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Engineers Guide to
Medical Electronics

Featured Products

Security Versus Cost


The Move to Distributed Healthcare
From Advantech: Customizable 10.4
fanless medical grade ODM tablet.
Healthy Challenges
MEMs Motion Sensing Enables Next-
Generation Medical Systems
From Axiomtek: Medical Grade
Touch LCD Monitor MMT175

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Engineers Guide to Medical
Welcome to the 2012 Electronics 2012
www.eecatalog.com/medical
Engineers Guide to VP/Associate Publisher
Clair Bright
cbright@extensionmedia.com
Medical Electronics (415) 255-0390 ext. 15
Editorial
Editorial Director
John Blyler
jblyler@extensionmedia.com
(503) 614-1082
In August 2011, a computer threat analyst (and diabetic) Editor
showed a gathering of hackers at DefCon in Las Vegas how Cheryl Berglund Coup

easy it is to wirelessly take control of an insulin pump on Creative/Production


Production Manager
which a diabetics life could hinge. Jerome Jay Radcliffes Spryte Heithecker
demonstration was designed to spotlight the need to build Graphic Designers
Keith Kelly - Senior
software defenses into pace makers, insulin pumps and Nicky Jacobson
other medical devices. While some experts downplayed Production Assistant
Jenn Burkhardt
the risk in the context of the larger risk posed by not moni-
Senior Web Developer
toring, Representatives Anna Eshoo (D-CA) and Ed Markey Mariam Moattari
(D-MA) have since asked the General Accountability Office Advertising/Reprint Sales
(GAO) to study the safety, reliability and compatibility of VP/Associate Publisher
Embedded Electronics Media Group
wireless-enabled medical devices and the regulatory bodies Clair Bright
cbright@extensionmedia.com
that oversee them. This story hasnt played out fully yet, (415) 255-0390 ext. 15
but we can expect to hear much more about security and Sales Manager
medical devices. Marcy Carnerie
mcarnerie@extensionmedia.com
(510) 919-4788
In this issue, we provide insight into some surprising Marketing/Circulation
threats that can be addressed with built-in security proto- Jenna Johnson

cols to protect against unauthorized access to information To Subscribe


www.extensionmedia.com/free
inside the device or that establish secure authentication
between devices. But security is only the tip of the iceberg.
We also dig into power issues relating to voltage dips and Extension Media, LLC
Corporate Office
power interrupts for medical equipment designers that President and Publisher
demand close scrutiny. In other articles, experts explain Vince Ridley
vridley@extensionmedia.com
the use of integrated USB microcontrollers in medical Vice President, Sales
applications to the unique challenges of medical navigation Embedded Electronics Media Group
Clair Bright
applications along with sensor processing solutions. Our cbright@extensionmedia.com

panel of experts touch on a wide range of current topics Vice President,


Marketing and Product Development
and trends, and youll find all the product information you Karen Murray
kmurray@extensionmedia.com
need to make the best technology decisions for your appli-
Vice President, Business Development
cation needs. Melissa Sterling
msterling@extensionmedia.com

Special Thanks to Our Sponsors

Cheryl Berglund Coup


Editor
The Engineers Guide to Medical Electronics is published by Extension Media LLC. Extension Media
makes no warranty for the use of its products and assumes no responsibility for any errors which
P.S. To subscribe to our series of Resource Catalogs for may appear in this Catalog nor does it make a commitment to update the information contained
herein. The Engineers Guide to Medical Electronics is Copyright 2011 Extension Media LLC. No
information in this Catalog may be reproduced without expressed written permission from Extension
developers, engineers, designers, and managers, visit: Media @ 1786 18th Street, San Francisco, CA 94107-2343.

All registered trademarks and trademarks included in this Catalog are held by their respective
www.eecatalog.com/medical companies. Every attempt was made to include all trademarks and registered trademarks where
indicated by their companies.

2 Engineers Guide to Medical Electronics 2012


Contents

Healthy Challenges
by Cheryl Coup......................................................................................................................................................................................... 6
Medical Platforms You Can Count On
by Advantech ............................................................................................................................................................................................. 8
Bringing Quality Healthcare to the Workplace and Retail Environment
by Intel ..................................................................................................................................................................................................... 12
Medical Device and System Solutions from Elma Electronic Inc.
by Elma Electronic ................................................................................................................................................................................... 16
Security Measures for Internet Enabled Devices
by Icon Labs ............................................................................................................................................................................................. 17
The Move to Distributed Healthcare
by Cheryl Coup....................................................................................................................................................................................... 18
Key Power Issues for Medical Equipment Designers
by Chris Jones, product marketing director and Conor Quinn, technical marketing director, Embedded Power, Emerson Network Power ...... 20
Designing Portable, Wearable and Implantable Medical Electronics with Ultra-Low-Power
Microcontrollers
by Rajesh Verma, MSP430 product marketing manager and Srini Sridhara, MCU member group technical staff, Texas Instruments ....... 23
Security Versus Cost
by Cheryl Coup....................................................................................................................................................................................... 27
MEMS Motion Sensing Enables Next-Generation Medical Systems
by Bob Scannell, business development manager, inertial MEMS products, Analog Devices, Inc........................................................30
USB Connectivity in an Embedded World
by Pedro Pachuca, MCU interface marketing manager, Silicon Labs ...................................................................................................... 34

Products and Services

Chips VersaLogic Corp.


Intel Core 2 Duo processor on standard EBX footprint ..... 41
Chips Low power Intel Atom processor Z5xx on a
PC/104-Plus form factor ........................................................ 41
Micross Components
Semiconductor Die and Specialized Packaging Solutions....... 37 Systems
Boards Logic Supply
SR101 15 Intel Atom N270 IP65 Panel PC .......................... 42
Modules
Development
Radicom Research, Inc.
Medical Modems .................................................................. 38 Application
Motherboards AXIOMTEK
Medical Grade Touch LCD Monitor MMT175 .................... 43
Advantech Corporation
AIMB-580 .............................................................................. 39 Icon Labs
Floodgate Firewall................................................................. 44
AXIOMTEK Iconfidant SSH & SSL............................................................ 45
Intel Tunnel Creek CPU & Intel TopCliff IOH Combine
to Deliver Excellent Computing Performance with Low Systems
Power Consumption -PICO822 .............................................. 39
Advantech Corporation
COMMELL 10.4 Customizable Medical Grade ODM Tablet.................. 46
COMMELL launches LV-67H---2nd generation Core i7/i5/i3 HIT-W121 .............................................................................. 46
Mini-ITX................................................................................. 40
PIT-1502W ............................................................................. 47

4 Engineers Guide to Medical Electronics 2012


EECatalog SPECIAL FEATURE

Healthy Challenges
Medical Device Manufacturers Provide New Care Platforms
by Cheryl Coup

From home healthcare and telemedicine to high-end t *T UIJT KVTU B QPSUBM GPS IFBMUIDBSF QSPGFTTJPOBMT TP UIF
diagnostic and treatment applications, change is rip- patient does not need to travel to the facility?
pling through the medical equipment market. As always,
technology advances drive much of the evolution, but gov- t *TJUBDPTUTBWJOHUPUIFFOUJSFJOEVTUSZ 
ernment and market factors also have an impact. Healthcare
reform in the United States, high-speed networks that bring t 0SJTUIJTBNBSLFUJOHBOEUSBJOJOHPQQPSUVOJUZGPSJOTVS-
diagnostic tools to remote areas around the world, and con- ance providers and healthcare groups?
sumer acceptance of home monitoring devices all provide
opportunities for device developers. As always, oppor- The level of concern over privacy is higher in Western cul-
tunities also come with challenges in human-machine tures compared to other regions such as China, resulting
interfaces, performance, in those geographies having
security, enclosures, stan- lower barriers to implemen-
dards and many other Flexible, mobile, connected, tation and faster adoption,
areas. We talked to Justin and thereby driving the
Moll, director of marketing real-time healthcare is the market development. A
for Elma Bustronic, and more phased approach may
Clayton Tucker, global busi- next step in addressing the be required in Western
ness director for Embedded cultures, with devices
Healthcare Technologies at worlds access to affordable offering increasing levels
Emerson Network Power to of functionality as privacy
get their take on the changes healthcare. and cultural issues adapt
under way. and change. Some home
monitoring and interfacing
EE Catalog: The market for services that already exist on
home healthcare and mobile medical devices is exploding, a small scale (devices that alert professional care givers
providing plenty of opportunities for embedded devel- of accidents, falling and I cannot get upmodel) may be
opers but what kind of challenges does this present? the starting point. Those portals to the home already exist
for some patients with chronic conditions and for elderly
Clayton Tucker, Emerson Network Power: care. These applications may provide a platform for new
Primarily there are information-manage- extended home healthcare applications. Societys accep-
ment and security issues associated with tance of these services is the barrier in Western cultures;
extending healthcare to the patients home. technology is most definitely not.
WiFi and 3G are widely adopted and suitable
home networking technologies. While data EE Catalog: Consumer-oriented design requirements
protection and network access are well established capa- such as those for smartphones and other infotainment
bilities in these mediums,the acquisition and processing devices are spilling into many embedded designs. How
of patient healthcare information in the relatively inse- are developers adapting medical devices to meet those
cure home environment presents further challenges. expectations and still meet stringent industry-specific
requirements?
There is also a question of what applications can extend
to the home.Is it just the collection of vitals, i.e., pulse, Tucker, Emerson Network Power: Consumer smart-
blood pressure, temperature, etc.?Or is it more extensive phones do not have the life cycle, extensive I/O and
peak flow, oxygen, ECG, blood glucose and other basic ruggedness required by healthcare professionals. The
fluid analysis? These usage models affect how embedded additional security elements required for HIPAA informa-
developers approach their projects: tion sharing and transfer are not associated with standard
smartphone protocols. Some medical equipment makers

6 Engineers Guide to Medical Electronics 2012


EECatalog SPECIAL FEATURE

are designing mobile platforms for the clinical environ- medical equipment companies are increasingly turning to
ment, there is much to consider here due to the life cycle embedded computing specialists to manage their platform
factors plus specialized purpose-built elements not usu- integration.
ally found in consumer platforms. The driving factors
for designers of industrial healthcare platforms include EE Catalog: What future developments are you most
dust and moisture protection greater than IP54, fanless excited about in terms of medical electronics?
operation, drop-proof or designing for rugged use, indus-
trial components with a minimum five-year life cycle, Moll, Elma Bustronic: The interesting dynamic that we
healthcare ergonomics and aesthetics. It is important to see is the optimization of performance density for medical
note that this is not a commercial off-the-shelf platform devices and instruments. Space is a premium in most elec-
like the Xoom or iPad. Those products can go a great dis- tronics applications and this holds true for most medical
tance but in the end the I/O, clinical applications and the designs. However, the human-machine interface is a crit-
aforementioned design elements drive a more industrial ical element in most devices. So developers need to find
clinical design approach. ways to optimize front-panel space as well as the overall
footprint of the device enclosure. Enclosures are now being
EE Catalog: What are some of the challenges developers designed with precise sizes in mind with highly versatile
are addressing in todays medical imaging equipment? extrusions. This allows a customized (with a precise-sized
enclosure) design using standard parts, which minimizes
Justin Moll, Elma Bustronic: One of costs and leadtimes. On the front of the enclosure panel,
the big challenges for imaging equipment dual concentric switches are also being employed that
such as MRIs and PET/CAT scans is bat- have two switches in one housing. This saves critical
tling time. The longer the scan takes, the front-panel space. More devices are also using high-end
less productivity you are pulling from this encoders that offer superior tactile feedback. This allows
capital-intensive equipment. Slow scans the medical personnel to tune the device by feel without
cause patient backlogs, tie-up key personnel and decrease having to divert their attention from the patient.
satisfaction in patient care. In addition, certain scans use
radioactive dyes whose exposure in patients needs to be Tucker, Emerson Network Power: We are excited
kept to the minimum time necessary. Developers are uti- about flexible, mobile, connected, real-time healthcare
lizing faster embedded-system designs that achieve high platforms. Bringing healthcare to the patient provides
availability (minimal downtime) and reliability, while challenges but it also provides us with some healthy chal-
tackling the massive data processing required for these lenges to overcome through better designs and improved
systems. In particular, systems that offer backwards com- capabilities as an industry. We are addressing many of
patibility to existing VME or cPCI architectures provide these new requirements and Emerson Network Power can
a cost-effective solution with a wide ecosystem. This is often get in front of the curve due to our vast experience
achieved while providing significant performance gains in creating platforms for telecommunications, military
for the high-bandwidth requirements, reducing the time and aerospace, government, automation, digital signage
required for scans. and other applications. This experience provides us with
a clear path in understanding the challenges that have
Tucker, Emerson Network Power: Beyond the challenges been conquered in these other areas. Flexible, mobile, con-
already mentioned dust and moisture protection greater nected, real-time healthcare is the next step in addressing
than IP54, fanless operation, drop-proof or designing the worlds access to affordable healthcare.
for rugged use, industrial components with a minimum
five-year life cycle,healthcare ergonomics and aesthetics
medical equipment developers face a multitude of open Cheryl Berglund Coup is editor of EECatalog.
standards and interoperability issues that are common to com. Her articles have appeared in EE Times,
many design engineers. While open standards are very Electronic Business, Microsoft Embedded Re-
valuable for driving innovation and holding down cost view and Windows Developers Journal and she
through competition, they can also present interoper- has developed presentations for the Embedded
ability challenges when different companies interpret and Systems Conference and ICSPAT. She has held a
implement specifications in slightly different ways. Whats variety of production, technical marketing and
more, in some areas there is a plethora of open standards. writing positions within technology companies and agencies in
At the board and module level for example, there are the Northwest.
over 30 form factor standards ranging from the smallest
pluggable mezzanine to the largest high-performance
server boards, with sub-specifications and implementa-
tion options within every standard. Navigating that
maze takes some expertise and experience, which is why

www.eecatalog.com/medical 7
Medical Platforms You Can Count On
Advantech is a market leader with over 10 years of experience delivering comprehensive
high-performance computing systems for the medical market and top 10 global medical
companies. All computing platforms are designed to satisfy demanding mission-critical

Product reliability and quality

following strict quality assurance procedures; our products have been adopted by major
medical companies worldwide.

