An IoT architecture for preventive maintenance of medical devices in healthcare organizations

Preemptive Epidemic Information Transmission Model Using Nonreplication Edge Node Connectivity in Health Care Networks

The reliability in medical data organization and transmission is eased with the inheritance of information and communication technologies in recent years. The growth of digital communication and sharing medium imposes the necessity for optimizing the accessibility and transmission of sensitive medical data to the end-users. In this article, the Preemptive Information Transmission Model (PITM) is introduced for improving the promptness in medical data delivery. This transmission model is designed to acquire the least communication in an epidemic region for seamless information availability. The proposed model makes use of a noncyclic connection procedure and preemptive forwarding inside and outside the epidemic region. The first is responsible for replication-less connection maximization ensuring better availability of the edge nodes. The connection replications are reduced using the pruning tree classifiers based on the communication time and delivery balancing factor. The later process is responsible for the reliable forwarding of the acquired data using a conditional selection of the infrastructure units. Both the processes of PITM are accountable for improving the delivery of observed medical data, over better transmissions, communication time, and achieving fewer delays.

Healthcare facilities management: A novel data-driven model for predictive maintenance of computed tomography equipment

BACKGROUND

The breakdown of healthcare facilities is a huge challenge for hospitals. Medical images obtained by Computed Tomography (CT) provide information about the patients' physical conditions and play a critical role in diagnosis of disease. To deliver high-quality medical images on time, it is essential to minimize the occurrence frequencies of anomalies and failures of the equipment.

METHODS

We extracted the real-time CT equipment status time series data such as oil temperature, of three equipment, between May 19, 2020, and May 19, 2021. Tube arcing is treated as the classification label. We propose a dictionary-based data-driven model SAX-HCBOP, where the two methods, Histogram-based Information Gain Binning (HIGB) and Coefficient improved Bag of Pattern (CoBOP), are implemented to transform the data into the bag-of-words paradigm. We compare our model to the existing predictive maintenance models based on statistical and time series classification algorithms.

RESULTS

The results show that the Accuracy, Recall, Precision and F1-score of the proposed model achieve 0.904, 0.747, 0.417, 0.535, respectively. The oil temperature is identified as the most important feature. The proposed model is superior to other models in predicting CT equipment anomalies. In addition, experiments on the public dataset also demonstrate the effectiveness of the proposed model.

CONCLUSIONS

The two proposed methods can improve the performance of the dictionary-based time series classification methods in predictive maintenance. In addition, based on the proposed real-time anomaly prediction system, the model assists hospitals in making accurate healthcare facilities maintenance decisions.

Exploring the Full Potentials of IoT for Better Financial Growth and Stability: A Comprehensive Survey

Cutting-edge technologies, with a special emphasis on the Internet of Things (IoT), tend to operate as game changers, generating enormous alterations in both traditional and modern enterprises. Understanding multiple uses of IoT has become vital for effective financial management, given the ever-changing nature of organizations and the technological disruptions that come with this paradigm change. IoT has proven to be a powerful tool for improving operational efficiency, decision-making processes, overall productivity, and data management. As a result of the continuously expanding data volume, there is an increasing demand for a robust IT system capable of adeptly handling all enterprise processes. Consequently, businesses must develop suitable IoT architectures that can efficiently address these continually evolving requirements. This research adopts an incremental explanatory approach, guided by the principles of the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). A rigorous examination of 84 research papers has allowed us to delve deeply into the current landscape of IoT research. This research aims to provide a complete and cohesive overview of the existing body of knowledge on IoT. This is accomplished by combining a rigorous empirical approach to categorization with ideas from specialized literature in the IoT sector. This study actively contributes to the ongoing conversation around IoT by recognizing and critically examining current difficulties. This, consequently, opens new research possibilities and promotes future developments in this ever-changing sector.

Anomaly prediction of CT equipment based on IoMT data

BACKGROUND

Large-scale medical equipment, which is extensively implemented in medical services, is of vital importance for diagnosis but vulnerable to various anomalies and failures. Most hospitals that conduct regular maintenance have been suffering from medical equipment-related incidents for years. Currently, the Internet of Medical Things (IoMT) has emerged as a crucial tool in monitoring the real-time status of the medical equipment. In this paper, we develop an IoMT system of Computed Tomography (CT) equipment in the West China Hospital, Sichuan University and collected the system status time-series data. Novel multivariate time-series classification models and frameworks are proposed to predict the anomalies of CT equipment. The important features that are closely related to the equipment anomalies are identified with the model.

