ClearPractice, makers of the popular iPad electronic health record Nimble — that we reviewed — have now launched Eden Practice. And for all those physicians who are Apple lovers, they are going after you. Eden Practice is being marketed as a comprehensive medical office solution for the Apple Mac, iPad, and iPhone — all connected via the cloud.

The desktop version was made for Safari, and runs four times faster on Safari than accessing the desktop EMR on a Windows computer with Internet Explorer.

Eden Practice will launch in September, and it will have native apps made specifically for the iPhone and iPad
(Nimble is the EMR app for the iPad that is part of the Eden Practice suite that we reviewed). Unfortunately, their iPhone app, aptly called “Fetch”, will be limited to fetching.

As with other iPad EMRs, such as Dr. Chrono, there still isn’t a good EMR solution for inputting patient data and encounters into an iPhone. I understand the 3.5 inch display isn’t conducive to storing a great deal of text, but I’m surprised that EMR developers continue to neglect that physicians would want to dictate and create patient notes on their iPhone.

Nonetheless, the Eden suite looks very exciting. We have a beta copy of Eden and we’ll be publishing a review soon.

For more information on the electronic health record, check out the ClearPractice Eden website.

Post image for FDA finally issues highly anticipated draft guidance on regulation of mHealth apps

Since the beginning of this year, there have been clues that the FDA will be heading toward clarification of the complex regulatory issues posed by mobile health devices and software. We have previously reported on testimony and public comments by Dr. Jeffrey Shuren, director of the  FDA’s Center for Devices and Radiological Health (CDRH) alluding to coming guidelines.

Today, the FDA finally released a detailed draft guidance of how it intends to regulate this rapidly exploding sector of mobile medical devices and software.

This is what the Emergo group, regulatory compliance consultants, has gleaned from today’s FDA press release:

The guidance focuses on mobile applications that either function as accessories to medical devices currently regulated by the FDA; transform a mobile communication device into a regulated medical device via attachments, sensors or other medical capabilities; or allow users to input patient-specific data in order to obtain patient-specific results, diagnoses or treatment recommendations for use in clinical settings.

In the same article, the Emergo Group also notes that the FDA plans to separate draft guidances on the following:

  • Wireless safety issues
  • Classification and submission requirements for clinical decision support software
  • How quality systems apply to software
  • Regulation of mobile applications that analyse or interpret data from multiple medical devices

The FDA is accepting written comments on the proposed rules for 90 days.

This is an important milestone in the maturation of mobile health and will eventually provide important guidance to mobile medical software publishers and device manufacturers. In the coming days, iMedicalApps will be publishing a three part series on the past, present and near future of of FDA regulation of mHealth.

Post image for ECG Notes is an impressive ECG reference guide, but not designed for beginners

Interpreting ECG’s is a critical skills for all physicians. Whether you’re a neurosurgeon who’s patient develops postop chest pain, an ER physician evaluating palpitations, or an anesthesiologist doing a preop evaluation, its important that all healthcare providers have at least a basic understanding of the ECG.

To that end, iMedicalApps continues our series looking at the apps out there that try to help healthcare professionals master this critical skill. In this installation, we’ll take a look at ECG Notes by Skyscape. Unlike our last app, Easy ECG, ECG Notes take a much more detailed approach to the ECG but is not appropriate for everyone.

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Post image for The Arrhythmias App Provides a Brief Introduction to Cardiac Arrhythmias


The recognition and management of cardiac arrhythmias is a must-have clinical skill for residents and physicians, and one that is often not well-taught at some institutions.

For example, deciding whether a patient is in a shockable rhythm, realizing what medications should or should not be given in a particular situation, or assessing the degree of atrioventricular block, can all be important considerations in patient care.

The Arrhythmias app, designed by Abe Balsamo, recently cracked the Top 10 list of most-downloaded medical apps in the app store.  This app represents Mr. Balsamo’s first foray into the app world, though he has several other apps in development, according to his website  The app’s growing popularity has been driven by its point-of-care abilities that appeal to healthcare professionals, especially emergency medical personnel.

Read below the jump to see how the Arrhythmias app can assist healthcare professionals with the recognition of different arrhythmias.

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Post image for’s DailyData app “infers” health from monitoring and analyzing smartphone use and location is a spin-off from the MIT Media Lab, touting an app capable of determining a patient’s health risks by analyzing the subtle variations in the ways and places they use their smartphone.

Founded by Anmol Madan, PhD and Ryan Toole, recent MIT Media Lab graduates, along with recent MIT Sloan (MBA) and Harvard Medical School (MS) grad Karan Singh, the company just completed three months at TechStar’s three-month incubation program.

The app, called DailyData first creates a baseline model of a user’s smartphone activity and then searches for deviations from that pattern. “We can compare this to your past behavior, or to aggregate behavior of individuals of your approximate age and demographic”, says Madan.

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Post image for Zephyr Technologies lands major deal to embed AT&T 3G in its BioHarness™ Body Area Network

Zephyr Technologies has struck a deal with AT&T to embed AT&T’s 3G/4G technology inside its BioHarness™ wearable biosensor technology. This deal has major implications for the future of the company’s mobile apps, and gives the company a jump-start on its competitors.

