THE PROBLEM
Cardiovascular diseases are the world's leading cause of death;
they are responsible for some 17.9 million deaths each year, which
represent about 31% of the global mortality. According to the WHO,
this mortality is set to rise to 23.6 million deaths per year by 2030. In
Africa, cardiovascular diseases accounts for around 37% of all
deaths. In Asia and North America, these diseases are responsible for
respectively 33% and 32% of the global mortality. The most affected
region is Europe where they are the source of 40% of deaths. Hypertension and diabetes are the biggest factors of these diseases, which
affect even newborns causing around 125,000 deaths among children
under five every year.
The lack of appropriate medical equipment and the shortage of cardiologists are two factors that contribute significantly to the increase in cardiovascular disease-related deaths in Africa. In Cameroon, for example, there are fewer than 100 cardiologists for a population of over 27 million. These professionals work mainly in large cities, forcing people living in rural areas to move from villages to cities to have their heart checked. This situation seriously compromises cardiac care, with detrimental consequences.
To meet these challenges, we have developed a solution called
CARDIO-PAD.
The Cardio-Pad is a medical equipment that performs electrocardiogram and
telemedicine. The device is mainly composed by a 7-inch touch tablet that
records, process and save up to 12 leads of the heart signal coming from the
patient. The heart signal is acquired through an ECG cable connected to the
tablet and to 10 electrodes fixed on the skin of the patient. The device has a
built-in wireless transmitter that allows transferring the patient data and receiving a diagnosis from a remote cardiologist through Wi-Fi or 3G network.
APPLICATION
A-Cardiac Exam And Real time Monitoring
1- A nurse fixes the 10 electodes of the ECG cable on the skin of the
patient. The cable is connected to the tablet via a sensor box that
allows the cardiopad to record 12-channels of the heart signal.
2 - 6 electodes of the wearable sensor are fixed on the chest of the
athlet , the sensor senses a 3 channels ECG signal that is then
transfered to the tablet via wifi.
3 - The tablet transmits ECG data via GSM to the cardiologist, for a
remote interpretation that can be perfromed using a mobile
application.
B-Mother And child Health
1- A nurse attachs 3 electrodes of the new born sensor on the skin
of the baby who is inside the incubator. The sensor collects 3
channels of ECG signal and transmits it to the Cardio-Pad via
WI-FI.
2- The Cardio-Pad processes the cardiac signal and transmits it in
real time to the mother and the nurse, who can then view it on
their smart watches.
KEY OF SUCCESS
A-Remote diagnosis/telemedicine.
In order to address the problem of shortage of cardiologists,
we have developed a mobile application that allows specialists to
receive and interpret exams carried out in remote hospitals.
How does it work?.
After performing an electrocardiogram exams using the Cardio-Pad,
the nurse transmits the patient's data to a remote cardiologist. The
cardiologist receives a notification of a new exam on his phone, and
then runs the app. The application will then download and display the
data. The specialist select an exam, proceed to interpret, and establish
a diagnosis, which is transferred to the remote hospital where the corresponding exam had been carried out. The nurse in the remote hospital
receives the diagnosis on the Cardio-Pad, and prints it on paper for the
patient or the local doctor.
After many years of research and development, we begun the sales of the product in a Pilot Country, the Cameroon. The Pilot phase that began in 2016 has been a huge success allowing us to reach currently 325 hospitals located in various regions of Cameroon.
The pilot has been done with the support of many local and international partners who essentially funded the purchase of cardio-pad for the benefit of hospitals located in rural areas.
The Italian agency for development cooperation.
The ministry of defense of Cameroon.
The ministry of public health of Cameroon.
ADDAX petroleum Cameroon.
Currently we count more than 155 000 ECG exams that have been performed on patients using the cardio-pad in Cameroon.
NEXT STEP : TRANSITION TO SCALE
The next step is to scale up the project in other countries of Africa and the Middle East by deploying first in Cameroon neighboring countries.This involves acquiring resources in order to produce more devices, and to market the solution in other countries or regions where people face the problem of shortage of cardiologists and where the cardiovascular diseases induced mortality rate is growing. This is the case of countries like RCA, Tchad, Congo, Nigeria, South Africa, Morocco, Libya, Niger, Soudan, Saudi Arabia, Qatar, Syria, Iraq, brasil, Mexico, Madagascar.