TeleVital Assisted Telemedicine Network TeleVital India Pvt. Ltd., PESIT Tech Park, 2nd Floor, 100 Feet Ring Road, BSK III Stage, Bangalore-560085 www.televital.com The Arizona Telemedicine Program is a large, multidisciplinary, university based program that provides telemedicine services, distance learning, informatics training and telemedicine technology assessment capabilities to communities throughout Arizona. As an initiative of this program, the department has been using TeleVital’s technology at the Lowell Elementary School of Phoenix. During the year 2002 students were regularly screened for asthma with spirometry and oximetry tests performed on students exhibiting signs or symptoms of asthma. These test results were stored in a secure server allowing medical specialists throughout Arizona to access and respond to specific cases. TeleVital stands beside its clientele in extending the best of technology to those who need it today….and tomorrow. TeleVital India Pvt. Ltd., PESIT Tech Park, 2nd Floor, 100 Feet Ring Road, BSK III Stage, Bangalore-560085 www.televital.com Ecuador Virginia : Commonwealth University Medical School, located in Richmond, Virginia provides remote anesthesia monitoring services to Secua, Ecuador, using TeleVital’s VitalWare technologies which monitors and records physiological data in real-time over the Internet. A consulting anesthesiologist at the Virginia Commonwealth University’s Medical College of Virginia Hospital monitored the breathing and heart rhythms of a young woman undergoing a gall bladder operation 3,000 miles away in Secua, Ecuador. The operation, which was performed in a remote area of Ecuador, exemplifies how easy it is to connect to VitalWare. Using a laptop computer in Virginia, a member of the surgical team logged into the TeleVital Website and monitored the patient’s vital signs. This field test in Ecuador was part of ongoing telemedicine evaluations conducted by VCU- based Medical Informatics and Technology Applications Consortium (MITAC), a Commercial Space Center (CSC) sponsored by the National Aeronautics and Space Administration (NASA). The project was conducted using TeleVital’s VitalWare technology under the direction of MITAC Executive Director, Charles R. Doarn. TeleVital India Pvt. Ltd., PESIT Tech Park, 2nd Floor, 100 Feet Ring Road, BSK III Stage, Bangalore-560085 www.televital.com Kansai Medical University is one of the largest medical universities in Japan. It is affiliated with the Cardiovascular Institute of Japan, recognized to be one of the leading cardiovascular centers in Japan. Dr. Yutaka Kimura and his medical staff at Kansai Medical University are using TeleVital’s VitalWare technologies to allow a remote Cardiologist the ability to supervise a treadmill stress test from another location. In Japan as well as in the U.S., a Cardiologist is required to supervise all treadmill stress testing. Using TeleVital’s remote monitoring solutions, Dr. Kimura supervises full 12 lead treadmill stress test in real-time from the convenience of his office. Dr. Kimura is also using the system to educate his medical students in performing, reading and triaging ECG recordings. This project involved the cooperation of CISCO and Sony Corporations. With expanding networks in 3 continents today, with innumerable lives being touched, TeleVital is here with an affirmed presence to bridge the health care divide. An eHealth kiosk in the rural settings of Kuppam, Andhra Pradesh (India) delivering state of the art care to communities in need. TeleVital India Pvt. Ltd., PESIT Tech Park, 2nd Floor, 100 Feet Ring Road, BSK III Stage, Bangalore-560085 www.televital.com Mexico : La Benemerita Universidad Autonoma de Puebla (BUAP), a leading academic institution in Mexico for 450 years with a medical school in operation for over 170 years, is recognized as one of the biggest medical universities in Mexico. BUAP’s Telemedicine department provides health care and education services throughout Puebla, one of the largest states in Mexico with a population over 3.5 million. The main telemedicine center is in the Hospital Universitario de Puebla (HUP) and is supported by Hospital General de la Secretaria de Salud, a hub clinic in Tehuacan. Currently remote medical consultations are being conducted from Tehuacan, Libres and Chignahuapan with permanent installations being deployed in Pahuatlan, Eloxochitlan, Tenampulco, and San Diego la Mesa, Tochimiltzigo. The BUAP telemedicne hybrid network is made up of private and public satellite and fiber-optic networks. TeleVital’s VitalWare technologies allow BUAP to connect patients and doctors together from anywhere in Mexico and the United States. Using VitalWare, BUAP is able to connect underserved rural