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10.07.2023

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Wir verweisen an dieser Stelle auf Dokumente, Publikationen und Inhalte im Themenspektrum von VDE Connected Health.

MD Comp

Wie gelingt die sichere und konforme Integration von Medizinprodukten und Nicht-Medizinprodukten?

Die Digitalisierung im Medizintechnikbereich schreitet stetig voran. Damit einher geht die Vernetzung von Medizingeräten aller Art mit unterschiedlichsten Nicht-Medizingeräten. Typische Beispiele dafür sind das Patientenmonitoring oder der digitalisierte Operationssaal. Eine erhebliche Herausforderung für Hersteller und Betreiber besteht darin, Medizinprodukte mit Nicht-Medizinprodukten in Systeme mit medizinischem Zweck zu integrieren und dabei die Sicherheit und Leistungsfähigkeit nachweislich zu garantieren. Der VDE hat nun mit „MD Comp“ ein neues Konzept entwickelt, das diese Problematik adressiert. MD Comp bietet eine strukturierte Herangehensweise, um die technischen Eigenschaften von Nicht-Medizinprodukten so zu qualifizieren, dass diese konform in medizinische Systeme integriert werden können.

Zur VDE DGBMT Empfehlung  ǀ  Quelle: VDE e.V.
MD Comp - A practical framework to integrate non-medical devices and medical devices in a compliant way


Kurzumfrage zu 6G-Technologie für die Zukunft des Gesundheitswesens

Die International Telecommunication Union (ITU) hat kürzlich den Rahmen für die Entwicklung von Standards und Funkschnittstellentechnologien für die sechste Mobilfunk-Generation (6G) veröffentlicht. So können Künstliche Intelligenz, Edge Computing, ubiquitäre Konnektivität, multisensorische Kommunikation, Ortungsfähigkeiten und Sensorik im 6G-Netzwerk eine Vielzahl digitaler Gesundheitsdienste verbessern oder erst ermöglichen. 6G-Technologie wird dazu beitragen, Wearables und Körpersensoren zu verbessern und stärker in den Alltag der Gesundheitsversorgung zu integrieren. Batterielose IoT-Geräte werden von der Steigerung der Energieeffizienz und dem verringerten Stromverbrauch profitieren oder gar erst möglich gemacht.

Wir haben vor diesem Hintergrund eine kurze Umfrage zum Einsatzpotenzial von 6G-Technologien für Gesundheitsanwendungen gestartet und würden uns über Ihre Teilnahme freuen!

Zur 6G Kurzumfrage  |  Quelle: VDE


Compliance-by-Design für komplex-vernetzte medizintechnische Systeme

Im Zuge der Arbeiten des VDE für das 6G Health Projekt sind Ansätze entstanden, wie regulatorische Anforderungen so früh und so effizient wie möglich bei komplex-vernetzter Medizintechnik berücksichtigt werden können. Diese Präsentation von Hans Wenner erläutert eine entsprechende Vorgehensweise.

Präsentation: "6G Health im Geflecht der Netze" | Quelle: VDE


Aktuelle Veröffentlichungen

Wissenschaftliche Publikationen

Costa G, Forestiero A, Macrì D, Ortale R.
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Stud Health Technol Inform. 2024 May 23;314:108-112. doi: 10.3233/SHTI240068.
 

Qureshi HN, Manalastas M, Farooq MUB, Imran A, Liu Y, Al Kalaa MO.
5G-Enabled Healthcare in Mobile Scenarios: Challenges and Implementation Considerations.
IEEE Netw. 2023 Nov;37(6):141-149. doi: 10.1109/mnet.
 

Liang X, Liu Y, Ning J.
An Access Control Scheme with Privacy-preserving Authentication and Flexible Revocation for Smart Healthcare.
IEEE J Biomed Health Inform. 2024 Apr 24;PP. doi: 10.1109/JBHI.2024.3391218.
 

Lin X, Duan G, Huang J, Zhou Q, Huang H, Xiao J, Xu Z, Shen H, Zhuo H.
Construction of A Smart Hospital Innovation Platform Using the Internet + Technology.
Altern Ther Health Med. 2024 Apr 18:AT10398.
 

Yang L, Duan S, Zhang Y, Hao L, Wang S, Zou Z, Hu Y, Chen S, Hu Y, Zhang L.
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Recuero Virto L, Czerwiński M, Froidevaux J.
The determinants of legislation for radiofrequency electromagnetic fields (RF-EMFs) with the onset of 5G: An empirical analysis with a worldwide cross-sectional dataset.
Risk Anal. 2024 Mar 31. doi: 10.1111/risa.
 