Certifications
Advantech medical products meet UL60601-1/EN06061-1 standards for electrical and

under existing national regulations.

Product longevity
vendors and suppliers, Advantech always provides customers with stable and reliable

Customer service
With local support provided by regional service centers in the US, China, Asia, and Europe,

Global sales and services


With 25 years of experience, and the combined talent of more than 2,000 people, Advantech
operates an extensive support, sales and marketing network in 16 countries and 28 major
cities to deliver fast time-to-market services to our worldwide customers.

8 Engineers Guide to Medical Electronics 2012


The Emergence of Healthcare Infotainment

Healthcare Healthcare Infotainment terminals are a variety of bedside


terminals that allow patients to do anything from watching movies and
TV, to making phone calls, playing games, or communicating via the
internet. They can also be used for email, web browsing, accessing
hospital intranets, or if medically advisable, even work.

providers to perform medical functions.

Application Areas
Hospitals / Medical Centers Treatment Centers Elderly Care / Home Healthcare
Bedside entertainment programs Wide viewing angle and sharp images Video communication for easy
Communication and intranet services for diagnosis and discussion interaction
Service on demand applications Photo, video, and multimedia display Personal alarms and telecare
Remote patient data retrieval Advertising and educational services monitoring system
Video capture Emergency call
Community service bulletin

Successful Applications

Enhancing Data Accuracy and Higher Patient Satisfaction


in the Ward
Location : Taiwan Location : Hong Kong
Hospital : ChungGung Memorial Hospital Hospital : Hong Hong Sanatorium & Hospital
Application : Application : Bedside infotainment & facility control

www.eecatalog.com/medical 9
Single Integrated Bedside Solution

Potential Applications
Hospital services/directions HIS reporting/surveys
Menus/special order Electronic drug charting
Promotional videos Educational programming
Internet access Nursing observation assistant
Digital phone Electronic patient records (EPR)
Intranet access Computerized physician/provider
Movies-on-demand order entry (CPOE)
Bed administration Video conferences with home
Accounts and billing

Software Solutions
Working with the worlds leading clinical bedside computing technology, our software partners
provide a secure touchscreen gateway to clinical diagnostic power, up to date medical data and the
latest digital entertainment & communications services from every patient bedside.

Service Delivery HIS server Medication Streaming


data server

LAN
Emergency call
Emergency
alarm

DC-in

USB UPS
Radio, TV, Films
Telephone
MSN, e-mail
Web shopping and games
Food and drink ordering
Medical education Bar code Magnetic Finger
scanner swipe printer

Why Choose Advantech for Healthcare Solutions?


Over ten years experience in medical markets
Dedicated medical R & D team of engineers
Strict revision control and design reliability
Serving the top 10 global medical companies
Global logistics and RMA services with local support
Extensive customization capability from board to system level

Experience with global healthcare market regulations


Sealed to meet IP65/NEMA4 standards
Longevity and superior warranty/service options
Global company with worldwide presence
Ecosystem partnership for patient infotainment software development

10 Engineers Guide to Medical Electronics 2012


Product Information
PIT-1501W/1502W
PATIENT Intel Atom 1.6 GHz Processor / Atom Dual Core Processor 1.6 GHz
INFOTAINMENT 15.6" TFT-LCD display with touchscreen
Built-in 2.0 megapixel camera
TERMINAL Built-in mic, speaker & head-set support
CHECKLIST Equipped with RFID/Wi-Fi/Smart Card Reader
Built-in emergency key and 2 x indicators
Multiple input supports: RJ-45, USB x 2, COM x 1
Windows XP Embedded architecture
Touchscreen
Remote control
RFID
PIT-1702
Smart card Intel Celeron M Processor ULV 1.06 GHz/
Intel Core2 Duo Processor 1.06 GHz
Durable 17" TFT-LCD with touchscreen
Anti-bacterial enclosure Built-in 2.0 megapixel camera
Easy to clean and disinfect Built-in mic, speaker & head-set support
Equipped with RFID/WiFi/Smart Card Reader
Flexible mounting Built-in emergency key and 2 x indicators
solutions
Multiple input supports: RJ-45, USB x 2
Quiet/silent operation Windows XP Embedded architecture
Low heat dissipation
Flexible communications
Easily updatable UTC-W101
Digital TV Tuner 10.1 Wide w/touchscreen, Intel Atom Processor Z530 1.6 GHz
Optional : RFID/Wi-Fi/TV Tuner
Flexible audio options
Lightweight / Flexible Mounting VESA75
Front panel IP65/NEMA4 compliant
Windows XP Embedded architecture
IPX1 and IP65/ NEMA4

HIT-W121
11.6 Wide Full Flat Display with touchscreen, Intel Atom Q1 2011
Dual Core Processor 1.6 GHz
Smart Card Reader Ready
Optional: Handset /RFID/Wi-Fi /TV Tuner/2.0 Megapixel camera
Lightweight/Flexible Mounting VESA75
IP54 Front Panel and IPX1 system compliant
Windows XP Embedded architecture

Q4 2010
HIT-W151
15.6 Wide Full Flat Display with touchscreen, Intel Atom
Dual Core Processor 1.6 GHz
Smart Card Reader Ready
Optional: Barcode/RFID/Wi-Fi/TV Tuner/2.0 Megapixel camera
Lightweight / Flexible Mounting VESA75/100
Windows XP Embedded architecture

4ESLA 3UITEs)RVINE #!


4OLL&REE  s&AX  
%MAIL%#'INFO ADVANTECHCOM
WWWADVANTECHCOM

www.eecatalog.com/medical 11
CASE STUDY
SoloHealth* Station
Intel Core i5 Processor
Healthcare Industry

Bringing Quality Health Care to the


Workplace and Retail Environment
SoloHealth* enables individuals to conveniently monitor their blood pressure, vision, weight and body mass
LQGH[XVLQJLWVVHOIVHUYLFHKHDOWKVFUHHQLQJNLRVNEDVHGRQWKHODWHVW,QWHOWHFKQRORJLHV

In the U.S., a national discussion is At the forefront of innovation, SoloHealth*


underway about how to lower the cost is advancing wellness and prevention
and improve the performance of the programs with solutions that incorporate
healthcare system. Compared to any the latest computing and networking
peer country, the U.S. spends far more technologies. Currently in test market,
per person and ranks last in population its SoloHealth Station allows people
health, according to a recent study by to screen their vision, blood pressure,
the Conference Board of Canada.1 Large ZHLJKWERG\PDVVLQGH[ %0, DQGRYHUDOO
sections of the American public suffer health or any combination of the four
from a wide range of preventable or in seven minutes or less. The station can
treatable conditions: 65 million people be conveniently located in the workplace
have hypertension; 65 million are pre- or a retail environment, giving workers
diabetic; 122 million are overweight or and shoppers tools and information to
obese; and 150 million have some form of positively impact their own health.
visual impairment. The delivery of health
care needs to be transformed into a more SoloHealth is also committed to working
preventative and proactive approach with strategic partners to increase general
versus a reactionary one, referred to as public health awareness, having received
QGLW[LWE\'U5DOSK6Q\GHUPDQ a substantial grant from the National
FKDQFHOORUHPHULWXVRIWKH'XNH8QLYHUVLW\ Institutes of Health and having recently
Health System.2 presented the SoloHealth Station to a
Our health screening kiosks panel including Secretary of Health and
Human Services Kathleen Sebelius.
empower consumers and
employees to take charge of their
own health, while reducing costs
and improving access to care.
Rick Voight
VP, Channel Development
SoloHealth*

12 Engineers Guide to Medical Electronics 2012


The SoloHealth* Station
complements our in-store
pharmacies, giving us a highly
personalized and interactive
avenue to reach and engage
our customers.
Mike Juergensmeyer
VP Fuel & Pharmacy
Schnucks Markets, Inc.

Figure 1. SoloHealth* Station: Self-Service


Health Screening Kiosk

The Technology That Helps Drive 7KH6HOI6HUYLFH([SHULHQFH


Innovation The SoloHealth Station administers simple
%DVHGRQWKHODWHVW,QWHOWHFKQRORJLHVWKH tests with help from straightforward
SoloHealth Station provides a multi-screen touchscreen menus and interactive
WHVWLQJH[SHULHQFHDORQJZLWKDFWLRQDEOH instructional videos. The station provides
health recommendations, medical product consumers a customized report that
information and local physician listings. The shows an assessment of their near and
kiosk was also designed with the ability to distance vision, blood pressure, weight
H[SDQGRIIHULQJVWRPHHWWKHFKDOOHQJHVRI DQGERG\PDVVLQGH[ %0, DVZHOODV
todays changing health care system. educational videos on a number of health
CHALLENGES topics and conditions, a listing of doctors,
and valuable offers from healthcare
Multi-service station: 'HYHORSDVHOI
partners. Consumers can choose a doctor
service kiosk capable of conducting
on the screen and immediately connect
multiple health screenings via a simple
ZLWKKLVRUKHURIFHWRVFKHGXOHDQ
touch screen and helpful interactive videos.
appointment. As a result, the physicians
,QWHURSHUDELOLW\'HVLJQDVROXWLRQWKDW
listed by the kiosk will have greater access
HDVLO\WLHVLQWRRWKHUV\VWHPV HJ&ORXG
to new patients, particularly as the patient
&RPSXWLQJSHUVRQDOKHDOWKUHFRUGV 
SRROH[SDQGVDVDUHVXOWRIWKHQHZ
SOLUTIONS healthcare legislation.
+LJKSHUIRUPDQFHSODWIRUP A high- The SoloHealth Station does not replace
SHUIRUPDQFH,QWHO&RUHLSURFHVVRU DQH[DPLQDWLRQE\DPHGLFDOSURIHVVLRQDO
based computer runs various health It is designed simply to provide an initial
tests and manages multiple screens screening and encourage consumers to
simultaneously. visit a healthcare provider for a follow-
Secure connectivity: The station XSH[DPZKHQQHHGHG$VFRQVXPHUV
communicates over the Internet and become more educated about health
PRELOHEURDGEDQG FHOOXODUVHUYLFH WRRWKHU issues involving weight, blood pressure
V\VWHPVXVLQJVHFXULW\WHFKQRORJLHV HJ and eyesight, they are likely to visit their
HQFU\SWLRQ931  healthcare professionals on a more regular
basis, resulting in better outcomes.

www.eecatalog.com/medical 13
1HZ2SSRUWXQLWLHVIRU&RUSRUDWLRQV Beyond The Kiosk 7DNLQJWKH6HOI6HUYLFH.LRVN
and Retailers 7KH6ROR+HDOWKH[SHULHQFHPD\VWDUWDW to a New Level
0DQ\FRPSDQLHVDUHH[SORULQJQHZZD\V WKHNLRVNEXWFDQH[WHQGWRQXPHURXV The SoloHealth Station builds on its
to reduce health care costs, including consumer touchpoints using digital, email, predecessor, the award-winning EyeSite
programs designed to motivate employees mobile, social and other technologies. vision-screening kiosk, which currently
to become more aware and proactive After the initial screening, users can create serves retail outlets in nine metro markets.
about their overall health. Such programs accounts accessible from any SoloHealth The new kiosk performs three additional
can be reinforced by encouraging Station, as well as a future online tests and was designed with high speed
employees to regularly perform health portal and mobile applications. With the connectivity and cloud computing in mind.
screening at self-service kiosks located in consumers approval, these applications All of the functionality is supported by a
KLJKWUDIFDUHDVVXFKDVWKHFRPSDQ\ )LJXUH ZLOOIDFLOLWDWHWKHWUDFNLQJDQG single computer board equipped with an
cafeteria or gym. trending of health data among corporate Intel Core i5 processor that eliminates
wellness programs, motor vehicle the need for multiple computers. The
Pharmacy
departments, healthcare providers and high-performance processor is quick to
insurance companies, among others: respond to touchscreen inputs, enabling
&RUSRUDWLRQV Offer incentives based DQH[FHSWLRQDOXVHUH[SHULHQFH
on employee progress toward wellness For its previous design, the station
program goals required a second computer for its digital
,Q6WRUHIncrease sales by displaying VLJQDJHGLVSOD\1RZWKHKLJKGHQLWLRQ
targeted advertising, promoting store digital signage, user interface screen and
Local Mobile/Web
Providers Devices
specials, offering coupons vision testing display are all supported by
,QVXUDQFH&RPSDQLHV Enroll patients the Intel Core i5 processor-based board.
HJ0HGLFDUH3DUW' DQGSHUIRUPULVN This consolidation helps to minimize the
assessments kiosk footprint, which requires about
0RELOH:HE0DNHLWHDVLHUIRU WKHVDPHRRUVSDFHDVWUDGLWLRQDOEORRG
Insurance Data Insights consumers to access and track health SUHVVXUHPDFKLQHV7KH,QWHOSURFHVVRU
Companies based board allows SoloHeath to run the
data from anywhere, anytime
entire station on one PC, instead of two,
/RFDO3URYLGHUV Attract new patients
In Store which lowered the overall cost, size and
and monitor current patient health
FRPSOH[LW\RIWKHPDFKLQH
Figure 2. Touchpoints Enabled by the SoloHealth* Platform screening results
'DWD,QVLJKWV Tie health screen data to The Intel Core i5 processor-based
Supermarkets and other mass merchant
SHUVRQDOKHDOWKUHFRUG 3+5 DQGFROOHFW FRPSXWHUKDVWKHFDSDELOLW\WRH[HFXWH
retailers also provide convenient access
shopper market data multiple health screenings simultaneously,
to health screening for a large portion of
while playing video content on multiple
the populace that typically goes shopping
screens and responding to users
once or twice a week. Without changing
touchscreen inputs. The processor
their behavior, consumers can get tested
platform can also communicate in a secure
RXWVLGHRIWKHGRFWRUVRIFH0RUHRYHU
fashion with other systems over local area
kiosks, often placed near pharmacies, can
QHWZRUNV /$1 WKH,QWHUQHWRUPRELOH
help retailers increase shopper loyalty
connections. The platform uses the latest
and drive higher sales of pharmaceuticals
security encryption technologies to ensure
and other health-related products. The
the consumer data is not compromised.
SoloHealth Station is currently in test
trials in stores operated by Schnucks
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VWRUHVLQWKH0LGZHVW

