karl storz or1™ presentation

OR1 - The Integrated Operating Room

KARL STORZ ENDOSKOPE

Jeff SotoMarketing Specialist

OR1 and Documentation

Sub-Saharan Africa and Maghreb

[email protected]

+961-76-650 670

OR1: Definition

Operating

Room

1Stands for the

ONE location

used to control

all the OR

equipment

To get a better perception of the need of the OR1 system, lets get started with a look at a conventional operating theatre

Conventional OR

Conventional OR

Cables all over the room

Multiple locations to control equipment (lights, Operating table, medical units etc)

Trolley (with monitor on top) are next to the table Limited viewing angle

Conventional OR

Long preparation time

Decreases the efficiency in the OR workflow

Conventional OR

A/V communication inside/outside the theatre requires a very long set up time

Conventional OR

The surgeon is always inside the sterile area and detached from the surrounding areas

OR1 New Challenges

Increasing number of Minimally Invasive Surgeries (MIS) done

Increasing requirements towards staff and equipment

New technologies are now being used in the theatres requiring a lot of training time for the staff

Need for documentation

OR is isolated Need for communications with the external environment

Full responsibility for the patient

Need for Integration & Smart Technologies

Why OR1?

Conventional OR

Cables all over the room

Multiple locations to control equipment (lights, Operating table,

medical units etc)

OR1 Equipped Room

Pendant based towers No apparent cables (All

cables passing in boom arms)

Centralized control of all OR equipment

Why OR1?

Conventional OR

Trolleys with Monitors on Top Limited Viewing Angle

OR1 Equipped Room

Multiple monitors conveniently located on arms providing

better viewing for the surgeon /

assistant

Why OR1?

Conventional OR

Traditional Data Archiving

Patient file is kept in hard copies somewhere in the hospitals stock

OR1 Equipped Room

The AIDA system records and captures the procedure/patient information

Data is stored digitally on a server inside the hospital

Why OR1?

Conventional OR

Teaching inside the OR

Students are around the Operating Table to observe and

get the necessary information

OR1 Equipped Room

The OR1 AV system allows for the bidirectional communication

between the OR and the outside

environment

Only the surgeon (and Assistants) is in OR

Why OR1?

Conventional OR

Sterile Area

Surgeon /

Nurse

Control of

Medical Units

Archiving &

Documentation

Communication

w/ the outside

Commands

Feedback

Sterile

Gap

Touch

Screen

Circulating

Nurse

OR1 Equipped Room

Bridging the Sterile Gap

OR1 Improvements

Better Ergonomics

User friendly and cable-free environment

Improved Safety

Using the OR1 Checklist Software

Better OR workflow and functionality

State of the art technology in control, archiving and telemedicine

More sanitary environment

Easier Disinfection

OR1

AIDA:

Documentation and

Archiving Systems

SCB Control:

Centralized control

of all OR equipment

AV NEO:

- Audio/Video

Integration

- Communication

between OR

and Outside

environment

Checklist

Software:

Surgical Checklist

SCB Control NEO

Main Function of SCB: INTEGRATION

Provides alternative and more efficient ways to control the devices inside the OR

Ability to control all compatible devices and equipment from a single touch screen

STORZ Communication Bus

SCB Control NEO

SCB Control NEO is controllable in multiple ways:

A touch screen inside the sterile field

NWS: Nurse Workstation

Voice 1: Voice control

SCB Control NEO

Nurse Work-Station

Touch screen with mouse and keyboard

Desktop Mounted

In wall lift mounted

Stainless steel wall mounted

SCB and Voice 1

Voice 1

Voice control of integrated devices

95% accuracy for native English speakers

User profile for non-native English speakers available

Very high learning curve and system adaptation (User can

train the system)

SCB Control NEO

Centralized Control from a single touch

screen of:

STORZ Medical Units

Non-STORZ Medical Units and peripheral

devices

AIDA documentation system

AV NEO Telemedicine system

SCB Control NEO (Compatible Devices)

KARL STORZ Devices Light Sources

D-Light, D-Light AF, D-Light C, D-Light Angio, Xenon 100, Xenon 175, Xenon 300, Power LED 175

Endoscopic Cameras

Image 1 HD, Image 1, Telecam SL, Tricam SL, Tricam SL II

Insufflators

Electronic CO2 Endoflator, Electronic Endoflator LC, Hamou Micro-Hysteroflator, Thermoflator