Kumar A, Gaur N, Nanthaamornphong A.
Improving the latency for 5G/B5G based smart healthcare connectivity in rural area.
Sci Rep. 2024 Mar 23;14(1):6976. doi: 10.1038/s41598-024-57641-7.
 

Khan MM, Alkhathami M.
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Shafi I, Din S, Farooq S, Díez IT, Breñosa J, Espinosa JCM, Ashraf I.
Design and development of patient health tracking, monitoring and big data storage using Internet of Things and real time cloud computing.
PLoS One. 2024 Mar 11;19(3):e0298582. doi: 10.1371/journal.pone.0298582.
 

Rahman A, Wadud MAH, Islam MJ, Kundu D, Bhuiyan TMA, Muhammad G, Ali Z.
Internet of medical things and blockchain-enabled patient-centric agent through SDN for remote patient monitoring in 5G network.
Sci Rep. 2024 Mar 4;14(1):5297. doi: 10.1038/s41598-024-55662-w.
 

Zahedian Nezhad M, Bojnordi AJJ, Mehraeen M, Bagheri R, Rezazadeh J.
Securing the future of IoT-healthcare systems: A meta-synthesis of mandatory security requirements.
Int J Med Inform. 2024 Feb 19;185:105379. doi: 10.1016/j.ijmedinf.2024.105379.
 

Das A.
Intelligent deep learning-based disease monitoring system in 5G network using multi-disease big data.
J Biomol Struct Dyn. 2024 Feb 9:1-26. doi: 10.1080/07391102.2024.2310785.


Yang J, Zhou X, Zhou X, Tian JY, Wubuli M, Ye XH, Li J, Song NH.
Percutaneous nephrolithotomy guided by 5G-powered robot-assisted teleultrasound diagnosis system: first clinical experience with a novel tele-assistance approach (IDEAL stage 1).
BMC Urol. 2024 Jan 18;24(1):17. doi: 10.1186/s12894-024-01400-3.
 

Patel V, Saikali S, Moschovas MC, Patel E, Satava R, Dasgupta P, Dohler M, Collins JW, Albala D, Marescaux J.
Technical and ethical considerations in telesurgery.
J Robot Surg. 2024 Jan 17;18(1):40. doi: 10.1007/s11701-023-01797-3.
 

Li C, Zheng J, Zhang X, Luo L, Chu G, Zhao J, Zhang Z, Wang H, Qin F, Zhou G, Jiao W, Wang Y, Yang X, Zhou Z, Yang D, Guo H, Zhang C, Li J, Niu H.
Telemedicine network latency management system in 5G telesurgery: a feasibility and effectiveness study.
Surg Endosc. 2023 Dec 26. doi: 10.1007/s00464-023-10585-x.
 

Wei Y, Yang B, Wei L, Xue J, Zhu Y, Li J, Qin M, Zhang S, Dai Q, Yang M.
Real-time carotid plaque recognition from dynamic ultrasound videos based on artificial neural network.
Ultraschall Med. 2023 Dec 19. English. doi: 10.1055/a-2180-8405.
 

Deepa K, Bacanin N, Askar SS, Abouhawwash M.
Elderly and visually impaired indoor activity monitoring based on Wi-Fi and Deep Hybrid convolutional neural network.
Sci Rep. 2023 Dec 18;13(1):22470. doi: 10.1038/s41598-023-48860-5.
 

Zhang YQ, Sun LP, He T, Guo LH, Liu H, Xu G, Zhao H, Wang Q, Wang J, Yang KF, Song GC, Zhou BY, Xu HX, Zhao CK.
A 5G-based telerobotic ultrasound system provides qualified abdominal ultrasound services for patients on a rural island: a prospective and comparative study of 401 patients.
Abdom Radiol (NY). 2023 Dec 15. doi: 10.1007/s00261-023-04123-5.
 

Eicher C, Marty B, Achermann P, Huber R, Landolt HP.
Reduced subjective sleep quality in people rating themselves as electro-hypersensitive: An observational study.
Sleep Med. 2023 Nov 21;113:165-171. doi: 10.1016/j.sleep.2023.11.029.
 

