HEALTHCARE

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1 HEALTHCARE

2 0/02 About Reach Capturing, Streaming and Sharing SZ Reach Tech Co., Ltd, founded in 2003, an international high-tech enterprise, aims to provide the most advanced products and compressive solutions involving information recording and streaming system in the fields of Education, Training, Healthcare and conferencing. Live streaming of all your information, including the audio and video signals, as well as the computer screen signals synchronously, clearly and smoothly without the restriction of location and place. Recording your media information which can be replayed anytime anywhere. Based on an IP network, anywhere to receive the signals. User-friendly interface, easy for anyone to operate. Special hardware platform, embedded operating system, high reliability, easy maintenance and can scale to meet any size. REACH is constantly refining its products to make customers realize their full potential and maximize profit by helping customers train and create a highly skilled workforce.

3 03/04 Healthcare M edical training, especially simulation and surgery training becomes a hot topic nowadays. More and more advanced facilities are used in the simulation, operation or examination to record the process and stream to audience. REACH healthcare solution provides an advanced, convenient and humanized e-training environment. Start record according to schedule or by a single click, press one button of remote controller to display the simulation live, double click the browser to review the records on line. REACH makes your medical training easier and with completed information. Benefits Improve the studying experience with superior audio visual quality. Share the media information by more staff and more occasions. Integrate the information from various medical devices.

4 How it works E ncoders of the Reach Healthcare Simulation Capture System capture signals from cameras, simulators, endoscopes etc., encode and transfer SIMULATION ROOM these visual data through IP network to the server; server doing the recording and streaming functions. Students in debriefing room watch what doctors is doing and what medical equipment is showing lively. With all kinds of signals being captured, students see every detail of simulation or operation. Also people can playback recorded files for debriefing and review. Operating Room Camera Operating Lamp with Camera Operation Table Endoscope VGA Encoder Debriefi ng Roo m Projector Administrator AV Cable Key features Multiple source input, up to 6 SD or 4 HD inputs. High quality videos, up to 080p with 30fps. Low-latency live streaming. Annotation function. IP-based solution. Support central control system. DEBRIEFING ROOM TRAINING ROOM 05/06

5 07/08 Cases Changi Simulation Institute Singapore Simulation The Changi Simulation Institute (CSI) is an integrated simulation training centre serving the healthcare community in the Eastern Health Alliance (EH Alliance). The CSI enables healthcare professionals to train safely and efficiently Networking Debrief Room Simulation Room through realistic training scenarios while experiencing a wide range of clinical situations. And the core mission for Changi Simulation Institute is to develop professionalism and teamwork in healthcare. Audio terminal Control Room Audio terminal Requirement Housed within Changi General Hospital, the CSI features simulation laboratories which can be converted to Multi-purpose Simulation Room 2 Audio terminal is equipped with HD cameras. Total there are two simulation rooms for operation, two brief rooms for student to replicas of different clinical care areas such as the operating theatre, intensive care unit and general wards. Each study and discuss, and one central control room. And CSI s main requirements are as follows:. Record the simulation training process for future further study; Debrief Room 2 Audio terminal 2. Real-time playback capability; 3. Two-way audio and visual streaming function to realize the teamwork communication; 0 4. Live mark the recording video for later accurate playback; 0 Audio terminal Audio terminal 0 5. Watch live streaming of the simulation in the brief room or anywhere with internet; 6. Central control and monitoring for all the simulation rooms and brief rooms. 0 TMP And the video and audio signals in each room are as follows: Item Signals VGA signal Total 8 HD video signals of 080p from Sony camera From 2 patient monitors VGA Audio Three s in each simulation room to capture HD signals from camera, and one VGA Encoder to capture VGA signal from physiological monitor, and encoding visual & audio data by H.264 & AAC, then transfer to by IP network; One in each debrief room to capture video from camera; Install an EncoderManager software for each control station in control room, to central monitor visual & audio signals from Encoders; Achieve two-way communication by Yamaha audio conference solution, with the live streaming of the visual signal. Achievements by using Reach Reach Solution BOQ details as follows Product Model Quantity VGA Encoder CM600 Encoder Manager(software) CMP00 VOD or Live Streaming Picture All four signals showed in one picture, and each signal can be enlarged to be full screen, great using experience. By using Reach solution, trainees and observers can maximize learning with immediate feedback and effective reinforcements; which enables healthcare professionals including doctors, nurses and allied health professionals to train in various scenarios from critical care procedures to emergency resuscitation, in a safe and familiar environment. Teamwork and communication, crucial in real-life medical scenarios, can also be improved during simulation training.