14 Engineers Guide to Medical Electronics 2012


The SoloHealth Station will
impact millions of Americans
by providing them with free
/RZHULQJWKH7RWDO&RVWRI powered off, not responding or have
and easy health screenings, Ownership software issues. Since many retail stores
connecting them with local SoloHealth designed its kiosks using dont have onsite IT departments, getting
technologies that lower operating V\VWHPVUHSDLUHGFDQEHDQH[SHQVLYH
physicians and allowing them and time-consuming proposition. Intel
H[SHQVHVIRUFRPSDQLHVDQGUHWDLOHUV
to track their results over time. Reducing support costs, the SoloHealth $07HQDEOHVPDLQWHQDQFHXSJUDGHV
Station can be serviced remotely, with and repairs over a network connection
- Bart Foster
CEO functions such as rebooting, diagnosing ZLWKRXWDWUXFNUROOWRWKHVLWHVD\V$OH[
SoloHealth. problems and, in some cases, restoring Zilberman, market development manager
corrupted software. When system issues at Intel.
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Just the Beginning
repair visits arent needed. SoloHealth
is also able to gather valuable data and The SoloHealth Station is focused on
generate reports regarding overall usage some of the most common and serious
patterns and demographics. health conditions of the population
The computing system in the SoloHealth obesity, cardiovascular disease, diabetes
6WDWLRQLV,QWHOY3URWHFKQRORJ\ and vision impairment. SoloHealth, with
compatible; so in the future, SoloHealth active involvement from Intel, designed its
can turn on a set of technologies that kiosk with the leading-edge technologies
improve system manageability, software and performance headroom needed to
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RQHRIWKHWHFKQRORJLHVLV,QWHO$FWLYH needs. Self-service healthcare options
0DQDJHPHQW7HFKQRORJ\ ,QWHO$07 3, ZLOOSOD\DQH[WUHPHO\LPSRUWDQWUROHLQ
which provides advanced remote reducing healthcare costs and improving
management and maintenance. It enables DFFHVVPRYLQJIRUZDUGDQGZHDUHH[FLWHG
,7SURIHVVLRQDOVWRTXHU\[DQGSURWHFW WREHDOHDGHULQWKLVSLYRWDOQHZVSDFH
networked devices, even when theyre says Bart Foster, CEO of SoloHealth.

For more information about the SoloHealth Station, visit ZZZVRORKHDOWKFRP


For more information about health care solutions from Intel, visit ZZZLQWHOFRPJRPHGLFDO

1
Source: www.conferenceboard.ca/press/newsrelease/11-05-12/Health_Spending_Other_Countries_Get_Better_Results_For_Less.aspx
2
Source: Dr. Ralph Snyderman, chancellor emeritus of the Duke University Health System, speaking at the 2011 National Undergraduate Bioethics Conference, http://dukechronicle.com/article/speakers-outline-future-bioethics
3
Intel Active Management Technology (Intel AMT) requires the platform to have an Intel AMT-enabled chipset, network hardware and software, as well as connection with a power source and a corporate network connection. With regards to
notebooks, Intel AMT may not be available or certain capabilities may be limited over a host OS-based VPN or when connecting wirelessly, on battery power, sleeping, hibernating or powered off. For more information, see http://www.intel.com/
technology/manage/iamt.
Copyright 2011 Intel Corporation. All rights reserved. Intel, the Intel logo, Intel Core and Intel vPro are trademarks of Intel Corporation in the United States and/or other countries.
*Other names and brands may be claimed as the property of others. Printed in USA 0811/MS/SD/PDF Please Recycle 325921-001US

www.eecatalog.com/medical 15
Medical Device and System
Solutions from Elma Electronic Inc.
by Elma Electronic

Elma oers leading solutions for various Medical devices and Backplanes, System
systems. This includes instrument cases, rotary switches and Platforms and Inte-
LEDs, and cabinet enclosures. The company also provides grated Embedded
products and solutions for standard architecture embedded Computing
computing platforms, including powered enclosures, back- Elmas Systems division
planes and boards. Elma is renowned for its quality modular provides system archi-
solutions, design expertise, and superior service. Our design tecture, hardware, and
solutions can be found in products such as MRI machines, software design to quickly
blood analyzers, diagnostic equipment and more. deliver complete solutions and expedite time to market.

Instrument Cases & The companys focus is to leverage proven technology based
Components on standard architectures (i.e. VME, VPX, CPCI, ATCA and
Medical electronic instru- MicroTCA). With the acquisition of ACT/Technico in January
ments need reliable, quality 2009, Elma became a leading supplier of open-standards
enclosures to house the embedded boards and integrated sub-systems. Elmas
electronics. Elma oers Embedded Computing Products and Services meet a range of
various portable, lab/ ESD and temperature requirements, providing solutions for a
desktop, and rackmount myriad of applications such as MRI machines, PETscan devices
enclosure types in nearly and more. Powered chassis and enclosures, backplanes,
endless congurations. Our modular design allows a wide processor boards, mass storage, RAID, I/O and networking
range of sizes and design implementations. Starting with a solutions, RTOS, Linux/Windows and device drivers continue
proven base platform, customization is quicker, easier, and to be oered under the brand name of ACT/Technico.
more cost-eective in even small quantities.
Cabinet Enclosures
Rotary Switches, and Lab Carts
Knobs, and LEDs Medical labs, IT rooms,
Medical devices often and some medical equip-
require switches and ment need racks, cabinets,
knobs for attenuating and desks/consoles, or carts
selector controls. Elma designed for various envi-
offers a wide range of incre- ronments. Optima EPS,
mental encoders, selector an Elma company, offers
and coded switches, and cabinet enclosure and related products with EMC, seismic/
potentiometers for mission-critical applications. Where mobile, sealing, and other design options. The company
many far-East products fail before 10,000 lifecycles, our offers a lightweight aluminum extruded approach that
products work well within specifications above 25K, 50K, provides a wide range of configurations through a modular
and for some products 100K lifecycles. Elma achieves this design. Our design experts can create a cost-effective
by using quality components, design-for-reliability initia- custom solution for you based on a proven platform.
tives, superior materials such as gold plating and rugged
steel components, and more. Elma soft touch, bell shaped,
and other knobs offer superior ergonomics and aesthetics, CONTACT US
giving your medical device a feel of quality design.
Elma Electronic
Elma also offers LEDs, light guides, and other indication and 44350 Grimmer Blvd
illuminating products for medical devices. Creative designs Fremont, CA 94538
510-656-3400
such as SMD versions for manufacturability, flexible light
sales@elma.com
guides that allow all types of PCB-to-panel connections and www.elma.com
LED light tubes are just a few of our solutions.

16 Engineers Guide to Medical Electronics 2012


Security Measures for
Internet Enabled Devices
Increased reliance on intelligent devices and a growing number of threats
require proactive security measures.
by Icon Labs

Embedded devices, including medical devices, are the All too often companies rush designs and launch products
fastest growing segment of Internet users. The number of without ensuring sufficient security measures are in place,
embedded devices on the Internet is predicted to be five leaving the devices completely vulnerable to attack. With
times the number of PCs on the Internet by 2015. As our insufficient security, an unauthorized person can access
reliance on intelligent devices grows, so does our vulner- the device or intercept communications. While encryption
ability to the failure of these devices. Extension Media and authentication technology has addressed some of the
talked to Alan Grau, CEO of Icon Labs, about security issues, they only provide a basic level of security and do
threats for embedded devices, trends in device security not provide protection from DoS attacks. The result of a
and what steps companies should take to protect their DoS attack can be just as severe as if the device had been
devices from Internet threats. hacked. Companies need to recognize that threats against
embedded devices are growing and the stakes are rising.
Q: It seems I read about a new security threat, Internet
attack or virus almost daily. Most of these attacks are Q: What steps can companies take to protect their devices
against Windows PCs and enterprise networks. Are from these attacks?
embedded devices vulnerable to the same type of threats?
Arent many of the malware and viruses specifically tar- A: Companies must start with encryption and authentica-
geted to Windows PCs? tion, but to ensure adequate protection a firewall must be
added to the embedded device.
A: Yes and no. A large number of security threats specifi-
cally target Windows or Linux, but an increasing number Q: What products are available to companies building
of Internet attacks threaten embedded devices directly. embedded devices that address these security issues?

We have identified the three most significant Internet A: Icon Labs has developed three tools - Iconfidant SSH,
threats directed at embedded devices. The first is data Iconfidant SSL, and Floodgate Packet Filter that allow
protection: ensuring that data stored on the device, and companies to build security and protection into their
communication with the device, is not intercepted or embedded devices. Iconfidant SSH and SSL provide
improperly accessed. The second threat is unauthorized encryption and authentication for secure remote access.
access whereby someone actually hacks into and takes Floodgate Packet Filter is an embedded firewall that pro-
control of the device. The third threat is Denial of Service vides both static and dynamic filtering (stateful packet
(DoS) attacks, an attack against a device causing it to fail inspection). Floodgate also provides threshold-based fil-
or degrading its performance to the point that the device tering specifically designed to protect against DoS attacks.
cannot effectively operate. Together these products protect embedded devices from
all major Internet threats.
Q: How real are these threats? Arent many embedded
devices built using custom operating systems that are not
vulnerable to Windows based viruses?

A: The threats are very real. While most embedded devices CONTACT INFORMATION
are not vulnerable to Windows viruses, they are still
vulnerable to many other threats such as DoS attacks. Icon Labs
3636 Westown Pkwy, Suite 203
Automated hacking drones constantly scan Internet-con- West Des Moines, IA 50266
nected computers looking for any vulnerability. If a device 888-235-3443x22 Toll Free
is connected to the Internet you need to assume it will be 515-226-3443x22 Telephone
877-379-0504 Fax
attacked. info@iconlabs.com
www.iconlabs.com

www.eecatalog.com/medical 17
EECatalog INDUSTRY FORECAST

The Move to Distributed Healthcare


Devices Incorporate Sensors and Telehealth Capabilities to Increase Access
by Cheryl Coup

While the need for large medical equipment such as MRIs From an embedded perspective, Gold explains, Were
continues, Jack Gold,president and principal analyst of J. moving to world where its not just massive machines; its
Gold Associates, LLC says, If you look at whats taking also lots of small machines networked together. Embedded
place in the medical arena over the next few years, were capability is revolutionizing the way we think about
moving to a much more distributed approach. And espe- healthcare.While we can now gather more information
cially were moving to a much more sensor-based approach. about patients, the peripheral impact is what to do with
Drivers for this change include increased capabilities and that information, how to store it and keep it secure and how
improved costs of sensors, increasing processing power to compensate providers for its use outside of traditional
(both independent and embedded in the sensor) and the care environments. These changes are having a dramatic
improved availability of wired and wireless networks. impact in the medical community, and the decisions that
are made from governments on down will impact device
This trend is supported by a new report, The World Market manufacturers for some time. Embedded developers will
for Telehealth A Quantitative Market Assessment 2011 need to address issues around reliability and security,
Edition, by InMedica, the medical electronics market power requirements and interoperability. While care pro-
research group within IMS Research, which forecasts that viders are being driven by consumer demands for cheaper,
the world market for telehealth will exceed $1 billion by more accessible information (and the implications of that),
2016 and could jump to $6 billion in 2020. developers reap some of the benefits of consumerization,
such as the number of sen-
Many public healthcare sors in consumer devices
systems now have targets to Similar to evolutions in driving costs down, and the
reduce both the number of trend towards reusable soft-
hospital visits and the length other industries (such as ware that should improve
of stay in hospital, stated both development time and
Diane Wilkinson, research smart grid), the technology costs.
manager at InMedica. This
has led to a growing trend is moving faster than the Ed Hill, Intels director of
for healthcare to be man- marketing for embedded
aged outside the traditional infrastructure can handle. communications, sees
hospital environment, and healthcare reform in the U.S.
as a result, there is a growing as a significant market force
trend for patients to be that will change the land-
monitored in their home environment using telehealth scape from a device standpoint. Intel has been involved
technologies once their treatment is complete. from both a policy and legislative standpoint and is highly
interested in how the reform process will address the costs
Wilkinson adds, By far the most established market for of delivering healthcare in a new distributed care model
telehealth at present is the US, as evidenced by the Vet- that not only provides services in traditional hospitals and
erans Health Administrations extensive home telehealth clinics but also in the home and remote locations. These
service, which aims to have 92,000 patients enrolled on changes bring new opportunities for device manufacturers,
telehealth services by 2012. There has also been some and Intel wants to be there with them. The company has
large-scale trial activity in Europe, most notably in the UK historically had a foothold at the big machine level, which
in 2010 and 2011, where PCTs have initiated some projects is where the bulk of market share in medical has been.
involving more than 2,000 patients. What is apparent is Intel processors have traditionally been used for image
the convergence of many different industries in this space, reconstruction within imaging devices where its advanced
including telehealth companies, device manufacturers, vector extensions (AVX)improves performance due to
healthcare agencies, service providers and telecommuni- wider vectors, which provides faster image reconstruction
cation companies to name but a few. time. While device manufacturers eventually reach a point
of minimal return in terms of image reconstruction time,

18 Engineers Guide to Medical Electronics 2012


EECatalog INDUSTRY FORECAST

Intel processors continue to support higher resolutions of reporting: what the device is doing and what it is
required in applications such as 3D diagnostics. reporting.

