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PALM IN THE REAL WORLD
Makers of ActiveECG cardiac monitor have heart
By Steve Niles

One of the things that makes the Palm OS so great is the ease with
which third-party developers can create new applications, extending
the use of Palm OS handhelds in amazing directions. Currently, Palm
estimates there are some 175,000 developers worldwide creating new
Palm OS applications. On December 10, Palm recognized four of the
most innovative developers with the first-ever Powered Up Awards. 
According to Steve Sakoman, chief technology officer for the Palm OS
platform, "The Powered Up Awards recognize originality in the vast
Palm OS developer community and honor developers of the best
applications." Winner of the Best Enterprise Application award, as
well as the Best Overall award was a solution called ActiveECG from
Active Corporation at http://www.activecenter.com/products.html. 
ActiveECG is used to record and display ECG (electrocardiogram, EKG)
strips for the purpose of analyzing heart rhythms and performing a
quick assessment of a patient's cardiac health. The ECG strips can be
transferred to a Windows compatible PC where a report can be
displayed and printed or forwarded to a physician or other medical
professional. I recently had an opportunity to speak with Jeffrey
Siegel, President of Active Corporation, to learn more about this
fascinating product. 
Size matters
Jeffrey and his wife Karen are licensed EMT's (Emergency Medical
Technicians) who work on the all-volunteer ambulance squad that
services their seaside village of Castine, Maine. In this line of
work, they began to notice a disturbing trend. Most ambulances are
equipped with a cardiac monitor, a large, 19-pound device that must
be carried from the vehicle to the victim. As EMT's already have a
lot to carry when attending to an emergency situation, this bulky
device would often get left behind. They saw a definite need for a
small, lighter, and more practical alternative. 
Mobility, clearly, was key, and already being long-time users of Palm
handhelds, they set out to design a device that could be easily
coupled with this powerful yet portable computer. ActiveECG was the
result. ActiveECG weighs a mere 6.7 ounces, meaning it can be easily
carried or attached to a patient. 
How it works
ActiveECG includes three software components. The ActiveECG Palm OS
application runs on Palm OS version 2.0 or higher. This software
displays real-time ECG data and lets you record ECG strips for later
review or transfer. The ActiveECG conduit runs on a Windows PC under
Palm Desktop Software version 3.0 including HotSync Manager version
3.0. This software transfers previously recorded strips to the PC
during a standard HotSync operation. The ActiveECG Viewer application
runs on a Windows PC under Windows 95, 98, NT, or Windows 2000. This
software allows you to view, annotate, print, and archive strips on a
PC.
The ActiveECG leadwires are connected to the patient's chest, and
they feed the data into the ActiveECG device itself. The ActiveECG
hardware connects to the HotSync port on the Palm OS handheld, and
the data it collects can be viewed on the handheld screen with the
ActiveECG Palm OS application. 
The heart rate indicator in the middle gives a continuous display of
the current heart rate. If you then tap on the Strips tab, you see a
list of previously recorded strips for each patient, as shown in
Figure C. 
You can then select a particular record, and the strip can be
reviewed right on the Palm handheld itself, as shown in Figure D. 
Once strips have been transferred to a Windows PC, the ActiveECG
Viewer application can be used to view, annotate, print, and archive
them. Strips on a PC can be saved to a file and transferred to
another user with the ActiveECG Viewer application. It was very
important to the Siegels that, should a patient record his own data,
he should be able to email the data to his doctor and have her be
able to view it as well. Therefore, all the software is free at the
Active Corporation Web site. That way doctors and patients can access
the same data without incurring extra cost. 
Healthcare on-the-go
EMS workers (paramedics and EMTs) can carry ActiveECG in their
jumpkit or pocket, so it's always at hand. It can also be used in
cramped situations where bulkier ECG devices wouldn't be practical.
However, its use does not extend only to EMTs. The device and
software are being adopted for use in personal healthcare, in home
healthcare, and even by veterinarians. 
Personnel healthcare
Thanks to ActiveECG's low cost and ease-of-use, patients are able to
monitor themselves at home. Just as a diabetic patient can monitor
his or her sugar levels, cardiac patients monitor themselves by
recording ECG data and sending it to their physician via fax or
email. 
Home healthcare
Many healthcare workers are still making regular housecalls, visiting
patients who are unable to make regular trips to the doctor's office
or hospital. When these healthcare workers carry ActiveECG with them,
they can routinely monitor patients. That way they can catch problems
sooner and save lives. 
Veterinarians
Imagine trying to monitor the cardiac health of, say, a rambunctious
dog. With an immobile cardiac monitor, the animal would need to be
held down in order not to break the connection. Not only will this be
difficult for the veterinarian and upsetting for the animal, it's
sure to increase the dog's heart rate, skewing the results. With a
small, inexpensive ActiveECG monitor, the wires could be attached to
the dog, and the device could be attached to the dog's collar in a
pouch. The pooch could then scamper about at will while the monitor
does its work. 

FDA approved
Thanks to Karen's special skill in regulatory affairs ActiveECG is
the first Palm OS based medical device to receive FDA 510(k)
clearance for clinical diagnostic use. This means it has passed
extensive testing as well as a complete review by the US Food and
Drug Administration. It also means that Active Corporation maintains
quality tracking and documentation for all aspects of the product.
ActiveECG has also received a Medical Device License from the
Canadian Government and is currently under review by other government
medical boards throughout the world. 
Cost-effective
As already mentioned, the ActiveECG software is entirely free at
http://www.activecenter.com/products.html. The ActiveECG hardware
component costs a mere $500-$600, thousands of dollars less than
existing ECG devices. This means that medical professionals and
individuals can afford to have a device of their own. 
"We chose to develop for the Palm OS because it is the leading
handheld platform, and it is widely accepted in the medical field,"
Jeffrey said after ActiveECG was named Palm's Powered Up Award
winner. "There is an immense user base of medical professionals and
individuals who already incorporate Palm Powered devices into their
everyday lives and who recognize the incredible potential for new
solutions on the platform." 
Palm will present the "Best Overall" award at the PalmSource
Conference and Expo, which is set for February 5-8, 2002, at the San
Jose Convention Center in San Jose, California. For more information
about PalmSource, visit http://www.palmsource.com. ActiveECG stands
as a great example of how Palm handhelds can be extended into any
enterprise space with the help of inventive developers like Jeffrey
and Karen Siegel. 
Product availability and resources
For more information on ActiveECG, visit
http://www.activecenter.com/products.html. 
For more information about the PalmSource Conference and Expo,
February 5-8, 2002, at the San Jose Convention Center in San Jose,
California, visit http://www.palmsource.com. 
For more information on Palm handhelds, visit http://www.palm.com. 
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Contributing Editor Steve Niles is a freelance writer and
videographer. He can be reached at [EMAIL PROTECTED]




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