Drones para facilitar la asistencia sanitaria

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CLAVES:

  • Los drones tienen un gran potencial para hacer que el transporte de medicamentos, vacunas o ayudas médicas sea más rápido.
  • El uso de aviones no tripulados más común en medicina y atención médica es en zonas con difícil acceso.
  • Los drones en la asistencia sanitaria aún tienen ciertas restricciones tecnológicas y reglamentarias.

Durante años, el mercado de los aviones no tripulados ha estado en una fase incipiente y aún no había llegado al gran público. Pero en 2015, el crecimiento de la industria de aviones no tripulados dio un gran paso adelante cuando la Administración Federal de Aviación (FAA) concedió cientos de nuevas exenciones para que las compañías operaran en los Estados Unidos.

Entre las nuevas exenciones, se incluyeron varios nuevos casos de uso en múltiples industrias, como seguros, construcción y agricultura. Demostrando la amplia gama de aplicaciones comerciales que tenían los drones.

Además, la FAA también impulsó el crecimiento del mercado de los aviones no tripulados mediante la formulación de un marco regulatorio con su registro de aviones no tripulados de consumo; y los fabricantes de drones y proveedores de tecnología están haciendo todo lo que pueden para beneficiarse de esto y convertir a los drones en una industria de pleno derecho.

No hay discusión sobre el crecimiento que se ha producido en los últimos años en la industria de drones, pero según Recode se producen discrepancias al intentar cuantificar ese crecimiento dependiendo de cómo se defina un dron. Las ventas totales de drones subieron a 2,2 millones en todo el mundo en 2016, y los ingresos aumentaron un 36% a 4.500 millones de dólares, según la firma de investigación Gartner.

Pero la Consumer Technology Association señala que 2,4 millones de drones personales fueron vendidos en los Estados Unidos solo en 2016, más del doble de los 1,1 millones vendidos en 2015.

La diferencia se produce porque las empresas tienen diferentes definiciones de drones.

[section label=”¿En qué se están utilizando los drones comerciales?” anchor=”¿En qué se están utilizando los drones comerciales?”]

¿En qué se están utilizando los drones comerciales?

Los drones comerciales se utilizan en la actualidad para numerosas aplicaciones. Según una investigación de mercado de la industria disponible revela su uso global (2015-2016) en el siguiente cuadro:

Fuente: Federal Aviation Administration
Fuente: Federal Aviation Administration

Como se puede apreciar, el uso en gestión de emergencias tiene un 8%, y es que los drones cada vez facilitan más la vida de las personas, y su presencia en determinados campos específicos ha supuesto una revolución. Su capacidad para atravesar rápidamente todo tipo de terrenos con un alto grado de precisión, al tiempo que permite la intervención humana son parte de las razones por las que los aviones no tripulados han sido asimilados en el ejército. Ahora, esas mismas características están siendo utilizadas para salvar vidas en el campo de la salud.

Los drones tienen un gran potencial para hacer que el transporte de medicamentos, vacunas o ayudas médicas sea más rápido. Pueden ayudar en circunstancias en que el tiempo es crucial; en situaciones que requieren respuestas urgentes. Pero los drones no sólo pueden ser útiles cuando es necesario una ayuda urgente, sino también cuando las ambulancias están fuera del alcance, debido a las malas condiciones de la carretera o a áreas remotas. Estos son los ejemplos más comunes de uso de aviones no tripulados en medicina y atención médica.

[section label=”Transportar medicinas” anchor=”Transportar medicinas”]

Transportar medicinas

Health Wagon, una clínica en Virginia, donde su geografía montañosa con fuertes nevadas no supone un problema para el dron, en asociación con investigadores de la NASA, ha estado enviando medicación muy necesaria a varias áreas rurales de Virginia, como la empobrecida región de los Apalaches. Sin embargo, las restricciones de la FAA han impedido que la clínica lo use regularmente.

[section label=”Envío de anticonceptivos” anchor=”Envío de anticonceptivos”]

Envío de anticonceptivos

Las Naciones Unidas han recabado la ayuda de un dron para enviar anticonceptivos y otros suministros médicos a zonas rurales de Ghana, donde una parte de las mujeres no tienen acceso a los anticonceptivos. Otros países, entre ellos Tanzania, Ruanda, Zambia, Etiopía y Mozambique, también están considerando adoptar el uso de aviones no tripulados para asegurar que las entregas que cuestan días se puedan hacer en cuestión de minutos.

