Title: Moving medically certifiable AI algorithms from the Cloud and onto the Medi-OS Operating System of Medical Devices to automate, make robust and increase uptake of AI in healthcare: Use-case will be community-based spirometry.

肺活量测定是一种简单的医学测试，用于通过测量患者在一次用力呼吸中可以呼出多少空气来帮助诊断和监测肺部状况。肺量测定是由受过训练的护士或生理学家在全科医生手术中或在医院诊所就诊时进行的。世界范围内缺乏经过培训和认证的工作人员来进行这些测试。肺量测定测试在大流行期间停止，由于缺乏专家，NHS很难重新启动。**为什么要进行呼吸量测定？**肺活量测定用于诊断或筛查肺部疾病。根据英国肺脏基金会（2023年）的数据，肺部健康状况每年花费NHS 110亿英镑（占GDP的0.6%：NHS直接花费100亿英镑，损失10亿英镑）。使用肺活量测定法诊断和监测的疾病包括哮喘，慢性阻塞性肺病（COPD），支气管扩张，囊性纤维化和肺纤维化。也可以进行肺量测定来检查病情的严重程度或观察患者对治疗的反应。**呼吸量测定是如何进行的 ** 患者对着机器用力呼吸三到八次，以获得可靠的结果。它需要一个熟练的临床医生，以确保结果是良好的质量，所以这些结果是不能立即提供。审查后，结果被发送给医生谁转介病人的测试与病人讨论在稍后的日期。这需要时间，而且是劳动密集型的。使用人工智能支持即时临床决策 ** 已经有基于网络的人工智能程序可以准确地“审查”发送给它的呼吸动作（数据）。这些服务以完全自动化的过程发回报告。但这仍然涉及将患者信息发送出去（通常在英国以外），并且在可打印的报告返回并由医生审查之前仍然有相当长的延迟。创新 ** 利用现有的15，700份患者记录，该联盟将创建新的软件，该软件将在医疗设备上运行，该设备可以使用AI进行专家分析，立即给出结果，用于全科医生手术或基于社区的诊断中心。这将需要一个强大的联盟团队来实现这一创新，这也为使用这种新的医疗设备软件开辟了道路，它如何学习以及如何被认证为值得信赖的医疗设备，用于一系列其他医疗监测设备。

Spirometry is a simple medical test used to help diagnose and monitor lung conditions by measuring how much air a patient can breathe out in one forced breath. The medical monitor is called a spirometer.Spirometry is performed by a trained nurse or physiologist in a GP surgery or during a visit to a hospital clinic. There is a Worldwide shortage of trained and certified staff to perform these tests. Spirometry testing was stopped during the pandemic and it is proving difficult to restart in the NHS because of the shortage of experts available.**WHY IS SPIROMETRY CARRIED OUT?**Spirometry is used to diagnose or screen for lung conditions. Lung health conditions cost the NHS £11Billion a year (0.6% of GDP: £10 Billion direct cost to the NHS, £1Billion in lost work) according to the British Lung Foundation (2023).Conditions diagnosed and monitored using spirometry include asthma, chronic obstructive pulmonary disease (COPD), bronchiectasis, cystic fibrosis and pulmonary fibrosis. Spirometry may also be carried out to check the severity of the condition or to see how a patient is responding to treatment.**HOW IS SPIROMETRY PERFORMED**Patients breathe forcefully into a machine three-to-eight times to get reliable results. It requires a skilled clinician to ensure results are of good quality, so these results are not available immediately. After review, results are sent to the doctor who referred the patient for the test for discussion with the patient at a later date. This takes time and is labour-intensive.**USING ARTIFICIAL INTELLIGENCE TO SUPPORT IMMEDIATE CLINICAL DECISIONS**There are already web-based AI programmes to accurately "review" breath manoeuvres (data) which are sent to it. These services send back a report in a fully automated process. But this still involves sending patient information away (usually outside of the UK), and there is still a considerable delay before the printable report is returned and reviewed by the doctor.**INNOVATION**Using 15,700 existing recordings from patients, the consortium will create new software which will operate on a medical device that can perform expert analysis using AI to give results immediately for use in a GP surgery or community-based diagnostic hub. This will require a strong consortium team to deliver this innovation.This also opens the way to use this new medical device software, how it learns and how it can be certified as a trustworthy medical device, for a range of other medical monitoring devices.