Doctor Q&A startup HealthTap raises $24M from Khosla

By: Brian Dolan | May 8, 2013        

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healthtapSan Francisco-based HealthTap announced this week that it had raised $24 million in its second round of funding. Khosla Ventures led the investment with return backers Mayfield Fund and Mohr Davidow Ventures contributing, too. As part of the deal, Khosla Venture’s Keith Rabois and former Square COO will join HealthTap’s board of directors. Vinod Khosla will join as an advisor, too.

HealthTap’s core offering is a question and answer platform that helps users find health information written by physicians — both online and through the mobile apps. It has also added physician ratings and a data insights feature that helps users better understand doctors’ referral patterns to find doctors their doctors trust.

HealthTap now counts more than 38,000 physicians as part of its network — marking a near quadrupling over the past year, the company says. It also claims that it serves “tens of millions of people worldwide” through its website and apps.

HealthTap plans to use the funds to build out its web and mobile offerings and build out its team.

“In its current state, our healthcare system is expensive, difficult to access, and error prone,” Vinod Khosla, founder of Khosla Ventures stated. “The future of healthcare is at the confluence of big data, smart algorithms, and simple-to-use interfaces that will provide amplification of our MD’s resources: HealthTap is breaking ground in all three, and we’re excited to help them make their compelling vision a transformative reality.”

At the mHealth Summit last year Khosla made a number of provocative statements about healthcare:

“The right way to look at it is to say ‘How does innovation happen and how do very large systems like the healthcare system change?’ Most of the time change comes from the outside. Not the inside where there are too many vested interests, too many people with very good intentions who have too much experience to be unbiased,” Khosla said at the time. “They are not naive enough to ask naive questions. The answers have changed because of the circumstances — because of technology. Healthcare innovation will be consumer-driven not doctor-driven. It will be driven by devices that power the consumer to have better data about themselves.” Khosla was quick to point out that technology is an important component but not the only one: “It is necessary but not sufficient.”

Since the beginning of last year, Khosla Ventures has made a number of investments in digital health companies, including Ginger.io, Cellscope, AliveCor, and Misfit Wearables.

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Nonin debuts Bluetooth 4 pulse oximeter

By: Jonah Comstock | May 8, 2013        

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Nonin 3230 Pulse OximeterAt the American Telemedicine Association in Austin Texas, Nonin showed off its newest product, the Nonin 3230 Bluetooth Smart-enabled pulse oximeter. The product is still awaiting FDA 510(K) clearance, but the product is on track to be the first wireless pulse oximeter to use the low energy communication protocol, also known as Bluetooth 4 or Bluetooth LE.

The device is worn on the fingertip with a display built in that shows the user’s blood oxygenation. Bluetooth Smart will allow the device to pair more quickly and easily with connected hubs and apps, have a longer battery life, and be offered at a lower cost.

Early last month, IMS Research projected that Bluetooth Smart would boom in the health sensor market, covering more than 50 percent of the market by 2016, with 5.7 million shipments.

Like Nonin’s existing Bluetooth pulse ox, the Onyx II, the 3230 will likely be offered only via Nonin’s partners and not directly to consumers, a spokesperson for the company told MobiHealthNews. Nonin’s partners that employ the device in remote patient monitoring and telemedicine include Bosch, GE Intel Care Innovations, and Qualcomm Life.

Nonin told MobiHealthNews the company expected the device to receive FDA clearance by late August or early September. The company also expects to get Continua certification for the new device. Nonin’s previous Bluetooth pulse ox was the first product to ever be certified by the Continua Health Alliance, back in 2009.

Nonin has high profile partners and looks to have a leg up on Bluetooth Smart, but the company has seen a rise in competition for its core offering in recent months, with iHealth announcing a Bluetooth pulse ox at CES and Masimo introducing a consumer-marketed connected pulse oximeter last December.