Suction and Irrigation Pumps

Hamou Endomat, Endomat LC, Equimat, Hysteromat II, Arthropump, ArthropumpPower

HF-Units

Autocon II 400


Shaver

Powershaver SL II, Powershaver SL, Power Unit S1, Power Unit S2

Motor Systems

Unidrive ENT, Unidrive Neuro, Unidrive OMFS, Unidrive Gyn, Unidrive II, Unidrive II Plus, Unidrive SIII

Laser Systems

Calculase, Calculase II


3rd Party Devices

HF Units

ConMed, ERBE, ValleyLab, KLS Martin

OR Lights

Berchtold, Steris, KLS Martin, Trumpf

Surgical Cameras

Berchtold, Steris, KLS Martin, Trumpf, Drager

OR Tables

Berchtold, Maquet, Steris, Trumpf, OPT

3rd Party Devices require an interface for integration to the SCB system

SCB Control NEO

SCB Control NEO User-friendly Interface:

SAM TaskbarSTORZ Application Manager

Device InterfaceList of Connected

Devices

Menu

Device View/Overview

Buttons

SCB Control NEO

Realistic User Interface (RUI) Reproduces the medical devices interface on the SCB touch screen No training needed for OR staff to control previously known equipment

SCB Control NEO

Overview screen to watch and control all

running devices at a

glance

Individual presets to save start-up

configurations for each

surgeon

SCB Control NEO

Benefits Fast system start up at the beginning of procedure

Faster transition between procedures

Automatic recognition of connected devices

Reduce stress for individuals inside the OR

Multiple language versions available

Open architecture system allowing easy upgradability

OR1

AIDA:

Documentation and

Archiving Systems

SCB Control:

Centralized control

of all OR equipment

AV NEO:

- Audio/Video

Integration

- Communication

between OR

and Outside

environment

Checklist

Software:

Surgical Checklist

AIDA Compact NEO

Advanced Imaging and Data Acquisition

Image and Video Capturing, Viewing and Storage

Editing of Images and Videos

High Definition Option available

Storage possible on USB/CD/Network

Dicom/HL7 Communication possible for retrieving and exporting data

AIDA Compact NEO: Why?

Digital Archiving and Documentation provides better Healthcare Quality, Teaching and Improves Safety

AIDA Compact NEO

Improved and simplified user interface for easier operation

Auto detection of connected camera system

Stand alone System

Does not need to be part of an integrated OR solution

SAM TaskbarSTORZ Application

Manager

AIDA Workflow Bar

AIDA Compact NEO: Why?

Digital Documentation and Archiving:

Essential: There is a need for every surgeon to have documentation for all procedures for

later consultations

Teaching and Demonstration: Documentation allows for students to review procedures

previously done

Workflow in Hospital: Better transmission of data inside/outside the hospital

AIDA Compact NEO

Patient Screen

Allows for entering of all patient and procedure information

AIDA Compact NEO

Patient Data

Thumbnails of

acquired

photos,

videos or

audio notesLive View

Screen

Acquisition

ButtonsInput/Source

Selection Buttons

Preview

Button

AIDA Compact NEO

Reference Page

If AIDA is connected to network (Dicom/HL7), the Reference page will display all available patient data on the Hospital server

Xrays, Scans, MRIs, Surgery images/videos

AIDA Compact NEO

Takes 4 different inputs i.e. endoscopic camera, room

camera, surgical camera

High Definition option for HD viewing, photos and videos

1920x1080 Image Resolution

1080p Video sequence resolution

Live view of selected input source for more accurate capture

AIDA Compact NEO

Easy editing and deletion of captured images prior to final

storage

Video cropping and editing possible also in the edit screen

Secure storage of data on AIDA hard drive until successfully

backed up/saved

Automatic generation of standard reports

AIDA Compact NEO

Generation of reports at the end of procedures

Header can be configured to meet the users preferences

Report includes images and videos acquired during the operation, as well as patient information

AIDA Advanced Reporter (AAR)

Demands on documentation of surgical procedures have significantly increased

Generating, archiving and locating data represent three essential areas where clinical personnel need an intuitive and intelligent system

KARL STORZ developed the AIDA Advanced Reporter (AAR)


AIDA Advanced Reporter

Software installed on Workstations in Doctors offices, nurse offices etc.