METHODS

We extracted the real-time CT equipment status time-series data of 11 equipment between May 19, 2020 and May 19, 2021 from the IoMT, which includes the equipment oil temperature, anode voltage, etc. The arcs are identified as labels of anomalies due to their relationship with decreased imaging quality and CT equipment failures. To improve prediction accuracy, the statistics and transformations of the raw historical time-series data segment in the sliding time window are used to construct new features. Due to the particularity of time-series data, two frameworks are proposed for splitting the training and test sets. Then the Decision Tree, Support Vector Machine, Logistic Regression, Naive Bayesian, and K-Nearest Neighbor classification models are used to classify the system status. We also compare our model to state-of-the-art models.

RESULTS

The results show that the anomaly prediction accuracy and recall of our method are 79% and 77%, respectively. The oil temperature and anode voltage are identified as the decisive features that may lead to anomalies. The proposed model outperforms the others when predicting the anomalies of the CT equipment based on our dataset.

CONCLUSIONS

The proposed method could predict the state of CT equipment and be used as a reference for practical maintenance, where unexpected anomalies of medical equipment could be reduced. It also brings new insights into how to handle non-uniform and imbalanced time series data in practical cases.

Deep technology for the optimization of cryostorage

Cryopreservation, for many reasons, has assumed a central role in IVF treatment cycles, which has resulted in rapidly expanding cryopreserved oocyte and embryo inventory of IVF clinics. We aspire to consider how and with what resources and tools "deep" technology can offer solutions to these cryobiology programs. "Deep tech" has been applied as a global term to encompass the most advanced application of big data analysis for the most informed construction of algorithms and most sophisticated instrument design, utilizing, when appropriate and possible, models of automation and robotics to realize all opportunities for highest efficacy, efficiency, and consistency in a process.

Interaction between maintenance variables of medical ultrasound scanners through multifactor dimensionality reduction

BACKGROUND

Proper maintenance of electro-medical devices is crucial for the quality of care to patients and the economic performance of healthcare organizations. This research aims to identify the interaction between Ultrasound scanners (US) maintenance variables as a function of maintenance indicators: US in service or decommissioned, excessive number of failures, and failure rate. Knowing those interactions, specific maintenance measures will be developed to improve the reliability of the US.

RESEARCH DESIGN AND METHODS

Multifactor Dimensionality Reduction (MDR) method was eployed to analyze data from 222 US and their four-year maintenance history. Models were developed based on the variables with the greatest influence on maintenance indicators, where US were classified according to the associated risk.

RESULTS

US with more than one major failure or at least one major component replacement had up to 496.4% more failures than the average. Failure rate increased by up to 188.7% over the average for those US with more than three moderate failures, three replacements, or both.

CONCLUSIONS

This study identifies and quantifies the causes of risk to establish a specific maintenance plan for US. It helps to better understand the degradation of US to optimize their operation and maintenance.

Data-Driven Technologies as Enablers for Value Creation in the Prevention of Surgical Site Infections: a Systematic Review

Despite the advances in modern medicine, the use of data-driven technologies (DDTs) to prevent surgical site infections (SSIs) remains a major challenge. Scholars recognise that data management is the next frontier in infection prevention, but many aspects related to the benefits and advantages of using DDTs to mitigate SSI risk factors remain unclear and underexplored in the literature. This study explores how DDTs enable value creation in the prevention of SSIs. This study follows a systematic literature review approach and the PRISMA statement to analyse peer-reviewed articles from seven databases. Fifty-nine articles were included in the review and were analysed through a descriptive and a thematic analysis. The findings suggest a growing interest in DDTs in SSI prevention in the last 5 years, and that machine learning and smartphone applications are widely used in SSI prevention. DDTs are mainly applied to prevent SSIs in clean and clean-contaminated surgeries and often used to manage patient-related data in the postoperative stage. DDTs enable the creation of nine categories of value that are classified in four dimensions: cost/sacrifice, functional/instrumental, experiential/hedonic, and symbolic/expressive. This study offers a unique and systematic overview of the value creation aspects enabled by DDT applications in SSI prevention and suggests that additional research is needed in four areas: value co-creation and product-service systems, DDTs in contaminated and dirty surgeries, data legitimation and explainability, and data-driven interventions.

