by 2023.   The two main applications are monitoring of patients with sleep therapy devices and monitoring of patients with implantable cardiac rhythm management (CRM) devices. These two segments accounted for 82% of all connected home medical monitoring systems in 2017.






The number of of remotely monitored sleep therapy patients grew by 37% in 2017, mainly driven by Philips and ResMed that together dominate the sleep therapy market. The CRM market is led by companies such as Medtronic, Boston Scientific and Abbott that started to include connectivity in CRM solutions more than a decade ago. Telehealth is the third largest segment with 0.8 million connections at the end of the year.

Leading telehealth hub vendors include Tunstall Healthcare, Resideo (Honeywell), Medtronic, Philips and Qualcomm Life. Other device categories – including ECG, glucose level, medication compliance, blood pressure monitors and others – accounted for just over two million connections. “The most promising segment is medication compliance, which we expect will become the second most connected segment in the next five years”, says Sebastian Hellström, IoT Analyst at Berg Insight.  

More than 60% of all connected medical monitoring devices rely on cellular connectivity today and has become the de-facto standard for most types of connected home medical monitoring devices. The number of mHealth devices with integrated cellular connectivity increased from 7.1 million in 2016 to 10.7 million in 2017.

The use of BYOD connectivity will increase the most during the next six years, with a forecasted CAGR of 48.2%. “BYOD involves low cost and the technology is mostly adopted in patient-centric therapeutic areas such as diabetes and asthma that have younger patient demographics compared to many other chronic diseases. Many of these patients prefer to use their own smartphone as the interface instead of carrying around a dedicated device for remote monitoring”, concluded Mr. Hellström.

The increase of remote monitoring usage across professions, including health and safety, was highlighted in a further report by Berg Insight who found the number of monitored lone workers in Europe and North America reached 900,000 in 2017,

Download report brochure: mHealth and Home Monitoring 

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One of the largest suppliers of equipment and consumables for the dental industry is all pearly white smiles after deciding to swap its predominantly manual service operation for an automated one: Tesseract.

Wrights Dental supplies both NHS and private dentists with everything from syringe tips and toothbrushes to dentists’ chairs, digital imaging scanners and suction systems. Much of its business revolves around the sale and installation of equipment, but in the last five years, a shift has occurred. Mark Pitts, Technical Services Manager for Wrights, explains,

“Now, the ongoing service and maintenance side of things is just as important as sales. This is because the industry has changed. Dentists are open longer hours, which means more service and support is required. As a result, we’ve had to expand our service teams and increase their skill sets, flexibility and working hours.”

Till now, Wrights has got by with SAP for billing and invoicing, and Microsoft Outlook for diary management. “This was fine for a small service team,” says Mark. “But as soon as we began growing our teams to meet the increased demand, we realised we needed something more substantial.”

One of the big things for us was spare parts management. Tesseract gives everyone in the company full visibility on what we have and whereThe biggest problem with Wrights’ existing service management system has been its manual nature. A particular issue for Wrights was the movement of spare parts. As demand and the level of customer expectation grew, Wrights’ commitment to delivering the first-time fix became ever more important. There were instances when engineers would turn up on site without the parts they needed to complete the job, largely because tracking stock manually is arduous and prone to error.

This led Wrights to Tesseract, a comprehensive service management system from leading solutions provider Asolvi. Mark Pitts says, “We came across Tesseract on LinkedIn and it was obvious pretty quick that there were a lot of things it could do straight away. One of the big things for us was spare parts management. Tesseract gives everyone in the company full visibility on what we have and where. Everything is live on the system, including the full-service history of the site. It’ll help make sure all our engineers have the parts and information they need when they arrive, improving the likelihood of a first-time fix.”

Another big benefit for Wrights is Tesseract’s Remote Customer Access (RCA) tool. Instead of phoning a helpdesk, Wrights’ customers can report issues directly through the system.