Five reasons virtual doctor visits might be better than in-person ones

By: Jonah Comstock | May 8, 2013        

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Vidyo Healthcare PhilipsIn relatively few years, videoconferencing has advanced tremendously, from something that required expensive and complicated hardware setups to something most smartphone, tablet, and PC owners have easy access to. Using video for virtual visits in healthcare is a little more complicated — the connection has to be reliable and the service HIPAA compliant to protect patient medical information — but nonetheless virtual visits are gaining popularity as a new way to deliver healthcare.

Becky Wai, a spokesperson for online video service VSee, told MobiHealthNews on the sidelines of the American Telemedicine Association (ATA) meeting in Austin this week, that of the 900 million doctor visits that took place in the US in the last year, about 50 percent of them could have been done remotely.

Of course, virtual visits can’t do everything that a doctor can do in-person. But in the average primary care checkup, a patient sees a doctor for about 7 minutes. In that context, it’s not hard to see the advantage of cutting out the extra time and making the most of a short visit. Many speakers at ATA said that virtual visits aren’t just a “good-enough” replacement for when a “real” visit isn’t possible. In many ways, virtual visits are actually superior. Keep reading>>

At ATA, optimism is high amidst many challenges

By: Jonah Comstock | May 8, 2013        

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Dr. Reed Tuckson

Dr. Reed Tuckson

While attending the American Telemedicine Association (ATA) meeting in Austin, Texas this week, Dr. Andrew Watson, a colorectal surgeon and executive director of telemedicine at the University of Pittsburgh Medical Center, stumbled across a petting zoo. His young daughter wasn’t with him, but he wished she was. Luckily, he was in a telemedicine mindset.

“I took my daughter on a tour of the petting zoo via FaceTime on my iPad this morning,” he told the crowd at ATA. “Who knows what the point of care is anymore? But it’s certainly not in the offices and the ERs and the ORs. It’s going to be in the home and in the cloud.”

Video visits, remote monitoring, and better data integration are moving us into a world where we don’t think of distance as an impediment to care. And many of the stories told at ATA were stories about scaling telemedicine to meet the growing needs of hospitals to cut costs and reduce readmissions. But medical practices implementing telemedicine still face challenges around licensure, reimbursement, and regulation, as well as challenges about how best to implement and scale their programs.

“The average American is looking to you to deliver on the promise of telemedicine,” Dr. Reed Tuckson, former executive vice president of UnitedHealth Group said at the event. “We have so much illness that is washing over  us. We are living longer, but what we are living longer with is chronic illness, which comes earlier in our lives. So we’re living sicker, earlier.” Keep reading>>

Apple’s picks for top 42 iPhone fitness apps

By: Brian Dolan | May 8, 2013        

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Top iPhone Fitness AppsOver the past year connected fitness devices — activity trackers and sensor-laden wearables — have consistently made headlines. By far the largest company working in wearable fitness devices, Nike, which offers the wrist-worn FuelBand, recently announced the first class of startups accepted into its Nike+ accelerator. The company aims to build an ecosystem of apps around its Nike Fuel platform and, in the process, to increase loyalty among users of its FuelBand device. Jawbone, which is the next largest company working on fitness wearables like its UP device, made a big move last week by acquiring longtime health sensor company BodyMedia for an undisclosed sum. Fitbit just commercially launched its latest activity tracking device, Fitbit Flex, this week. Misfit Wearable’s first generation Shine device is set to ship next month and Basis has the next batch of Basis Bands in-stock and for sale again, too.

While all of these devices connect back to companion smartphone apps and online dashboards (some more easily than others, of course), the smartphone itself is still a very capable piece of sensor-equipped hardware in its own right. Fitness apps abound for iPhone and Android users.

Apple sells many self-tracking devices both online and at its brick-and-mortar stores, but judging by the 42 apps that Apple hand-picked to feature in its “Let’s Get Moving” section of the iTunes AppStore, the company is clearly rooting for the fitness apps that don’t require any additional hardware, too. In fact, not a single companion app for a dedicated health tracker device is featured among the activity tracking apps that Apple highlights in this AppStore section.

