Touby Drew
ABSTRACT
The consideration of medical implants as an increasingly important population of isolated agents is a valuable perspective that should not be ignored by the agent community. Implanted Medical Device (IMD) applications are complex, naturally distributed, and could benefit from such attention. This paper explores implantable medical devices and their attributes in an agent context and terminology. It submits that an increasing body of IMDs should be considered agents and that there are opportunities for incorporating these implantable agents into multiagent systems (MAS). This will include: (i) Discussion of several IMDs in traditional agent terms. (ii) Discussion of trends and issues in IMDs related to their potential role in MAS. (iii) Experimental exploration of some potential MAS applications in the problem of medical monitoring. (iv) Broader discussion of the value of framing IMDs and applications involving them in the agent paradigm.
- M. A. Arent and I. A. Sun Microsystems. EP1022035A1: Communication network and devices to be implanted within a subject.Google Scholar
- T. Bachmor, J. Schochlin, and A. Bolz. Transmitting patient and device data via gsm - central management for decentral mobile medical devices. Biomedizinische Technik. Biomedical Engineering, 47(1):346--349, 2002.Google ScholarCross Ref
- A. F. DiMarco. Restoration of respiratory muscle function following spinal cord injury. Review of electrical and magnetic stimulation techniques. Respir Physiol Neurobiol, 147(2--3):273--287, Jul 2005.Google Scholar
- T. Drew and M. Gini. Implantable Medical Devices as Agents and Part of MAS. November 2005.Google Scholar
- L. Fauchier, N. Sadoul, C. Kouakam, F. Briand, M. Chauvin, D. Babuty, and J. Clementy. Potential cost savings by telemedicine-assisted long-term care of implantable cardioverter defibrillator recipients. PACE, 28(2):S255--S259, January 2005.Google ScholarCross Ref
- G. Flammia. The Web: A communication medium for healthcare. IEEE Intelligent Systems, 17(2):88--89, 2002. Google ScholarDigital Library
- H. D. Funke and I. A. Medtronic. Patent: US4987897: Body bus medical device communication system.Google Scholar
- S. D. Harpstead, L. M. Otten, T. R. Prentice, and I. A. Medtronic. Patent: US5697951: Implantable stimulation and drug infusion techniques.Google Scholar
- J. Huang, N. R. Jennings, and J. Fox. An agent architecture for distributed medical care. In ECAI-94: Proceedings of the Workshop on Agent Theories, Architectures, and Languages on Intelligent Agents, pages 219--232, New York, NY, USA, 1995. Springer-Verlag New York, Inc. Google ScholarDigital Library
- V. Koutkias, I. Chouvarda, and N. Maglaveras. Multi-agent system architecture for heart failure management in a home care environment. IEEE Computers in Cardiology, 30(3):383--386, 2003.Google Scholar
- B. Larsson, H. Elmqvist, L. Ryden, and H. Schuller. Lessons from the first patient with an implanted pacemaker: 1958--2001. Pacing Clin Electrophysiol, 26(1 Pt 1):114--124, Jan 2003.Google Scholar
- R. P. Lesser, W. R. S. Webber, Y. Motamedi, Gholam K. and Mizuno-Matsumoto, and T. J. H. U. (Asignee). Patent: US20050149123A1: Techniques using heat flow management, stimulation, and signal analysis to treat medical disorders.Google Scholar
- S. P. Levine, J. E. Huggins, S. L. BeMent, R. K. Kushwaha, L. A. Schuh, E. A. Passaro, M. M. Rohde, and D. A. Ross. Identification of electrocorticogram patterns as the basis for a direct brain interface. J Clin Neurophysiol, 16(5):439--447, Sep 1999.Google ScholarCross Ref
- C. Lewis. Emerging Trends in Medical Device Technology: Home Is Where the Heart Monitor Is. FDA Consumer, May 2001.Google ScholarCross Ref
- N. Maglaveras, G. Gogou, I. Chouvarda, V. Koutakias, I. Lekka, D. Adamidas, C. Karvounis, G. Louridas, and E. Balas. Using contact centers in tele-management and home care of congestive heart failure patients: The CHS experience. IEEE Computers in Cardiology, 29(02):281--284, 2002.Google ScholarCross Ref
- I. Medtronic. Carmel Biosensors Collaborates With Medtronic In Research And Development Of Innovative Biosensors. {Online; accessed 07-Nov-2005}.Google Scholar
- I. Medtronic. Medtronic Initiates "Concerto AT" Study In United States. {Online; accessed 01-February-2006}.Google Scholar
- I. NeuroPace. Implantation and testing of responsive neurostimulator (RNS) system for epilepsy. Annual Meeting of the American Society for Stereotactic and Functional Neurosurgery, May 2003. {Online; accessed 07-November-2005}.Google Scholar
- Z. Obrenovic, D. Starcevic, E. Jovanov, and V. Radivojevic. An agent based framework for virtual medical devices. In AAMAS '02: Proceedings of the 1st International Joint Conference on Autonomous Agents and Multiagent Systems, pages 659--660, New York, NY, USA, 2002. ACM Press. Google ScholarDigital Library
- A. Ohlsson, S. H. Kubo, D. Steinhaus, D. T. Connelly, S. Adler, C. Bitkover, R. Nordlander, L. Ryden, and T. Bennett. Continuous ambulatory monitoring of absolute right ventricular pressure and mixed venous oxygen saturation in patients with heart failure using an implantable haemodynamic monitor: results of a 1 year multicentre feasibility study. European Heart Journal, 22(11):942--954, June 2001. Clinical Trial.Google ScholarCross Ref
- M. E. Pollack. Intelligent Technology for an Aging Population: The Use of AI to Assist Elders with Cognitive Impairment. AI Magazine, 2005.Google Scholar
- E. K. Ritzl, E. H. Kossoff, G. K. Bergey, P. S. Coe, and D. S. Gupta. Complementing the responsive neurostimulator system with a patient operated data transmitter on demand monitoring in the outpatient environment, 2005. {Abstract; accessed 11-Nov-2005}.Google Scholar
- S. J. Russell and P. Norvig. Artificial Intelligence: A Modern Approach. Pearson Education, 2003. Google ScholarDigital Library
- M. H. Schoenfeld, S. J. Compton, R. H. Mead, D. N. Weiss, L. Sherfesee, J. Englund, and L. R. Mongeon. Remote monitoring of implantable cardioverter defibrillators: A prospective analysis. PACE, 27(1):757--763, June 2002.Google Scholar
- J. Van. Remotes keep tab on heart devices: Wireless tracking offers piece of mind. Chicago Tribune, November 2005.Google Scholar
- P. Walter. {Electronic visual prostheses}. Klin Monatsbl Augenheilkd, 222(6):471--479, Jun 2005.Google ScholarCross Ref
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