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A revolutionary diagnostic kit

With these low cost devises, patients can access specialist medical opinion at low cost

Venkatachari Jagannathan
9 June 2004

Chennai: An electro cardio gram (ECG) test for Rs25? Whats more, an electronic ECG / stethoscope / thermometer / blood pressure / pulse measuring equipments and a software that enables video conferencing / electronic archiving and printing of medical records caan be had for Rs.10,000!

Well that is what the two young and enterprising promoters of the Neurosynaptic Communications (P) Ltd, Sameer S Sawarkar (31) CEO and Rajeev Kumar (32), COO, have done with their sexy five-in-one device, but christened unexcitingly as remote diagnostic equipment. At the market, the traditional equipment would cost around Rs.40,000, all together.

The battery-run device resembling an overgrown television stabiliser, is expected to revolutionalise healthcare delivery in rural areas and also help practicising doctors in managing their clinics.

Though all the measuring equipments look alike their traditional counterparts, the main components of the remote diagnostic equipment are electrodes and probes for ECG, temperature, blood pressure measurement, electronic stethoscope, a headphone for sound capture and the software. The ECG channel comes in two variants — a 5-lead, 7-channel devise and a 10-lead,12-channel piece. Incidentally, the temperature probe is designed to take the body heat under the armpit.

So how does this system work? Imagine a village internet kiosk with a personal computer and a printer. The remote diagnostic equipment is connected to the PC and the required software is loaded. The kiosk PC is then connected to the doctor's PC through a video / audio conferencing facility.

Once a villager comes to the kiosk, he can talk to the doctor via the video / audio conferencing facility. The doctor then activates the remote diagnostic equipment at the kiosk from his PC and advises the kiosk operator to take the patient's temperature (keeping the probe under the armpit). The doctor can see the reading on his computer. The diagram resembles the image that appears whenever we download something from the web.

Similarly, the doctor would advise the kiosk operator to place the stethoscope at the relevant spots and the doctor could hear the lub dub by through a headphone. If an ECG reading is to be taken, the kiosk operator places the leads and the reading is seen on the PC monitor. Likewise, the blood pressure reading could be seen on the monitor screen operating the equipment that looks like traditional equipment.

Finally the doctor makes his diagnosis and types out a prescription, which can be seen on the PC at the kiosk and an output obtained.

The entire process takes the same time as personally seeing the doctor, but at a fraction of the cost. Moreover, this system actually delivers specialist healthcare to the much-neglected rural patients who, till date, have access to only the poorly-managed government healthcare centres.

Explaining the development of the product, Kumar says, "We received valuable inputs from the doctors and others while designing this kit. But we had to keep the target price at Rs10,000."

According to him, the product meets the standard test norms. "We also compared our equipment generated reports with existing machines and got similar results, the doctors too came to the same conclusion."

In addition, the duo was guided by the TeNet group of Indian Institute of Technology, Madras, headed by Dr Ashok Jhunjhunwala. "Dr K Vijayaraghavan, director, National Centre for Biological Sciences, Bangalore, also helped us a lot," he adds.

One of the fears expressed during the design phase was the possibility of a patient getting a shock while using the stethoscope. "So we isolated the stethoscope and other probes from the power unit," he adds. According to him the system is not hungry for bandwidth.

Says Sawarkar, "Initially we will market the kits to the Chiraag Internet kiosks run by n-Logue Communications Pvt Ltd. We are also looking at hospitals, telemedicine players, individual doctors, financial sector players like insurance companies and others."

As it is a low-value, high-volume product, the duo plans to outsource the manufacturing activity. "Once volume picks up we might consider our own facility," remarks Sawarkar. According to him, the first year sales would be around 750 units.

Neurosynaptic Communications is also engaged in developing a solution to enable the blind to 'see'. The eight-member company is send this article to a friend working with National Centre for Biological Sciences and has developed prototypes using patented technologies and discussions are on with eye hospitals to undertake clinical trials.

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A revolutionary diagnostic kit