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STATag
Prototype Presentation
Daniel Tubbs
Jason Sadler
Chad Hilton
December 13, 2004
Brian Easton
Latricia Simon
James Mayor
1
Societal Problem Defined
Hospital staff waste time locating mobile
equipment, wasting billions of dollars
annually.
35-60%1 of a nurse’s time is wasted on
Searching for equipment
Clarifying orders
Entering redundant information
Wasting $58 - $99 billion annually2
December 13, 2004
2
Solution
The use of STATags will
Reduce man hours searching for needed equipment
Increase staff efficiency
Increase a nurse’s efficiency at least 10%1
Lower operating costs
Save a real $1 for every $4 of efficiency gained3
(reduction of overtime, increased turnaround)
Increase job satisfaction3
December 13, 2004
3
STATag Goals
Use dead-reckoning to determine current
location
Use network security
Use a self-discovering and self-configuring
network
Handle large quantities of equipment
December 13, 2004
4
STATag Goals (continued)
Activate alarms
Store historical location and usage data
Run without intervention for long periods
Battery must last 5-7 years
Need calibration only when battery is changed
December 13, 2004
5
STATag Limitations
STATag will not:
Prevent theft
Collect or transmit personally identifiable
health information (covered under HIPAA)
Communicate further than 100 feet between
STATags
December 13, 2004
6
STATag System
`
STATag
Web Browser
User
STATag
STATag
Network Coordinator
DB Server
Internal Webserver
STATag
STATag
Database
December 13, 2004
7
Web Server / User Interface
`
STATag
Web Browser
User
STATag
STATag
Network Coordinator
DB Server
Internal Webserver
STATag
STATag
Database
December 13, 2004
8
Database
`
STATag
Web Browser
User
STATag
STATag
Network Coordinator
DB Server
Internal Webserver
STATag
STATag
Database
December 13, 2004
9
STATags
`
STATag
Web Browser
User
STATag
STATag
Network Coordinator
DB Server
Internal Webserver
STATag
STATag
Database
December 13, 2004
10
Web Server
Open source web server
Provides a bridge between the end user and
the database
Eliminates the need for client software
Allows any client with a web browser to
connect
December 13, 2004
PC
Laptop
PDA
11
Database
Open source relational database collects and
stores STATag location information
Real-time look-ups
History
Alarms
Inventory
Reports
December 13, 2004
12
STATag Diagram
Battery
December 13, 2004
802.15.4 Module
Usage Module
(In use switch)
Microcontoller
Movement
Detection Module
(Accelerometers &
Gyroscopes)
Flash RAM (1MB)
Tamper Detection
Module
(Tag Removed
Switch)
13
STATag
Accelerometers and gyroscopes detect
orientation and motion
Microcontroller calculates current position
802.15.4 module communicates to DB server
via mesh network
Switches provide state information
RAM records position data when unable to
communicate with DB server
Battery keeps everything running for 5 years
December 13, 2004
14
Project Risks – Web Interface
Inadequate response time
Complexity of use
Complexity of administration
December 13, 2004
15
Project Risks - Database
Database size may grow too fast
Database design may be too complicated to
use without regular administration
Response time may be inadequate for a large
number of tags
December 13, 2004
16
Project Risks – STATag
Interference with hospital monitoring equipment
STATag transmits 1% the power of other safe wireless
devices
Most major hospitals are implementing WiFi
Conflicts with other 2.4 GHz networks
802.15.4 has been designed for interoperability
802.15.4 and ZigBee are new standards and
therefore there may be unknown issues
Hardware issues are being resolved by manufactures
Software issues will be correctable by patching
December 13, 2004
17
Prototype Goals
Build a prototype for each subsystem
Demonstrate integration of the subsystems
Web server and user interface
Database
Individual STATag
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18
Prototype Diagram
`
Web Browser
User
Dead Reckoning Module
8
N
11
02 .
