Patient Exam Cameras

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1 Patient Exam Cameras An Overview of the Market and Technology December 30, 2010 A Webinar from the Telehealth Technology Assessment Center

2 Welcome Slides and recorded presentation will be posted to the website Funding for this presentation comes from the Health Resources and Services Administration, the Office for the Advancement of Telehealth, and Indian Health Services Presented in partnership with the Regional Telehealth Resource Centers Desktop Videoconferencing: An Overview of the Market and Technology 2

3 Welcome Overview of Today s Talk Definition of Terms and Technology Overview Product Overview Making Them Work With VTC Making Them Work With S&F Image Comparisons Usability Review Summary The Toolkit Q&A Desktop Videoconferencing: An Overview of the Market and Technology 3

4 Definition of Terms A look at the terminology associated with exam cameras, including details specific to patient exam cameras, camcorders, and digital cameras

5 Definitions The Categories Exam Cameras Live video output Supports one-handed operation Patient Exam Cameras In-camera lights, freeze/still images AMD and GlobalMedia Camcorders Recording capabilities Consumer-grade technology Desktop Videoconferencing: An Overview of the Market and Technology 5

6 Definitions The Categories Point-and-Shoot Digital Cameras Recording capabilities Consumer-grade technology Security Cameras Simple interface No physical controls Desktop Videoconferencing: An Overview of the Market and Technology 6

7 Definitions Resolution Standard Definition 640x480 pixels (NTSC) ~300,000 pixels, or < 1/3 megapixel Uses S-Video or Composite cables / connectors 4:3 aspect ratio High Definition 720 vs 1080 ~1 megapixel vs ~2 megapixels Uses HDMI or Component cables / connectors 16:9 aspect ratio Desktop Videoconferencing: An Overview of the Market and Technology 7

8 Definitions Frames and Scanning Frame Rate The number of frames per second 24, 25, 30, 50, 60, 72 Not especially clinically relevant Interpolation and Progressive Scanning Interpolation scanning every other horizontal line every other frame Progressive scanning the entire image every frame Desktop Videoconferencing: An Overview of the Market and Technology 8

9 Product Overview A more detailed look at what devices or technologies are included in the review, their features, their strengths, and their weaknesses

10 Patient Exam Cameras GlobalMedia Total Exam Camera AMD-2500 General Exam Camera Desktop Videoconferencing: An Overview of the Market and Technology 10

11 Patient Exam Cameras Overview S-Video output External power Built-in light Manual focus Freeze-frame / pause No in-camera recording capability Expensive Desktop Videoconferencing: An Overview of the Market and Technology 11

12 Camcorders Desktop Videoconferencing: An Overview of the Market and Technology 12

13 Camcorders - Overview Larger market, consumer product Video output HDMI and standard-definition outputs Some have built in lights Records videos and photos Various focusing options Does not have an easy way to pause a live video Relatively inexpensive Desktop Videoconferencing: An Overview of the Market and Technology 13

14 Digital Cameras Desktop Videoconferencing: An Overview of the Market and Technology 14

15 Digital Cameras Overview Larger market, consumer product Video output HDMI and standard-definition outputs On-camera flash Records videos and photos Focusing can be a problem Does not have an easy way to pause a live video Relatively inexpensive Desktop Videoconferencing: An Overview of the Market and Technology 15

16 Security Cameras Desktop Videoconferencing: An Overview of the Market and Technology 16

17 Security Cameras - Overview Standard-definition output No controls or buttons Automatic focus No macro capability Cheap Desktop Videoconferencing: An Overview of the Market and Technology 17

18 Making Them Work With VTC Getting exam cameras to work with videoconferencing systems.

19 VTC Overview Inputs Videoconferencing systems often support auxiliary inputs VCR, DVD player, etc Older Tandberg units supports Composite inputs Tandberg C* series codecs may support HDMI, Component, Composite and DVI Polycom supports S-Video inputs Vidyo does not support auxiliary inputs Recommends using a video scaler device Lifesize supports HDMI, Component, Composite, S-Video, and DVI inputs Desktop Videoconferencing: An Overview of the Market and Technology 19

20 Connections and Conversions Connecting to Standard Definition S-Video and Composite connectors Patient exam cameras and security cameras support this Many camcorders and digital cameras support this through A/V outputs May require S-Video to Composite converter, possible gender-changer High-definition converters Requires down-conversion from HDMI or Component to SD Aspect ratio becomes a problem Desktop Videoconferencing: An Overview of the Market and Technology 20

21 Connections and Conversions Connecting to High Definition HDMI and Component Camcorders and digital cameras may support this Patient exam cameras and security cameras do not High-definition converters Requires up-conversion from S-Video or Composite to HDMI or Component Will not gain resolution in conversion Aspect ratio becomes a problem Desktop Videoconferencing: An Overview of the Market and Technology 21

