The opportunity to support healthcare without limits in time and location<\/p><\/h2><\/div>
We are finalizing a smart remote patient monitoring solution for hospitals and clinics, applicable for remote monitoring of patients in an unrivalled way. Our solution has already been used in several clinics, including the Klinikum rechts der Isar (Technical University of Munich, TUM), to monitor COVID-19 patients in home isolation as part of a study. The cosinuss\u00b0 remote monitoring system is also currently being used in several research projects. We aim to medically certify this field-tested system and scale it up into hospitals and clinics as an easy-to-use, cost-effective remote patient monitoring solution, for broader application.<\/p>\n<\/div>
![\"Vital](\"https:\/\/www.cosinuss.com\/wp-content\/uploads\/2021\/11\/CMED_Web_UseCase_RemotePatientMonitoring_Featured-1336x768_XXXX_V01-1.jpg\" "\\"CMED_Web_UseCase_RemotePatientMonitoring_Featured")
<\/span><\/div><\/div><\/div><\/div><\/div>The Challenges<\/h2><\/div><\/div><\/div>High risk of infections in medical facilities<\/h3><\/div>In hospitals there is an increased risk of nosocomial infections with several diseases. In Germany, for example, there are approximately 400.000 to 600.000 nosocomial infections with up to 20.000 deaths per year<\/span>1<\/sup><\/a><\/span> – often caused by
\nmulti-resistant germs. According to a study almost every tenth patient brings dangerous multi-resistant germs into the clinic.<\/span>2<\/sup><\/a><\/span> This is a potential danger not only for patients, but also for the medical staff.<\/p>\n<\/div><\/div><\/div>Limitations due to time-consuming health assessment<\/h3><\/div>In hospitals and medical centers patients can only be treated one after the other due to the limited capacities and available medical staff. For this purpose, a doctor has an average of eight minutes per patient during which, among other measures, he must record the relevant vital parameters and decide on the appropriate next steps. This leads to considerable delays and limitations in treatment of patients.<\/span>3<\/sup><\/a><\/span><\/p>\n<\/div><\/div><\/div>Current telemedicine solutions only provide subjective data<\/h3><\/div>Currently available telemedicine solutions for the actual relief of problems such as risk of nosocomial infections and time-consuming health assessment are limited to subjective, manually entered patient data and video consultation, lacking the essential, objective vital signs data from the patients.<\/p>\n<\/div><\/div><\/div><\/div><\/div>
The Solution<\/h2><\/div>Remote Patient Monitoring with highly accurate In-Ear Sensors<\/h3><\/div>To address these challenges we are currently developing the cosinuss\u00b0 RPM (Remote Patient Monitoring)<\/b> solution, consisting of an in-ear wearable sensor, a gateway (cosinuss\u00b0 LabApp or Gateway) and a server database (cosinuss\u00b0 Server), all developed in-house.<\/p>\n
The in-ear wearable is a first-in-class vital signs sensor that monitors all the key physiological vital parameters and other key health indicators continuously, non-invasively and in a mobile way. The vital parameters can be monitored with high accuracy in a single in-ear device<\/b> in everyday life, without restricting movement. The in-ear-sensor is not only robust but also small, light-weight, non-invasive and convenient to use, even for elderly people. In-ear buds are widely accepted and comfortable to wear \u2013 even during the night. Most importantly, in addition to its superior medical-grade accuracy compared to other wearable vital signs monitors such as wrist devices or skin patches, the in-ear sensor provides highly reliable data collections.<\/p>\n
Furthermore, cosinuss\u00b0 RPM not only will provide the wearable in-ear sensor, but also a whole end-to-end solution directly connecting numerous patients with a healthcare professional. Aligning the monitored patients on the dashboard according to their Deviation Scores<\/b> thus will allow the clinical staff to take care of the patients in need first.<\/p>\n<\/div>Measuring the relevant vital signs<\/h3><\/div>Our cosinuss\u00b0 RPM system is going to continuously evaluate:<\/p>\n<\/div>
