Clinical Workstations, COWs and Thin Clients

Looking back at the 1990s and seeing how computers were established in the clinical environment is an interesting story of the adoption of technology.

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IBM 7690 (1991)


The IBM 7690 is a clinical computer that folds into itself.  It was designed for mounting on a wall.  

Strangely, there is little information on the internet about this product.  
There is a PubMed abstract on this computer:  
Witkowski JA. Microcomputers in nursing practice: IBM 7690 clinical workstation, Part I. J Pediatr Nurs. 1992 Apr;7(2):147-8.


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Tablets

The first hospital based Tablet I saw was the Zenith CruisePad — it basically was a remote client as you required a Windows NT server to serve up the applications.

Zenith Data Systems CruisePad
Thin Client, Windows 3.1, (1995)


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Thin Clients

Thin clients then came along — and this was another way to serve up applications from a more powerful server class machines.  

Thin clients also allowed more control of the desktop environment in terms of viruses and non-approved applications (and even usb keys)

Virtual Desktop, 1280×1024 (1999)


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Computers on Wheels (COW)

HP NeoWare e370 Thin Client / eFusion Cart
17 inch, Windows XP Embedded, 1ghz, 512mb flash memory (2006)


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Bonus – Light Pens

The old TDS 7000 Oscar system at the Foothills Medical Centre (FMC) used light pens instead of mice.  Light pens only work with CRT monitors — so since the world has gone to LCD screens they are no longer in use. 


2 thoughts on “Clinical Workstations, COWs and Thin Clients

  1. The IBM 7690 never made it into field use. Its soldered-in 8086 chip doomed it. Parts for 5000 units were manufactured by IBM, but only a few hundred were assembled and used for development. The beta sites for the Patient Documentation System software (for which the 7690 was designed) used a 1st generation IBM “clam shell” laptop (I can’t recall if they were called Thinkpads) with an external touch-screen that was fitted over the laptop screen. The entire project was terminated when IBAX was acquired by HBOC who had a competitive bedside documentation solution.

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