22 Desktop Videoconferencing USB-based converters S-Video and Composite video can be attached to USB dongles that make the camera input appear as a webcam to desktop videoconferencing applications Success may depend on software and USB converter Would require switching the video source from the normal USB webcam to the converter Desktop Videoconferencing: An Overview of the Market and Technology 22

23 Making Them Work With S&F Getting exam cameras to work with frame grabbers and store-andforward systems.

24 Frame Grabbers Capture standard-definition video or high-definition video to a PC through a special card Usually integrated with a store-and-forward software application Same requirements as VTC systems Converters, connectors, etc Desktop Videoconferencing: An Overview of the Market and Technology 24

25 Full-Resolution Captured Content Digital cameras and camcorders support capturing video and images to internal memory or removable media Requires USB connection or memory card reader Allows saved files to be transmitted Atypical exam camera scenario, but useful benefit of cameras and camcorders Desktop Videoconferencing: An Overview of the Market and Technology 25

26 Image Comparisons A review of images from various devices, looking at detail and color.

27 Mouth Patient Exam Camera Desktop Videoconferencing: An Overview of the Market and Technology 27

28 Mouth Old Camcorder Desktop Videoconferencing: An Overview of the Market and Technology 28

29 Mouth Point-and-Shoot Desktop Videoconferencing: An Overview of the Market and Technology 29

30 Mouth New Camcorder Desktop Videoconferencing: An Overview of the Market and Technology 30

31 Mouth New Camcorder, no light Desktop Videoconferencing: An Overview of the Market and Technology 31

32 Back Patient Exam Camera Desktop Videoconferencing: An Overview of the Market and Technology 32

33 Back Patient Exam Camera Desktop Videoconferencing: An Overview of the Market and Technology 33

34 Back Point-and-Shoot Desktop Videoconferencing: An Overview of the Market and Technology 34

35 Back New Camcorder Desktop Videoconferencing: An Overview of the Market and Technology 35

36 Vitiligo Old Camcorder Desktop Videoconferencing: An Overview of the Market and Technology 36

37 Vitiligo Patient Exam Camera Desktop Videoconferencing: An Overview of the Market and Technology 37

38 Vitiligo Patient Exam Camera Desktop Videoconferencing: An Overview of the Market and Technology 38

39 Vitiligo New Camcorder Desktop Videoconferencing: An Overview of the Market and Technology 39

40 Mouth AMD 2500 Desktop Videoconferencing: An Overview of the Market and Technology 40

41 Eye AMD 2500 Desktop Videoconferencing: An Overview of the Market and Technology 41

42 The Benefit of Image Recording Patient Exam Camera Desktop Videoconferencing: An Overview of the Market and Technology 42

43 The Benefit of Image Recording Patient Exam Camera Desktop Videoconferencing: An Overview of the Market and Technology 43

44 The Benefit of Image Recording Patient Exam Camera Desktop Videoconferencing: An Overview of the Market and Technology 44

45 The Benefit of Image Recording Camcorder Playback Desktop Videoconferencing: An Overview of the Market and Technology 45

46 The Benefit of Image Recording Camcorder Playback (Zoomed In) Desktop Videoconferencing: An Overview of the Market and Technology 46

47 The Benefit of Image Recording Digital Camera Playback Desktop Videoconferencing: An Overview of the Market and Technology 47

48 The Benefit of Image Recording Digital Camera Playback (Zoomed In) Desktop Videoconferencing: An Overview of the Market and Technology 48

49 Usability Review A quick overview of the review of mechanics and ease-of-use for patient exam cameras, camcorders, digital cameras, and security cameras.

50 What We Compared Mechanics-Rating 1-5 Overall Feel Appearance Material Durability of Camera Mounting brackets/hardware Accessibility of Ports Durability of Ports Power Button Layout & Configuration Ease-of-use-(Rating 1-5) Powering On / Off Settings Connectivity & Cables Recording and Playback (Capture) Ease of Image Freeze / Review Lighting Macro (Measurement=) Focus Color balance Zoom Desktop Videoconferencing: An Overview of the Market and Technology 50

51 Summary

52 Summary Telehealth specific exam cameras work very well, and are highly rated Camcorders and digital cameras may provide a valid option in some scenarios Security cameras are not recommended for use in telehealth Desktop Videoconferencing: An Overview of the Market and Technology 52

53 Toolkit A toolkit on Patient Exam Cameras is available at the Telehealth Technology Assessment Center s website Includes more information, additional comparison data, and will have labeled sample images available for review Desktop Videoconferencing: An Overview of the Market and Technology 53

54 Webinars Beginning a monthly webinar schedule in January Looking for webinar ideas either requests for information or offers to give a presentation Adding podcasts to our lineup of content Desktop Videoconferencing: An Overview of the Market and Technology 54

55 Questions Garret Spargo (907) Jenevra Foisy (907) Desktop Videoconferencing: An Overview of the Market and Technology 55

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