NUCLeUS: Your Partner Before, During & After Surgery Today s operating rooms are continuously evolving as new medical equipment arrives on the scene. Any future oriented hospital should consider tomorrow s expansion today. Imagine a tool that answers all of tomorrow s questions. A system that integrates and provides centralized access to all of the audio/video data of any medical device from any vendor in the smart digital operating room (OR). A platform offering various enhancement in providing user guides with smart apps throughout the intervention. A software that is intuitive, flexible, and future-proof. This is what we call NUCLeUS your choice for quality and a cost-effective investment. 2 NUCLeUS is ready for the digital future
Benefits FOR CLINICIANS Images from endoscopes, surgical microscopes and room cameras can be routed, recorded and viewed from anywhere over hospital-wide IP networks. This makes it easier for doctors and clinical staff to repurpose content for presentations and lectures. An end-to-end IP workflow solution allows surgeons in the OR to capture and share live high-resolution video and patient data with other doctors and medical students across the hospital campus and beyond. FOR MEDICAL STAFF Today s hospitals are characterized by a large number of isolated AV systems and processes. This complexity has an impact on efficiency and reliability, forcing medical staff to spend valuable time on non-care-related tasks. NUCLeUS integrated IP solutions streamline the modern clinical AV-workflow, replacing incompatible data formats and connectors with the simplicity, cost efficiency and resilience of a single LANbased connection between all system elements for quick configuration and simplified support. FOR HOSPITAL MANAGERS Adding new medical devices and systems requires costly, timeconsuming installation and training for hospital staff. What s more, extra hardware and file formats can mean headaches over the security and integrity of valuable clinical data. Our IP workflow solutions make it easier to add extra hardware and functionality as your needs grow. Moreover, NUCLeUS provides safe and secure data management suite where you can review, edit and annotate recordings with all digital assets stored on a secure server. FOR SYSTEM INTEGRATORS With Video over IP by Sony, medical system integrators can offer hospitals a powerful, highly flexible video workflow solution with the capacity and versatility to meet the needs of today and tomorrow. It offers low total cost of ownership and enables easy system integration and maintenance. An all-ip architecture provides a seamless upgrade path from HD to 4K, while open APIs simplify rapid customization of OR controllers and integration with other hospital systems. 3
The Smart Video-Over-IP Digital Operating Room Platform NUCLeUS OR Ultrasound Endoscope PACS workstation Primary video cable IP Network Biplane fluoroscopy Anaesthesia system Vendor-neutral IP platform NUCLeUS is device-, format- and resolution-agnostic, handling HD and 4K sources from a wide range of modality manufacturers. Video, audio and associated patient information are distributed over secure IP connections Compatible with all video standards and formats Links with HIS/RIS, PACS or VNA (Vendor Neutral Archive) Low footprint inside the OR / Video switching & routing View real-time or recorded content No limit on any combination of inputs and outputs Only one type of cable used; management, setting, and connection become easy No appliance recorder in the ORs Advanced image enhancer apps Smart apps add powerful real-time image processing features. Vascularization Filter : This filter enables clearer visibility of blood vessels. Rotation Correction : This enables rotation correction of the displayed image (for example, prevent rotation of an endoscope camera image). 4
Sharepoints Displays Data Centre Streaming, recording & archiving Achieve simultaneous recording of all OR video sources, in any combination of formats and resolutions. Or reach outside the hospital and share an accurate visual record of surgical interventions at conferences and lectures. Centralized storage on hospital network servers Low-latency real-time streaming Link video with metadata including patient ID, timings, surgeon s name, etc. Annotation & telestration This allows you to exchange real-time video content with colleagues and allow you to annotate live streams remotely. The annotated image is then made available again in real-time in the operating room. Can be remotely viewed and annotated. The annotation are also displayed in the OR in real-time View content from any source, any time Encrypted data and secure client login for greater security Easy user-group and access management Safe and future proof platform for expandability, and maintenance NUCLeUS is able to respond to present and future needs by using a software and network based platform. A remote maintenance service can monitor the operation status of the system from outside the hospital and notify you by raising an alarm if there is a problem. Just in case there is an unexpected network breakdown, the vital surgical sources are primary cabled; this failsafe system prevents problems during surgery. 5