“This saves our customers time,” says Mark. “It also stops the information from getting diluted before it gets to us. A customer can report the issue directly rather than passing it to a receptionist to make a phone call, which can lead to misinterpretation. Also, the improved accuracy of the information helps us work out which jobs are emergencies and which aren’t.”

In general, Wrights expects to offer a higher standard of customer service via the Tesseract system. The automation and optimisation of scheduling and stock management will ensure four things: right engineer, right area, right tools, right time. In addition, Tesseract will reduce the number of customer queries Wrights receives because RCA lets customers see live information about billing, outstanding jobs and the terms of their contracts.

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Starting out as a specific day to the Field Service USA program in 2011, the medical device attendees were so hungry for a more focused agenda that Field Service Medical ran as a separate event come 2012 and is now the premiere event for service executives in the med-tec space. Jonathan Massoud, Divisional Director WBR talks us through the latest industry trends and gives us a look at what to expect at this year's event...

 

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Thinking of going but still not got your tickets? Field Service News readers are entitled to a 25% discount to this event. Visit: fs-ne.ws/6Gfp308FA2N and use the code FSM17FSNEWS

 

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Every OEM that we surveyed in the lead up to the creation of 2017’s agenda mentioned regulatory guidelines and compliance as a concern. Right now, compliance becomes more critical as the FDA’s current focus is on third party providers and their relationship with OEMs.

Strict guidelines are a necessity. In a life or death setting, there is no time for faulty equipment.

There is a reason why OEMs are concerned, however.

These very regulations can impede innovation.

For example, apps built within a CRM that are not “quality certified” get shut down. Due to the sheer number of spare parts, regulatory bodies are forced to cherry pick what, when, and where they’re going to enforce.

Unless you are a big hospital or facility, JCAHO cannot enforce everything 100% of the time, creating an inconsistency in who is being carefully watched over.

Still, medical device equipment, spare parts, and how the technician fixes the machine have to comply with a multitude of rules. And as long as there is consistency and a quick turnaround process for approval, the OEM can appreciate this.

[quote]Despite how much compliance crackdowns may hinder ingenuity, money is continually poured into R&D for new products since the industry is fueled by the moralistic end-goal of improving quality of life.

Despite how much compliance crackdowns may hinder ingenuity, money is continually poured into R&D for new products since the industry is fueled by the moralistic end-goal of improving quality of life.

 

According to MDDI in a telling article entitled American Medtech Market to Grow 6.4% Annually Through 2017, “By 2016 the medical device market is projected to reach $134 billion.”

As this industry grows in revenue, there is a bigger focus on after-market service quality to create a brand differentiator, as they are selling to an increasingly shrinking customer.

Service needs a PR makeover. Customers are demanding more than just having a tech come over to fix a machine when it breaks. In fact, they want to see diagnostics tools being used so that the machine doesn’t break in the first place – or at the very least have a tech fix the problem remotely.

While it was once considered just a cost, service has a new role in revenue production, with some companies already having their service and sales departments integrated.

Due to this focus on cross-functional integration, OEM executives have finally come to realise that after-market service is a critical component to the customer’s experience.

This leads us to Field Service Medical 2017:

Day 1: Be Proactive Rather than Reactive:

• Create a business case for IoT to implement the right technologies for your organisation
• Be prepared for the shift and strategise how each department will be responsible for the technology before it is implemented
• Understand how end-users evaluate your product to drive operational decisions for delivery

Key sessions:

• ‘Can You Hear Me Now?’ Get Customer Metrics Through Your Call Centers – Tom Buckley, Director, Global Technical Service, Boston Scientific
• Workshop: Take a (Strategic) Leap Towards Connected Devices – Dan Barnett, Director, Customer Service, Abbott Laboratories

Day 2: Reinvigorate Your Culture

• Utilise service as a brand differentiator rather than a cost-reduction and implement this into your training and philosophy
• Navigate a complex regulatory environment by knowing what is in the pipeline and gaining clarity on gray areas surrounding third parties
• Identify the relevant metrics for measuring service success to actually tell a customer experience story with your data

