Presentation to

Department of Health Philippines

Tuesday, April 11, 2023

InnoWave Freedom PACS NANO

Innowave - OverviewInnowave Healthcare is a developer of high performance

imaging systems, could centric healthcare information technology solutions and operation support services. 

Our focus is on helping healthcare providers improve  productivity and deliver high-quality, seamless patient care across multiple sites and reach the remote rural areas, including those parts of the world plagued by poor infrastructure and resource scarcity.

We are constantly applying innovations, simplification and technologies developed across different domains of human activity.

Innowave healthcare has the unique capabilities including  advances embedded electronics electro-mechanics and Information technology to deliver complete diagnostic imaging systems.

Freedom NANO is a secure, high redundancy mini-PACS solution with compact 2 terabyte storage that is seamlessly integrated with the Freedom Radiology workflow platform.

For the first time, enjoy the benefits of a Picture Archiving and Communications System and instantly grow your business without the need for any capital expenditure.

FREEDOM NANO PACS - Overview

• Freedom Workflow (Hosted on the Cloud)

• Innowave NANO PACS solution integrates with FREEDOM Cloud based workflow engine to provide seamless radiology Imaging workflow between the Radiographer, Radiologist and Transcriptionist stations.

• The solution host data locally and workflow from the cloud, the combination make this solution unique and light to operate using minimal hardware and software infrastructure.

• DICOM Server & NAS Storage (Hosted on the Host PC and NAS Box)

• Designed to work as a robust DICOM Server to receive, store and send images across the Diagnostic center and to Remote radiologist for reporting.

• Receives Images from CR, CT, MR, US & NM modalities. • Any DICOM workstation can retrieve images from this DICOM Server. • Option to download images from Remote location using compression and

encryption.

• Workstation (Hosted on the Host PC)

• State of the art 2D workstation (with MPR) embedded into PACS Nano • Structured Reporting with Predefined Templates. • CD Writing and DICOM Printing solutions.

Paces Nano Components

NANO Product Diagram

PACS Workstation Mac PC with Dell Monitor

Mac Mini – CPU2.5GHz dual-core Intel Core i5 (Turbo Boost up to 3.1GHz) with 3MB L3 cache

DELL LED 24” Mac compatiable HDMI Display

DELL Keyboard & Mouse

Osirix 64bit Edition.

DICOM and Networking

Freedom NANO Server for TeleRad.

Radiologist Worklist

Radiographer Worklist

DICOM Worksation that supports CT, MR and PET without fusion.

Reporting Module.

Tech Manpower and Cloud Maintenance.

Unlimited Access to Teleradiology Studies

Freedom Web & DICOM Workstation.

Dell Vostro – CPU2.5GHz dual-core Intel Core i3 (Turbo Boost up to 3.1GHz) with 3MB L3 cache

500 GB Storage to Store DICOM Images

DELL Keyboard & Mouse

Innowave – DICOM & TeleRad Server

DICOM and Networking

Radiologist Dashboard

Radiologist Work-list

Radiologist Database Search Work-list

Clinical History

Image visualization at Freedom Workstation

Image visualization at Freedom Workstation (MPR Feature)

Word Report

Specifications – Freedom Workflow

FEATURES SECTION FEATURES

Usability-Browser based access-Works on Internet explorer, Firefox, Chrome-Role based access to radiologist, radiographer, referring physicians

DashboardsRealtime Business intelligence dashboards for

-Study status-Turnaround time-Priority status – Emergency and normal studies-Studies performed by radiologists-No. Of studies per center-Studies categorized into modalities

Collaboration-Active collaboration between radiologist, radiographer and Transcriptionist. -Commenting on individual patient studies -Chat feature

Worklist-Graphical study status indication -Full DICOM study information availability-Sort studies by patient name, DOB, Accession No. , Study date, study description, imaging centre name, Modality, uploaded date-Search studies by by patient name, DOB, Accession No. , Study date, study description, imaging centre name, Modality, uploaded date-Download individual series in a study

Compression-Jpeg/JPEG 2000 compression-User defined compression stages : Lossless, Lossy Excellent, Lossy very Good, Lossy good, Lossy Medium, Lossy Fair.

