Satellite-supported AR telemedicine service enables specialist care for remote communities
A new telemedicine service, leveraging augmented reality (AR) and satellite communication technology, is already benefiting patients in some of the hardest to reach regions of the globe. TeleAssist was developed by ArVICom and Arspectra in Luxembourg under ESA’s Business Applications and Space Solutions (BASS) programme and offers a ‘hands-free’ solution to healthcare challenges and inequalities.
In rural and remote areas there is limited access to specialised medical resources, with patients relying on the skills of nurses and general practitioners, rather than specialists and diagnostic equipment. Transferring patients to larger hospitals is not always practical or possible, particularly in emergency situations. TeleAssist bridges this gap between urban and rural facilities, providing high-quality healthcare for under-served communities.
Conventional telemedicine devices typically require a range of different information sources but the wearable TeleAssist AR headset combines these in real time. Integrated cameras allow remote experts to see exactlly what the local practicitioners see and do, minimising the risk of misunderstandings. The AR glasses also enable the remote experts to offer real-time guidance during the procedures. Multiple users can connect to the service, allowing it to be used to train medical students or as a platform for knowledge-sharing amongst medical professionals. The video feeds of medical devices can also be connected, allowing the remote practitioner to visualise the various medical images of the procedures remotely.
TeleAssist was piloted in the Czech Republic, Rwanda and Colombia over a 2-month period where it was used for remote medical consultations, treatment guidance and supervision during training. The feedback from the trials was overwhelmingly positive, and participants identified benefits for patients and an increase in the knowledge and skills of local medical staff, improving standards of healthcare in these communities.
In Colombia, the remote expert re-diagnosed a cardiac arrhythmia, resulting in a new, appropriate therapeutical approach and treatment for the patient. The local physician benefited from a learning experience in the correct interpretation of data and other interventions included identifying a missed case of tuberculosis. In Rwanda, the TeleAssist solution enabled guidance on the correct surgical procedures during a caesarean section to control bleeding and minimise infection, and, importantly, training for nursing staff on the organisation of surgical areas to maintain hygiene and reduce risks of infection. TeleAssist was also used successfully in training sessions for paramedics in the Czech Republic.
“Witnessing the positive impact of the TeleAssist system firsthand was both rewarding and moving” said Nina Kejzlarová, Project Manager at Arspectra. “The solution resonated not just with us, but also with the healthcare professionals using it. End-users rated the system an impressive 8.9 out of 10 for its potential to improve patient outcomes. The journey with ESA was incredible. We greatly appreciate their unwavering guidance and support throughout the project.”
Satellite communications (SatCom) underpin the success of the project as it provides reliable connectivity in regions which lack cellular networks or terrestrial infrastructure. SatCom is also more resilient to disruption from natural disasters, infrastructure damage or network congestion. By combining with traditional networks where available, TeleAssist is expanding the reach of telemedicine. Seamless connection is vital in order to provide uninterrupted communication between the medical expert and local providers to enhance patient care.
“TeleAssist is a powerful example of how space and terrestrial technologies can come together to address meaningful challenges” said Christopher Frost-Tesfaye, Business Applications and Partnerships Officer at ESA. “It was a pleasure to support this project which paves the way for the remotest regions to improve healthcare services and patients’ lives.”
Following the success of the pilot projects, ArViCom and Arspectra have increased the scope of TeleAssist to include surgical training and education applications with partner MedTech companies. In parallel, they are making efforts to scale the remote telepresence service to a broader range of developing regions and care services. Other industries have also expressed interest in the service and ArVICom is actively exploring opportunities to adapt TeleAssist for broader commercial applications across various industries.