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    March 15, 2012
    By Eric Wicklund, Editor, mHIMSS
    An Australian company is moving forward with
    sensor-based technology that would turn the
    smartphone into a device for measuring breathing
    problems such as asthma, cardio obstructive
    pulmonary disease (COPD) and even obstructive
    sleep apnea.
    iSonea is parlaying its Acoustic Respiratory
    Monitoring (ARM) technology into a number of
    devices and software systems that the company
    hopes to launch next year in the United States. The
    first such device will target those with asthma, a
    condition that affects more than 300 million
    worldwide and represents about $16 billion in healthcare costs each year in the United States.
    “Uncontrolled asthma is a really costly and dangerous thing,” said Michael Thomas, the
    company’s CEO.
    Originally known as KarmelSonix, the company launched the WheezoMeter personal monitoring
    device in Australia, which has one of the highest prevalence rates of asthma in the world. The
    company has since rebranded, opened an office in Maryland and commenced trading on the
    OTCQX International marketplace in the United States. It also recently announced a partnership
    with San Diego-based Qualcomm Life to deploy its technology on Qualcomm’s 2net platform.
    According to Thomas and Michael Cheney, the company’s vice president of marketing, the next
    generation of the WheezoMeter will include a sensor that plugs into a smartphone’s earphone
    jack and allows the user to measure “turbulent sounds” in the lungs. That information is
    processed by AsthmaSense analysis software contained in the smartphone and transmitted to a
    secure, cloud-based server, from which both the patient and the physician can review the data to
    determine disease severity. The software can also trigger alerts in the event of an imminent
    asthma attack.
    “You can think of this as an asthma security service,” said Thomas. “It allows (asthma sufferers
    and their healthcare providers) routine regular monitoring in life settings, throughout the day.”
    Thomas and Cheney say the development of newer and more sophisticated mobile healthcare
    tools and technology, combined with the explosive growth of the smartphone market, will help
    asthma sufferers and others ¬– including those with cystic fibrosis and gastroesophageal reflux
    disease – better manage their chronic conditions.
    While measuring the “wheeze rate,” Thomas said, the software will also be able to pinpoint the
    patient’s location and measure atmospheric conditions such as the pollen count and ozone level –
    all factors that can be used by the physician and patient to manage the patient’s health.
    “Central to this fundamental shift is the need for more effective and immediate communication
    between physicians and patients, to influence behavior and decisions that will shape the
    outcomes and management of chronic conditions,” company officials wrote in their FY2012 Half
    Year Report (ending Dec. 31, 2011). “In the case of asthma, the goals of improved
    communication would be to help patients adhere to medication plans, increasing their awareness
    of environmental or activity triggers, remembering to monitor their breathing symptoms
    regularly, and participating with their physician in the adjustment of their asthma action plan.”
    “Technology pioneers such as iSonea have the potential to replace inefficient and expensive
    communication methods with more cost effective and immediate mobile health platforms,
    increasing the connectivity between providers and patients – providing real-time relevant
    information to both the patient and the physician that can shape decisions that will impact the
    outcomes and the cost of treatment decisions,” the report concluded.
    Just this week the company was issued a U.S. patent for its cough detector, an ultrasound-based
    sensor that fits against a patient’s neck and detects coughs. The sensors detect low-frequency
    mechanical vibrations in the tracheal area, measuring and tracking coughing severity and
    duration.
    To date, more than 15 patents have been issued for the company’s technology.
    Thomas said iSonea will market to physicians and other providers but expects more success in
    the direct-to-consumer market. He said the first products will target asthma, COPD and
    obstructive sleep apnea, which is growing at two to three times the rate of asthma.
    ‘Better managing leads to more aware patients,” he said.
 
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