- <\/i><\/span>\n
Core body temperature<\/p>\n<\/div><\/li>
- <\/i><\/span>\n
Heart rate<\/p>\n<\/div><\/li>
- <\/i><\/span>\n
Blood oxygen saturation<\/p>\n<\/div><\/li>
- <\/i><\/span>\n
Respiration rate<\/p>\n<\/div><\/li><\/ul>
Caring for the patients who are in need first<\/h3><\/div>The cosinuss\u00b0 RPM will include advanced algorithms<\/b> to automatically calculate the key physiological vital parameters of a patient, based on continuous measurements. It is going to assist the medical staff in decision-making also by calculating a Deviation Score per patient, indicating a level of deviation from medically accepted normal ranges. The medical staff will oversee the health states of numerous patients in real-time on a dashboard<\/b>, provided by the cosinuss\u00b0 Health Platform, and decide whether and for which patient urgent action is necessary (e.g. hospitalization). The cosinuss\u00b0 RPM could be used as a standalone solution or be seamlessly integrated with existing telemedicine solutions worldwide.<\/p>\n<\/div>![\"Visualization](\"https:\/\/www.cosinuss.com\/wp-content\/uploads\/2020\/11\/COS_RMP_Overview_V01.jpg\")
<\/a><\/span><\/div>Fig. 1: Visualization of the cosinuss\u00b0 Remote Patient Monitoring system (under development)<\/em><\/p>\n<\/div>Addressing the current situation: Remote Patient Vital Signs Monitoring for COVID-19<\/h3><\/div>Remote patient monitoring has become even more relevant during the current COVID-19 pandemic. COVID-19-patients are required to stay in home isolation<\/b> unless their health status is deteriorating. These patients could be equipped with a cosinuss\u00b0 in-ear wearable sensor. The measurements will be received via Bluetooth by the data-gateway, which can be a mobile app (cosinuss\u00b0 LabApp) or a stand-alone device (cosinuss\u00b0 Gateway<\/a>) that is capturing and storing the transferred data. Most of the key vital parameters are going to be processed on the wearable itself. The pre-processed data will then be streamed to the cosinuss\u00b0 Server.<\/p>\nThe medical staff will be able to remotely monitor the health status<\/b> of each patient via the cosinuss\u00b0 Health Platform and take early action in case of clinical worsening, while preventing unnecessary patients\u2019 hospital visits. In this way a potential collapse of the healthcare system could be prevented as many people going to an emergency room or seeking doctors could be monitored or treated at home. Therefore, the cosinuss\u00b0 RPM solution aims to enable an optimally working healthcare system<\/b>, by reducing the number and length of hospitalizations. Exposure to the disease and the risk of infection for the medical staff can be minimized. It enhances financial viability and provides objective data for medical research. With our solution, patients will be assigned a more active role in their own treatment: They will learn more about their condition and improve their self-care skills.<\/p>\n<\/div><\/div><\/div><\/div><\/div>The Conclusion<\/h2><\/div>Supporting the healthcare system<\/h3><\/div>Our solution, with the rapid advancement in telemedicine, will create an opportunity that makes healthcare more available and not only the COVID-19 pandemic more manageable by:<\/p>\n<\/div>
- <\/i><\/span>\n
Eliminating unneeded hospitalization<\/p>\n<\/div><\/li>
- <\/i><\/span>\n
Minimizing infection risk for healthcare professionals and patients<\/p>\n<\/div><\/li>
- <\/i><\/span>\n
Improving risk assessment for patients<\/p>\n<\/div><\/li>
- <\/i><\/span>\n
Enabling timely intervention<\/p>\n<\/div><\/li>
- <\/i><\/span>\n
Continuous patient monitoring in home isolation<\/p>\n<\/div><\/li><\/ul>
Stage of Development: Field tested<\/h3><\/div>The cosinuss\u00b0 remote patient monitoring solution has already been successfully tested and deployed in several studies, including at the University Hospital rechts der Isar, Munich (Telecovid<\/a>), at the Gro\u00dfhadern Hospital of the LMU Munich (Digital Monitoring COVID-19<\/a>) and at several other university hospitals in Europe. The focus was on monitoring COVID-19 patients in home isolation as well as during hospitalization. Thanks to the feedback received, we have already been able to optimize our RPM solution and now have a ready-to-use system. Further improvements in usability and algorithms are being implemented on an ongoing basis.<\/p>\n<\/div>Selected references: Use of the cosinuss\u00b0 RPM solution<\/h4>\n\n- Telecovid \u2013 Remote Patient Monitoring for COVID-19<\/a> | Klinikum rechts der Isar M\u00fcnchen \/ 2020 – 2021