towns with medical specialists located in urban centers. On August 26th, 2002 a 64 year old female patient located in the San Diego la Mesa telemedicine center was triaged by Medical Doctors located in Hospital Universitario de Puebla, Audiotorio de la Rectoria en Edificio, and the University of Galveston in Texas. The patient’s vital-signs (blood pressure, pulse, body temperature, and blood oxygen) were recorded and streamed to all the Medical Doctors. During the oral examination phase of the examination, the patients pulse rate doubled to 133 bpm. The rise in heart rate was observed by all the doctors in real-time allowing them to discuss the patient’s prognosis. A decision was made to run more blood tests in order to rule out a differential diagnosis. On the same day, a second patient with a history of chest pain was admitted into the telemedicine clinic in Carolino. A four limb EKG was conducted and streamed in real-time allowing all the doctors to inspect and consult on the patients ECG. After a short discussion, the doctors agreed that the patients ECG was normal and advised that the patient reduce his stress. TeleVital India Pvt. Ltd., PESIT Tech Park, 2nd Floor, 100 Feet Ring Road, BSK III Stage, Bangalore-560085 www.televital.com Japan : Ehime Medical University recently executed a wireless patient monitoring demonstration project in Ehime, Japan. The project was coordinated by Dr. Eizen Kimura, M.D. Ph.D., IT Director of Ehime Medical University. The demonstration project demonstrated the flexibility of TeleVital’s VitalWare technologies which among many things allows moving vehicles such as ambulances to remain connected to a wireless Wi-Fi network during transnsport. The demonstration exhibited an ambulance driving from a car accident to a hospital while the patients 12 lead ECG and video was transmitted in real-time over Cisco’s WLAN. Doctors located in the hospital were able to login to the hospital’s network and monitor patients in transit. Real-time transmission of ECG, blood pressure, pulse and Sp02 from an ambulance TeleVital India Pvt. Ltd., PESIT Tech Park, 2nd Floor, 100 Feet Ring Road, BSK III Stage, Bangalore-560085 www.televital.com Telehealth Broadband, LLC is a subsidiary of Security Broadband Corporation, which has strategic alliances with the majority of the largest North American cable operators who reach over 70 million homes. Telehealth Broadband was formed to leverage our experience in broadband, communications and consumer services to provide the health care industry with a service infrastructure for delivering care to the 125 million Americans with chronic diseases and post-surgical patients. The Healthium™ service promises to reduce cost of care and improve health outcomes by delivering interactive health services directly to patient’s television sets in their homes. To improve the wellness and peace of mind of individuals and their families by providing affordable professionally monitored health care and personal safety services directly to the home. Web-TV platform for communicating A/V, vital signs, education and questionnaire information over the cable network. Medical devices supported were: Blood Pressure, Pulse, Blood Glucose, EKG, Peak Flow, Pulse-Oximetry, Stethoscope, Spirometry and Weight Scale. TeleVital India Pvt. Ltd., PESIT Tech Park, 2nd Floor, 100 Feet Ring Road, BSK III Stage, Bangalore-560085 www.televital.com Battle Mountain Hospital & the University of Nevada, School of Medicine: ICU 24/7 continuous monitoring of 2 beds in Battle Mountain hospital from the University of Nevada and a clinic in Elko. An Intensive Care Unit with two beds equipped with a wireless vital-sign monitor. The monitor transmits the vital-sign data to the central nursing station within the clinic and to another clinic located in Elko. Nurses alerted by a cell phone call in the event that any vital-signs fall outside a predetermined threshold. It also allow nurses at home to monitor patients from their home computers over the Internet. 71 Miles University of Nevada Elko Battle Mountain TeleVital India Pvt. Ltd., PESIT Tech Park, 2nd Floor, 100 Feet Ring Road, BSK III Stage, Bangalore-560085 www.televital.com Using TeleVital’s solutions, the Indian Space Research Organization (ISRO) has successfully launched numerous networks that are connecting Remote Clinics to the Super Specialty hospitals in India over hybrid networks. As on today TeleVital is providing telemedicine solutions for more than 60 IRSO run telemedicine centres across India and below is the description of few such networks: Amritha Institute of Medical Sciences (AIMS), a Super Specialist Hospital in Kochi is servicing 5 Lakshadweep islands (Kavaratti, Agatti, Andrott, Amini and Minicoy), and