6 Cases National University Hospital of Singapore Remote Training The National University Hospital (NUH), a member of the National University Health System (NUHS), is a tertiary specialist hospital that provides advanced, leading-edge medical care and services. It is the principal teaching hospital of the NUS Yong Loo Lin School of Medicine. Networking CLinic Room 2 CLinic Room Requirements Microphone Ultrasonic In NUH, it has a Women Clinic Center, it has 2 main women clinic rooms; in this case, there are other two rooms, one is a classroom, the other is a lab room. The NUH wants to live stream the operation to classroom and the Lab room for study purpose, at the same time, the important operation, they want to record down so that the student to do VOD for the missed operation. Signals input: In the two main operation rooms, there are different signals input, in each room, there are three signals input, details as follows: Item Signals Clinic Room 4 signals: HD camera, VGA signal, 2 Ultrasonic images. Clinic Room 2 3 signals: SD camera, VGA signal, Ultrasonic image. ENC000 Lab Clasroom CM200 Projector DEC000 Projector Reach Applications BOQ details as follows. Reach solution live stream the clinic operation for training and study purpose Main feature: support multi-signals, offer complete teaching material. Model Reach Solution Product Microphone Ultrasonic DEC000 VGA Audio Quantity By using Reach solution, in the Classroom and the Lab room, student or teacher can use receive the live streaming, and HD Decoder DEC000 2 main feature can receive multi-signals from the operation room, this can offer excellent teaching material for medical VGA Encoder 2 student. ENC000 SD Encoder 3 CM Reach can record down the operation to do VOD or for future reference Main feature: can record ever-more complete CM200 server is deployed in control room to make recording, live streaming and VOD. All the encoders capture all the different signals: SD Encoders capture signals from the SD camera and the Ultrasonic image machine; VGA Encoders capture the signals from the computer screen for X-ray picture or other teaching material; capture signals from the HD camera. Students or teachers receive operation live streaming by HD Decoder, which connects through IP network in seminar room, and output to a big projector, they could also access to the server to get VOD after operations. For the important operation, medical student can log on Reach Server to play back the recorded operation files. Reach Solution characteristics. Multi signals input, maximum up to 6 signals input. Can record and live streaming more completely than any other solutions, which can fully meet the requirement that the operation rooms has many signals input. 2. High definition up to 080P supported. 3. It s with IP network based distributed structure, easy to deploy and expand capacity. 4. Clients communicate with typing words. 5. Reach solution supports Central control system. 09/0

