Wearable technology innovation in healthcare and medical devices
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Transcript of Wearable technology innovation in healthcare and medical devices
How consumer wearable technology is driving innovation in healthcare and medical devices
IDTechEx Sensors USANovember 17th, 2016
©2016 Valencell. Inc
Outline
• Historical timeline of the wearables market
• The effect of disruptive advances to wearable sensors
• Current B2B market pull in health/medical wearables
• Challenges and optimism in merging consumer tech with medical use cases
• Summary – key take-ways
©2016 Valencell. Inc
Heart RateChest Straps
Activity Trackers
GPS Armband
Calorimetry
Wireless vital signs monitors
Integrated solutions/ smart-devices
1980 2000 2006-09 20122010
Mobile Tracking Apps
2013
Wrist/arm activity trackers
2014 -16
Compelling use cases
2017-18 2019-20
Health/medicalwearables
Wearables are trending towards familiar form-factors, and more compelling user cases (including health)
©2016 Valencell. IncVALENCELL CONFIDENTIAL INFORMATION
Disease management
Guided fitness training
Prevention
Sleep quality
Diet management
Stress Management
Health diagnostics
Wearable optical sensor systems are now demonstrating performance levels suitable for medical use cases
©2016 Valencell. Inc
Atrial fibrillation identification has been demonstrated using optical sensor systems embedded in audio earbuds & wristbands
VALENCELL CONFIDENTIAL INFORMATION, PATENTS GRANTED & PENDING
Time (Sec)0 50 100 150 200 250 300 350 400
Cou
nts
4500
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5200PK20160621 154043 (ScSa) CB4 JOBS JOBS15.18.7
Time (Sec)0 50 100 150 200 250 300 350 400
RR
I (m
Sec)
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1500RRI
DevicePolar
RRI (mSec)900 1000 1100 1200 1300 1400
Cou
nts
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DevicePolar
RRIn (ms)600 800 1000 1200 1400
RR
I n+1 (m
s)
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1200
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1400Poincare Plot
DevicePolar
Frequency (Hz)0 0.1 0.2 0.3 0.4
PSD
(s2 /H
z)
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0.2
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1
Lomb-Scargle Periodogram
DevicePolar
Valencell OHRMECG
Time (Sec)0 50 100 150 200 250 300 350 400
Cou
nts
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5300
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5450PK20160621 141736 (DoSm) CB4 KONA KONA9.2.3.M
Time (Sec)0 50 100 150 200 250 300 350 400
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Sec)
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DevicePolar
RRI (mSec)700 750 800 850 900
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nts
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RRI Distribution
DevicePolar
RRIn (ms)600 800 1000 1200 1400
RR
I n+1 (m
s)
500
600
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800
900
1000
1100
1200
1300
1400Poincare Plot
DevicePolar
Frequency (Hz)0 0.1 0.2 0.3 0.4
PSD
(s2 /H
z)
0
0.05
0.1
0.15
0.2
0.25
0.3
Lomb-Scargle Periodogram
DevicePolar
Valencell OHRMECG
Normal Poincaré Plot Atrial Fibrillation Detected
©2016 Valencell. Inc
70 80 90 100 110 120 130 140 150 160 170-40
-30
-20
-10
0
10
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30
Bland-Altman SBP
Mean SBP
Diff
SB
P
40 50 60 70 80 90 100-30
-25
-20
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Bland-Altman DBP
Mean DBPDi
ff D
BP
70 80 90 100 110 120 130 140 150 160 17070
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R² = 0.710605341205325
SBP Regression Analysis
Model SBP
Ben
chm
ark
SBP
40 50 60 70 80 90 10040
50
60
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90
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R² = 0.545290808208612
DBP Regression Analysis
Model DBP
Benc
hmar
k DB
P
Error = -0.1 ± 9 mmHg (mean ± SD) Error = 0.0 ± 8 mmHg (mean ± SD)
Systolic & diastolic blood pressure tracking has been demonstrated via finger & earbud-based optical sensor systems
VALENCELL CONFIDENTIAL INFORMATION, PATENTS GRANTED & PENDING
©2016 Valencell. Inc
Commercial innovation in consumer biometric wearables is beginning to outpace that of medical monitoring technology
$10,000 clinical biometric data collection system
$500 consumer biometric data collection system
©2016 Valencell. IncVALENCELL CONFIDENTIAL INFORMATION
Market pull for wearable biometric sensors in 5 key categories
Personal Health
(Prevention)
Clinical Research
Disease Management
Disease Diagnosis Therapeutics
Description General fitness and wellness sensors having prevention-based UX
Sensors for measuring biometrics and activity used in clinical research
Sensors for chronic disease management, such as COPD, asthma, diabetes, and cardiovascular disease
Sensors for screening or diagnosing diseases, such as sensors for atrial fib, arrhythmia, and hypoxia
Sensors that provide active feedback for controlling therapeutic medical devices
Example Products
Omron Wellness; HealthKit
Actigraph products; BIOPAC products; ResearchKit
Philips HealthSuite iRhythm atrial fibrillation sensors; Omron hypertension screening
Medtronic insulin pump systems & neurostimulators
FDA Regulated
No Typically not Yes Yes Yes – very highly
©2016 Valencell. Inc
Moving from consumer to medical wearables requires partnerships… but these two markets tend to clash
VALENCELL CONFIDENTIAL INFORMATION, PATENTS GRANTED & PENDING
Consumer fitness wearables• Crowdfunded + light VC• Glam marketing• Accuracy not a top priority• Loose on validation• Roman personality• Looks for ways to avoid FDA• 2-year timelines
Medical wearables• Heavily venture-backed• Conservative B2B marketing• Accuracy is critical• Heavy on validation• Greek personality• FDA approval is critical to success• 7+ year timelines
©2016 Valencell. Inc
FDA regulation is not the bottleneck with new medical wearables… Use case validation is the key obstacle
Prototyping(~2 - 5 weeks)
Use Case Validation(~year)
Feasibility Testing(~1 - 2 weeks)
Accuracy Validation
UX Validation
Independent Clinical Validation
FDA Approval(510K)
©2016 Valencell. Inc
Success in the medical wearables market will require both an understanding of the consumer market and clinical validation
VALENCELL CONFIDENTIAL INFORMATION, PATENTS GRANTED & PENDING
©2016 Valencell. Inc
Key take-aways…
VALENCELL CONFIDENTIAL INFORMATION, PATENTS GRANTED & PENDING
• Mobile fitness technology has accelerated to the point where it is accurate enough for at least some medical purposes
• In some ways mobile fitness technology is actually outpacing medical technology
• With lower costs, better form-factors, and new features, advanced mobile fitness technology is now enabling ambulatory mobile healthcare, with a focus in prevention, screening, and disease management
• One point of friction is merging the rather chaotic exploration and rapid innovation of fitness wearables with the methodical discipline of clinical validation
• Companies that can apply medical-style validation to these innovative wearable sensor technologies are best-poised to find success in the marketplace
Thank You!