NHS 5 Year Plan

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DiscoverThe first fully network-based integrated OR

NHS 5 Year Plan

2© RiICHARD WOLF UK, WATERSIDE WAY, WIMBLEDON, SW17 0HB

NHS 5 Year Plan

3© RiICHARD WOLF UK, WATERSIDE WAY, WIMBLEDON, SW17 0HB

Previously at the Integrated Digital Care seminar ……

1. Over 100 years ago – founded by Georg Wolf2. By 1930 already produced over 1000 Endoscopes3. In 1959 produced the first Film recordable cystoscopy4. In 1963 first cold-light illumination for Endoscopes5. In 1968 first illuminated lens telescopes6. In 1990 first Extracorporeal Shock Wave Lithotripter 7. In 2004 Introduction of CORE Endoscopy system8. in 2007 CORE fully integrated Theatres in UK9. In 2012 introduction of first HD Endoscopy cameras

10. In 2013 CORE.nova IP-networked Integrated Theatres

The Trend: less hardware - more software

NHS 5 Year Plan

4© RiICHARD WOLF UK, WATERSIDE WAY, WIMBLEDON, SW17 0HB

Previously

Systems were a set of products

Hardware was in the foreground

Upgrade was through additional hardware

Hardware was mostly isolated

Today

core nova is a set of software solutions

core nova is part of network infrastructure

In core nova upgrade mainly via software

core nova software embedded in the clinical process

Core.nova is the future for Digital Theatres

NHS 5 Year Plan

5© RiICHARD WOLF UK, WATERSIDE WAY, WIMBLEDON, SW17 0HB

1. Existing & New Technologies

2. Software Applications

3. Systems: Integrate and unify

4. Monitor & Manage

Let’s look at some fun technologies ….

NHS 5 Year Plan

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Robotic Surgery …..

Core.nova interface:All data acquired during the procedure can be archived, logged with Text reports, Time stamped, Video & Audio recalled from anywhere.

a) Archive can be in any format: DICOM / HL7, Mpeg video, Jpeg. Etc.

b) Interface can be Laptop, Mobile phone or PC.c) Surgery shared via Video-conferencing,

Telestration or simply broadcast streamed for educational purposes.

d) Financial asset management

1. Existing & New Technologies

NHS 5 Year Plan

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3D Visualisation …..

Core.nova interface:Magnetic Resonance Imaging (MRI) and scanned images used to build 3D models of affected organ which can be verified by core.nova 3D systems via keyhole surgery

1. Existing & New Technologies

NHS 5 Year Plan

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3D Virtual surgery …..

Core.nova interface:

a) Working with scanning system, patient details are recorded.

b) Scanned images are converted to life-size models for surgeons to inspect from every angle.

c) Through core nova information can be shared with other consultants.

d) With consensus from all enables the perfect way to test mechanical fittings.

1. Existing & New Technologies

NHS 5 Year Plan

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Clinical Simulation …..

Core.nova interface:

a) The most innovative Apps can run on core nova and shown in Theatre to help Surgeons think out-of-the-box.

b) Dynamic interaction for both Patient and Surgeon – “this is what we’ll do”

c) The Apps accuracy can be seen using side-by-side comparisons during surgery.

d) A training vehicle with no risk to the patient.

1. Existing & New Technologies

NHS 5 Year Plan

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Robotic Check ups …..

Core.nova interface:

a) Medical-robots can patrol hospital wards checking on patients in different rooms, monitoring vital signs and charts without direct human intervention.

b) Core nova can link with medical information, patient and archive servers providing Medical-robot with all information needed to diagnosis.

c) A two way video link to a human is reassuring yet may not necessary.

1. Existing & New Technologies

NHS 5 Year Plan

11© RiICHARD WOLF UK, WATERSIDE WAY, WIMBLEDON, SW17 0HB

Core.nova interface …..

a) Media continuity: multiple video/audio sources are captured & archived.

b) Easy and complete access to relevant information from any location.

c) High automation means error reduction, shorter down times

d) Cost assessments based on:- Staff involved- Time - Consumables- Machinary used

2. Software Applications

NHS 5 Year Plan

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Core.nova interface …..

e) Digitise Patient check-lists and Theatre proceduresNo duplication and errors. Everyone on the same page and nothing forgotten

f) 3rd Party device administration / maintenance

h) Analysis and CorrelationsNumerical analysis of data, graphical representations, multi-function analysis to determine best practice; determining a final solution based on experimental findings

i) Predictive & Pre-emptiveGraphical analysis with forward and backword interpolation. Theoretical assessments based on factual evidence.

2. Software Applications

NHS 5 Year Plan

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Core.nova interface …..

a) Physical integration is minimal over IP

b) Software integration - provides greater flexibility to depth of control whether it is simply superficial or detailed fine-tuning by core.nova.

c) Where multiple systems operate in the same work space – it is more effective and less costly to operate only one over-controlling system that simply manages the other platforms.

3. Integrate and unify

NHS 5 Year Plan

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Core.nova interface …..

MonitoringManage & schedule surgical assets. Monitor consumables and replenish. Financial assessments of Theatres with cost analysis. Monitor 3 rd party product performance and medical equipment. Access Patient’s history or medication or vital signs, and reduce Patient’s risk, etc

Command & ControlCommand & control environmental systems. Control other Theatre equipment to enhance operating function. Manage 3rd Party software packages (scheduling, Theatre processes, Management systems). Provision a high overview of all systems functions under one control platform.

4. Monitor & Manage

NHS 5 Year Plan

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Core.nova interface …..

- More efficient provisioning of resources

- A paperless environment

- Systems are Intuitive and Fun to Use

- A happy workforce – cheers!

CONCLUSIONS

Integrated Digital Care

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Thank youBryan FernandezRichard Wolf UKIntegrated Systems Specialist