Updated: Aug 26, 1998
This is the most recent structured information on this project. Complementary data can be found on previous documents
HOMER D Home Rehabilitation Treatment - Dialysis

Overview

Filling the “supervision gap” of this treatment, the HOMER-D project develops, applies and validates novel telematics monitoring services for substantially supporting isolated patients who perform outside-centre haemodialysis treatment. Bi-directional communication links (Euro-ISDN) between a Central Control Station (UNIX workstation with multimedia PC-terminals) which is located in a distant hospital dialysis centre and is available 24-hours per day, and Remote Terminal Units (multimedia PC-terminals) in patients’ sites, enable the remote on-line supervision of each haemodialysis session and the possible intervention by medical/nursing staff.

Purpose and objectives

1. to assist medical/nursing staff at hospital dialysis centre to on-line monitor several haemodialysis machine-related parameters and critical physiological parameters of patients during the session. Instead of the usual follow-up on a monthly basis, medical/nursing staff has the ability to on-line monitor and foresee any potential problem relevant to the complex haemodialysis procedure and the clinical status of patients. Instead of answering patients’ questions by phone occasionally, medical/nursing staff can do this continuously during a session
2. to assist patients and their partners at home or at satellite dialysis centre to receive, through remote terminal units, critical advice by the medical/nursing staff in normal, warning and alarm conditions during a session. This is also enhanced by enabling patients to immediately ask for technical support for maintenance and/or repair of the haemodialysis equipment. The advice is provided by consultative messages in the monitor of remote terminal unit or by phone calls through the ISDN lines.

Results

1. Implementation of central control station and multimedia terminal units installed in the hospital dialysis centre
2. Modifications to existing advanced haemodialysis machine, aiming only at capturing the bi-directional communication requirements
3. Implementation of remote terminal units that are installed in patients’ sites
4. Development of a non-invasive physiological parameters device
5. Development of an autonomous verification box
6. Definition and implementation of scenarios for on-line remote supervision and control of the haemodialysis session
7. User-interface of multimedia terminal units and remote terminal units
8. Integration of implemented services and modules to a unified telematics platform, including laboratory tests for adequate functionality of the industrial prototype
9. Determination of validation criteria
10. Development of training guidelines and tutorial courses for all users of the services
11. Validation in hospital dialysis centres (verification - «clinical approval» phase)
12. Validation in home environment (demonstration - «home approval» phase)

List of deliverables

Year 1

• D.3.1 State-of-the art description of home haemodialysis treatment techniques and equipment (T 0+3, R)
• D.3.2 State-of-the-art description of multimedia and network technology (T 0+3, R)
• D.3.3 Definition of users’ needs (T 0+3, P)
• D.3.4 Specification of architecture and monitoring services (T 0+6, R)
• D.2.1 Achievements from the collaboration activities - Part I (T 0+8, L)
• D.3.5 Definitions and functional specification of operational modes (T 0+8, R)
• D.3.6 Analysis of users’ requirements and specification of architecture - final results (T 0+8, P)
• D.4.6 Implementation of services - preliminary results (T 0+8, R)
• D.5.1 Integration of services - preliminary results (T 0+12, R)

Year 2

• D.4.1 Implementation of alarm service (T 0+14, R)
• D.4.2 Implementation of security service (T 0+14, R)
• D.4.3 Implementation of central control station and remote terminal units (T 0+14 R)
• D.4.4 Implementation of integrated man-machine interface (T 0+14, R)
• D.4.5 Implementation of sensors (T 0+14, R)
• D.4.7 Implementation of services - final results (T 0+15, R)
• D.5.2 Integration of implemented services (T 0+18, R)
• D.5.3 Criteria for validation (T 0+18 , R)
• D.5.4 Communication and infrastructure report of validation regions (T 0+18, R)
• D.5.5 Guidelines for user training (T 0+18, R)
• D.5.6 Clinical approval and verification of the implemented services in hospital environment (T 0+24, R

Year 3

• D.2.3 Achievements from the collaboration activities - Final results (T 0+32, L)
• D.6.1 Demonstration of implemented services to selected home application sites (T 0+32, R)
• D.7.1 Technical performance analysis of the overall architecture (T 0+32, R)
• D.7.2 Social-economic performance analysis of the overall architecture (T 0+32, R)
• D.7.3 Performance analysis of the overall architecture (T 0+32, R)
• D.8.2 Quantitative indicators of usefulness and success (T 0+32, P)
• D.8.3 Final technology implementation plan (T 0+32, R)

List of participants

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