Radiology Reports-Integrated reporting engine with DICOM workstation-Upload reports from Word processing packages directly on to the web work list-Download reports in word or PDF formats

Specifications –Dicom Server & NAS Box

FEATURES SECTION

FEATURES

DICOM`•DICOM C-STORE (SCP/SCU) for most currently approved DICOM SOP Classes.•DICOM C-FIND and C-MOVE (SCP) for Patient Root and Study Root query models. •DICOM multi-byte and extended character set support.•DICOM device management for limiting features remote DICOM devices can access.•DICOM WADO with DICOM mime type support

File Systems

•Support for single filesystems for online storage on a NAS devices.

•Supported RAID Type : Synology Hybrid RAID or RAID 1 with HDD Hibernation.

•File System FAT | NTFS.

•Network Protocol iSCSI.

Rules Engine

•Watermark based disk management. Minimum retention times for studies are set through the rules engine

Archiving •Archival support to iSCSI based interfaces

Usability •Alerts mechanism to notify administrators when system related errors occur.

•Application log viewer

•Import folder. DICOM files can be copied into a folder on a file system and the files are automatically imported into the Image Server.

•Study Level Manipulation – Studies can be moved and deleted.

Specifications – Workstation

FEATURES SECTION

FEATURES

Modalities Supported

CR, DX, CT, MR, US, Nuclear Medicine

Usability Very easy to use, intuitive interface Integration with Tele-radiology SystemImage streaming within LAN to alleviate network congestion inter operatable with any DICOM 3.0 compliant DICOM Archive Multi-monitor awarenessUndo/redoScroll bar for stacking images

Imaging Tools

Multiplanar Reconstruction (MPR)Stacking Window/Level VOI LUT supportZoom/Pan Magnifying glassRotate/Flip CineInvertMatch field of view Image layoutThumbnailsReference lines Synchronized stacking Spatial locator

Specifications – Workstation …cont

FEATURES SECTION

FEATURES

Other- 32Bit / 64-bit support (Separate Installer for each version)

DICOMQuery, import, send and receive DICOM imagesMulti-frame image supportDICOM key image support

DICOM PRINT

- Can print to any DICOM film Printer - Film Composer with true print preview - Print on any film size in Landscape or Portrait- Processing features like Zoom, Window Width/Level, Pan are available on Print Composer - Configure multiple DICOM printers- Insert complete series or all images to the print layout

CD/DVD Writing

CD / DVD WRITING - Direct CD / DVD Writing facility - Auto run CD will display full screen on any resolution when inserted, works if the OS supports - Single Patient or Multiple Patients can be written on a CD/DVD.- Free / any open source CD Viewer can run on any computer with 2D processing

REPORTINGUser-defined customizable report templates. - Multiple report templates for each study. - Insert important reference images in text layout. - Customizable predefined centre and patient details as report header

Specifications – Workstation …cont

FEATURES SECTION

FEATURES

Measurements/Annotations

Linear ROIs: ellipse, rectangle, irregular polygon Mean and standard deviation reporting on ROIs Measurement calibration Protractor Arrow Text user annotations

Overlays Study/image information DICOM overlays Image scale Shutters Individual toggles for all overlays

Utilities Clipboard Export to BMP, GIF, JPG, PNG, TIF, AVI DICOM header viewer Study anonymization Ability to open files from Windows Explorer Load images with external Applications Show image properties List and filter studies based on DICOM and file attributes

NANO Storage Spec(NAS Box)

Hardware• CPU Frequency : 1.2GHz• Memory : DDR2 256MB• Internal HDD/SSD : 3.5" or 2.5" SATA(II) X 2 • Max Internal Capacity : max of 3TB in RAID 1 (2X 6TB HDD)

LAN Support• 10/100/1000 Mbits/sec LAN connecting to a host PC over cross

cable.