Communicates with Multiple AIDA Compact NEO systems in ORs

Communicates through DICOM/HL7 with PACS/HIS for patient data retrieval

Generates structured reports on the documented surgery


Patient Worklist can be entered at the beginning of the day or retrieved directly from the HIS

Worklist automatically transferred to AIDAs inside ORs

After the procedures are done, data is automatically transferred back to the AAR

Patient data can then be saved on PACS or any server


Report writing using standardized text with the configurable text modules

Pre-findings list also available for every patient More information on the examination is available


Examination data Input can be done in 6 different ways

Direct Text input

Test Assistant Module

Pre-defined text modules

Previous examinations for the patient

Previous content of the field

Saved Templates


Image and Video editing using the MediPaint Module

Text modules are also available for labelling

Video cropping and cutting also possible


Generation of standard reports for the procedure

Reports include sketches of examined areas as well as the findings etc

Images can also be included

OR1

AIDA:

Documentation and

Archiving Systems

SCB Control:

Centralized control

of all OR equipment

AV NEO:

- Audio/Video

Integration

- Communication

between OR

and Outside

environment

Checklist

Software:

Surgical Checklist

OR1 Checklist Software

Electronic provision and generation of checklists for surgical procedures

Improves OR safety

Fully customizable checklists

Creation of checklists

Editing of existing checklists

Generates and stores a report of the completed procedure

Easy and intuitive control from the SCB interface


Time out verification during all procedures

Pre-loaded Checklists according to the WHO

Adaptable by customers to meet the needs of individual surgeons and procedures

Direct access to patient data


Patient

Data

Surgeon Procedure

OR1

AIDA:

Documentation and

Archiving Systems

SCB Control:

Centralized control

of all OR equipment

AV NEO:

- Audio/Video

Integration

- Communication

between OR

and Outside

environment

Checklist

Software:

Surgical Checklist

AV NEO System

Audio/Video system allowing for:

Audio and Video Routing inside/outside the OR

Room Control

Communication between OR and external locations

Modular and flexible system that allows the choice of needed functionality, while maintaining the upgradability

Fully Controllable from the SCB touch screen

AV NEO System

Multiple inputs from different sources as needed

DVD Player, iPod, Endoscopic Camera, Surgical Camera, etc

Routs the different signals to available outputs

Monitors, AIDA, Streaming solutions etc

Allows for Bi-Directional audio and video communication between OR and outside locations

Allows for Room Control (Blinds, Lights, Cameras)

iPod, DVD Player Connections possible

Auxiliary Input

Surgical and Room

Cameras

Endoscopic Camera

Telestration, Quad

Video

iPod Microphone Room Control

AIDA Compact

NEO

Surgical Displays

Speaker

Video Conference

Doctors OfficeAuditorium

AV NEO

Telephone

AV NEO System

Video Routing & Control

Telephone Integration

DVD Player Integration

iPod Integration

Video-Conference Integration

Telestration

63

Telestration Integration

Auditorium /

Lecture Hall

RADIOLOGY

PACS Network

Operating

Room

Surgical Cam

Operating

Room

Overhead Cam

Quad Video

Quad Video Twin Video

Benefits:Surgeon

Surgeon

> Quad Video enhances video communication

> Twin Video enables medical images comparison

Quad Video

Room Control Integration

OR1 Benefits

SCB NEO

Provides centralized control over all equipment inside the OR

Individual presets allow for fast startups at the beginning of every procedure

Can possibly reduce the number of required staff inside the OR No personnel is needed to manipulate the equipment

AIDA NEO

Digital documentation of all the procedures

Communication with PACS/HIS makes retrieval of data possible from inside the OR (X-Ray images, Scans, etc)

OR1 Benefits

AIDA Advanced Reporter

Easy and intuitive reporting system

Generates structured and standardized reports

Communicates with all AIDAs in ORs for patient info and data transfer

AV System

Provides routing of AV signals inside and outside the OR

Communicates with the outside environment

With an auditorium for teaching purposes

With another hospital or doctor for assistance and help to the surgeon

OR1 Solutions

Mobile Trolley with AIDA System

OR1 Solutions

Mobile Trolley with AIDA/SCB Systems

OR1 Solutions

Pendant Based Solution with AIDA System

OR1 Solutions

Pendant Based Solution with AIDA/SCB System

OR1 Solutions

Pendant Based Solution with AIDA/SCB/SmartConnect Systems

OR1 Solutions

Additions: Large Screen, Room Camera, Speaker

OR1 Solutions

AIDA/SCB/SmartConnect to remote locations (Media Rack)

OR1 Solutions

Complete OR1 Solution SCB/AIDA/AV NEO

Completed OR1 Sites (Africa)

Hopital du Point G, Bamako, Mali

Roman Catholic Hospital, Windhoek, Namibia



Red Cross Childrens Hospital, Cape Town, South Africa

Completed OR1 Sites (Other)

VisitOR1

Thank You

Questions?

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