etw
ork
DB Server
Internal Webserver
Simulated Position Data
Laptop
Live Position Data
Database
December 13, 2004
19
Prototype vs. Real System
Database
Web Server
User Interface
Web Browser
Hardware
December 13, 2004
Prototype
MSSQL
IIS 5.1
ASP.NET
Any
Same PC
Real System
MySQL
Apache
Java
Any
Separate
Servers
20
Prototype vs. Real System
Accelerometer
Microcontroller
Wireless Network
RAM
Gyroscope
In-use Switch
Tag-removed Switch
December 13, 2004
Prototype
2-axis
Laptop
802.11b
Log File
No
No
No
Real System
3-axis
On-board
802.15.4
On-board
3-axis
Yes
Yes
21
Database Accomplishments
Each STATag history entry requires 40 bytes
Average hospital database size – 67.2 GB
(1 year history of 1368 tags updated every 30
seconds)
Database design is simple
December 13, 2004
22
Database Schema
sn_type
description
PK
type_num
PK
serial_num
description
FK1
type_num
region
PK,FK1
PK,FK1
north
south
east
west
top
bottom
history
PK
PK,FK1
timestamp
statag_id
pos_x
pos_y
pos_z
in_use
December 13, 2004
region_id
statag_id
id_sn
PK
statag_id
FK2
serial_num
removed
statag_region
PK
PK,FK1
region_id
statag_id
active
23
User Interface / Database Demo
December 13, 2004
24
STATag Prototype
ADXL202EB-232 2-axis accelerometer
evaluation board with serial interface
Custom application calculates position data
from log file created by ADXL202EB-232
Position data sent to database server via
802.11b network
December 13, 2004
25
ADXL202EB-232
December 13, 2004
26
ADXL202 Surface Mount Package
December 13, 2004
27
STATag Demo
Acceleration (a)
Measured by accelerometer
Speed (s)
sfinal= sinitial + a * time
Position (p)
pfinal= pinitial + s * time
December 13, 2004
28
Issues Encountered
Minimum error - 0.0002 g
5-year cumulative error – minimum of 95
miles per axis
Location uncertainty
Prototype - 9,025 square-miles
Production - 860,000 cubic-miles
Maximum allowed error - 1.91 x 10-9 g
(5 ft. error after 5 years)
December 13, 2004
29
Position Uncertainty After 5 Years
December 13, 2004
30
Five-year Error vs. Max. Error
Cumulative Error (ft)
1000000
100000
10000
504,922
252,461
126,230
63,115
31,558
15,779
7,889
3,945
1,972
1000
986
493
247
123
100
62
31
15
10
8
4
1
09
E53
1. -09
E
05
3. -09
E
10
6. -08
E
22
1. -08
E
44
2. -08
E
88
4. -08
E
77
9. -07
E
95
1. -07
E
91
3. -07
E
81
7. -06
E
56
1. -06
E
13
3. -06
E
25
6. -05
E
25
1. -05
E
50
2. -05
E
00
5. -04
E
00
1. -04
E
00
2.
Maximum Allowed Error (g)
December 13, 2004
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Detected Acceleration by Angle
100
90
Detected Acceleration (%)
80
70
60
50
40
30
20
10
0
88
84
80
76
72
68
64
60
56
52
48
44
40
36
32
28
24
20
16
12
8
4
0
Degrees
December 13, 2004
32
Final Prototype Diagram
`
Web Browser
User
Dead Reckoning Module
DB Server
Laptop
Internal Webserver
Simulated Position Data
Database
December 13, 2004
33
Options
Continue working with Analog Devices to find
an accelerometer / software combination that
meets our design needs
Replace the dead-reckoning functionality with
Real-Time Locating Systems (RTLS)
components
Both options affect only the STATag
subsystem and remaining subsystems remain
the same
December 13, 2004
34
Continue with Dead-Reckoning
PRO
Costs and profits are well understood
Progress already being made
CON
May not be able to solve issues
May require additional manpower or funding
December 13, 2004
35
Switch to RTLS
PRO
Commercial off the shelf product
Standardized, multiple vendors
Not affected by cumulative error
CON
Higher wireless transmitting power
Increased hospital installation cost
Delayed hospital ROI
December 13, 2004
36
Recommendations
Move forward with database, web server, and
user interface development
Convert STATag to use RTLS components
December 13, 2004
37
Questions?
December 13, 2004
38
References & Calculations
1 Cindy Jimmerson, April 7, 2004
2 $166 Billion (Nurse’s Salary and Benefits)4 x
35% = $58 Billion
$166 Billion (Nurse’s Salary and Benefits)4 x
60% = $99 Billion
3 Murphy, Mark: Eliminating Wasteful Work in
Hospitals Improves Margin, Quality, and
Culture
December 13, 2004
39
References & Calculations
4 975,9625 Beds x 10 Mobile Medical Devices
per bed = 9.76 Million Mobile Medical
Devices
5 Hospital Statistics, 2004 edition, American
Hospital Association, as reported by the
American Hospital Association website
December 13, 2004
40