7 /2 Cases The Prince Philip Dental Hospital Hong Kong University Training The Prince Philip Dental Hospital (PPDH) is established under the Prince Philip Dental Hospital Ordinance. (Chapter 08), and funded by the Government. The primary function of the hospital is to provide the facilities for the training of dentists and other persons in professions supplementary to dentistry. The responsibility for the teaching activities is vested in the Faculty of Dentistry, the University of Hong Kong. Networking Operating Room Microphone Requirement. Seminar Room : It needs a seminar room besides surgical room to show everything inside for students. Two HD cameras are equipped in surgical room, X-Ray and slides are also needed to show in seminar room. Students are receiving live streaming of operation by LCD in seminar room. Operations need to be recorded and VOD for students, all system should be over IP network. 2. Seminar Room 2: A training center for doctor and students to join the teaching on how to do the operation and share their experience. One Auto tracking system is installed to track the doctor, one HD camera for the whole class view. Two computers is equipped in the Teaching area, synchronously the computer s content can be displayed on the students monitor. All the teaching actives must be recorded into a centrally video platform. All the accessing should be simple over IP network, and the living videos should have the all HD videos and computers image to make all the whole room in all directions. Seminar Room configuration is as below: x 2 Computer x 2 Ceiling microphone x Seminar Room2 Configuration is as below: x Auto tracking system x, including one HD camera and one tracking box. Computer x2 Table microphone x BOQ: Product Model Quantity VGA Encoder 0 7 CM00 2 Management Platform TMP00 Reach installed 3 HD encoders and one VGA in Seminar room to collect the medias separately from cameras and computer. The real-time collection will be transmitted to the server installed in the rack and do the recording and streaming over the IP network. CM00 For the administrator can do the following key settings:. Set authorization for users to accessing the Recording & Streaming system. 2. Scheduling recording the different rooms. 3. Edit the files to WMV, FLV and other format to meet different needs. 4. One entrance to TMP can manage 2 classrooms simultaneously. For the doctor and the students can enjoy the following features:. Download medias over IP network. 2. Online preview and play on-demand. 3. Build own media library. Benefits Control Room 0 Seminar Room Administrator 0 VGA Audio Maximum of 4 HD videos can be showed in one picture and each signal can be enlarged to be full screen, great using experience. By using Reach solution, the staffs from Info department can handle the 2 seminar rooms with fewer workforces and more flexible. The snapshot of playing the media The rich recorded contents help more students to understand the teaching contents and the surgery.

8 3/4 Cases St John of God Murdoch Hospital Simulation St John of God Murdoch Hospital is a division of St John of God Health Care, which houses 363 inpatient beds, a 24hour emergency department, operating suite, endoscopy suite, angiography suite, birth suite, a 35-bed maternity ward, hydrotherapy pool, medical library and education centre. As one of the largest providers of health care services in Australia, St John of God Murdoch Hospital highly valued the importance of clinical simulation training to its staff doctors, its Training and Education Center has many cooperation training programs with University of Western Australia, Curtin University and Edith Cowan University. This newly build training center deployed all the latest Laerdal simulation training technology, and Reach simulation solution has played a core role in the integration of these systems. Training and Education Center This center has been primarily designed to enhance the skills and work-readiness of the University s graduates and intern doctors, it is comprised of four kinds of rooms: Control room, Demonstration Ward, Simulation Room and Tutorial Rooms. Room functions are as follows: Control room: in the control room, all capturing, combining, recording and streaming is controlled by an AMX touch panel. The operators are able to select which cameras, patient monitors and microphones they wish to combine for streaming and recording depending on the particular scenario they are training for. Demonstration Ward: has four beds, each bed has one simulation mannequin; instructor will do the training from the control room with the student training at the bed side with the Mannequin. Simulation Room: this room is used for theatre and surgery simulation. Tutorial Room this is a training room, consisting of a ceiling mounted projection system, projecting on an interactive whiteboard, connected to a rack mounted. The whole tutorial room is controlled via a wall mounted touch panel controlling, the projection system, input switching and audio control of the venue. Requirements Working in conjunction with St John of God Hospital Murdoch, the design of the new simulation training center required some early consultation on the preplanning of the venue s AV infrastructure and desired outcomes. Having evaluated a number of solutions St John of God where pleased to implement a Reach solution to fulfill their needs. The system exceeded their requirements and provided the platform for future expansion of the streaming and recording solution into the accompanying training and surgery venues. The initial requirement for a camera image and patient monitor to be recorded onto a system for later evaluation, expanded to live streaming and recording, the addition of more cameras for a more comprehensive view of the simulation training. The addition of the ability to create specific image combinations from a simple touch screen interface from the control room, where they control the simulation mannequin, and then live stream and record these sessions at the same time has increased the functionality and scenarios that the venue is now able to be catered for. The Reach solution also has the ability to live stream and record the sessions at two separate bits simultaneously, allowing for the viewing of a HD version on the local network and the reduced bitrate version for remote users connected over lower speed connections. This has increased the ability for remote training and reduced travel costs. The Reach Solution Products required as follows Product Model Quantity VGA Encoder 3 SD Encoder 7 CM400 Networking Simulation Room Simulation Room 2 Simulation Room 3 CM400 Simulation Room 4 AMX Touch Panel Live streaming & VOD Control Room VGA Audio Total solution design Item Signals Total 7 SD signals from Sony camera VGA signal From 3 patient monitors The system included the requirement to capture the 7 SD PTZ Cameras, 3 VGA Patient s and audio from 6 Headset wireless microphones and 7 ceiling microphones. The entire system has no physical video switching hardware and is all done via IP to the Reach CM400 server housed in the control room AV rack. The server provides the combining, streaming and recording features including file storage and user access management of access to live streams, VOD or download and play later features. The Encoders are capable of capturing different signal sizes and resolutions, negating the need for defining specific resolutions of connected hardware, along with an output to control connected PTZ cameras.