Liang WH, Chan SC, Lee HH, Hung SC, Lin CC, Chen CJ, Chen MJ, Lai JH.
Feasibility and Safety of 5G-Based Telerobotic Abdominal Ultrasonography.
J Ultrasound Med. 2023 Nov 2. doi: 10.1002/jum.16368.
 

Huang J, Lin J, Chen C, Liang W, Chen Y, Li H, Zhong C, Li S.
5G-Based Remote Virtual Bronchoscopic Navigation-Guided Transbronchial Lung Biopsy for Diagnosis of Lung Cancer: Description of 2 Cases.
Respiration. 2023;102(10):912-917. doi: 10.1159/000533867.
 

Lin CF, Chang SH.
Advanced Mobile Communication Techniques in the Fight against the COVID-19 Pandemic Era and Beyond: An Overview of 5G/B5G/6G.
Sensors (Basel). 2023 Sep 12;23(18):7817. doi: 10.3390/s23187817.
 

Palmer GA, Tomkin G, Martín-Alcalá HE, Mendizabal-Ruiz G, Cohen J.
The Internet of Things in assisted reproduction.
Reprod Biomed Online. 2023 Nov;47(5):103338. doi: 10.1016/j.rbmo.2023.103338.
 

Chen Q, Wang Y, Shuai J.
Current status and future prospects of stomatology research.
J Zhejiang Univ Sci B. 2023 Aug 7;24(10):853-867. doi: 10.1631/jzus.B2200702.
 

Kang CC, Lee TY, Lim WF, Yeo WWY.
Opportunities and challenges of 5G network technology toward precision medicine.
Clin Transl Sci. 2023 Nov;16(11):2078-2094. doi: 10.1111/cts.13640.
 

Liu Y, Al Kalaa MO.
Testbed as a RegUlatory Science Tool (TRUST): A Testbed Design for Evaluating 5G-Enabled Medical Devices.
IEEE Access. 2023;11:81563-81576. doi: 10.1109/access.2023.3299242.
 

Bravo Alvarez L, Montejo-Sánchez S, Rodríguez-López L, Azurdia-Meza C, Saavedra G.
A Review of Hybrid VLC/RF Networks: Features, Applications, and Future Directions.
Sensors (Basel). 2023 Aug 30;23(17):7545. doi: 10.3390/s23177545.
 

Osama M, Ateya AA, Sayed MS, Hammad M, Pławiak P, Abd El-Latif AA, Elsayed RA.
Internet of Medical Things and Healthcare 4.0: Trends, Requirements, Challenges, and Research Directions.
Sensors (Basel). 2023 Aug 25;23(17):7435. doi: 10.3390/s23177435.
 

Zheng B, Li Y, Gu G, Yang J, Jiang J, Chen Z, Fan Y, Wang S, Pei H, Wang J.
Comparing 5G mobile stroke unit and emergency medical service in patients acute ischemic stroke eligible for t-PA treatment: A prospective, single-center clinical trial in Ya'an, China.
Brain Behav. 2023 Nov;13(11):e3231. doi: 10.1002/brb3.3231.
 

Prasad D, Kudva V, Singh A, Hegde RB, Rukmini PG.
Role of 5G Networks in Healthcare Management System.
Crit Rev Biomed Eng. 2023;51(5):1-25. doi: 10.1615/CritRevBiomedEng.2023047013.
 

Han W, Yuan JY, Li R, Yang L, Fang JQ, Fan HJ, Hou SK.
Clinical application of a body area network-based smart bracelet for pre-hospital trauma care.
Front Med (Lausanne). 2023 Aug 1;10:1190125. doi: 10.3389/fmed.2023.1190125.
 

Qu Z, Li Y, Liu B, Gupta D, Tiwari P. DTQFL
A Digital Twin-Assisted Quantum Federated Learning Algorithm for Intelligent Diagnosis in 5G Mobile Network.
IEEE J Biomed Health Inform. 2023 Aug 8;PP. doi: 10.1109/JBHI.2023.3303401.
 

Taneja A, Rani S, Raza S, Jain A, Sefat SM.
Energy efficient IRS assisted 6G network for Industry 5.0.
Sci Rep. 2023 Aug 7;13(1):12814. doi: 10.1038/s41598-023-39974-x.
 

Kabir H, Tham ML, Chang YC, Chow CO, Owada Y.
Mobility-Aware Resource Allocation in IoRT Network for Post-Disaster Communications with Parameterized Reinforcement Learning.
Sensors (Basel). 2023 Jul 17;23(14):6448. doi: 10.3390/s23146448.
 