Key sessions:

• Panel: What’s Unique about Your Service Solutions? – Amos Schneller, VP, Global Service and Technical Support, Medivators; Steve Nava, Director, Field Service Americas, Luminex; Ed Klosterman, Director, U.S. Field Service Operations, bioMérieux
• We’re Engaged: Training a Field Service Team Despite Long Distance – Steve Nava,Director, Field Service Americas, Luminex[/unordered_list]

Day 3: Achieve Cross-Functional Integration

• Overcome the bias about siloed roles and implement service into your R&D, marketing, and sales team right from the start
• Integrate service and sales to create a dual-sided profit center, selling service as a product
• Collaborate better with your marketing and IT team to get the service message across more effectively

Key sessions:

• Service is a Product – How to Sell it That Way! – Jeff Yates, National Service and Repair Manager, U.S., Richard Wolf Medical Instrument
• Panel: Shift from Customer Service to Customer – Karl Geffken, Senior Director, Marketing - Global Services, Medtronic; Catherine Read, Director, Customer Engagement, Carl Zeiss

 

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Thinking of going but still not got your tickets? Field Service News readers are entitled to a 25% discount to this event. Visit: fs-ne.ws/6Gfp308FA2N and use the code FSM17FSNEWS

 

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Tesseract’s service management software is about to be put to extremely good use. BCAS Biomedical Services Ltd (BCAS Biomed) will use it to more effectively manage thousands of life-critical devices for hospitals, healthcare professionals and the emergency services.

BCAS Biomed is a leading UK provider of Managed Equipment Services for the medical sector, maintaining everything from ventilators to defibrillators to ultrasound machines. Its current medical-sector-specific management software tells BCAS Biomed what assets need servicing and when, and also manages the scheduling. However, BCAS Biomed’s recent growth has highlighted some limitations, as well as the need for a mobile working solution for the field service engineering team.

“With some of our hospital contracts, we’re literally managing thousands of assets,” says Steve Dampier, Operations Director for BCAS Biomed. “Because these are life-critical devices, compliance is of the utmost importance. We chose Tesseract because their asset management software will help us track the history of the equipment more efficiently. They also offer local support, which is really useful for us.”

 

BCAS Biomed will be incorporating Tesseract’s Diary Assist and Remote Engineer Access (REA) modules in an effort to cut out delays, improve visibility and go paperless. Diary Assist will be used to schedule planned maintenance, replacing the company’s manual diary. REA will allow engineers to create and submit digital worksheets in real-time, rather than having to handwrite service reports and post them in.

Steve says, “Tesseract has much more functionality and longevity than the sector-specific system we have now. There are so many layers to the Tesseract system, so much scope for flexibility. It’s basically future-proof.”

 

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Sterilizer specialist ESTS is about to usher in a new era of fast, paperless servicing, courtesy of Tesseract’s field service software.

ESTS is the brains behind Logiclave, a leading brand of sterilization devices, including autoclaves, steam sterilizers and washer disinfectors. ESTS designs and manufactures the devices for hospitals, universities, pharmaceutical companies and the biotechnology sector, and makes sure all are properly and regularly maintained under service contracts.

At present, ESTS uses a basic software system to manage its service activities. However, it’s simply a diary and a database, lacking any intuitive call control or dispatch functions, asset management tools or mobile working solutions. The company also uses a separate software system for stock control.

“Our processes are quite labour-intensive,” says David Hawtin, Director at ESTS. “Our engineers have to handwrite service sheets and post or hand-deliver them to the office. Then our admin team has to process them and submit paper invoices to our accounts department. Engineers are dispatched by email or telephone. And with parts, engineers call our storeman and he orders them in. Tesseract is going to transform all of this.”

 

Tesseract’s service management software will provide ESTS with automatic dispatch, stock control, automated invoicing, asset management and, most importantly, a mobile field service solution for the engineers. This will eliminate numerous manual processes and the need for copious paperwork.