Supplementary Information

The online version contains supplementary material available at 10.1007/s41666-023-00129-2.

Risk management of smart healthcare systems: Delimitation, state-of-arts, process, and perspectives

Sensing, communication, computation, and control technologies are facilitating smart healthcare to improve efficiency and effectiveness of medical treatment and care. This study focuses on the risk issues relevant with the adverse events where novel technical systems do not serve as expected. We discuss the unique challenges, define the scope of risk management in healthcare and review the state-of-art research on diverse topics under the framework widely used in risk management. Then, we present a systematic approach to identify the hazards to patients and other asset of interest in the perception, cyber communication, and execution of smart technologies and their operational contexts. We also investigate different methods for scenario, likelihood, and consequence analyses for specifying the risks of adverse events, and categorize the approaches of risk reduction, as the main strategy of treating risks of smart healthcare systems, into four groups of design, operation, organization, and legislation. At the last, the article proposes some research perspectives responding to the developing trend of smart healthcare.

Intelligent Predictive Maintenance (IPdM) in Forestry: A Review of Challenges and Opportunities

The feasibility of reliably generating bioenergy from forest biomass waste is intimately linked to supply chain and production processing costs. These costs are, at least in part, directly related to assumptions about the reliability and cost-efficiency of the machinery used along the forestry bioenergy supply chain. Although mechanization in forestry operations has advanced in the last 20 years, it is evident that challenges remain in relation to production capability, standardization of wood quality, and supply guarantee from forestry resources because of the age and reliability of the machinery. An important component in sustainable bioenergy from biomass supply chains will be confidence in consistent production costs linked to guarantees about harvest and haulage machinery reliability. In this context, this paper examines the issue of machinery maintenance and advances in machine learning and big data analysis that are contributing to improved intelligent prediction that is aiding supply chain reliability in bioenergy from woody biomass. The concept of “Industry 4.0” refers to the integration of numerous technologies and business processes that are transforming many aspects of conventional industries. In the realm of machinery maintenance, the dramatic increase in the capacity to dynamically collect, collate, and analyze data inputs including maintenance archive data, sensor-based monitoring, and external environmental and contextual variables. Big data analytics offers the potential to enhance the identification and prediction of maintenance (PdM) requirements. Given that estimates of costs associated with machinery maintenance vary between 20% and 60% of the overall costs, the need to find ways to better mitigate these costs is important. While PdM has been shown to help, it is noticeable that to-date there has been limited assessment of the impacts of external factors such as weather condition, operator experiences and/or operator fatigue on maintenance costs, and in turn the accuracy of maintenance predictions. While some researchers argue these data are captured by sensors on machinery components, this remains to be proven and efforts to enhance weighted calibrations for these external factors may further contribute to improving the prediction accuracy of remaining useful life (RUL) of machinery. This paper reviews and analyzes underlying assumptions embedded in different types of data used in maintenance regimes and assesses their quality and their current utility for predictive maintenance in forestry. The paper also describes an approach to building ‘intelligent’ predictive maintenance for forestry by incorporating external variables data into the computational maintenance model. Based on these insights, the paper presents a model for an intelligent predictive maintenance system (IPdM) for forestry and a method for its implementation and evaluation in the field.

Ubiquitous Health Technology Management (uHTM)

The COVID-19 pandemic increased the need for distributed and ubiquitous health technology management. The eminent risk of Sars-CoV-2 contamination when visiting a health care establishment requires an efficient allocation of the technical team. The equipment problems should be quickly identified and fixed to keep the facility working at its full condition. This article presents a solution to perform remote real-time analysis of primary health care technology behavior, detecting and diagnosing the failures to create predictive maintenance plans. The project uses feature engineering to adapt regular machine learning algorithms to multiclass classification of time series data. The methodology was applied to a dental air compressor. It includes data collection, analysis, and exhibition. The model verified the IBM Watson and the Microsoft Azure Machine Learning Studio with the algorithms of neural networks, logistic regression, decision jungle, and decision forest, which was the most suitable one. The transformation performed in the data considered the influence of time in the read values to obtain a more efficient result in the platform. The solution integrated data collected by the sensors with the cloud using an Internet of Things architecture, a web service, and python scripts to exhibit the outcomes on the computer screen. Therefore, the model performs notification and identification of health technology failures, supporting the decision-making process of ubiquitous management in clinical engineering.

