Tag Archives: healthcare

What is the latest monitoring system from Rotronic? A practical answer and a technical answer.

The Rotronic Monitoring System (RMS) has now been officially launched globally for 12 months and in use at some key clients for over two years.

RMS is a modern continuous monitoring system that embraces open architecture and interoperability as well as providing a compliant system for validated applications.

But how is this achieved and what exactly is RMS. There are two ways I find myself answering this…

  • The technical answer – for IT project managers, system integrators and cyber security managers.
  • The practical answer – for end users, project managers and smaller organisations.

What is RMS – The Practical Answer…

The practical answer is more visible via our online demonstration (request guest access here) and via the details on our RMS satellite website.

In short RMS provides a modern and complete monitoring system with a detailed web interface. The system provides users with ease of access to data, reliable and manageable alarms and extensive reporting. Importantly RMS can support existing hardware and interact with other software/hardware platforms.

RMS can be provided as a hosted cloud service or using a traditional licence whereby the client installs the system on their servers (local or cloud).

In summary RMS provides amongst other things…

  • Live interactive charts
  • Full reporting and automated/scheduled report generation
  • Complete event logging in line with GxP requirements
  • Full alarming with logic and time schedules
  • Email, phone, sms, relay and custom protocol alarm outputs
  • Auto back fill and retrospective alarms (ideal for transport logging)
  • Interactive layouts
  • Complete user rights management
  • Compliant to GxP designed around ease of validation

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Core RMS hardware includes Ethernet, WiFi, industrial wireless and RS485 devices as well as full support for existing Rotronic devices, 3rd party analogue devices and 3rd party digital devices using any of the above interfaces. The below graphic outlines the wide range of options available.

06 RMS Graphic

Contact us for further information or visit our website

What is RMS – The Technical Answer…

Let’s now go a bit deeper. For many organisations once end-users approve of a system the challenge is getting the system approved and installed in line with wider corporate policies and security. So far we have found that in discussions with IT project managers and cyber security managers, RMS has met their requirements – usually much to the surprise of the end users who perhaps initially expect a protracted battle! Typically for larger more secure organisations software is required to be installed within their network rather than using the Rotronic Cloud service. Below we discuss the main elements of this type of RMS installation.

RMS has two core elements.

1. Webservice; This is software aspect of RMS. The webservice provides the interactive webpage to present data for end users and allow system configuration. The webservice also works in the background to interact with hardware and the database. Typically the webpage will be part of the local intranet with an address like rms.yourorganisation.com, optionally the webpage can also be made accessible from the internet outside your organisation (like our cloud service which is available at http://rms.rotronic.com/rms – request guest access to the demo system here). For the clients (end users) no special software or plugins are required just a standard web-browser.

More technically the RMS webservice is built around ASP.Net framework and runs under Windows IIS (internet information services). The webservice therefore requires a Windows Server (2008, 2012 or 2016). The RMS software can be run on a standard PC with IIS enabled but this is not usually advised except for specific applications.

A note on RMS hardware; All Rotronic hardware initiates communication with the webservice via port 80. For cloud applications this means only port 80 must be opened outbound to allow the devices to initiate outbound communications to the server. All gateways have standard IP configurations (DHCP or fixed).

2. SQL Database; The second part of the RMS is its database. All device, configuration, user and measured data is stored within a standard MS-SQL database. The database is accessed by the webservice to store and read data as required. An existing SQL server can be used if available otherwise SQL-Express is free to install.

More technically the RMS database requires Microsoft-SQL Express or higher, the database can be on the same server as the webservice or a separate machine.

As RMS is built around standard server based systems, there is full support for load balancing and failover, as such should a webserver or sql server fail a redundant/spare can take over. This is standard procedure for larger IT systems.

Some other technical points about RMS.

  • Supports LDAP (so you can use windows login and password)
  • No personal data stored outside SQL database (hardware only stores unique serial code, date, time and measured values – as such no private data passes between hardware and software).
  • Webpage data is binary coded and authentication uses AES128 encryption.
  • Key exchange uses diffie-hellman key alogrithm.
  • 3rd party data / device support is possible via RESTful API or direct interaction with SQL database.

An overview of the RMS communication can be seen here.