ESTS remembered Tesseract after seeing a demonstration of the software at a trade show a few years ago. Hawtin explains, “We saw a demonstration of two systems, but decided to go with Tesseract for two reasons. Tesseract offered a cloud-based version, and the system worked on both android and iOS devices. The other system lacked these features.”

ESTS will soon be implementing the cloud-based, software-as-a-service (SaaS) version of Tesseract’s Service Centre 5.1 (SC5.1). Hawtin says, “The fact that Tesseract offers a SaaS version of SC5.1 made it more accessible to us. It means we don’t need to upgrade our server to implement it, and it’s less of a burden on us because Tesseract maintains it in-house.”

 

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One of the most exciting developments in technology currently emerging the field service sector is the potential of Augmented Reality and at the vanguard driving the technology forward is US based company Help Lightning, with their own take on the tech ‘Mobile Merged Reality’. Kris Oldland spoke to founder Bart Guthrie to find out more about the origins of the technology and just how big it could potentially become...

Help Lightning has been a technology that has been causing conversations for some time now amongst field service organisations in the USA, fuelled primarily by a number of appearances by their charismatic founder Dr. Bart Guthrie on the US conference circuit alongside some slick booth demonstrations.

But what exactly is a neurosurgeon doing disrupting the field service technology space? I caught up with Guthrie at Field Service Medical in San Diego to find out more about the background on how Help Lightning was born.

 

“Early on when I started practicing, even during my training I it became apparent to me that there were opportunities for both technology and certain relationships to improve processes that could sustain or improve health.” Guthrie begins

“The earliest thing I became involved in was image-guided surgery. That is where you take a CT or CAT scan and you use the device to register to the patient’s head in surgery and then as you do the surgery you can see what you are doing on the MRI cast.”

“So I think what that did for me was to open my eyes to the capability of technology to bring information to bear and then after that I became pretty heavily involved in medical image distribution. In my field medical imaging is our currency. It is information dense and we will use it to make most of our decisions to get outcomes in terms of certain things that we do so we developed a system to acquire and manage medical imaging and formed a company around that which did very well.”

“Then right about that time when visualisation in the operating room was becoming usable – endoscopes, microscopes, video cameras and then this notion of connectivity... It’s one thing to have an operating microscope that is high res. but if you can’t connect it to anything you’re only as good as you.”

“So that started coming around I began thinking would it be possible to use connectivity to export information, whether that be medical information or guidance and movement.”

 

“We approached the Department of Energy about a call for technology development they issued around surgical robots and we got funding for around $1M for a pilot scheme. Needless to say the funds were completely insufficient but surgical robots are remarkable.”

“They are in the field, they work and they do what they are supposed to do which is take your movements, then gear it down and they’ll effectively make the same movement. They are going to be tremendously valuable.”

“For us though there were some limitations to the robot. One you can’t teach it very well, there is a time delay, there were all these technical issues that separate you from what is going on. And the other thing in my job is that I am constantly getting requests about remote calls with patients that have a problem. And those patients end up in healthcare systems that have the skills but not the experience.”

We have been speaking for barely a few minutes yet it is clear that Guthrie has a clear passion for technology and its ability to enhance the world we live in. As you would expect, he has the gentle tones of a experienced medical consultant, enhanced further by his soft Alabama accent.

However, he also clearly has a mind built for problem solving and out of the box thinking and it is this skill that led him to the concept of what was to become Help Lightning, the development of which was a direct response to a major problem Guthrie saw in his day to day working life.

Namely getting expertise where it is needed in an emergency situation.

As Guthrie explains “Any of the surgeons in a small hospital where someone has been in an automobile accident for example will know how to make an incision, how to sow, how to support a patient. But any surgeon may not know how to do that in the brain, or in the heart etc."

“Yet the movements and the principals are very similar, you just need the experience. So we started thinking about the idea of somehow capturing the experience of someone who has that skill set and transmitting it real time to a local task-force.”

