Augmented Reality in Healthcare Auckland UX Meet up September 2013

Ian Power

healthy

We create intuitive, satisfying user-experiences and then help you organize, train, track, measure and improve.

HEALTHY UX APPROACH

Cookie vs Laundry

(Thanks to John Maeda, designer and champion of simplicity)

MORE JOY AND LESS WORK Our aim is to design experiences with

HUB

AR IN HEALTHCARE

AUGMENTED WHAT?

augmented reality is computer generated content visualized in the real world

•  AR apps can be tricky. •  Hardware: sensors, cameras, and

network connections that work. •  Software: strong image recognition

algorithms to identify objects from a variety of angles.

Experiencing AR

Typical mobile handset view

Tablet view (showing underground cables and pipes)

EyeTap – which projects images directly onto the retina

Google Glass – here modelled by co-owner Sergey Brin

The Google Glass experience

AR Triggers

•  Printed images •  Real 3D objects or faces •  SLAM (Simultaneous localization and mapping)

•  NFC •  User commands

HEALTHCARE Examples of great AR work going on in

72% physicians now use smart phones or tablets in their everyday routines

AR on the ward might look something like this…

Developed by German company Fraunhofer MEVIS, this AR app helps surgeons locate critical structures such as tumors and blood vessels (using data from CT scans).

This is liver surgery. Your liver has many blood vessels, which the app helps the surgeon avoid or be prepared for when he/ she cuts.

Endoscopic surgery often means the surgeon has a very disjointed view of proceedings, limited to the keyhole camera via a monitor, medical imaging data on a second display, and the outside of the patient. The surgeon has to assemble the data in their head, and this really complicates the intuitive use of surgical tools. Here we’re seeing an AR view of minimally invasive intervention vertebroplasty (on a model), via a HMD, developed by a team at Technische Universität München (TUM). Vertebroplasty is the insertion of cement into weak and brittle vertebrae through a trocar (metal tube) for stabilization

…and here’s what the kit looks like

Nursing and midwifery students at Sheffield Hallam University will benefit from a new iPad based augmented reality (AR) tool to improve their communication skills. They used to hire actors to be patients for students, but now, it’s all on an iPad!

My current favourite

CPRGLASS

Developed by cardiologist Christian Assad, M.D. University of Arkansas for Medical Sciences (UAMS)

CPR GLASS

•  Someone in the street collapses •  Glass wearer says “OK GLASS, CPRGLASS” •  App opens. Instructions appear - ABC (Assess Airway, Breathing

and Circulation). App measures pulse. •  Eulerian video magnification – are the compressions adequate?

and has patient regained pulse if we stop compressions…

Eulerian video magnification amplifies changes over time, can detect pulse from skin colour changes. MIT-developed software, open source, uses standard video camera footage.

Eulerian video magnification can use motion amplification to detect baby breathing

Anyway – back to CPRGlass –

“OK GLASS, No Pulse!”

Triggers the following:

•  Staying Alive music starts which will guide you to do the compressions at a rate of 100/min.

•  Gyroscope in Glass tells you if compressions are adequate •  App tracks TIME of CPR initiation and number of compressions •  Calls emergency services with your GPS-based location •  Via GPS will try to find nearest AED via AED4US •  Sends Txt Msg to nearest hospital with information regarding

ongoing CPR for them to get prepared

Acute vs Ongoing

•  Acute – new and exciting •  Interventions •  Technology

•  Ongoing •  Supporting people •  Motivation

MEDICINE = WORK For some people with chronic illness

In Health, often the last thing users want is an ‘experience’. They want to find it, use it and forget it. The best experience is invisible.

Peter Morville

Over my career in marketing and healthcare advertising 95% SELL, 5% support

BIG PROBLEM Poor compliance/ adherence/ concordance

•  Between 30% and 50% of patients with long-term diseases in developed countries follow treatment recommendations.

- asthma - diabetes - CVD - osteoporosis

WHY?

•  Low level engagement •  Poor understanding of treatment benefits •  Side effects management •  Poor communication

Lady collapses in the street

Luckily guy with CPRGlass is walking by…

She makes it to hospital, is treated and discharged

•  LD aspirin •  Antiplatelet •  Beta-blocker •  ACE inhibitor •  Statin

…with 5 medications to manage:

LD aspirin – prevents clots Antiplatelet – works with aspirin to prevent clots Beta-blocker – reduce heart’s workload, slows it down ACE inhiibitor – widens vessels and lowers BP Statin – lower cholesterol

Suddenly, breakfast comes with these!

You do get some explanatory brochures…

HEALTHY REMINDER

Jesse James Garrett’s flow diagram Elements of User Experience I really wanted to use this – this being a UX meet up and everything… But I couldn’t. Sorry…

Goal: Help users feel more connected to their HCP, to better understand their treatment and to take their medicine correctly

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Strategy: Bring the HCP to the user Simple to DO As and when required

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Healthy Reminder Mobile AR app

The patient can open the app and point it at the trigger, and it will play video content of the practice nurse or doctor explaining what the treatments are for, why they are important, and the agreed goals that the patient and the HCPs are working towards.

MedTech 32 interface – what most of the Drs and Nurses in primary care are using

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Add a digital camera to her desk or her laptop

Practice nurse runs through:

Agreed treatment goals

Current medication

Managing SEs

Other

•  Multiple overlays per trigger possible •  Can update overlays without needing to

update app •  Cross platform

QUESTIONS?

power@healthydigital.net

Thanks for listening