Zephyr’s stated mission is to “Measure Life” and they license their products to academic researchers, military, athletes, physicians and anyone else who wants to build custom mobile applications using the company’s wearable sensor technologies and remote monitoring devices.

“With the BioHarness™, connected by AT&T, cardiologists will be equipped to remotely monitor ECGs, athletes will have the ability to share live performance data, and medics will have on-demand visibility into the condition of military personnel – all occurring seamlessly over the AT&T network,” said Glenn Lurie, president of emerging devices, resale and partnerships, AT&T. “Today, smartphones capture Zephyr’s BioData and send it to the cloud for analysis, presentation and health record purposes. By Embedding wireless into the BioHarness™, we’re arming healthcare professionals with the technology needed to access timely data in ways not previously possible.”

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Post image for Augmented Reality for surgeons comes via mobile medical technology – Hallux Angles app

Augmented Reality (AR) has been touted as the ‘next big thing’ with AR applications being a relatively new addition to the App Store. According to Wikipedia, Augmented Reality (AR) is a term for a live direct or an indirect view of a physical, real-world environment, in which elements are augmented by computer-generated sensory input, such as sound or graphics.

One notable non-medical example is WordLens; this application translates written Spanish ‘on the go’. By pointing the camera at foreign words, the software recognizes and translates them instantaneously. (read more)

Post image for Toumaz has BIG day, announcing FDA approval & joint venture with physician billionaire Patrick Soon-Shiong

Toumaz Limited, developer of a new ultra-low power radio technology that competes with Bluetooth and Zigbee, announced this week that they have received FDA approval for its Sensium Digital Plaster technology.

Toumaz has also announced it will be entering into a new joint venture with California Capital Equity (CCE), the holding company of pharmaceutical billionaire Dr. Patrick Soon-Shiong, for the purpose of commercializing and distributing Sensium Digital Plaster. The new entity will be called Toumaz US and based in San Diego, CA.

This is a very big deal for the advancement of Body Area Network (BAN) technology, defined as a system of devices in close proximity to a person’s body that cooperate for the benefit of the user.  Read after the break to find out why.

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Post image for Easy way for hospitals to administer medical apps to physicians? Apple introduces new feature

Apple has allowed educational institutions to have volume purchases of medical apps for some time, but is now extending this to businesses and offering new types of functionality — such as an easier method to distribute apps within an organization and also allowing companies to sell and distribute custom B2B apps for business customers.

In the past when medical schools have implemented iPad’s to students it’s been difficult to distribute apps across a large segment of individuals — this is no longer the case. With more hospital systems starting to create custom medical apps, they could use these enterprise features to easily distribute their apps across their employees.

Source: Apple via Macrumors

Post image for UptoDate finally comes to the iPhone, but with a few catches

Looking back on my medical internship, there are a few things I can point to as critical to my survival – a limitless supply of coffee, 24-hour availability of cheese fries, chewable antacids, and UpToDate. Whether I needed to know how to manage a patient with a pulmonary embolism or was trying to figure out what Takotsubo cardiomyopathy was, UptoDate was a go-to resource for practically any clinical situation. In fact, it became a verb among interns, as in “I have no idea, let me go UpToDate it.”

The one downside was that it required a desktop or laptop, unlike other important resources like Medscape and Epocrates.  And although technically there is a mobile version — in webapp form — it’s not ideal by any means.  As announced on their website though, that is no longer the case as UpToDate is finally available via a native iOS app. However, before folks rush to download it, the release comes with several important caveats which are quite informative in understanding some of the hurdles mobile health faces.

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Post image for Easy ECG is an unique take on ECG interpretation for iPhone

The cardiac tracing is perhaps one of the most recognizable images in medicine, having been developed over 100 years ago. When a patient hits the door of a clinic or emergency rooms, it remains essentially the only tool to assess the heart at that moment (aside, of course, from a good history and physical exam). As such, interpretation of the ECG is a skill taught to all medical students, for whom this is much easier said than done.

Over the next few weeks, iMedicalApps  will review a number of ECG applications available for the iPhone, iPad and iPod Touch. They take many different approaches to the teaching of ECG interpretation, some with more success than others. But given the importance of this skill and the ubiquitous nature of the test, we’ll take a look at what’s available and crown the best one. We’ll start this series by taking a look at Easy ECG.

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Post image for Current Essentials of Medicine offers essential disease information, but at a non-essential price

With the large amount of material physicians are expected to know better than the back of their hands, medical students frantically thumbing through reference books are not an uncommon sight on the wards.  Though there are copious amounts of information to learn, a clerk’s white coat pockets have only a finite space.  Thus, past generations of clerks have equipped themselves with the most compact but high yield medical handbooks available.

The digital age and rise of the electronic comprehensive mobile medical reference have initiated a huge shift in this paradigm.  With relatively comprehensive references such as Epocrates and Medscape available on the ubiquitous smartphone, more and more clerks prefer the weight of a few extra electrons (medical apps) to the weight of bulky texts.  This of course, leaves current vendors of paper texts with a dilemma: should they continue as per norm and risk watching their consumer base atrophy under the weight of the digital trend?

Lange’s Current Essentials of Medicine straddles this line between handbook and electronic reference: it is an electronic handbook reference.  Now in its fourth edition, it is available both in traditional handbook form and as a universal app for iPhone and iPad.

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