[section label=”Recoger muestras de sangre” anchor=”Recoger muestras de sangre”]

Recoger muestras de sangre

En Malawi, una de cada 10 personas es VIH-positiva, pero la nación sólo tiene ocho laboratorios que pueden probar la enfermedad. Unicef, asociada con Matternet, ha comenzado a utilizar un avión no tripulado para el transporte rápido de muestras de sangre para realizar estas pruebas. A menudo se requiere un diagnóstico inmediato y tratamiento, y las muestras de sangre han sido transportadas usando motocicletas a lo largo del país y sus carreteras.

[section label=”Facilitar el acceso a Google Glass en caso de emergencia” anchor=”Facilitar el acceso a Google Glass en caso de emergencia”]

Facilitar el acceso a Google Glass en caso de emergencia

Junto con los drones, la realidad aumentada ha sido el otro gran salto tecnológico del siglo XXI. Ahora, un equipo de la Universidad William Carey ha estado trabajando para desarrollar un sistema que sería capaz de fusionar ambos sistemas. Un dron para entregar kits de telemedicina que permitiría a los médicos contactar con víctimas de desastres naturales o ataques terroristas. El dron entregará el kit, completo con Google Glass, para que los médicos puedan proporcionar información en tiempo real sobre la atención médica de emergencia. Como es el caso de Health Wagon, la FAA debe aflojar las regulaciones para que este concepto sea ampliamente utilizado.

[section label=”Entregar unidades sanguíneas para los cirujanos” anchor=”Entregar unidades sanguíneas para los cirujanos”]

Entregar unidades sanguíneas para los cirujanos

Desde el otoño pasado, Zipline, con sede en California, ha estado trabajando para transportar los productos sanguíneos que necesitan los cirujanos en los hospitales.  Comenzó a lanzar aviones comerciales desde su centro de distribución en Muhanga, Ruanda. Zipline se compromete a dejar el suministro en tan sólo 15 minutos, reduciendo el tiempo en los viajes, que si fuera en coche duraría horas. Zipline ya ha completado más de 350 vuelos.

[section label=”Hacer llegar desfibriladores en caso de paro cardíaco” anchor=”Hacer llegar desfibriladores en caso de paro cardíaco”]

Hacer llegar desfibriladores en caso de paro cardíaco

El paro cardiaco es una de las causas más frecuentes de muerte en el mundo, mata a más de 6 millones de personas cada año. La mayoría ocurren en casa o en otros lugares que no son hospitales, en una situación donde los minutos son fundamentales para vivir o morir. El 90% de las personas que colapsan lejos de un hospital no sobreviven.

Según un artículo publicado en el Journal of the American Medical Association, en situaciones donde los desfibriladores electrónicos automáticos no están disponibles, se ha encontrado que los aviones no tripulados pueden llegar 16 minutos más rápido que los servicios de emergencia. Cada minuto que pasa del colapso a la reanimación cardiopulmonar o la desfibrilación, las posibilidades de supervivencia disminuyen un 10%. Es por eso, que la supervivencia después de 10 a 12 minutos es básicamente cero.

Los investigadores utilizaron desfibriladores que pesaban menos de un kilo y los instalaron en un dron, junto con una voz electrónica que guía al testigo de cómo usar el dispositivo. También colocaron una cámara y un dispositivo GPS. Hay una enorme diferencia en el uso del desfibrilador en los primeros minutos. Incluso si mejoras el tiempo de las ambulancias en este tipo de situaciones, es demasiado tarde, sólo una de cada 10 víctimas sobrevive.

[section label=”Existen restricciones para alcanzar su uso completo” anchor=”Existen restricciones para alcanzar su uso completo”]

Existen restricciones para alcanzar su uso completo

Actualmente, los drones en la asistencia sanitaria tienen ciertas restricciones tecnológicas y reglamentarias. Por una parte, el dron puede llevar una carga útil de 5 libras durante 30 a 60 minutos de tiempo de vuelo, y tienen un rango de aproximadamente 20 a 60 millas. Estas características son bastante limitantes. Además, por lo general, los drones pueden detectar y evitar los obstáculos, pero sin duda todavía les falta más desarrolloPor otra parte, hasta que no sean totalmente autónomos, los reguladores permanecerán reacios a permitirles volar en el espacio aéreo.