While MIPS and ARM have been primarily found in Similar to evolutions in other industries (such as smart
smaller devices, Intel is looking to make similar moves grid), the technology is moving faster than the infrastruc-
in healthcare as it has in other markets, working to drive ture can handle. Hill believes that a determining factor in
its Atom processor down to smaller handheld and mobile the evolution of these connected medical devices will be
devices. To support this, Intel is continuing to focus on how insurance companies react as in, who pays? and
lower power and lower cost devices, with higher battery how quickly providers are willing to pay to update their
life for more portability along with high processing perfor- practices. A few things will help drive change: too few
mance. This direction meets worldwide needs for medical doctors for an increasing numbers of patients, the large
teleconnection, for instance from a hospital in Beijing, number of baby boomers with disposable income and
China to a remote community clinic where local doctors consumer demand. Hill also sees an increase in venture
can work with a hospital that has expertise to assist on a capital funds available in healthcare-related technologies
remote diagnosis using multiple screens, video feed and indicating that a large market is perceived to be there.
even real-time image sharing. Hill sees an opportunity
for these solutions to be more portable and lower cost to
provide remote patient-monitoring systems that include Cheryl Berglund Coup is editor of EECatalog.
display and camera for remote telehealth discussions, to com. Her articles have appeared in EE Times,
complement large, dedicated equipment in urban centers. Electronic Business, Microsoft Embedded Re-
view and Windows Developers Journal and
Security continues to be a hot topic, as well as interop- she has developed presentations for the Embed-
erability between devices, which Hill believes is quickly ded Systems Conference and ICSPAT. She has
reaching a point where it will become a standard require- held a variety of production, technical marketing and writing
ment. Another aspect of healthcare reform that he positions within technology companies and agencies in the
believes developers need to be concerned about is quality Northwest.

www.eecatalog.com/medical 19
Key Power Issues for Medical
Equipment Designers
by Chris Jones, product marketing director and Conor Quinn, technical marketing director, Embedded Power, Emerson Network Power

Although many electronic design engineers will consider standard non-medical unit, in order to comply with the
the provision of power for medical applications to be a rea- 60601-1 safety standard.
sonably well-understood subject, there is one particular
area, concerning voltage dips and power interrupts, that Since the design of high-efficiency switch-mode power
demands close scrutiny. supplies is a specialist task demanding considerable skill
and resources, and the medical equipment has to undergo
The overall provisions of the IEC 60601-1 safety standard strict compliance testing, most designers will choose
are likely to be familiar territory to any design engineer to use a standard commercially available medical power
working in the field of medical equipment. The standard supply for their application if one is available, or request a
defines the general safety requirements for equipment customized unit from a specialist power supply company.
that has not more than one connection to a particular By using power supplies that are already pre-approved
supply mains and is intended to diagnose, treat or mon- to the 60601-1 safety standard, medical equipment
itor the patient under medical supervision and which manufacturers can accelerate compliance testing of
makes physical or electrical contact with the patient. IEC their own products and speed time-to-market. Taking
60601-1 has been adopted by the US as UL 60601-1, as well this pre-approved route also minimizes the risk of them
as most major industrialized encountering any unforeseen
countries, including Canada development problems in an
(C22.2 No. 601.1), the UK One of the main problems area outside their own field
and Europe (EN 60601-1), of expertise, which could
Japan (JIS T0601-1), Aus- is that deciding whether negatively impact launch
tralia and New Zealand (AS/ timescales.
NZ 3200.1). or not an item of medical
There are a considerable
Safety standard 60601-1 equipment meets the number of medical power
applies to an extremely supply manufacturers world-
broad and diverse range of requirements of IEC wide, many of which produce
equipment intended for use technically excellent products.
in medical, dental and labo- 61000-4-11 is open to When choosing a particular
ratory environments. Typical supplier, it is almost certainly
examples extend from small interpretation. best to look for a company that
items of equipment such as manufactures a wide range of
infusion pump controls and power supplies, preferably
endoscopic cameras, through to much larger systems such has a proven expertise in both ac-dc and dc-dc conversion
as dialysis machines, CTI and MRI scanners and gamma technologies, and which has a consistent track record for
imaging systems. delivering standard and customized medically approved
products to leading medical equipment manufacturers.
Build or Buy?
Designing in-house or choosing a commercially available Given that nowadays there is a wide availability of power
ac-dc power supply for a medical product involves a host of supplies that comply with 60601-1, at first glance it would
considerations. These include the systems overall power seem that choosing a suitable unit is merely a case of
budget and current and voltage requirements, as well as checking that the product meets all the requirements of
the power supplys conversion efficiency, physical size, the application. However, it is not quite that simple. IEC
control and monitoring functions, set-up or programmable 60601-1 is a prime example of what is termed a base stan-
features and not least its cost. In addition to these fac- dard; it covers all the general requirements for electrical
tors, it is essential to ensure that the power supply has medical equipment, but it also has a number of associated
higher isolation and lower safety ground leakage than a standards, known as collateral standards. One of these

20 Engineers Guide to Medical Electronics 2012


is IEC 60601-1-2, which defines the rigorous electromag- Choice of Classification Categories
netic compatibility (EMC) requirements of medical power Provided that the equipment is not intended for critical
supplies. life-support functions, the choice of which classification
category to adopt for compliance testing is left to the
It goes without saying that all 60601-1 compliant power equipment designers discretion. The designer must also
supplies meet the EMC requirements of IEC 60601-1-2, decide what constitutes full functionality and therefore
otherwise they would not be approved in fact, these by definition, what also constitutes loss of functionality.
requirements have been a mandatory condition of sale This is inevitably something of a gray area. Most standard
since 2004. However, meeting the voltage dip require- low- to medium-power open-frame medical power sup-
ments of IEC 60601-1-2 which are themselves the subject plies, which represent by far the largest segment of the
of a further complementary pair of IEC standards known market, are too small and inexpensive to satisfy classifica-
as 61000-4-11 and 61000-4-34 is still a matter involving tion level A; achieving lengthy hold-up times at full load
a degree of controversy. with no degradation in output voltage regulation demands
the addition of significant holdup capacitance or larger
IEC 61000-4-11 and IEC 61000-4-34 are matched stan- input components for lower voltage operation. A number
dards that define how equipment must be capable of of power supply manufacturers include this detailed EMC
tolerating voltage dips, voltage variations and short-term characterization data in their product datasheets or appli-
power interrupts on the ac mains supply. The standards cation notes, to help designers decide which classification
specify the same depths and durations of voltage dips, and to use for compliance testing their equipment, and it is
cover both single-phase and three-phase equipment. IEC worth checking for this information to help narrow the
61000-4-11 applies to equipment rated at up to 16 amps field of choice.
per phase connected to 50 Hz or 60 Hz ac supply networks,
and IEC 61000-4-34 applies to equipment rated at more
than 16 amps per phase. Since in many respects the stan-
dards are the same, this article limits its discussion to IEC
61000-4-11.

Classification Explanation
A Normal performance within limits
specied by the manufacturer,
requestor or purchaser
B Temporary loss of functionality or
performance degradation which
ceases after the disturbance ceases,
and from which the equipment under
test recovers its normal performance,
without operator intervention
C Temporary loss of functionality or
performance degradation, the correction The Embedded Power division of Emerson Network Power (www.
of which requires operator intervention healthcarepowersupplies.com) manufactures a diverse range of ac-dc
power supplies for use in medical equipment. This image shows a
D Irrecoverable loss of functionality or 60601-1 compliant unit from the companys iMP series of configurable
performance, owing to hardware or power supplies, which is capable of delivering up to 1500 watts and can
software damage, or loss of data be equipped with a power hold-up module to maintain full load output
for up to 54 ms.
Table 1: Evaluation of IEC 61000-4-11 test results
There are a variety of techniques available to medical
One of the main problems is that deciding whether or not equipment designers seeking to satisfy the stringent
an item of medical equipment meets the requirements of classification level A. They can oversize the power supply
IEC 61000-4-11 is open to interpretation. In broad terms, for the application, or fit more capacitance to its output
the standard stipulates that the equipment should not which has maximum limits based on various design cri-
suffer loss of functionality for a 30 percent dip in supply teria. If commercially justified, custom power supplies can
voltage lasting 0.5 s, a 60 percent dip lasting 100 ms, and also be considered. Another solution is to use a modular
a 100 percent dip lasting 10 ms. The equipment should power supply, which provides a flexible and cost-effective
also not suffer loss of functionality in the event of ac means of incrementally increasing output capability and
power being removed altogether for a period of 5 seconds. adding extra capacitance, to extend the hold-up time in
However, the term loss of functionality is to some degree the event of an ac input dip. Some of the better modular
subjective, and the compliance test procedure recognizes medically approved power supplies on the market offer
this fact by defining four distinct classification categories, optional power hold-up modules, which can extend the
as shown in Table 1.

www.eecatalog.com/medical 21
time that the output voltage will be maintained by a sig- Conor Quinn is director of technical marketing at
nificant amount. Emerson Network Power, with responsibility for
embedded power products. Quinn is a regular con-
Over-specifying a power supply to meet the voltage tributor to the specication and roadmap initiatives
dip requirements of IEC 60601-1-2 can be an expensive of industry groups including PSMA (Power Sources
decision. Medical equipment designers would do well to Manufacturers Association), PMBus (Power Man-
carefully evaluate the systems overall power budget and agement Bus) and PICMG (PCI Industrial Computer Manufacturers
required level of functionality, before deciding on a spe- Group). Quinn holds a BE in electrical engineering from University
cific power supply. College Cork in Ireland and a MSEE and a PhD in engineering from
the University of Minnesota.

Chris Jones is director of product marketing at the Embedded Power


business of Emerson Network Power. Jones is responsible for the
development of the companys range of standard
embedded power products, from product denition
to portfolio management. Jones holds a bachelors
degree in electrical engineering (BSEE) from West
Coast University in Los Angeles, California.

Medical Electronics ONLINE www.eecatalog.com/medical

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22 Engineers Guide to Medical Electronics 2012


EECatalog SPECIAL FEATURE

Designing Portable, Wearable and


Implantable Medical Electronics with
Ultra-Low-Power Microcontrollers
by Rajesh Verma, MSP430 product marketing manager and Srini Sridhara, MCU member group technical staff, Texas Instruments

Recent statistics show that healthcare spending in the components outside of the microcontroller.For example,
U.S. and around the world in general continues to grow a microcontroller with integrated peripherals such as an
rapidly.According to the Centers for Medicare and Med- analog-to-digital converter (ADC), a digital-to-analog
icaid Services, U.S. healthcare spending in 2010 was converter (DAC), operational amplifiers, a USB interface
$2.6 trillion and accounted for 18 percent of the nations and a segmented LCD controller not only helps ensure a
gross domestic product (GDP).Multiple factors such as smaller, cheaper circuit board, but also reduces the bill
increasing costs, aging populations and the growing of materials (BOM) costs and development time.If only
prevalence of chronic diseases are forcing healthcare a small battery such as a CR2032 coin cell is used in the
providers and medical device manufacturers to rethink system, the active and standby power modes need to
how healthcare can be delivered in a reliable but cost- have ultra-low power consumption and enable only the
effective manner. required peripherals for any given time.Many portable
medical devices today require that the original battery
At the same time, advances in microcontrollers have lasts at least two to three years.Battery life plays a major
enabled medical electronics to become smaller, cheaper role in determining the form factor of the end product.
and more portable.As med-
ical devices become more
accessible to consumers,
we see patient monitoring
and therapeutic solutions
move away from hospitals
and closer to the patient.
The wider use of personal
health monitoring systems
should lead to better patient
outcomes and help reduce
healthcare costs.

A typical portable medical


device that patients can use
in the convenience of their
homes or on the go such as
a blood glucose meter, blood
pressure monitor, heart
rate monitor or pulse oxim-
eter has several system
requirements.The product
needs to have a small form
factor, a long battery life
and a low development
cost.A small form factor
is possible if there are a
minimal number of external Figure 1: Texas Instruments MSP430TMplatform of 16-bit microcontrollers is designed specifically for ultra-
low-power applications. With a real-time clock standby mode that uses as little as .3 A and active power
modes that draw 100-200 A/MHz, MSP430 devices have the industrys lowest power consumption.

www.eecatalog.com/medical 23
EECatalog SPECIAL FEATURE

the physical layer (PHY) but also


the phase-locked loop (PLL) and the
low dropout regulator (LDO) used
to regulate the voltage coming from
a connected USB host.These devices
are capable of up to 20 MHz perfor-
mance with a coin cell battery such
as the CR2032. Most of the analog
signal conditioning chain, such as
the ADC, comparator and DAC, are
already integrated in the microcon-
troller.

Achieving the longest battery life


relies on obtaining the lowest
average power consumption.First,
the ultra-low power standby mode
has to disable all but the most
necessary system components.In
the case of MSP430s 5xx and 6xx
generation devices, there is a low-
power mode known as LPM3.5 (or
shutdown RTC mode) where most of
the system clocks and peripherals
are disabled but the RTC remains
active.If there is a serviceable inter-
rupt, the device typically wakes up
in 3 microseconds or less.It services
the interrupt and quickly enters the
low-power mode again, keeping the
active duty cycle to a minimum.For
devices that spend most of their
time in an ultra-low power standby
mode, this can translate into a bat-
tery life that is 10 years or longer.
Figure 2: Block Diagram of the New MSP430F563x/663x microcontroller seriesthat includes a small
form factor such as a 7x7mm BGA package, a high degree of integration with analog and digital In the future, new technologies will
peripherals, ultra-low power, and scalable memory options.
continue to enable more medical
innovations.MSP430 devices today
Even small batteries can occupy 25 percent or more of are already used in a variety of energy-harvesting applica-
the volume in a medical device.Therefore, it is critical tions where there is no traditional battery.In these cases,
for a compact medical device to utilize the most power- energy from the surrounding environment is sufficient
efficient microcontrollers so that a small battery can be to power the MSP430 microcontroller.Another exciting
used in the system.In addition, a low development cost is new technology is ferroelectric random access memory,
possible if the development tools are easy to understand or FR AM.This is a non-volatile memory that is about as
and affordable. It helps if design questions can be quickly fast as SR AM, has an average active power that is much
answered, e.g., via an online support forum.Todays less than that of EEPROM and flash and can serve as a
microcontrollers are well-suited to handle the above unified memory space with flexible code and data par-
challenges of portable and wearable medical electronics. titioning.Of particular interest for medical applications,
Engineers designing medical devices are able to match FR AM is not affected by radiation.The MSP430FR57xx
their memory, performance and integration needs with devices from Texas Instruments integrate FR AM, sam-
the many devices available. ples are currently available.

