presentation parsys full - gata...
TRANSCRIPT
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TELEMEDICINE SOLUTIONS
2017
Telemedic ine Anyt ime, Anywhere
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ABOUT PARSYS
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Emergencies: isolated sites at sea or on ground; nursing homes, emergency care
Teleconsultation: connect caregivers for second opinions and interpretations
TELEMEDICINE FULL SOLUTION PROVIDER
A FOCUS ON INNOVATION
PARSYS TELEMEDICINE
Headquarter in Paris, clients in 20 countries Owners includes management and Dassault Group
COMPANY
2013 French innovator of the year (ParisTech award) 3 international patents R&D nearly 40% of sales
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Emergency care (French SAMU)
Maritime Marlink (ex-Airbus Satellite division), CMA-CGM,
Bourbon, Orange, Coast guards 600+ ships equipped
Nursing homes
Hospitals Official Videoconferencing solution in over 160
Paris hospitals and institutions, …
Occupational doctors Axa, Exxon, L’Oreal, Dassault, Toyota, …
Military
Non-Governmental Organizations
MARKETS
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PARSYS CUSTOMERS & PARTNERS
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A MODERN TELEMEDICINE SOLUTION
Latest‐generation digital medical devices Usable by non‐professionals Transmit data efficiently and securely Support both synchronous and asynchronous assistance Full HD (1080p) videoconferencing and remote control Full Web Cloud‐based health data exchange platform Support extremely low bandwidth
Audio: 8 kbps Video: 50 kbps Medical data: 1 kbps
Customizable and interoperable
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Bluetooth
Central hospitalManned by professionals or automatic call routing to doctors
Remote location
Doctors on dutyAccess from anywhere through PC, tablet or smartphone
Secure Cloud
platformTELECONSULTATION
Fixed lines Satellite dish 2G / 3G / 4G
Central Hospital Emergency Service
EMERGENCY
TELEMEDICINE USE CASES
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AGNOSTIC MEDICAL PLATFORM
Existing partners French SAMU CIRM (Maritime) CCMM (Maritime) Europ Assistance Military doctors
Open to any other client‐specified medical service provider
NOT EXCLUSIVE TO ANY MEDICAL PROVIDER
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Telemed Station
1
2
PatientSecond mate
Local medicalcapture
3Satellite service MarlinkVital
Data
Video
EC Certifiedmedical date
hosting
4
TelemedPortal
Video
VitalData
Initial consultation
Shipping Companydoctor
Doctor on-duty
EXAMPLE: AIRBUS- MARLINK MARITIME EMERGENCIES
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HARDWARE
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HARDWARE SOLUTIONS
Telemedicine room
Telemedicine cart
Portable station
SmartphoneOr tablet
FORM FACTOR VARIES ACCORDING TO MOBILITY NEEDS
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OXYMETER• SpO2 measurement• short and long-term heart rate• indestructible sensor
OPTIONS• glucometer • thermometer• dermatoscope / otoscope• Ultrasound• Etc…
ECG• simultaneous 12-lead, 12-channel• fixed thoracic electrodes• no consumables• single capture in 15 seconds• Bluetooth wireless transmission BLOOD PRESSURE
• automatic• digital display• adjustable for 1 or 3
successive captures
STETHOSCOPE• cardiac mode• pulmonary mode• up to 24x amplification
PARSYS TELEMEDICINE STATION
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STATION CHARACTERISTICS
8‐hour autonomy on typical use Easy to store devices and clean after use IP67 water / dust protection DO‐160 F 7.5 Kg Integrated medical‐rated power supply Built‐in Ethernet / Wifi / Bluetooth / GSM / 4G
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BLOOD BP + OXYGEN SATURATION
Origin: France
• Compact, hospital-grade multi-parametric device• USB interface• Capture time: 5 - 10 seconds SPo2 , 20 seconds BP
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ECG –TELECARDIA
Origin: France
• Exclusive technology• Designed for non-medical staff in mind• Simultaneous 12-lead, 12-channel ECG• Fixed thoracic electrodes• No consumables• Single capture in 15 seconds• Visual instructions being Telecardia• Automatic Bluetooth wireless
transmission, single button
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ECG - TRADITIONAL 12 LEAD
• simultaneous 12-lead, 12-channel ECG• Patches• single capture in 5 minutes
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DIGITAL THERMOMETER
• Infrared (IR) technology• Bluetooth transmission• 2 buttons: On/Off and transmit• Capture time: 1 second• Frontal (no consumables) or auricular Origin: Switzerland
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STETHOSCOPE
• USB interface• Live streaming• cardiac mode• pulmonary mode• up to 24x amplification
Origin: USA
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OTHER STATION DIAGNOSTIC DEVICES
Spirometer
Otoscope
Dermatoscope
• Best-in-class devices• USB interface• Live streamingOrigin: USA