Storage • Online free disk space Typically a NAS Box - Size based on the

Storage Calculator• Hybrid RAID (SHR) is an optimized volume type. No need to

study the difference between RAID types and requirements, SHR helps you keep everything simple and instant.

Disk Station Manager as operating system.

Recommended

Hardware and Software

DICOM Connectivity• Our solution works only using the DICOM connectivity.• LAN connectivity between the Modality and Computer is mandatory.• Modality should be configured to send images to a DICOM node using STORE SCU.• Modalities IP Address, AE Title and Port No are essential.• Innowave default AE Title is “STORESCP” and Port No is 1007. IP address is from the host PC.

NANO Host PC Specification

Hardware• Dual Core CPU 2GHz (x86 or x64) | Recommended i3 3nd

generation • Minimum: 4 GB RAM Recommended: 8 GB RAM or greaterLAN Support• Dual 10/100/1000 Mbits/sec LAN 1. DICOM LAN - Connect (PLC) device connecting the

Radiology Network 2. NAS iSCSI connection. Software• Microsoft Windows 7 64 bit • Professional Version of Windows Operating System• Microsoft .Net Framework 3.0• Anti – Virus like K7 Storage • 150 MB of Free HDD space for the Workstation.Monitor• Screen Size Ultrasharp 21” inch wide | Resolution 1600 x

1200 | Contrast Ratio > 800:1 | Brightness > 300 cd/m| Max Viewing Angle 178° / 178° |Adjustability Height, tilt, swivel, pivot | Connectivity DVI-D & VGA

Storage Requirement Analysis

Modality

No of Patients / Month

No of Images/Study

No of Images / Month

Comments of Images

Image Matrix

X

Image Matrix

YBytes/Pixel

Size of Image

Total Size / Study (MB)

Total Size / Month (MB)

1 X-Ray 600 1 60050% Chest & 50 % Extremeties 3072 3072 2 18874368 18.0 10,800

2 Ultrasound 600 20 12000 800 600 3 1440000 27.5 16,4793 CT 150 300 45000 512 512 2 524288 150.0 22,5004 MRI 150 250 37500 Brain & Chest 512 512 2 524288 125.0 18,750

67 GB201 GB

Total 1500 95100 402 GB0.9 TB2.3 TB4.1 TB

Projected 20% Growth on the Storage Size. Predicted Storage for 36 Months

Predicted Storage for 1 MonthsPredicted Storage for 3 MonthsPredicted Storage for 6 MonthsPredicted Storage for 12 MonthsPredicted Storage for 24 Months

Freedom Clearing House

“Freedom Clearing House” teleradiology commend centre    as  100% cloud enabled solution that minimizes your  investment with uncompromised  performance.

The Clearing House tele-radiology command centre” can be connected to multiple institutions across different geographies with a central hub for reporting as well as ability to reassignment of cases to specialist radiologist located outside your hub location.

Freedom Clearing House is fully saleable from a single user to large countrywide deployments.

Innowave also provide operations support including technical and imaging workflow coordination to insure optimal use of the system.

Information Flow

Freedom (PACS & Clearing House)

Technologist’s ViewCloud based PACS & Clearing House Solution from Innowave.

Technologist Login

Technologist Dashboard

Technologist Work-list

Study Upload using (Gateway Lite.)

Study & Report Notification(SMS & e-mail Integration)

Reporting – File Upload

Simply the word’s most affordable PACS

and radiology workflow solution

Innowave Freedom I-DART

Freedom I-DART converts x-ray/Laser films to diagnostic quality DICOM images, creating new capabilities of Tele radiology, workstation based reporting, CD archiving, DICOM printing and Film Duplication.

Freedom I-DART enables your Radiologists to report images remotely. Connect to Freedom Clearing House Cloud Teleradiology solution directly. I-DART Includes an integrated multi-modality DICOM viewer and full PACS integration capabilities.

Features:• View Box• X-Ray , Laser Film Digitizer• PACS Integration• Flexible reporting• Tele- Radiology

Thank you.

For more information please connectVivek@innowave.in