Le TV.
Securing Group Patient Communication in 6G-Aided Dynamic Ubiquitous Healthcare with Real-Time Mobile DNA Sequencing.
Bioengineering (Basel). 2023 Jul 15;10(7):839. doi: 10.3390/bioengineering10070839.
 

Nasralla MM, Khattak SBA, Ur Rehman I, Iqbal M.
Exploring the Role of 6G Technology in Enhancing Quality of Experience for m-Health Multimedia Applications: A Comprehensive Survey.
Sensors (Basel). 2023 Jun 25;23(13):5882. doi: 10.3390/s23135882.
 

Gu G, Shen L, Zhou X.
An online diagnosis method for cancer lesions based on intelligent imaging analysis.
Open Life Sci. 2023 Jul 6;18(1):20220625. doi: 10.1515/biol-2022-0625.
 

Lu J, Wang X, Chen L, Sun X, Li R, Zhong W, Fu Y, Yang L, Liu W, Han W.
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World J Emerg Med. 2023;14(4):273-279. doi: 10.5847/wjem.j.1920-8642.2023.066.
 

Zhao H, Hu S, Zhang H, Wang Z, Dong H, Del Hougne P, Cui TJ, Li L.
Intelligent indoor metasurface robotics.
Natl Sci Rev. 2022 Nov 24;10(8):nwac266. doi: 10.1093/nsr/nwac266.
 

AlQahtani SA.
An Evaluation of e-Health Service Performance through the Integration of 5G IoT, Fog, and Cloud Computing.
Sensors (Basel). 2023 May 23;23(11):5006. doi: 10.3390/s23115006.
 

Xiang T, Zhang PY, Zhuo GY, Dai H.
Contribution of the 5G Smart First-Aid Care Platform to Achieving High-Quality Prehospital Care.
J Med Internet Res. 2023 May 22;25:e43374. doi: 10.2196/43374.
 

Haas P, Deserno TM.
Technological Assessment of Smart Wearables and 5G-Integrated Edge Computing for Real-Time Health Monitoring.
Stud Health Technol Inform. 2023 May 18;302:1002-1006. doi: 10.3233/SHTI230326.
 

Suraci C, Pizzi S, Molinaro A, Araniti G.
Business-Oriented Security Analysis of 6G for eHealth: An Impact Assessment Approach.
Sensors (Basel). 2023 Apr 23;23(9):4226. doi: 10.3390/s23094226.
 

Moustris G, Tzafestas C, Konstantinidis K.
A long distance telesurgical demonstration on robotic surgery phantoms over 5G.
Int J Comput Assist Radiol Surg. 2023 Sep;18(9):1577-1587. doi: 10.1007/s11548-023-02913-2.
 

Wang M, Ji H, Jia M, Sun Z, Gu J, Ren H.
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Sci Rep. 2023 Apr 18;13(1):6353. doi: 10.1038/s41598-023-33610-4.
 

Menon SP, Shukla PK, Sethi P, Alasiry A, Marzougui M, Alouane MT, Khan AA.
An Intelligent Diabetic Patient Tracking System Based on Machine Learning for E-Health Applications.
Sensors (Basel). 2023 Mar 10;23(6):3004. doi: 10.3390/s23063004.
 

Riaz A, Khan S, Arslan T.
Design and Modelling of Graphene-Based Flexible 5G Antenna for Next-Generation Wearable Head Imaging Systems.
Micromachines (Basel). 2023 Mar 6;14(3):610. doi: 10.3390/mi14030610.
 

Vivarelli C, Censi F, Calcagnini G, De Ruvo E, Calò L, Mattei E.
5G Service and Pacemakers/Implantable Defibrillators: What Is the Actual Risk?
Int J Environ Res Public Health. 2023 Mar 3;20(5):4512. doi: 10.3390/ijerph20054512.
 

Elaziz MA, Dahou A, Mabrouk A, Ibrahim RA, Aseeri AO.
Medical Image Classifications for 6G IoT-Enabled Smart Health Systems.
Diagnostics (Basel). 2023 Feb 22;13(5):834. doi: 10.3390/diagnostics13050834.
 

Lu J, Ling K, Zhong W, He H, Ruan Z, Han W.
Construction of a 5G-based, three-dimensional, and efficiently connected emergency medical management system.
Heliyon. 2023 Feb 17;9(3):e13826. doi: 10.1016/j.heliyon.2023.e13826.
 