Apple divides its “Let’s Get Moving” section into a few key subcategories: Top iPhone Workout apps — mostly for lifting weights and other in-place type exercise routines; Top iPhone Running apps; Top iPhone Cycling apps; Top iPhone Swimming apps; Top iPhone Walking apps; and Top iPhone Yoga apps. Notably, many of the “walking” apps have tracking capabilities for running and cycling, too, as do some apps in the “running” category. Many of the more popular activity tracking apps aim to track more than just one type of activity.

While there’s plenty of excitement around dedicated health and fitness tracking devices, Apple’s software-only list of standalone fitness apps is a good reminder that the smartphone can track most activities without the help of peripheral fitness devices.

In the pages to follow is MobiHealthNews’ guide to Apple’s list of top iPhone fitness apps along with a few screenshots, a short description, links, and pricing information. Skip ahead to app categories using these links: Workout Apps; Running Apps; Cycling Apps; Swimming Apps; Walking Apps; Yoga Apps.

Keep reading>>

Three April FDA clearances for smartphone-enabled diabetes devices

By: Brian Dolan | May 8, 2013        

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GlookoLast month the US Food and Drug Administration gave three medical devices 510(k) Class II clearances that aim to help people with diabetes better manage their condition via glucose meters that connect to apps on smartphones and tablet devices.

Palo Alto, California-based Glooko received its second 510(k) clearance for glucose monitoring logbook app and cable that connects various off-the-shelf meters to iPhones. The newly cleared app now includes the option for users to set goals to motivate healthy lifestyle choices. The five goals that can be added are limited to: Test blood glucose regularly; sync meter more often; keep readings within range; add meal tags to readings; and exercise more often.

Notably, with this second clearance the company also added a login credential feature to protect sensitive health information from unauthorized access during transmission. According to the company, now all data on the Glooko network is protected using the Secure Sockets Layer (SSL)protocol. Glooko also now forces the https:// standard for all mobile and web communication features, all data in the Glooko system is encrypted end-to-end using 256-bit Advance Encryption Standard (AES) encryption for message data both intransmission and storage.

Salem, New Hampshire-based AgaMatrix received an amendment to its 510(k) clearance from the FDA for its smartphone-enabled blood glucose meter, iBGStar, which has the distinction of being the first glucose meter with FDA clearance to directly plug into the iPhone. The iBGStar now can connect to the iPhone 5 and iPod touch 5th generation via an adapter or a connecting cable that allows it to connect to Apple’s new Lightning connector, which replaced the old 30-pin connector dock Apple has since phased out.

San Francisco-based iHealth Labs, which is a subsidiary of China-based medical device company Andon Health, also secured another 510(k) for its iHealth Glucose Meter device. The company first revealed the smartphone-enabled blood glucose meter at the Consumer Electronics Show (CES) in Las Vegas in January 2012, where it displayed the tiny glucometer connected to both an iPad and an iPhone via the old 30-pin connector the legacy iOS devices use. iHealth’s initial FDA clearance for the glucose meter described the device as having to physically connect to an iPhone or iPod touch to “complete its function”, but the new 510(k) clearance describes it as connecting to those devices along with the iPad via Bluetooth. iHealth’s companion app for the device is called iHealth Gluco-Smart, which works on iOS devices ranging from the iPhone 3GS to the iPhone 5.

The Wireless vital signs monitor (WVSM) from Athena GTX also secured a 510(k) clearance from the FDA during April. This device is meant to be used as a remote patient monitor for adult patients, and it includes: “a single or multi-parameter vital signs monitor for EGG, noninvasive blood pressure (NIBP) and SpO2.” The devices uses a wireless connection to transmit data to a handheld device or PC. It is only meant to be used by trained healthcare providers.