Wireless Medical Telemetry Service

Last updated

Wireless Medical Telemetry Service (WMTS) is a wireless service specifically defined in the United States by the Federal Communications Commission (FCC) for transmission of data related to a patient's health (biotelemetry). It was created in 2000 because of interference issues due to establishment of digital television. The bands defined are 608-614 MHz, 1395-1400 MHz and 1427-1432 MHz. Devices using these bands are typically proprietary. Further, the use of these bands has not been internationally agreed to, so many times devices cannot be marketed or used freely in countries other than the United States.

Contents

Because of this, in addition to WMTS, many manufacturers have created devices that transmit data in the ISM bands such as 902-928 MHz, and, more typically, 2.4-2.5 GHz, often using IEEE 802.11 or Bluetooth radios.

FCC statements

There is an FCC statement on coexistence [1] of WMTS in various frequency bands.

Prior to the establishment of the WMTS, medical telemetry devices generally could be operated on an unlicensed basis on vacant television channels 7-13 (174-216 MHz) and 14-46 (470-668 MHz) or on a licensed but secondary basis to private land mobile radio operations in the 450-470 MHz frequency band. This meant that wireless medical telemetry operations had to accept interference from the primary users of these frequency bands, i.e., the television broadcasters and private land mobile radio licensees. Further, if a wireless medical telemetry operation caused interference to television or private land mobile radio transmissions, the user of the wireless medical telemetry equipment would be responsible for rectifying the problem, even if that meant shutting down the medical telemetry operation.

The FCC was concerned that certain regulatory developments, including the advent of digital television (DTV) service, would result in more intensive use of these frequencies by the primary services, subjecting wireless medical telemetry operations to greater interference than before and perhaps precluding such operations entirely in many instances. To ensure that wireless medical telemetry devices can operate free of harmful interference, the FCC decided to establish the WMTS. In a Report and Order released on June 12, 2000, the FCC allocated a total of 14 megahertz of spectrum to WMTS on a primary basis. At the same time, it adopted a number of regulations to ensure that the WMTS frequencies are used effectively and efficiently for their intended medical purpose. The WMTS rules took effect on October 16, 2000

WMTS rules by FCC

Band Plan: [2]

The frequencies currently allocated for WMTS are divided into three blocks: the 608-614 MHz frequency band (which corresponds to UHF TV channel 37 but is not used by any TV station because it is used for radio astronomy) and the 1395-1400 MHz and 1427-1432 MHz frequency bands (both of which had been used by the Federal Government but were reallocated to the private sector under the Omnibus Budget Reconciliation Act of 1993). The frequencies in the 1427-1432 MHz band are shared by WMTS with non-medical telemetry operations, such as utility telemetry operations, that are regulated under Part 90 of the FCC's Rules. Generally, WMTS operations are accorded primary status over non-medical telemetry operations in the 1427-1429.5 MHz band, but are treated as secondary to non-medical telemetry operations in the 1429.5-1432 MHz band. However, there are seven geographical areas in which WMTS and non-medical telemetry operations have "flipped" the bands in which each enjoys primary status. These seven areas, termed the "carve-out" areas, are (1) Pittsburgh, PA; (2) the Washington, D.C. metropolitan area; (3) Richmond/Norfolk, VA; (4) Austin/Georgetown, TX; (5) Battle Creek, MI; (6) Detroit, MI; and (7) Spokane, WA. In these seven areas, in contrast to the rest of the country, WMTS has primary status in the 1429-1431.5 MHz band, but is secondary to non-medical telemetry operations in the 1427-1429 MHz band.

FDA comments

Comments from US FDA, [3] in part:

Because of concerns for interference with the present wireless medical telemetry systems, and the introduction of the WMTS, CDRH has issued a public health advisory to hospital administrators, risk managers, directors of biomedical/clinical engineering, and nursing home directors. In general, CDRH encourages manufacturers and users of medical telemetry devices to move to the new spectrum because of its protections against interference from other intentional transmitters and because frequency coordination will be provided.

See also

Related Research Articles

The Industrial, Scientific and Medical (ISM) radio bands are radio bands reserved internationally for the use of radio frequency (RF) energy for industrial, scientific and medical purposes other than telecommunications. Examples of applications in these bands include radio-frequency process heating, microwave ovens, and medical diathermy machines. The powerful emissions of these devices can create electromagnetic interference and disrupt radio communication using the same frequency, so these devices are limited to certain bands of frequencies. In general, communications equipment operating in these bands must tolerate any interference generated by ISM applications, and users have no regulatory protection from ISM device operation.