\nVerwandte Forschungsarbeiten:<\/p>\n\n- Wurzer D, Spielhagen P, Siegmann A, Gercekcioglu A, Gorgass J, et al.: \u201cRemote monitoring of COVID-19 positive high-risk patients in domestic isolation: A feasibility study<\/a>\u201d. PLOS ONE 16(9), 2021.<\/li>\n
- M. Baldinger, et al.,”TELECOVID: Remote Vital Signs Monitoring of COVID-19 Risk Patients in Home Isolation With an In-Ear Wearable<\/a>” in IEEE Pervasive Computing, vol. 20, no. 02, pp. 58-62, 2021.<\/li>\n<\/ul>\n<\/li>\n
- Digital Monitoring – COVID-19<\/a> | Klinikum Gro\u00dfhadern LMU M\u00fcnchen \/ 2021<\/li>\n
- Telemedicine with objective data \u2013 RPM | University Hospital in Denmark \/ 2021<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><\/div>
High risk of infections in medical facilities<\/h3><\/div>In hospitals there is an increased risk of nosocomial infections with several diseases. In Germany, for example, there are approximately 400.000 to 600.000 nosocomial infections with up to 20.000 deaths per year<\/span>1<\/sup><\/a><\/span> – often caused by
\nmulti-resistant germs. According to a study almost every tenth patient brings dangerous multi-resistant germs into the clinic.<\/span>2<\/sup><\/a><\/span> This is a potential danger not only for patients, but also for the medical staff.<\/p>\n<\/div><\/div><\/div>Limitations due to time-consuming health assessment<\/h3><\/div>In hospitals and medical centers patients can only be treated one after the other due to the limited capacities and available medical staff. For this purpose, a doctor has an average of eight minutes per patient during which, among other measures, he must record the relevant vital parameters and decide on the appropriate next steps. This leads to considerable delays and limitations in treatment of patients.<\/span>3<\/sup><\/a><\/span><\/p>\n<\/div><\/div><\/div>Current telemedicine solutions only provide subjective data<\/h3><\/div>Currently available telemedicine solutions for the actual relief of problems such as risk of nosocomial infections and time-consuming health assessment are limited to subjective, manually entered patient data and video consultation, lacking the essential, objective vital signs data from the patients.<\/p>\n<\/div><\/div><\/div><\/div><\/div>
The Solution<\/h2><\/div>Remote Patient Monitoring with highly accurate In-Ear Sensors<\/h3><\/div>To address these challenges we are currently developing the cosinuss\u00b0 RPM (Remote Patient Monitoring)<\/b> solution, consisting of an in-ear wearable sensor, a gateway (cosinuss\u00b0 LabApp or Gateway) and a server database (cosinuss\u00b0 Server), all developed in-house.<\/p>\n
The in-ear wearable is a first-in-class vital signs sensor that monitors all the key physiological vital parameters and other key health indicators continuously, non-invasively and in a mobile way. The vital parameters can be monitored with high accuracy in a single in-ear device<\/b> in everyday life, without restricting movement. The in-ear-sensor is not only robust but also small, light-weight, non-invasive and convenient to use, even for elderly people. In-ear buds are widely accepted and comfortable to wear \u2013 even during the night. Most importantly, in addition to its superior medical-grade accuracy compared to other wearable vital signs monitors such as wrist devices or skin patches, the in-ear sensor provides highly reliable data collections.<\/p>\n
Furthermore, cosinuss\u00b0 RPM not only will provide the wearable in-ear sensor, but also a whole end-to-end solution directly connecting numerous patients with a healthcare professional. Aligning the monitored patients on the dashboard according to their Deviation Scores<\/b> thus will allow the clinical staff to take care of the patients in need first.<\/p>\n<\/div>Measuring the relevant vital signs<\/h3><\/div>Our cosinuss\u00b0 RPM system is going to continuously evaluate:<\/p>\n<\/div>