Origin: Italy
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ULTRASOUND
6 USB probes available
Clinical Applications : General abdominal, trauma, OB, bladder volume, vascularaccess, endocavity, ophthalmic
Probe Frequency: 3.5 MHz to 24 MHz
Available January 2017 Origin: USA
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EYE EXAM
• Fondus examination• Anterior segment• 5 Megapixels• USB interface
Origin: Finland
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BIOCHEMISTRY
• Total cholesterol• HDL cholesterol• LDL cholesterol• Triglycerides• Ketone• Creatinine
Blood Glucose meters Blood Analyser
• USB or Bluetooth interface
Origin: USAOrigin: Germany
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IN DEVELOPMENT
• More compact version of current station• 7-lead wired ECG instead of wireless 12-lead• Weight 5 Kg instead of 7• Lower resolution webcam
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SOFTWARE
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USER EXPERIENCE PHILOSOPHY
Designed from the ground up for non‐medical staff (NMS) foolproof / tamperproof
NMS users do not have access to previous consultations and patients No re‐configuration
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TOUCHSCREEN ALLOWS USERS TO BE EFFECTIVE
AN INTUITIVE MEDICAL INTERFACECAPTURE
OF PICTURES
AND VIDEOS
VIDEO CONSULTATION
EXTENSIBLE UI
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ONE-CLICK VIDEO CALL
27VIDEO CALL WORKFLOW IS PRE-CONFIGURED,
THE CALL IS AUTOMATICALLY ROUTED
SECURE CHAT
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VIDEO CONSULTATION DURING VITAL SIGNS CAPTURE
28REMOTE DOCTOR CAN GUIDE USER ON THE MEDICAL PROCEDURES IN REAL-TIME
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THE REMOTE DOCTOR USES ANY REGULAR PC
29(NO INSTALLATION NECESSARY ON CHROME OR FIREFOX)
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A COLLABORATIVE CLOUD PLATFORM FOR HEALTHCARE PROFESSIONALS
Medical data go through a secure datacenter
Accessible through smartphones, PCs of all types through standard browsers.
New-YorkToulouse
Records are archived for 10 years minimum
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CLOUD-BASED MEDICAL DATA HOSTING
Data hosted with HIPAA and French ASIP Santé Medical Data Storage compliance Infrastructure with dynamic scale up and geographic redundancy 99.9% availability
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Bridge
Signaling
Relay
Services Parsys RTC
TLS
PARSYS MEDICAL HUB
Web servicesDelegated
Authentification
HOSPITAL EMR
HOSPITAL EMR
HL7 v2.5 Data export
HL7 v2.5 Profile PAM
Parsys Medical Cloud
Applicative Proxy (optionnal)
Applicative Proxy (optionnal)
Patient Identity
Medical report (PDF or text)
Web servicesDelegated Authentification
EASILY INTEGRATED IN EXISTING SYSTEMS
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EASILY BRANDABLE AND CUSTOMIZABLE
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VIDEO CONFERENCE TECHNOLOGIES
From 50kbps to 2Mbps VP8/VP9 video codec Opus audio codec Full Web secure platform 4096‐bit CDSA key exchange Screen sharing, ultrasound / otoscope / dermatoscope streaming
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VIDEO : TECHNICAL REVIEW (1/2)
Criteria Parsys RTC Traditionalvideoconference
Video Compression Codec VP9 (30% better) h.264 SVC
Audio Compression Opus Codec (compression 2x better, lowlatency), g.911
g.929, g.922, g.911
Multi platform Windows (XP or +, Chrome, Firefox, Edge)Mac OSX (Chrome, Firefox)Linux (Chrome, Firefox)Android (Chrome)iOS (application)
Variable and implies« heavy» client
Interoperability AnyWebRTC-ready terminalupgrade kit for SIP/ H323
SIP and/or H.323
Minimum bandwidth Video Full HD : 1,5 MbpsVideo : 150 kbpsAudio only : 10 kbpsMedical HD : 15 kbps (>1000x better!)
Video Full HD : 1,5 MbpsVideo : 500 kbpsAudio only : 64 kbpsMedical HD : 1.5 Mbps
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VIDEO: TECHNICAL REVIEW (2/2)Criteria Parsys RTC Traditional
videoconference
User experience Full Web Heavy application split from portal
Security 128 bit AES overboard (SRTP, TLS/SSL) AES 128 bit
Cameras - More than 150 IP / PTZ cameras available (Axis, Panasonic, Sony, Samsung etc…)- All USB webcams
- Generally one manufacturer- USB Webcams
Technological maturity Millions terminals available Millions terminals
Technicalindependance of the integrator
full weak
Functionalities Screen sharing Multi-fluxOptimized latencyPTZ control (remote camera monitoring, click-to-zoom)Native medical streaming
VariablePTZ control
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PARSYS KEY DIFFERENTIATORS
Best‐in‐class audio/video Low‐bandwidth transmission expertise User experience (capacitive display, modern UI, all‐in‐one, etc..) 10’ screen size Unique ECG device continuously improving co‐development Medical Cloud available SaaS or on‐premise Customizability Interoperability and ability to export to 3rd party Medical provider agnostic