9 Cases Changhua Christian Hospital OSCE Recording Solution Changhua Christian Hospital (abbreviated hereafter as CCH) was established in the year 896, and grew under the selfless contributions of overseas missionaries, until the present day, 09 years later. CCH is and has been the most important guardian for the health and well-being of the people in Changhua area. Networking Configuration Ward Ward 2 Requirements To introduce the objective structured clinical examination (OSCE) for intern doctors, CCH needs 4 wards with recording & monitoring system. The intern doctor goes through these wards to simulate diagnostic process with various types of patients within 90 minutes, examiners judge their performance outside the wards. Two cameras are equipped in each wards, plus one computer to call out the PACS image. The administrator can monitor the examination in control center; the whole process is recorded into the. Audio terminal 0 0 Audio terminal Ward 3 Control Room Reach Solution. Reach s Multimedia Recording & Streaming System Basic function of Reach s Multimedia Recording & Streaming System is recording, live broadcasting and playing on demand visual contents. The signals include audio, video and VGA signal. Designed in an IP based distributed structure, this system is composed of encoders in foreground and server in background. Clients use or laptop to receive the media. CM600 CM800 List of accessory product in total solution. Type Ward 4 Quantity SD source SD camera 26 HD source HD camera 2 VGA source Laptop / Audio source Microphone 4 Management Server Dell Server Administrator Audio terminal Device Audio terminal VGA Audio Two s are deployed in control room to make recording, live streaming and VOD. SD encoders, HD encoders and VGA encoders are put in operation room to capture video and VGA signals. Administrator monitor OSCE process with computer network in control room, other doctors can also receive live streaming through IP network. Benefits Reach product list Reach Device Model Quantity Connection to SD Encoder 26 SD camera 0 2 HD camera VGA Encoder Laptop / CM600 IP network CM800 IP network Management software TMP00 Installed in Dell server Simultaneously record 4 wards, multi-signals in each ward, flexible configuration. Scheduled recording and automatically file archiving. General Management Platform for central management. Automatically FTP backup. Maximum 200 users streaming or VOD supported. 5/6

10 End Users Capturing, Streaming and Sharing Changhua Christian Hospital, Taiwan Kaohsiung Veterans General Hospital, Taiwan Inchon Mary Hospital, Korea Singhealth Brownbag Event, Singapore National University of Health Sciences, Singapore Singapore General Hospital, Singapore Changi General Hospital, Singapore Charles Sturt University, Australia Mercy Hospital (Victoria),Australia St John of God Health Care, Australia Queensland Health, Australia The Prince Philip Hospital, Hong Kong Prince of Wales Hospital, Hong Kong The First Affiliated Hospital, Sun Yat-Sen University, China Sun Yat-Sen memorial Hospital, Sun Yat-Sen University, China Peking University Shenzhen Hospital, China Qinghai Province People s Hospital, China Jiangsu Province Dental Hospital, China Erbao General Hospital, China

11 SZ Reach Tech Co., Ltd. Address: Floor 6/7, Building B, Kingdee Software Park, 2 Keji 2th Road South, Hi-Tech Industrial Park, Nanshan District, Shenzhen 58057, P.R.China Tel: Fax: info@szreach.com

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