New system-on-chip (SoC) devices need very few Because much higher performing and smaller microcon-
external components to complete a medical design.For trollers are available today compared to even a few years
example, an integrated USB module can include not only ago, medical devices have started to become more wear-

24 Engineers Guide to Medical Electronics 2012


EECatalog SPECIAL FEATURE

able. Clothing that embeds cardiac sensors and associated the MSP430FR57xx series, which integrates FR AM and
electronics for ECG and heart rate monitoring applica- achieves ultra-low active powerconsumption of 100 A/
tions have already been developed.Accessories such as MHz, will be particularly suitable for wearable medical
chest straps, wrist monitors applications.
and ear clips for monitoring
blood oxygenation, caloric Apart from portable and
burn and heart rate are New system-on-chip (SoC) wearable medical devices,
common.For example, the new technologies and inno-
BodyMedia FITTM system devices need very few vations are key to enabling
(shown in Figure 3) consists implantable medical devices.
of a wearable armband mon- external components to Since the development
itor that tracks the users of the first cardiac pace-
waking and sleeping activity complete a medical design. maker five decades ago, the
on a daily basis.The optional implantable medical device
clip-on display monitor pro- industry has proliferated.
vides visual feedback of the users activity level.Wearable Today, implantable defibrillators, drug delivery systems
devices tend to spend more time in active mode com- and neurostimulators are available to treat a variety of
pared to other portable devices.MSP430 devices such as chronic diseases. Unlike portable devices, most implant-

Figure 3: BodyMedia FITTM system featuring a wearable armband and display

www.eecatalog.com/medical 25
EECatalog SPECIAL FEATURE

able devices require continuous operation, making long health devices enables portability and widespread use.As
battery life a must-have.For example, an implantable these devices proliferate in the market, we see the patient
neurostimulation device can be used to treat epileptic becoming more empowered to monitor and address their
seizures. The device continuously monitors electroen- own health needs, which will hopefully lead to a healthier
cephalograph (EEG) signals, and the microcontroller in society.
such a device detects the onset of seizure events using
EEG data. Once the microcontroller detects a seizure
event, it triggers a programmable pulse generator to send Srini Sridhara leads ultra-low-power memory
electrical impulses to the vagus nerve. The stimulation design in advanced CMOS technologies for mi-
of the vagus nerve prevents or reduces the severity of crocontroller products for Texas Instruments
the on-coming seizure. Since seizure events are unpre- member group technical staff. He received a
dictable, the microcontroller is running continuously bachelors degree in technology from Indian In-
to detect the onset of an epileptic seizure. Despite the stitute of Technology, Kharagpur in 1999 and a
microcontroller operating continuously, the battery in doctorate in electrical engineering from University of Illinois
the device must last for several years in order to avoid at Urbana-Champaign in 2006.
repeated surgeries to replace it. The ultra-low active and
sleep-mode power consumption of MSP430 devices can
enable such a class of devices. Rajesh Verma is a product marketing manager
for the medical market within TIs MSP430
Microcontrollers play a key role in enabling portable, microcontroller division. He has a BS in elec-
wearable, and implantable medical electronics, and trical engineering from the University of Illinois
the ultra-low power consumption of microcontrollers at Chicago, a MS in electrical engineering from
extends the battery life of these personal health devices. Purdue University and a MBA from North-
The resulting reduction in the size and cost of personal western Universitys Kellogg School of Management.

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26 Engineers Guide to Medical Electronics 2012
EECatalog SPECIAL FEATURE

Security Versus Cost


Developers Weigh Options, Including Liability and Brand Protection
by Cheryl Coup

Medical equipment developers face obvious and not-so- ports, they are difficult (read: expensive) for development
obvious security challenges. The one most consumers as well. While large, high-margin, relatively low-volume
are aware of is the Privacy Rule of the Health Insurance equipment can absorb these costs, they can add up on
Portability and Accountability Act (HIPAA), which estab- high-volume, lower-cost products. For these devices,
lished standards to protect patient information. This developers may choose lower-cost options such as writing
could impact how information must be protected when a secure algorithm and embedding it in a microcontroller
it is transmitted froma home healthcare or drug-delivery or crypto-accelerator or even doing nothing. While these
device, for instance. Other security issues relate to safety options are less secure, there may be a credible business
and liability concerns around device consumables with case if liability risks are low.
limited lifetimes. As an example, surgical equipment may
only be tested and warranted for use with the original
manufacturers tool head and the tool head may have
a limited lifetime in duration or number of uses. Both of
these situations require built-in security protocols that
protect against unauthorized access to information inside
the device or that establish secure authentication between
devices.

Tool heads require secure authentication with surgical equipment to


ensure safety.(Source: Atmel Corporation)

Atmel product marketing manager Eustace Asanghanwa


raises an additional risk for manufacturers that of brand
and market protection. With the surgical tool tip example,
for instance, the manufacturer may simply choose to embed
Remote monitoring and drug delivery devices require security to pro- security into a non-secure microcontroller to authenticate
tect patient data.(Source: Atmel Corporation) the tip to the device.But if the tip is a high-volume, high-
margin product, it may be attractive to black marketers
Typically, medical equipment developers have had a few who could access the security information and then manu-
options to meet these security needs. Secure micro-
controllers include a robust embedded software-based
security algorithm as well as physical protections. Those Secure microcontrollers
often include disabled debug ports to restrict access,
active shields to prevent remote scans and environmental provide a high level of
tampers that allow the chip to only operate within con-
trolled environments (one way for hackers to gain illicit confidence, but those
access is to run the chip outside of prescribed conditions,
such as voltage or temperature, which can lead to improper added features make them
performance and vulnerabilities). Secure microcontrollers
provide a high level of confidence, but those added fea- expensive.
tures make them expensive to purchase and without debug

www.eecatalog.com/medical 27
EECatalog SPECIAL FEATURE

facture and sell thousands or hundreds of thousands of and complexity of a secure microcontroller that combines
these units. When that happens, says Asanghanwa, the security and computing in one device. According to Asang-
original manufacturer not only loses market share from hanwa, If you go with a turn-key solution, what youve
the knock-offs, they are also exposed in terms of liability done is youve separated computing from the security. If
because the knock-offs are being sold under a brand name you keep the security by itself it is a smaller device now,
that they own. If personal injury results from the fakes, and you can buy a cheaper microcontroller to offer the
there could be even greater damage to the brand. computing to go with the security device.

Asanghanwa explains how easily black marketers can


access secure information with a simple Google search
that can turn up offers from all over the world to extract
the secret information from chips for $1,000 or less. So
someone with $1,000 can get a means to produce coun-
terfeit at volumes of whatever number they can come up
with. In other words, take over a whole platform or a whole
market. So those are the stakes involved in this market in
not being able to store a root secret securely.

Turn-key approach uses a peripheral security device to service the secu-


rity requirements of a standard microcontroller.

Asanghanwa describes the advantages of the Atmel


ATAES132 turn-key device. All internal workings are not
firmware theyre hard-wired logic. It does one thing and
it does it very well. That has two advantages: Its going
to do the same thing all the time, and it doesnt depend
on the customer to implement firmware correctly or keep
from introducing bugs that may open vulnerabilities. The
Atmel devices use the Advanced Encryption Standard
Atmel ATAES132 devices are available in 8-pin SOIC , TSSOP and UDFN (AES), a symmetric-key encryption standard adopted by
packages. the U.S. government that meets compliance requirements
Atmel now offers an option for developers not willing (or for medical equipment manufacturers. The devices are
able) to take those risks, but who cant take on the cost compatible with standard serial EEPROMs, which allows

Tamper-hardened security devices (left) command more than a 200% price premium over non-secure counterparts. The diagram on the right illus-
trates how a security device such as CryptoAuthentication fits in a system architecture, at a fraction of the price. (Source: Atmel Corporation)

28 Engineers Guide to Medical Electronics 2012


EECatalog SPECIAL FEATURE

developers to add security features to existing systems trips on authentication by storing the root secret inside
without retooling circuit boards. the microcontroller. When they do that, they open up a
vulnerability.I will check that you understand the root
Another advantage to this turn-key approach is that the secret in the system, make sure its embedded in the secu-
authentication process uses a derivation of the root secret rity device and never use it in other parts of the system,
embedded in the device but doesnt expose it, which keeps saysAsanghanwa. Even though these devices are easy to
hackers from getting access. And because the security in work with, its always good to consult a security expert
each device is tied to a unique serial number defined in so the pieces that are keeping the system secure are kept
the Atmel factory, there is no way to successfully mass- secret within the system.
produce clones.

Asanghanwa adds a few security tips for developers. Cheryl Berglund Coup is editor of EECatalog.
What we always advise developers to do is to talk to a com. Her articles have appeared in EE Times,
security expert to review their systems, because a lot of Electronic Business, Microsoft Embedded Re-
security systems fail because theres an exposure and a view and Windows Developers Journal and
window somewhere. When developing software, its nice she has developed presentations for the Embed-
to review the system to understand what is key inside ded Systems Conference and ICSPAT. She has
and make sure they dont release that information either held a variety of production, technical marketing and writing
directly or inadvertently. A common security error that positions within technology companies and agencies in the
developers might make is to save some querying round Northwest.

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www.eecatalog.com/medical 29
EECatalog SPECIAL FEATURE

MEMS Motion Sensing Enables


Next-Generation Medical Systems
by Bob Scannell, business development manager, inertial MEMS products, Analog Devices, Inc.

Precision navigation, typically associated with appli- motion is critical. Table 1 outlines some of the basic per-
cations developed for land, air and sea vehicles, is tinent medical applications by motion type. Later, more
increasingly being used in medical applications ranging advanced applications where combinations of motion in
from surgical instrumentation to robotics. And while the complex scenarios that present additional challenges will
design requirements of a surgical navigation system share be discussed.
broad similarities with traditional vehicle navigation,
there are also distinct new challenges posed by the envi-
Acceleration/ Tilt Angular Variation Shock
ronment and the level of required performance.
Position Rate/
Angle
This article looks at the unique challenges of medical navi-
CPR Assist Patient Scanning Tremor High
gation applications and explores possible solutions ranging Down Instru- Control Value
from various sensor mechanisms to necessary sensor Monitors ments Equip-
processing to the unique system characteristics and data ment
processing required. Critical sensor specifications will Warranty
be reviewed and explained for their individual contribu- Activity Bed-Patient Surgical Equip-
tion, and more importantly, the potential error and drift Monitors Positioning/ Tools ment
Aspiration Wear
mechanisms will be discussed to aid in sensor selection.
Opportunities and approaches for sensor enhancement BioFeedback Blood Pros- CPR
Monitors Pressure thetics Assist
through integration, sensor fusion, and sensor processing
Monitors
(such as Kalman filtering) will be highlighted as well.
Imaging
Equipment

Table 1: Inertial sensors accurately capture varied and complex motion


to drive widespread medical applicability.

Most Motion is Complex in Nature


While simple motion detection linear movement along
one axis, for example is valuable to a number of appli-
cations (such as detecting whether an elderly person has
fallen), a majority of applications involve multiple types
and axes of motion. Being able to capture this complex,
multi-dimensional motion can not only enable new ben-
efits, but is also key to maintaining accuracy in the most
critical environments.

In many cases, it is necessary to combine multiple sensor


types (linear and rotational, for instance) in order to pre-
cisely determine the motion an object has experienced. As
Figure 1: MEMS silicon structures sense acceleration and rotation and an example, an accelerometer can be used to determine
convert this to an electrical signal with the help of signal processing. inclination angle since it is sensitive to the Earths gravity.
As a MEMS accelerometer is rotated through a +/- 1g
Translating the Detection of Linear and field, (+/- 90o), it is able to translate that motion into an
Rotational Motion into Healthcare Value angle representation. However, the accelerometer cannot
Silicon-based accelerometers and gyroscopes known as distinguish static acceleration (gravity) from dynamic
micro-electromechanical systems or MEMS (Figure 1) are acceleration. In the latter case, an accelerometer can be
commonly found today in a wide range of devices. These combined with a gyroscope, and post-processing of both
inertial sensors detect and measure motion, with minimal devices can discern the linear acceleration versus tilt,
power and size, and are valuable to nearly any application based upon known motion dynamic models. This process
where movement is involved, and even those where lack of of sensor fusion obviously becomes more complex as the

30 Engineers Guide to Medical Electronics 2012


EECatalog SPECIAL FEATURE

system dynamics (number of axes of motion and degrees tion with other navigation devices such as GPS. When GPS
of freedom of motion) increases. access is unreliable, inertial guidance fills the gap in cov-
erage with what is called dead-reckoning. Other sensors,
It is also important to understand the environmental including optical and magnetic, may be added depending
influences on sensor accuracy. Temperature is an obvious on the environment and the performance goals. Each
key concern, and can typically be corrected for; in fact sensor type has its own limitations. MEMS inertial sen-
higher precision sensors are pre-calibrated and will sors provide the potential to fully compensate for these
dynamically compensate themselves. A less obvious factor other sensor inaccuracies since they are free from many of
to consider is the potential for even slight vibrations to the same interferences and do not require external infra-
produce shifts in accuracy of rotational rate sensors. These structure: no satellite, magnetic field, or camera is needed
effects, known as linear acceleration effect and vibration just inertia). The major navigational sensor approaches
rectification, can be significant depending on the quality are outlined in Table 2, along with their strengths and
of the gyroscope. Sensor fusion is relied on to improve potential limitations.
performance by using an accelerometer to detect linear
acceleration and applying this knowledge, along with a As with the potential for GPS blockage in vehicle naviga-
calibrated understanding of a gyroscopes linear accelera- tion, the medical corollary is optical guidance and the
tion sensitivity, for correction. potential for line-of-sight blockages. Inertially based sen-
sors perform dead-reckoning during the optical blockage,
For many applications, particularly those requiring per- as well as enhance system reliability by providing redun-
formance beyond basic pointing (up, down, left, right) or dant sensing.
simple movement (in motion, or not), multiple degrees-
of-freedom motion detection is required. For example, a Sensor Major Potential Applicable
six degree-of-freedom inertial sensor is defined as having Type Advantage Limitations to Medical
the ability to detect linear acceleration on each of three Navigation?
(x,y,z) axis, and rotational movement on the same three GPS Long Term Potential No
axis, also referred to as roll, pitch and yaw; as depicted in Absolute Blockages
Figure 2. Reference
Magnetic No Required Subject Limited
Navigation from Vehicles to Surgical Infrastructure to Field
(except Earth) Interference
Instruments
The use of inertial sensors as a navigation aid has become Optical Intuitive Line of Sight Limited
Obstruction
prevalent in industry. Typically, they are used in conjunc-
Inertial Self- Relative, not Yes
Contained absolute
reference

Table 2: Outlined are various navigational sensors widely used in


industry and their applicability to medical navigation.

