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Engineers Guide to
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www.eecatalog.com/medical companies. Every attempt was made to include all trademarks and registered trademarks where
indicated by their companies.
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
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
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
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
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,
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
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.
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
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
www.eecatalog.com/medical 11
CASE STUDY
SoloHealth* Station
Intel Core i5 Processor
Healthcare Industry
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\ )LJXUHZLOOIDFLOLWDWHWKHWUDFNLQJDQG 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
SHUVRQDOKHDOWKUHFRUG3+5DQGFROOHFW 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/$1WKH,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
0DUNHWV
DFKDLQRIPRUHWKDQ
VWRUHVLQWKH0LGZHVW
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.
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
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,
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
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.
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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.
www.eecatalog.com/medical 23
EECatalog SPECIAL FEATURE
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-
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-
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
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.
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.
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)
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
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
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
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
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:
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).
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www.eecatalog.com/medical 33
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.
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.
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.
Chips
packaging solutions to medical device manufacturers.
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production requirements are all successfully met.
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se, but rather a modication of the bare die itself by
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(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
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
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COMMELL
COMMELL launches LV-67H---2nd
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Motherboards
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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
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
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
TECHNICAL SPECS
CONTACT INFORMATION
A network dedicated
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EECatalog www.eecatalog.com/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.
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
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
TECHNICAL SPECS
Advantech Corporation
HIT-W121
Systems
Systems
Compatible Operating Systems: WES, WES7, Windows 7, Linux:
Fedora 13, Ubuntu, Android
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
Systems
Intel Embedded and design information to engineers
and embedded developers who design with
Processors? Intel Embedded processors
Em
Int bed
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So ed
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dd lutio hnology:
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