Working currently in the UK...the digital pen records what is being written on a special form, when complete the Blackberry goes to work to transmit back to a server....BD 

A new software package from PaperIQ will make it easier for end-users to combine the benefits of two of the most popular productivity tools, BlackBerry® smartphones and Digital Pen and Paper (DPP).
The Anoto Digital Pen Integration Kit for BlackBerry provides everything required to integrate Anoto’s digital pen technology with a BlackBerry smartphone application or enterprise system.  Medicals Direct, which carries out health screenings on behalf of life insurance providers in the UK, rolled out Anoto’s digital pens and BlackBerry smartphones to streamline the processing of half a million screening forms which its nurses complete every year. Now when a medical is completed, the pen transmits the form data wirelessly to the nurse’s BlackBerry, which automatically forwards it to a back-end server.

SourceWire | Press Releases - New software connects Anoto Digital Pen to BlackBerry

Hat Tip:  GottaBeMobile


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