Frequency-hopping spread spectrum Radio signal transmission method

Frequency-hopping spread spectrum (FHSS) is a method of transmitting radio signals by rapidly changing the carrier frequency among many distinct frequencies occupying a large spectral band. The changes are controlled by a code known to both transmitter and receiver. FHSS is used to avoid interference, to prevent eavesdropping, and to enable code-division multiple-access (CDMA) communications.

Ultra high frequency The range 300-3000 MHz of the electromagnetic spectrum

Ultra high frequency (UHF) is the ITU designation for radio frequencies in the range between 300 megahertz (MHz) and 3 gigahertz (GHz), also known as the decimetre band as the wavelengths range from one meter to one tenth of a meter. Radio waves with frequencies above the UHF band fall into the super-high frequency (SHF) or microwave frequency range. Lower frequency signals fall into the VHF or lower bands. UHF radio waves propagate mainly by line of sight; they are blocked by hills and large buildings although the transmission through building walls is strong enough for indoor reception. They are used for television broadcasting, cell phones, satellite communication including GPS, personal radio services including Wi-Fi and Bluetooth, walkie-talkies, cordless phones, and numerous other applications.

Multichannel Multipoint Distribution Service

Multichannel Multipoint Distribution Service (MMDS), formerly known as Broadband Radio Service (BRS) and also known as Wireless Cable, is a wireless telecommunications technology, used for general-purpose broadband networking or, more commonly, as an alternative method of cable television programming reception.

The S band is a designation by the Institute of Electrical and Electronics Engineers (IEEE) for a part of the microwave band of the electromagnetic spectrum covering frequencies from 2 to 4 gigahertz (GHz). Thus it crosses the conventional boundary between the UHF and SHF bands at 3.0 GHz. The S band is used by airport surveillance radar for air traffic control, weather radar, surface ship radar, and some communications satellites, especially those used by NASA to communicate with the Space Shuttle and the International Space Station. The 10 cm radar short-band ranges roughly from 1.55 to 5.2 GHz. The S band also contains the 2.4–2.483 GHz ISM band, widely used for low power unlicensed microwave devices such as cordless phones, wireless headphones (Bluetooth), wireless networking (WiFi), garage door openers, keyless vehicle locks, baby monitors as well as for medical diathermy machines and microwave ovens. India's regional satellite navigation network (IRNSS) broadcasts on 2.483778 to 2.500278 GHz.

Code of Federal Regulations, Title 47, Part 15 is an oft-quoted part of Federal Communications Commission (FCC) rules and regulations regarding unlicensed transmissions. It is a part of Title 47 of the Code of Federal Regulations (CFR), and regulates everything from spurious emissions to unlicensed low-power broadcasting. Nearly every electronics device sold inside the United States radiates unintentional emissions, and must be reviewed to comply with Part 15 before it can be advertised or sold in the US market.

The business band is the name used by U.S. radio users who utilize and scanner hobbyists who listen to the Federal Communications Commission (FCC) Industrial/Business pool frequencies. The regulations listing frequencies in this pool are contained in Subpart C of Part 90, Title 47 of the CFR.

In the United States, the Multi-Use Radio Service (MURS) is a licensed by rule two-way radio service similar to Citizens Band (CB). Established by the U.S. Federal Communications Commission in the fall of 2000, MURS created a radio service allowing for licensed by rule operation in a narrow selection of the VHF band, with a power limit of 2 watts. The FCC formally defines MURS as "a private, two-way, short-distance voice or data communications service for personal or business activities of the general public." MURS stations may not be connected to the public telephone network, may not be used for store and forward operations, and radio repeaters are not permitted.

The 33-centimeter or 900 MHz band is a portion of the UHF radio spectrum internationally allocated to amateur radio on a secondary basis. It ranges from 902 to 928 MHz and is unique to ITU Region 2. It is primarily used for very local communications as opposed to bands lower in frequency. However, very high antennas with high gain have shown 33 centimeters can provide good long-range communications almost equal to systems on lower frequencies such as the 70 centimeter band. The band is also used by industrial, scientific, and medical (ISM) equipment, as well as low-powered unlicensed devices. Amateur stations must accept harmful interference caused by ISM users but may receive protection from unlicensed devices.