Medical Navigation
One medical application outlined in Table 2 involves
use of inertial sensors in the operating room for more
accurate alignment of artificial knee or hip joints with
a patients unique anatomical structure. The goal here
is to improve joint alignment to less than 1 error from
the patients natural alignment axis versus what is 3
or larger error today with purely mechanical alignment
approaches. Greater than 95 percent of total knee artho-
plasty (TK A) procedures today are done with mechanical
alignment. Computer-assisted approaches using optical
alignment have only slowly begun to replace some
mechanical procedures, likely due to the equipment over-
head required. Whether mechanical or optical alignment
is used, approximately 30 percent of these procedures
result in misalignment (defined as >3 error), which
leads to both discomfort and often additional surgery.
Figure 2: Linear x, y and z motion, plus rotational roll, pitch and yaw Reducing misalignment has the potential of offering
make up the six degrees of motion measurement required for full less invasive and shorter surgery time, increasing post-
motion assessment.

www.eecatalog.com/medical 31
EECatalog SPECIAL FEATURE

DIOx RST VCC

POWER
SELF-TEST I/O ALARMS GND
MANAGEMENT

TRIAXIAL
CONTROLLER CONTROL
ACCEL CS
REGISTERS
SPI SCLK
TRIAXIAL PORT DIN
GYRO
DIGITAL CALIBRATION OUTPUT
FILTER CORRECTION REGISTERS DOUT
TEMP

ADIS16334

Figure 3: MEMS-based inertial measurement units provide precision six-degrees-of-motion measurement in compact form factors suitable to sur-
gical instrumentation.

operative patient comfort and producing longer lasting actual movement. Higher accuracy inertial sensors (low
joint replacements. Inertial sensors in the form of a full noise, low drift and stability over temperature/time/
multi-axis inertial measurement unit (IMU), as shown in vibration/supply-variance) reduce the complexity of the
Figure 3, have been shown Kalman filter, the number
to provide substantial of redundant sensors
improvement in accuracy required and the number
for TK A. As with the potential for of limitations placed on
allowable system opera-
Sensor Selection GPS blockage in vehicle tional scenarios.
and System-Level
Processing navigation, the medical MEMS Adoption in
There is a large variation Medical Applica-
in the performance levels corollary is optical guidance tions
of inertial sensors. Devices Motion capture within
suitable for gaming are not and the potential for line- the most complex medical
able to address the high- applications poses both
performance navigation of-sight blockages. highly challenging and
problem outlined here. computationally inten-
The key MEMS specifica- sive design problems.
tions of interest are bias Fortunately, many of
drift, vibration influence, the principles required
sensitivity and noise. Precision industrial and medical for solving these next-generation medical challenges
navigation typically require performance levels that are are based on proven approaches from classical indus-
an order of magnitude higher than is available from the trial navigation problems, including sensor fusion and
MEMS sensors targeted for use in consumer devices. processing techniques. Within medical navigation, the
Table 3 outlines general system considerations, which complexity of motion and the requirements on precision
through analysis can help focus the sensor selection. and reliability will drive the need for:

Most systems will implement some form of Kalman filter t .VMUJQMFTFOTPST


to effectively merge multiple sensor types. The Kalman t "EEJUJPOBMTFOTPSQPTUQSPDFTTJOH
filter takes into account the system dynamics model, the t 4PQIJTUJDBUFEBMHPSJUINT
relative sensor accuracies and other application-specific t $PNQMFYUFTUDPNQFOTBUJPOTDIFNFT
control inputs to then make the best determination of

32 Engineers Guide to Medical Electronics 2012


EECatalog SPECIAL FEATURE
System Variable Conditions/Considerations
Environment indoor/outdoor, temperature, shock/
vibration, interference sources
Performance Rating / Goals accuracy, repeatability, speed, stability
Operator assisted or autonomous, trained or untrained
Safety Life Critical, Inaccessible, Redundancy
Budget Cost/Time to Implement, Risk

Table 3: Considerations in sensor selection.

The availability of highly accurate and environmentally Bob Scannell is a business development manager for
robust sensor developments is driving a new surge in the ADIs inertial MEMS products. He has been with
adoption of MEMS inertial sensors within the medical ADI for more than 15 years in various technical
field. These inertial MEMS devices are capable of offering marketing and business development functions rang-
advantages in precision, size, power, redundancy and acces- ing from sensors to DSP to wireless, and previously
sibility over existing measurement/sensing approaches. worked at Rockwell International in both design and
marketing. He holds a BS degree in electrical engineering from UCLA
(University of California, Los Angeles), and an MS in computer engi-
neering from USC (University of Southern California).

Medical Electronics ONLINE www.eecatalog.com/medical

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EECatalog SPECIAL FEATURE

USB Connectivity in an
Embedded World
by Pedro Pachuca, MCU interface marketing manager, Silicon Labs

Embedded developers have rapidly adopted the universal The medical equipment market has even adopted an
serial bus (USB) as the interface of choice for enabling optimized USB device standard, the personal healthcare
connectivity to other applications due to its ease-of-use, device (PHCD) class, which leverages the ubiquitous USB
plug-and-play functionality and robustness. Although interface to enable standardized transmission of data and
USB connectivity has become a key requirement for most messages regardless of device manufacturer. Microcon-
embedded applications, in most cases it is just one of many trollers (MCUs) used in medical device applications ideally
design requirements for a typical industrial, medical and need to provide a variety of interface methods including
consumer electronics application. integrated USB controllers for easy host and device con-
nectivity.
In most embedded applications, there is the additional
requirement of achieving specific product cost targets, A New Generation of USB MCUs
which adds yet another layer of complexity to already chal- The rapid adoption of USB in industrial, medical and con-
lenging designs. A highly-integrated USB solution not only sumer electronics applications is challenging embedded
enables the easiest path to achieving USB connectivity but developers to incorporate USB connectivity into their
can also provide the performance and analog capabilities products while maintaining or, in some cases, reducing
required to enable developers to achieve their design goals overall costs. Early versions of USB-based MCUs were
in a cost-effective way. developed to enable the addition of USB, but they lacked
the capability to support other functions or peripherals.
For example, a blood pressure monitor that requires USB In the early days of USB, these devices played a key role
connectivity to enable the end user to download informa- in boosting the overall popularity of the USB interface.
tion to a PC must also perform its primary blood pressure Even today, these bridge devices can be effective solutions
measurement functions. This requires a complex set of that quickly enable the addition of full-speed USB via a
interactions between pressure sensors and analog-to- companion chip, thus avoiding the need to redesign entire
digital converters for rapid data acquisition, intensive systems. However, for cost-sensitive applications, this
data manipulations to calculate blood pressure, and user approach may not be ideal.
interface design to properly display the results in a human-
readable format. To overcome this cost penalty, the new generation of USB-
based MCUs incorporates a greater number of functions

Fig 1. USB personal healthcare device class supports easy, cost-effective connectivity.

34 Engineers Guide to Medical Electronics 2012


EECatalog SPECIAL FEATURE

and peripherals. However, although the number of USB- system. At the simplest level, the CPU should be capable
based MCUs with different combinations of peripherals of taking data from the UART interface (UART FIFO) and
has grown significantly, a gap still exists for highly inte- placing it into the USB FIFO, and vice versa. However,
grated solutions that incorporate not only the right mix what if this same application needs to perform other
of peripherals but also ensure that these functions are simple functions, such as reversing the endian ordering,
sufficiently robust to support critical application require- or complex functions, such as applying software filters?
ments. Although application requirements are highly What began as a simple task suddenly becomes a much
dependent on the characteristics and functionality of more complex operation that requires special attention to
the final product, there are three main areas of interest properly manage and places an increasingly large burden
common to most applications. on the CPU.

The first area that will be A typical protocol bridge is


explored is CPU performance A gap still exists for expected to pass data from
and the impact of USB when one peripheral to another,
it is included as an integrated highly integrated solutions practically in real-time, so
peripheral. The second area the CPU needs to have the
to consider is the analog that incorporate not performance necessary to
functions or peripherals that read, write and manipulate
play an important role when only the right mix of data with an acceptable
interfacing with real-world latency. CPU cores that can
signals. Finally, since almost peripherals but also ensure execute 70 percent of their
every application is cost-sen- instructions in one or two
sitive, a USB implementation that these functions are system clock cycles(see
that reduces cost by elimi- Figure 2) are sufficient to not
nating external components sufficiently robust to only meet the needs of pro-
is highly desirable. tocol bridge applications but
support critical application also to address most other
Most often, the CPU is full-speed USB applications.
responsible for executing requirements. As an additional benefit, a
user code, and its ability to high-speed CPU executes
execute instructions and more work in less time,
process data in a timely manner is paramount. A typical which can, in turn, reduce overall power consumption by
cost-effective USB controller incorporates a first-in/ enabling a system to stay in low-power mode longer.
first-out (FIFO) function block to manage the incoming
and outgoing USB packets while the CPU is used to read Incorporating Analog Functions in USB
and write data to/from these buffers, in addition to per- Solutions
forming other tasks. Analog functions or peripherals, such as analog-to-digital
converters (ADCs) and comparators, are commonly used
Interplay Between CPU and USB Function across many applications. For example, ADCs and compara-
Lets examine a USB-to-serial bridge application to under- tors are used in everything from basic battery-management
stand how CPU performance can be impacted. In this implementations to highly sophisticated data-acquisition
bridge application example, assume that the requirement systems in high-speed sensor interfaces. To support such a
is to bridge a serial-based UART device with a USB-based wide range of applications, ADCs and comparators must be
robust and possess enough features to address these varying
requirements while still being sufficiently inexpensive to
be integrated into a USB MCU. An ADC with a 500ksps con-
version time with a track-and-hold capability enables the
insertion of clock cycles after each ADC conversion.

Specically, each conversion is preceded by a tracking period


of three ADC clock cycles after the start-conversion signal
(see Figure 3). This mode is very useful when multiple ADC
channels are in operation because it enables the proper set-
tling time necessary for an accurate conversion. Additionally,
a programmable window detection feature can be used to
Fig 2. Silicon Labs USB MCUs with high-speed 8051 CPU core can compare the ADC output registers with user-programmed
execute 70 percent of their instructions in one or two clock cycles, limits. This feature is especially desirable in battery manage-
enablingsystems to remain in low-power mode longer.

www.eecatalog.com/medical 35
EECatalog SPECIAL FEATURE

ment applications in which the user sets a limit on how low for USB clock tolerance. In addition to the cost reduc-
the battery can go before an alarm is triggered. In addition, tion achieved by removing external components, the
because no CPU intervention is required to implement this elimination of the external crystal also brings another
feature, there is a very short latency period, which further major benefit: electromagnetic interference (EMI) is dra-
enhances the safety of these types of battery applications. matically reduced by eliminating the clock-related noise
emissions. Additionally, these solutions have integrated
termination resistors that are fully software-controllable.
The elimination of the external crystal and its associated
components and the integration of termination resistors
are major steps forward in helping designers reduce the
cost and complexity of adding USB to a design.

Fig 3. ADC tracking mode is useful when multiple ADC channels are in
operation.

Comparators provide another very useful analog function


widely used in many applications. Typical implementations
can be found in devices such as blood glucose meters, in which
a comparator is used to detect the insertion of a test strip, or
insulin pumps, which require a fast shutdown mechanism in
case the motor pump stalls. As shown in these two examples,
the response time and power consumption of the comparator
are critical. While traditional USB-based devices have a loose
specication for these comparators, some USB MCUs provide
comparators with programmable response times as low as
100ns. Power consumption is also user-selectable and can be
as low as 1A. When viewed in this context, it is possible to
achieve analog performance numbers in MCU-based devices
comparable to those found in typical standalone analog ICs.
USB-based MCUs with integrated high-performance analog
features can provide a cost-eective, single-chip solution by
replacing external analog chips. Fig 4. Example of a USB MCU with on-chip USB controller and precision
internal oscillator.