He T, Pu YY, Zhang YQ, Qian ZB, Guo LH, Sun LP, Zhao CK, Xu HX.
5G-Based Telerobotic Ultrasound System Improves Access to Breast Examination in Rural and Remote Areas: A Prospective and Two-Scenario Study.
Diagnostics (Basel). 2023 Jan 18;13(3):362. doi: 10.3390/diagnostics13030362.
 

Doddamane AN, Kumar AS.
The implications of 5G technology on cardiothoracic surgical services in India.
Indian J Thorac Cardiovasc Surg. 2023 Mar;39(2):150-159. doi: 10.1007/s12055-022-01448-6.
 

Fan S, Xu W, Diao Y, Yang K, Dong J, Qin M, Ji Z, Shen C, Zhou L, Li X.
Feasibility and Safety of Dual-console Telesurgery with the KangDuo Surgical Robot-01 System Using Fifth-generation and Wired Networks: An Animal Experiment and Clinical Study.
Eur Urol Open Sci. 2023 Jan 13;49:6-9. doi: 10.1016/j.euros.2022.12.010.
 

de Oliveira W, Batista JOR Jr, Novais T, Takashima ST, Stange LR, Martucci M Jr, Cugnasca CE, Bressan G.
OpenCare5G: O-RAN in Private Network for Digital Health Applications.
Sensors (Basel). 2023 Jan 16;23(2):1047. doi: 10.3390/s23021047.
 

Zhang T, Chen YZ, Jiang X, He C, Pan J, Zhou W, Hu JP, Liao Z, Li ZS.
5G-based remote magnetically controlled capsule endoscopy for examination of the stomach and small bowel.
United European Gastroenterol J. 2023 Feb;11(1):42-50. doi: 10.1002/ueg2.12339.
 

Ma S, Li L, Yang C, Liu B, Zhang X, Liao T, Liu S, Jin H, Cai H, Guo T.
Advances in the application of robotic surgical systems to gastric cancer: A narrative review.
Asian J Surg. 2023 Aug;46(8):3027-3032. doi: 10.1016/j.asjsur.2022.10.051.
 

Li J, Yang X, Chu G, Feng W, Ding X, Yin X, Zhang L, Lv W, Ma L, Sun L, Feng R, Qin J, Zhang X, Gou C, Yu Z, Wei B, Jiao W, Wang Y, Luo L, Yuan H, Chang Y, Cai Q, Wang S, Giulianotti PC, Dong Q, Niu H.
Application of Improved Robot-assisted Laparoscopic Telesurgery with 5G Technology in Urology.
Eur Urol. 2023 Jan;83(1):41-44. doi: 10.1016/j.eururo.2022.06.018.
 

Ahmed MI, Kannan G.
Safeguards and weightless of electronic chain of command consolidated for virtual patient evaluation.
Multimed Tools Appl. 2023;82(1):453-478. doi: 10.1007/s11042-022-13310-3.
 

Alhayani B, Kwekha-Rashid AS, Mahajan HB, Ilhan H, Uke N, Alkhayyat A, Mohammed HJ.
5G standards for the Industry 4.0 enabled communication systems using artificial intelligence: perspective of smart healthcare system.
Appl Nanosci. 2023;13(3):1807-1817. doi: 10.1007/s13204-021-02152-4.
 

Attaran M.
The impact of 5G on the evolution of intelligent automation and industry digitization.
J Ambient Intell Humaniz Comput. 2023;14(5):5977-5993. doi: 10.1007/s12652-020-02521-x.

Fachbeiträge

Thomas Ring
Designing Compliant Wireless Medical Devices
Wireless medical devices show various advantages due to the absence of wires and cables. This article addresses the legal regulations being relevant for this type of devices.
MedTechIntelligence, February 28, 2024
 

NIST Releases Updated Cybersecurity Framework
The National Institute of Standards and Technology (NIST) has updated its Cybersecurity Framework (CSF) guidance document. The goal is to reduce cybersecurity risk. This major update addresses all audiences, industry sectors and organization types.
MedTechIntelligence, February 27, 2024
 

Ravi Subramaniam
Setting new standards for wireless medical devices
There are new IEEE standards for wireless medical devices given that the FDA has concerns about cybersecurity of medical devices and associated systems.
Med-Tech News, February 19, 2024