Predictive Maintenance (PdM) Structure Using Internet of Things (IoT) for Mechanical Equipment Used into Hospitals in Rwanda

The success of all industries relates to attaining the satisfaction to clients with a high level of services and productivity. The success main factor depends on the extent of maintaining their equipment. To date, the Rwandan hospitals that always have a long queue of patients that are waiting for service perform a repair after failure as common maintenance practice that may involve unplanned resources, cost, time, and completely or partially interrupt the remaining hospital activities. Aiming to reduce unplanned equipment downtime and increase their reliability, this paper proposes the Predictive Maintenance (PdM) structure while using Internet of Things (IoT) in order to predict early failure before it happens for mechanical equipment that is used in Rwandan hospitals. Because prediction relies on data, the structure design consists of a simplest developed real time data collector prototype with the purpose of collecting real time data for predictive model construction and equipment health status classification. The real time data in the form of time series have been collected from selected equipment components in King Faisal Hospital and then later used to build a proposed predictive time series model to be employed in proposed structure. The Long Short Term Memory (LSTM) Neural Network model is used to learn data and perform with an accuracy of 90% and 96% to different two selected components.

Learning Models for Concept Extraction From Images With Drug Labels for a Unified Knowledge Base Utilizing NLP and IoT Tasks

The evolution of humankind is through the exchange of information and extraction of knowledge from available information. The process of exchange of the information differs by the probability of the medium through which the information is exchanged. The Internet of things (IoT) contains millions of devices with sensors simultaneously transferring real time information to devices as rapid streams of data that need to be processed on the go. This leads to the need for development of effective and efficient approaches for segregating data based on class, relatedness, and differences in the information. The extraction of text from images is performed through tesseract irrespective of the language. SCIBERT models to extract scientific information and evaluating on a suite of tasks specially in classifying drugs based on free data (tweets, images, etc.). The images and text-based semantic similarity analysis provide similar drugs grouped together by composition or manufacturer.

Smart Health and Safety Equipment Monitoring System for Distributed Workplaces

This paper presents a design and prototype of an IoT-based health and safety monitoring system using MATLAB GUI. This system, which is called the Smart Health and Safety Monitoring System, is aimed at reducing the time, cost and manpower requirements of distributed workplaces. The proposed system is a real-time control and monitoring system that can access on-line the status of consumable devices in the workplace via the internet and prioritise the critically high location that need replenishing. The system dynamically updates the status of all location, such as first aid boxes, earplug dispensers and fire extinguishers. Simulation results of the proposed system gives shorter path, time and cost in comparison to manual maintenance systems.

IoMT Platform for Pervasive Healthcare Data Aggregation, Processing, and Sharing Based on OneM2M and OpenEHR

Pervasive healthcare services have undergone a great evolution in recent years. The technological development of communication networks, including the Internet, sensor networks, and M2M (Machine-to-Machine) have given rise to new architectures, applications, and standards related to addressing almost all current e-health challenges. Among the standards, the importance of OpenEHR has been recognized, since it enables the separation of medical semantics from data representation of electronic health records. However, it does not meet the requirements related to interoperability of e-health devices in M2M networks, or in the Internet of Things (IoT) scenarios. Moreover, the lack of interoperability hampers the application of new data-processing techniques, such as data mining and online analytical processing, due to the heterogeneity of the data and the sources. This article proposes an Internet of Medical Things (IoMT) platform for pervasive healthcare that ensures interoperability, quality of the detection process, and scalability in an M2M-based architecture, and provides functionalities for the processing of high volumes of data, knowledge extraction, and common healthcare services. The platform uses the semantics described in OpenEHR for both data quality evaluation and standardization of healthcare data stored by the association of IoMT devices and observations defined in OpenEHR. Moreover, it enables the application of big data techniques and online analytic processing (OLAP) through Hadoop Map/Reduce and content-sharing through fast healthcare interoperability resource (FHIR) application programming interfaces (APIs).