- <\/i><\/span>\n
Core body temperature<\/p>\n<\/div><\/li>
- <\/i><\/span>\n
Heart rate<\/p>\n<\/div><\/li>
- <\/i><\/span>\n
Blood oxygen saturation<\/p>\n<\/div><\/li>
- <\/i><\/span>\n
Respiration rate<\/p>\n<\/div><\/li><\/ul>
Caring for the patients who are in need first<\/h3><\/div>The cosinuss\u00b0 RPM will include advanced algorithms<\/b> to automatically calculate the key physiological vital parameters of a patient, based on continuous measurements. It is going to assist the medical staff in decision-making also by calculating a Deviation Score per patient, indicating a level of deviation from medically accepted normal ranges. The medical staff will oversee the health states of numerous patients in real-time on a dashboard<\/b>, provided by the cosinuss\u00b0 Health Platform, and decide whether and for which patient urgent action is necessary (e.g. hospitalization). The cosinuss\u00b0 RPM could be used as a standalone solution or be seamlessly integrated with existing telemedicine solutions worldwide.<\/p>\n<\/div><\/a><\/span><\/div>Fig. 1: Visualization of the cosinuss\u00b0 Remote Patient Monitoring system (under development)<\/em><\/p>\n<\/div>Addressing the current situation: Remote Patient Vital Signs Monitoring for COVID-19<\/h3><\/div>Remote patient monitoring has become even more relevant during the current COVID-19 pandemic. COVID-19-patients are required to stay in home isolation<\/b> unless their health status is deteriorating. These patients could be equipped with a cosinuss\u00b0 in-ear wearable sensor. The measurements will be received via Bluetooth by the data-gateway, which can be a mobile app (cosinuss\u00b0 LabApp) or a stand-alone device (cosinuss\u00b0 Gateway<\/a>) that is capturing and storing the transferred data. Most of the key vital parameters are going to be processed on the wearable itself. The pre-processed data will then be streamed to the cosinuss\u00b0 Server.<\/p>\nThe medical staff will be able to remotely monitor the health status<\/b> of each patient via the cosinuss\u00b0 Health Platform and take early action in case of clinical worsening, while preventing unnecessary patients\u2019 hospital visits. In this way a potential collapse of the healthcare system could be prevented as many people going to an emergency room or seeking doctors could be monitored or treated at home. Therefore, the cosinuss\u00b0 RPM solution aims to enable an optimally working healthcare system<\/b>, by reducing the number and length of hospitalizations. Exposure to the disease and the risk of infection for the medical staff can be minimized. It enhances financial viability and provides objective data for medical research. With our solution, patients will be assigned a more active role in their own treatment: They will learn more about their condition and improve their self-care skills.<\/p>\n<\/div><\/div><\/div><\/div><\/div>The Conclusion<\/h2><\/div>Supporting the healthcare system<\/h3><\/div>Our solution, with the rapid advancement in telemedicine, will create an opportunity that makes healthcare more available and not only the COVID-19 pandemic more manageable by:<\/p>\n<\/div>
- <\/i><\/span>\n
Eliminating unneeded hospitalization<\/p>\n<\/div><\/li>
- <\/i><\/span>\n
Minimizing infection risk for healthcare professionals and patients<\/p>\n<\/div><\/li>
- <\/i><\/span>\n
Improving risk assessment for patients<\/p>\n<\/div><\/li>
- <\/i><\/span>\n
Enabling timely intervention<\/p>\n<\/div><\/li>
- <\/i><\/span>\n
Continuous patient monitoring in home isolation<\/p>\n<\/div><\/li><\/ul>
Stage of Development: Field tested<\/h3><\/div>The cosinuss\u00b0 remote patient monitoring solution has already been successfully tested and deployed in several studies, including at the University Hospital rechts der Isar, Munich (Telecovid<\/a>), at the Gro\u00dfhadern Hospital of the LMU Munich (Digital Monitoring COVID-19<\/a>) and at several other university hospitals in Europe. The focus was on monitoring COVID-19 patients in home isolation as well as during hospitalization. Thanks to the feedback received, we have already been able to optimize our RPM solution and now have a ready-to-use system. Further improvements in usability and algorithms are being implemented on an ongoing basis.<\/p>\n<\/div>Selected references: Use of the cosinuss\u00b0 RPM solution<\/h4>\n\n- Telecovid \u2013 Remote Patient Monitoring for COVID-19<\/a> | Klinikum rechts der Isar M\u00fcnchen \/ 2020 – 2021