“We came up with this idea of bi-directional video and if we could capture the remote task field view, look at it, insert instruments, hands, whatever, interact with it and then combine the two and distribute it back that may solve the problem.”

 

“It would allow us to impart a little bit more expertise remotely. It wouldn’t solve everything but it would be advancement over what we could do for example over a telephone, which is the standard conveyor of medical information remotely right now.”

And so Help Lightning was born (albeit originally under a different moniker of VIPAR) and with the support of his mechanical engineering and computer science departments at UAB the concept soon became a reality with pilots in operating rooms in both UAB and the Veterans Hospital.

In its initial configuration VIPAR (an acronym of Virtual Interactive Presence and Augmented Reality) was a high-end manifestation that worked superbly but simply wasn’t scalable.

So after the patents were written Guthrie took the concept and founded Help Lightning and sought to develop a lighter-weight version of the concept.

Modestly he states: “I procured enough funding to get it going and I sort of stepped back out of the way and hired a bunch of just excellent people to get it going and they’ve reduced the concept to a similar functionality on just a mobile device.”

What is certain however, is that the team Guthrie has put in place, headed up by CEO Drew Deaton, have done a quite remarkable job of scaling the technology down to an app - which of course makes the business incredibly scalable itself.

“It achieves a couple of things,” Guthrie explains when discussing the move to an app based approach.

 

“It gets this team out of the hardware business and it makes it available ubiquitously.”

So with the team and technology in place the challenge now is identifying the markets that Help lightning is best suited for. Given the origins of the product clinical care is of course one of those, and Guthrie is directly involved with the pilot program.

“That presentation I gave here where I presented those pilots was the very first step in trying to understand will the patients accept it? Will the providers accept is it? Will we find things at the physical visit that we didn’t find at the virtual visit. Or vice versa – is it safe or is it unsafe?”

Of course these same questions will apply to the initial projects within the field service space as well.

However, the potential for cost savings of using a tool such a Help Lightning could be truly remarkable. Particularly for those companies whose engineers have to travel long distances.

Indeed Help Lightning or other similar tools could have a huge impact on the way companies structure their field services workforce.

With the ability to dial experience in from a remote location to provide the key knowledge and expertise required for a complicated maintenance or repair job, it could make sense for companies to have their most experienced engineers in one office centrally and utilise cheaper, local technicians when it comes to remote locations?

 

Or simply it could be a tool to improve engineers work life-balance, whilst reducing the costs of travel and accommodation.

Another alternative could be to implement a new tier of service offering based around remote assistance whereby the engineer guides the customer themselves through maintenance?

Certainly the applications in field service are wide reaching.

“The way I see it is its all about the relationship you have,” Guthrie explains.

“If you just take two people as a construct and their relationship is remote and some kind of expertise or procedural expertise has to be conveyed from one to the other it’s a natural fit.”

“So any market where there is an existing relationship that is benefited by the transmission of expertise to a remote site in a manner that facilitates the relationship, that engages both people, I think is a natural market.”

“I feel patient care is a natural fit, field service is a natural fit. I think maybe the space shuttle even, wherever there is that kind of dynamic in the relationship, I think this concept could fit.”

 

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Field service in the medical industry is complex and challenging. Having recently attended the two key events -  Field Service Medical and Field Service Medical Europe - we look at some of the key challenges service directors working in this vertical face...

It is an often quoted maxim that when it comes to field service highly disparate companies from completely separate verticals can face many of the same pain points. Within the niche of the medical industry these challenges remain but there are also additional hurdles that can make service delivery even harder.

Fortunately for those working within medical field service, global conference producers WBR sit right at the heart of the industry hosting two key events, one each side of the Atlantic to help foster knowledge sharing within the community.

The first of these Field Service Medical was held in San Diego in February and in the Californian sunshine the debate was lively with a highly senior audience coming together and putting commercial rivalries aside to address some of the key challenges within the sector.

