TELEMEDICINE SOLUTIONS

2017

Telemedic ine Anyt ime, Anywhere

ABOUT PARSYS

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

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

PARSYS CUSTOMERS & PARTNERS

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

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

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

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

HARDWARE

HARDWARE SOLUTIONS

Telemedicine room

Telemedicine cart

Portable station

SmartphoneOr tablet

FORM FACTOR VARIES ACCORDING TO MOBILITY NEEDS

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

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

BLOOD BP + OXYGEN SATURATION

Origin: France

• Compact, hospital-grade multi-parametric device• USB interface• Capture time: 5 - 10 seconds SPo2 , 20 seconds BP

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

ECG - TRADITIONAL 12 LEAD

• simultaneous 12-lead, 12-channel ECG• Patches• single capture in 5 minutes

DIGITAL THERMOMETER

• Infrared (IR) technology• Bluetooth transmission• 2 buttons: On/Off and transmit• Capture time: 1 second• Frontal (no consumables) or auricular Origin: Switzerland

STETHOSCOPE

• USB interface• Live streaming• cardiac mode• pulmonary mode• up to 24x amplification

Origin: USA

OTHER STATION DIAGNOSTIC DEVICES

Spirometer

Otoscope

Dermatoscope

• Best-in-class devices• USB interface• Live streamingOrigin: USA

Origin: Italy

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

EYE EXAM

• Fondus examination• Anterior segment• 5 Megapixels• USB interface

Origin: Finland

BIOCHEMISTRY

• Total cholesterol• HDL cholesterol• LDL cholesterol• Triglycerides• Ketone• Creatinine

Blood Glucose meters Blood Analyser

• USB or Bluetooth interface

Origin: USAOrigin: Germany

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

SOFTWARE

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

TOUCHSCREEN ALLOWS USERS TO BE EFFECTIVE

AN INTUITIVE MEDICAL INTERFACECAPTURE

OF PICTURES

AND VIDEOS

VIDEO CONSULTATION

EXTENSIBLE UI

ONE-CLICK VIDEO CALL

27VIDEO CALL WORKFLOW IS PRE-CONFIGURED,

THE CALL IS AUTOMATICALLY ROUTED

SECURE CHAT

VIDEO CONSULTATION DURING VITAL SIGNS CAPTURE

28REMOTE DOCTOR CAN GUIDE USER ON THE MEDICAL PROCEDURES IN REAL-TIME

THE REMOTE DOCTOR USES ANY REGULAR PC

29(NO INSTALLATION NECESSARY ON CHROME OR FIREFOX)

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

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

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

EASILY BRANDABLE AND CUSTOMIZABLE

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

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

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

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