\nVerwandte Forschungsarbeiten:<\/p>\n\n- Wurzer D, Spielhagen P, Siegmann A, Gercekcioglu A, Gorgass J, et al.: \u201cRemote monitoring of COVID-19 positive high-risk patients in domestic isolation: A feasibility study<\/a>\u201d. PLOS ONE 16(9), 2021.<\/li>\n
- M. Baldinger, et al.,”TELECOVID: Remote Vital Signs Monitoring of COVID-19 Risk Patients in Home Isolation With an In-Ear Wearable<\/a>” in IEEE Pervasive Computing, vol. 20, no. 02, pp. 58-62, 2021.<\/li>\n<\/ul>\n<\/li>\n
- Digital Monitoring – COVID-19<\/a> | Klinikum Gro\u00dfhadern LMU M\u00fcnchen \/ 2021<\/li>\n
- Telemedicine with objective data \u2013 RPM | University Hospital in Denmark \/ 2021<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><\/div>
In hospitals there is an increased risk of nosocomial infections with several diseases. In Germany, for example, there are approximately 400.000 to 600.000 nosocomial infections with up to 20.000 deaths per year<\/span>1<\/sup><\/a><\/span> – often caused by In hospitals and medical centers patients can only be treated one after the other due to the limited capacities and available medical staff. For this purpose, a doctor has an average of eight minutes per patient during which, among other measures, he must record the relevant vital parameters and decide on the appropriate next steps. This leads to considerable delays and limitations in treatment of patients.<\/span>3<\/sup><\/a><\/span><\/p>\n<\/div><\/div><\/div> Currently available telemedicine solutions for the actual relief of problems such as risk of nosocomial infections and time-consuming health assessment are limited to subjective, manually entered patient data and video consultation, lacking the essential, objective vital signs data from the patients.<\/p>\n<\/div><\/div><\/div><\/div><\/div> To address these challenges we are currently developing the cosinuss\u00b0 RPM (Remote Patient Monitoring)<\/b> solution, consisting of an in-ear wearable sensor, a gateway (cosinuss\u00b0 LabApp or Gateway) and a server database (cosinuss\u00b0 Server), all developed in-house.<\/p>\n The in-ear wearable is a first-in-class vital signs sensor that monitors all the key physiological vital parameters and other key health indicators continuously, non-invasively and in a mobile way. The vital parameters can be monitored with high accuracy in a single in-ear device<\/b> in everyday life, without restricting movement. The in-ear-sensor is not only robust but also small, light-weight, non-invasive and convenient to use, even for elderly people. In-ear buds are widely accepted and comfortable to wear \u2013 even during the night. Most importantly, in addition to its superior medical-grade accuracy compared to other wearable vital signs monitors such as wrist devices or skin patches, the in-ear sensor provides highly reliable data collections.<\/p>\n Furthermore, cosinuss\u00b0 RPM not only will provide the wearable in-ear sensor, but also a whole end-to-end solution directly connecting numerous patients with a healthcare professional. Aligning the monitored patients on the dashboard according to their Deviation Scores<\/b> thus will allow the clinical staff to take care of the patients in need first.<\/p>\n<\/div> Our cosinuss\u00b0 RPM system is going to continuously evaluate:<\/p>\n<\/div> Core body temperature<\/p>\n<\/div><\/li> Heart rate<\/p>\n<\/div><\/li> Blood oxygen saturation<\/p>\n<\/div><\/li> Respiration rate<\/p>\n<\/div><\/li><\/ul> The cosinuss\u00b0 RPM will include advanced algorithms<\/b> to automatically calculate the key physiological vital parameters of a patient, based on continuous measurements. It is going to assist the medical staff in decision-making also by calculating a Deviation Score per patient, indicating a level of deviation from medically accepted normal ranges. The medical staff will oversee the health states of numerous patients in real-time on a dashboard<\/b>, provided by the cosinuss\u00b0 Health Platform, and decide whether and for which patient urgent action is necessary (e.g. hospitalization). The cosinuss\u00b0 RPM could be used as a standalone solution or be seamlessly integrated with existing telemedicine solutions worldwide.