Of course as with the wider field service sector, technology has a huge role to play in enhancing the levels of service companies can provide, yet a number of additional challenges such as tighter regulation, greater security fears and fragmented purchasing structures can make the implementation of technology just that little bit harder within the medical sector.

 

Thus a number of conversations centred around integration, with FieldOne’s Ted Steffner’s presentation on the topic ‘Integrate, Don’t isolate’ being a particular highlight for a number of delegates.

Another specific focus of the medical sector is that the sale of consumables within the industry is perhaps disproportionally higher here than in other verticals such as manufacturing. Largely driven by the clean room environment, this leads to an even greater pressure to ensure good inventory management and as well as a number of presentations around this topic, Stacey Blakely, Service Sales Director, Hill-Rom led an excellent interactive round table that provided plenty of food for thought and helped drive the conversation.

Indeed, the sale of consumables is viewed very much as a key part of service revenue still within the medical sector and in some respects the thought processes of many within the vertical is still focused on the traditional break-fix approach to field service.

This was apparent when Professor Tim Baines, Aston University, gave a presentation on the topic of Servitization at Field Service Medical Europe in Berlin a month later.

 

Whilst in many other verticals the topic of servitization and phrases such as through-life-cycle service, advanced services and outcome based solutions are becoming familiar concepts, for many within the medical industry it remains a new concept which faces the dual barriers of both a relenting and strong traditional approach to revenue through consumables, as well as the additional challenges of fully implementing IoT solutions due to the aforementioned fears around security fuelled by the need to protect patient data.

However, whilst in some areas the medical industry maybe a touch behind the broader field service sector, it is also home to some truly innovative thinkers and service leaders.

One such person is Alec Pinto, Associate Director of Qiagen who gave a fantastic presentation on maximising utilisation. Pinto and his colleagues have done some exceptional work on developing mathematical modelling to truly define their available resources in terms of man hours, and then redistributing their workforce accordingly to improve customer satisfaction levels, efficiency levels and engineer engagement.

In summary, the field service industry within the medical sector has a number of unique challenges that are perhaps not felt within other verticals yet the market still continues to see innovation and development on both sides of the Atlantic.

 

“There is an overall theme of companies being more proactive and less reactive across the sector at the moment,” commented Greg Ashton, Conference Producer for WBR at the end of Field Service Medical Europe.

“People have been thinking about it for a long time but now the technology is at a place now where there is a fusion of people and technology all arriving together at a critical point.”

“It’s really the solution providers that are driving it forward, the solutions themselves have improved a lot over the last year,” he added.

 

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The team at service management specialist software provider Tesseract are in for a busy October as they take to the road to showcase their software on both sides of the Atlantic this October.

If you’re in the US you can find them at the MD Expo – Orlando. This event showcases the very latest products and technology in the medical equipment industry.

With a solid reputation for attracting a senior audience, the show runs from the 1st - 3rd October 2014 at Hilton Orlando Bonnet Creek Resort, Orlando, Florida.

Tesseract, who were the first company to ever develop a cloud based service management solution will be showcasing the latest iteration of their software, Service Centre 5 to the events delegates, having established themselves as a leading player in this sector by working with companies such as Toshiba Medical for many years.

Back in the UK the Tesseract team will also be attending another important event within the medical sector the Healthcare Estates Conference, Exhibition & Dinner which runs from the 7th - 8th October 2014 at Manchester Central Convention Complex.

This is a unique event that brings together the highly prestigious IHEEM Annual Conference, Awards Dinner as well as the UK’s largest trade exhibition for the sector, for which of course enterprise mobility solutions can mean not just impacts on companies bottom line, but can be the difference between life and death itself.

Finally the team will be attending the Ceda Catering Equipment Technical Conference 8th October 2014, Staverton Park Hotel, Daventry, Northants.
This year’s conference will include headline speakers and interactive workshops and will be of great interest to both the general management and the service management of both distributors and suppliers to the catering industry.