Electromagnetic interference Disturbance generated in an electrical circuit due to external fields or sources of radio-frequency electromagnetic radiation

Electromagnetic interference (EMI), also called radio-frequency interference (RFI) when in the radio frequency spectrum, is a disturbance generated by an external source that affects an electrical circuit by electromagnetic induction, electrostatic coupling, or conduction. The disturbance may degrade the performance of the circuit or even stop it from functioning. In the case of a data path, these effects can range from an increase in error rate to a total loss of the data. Both man-made and natural sources generate changing electrical currents and voltages that can cause EMI: ignition systems, cellular network of mobile phones, lightning, solar flares, and auroras. EMI frequently affects AM radios. It can also affect mobile phones, FM radios, and televisions, as well as observations for radio astronomy and atmospheric science.

IEEE 802.11y-2008 is an amendment to the IEEE 802.11-2007 standard that enables data transfer equipment to operate using the 802.11a protocol on a co-primary basis in the 3650 to 3700 MHz band except when near a grandfathered satellite earth station. IEEE 802.11y is only being allowed as a licensed band. It was approved for publication by the IEEE on September 26, 2008.

Biotelemetry involves the application of telemetry in biology, medicine, and other health care to remotely monitor various vital signs of ambulatory patients.

Channel 37 is an intentionally unused ultra-high frequency (UHF) television broadcasting television channel in the United States, Canada and Mexico. The frequency range allocated to this channel is important for radio astronomy, so broadcasting is not licensed.

In telecommunications, white spaces refer to frequencies allocated to a broadcasting service but not used locally.

The United States 700 MHz FCC wireless spectrum auction, officially known as Auction 73, was started by the Federal Communications Commission (FCC) on January 24, 2008 for the rights to operate the 700 MHz radio frequency band in the United States. The details of process were the subject of debate among several telecommunications companies, including Verizon Wireless, AT&T Mobility, as well as the Internet company Google. Much of the debate swirled around the open access requirements set down by the Second Report and Order released by the FCC determining the process and rules for the auction. All bidding was required by law to commence by January 28.

The 13 centimeter, 2.3 GHz or 2.4 GHz band is a portion of the UHF (microwave) radio spectrum internationally allocated to amateur radio and amateur satellite use on a secondary basis. The amateur radio band is between 2300 MHz and 2450 MHz. The amateur satellite band is between 2400 MHz and 2450 MHz, and its use by satellite operations is on a non-interference basis to other radio users. The license privileges of amateur radio operators include the use of frequencies and a wide variety of modes within these ranges for telecommunication. The allocations are the same in all three ITU Regions.

The 800 MHz frequency band is a portion of the electromagnetic spectrum, or frequency band, that encompasses 790–862 MHz.

The Pan-American television frequencies are different for terrestrial and cable television systems. Terrestrial television channels are divided into two bands: the VHF band which comprises channels 2 through 13 and occupies frequencies between 54 through 216 MHz, and the UHF band, which comprises channels 14 through 51 and occupies frequencies between 470 and 700 MHz. These bands are different enough in frequency that they often require separate antennas to receive, and separate tuning controls on the television set. The VHF band is further divided into two frequency ranges: VHF low band between 54 and 86 MHz, containing channels 2 through 6, and VHF high band between 174 and 216 MHz, containing channels 7 through 13. The wide spacing between these frequency bands is responsible for the complicated design of rooftop TV antennas. The UHF band has higher noise and greater attenuation, so higher gain antennas are often required for UHF.

The Medical Device Radiocommunications Service (MedRadio) is a specification and communication spectrum created for and set aside by the U.S. Federal Communications Commission (FCC) for the communication needs of diagnostic and therapeutic medical implants and body-worn medical devices. Devices operating on MedRadio include cardiac pacemakers, defibrillators, neuromuscular stimulators, and drug delivery systems. As of February 2016, communications spectrum for these and other similar devices is set aside at various points in the 400 MHz frequency band, as well as the 2360-2400 MHz band, though specifically for medical body area network (MBAN) devices. The specification supersedes and incorporates a previous specification called the Medical Implant Communication Service (MICS).

Wireless microphones may operate over various frequencies, licensed or unlicensed depending upon the country.

References

  1. ↑ "FCC: Wireless Services: Wireless Medical Telemetry: About". fcc.gov.
  2. ↑ "FCC: Wireless Services: Wireless Medical Telemetry: About: Band Plan". fcc.gov.
  3. ↑ "About Wireless Medical Telemetry". fda.gov.
This page is based on this Wikipedia article
Text is available under the CC BY-SA 4.0 license; additional terms may apply.
Images, videos and audio are available under their respective licenses.