La seguridad, la precisión y la velocidad son muy importantes en la asistencia sanitaria, ya que hay vidas en juego, por no hablar de equipos especiales para el transporte de muestras médicas, sangre u órganos. Por ejemplo, en caso de transporte de sangre, los refrigeradores estarían obligados a mantener los productos sanguíneos a la temperatura adecuada. La sangre también debe ser guardada para evitar su exposición o manipulación durante el trayecto.

Por último, un grupo de drones volando como una bandada de pájaros enfadados no mejora la sensación de seguridad de las personas, que podrían necesitar más tiempo para acostumbrarse a estos dispositivos y a sus capacidades. Aun así, los datos sobre la percepción por parte de los usuarios en las entregas con drones mejoran a medida que son adoptados por las compañías, lo que podría acelerar su aceptación entre las masas:

Fuente: Business Insider
Fuente: Business Insider

Lo que está claro es que estos vehículos no tripulados son grandes ejemplos de cómo una tecnología de otra industria podría facilitar la prestación de ayuda.

THE HEALTH WAGON. Drone-delivered health care in rural Appalachia. 7 de diciembre de 2016 [consultado 11-08-2017]. Disponible en: http://thehealthwagon.org/hwwp/2016/12/07/drone-delivered-health-care-in-rural-appalachia/

ZIPLINE. October 2016: Open for Business. Octubre de 2016 [consultado 11-08-2017]. Disponible en: http://flyzipline.com/now-serving/

WILLIAM CAREY UNIVERSITY. WCU College of Osteopathic Medicine launches new ambulance drones. 8 de diciembre de 2016 [consultado 11-08-2017]. Disponible en: https://www.wmcarey.edu/news/wcu-college-osteopathic-medicine-launches-new-ambulance-drones

MEDICAL FUTURIST. Medical Drones Will Thrive in Healthcare: A Safe Road to Health. 2017 [consultado 11-08-2017]. Disponible en: http://medicalfuturist.com/medical-drones/

MIMS. Drones: Propelling the progressions in healthcare. 11 de julio de 2017 [consultado 11-08-2017]. Disponible en: https://today.mims.com/topic/drones-propelling-the-progressions-in-healthcare

SCIENTIFIC AMERICAN. 6 Ways Drones Could Change Health Care. 13 de junio de 2017 [consultado 11-08-2017]. Disponible en: https://www.scientificamerican.com/article/6-ways-drones-could-change-health-care/

TECHNOLOGY REVIEW. Los drones que reparten salud, vida y esperanza desde los cielos de Ruanda. 16 de junio de 2017 [consultado 11-08-2017]. Disponible en: https://www.technologyreview.es/s/7940/los-drones-que-reparten-salud-vida-y-esperanza-desde-los-cielos-de-ruanda

TELEMETRO. Drones con desfibriladores cardiacos pueden salvar vidas. 13 de junio de 2017 [consultado 11-08-2017]. Disponible en: http://www.telemetro.com/actualidad/salud/Drones-desfibriladores-cardiacos-pueden-salvar_0_1035197106.html

BUSINESS INSIDER. DRONE INDUSTRY ANALYSIS: Market trends & growth forecasts. 13 de julio de 2017 [consultado 11-08-2017]. Disponible en: http://www.businessinsider.com/drone-industry-analysis-market-trends-growth-forecasts-2017-7

GARTNER. Gartner Says Almost 3 Million Personal and Commercial Drones Will Be Shipped in 2017. 9 de febrero de 2017 [consultado 11-08-2017]. Disponible en: http://www.gartner.com/newsroom/id/3602317

FEDERAL AVIATION ADMINISTRATION. FAA Aerospace forecast. Fiscal Years 2017-2037. 24 de marzo de 2017 [consultado 11-08-2017]. Disponible en: https://www.faa.gov/data_research/aviation/aerospace_forecasts/media/FY2017-37_FAA_Aerospace_Forecast.pdf

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