08 RMS Communication

For many projects clearly we go much deeper but hopefully this provides an overview. Our experience to date has shown that RMS is closely inline with what our clients expect in terms of operations and security. Further developments are always underway, lead by our customers and their requirements.

Please contact us if you wish to discuss a project or gather further information.

Dr Jeremy Wingate
Rotronic UK

Importance of Monitoring and Controlling Temperature and Humidity in Hospitals

Control of Temperature and Humidity in Hospitals

Temperature and relative humidity affects the airborne survival of viruses, bacteria and fungi. Thus environmental control in hospitals  is important because of infectious disease transmission from the aerosol or airborne infection.

Environmental exposure is a common hazard for all such organisms (whether viruses, bacteria or fungi) during this journey between hosts. Factors such as temperature, humidity (both relative and absolute), sunlight (ultraviolet light) exposure and even atmospheric pollutants can all act to inactivate free-floating, airborne infectious organisms.

hosp

Maintaining hospital premises at a certain temperature and a certain relative humidity (%rh), likely to reduce the airborne survival and therefore transmission of influenza virus. Temperature and RH settings in different parts of a hospital differ slightly between summer and winter.  In summer, the recommended room temperatures range from 23°C-27°C in the ER (emergency room), including in-patient and out-patient areas, as well as X-ray and treatment rooms and offices. The corresponding recommended RH is fairly constant throughout the hospital, between 50- 60%rh. In winter, the recommended temperatures are generally slightly lower, ranging from 20°C in some in-patient and out-patient areas, as well as offices, up to 24°C -26°C in in-patient and out-patient areas.

 

The recommendations for the newborn baby and the hydrotherapy treatment rooms are higher at 27°C –28°C. Again, the corresponding recommended range of RH is fairly constant, but slightly lower than for summer, ranging from 40%rh -50%rh, but up to 55%rh–60%rh for more critical areas, such as operating theatres and recovery, the intensive care unit and childbirth/delivery suites.

Temperature is one of the most important factors affecting virus survival, as it can affect the state of viral proteins and the virus genome. Virus survival decreases progressively at 20.5°C –24°C then < 30°C temperatures. This relationship with temperature held throughout humidity range of 23%rh- 81%rh.

Facts & figures:
RH (expressed in percentage) describes the amount of water vapor held in the air at a specific temperature at any time, relative to the maximum amount of water vapor that air at that temperature could possibly hold.

At higher temperatures, air can hold more water vapor, and the relationship is roughly exponential—air at high temperatures can hold much more water vapor than air at lower temperatures.

virus

Why do we need to measure relative humidity?

Virus: The survival of viruses and other infectious agents depends partially on levels of RH. At a temperature of 21°C, influenza survival is lowest at a mid-range 40%rh–60%rh. It is also important to note that temperature and RH will always interact to affect the survival of airborne viruses in aerosols.

At High temperatures < 30°C and at high RH <  50%rh may reduce the survival of airborne influenza virus.

Bacteria : For bacteria, the effect of carbon monoxide (CO), enhanced the death rate at less than 25%rh, but protects the bacteria at higher RH ~ 90%rh.

Temperatures above about 24°C appear to universally decrease airborne bacterial survival.

Fungi: Ventilation systems controlling Temperature and Humidity have a significant effect on indoor levels of airborne fungi, with air-handling units reducing, but natural ventilation and fan-coil units increasing the indoor concentrations of airborne fungi.

Dehumidification as well as HEPA filtration can be used to improve indoor air quality.

Different airborne infectious agents (i.e. viruses, bacteria and fungi) will have differing conditions under which they may be optimally suppressed; it will need to be decided which airborne pathogen poses the most risk to patients and staff alike in hospitals.

Thus, in reducing infectious disease transmission specific environmental control of temperature and humidity is vital for hospitals and healthcare premises.

Rotronic can offering a complete system for hospital measurement applications: a proven system that enables healthcare facilities to control and monitor their conditions and remain in conformance with internal or regulatory guidelines.

With the combination of both analogue outputs, controlling the air-conditioning, and digital outputs, linked up to the Rotronic HW4 monitoring software, end users have a clear overview of conditions.

Dr. Jeremy Wingate
Rotronic UK