NUCLeUS Components NUCLeUS is a unique combination of a user-friendly software platform, low footprint hardware units, and a powerful computing server. Switching NUCLeUS OR There is so much information within the OR, ranging from live video signals from the endoscope, ultrasound streams, PACS workstation input and biplane fluoroscopes to the positioning of operating lamps and surgical tables. NUCLeUS OR is a digital clear-touch control panel that gives the surgeon control over all OR equipment. The platform includes many flexible visualization options such as switching to multiple monitors in full screen, picture-in-picture or in multi-split. This is advantageous for OR ergonomics and efficiency; it also delivers financial benefits. Communication Inside & Outside The Hospital NUCLeUS Broadcast Knowledge sharing is the key to better healthcare. NUCLeUS Broadcast supports bi-directional audio communication and instant messaging. Streaming in NUCLeUS is easy to access as no extra software or hardware is required. This way, a narrowcast can be launched on the fly and can be shown to a limited group of people who have securely logged onto a web page. You can start up meetings with peers and even go outside the hospital to share your surgical event with a global audience. Smart apps Data Management NUCLeUS Archive This is a safe and secure data management suite allowing recordings to be reviewed, edited and annotated. NUCLeUS introduces a unique feature- a simultaneous recording function. It provides convenient archiving of all patient and image data, while recordings can be seamlessly integrated with PACS, EPR and HIS. The surgeon can record multiple sources at the same time and can even postpone the choice of recording quality until after the intervention. High-quality clips suitable for presentations as well as archivingquality clips can be launched at the same time can be used flexibly at a later stage. Telestration Tool Besides bi-directional audio & video communication, the NUCLeUS platform is offering users a telestration tool. It allows you to annotate video streams remotely and share these annotations in real-time with the OR. Clinicians can ask a colleague (located outside the OR) for a second opinion. Through a secured login, this colleague can access the telestration tool, annotate remotely the shared live image & as a result the annotations can be shown in realtime within the OR. (Draw circles, lines, etc. in color, insert text, freeze screen, etc. 6
Vascularization App The Vascularization App gives you a clear and highlighted view of all vascular structures, without being submerged in the surrounding tissue. This App mimics the human ability to identify veins and vessels. Just like a human observer could take a pen and trace the vessels frame by frame, this App recognizes patterns. The combination of pattern recognition algorithms, and digital processing, makes it possible to automate this process and do this in real-time adding it to a video stream. Encoders & Decoders Single Cable Solution IP (Internet Protocol) is the most open and standardized system of communication. IP technology offers hospitals a reliable and flexible investment with a high return. With nothing more than one IP cable between two NUCLeUS boxes, you can secure all required multimedia data, video, and power (in case of copper cable and usage of PoE+). This results in a transparent installation, with no cable clutter and with costeffective image distribution. Original Filtered Stabilization App In laparoscopic surgery, angled laparoscopes are used to improve the viewing range by rotating the scope, effectively changing the viewing direction. The stabilization App compensates for shifts in orientation of video from a handheld surgical endoscopic camera due to movements of the surgeon s hand position. Video remains stable and correctly oriented, irrespective of rotational movements. This is not only useful for assisting surgeons but is also a valuable asset for teaching. Overview screen for efficient OR management Mosaic With MOSAIC NUCLeUS offers a composite view of multiple video streams coming from different OR s (e.g. room camera). The labels, size of the tiles and the position on the display can be configured based on the requirements of the hospital. Typically MOSAIC is used to visualize the status of every OR (in use, being cleaned, available for a new intervention, etc.) outside the OR in OR planning office or the head nurse office. ensor Preconfigured Server ensor is a plug-and-play appliance, developed for cost efficiency and rapid deployment. The ensor preconfigured server guarantees dedicated traffic between your server room and the OR. The extreme computational power of NUCLeUS provides fast and high-quality images while all processing takes place in the data center. 7
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