Benefits of Integrated USB MCU Solutions


The integration of USB connectivity into a single-chip Summary
MCU solution (as shown in Figure 4) may require a dif- USB connectivity is a key requirement for many embedded
ferent way of thinking about how best to cost-optimize applications. Highly integrated USB MCU solutions not
the system design. For example, adding USB to a design only offer the easiest path to achieving USB connectivity
may have a substantial impact on the way the clock tree but also provide high-performance CPU cores coupled
system is designed. To ensure reliable USB connectivity, it with integrated analog capabilities that help reduce com-
is critical that USB clock accuracy be maintained. Typical ponent counts and BOM costs. USB MCU solutions enable
USB-based MCUs require designers to add an external embedded system developers to dramatically simplify
crystal and associated components to meet USB clock their designs while reducing costs.
accuracy requirements. This approach not only increases
the cost of the solution but also increases the PCB design
complexity and overall size. In addition, external termina- Pedro Pachuca manages Silicon Labs global micro-
tion resistors are often required to identify the USB speed, controller (MCU) interface product business. Mr.
further increasing the cost of the USB implementation. Pachuca joined Silicon Labs in early 2010. Previously,
he was a product marketing manager at Freescale
A clock recovery capability integrated in many USB full- Semiconductor where he developed MCU business
speed devices eliminates the need for a costly external strategies to penetrate new global markets and man-
crystal by enabling the internal oscillator to adjust itself aged a business with an annual run rate in excess of $250 million. Mr.
based on the incoming USB data stream. This capability Pachuca holds a BSSE degree from the Instituto Politecnico Nacional
allows the internal oscillator to meet the requirements at Mexico City.

36 Engineers Guide to Medical Electronics 2012


Micross Components
Semiconductor Die and
Specialized Packaging Solutions SOP
Micross Components, formerly listed as Chip Supply,
Inc., is a leading global provider of distributed and spe-
cialty electronic components and services, with over 10
years experience in supplying semiconductor die and
Chips

Chips
packaging solutions to medical device manufacturers.
If youre looking for increased performance in a smaller CHIP ON BOARD
space with high reliability, we can supply the best elec-
tronic component for your device. Further, by partnering
with your engineering and manufacturing teams from
the outset, we can insure that your design, validation and
production requirements are all successfully met.
FLIP CHIP
Bare Die and Wafer Processing
Authorized by over 20 major semiconductor manufac-
turers, Micross Components offers a broad range of
technologies and thousands of part types. With our com-
plete wafer processing capabilities, we can provide the Size Comparison
performance of OTS products in the smallest form factor
available bare die allowing increased miniaturization Lifecycle Planning & Obsolescence Management
of your device. Continued component availability is a source of concern
for many manufacturers, most especially medical device
Packaging Solutions manufacturers. Through strong relationships with our
When OTS products cannot be used and handling bare die electronics suppliers, Micross Components can support
is either impractical or too costly, Micross Components can you with strategic planning and up-to-date information on
provide the right solution through our multiple packaging potential changes in product lines and product availability.
options.
FEATURES & BENEFITS
Chip Scale Packaging (CSP) a best t for those seeking
the smallest form factor with ease of handling. Because Recognized industry leader with the broadest range
our CSPs are designed in-house, features such as of specialty electronics solutions, offering the small-
package thickness, leaded or lead-free balls, and signal est form factors available for next generation builds
routing can be customized to your device. or new product designs.
Signicant space and weight savings via bare die or
Multi-Chip Modules a solution that provides the advan- other packaging options smaller than those offered
tage of increased functionality and performance with by semiconductor manufacturers.
overall space savings. By integrating multiple die into Design consulting and custom packaging production.
a single package, Micross Components can broaden ISO certied supplier of custom, high-reliability
design options and improve management of product components for medical, military, space and critical
life-cycles. industrial applications.
On shore production facilities, as well as the techni-
Wafer Level CSP (WLCSP) an option gaining popu- cal expertise needed, to insure conformance to your
larity in the medical manufacturing industry for its size, manufacturing and process control requirements.
weight, and also cost savings once a device goes into
production. WLCSP is not a packaging solution, per CONTACT INFORMATION
se, but rather a modication of the bare die itself by
redistribution of the bond pads; hence, the size savings. Micross Components.
7725 N. Orange Blossom Trail
Orlando, FL 32810
Other options include, but are not limited to - hermetic/ USA
ceramic packaging, custom packaging, high-reliability 407.298.7100 Telephone
407.290.0164 Fax
COTS/iPEMs/Micro SSDs, and robotic solder exchange sales.americas@micross.com
from lead-free to SnPb nshed terminal leads for tin www.micross.com
whisker mitigation.

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Emulators/Analyzers

Radicom Research, Inc.


Medical Modems
Compatible Operating Systems: Windows XP, 2000, Vista, Win7,
Window CE, Embedded XP, Linux, MAC
Supported Interfaces: USB, Serial TTL, RS232
Medical Certifications: IEC60601-1 or EN60601-1

These very small and versatile modems are available


in both Serial TTL and the popular USB interfaces. The
Radicom Research Medical Modem family is Safety,
Emissions, and Telco compliant to meet most medical
device requirements. As well as compliance with TECHNICAL SPECS
IEC60601-1 for medical applications, 3KV breakdown is
also available in both the USB and Serial versions. The 3KV Isolation on selected models. -40C to +85C
certications are transferable to allow easy integration operating temperature
into almost any platform. All Medical Modem versions AT Commands, Data ow control, and speed buffer-
are CCITT and Bell compliant for complete compatibility ing Automatic format / speed sensing
to existing and future installations. The family is also V.44 data compression V.42bis and MNP-5 data
Modules

Modules
compliant to domestic and international Telco standards. compression V.29 Fast-POS support
Versions include 300bps (V.21/Bell103), 1200/2400bps Low power consumption, typical 82/94mA (on-hook/
(Bell212/V.22/V.22bis), 14.4kbps (V.32bis), 33.6kbps off-hook)
(V.34) and 56kbps (V.90/V.92). All platforms are available Works under operating systems (O/S) of Windows
with FAX, voice playback and record, as well as DTMF 2000, XP, Vista, Win7, Windows CE & Embedded XP,
tone generation and detection. These versatile prod- Linux and MAC.
ucts can be provisioned for applications ranging from
system monitoring and reporting to answering inbound AVAILABILITY
calls with voice responses. Available in commercial and
industrial temperature ranges, all versions are RoHS Shipping now
Compliant.
APPLICATION AREAS
FEATURES & BENEFITS
Medical Devices, Remote Monitoring, Industrial Con-
Available USB, Serial TTL and RS232 interfaces, trols, Data Acquisition.
Internal Modules or External Stand-alone.
USB models are compatible with both USB 1.1 and
USB 2.0 host controllers. Linux (CDC-ACM), Windows
and Mac O/S support
AT command set Up to V.92 56K bps data speeds,
send / Receive 14.4 kbps Fax speed, voice play-back
and recording
Concurrent DTMF, ring and caller ID detection.
Line-in use, extension pick-up and remote hang-up
detection. Caller ID type I and II for select countries
FCC, IC, CE, IEC60601-1 (medical), IEC60950-1
certied, c/UL approved (V92HU-E2-MD), RoHS
compliant. CONTACT INFORMATION

Radicom Research, Inc.


2148 Bering Drive
San Jose, Ca 95131
USA
408-383-9006 x 112 Telephone
408-383-9007 Fax
sales@radi.com
www.radi.com

t#PBSET Engineers Guide to Medical Electronics 2012


Advantech Corporation
AIMB-580
Compatible Operating Systems: Windows XP, Windows 7, Linux

AIMB-580 features Intels latest 2 chip solutions for power


management savings to increase energy efciency, PCIe
Gen 2 for GFX add-on card support, high-bandwidth DDR3
memory support, Intel vPro technology with AMT6.0 for
remote management, all in a low-power design that does
not sacrice performance.

Rich connectivity with up to ten USB 2.0 and four COM


ports (3 x RS-232, 1 x RS-232/422/485 with auto ow control
support) is integrated in a standard 244 x 244 mm mATX Supports SATA RAID 0, 1, 5, 10, AMT 6.0, TPM 1.2
form factor. AIMB-580 motherboard also supports dual (optional)
display for DVI + CRT. Supports embedded software APIs and utilities

CONTACT INFORMATION
TECHNICAL SPECS

Motherboards
Motherboards

Advantech Corporation
38 Tesla
Supports Intel Core i7/i5/i3/Pentium/Xeon proces- Suite 100
sor with Q57/3450 chipset Irvine, CA 92618
Four DIMM socket supports up to 16 GB DDR3 USA
(800) 866-6008 Toll Free
800/1066/1333 MHz SDRAM (949) 789-7178 Telephone
Supports dual display of VGA and DVI and dual GbE (949) 789-7179 Fax
LAN ECGInfo@advantech.com
www.advantech.com/medical

AXIOMTEK
Intel Tunnel Creek CPU &
Intel TopCliff IOH Combine to
Deliver Excellent Computing
Performance with Low Power
Consumption -PICO822
Supported Architectures: x86
Intel Atom EG20T PCH
Onboard DDR2-667/800 max. up to 1GB
The PICO822 is a highly integrated, small form factor Onboard SSD max. up to 32GB
x86 embedded computer targeted at system developers 2 x COM port, 1 x SATA, 4 x USB 2.0 + 1 client port
and OEMs who need excellent computing performance
for very little power consumption and up to 32GB of AVAILABILITY
integrated SSD (optional), its hard to beat the cost per
performance offered by the PICO822. This board is ide- Portable medical devices, in-vehicle & in-ight com-
ally suited for portable medical devices, in-vehicle and puting, or entertainment systems.
in-ight computing or entertainment systems. The board
ships with a specially designed low prole heatsink CONTACT INFORMATION
that doesnt restrict access to the full featured I/O (see
features section). A proprietary expansion interface on AXIOMTEK
18138 Rowland St.
the bottom of the board interface allows for additional City of Industry, CA 91744
expansion (USB, UART, Tx/Rx, SMBus, DC input, SDVO). USA
1.888.GO.AXIOM Toll Free
626.581.3232 Telephone
FEATURES sales@axiomtek.com
www.axiomtek.com
Intel Atom Processor E600 Series

XXXFFDBUBMPHDPNNFEJDBM #PBSETt
COMMELL
COMMELL launches LV-67H---2nd
generation Core i7/i5/i3 Mini-ITX

Taiwan Commate Computer Inc.(COMMELL), the world-


wide leader of Industrial Mini-ITX mainboard, introduced
the Mini-ITX motherboard LV-67H that designed for LV-67H equipped with dual-channel DDR3 memory up to
the 2nd generation Intel Core i7/i5/i3 processors in the a maximum of 16GB in dual SO-DIMM slots. Dual channel
rPGA988B socket. The Mini-ITX mainboard based on 24-bit LVDS, VGA, DVI . LV-67H provides a wide range
intel QM67 Express chipset, providing a single-chip of storage, I/O, expansion connectivity, and full range
architecture and delivering with Intel vPro & Intel Anti- power source input, including PS/2 ports, 5 x RS232C
Theft Technology, along with a intel 2nd generation 32 and 1 x RS232/422/485 ports, Networking is provided by
nm Core i7/i5/i3, the Intel processors with HD Graphic Intel 2 x 82574L Giga LAN, 10 x USB2.0 ports, High De-
3000 that contains a refresh of the sixth generation nition Audio port, 4 SATA2.0 and 2 SATA3.0, Expansion
graphics core enabling substantial gains in performance takes the form of one PCIE x16 slot, two Mini-PCIE slots,
and lower power consumption, this innovative two-chip and 9V~24V full range DC input.
solution provides Intel Intel Hyper-Threading technology
which giving you smart multitasking performance CONTACT INFORMATION

Motherboards
Motherboards

to move between applications quickly. This platform


delivers higher performance, energy efciency, most Taiwan Commate Computer Inc.
secure and manageable, It is ideal for a various range 886-2-26963909 Phone
of applications, such as industrial control and automa- 886-2-26963911 Fax
info@commell.com.tw
tion, gaming, Medical Instruments, Surveillance Server, sales@tcommate.com.tw
Military systems, print imaging and digital signage etc. www.commell.com.tw

Embedded Intel Solutions


Designing with delivers in-depth product, technology
Intel Embedded and design information to engineers
and embedded developers who design with
Processors? Intel Embedded processors

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t#PBSET Engineers Guide to Medical Electronics 2012


VersaLogic Corp.
Intel Core 2 Duo processor
on standard EBX footprint

VersaLogics Mamba SBC provides extreme performance


and high reliability for the most demanding embedded
applications. It combines a 2.26 GHz Intel Core2 Duo
processor, high-end graphics and video, and extensive on-
board I/O on an industry standard EBX platform.

Standard features include dual gigabit Ethernet, up to 8 GB


DDR3 RAM, six USB 2.0 ports, four serial ports, two SATA Industrial temp. (-40 to +85C) version
ports, HD audio, and eUSB ash storage. Data acquisition High-performance video and audio
features include up to sixteen analog inputs, up to eight Standard EBX format (5.75 x 8)
analog outputs, and thirty-two digital I/O lines. Expansion is On-board data acquisition support
available via PC/104-Plus, PCIe Mini Card, and SPX. Analog MIL-STD-202G shock/vibe
and LVDS interfaces support exible display congurations.
CONTACT INFORMATION

Motherboards
Motherboards

TECHNICAL SPECS
VersaLogic Corp.
4211 West 11th Ave.
2.26 GHz Intel Core 2 Duo processor Eugene, OR 97402 USA
Up to 8 GB DDR3 RAM 541-485-8575 Phone
1-800-824-3163 Toll Free
Dual gigabit Ethernet 541-485-5712 Fax
Mid power 18.5W typical Sales@VersaLogic.com
PC/104-Plus expansion www.VersaLogic.com/mamba

VersaLogic Corp.
Low power Intel Atom processor
Z5xx on a PC/104-Plus form factor

VersaLogics Tiger is a compact single board computer on


a rugged 3.6 x 4.5 PC/104-Plus form factor. Featuring the
low power Intel Atom processor Z5xx (Menlow XL),
Tiger packs powerful 1.6 GHz performance backed by leg-
endary VersaLogic quality. Available in both commercial
(0 to +60C) and industrial (-40 to +85C) temperature ver- High-performance video and HD audio
sions! Gigabit Ethernet
Up to 2 GB DDR2 RAM
Add VersaLogics long-term (5+ year) product availability PCI & ISA expansion
guarantee and customization options and feel the power Fanless operation
of the Tiger! Industrial temp. (-40 to +85C) version

With more than 30 years experience delivering extraor- CONTACT INFORMATION


dinary support and on-time delivery, VersaLogic has
perfected the art of service, one customer at a time. Experi- VersaLogic Corp.
4211 West 11th Ave.
ence it for yourself. Call 800-824-3163 for more information! Eugene, OR 97402 USA
541-485-8575 Phone
TECHNICAL SPECS 1-800-824-3163 Toll Free
541-485-5712 Fax
Sales@VersaLogic.com
Intel Atom processor Z5xx up to 1.6 GHz www.VersaLogic.com/tiger
Low power, 6W (typical)

XXXFFDBUBMPHDPNNFEJDBM #PBSETt
Logic Supply
SR101 15 Intel Atom
N270 IP65 Panel PC
Compatible Operating Systems: Windows XP, Windows 7,
Windows Embedded Standard 2009
Supported Architectures: x86, 32-bit

Logic Supply announces the SR101 series of rugged,


IP65-rated Panel PCs, featuring an Intel Atom pro-
cessor and milled stainless steel enclosure. Designed to
withstand the damaging effects of splashing or spraying
liquids as well as general wear and tear from multiple
users, the SR101 is primed for 24/7 functionality in a fast-
paced medical environment.

