Melody International launches Central i, a delivery monitoring central system. Supporting a system to watch over pregnant women in the community.

- The following is content from the press release -

(Takamatsu City, Kagawa Prefecture: President Yuko Ogata), a manufacturer and seller of mobile fetal monitors, will launch the "Central i" delivery monitoring system as a centralized maternal-fetal monitoring system that enables monitoring of health data of pregnant women and their fetuses in the hospital, between hospitals, and at home, wherever pregnant women are. Central i" will go on sale on February 28.

Melody Press Release Page
https://melody.international/news/pr/entry-724.html

Development Background

Decrease in the number of obstetric facilities and physician work style reforms

In recent years, the shortage of obstetricians and the decrease in the number of maternity facilities have become serious social issues. The number of obstetricians and maternity facilities has been decreasing in recent years, and the shortage of obstetricians and maternity facilities has become a serious social issue. It has become difficult to maintain local maternity services, and areas without maternity facilities have sprung up all over Japan.

 Melody International, Inc. has been working to solve these problems by developing a remote fetal monitoring device, the iCTG (hereafter "iCTG"). Overseas, especially in developing countries, there are many countries with extremely small numbers of obstetricians and gynecologists, and there is a huge disparity in medical care between urban and rural areas, and mothers and children often lose their lives without proper diagnosis and transport. By using iCTG, a remote doctor can make an appropriate diagnosis and provide early treatment. So far, we have implemented projects to reduce perinatal mortality rates in many countries, including Thailand and Bhutan.

On the other hand, the deterioration of the childbirth environment in Japan has revealed issues that cannot be covered by remote fetal monitoring alone. It is difficult for obstetricians, who are extremely busy, to monitor pregnant women in a variety of environments, which in turn increases the burden on each physician.

The concept of "community watch over" pregnant women = "community cooperation system" more easily.

 Childbirth is not something that can be accomplished by just one family doctor or a local clinic. The number of risk pregnancies is increasing due to the increase in older births and other factors, and the entire community has in fact been supporting the process, including transport to a perinatal center at the appropriate time. However, fetal monitoring data was managed in analog form, such as on paper printed at each hospital, making it difficult to link data between hospitals. In addition, there has been no way to monitor the condition of the fetus in the ambulance transporting the patient to a higher-level hospital, even though this is the most important part of the process.

 The "Central i" delivery monitoring central system (hereinafter referred to as "Central i") was developed as a system that enables centralized monitoring within a hospital by linking data from various locations, such as between hospitals, hospitals and clinics, pregnant women's homes, and ambulances during emergency transport, which was difficult to achieve with conventional central monitoring systems. The system has been developed as a system that enables centralized monitoring within a hospital. This system is intended to support a system that allows doctors and midwives at clinics and hospitals to share the same digital data to watch over pregnant women throughout the community.

The Role of Ishikawa Prefecture's "Remote Delivery Monitoring System" in the Noto Peninsula Earthquake

In October 2023, Ishikawa Prefecture introduced a remote delivery monitoring system for emergency transport, connecting hospitals and clinics with Ishikawa Prefectural Central Hospital via a network. The local government and the hospital discussed the environment surrounding childbirth in the region. As a result, it was decided to introduce the "iCTG" and remote delivery monitoring system by Melody International Corporation, and in October 2023, a press conference was held by Governor Hase to launch the system.

On January 1, 2024, the Noto Peninsula earthquake hit Nanao City's Keiju General Hospital, and the maternity ward was damaged, making it temporarily impossible to deliver babies. The effectiveness of the iCTG, which is a mobile type and does not require a power supply, was demonstrated here. The "iCTG" is capable of monitoring the fetus during emergency transport and at evacuation centers, making it a very powerful tool in times of disaster.

Features of Central i

We watch over the condition of the maternity "anytime, anywhere". 

 Conventional "delivery monitoring device iCTG (hereinafter referred to as "iCTG")" has provided easy real-time monitoring functions for remote viewing: 1. viewing via dedicated App "iCTG Viewer", 2. viewing via web browser, and 3. viewing via e-mail link. However, the following is a new feature of the iCTG Viewer. However, there have been calls for "monitoring multiple screens at once" and "listening to alarms via remote viewing," and we have now released "Central i" as a new centralized maternal-fetal monitoring system. Central i" is a smart programmed medical device that has acquired medical device certification as a program for central monitoring and supports the field of obstetric care in medicine.

On-premise (in-hospital installation) type operation is also available

 If the "iCTG" does not need to be operated at home or remotely, and is to be used in a network only within the hospital, it can be operated on an on-premise server. Since the in-hospital Wi-Fi network can be used, it is relatively easy to introduce the system without new wired network construction.

Easy to install because it is a programmed medical device

 As in the past, there is no need to install a large server in the hospital and perform network construction. In response to the voices of "measurement is not possible in hospital rooms without a network terminal" and "wiring work in the hospital is expensive," the connection via in-hospital Wi-Fi or mobile network allows measurement in any location and in any viewing environment. CTG graphs can be monitored centrally from a web browser on a notebook PC or a desktop PC connected to a large monitor.

*For cloud type

Alarm function installed (JIS compliant)

 Alarms compliant with the latest JIS standards can be sounded on the remote monitor side of "Central i". An optional revolving light can be installed to ensure that no alarms are missed. Another advantage of programmed medical equipment is that it is not restricted to a fixed hardware configuration, for example, an external speaker can be connected if the volume is too low.

The number of graphs that can be viewed simultaneously and the display method can be customized as desired.

Clicking on a split screen will expand it to a full screen in another tab. If the screen is split by the maximum number of screens to be monitored simultaneously, it is possible to split the screens in the order the data comes in, or to view them in parallel and scroll through them.

Easy display of past data after measurement is completed

Data after measurement is completed is stored at the bottom of the screen and can be recalled at any time. Tap it, and it will expand to the full surface as a new tab, which can be viewed while scrolling smoothly.

Easy to install and carry, with a single tablet for viewing in a variety of locations.

It can be viewed from a tablet terminal. Since there is no need to install a dedicated monitor, no construction work is required, and the system can be easily carried around, expanding the range of operations.

Registration and editing of nursing records and SOAPs can be entered and viewed on the graph timeline

You can enter nursing records and SOAPs for each patient. The entered nursing notes and SOAPs will be displayed on the timeline graph and at the bottom of the individual graphs.

Product Specifications