<\/p>\n<\/div> Fig. 1: Visualization of the cosinuss\u00b0 Remote Patient Monitoring system (under development)<\/em><\/p>\n<\/div> Remote patient monitoring has become even more relevant during the current COVID-19 pandemic. COVID-19-patients are required to stay in home isolation<\/b> unless their health status is deteriorating. These patients could be equipped with a cosinuss\u00b0 in-ear wearable sensor. The measurements will be received via Bluetooth by the data-gateway, which can be a mobile app (cosinuss\u00b0 LabApp) or a stand-alone device (cosinuss\u00b0 Gateway<\/a>) that is capturing and storing the transferred data. Most of the key vital parameters are going to be processed on the wearable itself. The pre-processed data will then be streamed to the cosinuss\u00b0 Server.<\/p>\n The medical staff will be able to remotely monitor the health status<\/b> of each patient via the cosinuss\u00b0 Health Platform and take early action in case of clinical worsening, while preventing unnecessary patients\u2019 hospital visits. In this way a potential collapse of the healthcare system could be prevented as many people going to an emergency room or seeking doctors could be monitored or treated at home. Therefore, the cosinuss\u00b0 RPM solution aims to enable an optimally working healthcare system<\/b>, by reducing the number and length of hospitalizations. Exposure to the disease and the risk of infection for the medical staff can be minimized. It enhances financial viability and provides objective data for medical research. With our solution, patients will be assigned a more active role in their own treatment: They will learn more about their condition and improve their self-care skills.<\/p>\n<\/div><\/div><\/div><\/div><\/div> Our solution, with the rapid advancement in telemedicine, will create an opportunity that makes healthcare more available and not only the COVID-19 pandemic more manageable by:<\/p>\n<\/div> Eliminating unneeded hospitalization<\/p>\n<\/div><\/li> Minimizing infection risk for healthcare professionals and patients<\/p>\n<\/div><\/li> Improving risk assessment for patients<\/p>\n<\/div><\/li> Enabling timely intervention<\/p>\n<\/div><\/li> Continuous patient monitoring in home isolation<\/p>\n<\/div><\/li><\/ul> The cosinuss\u00b0 remote patient monitoring solution has already been successfully tested and deployed in several studies, including at the University Hospital rechts der Isar, Munich (Telecovid<\/a>), at the Gro\u00dfhadern Hospital of the LMU Munich (Digital Monitoring COVID-19<\/a>) and at several other university hospitals in Europe. The focus was on monitoring COVID-19 patients in home isolation as well as during hospitalization. Thanks to the feedback received, we have already been able to optimize our RPM solution and now have a ready-to-use system. Further improvements in usability and algorithms are being implemented on an ongoing basis.<\/p>\n<\/div>
\nmulti-resistant germs. According to a study almost every tenth patient brings dangerous multi-resistant germs into the clinic.<\/span>2<\/sup><\/a><\/span> This is a potential danger not only for patients, but also for the medical staff.<\/p>\n<\/div><\/div><\/div>Limitations due to time-consuming health assessment<\/h3><\/div>
Current telemedicine solutions only provide subjective data<\/h3><\/div>
The Solution<\/h2><\/div>
Remote Patient Monitoring with highly accurate In-Ear Sensors<\/h3><\/div>
Measuring the relevant vital signs<\/h3><\/div>
Caring for the patients who are in need first<\/h3><\/div>
<\/a><\/span><\/div>Addressing the current situation: Remote Patient Vital Signs Monitoring for COVID-19<\/h3><\/div>
The Conclusion<\/h2><\/div>
Supporting the healthcare system<\/h3><\/div>
Stage of Development: Field tested<\/h3><\/div>
Selected references: Use of the cosinuss\u00b0 RPM solution<\/h4>\n
\n
\nVerwandte Forschungsarbeiten:<\/p>\n\n