The SR101 features a proprietary mainboard with an


efcient Intel Atom N270 processor and 945GSE
chipset housed in a durable VESA-mountable panel. The
panel is brushed silver with a smooth and polished bezel
Systems

Systems
surrounding a 15-inch touch-screen LCD and its easily
mounted on a stand or installed into a wall. The SR101s
professional and functional style is sleek enough for a TECHNICAL SPECS
lobby waiting room and discreet enough for a laboratory
setting. Has a 1.6 GHz Intel Atom N270 Processor with
945GSE chipset for a total TDP of less than 12 W
Employing IP65-rated I/O connector cables and LCD Features a 15 LCD display with resistive type 5-wire
touch-screen, this device is protected from all angles, touch-screen; contrast ratio of 800:1 and brightness
so it can be mounted in a variety of ways. The 5-wire of 350 nits
resistive touchscreen can be operated by users wearing Includes 160 GB SATA HDD, 1 GB RAM, and offers an
gloves, and is much easier to clean than a keyboard or onboard PCIe Mini Card slot for expansion
mouse. In addition, reducing the reliance on connected Screen resolution is 1024 x 768
peripheral devices frees up valuable laboratory bench or Dimensions are: 400 x 55 x 310 mm (15.75 x 2.17 x
cart space. 12.2); Weight is: 7.05 kg/15.5 lb.

The SR101 comes complete with 1 GB RAM, 160 GB HDD, APPLICATION AREAS
I/O cable kit, and 12-volt DC power source. It offers 3 USB
2.0 ports, Gb LAN, 2 RS-232 COM ports, and a power Medical Imaging, Diagnostics, Digital Signage, Data and
cable making this all-in-one system perfect for easy inte- Image Acquisition
gration with other devices and components.
AVAILABILITY
FEATURES & BENEFITS
Mid-September
Can be congured with a solid state storage device;
this extends the life of the system by eliminating the
wear and tear of mechanical components
Utilizes off-the-shelf hardware so driver support and
integration with other systems and components are CONTACT INFORMATION
straightforward and simple
Options are available for assembly and testing ser-
Logic Supply
vices by Logic Supplys expert technicians, ensuring 35 Thompson Street
the system arrives fully operational, ready for deploy- South Burlington, VT 05403
ment 802 861 2300 Telephone
sales@logicsupply.com
Available with a Windows Embedded Standard oper- www.logicsupply.com
ating system; custom image is available for project
customers

t#PBSET Engineers Guide to Medical Electronics 2012


AXIOMTEK
Medical Grade Touch LCD
Monitor MMT175

Axiomtek offers a 17-inch 300 nits slim medical grade LCD


monitor with various signal interfaces including DVI, VGA,
S-Video, Audio-in and 3 USB ports. The MMT175 features a
spill and dust resistant front panel: IP65, and an IPX1 enclo-
sure, with a lock-type medical adaptor plug design ideal
for different medical environments. This medical grade
monitor incorporates an optional 1.3 mega pixel camera, APPLICATION AREAS
microphone and speakers if this is what you need in a
monitor. Our MMT175 has a reliable user-friendly interface Medical, POC (point of care) HMI for medical equipment,
making ideal for point-of-care, HMI and other remote moni- remote monitoring, health terminals (Telemedicine) and
toring health terminals. more!

TECHNICAL SPECS
CONTACT INFORMATION

17 TFT 380 nits SXGA LCD


AXIOMTEK
Water/dust-proof design (front bezel: IP65, full 18138 Rowland St.
enclosure: IPX1) City of Industry, CA 91744
Built-in internal microphone/2W stereo speakers USA
1.888.GO.AXIOM Toll Free
VGA, S-video, video, DVI, Audio-in, 3 USB ports (1 626.581.3232 Telephone
slave, 2 host) sales@axiomtek.com
Bluetooth/1.3 mega pixels camera/ combo/RFID www.axiomtek.com
(Optional)

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SuperSpeed USB Microchips PIC32MX5/6/7 Series
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EECatalog www.eecatalog.com/atca
From Emerson: ATCA-7365 & ATCA-
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Icon Labs
Floodgate Firewall
Compatible Operating Systems: Any embedded OS or kernel
including INTEGRITY, VelOSity and VxWorks.
Supported Architectures: Any Internet enabled network hard-
ware.

Floodgate Packet Filter is an embedded rewall that


allows networked devices to control the packets they
process. Floodgate protects against potentially malicious
attacks by ltering packets before they are processed by
an embedded device.

Floodgate uses a two stage ltering engine that provides


both threshold and rules-based ltering. Threshold-
based ltering protects against denial of service (DoS)
attacks, broadcast storms, and other conditions that
result in a ood of unwanted packets. Rules-based
ltering allows packets to be blocked based on static cri-
teria such as port number, protocol, or source IP address.

Library for Embedded Devices


Floodgate is a source code library that provides packet
ltering capabilities for embedded devices. Floodgate
uses callback routines that are inserted into the devices
packet processing code. Layer-based callbacks allow l- TECHNICAL SPECS
tering to be easily inserted at any layer in the network
stack for maximum exibility. Static ltering blocks packets based on congu-
rable ltering rules. Supports ltering by source IP
Internet Threats for Embedded Devices address, MAC address/type, port, protocol or user
In enterprise environments, rewalls, intrusion preven- dened criteria.
Application

Application
tion systems and other security devices protect against Built in Stateful Packet Inspection (SPI) ltering for
Internet threats. In the embedded environment, devices TCP/UDP and ICMP packets.
are built using smaller processors and without the Threshold-based ltering blocks packets in real time
defenses found in more sophisticated environments. based on threshold crossings.
As a result, embedded devices are vulnerable to DoS Supports both white list and black list ltering.
attacks, packet oods and other Internet attacks. Layer-based callbacks allow ltering to be inserted at
any layer in the network stack for maximum exibility.
FEATURES & BENEFITS
APPLICATION AREAS
Allows OEMs to easily add rewall security to exist-
ing products or new designs. Medical Devices for home & hospital use, Server and
Portable source code for use with any embedded OS. Storage Networking, Telecom/Networking, Military/
Fully congurable rules engine allows full control Aerospace, Industrial Controls, Consumer Devices,
over ltering behavior. Mobile/Handheld
Small footprint and optimized design for embedded
systems. CONTACT INFORMATION
Unique two-step ltering engine rst blocks packets
using ltering rules and stateful packet inspection Icon Labs
3636 Westown Pkwy, Suite 203
and then using thresholds to protect from Internet West Des Moines, IA 50266
threats, network trafc oods and DoS attacks. 888-235-3443x22 Toll Free
515-226-3443x22 Telephone
877-379-0504 Fax
info@iconlabs.com
www.iconlabs.com

t%FWFMPQNFOU Engineers Guide to Medical Electronics 2012


Icon Labs
Iconfidant SSH & SSL
Compatible Operating Systems: VxWorks, Linux, Solaris
Supported Architectures: Any hardware running VxWorks, Linux
or Solaris.

Icondant SSH & SSL are source code products providing


embedded security for VxWorks, Solaris and Linux based
systems. Icondant allows network equipment vendors
to easily add secure, encrypted communication to their
devices.

Iconfidant SSH implements SSHv1 and SSHv2 proto-


cols and includes:

 t ssh rlogin/rsh-like client program.


 t sshd ssh login daemon.
 t sftp secure le transfer program for SSH1 and
SSH2 TECHNICAL SPECS
 t sftp-server secure FTP server subsystem.
Encryption/hash algorithm support: AES, 3DES,
Iconfidant SSL implements SSLv2/v3 and TLS protocols Twosh, Blowsh, Arcfour, CAST128, DSA, RSA,
and includes: Dife-Hellman, MD5, SH1.
Logical API allows easy integration of Icondant
 t ssl ssl client program. libraries with existing CLI & Web interface.
 t ssld ssl login daemon. Support for WindRiver Web & CLI interfaces provided
 t tls tls client program (formerly RapidControl CLI & Web).
Supports multiple communication channels.
FEATURES & BENEFITS
APPLICATION AREAS
Allows OEMs to easily add security to existing
Application

Application
products or new designs. Medical Devices, Server and Storage Networking,
Full source code provided, royalty free. Telecom/Networking, Military/Aerospace, Industrial
Drop in support for VxWorks, Solaris and Linux. Controls, Consumer Devices, Mobile/Handheld
Small footprint and optimized design for embedded
systems.
Strong authentication and encryption protect against
common Internet attacks.

CONTACT INFORMATION

Icon Labs
3636 Westown Pkwy, Suite 203
West Des Moines, IA 50266
888-235-3443x22 Toll Free
515-226-3443x22 Telephone
877-379-0504 Fax
info@iconlabs.com
www.iconlabs.com

XXXFFDBUBMPHDPNNFEJDBM %FWFMPQNFOUt
Advantech Corporation
10.4 Customizable Medical
Grade ODM Tablet
Compatible Operating Systems: Windows 7

Customizable 10.4 fanless medical grade ODM tablet.


This medical grade tablet is lightweight, portable and
quiet to use, and it streamlines workow while increasing
productivity.

Powered by an Intel Atom Z650/Z670 Processor, this


medical tablet makes for the ideal solution suited for the
healthcare environment.

TECHNICAL SPECS

Intel Atom Z650/Z670 Processor


CONTACT INFORMATION
Battery Life: 5-7 Hours (using both batteries)
Dual Cameras: 5.0 MP and 2.0 MP Advantech Corporation
38 Tesla
Dual Protection: IP54 and 3-foot Drop Suite 100
Dual Touch Modes: Digitizer and Resistive Irvine, CA 92618
USA
(800) 866-6008 Toll Free
APPLICATION AREAS (949) 789-7178 Telephone
(949) 789-7179 Fax
Mobile clincal assistant solution suitable for EMR, HER, ECGInfo@advantech.com
www.advantech.com/medical
and Nursing Information Systems

Advantech Corporation
HIT-W121
Systems

Systems
Compatible Operating Systems: WES, WES7, Windows 7, Linux:
Fedora 13, Ubuntu, Android

HIT-W121, an iService/Healthcare Infotainment Terminal,


has an 11.6 single-surface touchscreen, is powered by
an Intel Atom D510 Processor, supports Windows,
Android and Linux operating systems, and is built with a
compact, VESA mountable form factor. The medical-grade
device works well not only in healthcare applications, but
with its slim design, it is an exceptional choice for applica-
tions in iServices such as retail shelf displays, banking,
and RFID-based Smart Card applications. ITE & medical dual certicates provide complete
application coverage
TECHNICAL SPECS
CONTACT INFORMATION
Revolutionary & specialized design focused on Advantech Corporation
healthcare applications and terminal leasing market 38 Tesla
Suite 100
43 mm thick slim design achieves balance between Irvine, CA 92618
fanless & Atom dual-core performance USA
Provides natural viewing experience with 16:9, 11.6 (800) 866-6008 Toll Free
(949) 789-7178 Telephone
display (949) 789-7179 Fax
Rich options - Handset/ RFID/ Smart card reader/ ECGInfo@advantech.com
Barcode Scanner/ MSR www.advantech.com/medical

t%FWFMPQNFOU Engineers Guide to Medical Electronics 2012


Advantech Corporation
PIT-1502W
Compatible Operating Systems: Windows 7, Windows XP, Linux:
Fedora, Ubuntu, Android

PIT-1502W which equipped a 15.6 multi-function touch-


screen, WiFi, RFID, handset, smart card reader and 2
megapixel camera is a member of PIT family of Advantech.
PIT-1502W can provide patients with various entertainment
programs such as TV, movies or computer games because
of Microsoft Wiindows XPE Embedded and Intel Atom Dual
Core processor. Patients can easily communicate with fam-
ilies by internet because 1.3 megapixel camera, WiFi and APPLICATION AREAS
Ethernet (RJ-45) connectivity are standard functions of PIT-
1501W. Identication recognition for both hospital staff and Patient Infotainment, Bedside Terminal, EMR, Hospital
patients is possible with the RFID and smart card reader. Information Systems

CONTACT INFORMATION
TECHNICAL SPECS
Advantech Corporation
38 Tesla
Slim Design achieves the balance between Fanless & Suite 100
Atom Dual-Core Performance Irvine, CA 92618
Isolated I/O as COM & Lan USA
(800) 866-6008 Toll Free
Easy cleaning Touch Panel complies with IP65 protection (949) 789-7178 Telephone
Programmable Touch Hotkeys (949) 789-7179 Fax
Rich Options - Handset/ RFID/ Smart card reader/ ECGInfo@advantech.com
www.advantech.com/medical
Barcode Scanner/ MSR

Embedded Intel Solutions


Designing with delivers in-depth product, technology
Systems

Systems
Intel Embedded and design information to engineers
and embedded developers who design with
Processors? Intel Embedded processors

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