The Journal of mHealth Vol 1 Issue 2 (Apr 2014) | Page 27

The Next Generation of Bio-engineered Health Sensor Athletes and sports professionals could conceivably be given the ability to monitor key vital signs; chemical build ups that could suggest fatigue or stress; or, bio-sensors could be embedded in muscle tissue to monitor signs of strain, damage, and rates of repair. The telemetry from these embedded devices could then be transmitted and reviewed by the athlete and their trainers, allowing them to identify health related issues, well before they would otherwise be observed. Google’s contact lens (one might call this a hybrid bio-wearable falling somewhere between the wearable sensors available today and the implantable sensor of the future) and the research from Washington University’s School of Engineering & Applied Science shows how this type of sensor could be amalgamated into everyday life for the more effective monitoring of chronic disease conditions, and it is conceivable that ultimately this could be applied to all manner of other chronic conditions. For example, sensors could be embedded into grafts on the wall of the kidney to monitor renal function and predict deterioration or failure. In 2013 scientists at the EPFL (Ecole Polytechnique Federale De Lausanne) announced that they had developed a tiny, portable personal blood testing laboratory: a minuscule device implanted just under the skin provides an immediate analysis of substances in the body, and a radio module transmits the results to a doctor over the cellular phone network. This feat of miniaturisation has many potential applications, including monitoring patients undergoing chemotherapy. There are likely many defence and industrial uses for the technology as well. Workers in hazardous environments could be alerted to bio-hazards via implantable sensors in the surface of the skin; soldiers could be continually monitored for signs of injury or reduction in performance. The telemetry data itself also heralds a new era in bio-analytics. Wearable technology has allowed this field to grow significantly in recent years and this looks set to continue with the advent of bio-sensing and bio-telemetry. The ability to stream data from vital organs such as the heart could yield many future options for real-time analysis and evaluation of serious medical conditions. Many of these devices are still in the early stages of research and require significant work and clinical testing before they would be patient ready. Activity levels and dietary intake could all be monitored from sensors embedded at a number of the points in the body, feeding data to lifestyle and health monitoring applications. Take a service like dacadoo’s Health Score, which already works with many of the wearable technologies currently available. It is conceivable that internal sensing could transmit data directly to a Smartphone or smart watch solution like this, so that the solution could provide the user with instant feedback and suggestions on their health and lifestyle. For more information on the research from the School of Engineering & Applied Science of Washington University in St. Louis see our article in this edition of The Journal titled: “3-D Printer Creates Transformative Device for Heart Treatment” on page 26. For more information on the work of Second Sight see the article in this edition of the Journal titled: “‘Bionic Eye’ Treatment for Retinitis Pigmentosa Paving the Way for Artificial Sight” on page 21.  Whether we are looking at a future where technology becomes integrated within our bodies is indisputable, some examples such as pace-makers have been improving the lives of patients for years. The real question is whether people will be open to the greater integration of technology within their own body? When sensors are printed onto the surface of synthetic or laboratory grown tissues and directly incorporated into a part of the human body, then the distinction between technology and biology becomes much harder to make. Have a project you want us to cover? This is a pioneering area of medical research and holds many possibilities for mHealth in the future. There are, however, significant hurdles for this type of medical technology to overcome before it becomes widely available. Not least, greater testing is required to consider the effects that electrical sensors and transmitters embedded within tissues, may have upon other functions within the body. That said a future where we all have a small piece of technology working away inside us and transmitting data from within, is conceivably becoming less of a science fiction prediction and more of a real possibility. Let us know the details of any projects that you would like us to cover in upcoming editions of The Journal. Send the details to thejournalofmhealth@ simedics.org The Journal of mHealth The Global Voice of mHealth 25 The Journal of mHealth