Shabarimala in the state of Kerala via ISRO’s satellite network. Lakshadweep a union territory of India is a group of some two dozen islands with a total land area of 32 square kilometers scattered over 30,000 square miles in the Arabian Sea. In all, the Lakshadweep islands have 32 doctors to serve about 60,000 people. Using telemedicine, these patients are now being consulted by Cardiologists, Radiologists and Orthopedic Specialists located in AIMS. Trivandrum Medical College located in Kerala is servicing a General Hospital at Pathanamthitta using ISRO’s satellite infrastructure. This service started on 24th November, 2002 and has since provided service to many patients. India Army Camps are the Indian Army’s headquarters in the Northern India, and are located in the Himalayan Mountains, a very remote location that has an immense need for specialized health care. Today, the Indian Army Camps are connecting to the R.R Main Army Hospital in Delhi for consultations with Medical Specialists through the use of ISRO satellite network. Tata Memorial Hospital: The state of the art cancer hospital at Mumbai is well connected with two Regional Cancers Institute, they are B. Barooah Cancer Centre, Guwahati, KL Walwaker Cancer Centre, Chiplun and over a period of one years TMH would be well connected with almost 19 Regional Cancer Institutes. Narayana Hrudayalaya, Bangalore and Asia Heart Foundation, Kolkata: these two super-speciality cardiac hospitals are providing telecardiology support to more that 15 cardiac care units across India and heave treated more that 15 thousand patients in last 3 years. TeleVital India Pvt. Ltd., PESIT Tech Park, 2nd Floor, 100 Feet Ring Road, BSK III Stage, Bangalore-560085 www.televital.com TeleVital India Pvt. Ltd., PESIT Tech Park, 2nd Floor, 100 Feet Ring Road, BSK III Stage, Bangalore-560085 www.televital.com Kuppam - India: A district that lies geographically in the rain shadow region of South India. A third of the population still remains below the poverty line with morbidity and mortality rates above normal standings. This is a situation where partnering is changing the situation for the better. In a project launched in June 2004 TeleVital in association with information technology giants like HP are working towards a better tomorrow at Kuppam and in the community. A hybrid network powered by wireless technology and TeleVital’s software connect rural outposts (eHealth kiosks run on entrepreneurship models developed by the HP iCommunity program) in localities otherwise withdrawn from the economic mainstream to PES Medical College and Hospital (a state of the art tertiary care medical facility) situated in the heart of Kuppam. With the power of TeleVital’s technology sources of reliable medical care and intellect have never been so close to communities in the vicinity of Community Information Centers. With technology capable of streaming medical data real-time, doctors and paramedics at the periphery stand higher chances of delivering care and saving lives. TeleVital is here to Enhance the Quality of Life. TeleVital India Pvt. Ltd., PESIT Tech Park, 2nd Floor, 100 Feet Ring Road, BSK III Stage, Bangalore-560085 www.televital.com Montfort Higher Secondary School is an Institution with a history dating back to the year 1903. Tucked away in the scenic hills of a town called Yercaud in the South Indian state of Tamilnadu, with facilities on par with international standards, Montfort provides its elites student clientele with the best that the educational industry has to offer. At Montfort health has always shared an equivalence with academics and today the Telemedicine reinforces its commitment of value to 900 students who pass through its gates every year. With specialties from real-time Dental care to Healthy Heart Checks and a geographically relevant network that supports tertiary care when needed, the next generation is all set to storm into the future, with healthy minds and an aura of endless possibilities. The school, in its commitment to education and social benefit extends the power of telemedicine to surrounding rural areas and caters to a population of 80,000 people of the region. TeleVital India Pvt. Ltd., PESIT Tech Park, 2nd Floor, 100 Feet Ring Road, BSK III Stage, Bangalore-560085 www.televital.com Powered By: TeleVital India Pvt. Ltd., PESIT Tech Park, 2nd Floor, 100 Feet Ring Road, BSK III Stage, Bangalore-560085 www.televital.com Feedback from a remote telemedicine centre From: m ari basar Sent: S at 7/ To: drnk 3/2004 3:10 AM singh Subject: R Dear Dr eports on Telem ed Gen H Singh osp Nah arlagun I am send ing you de and SW and traini tails of activities an ng of doct ors compl d events related to T eted on 26 Some cr itical ev .04.2004 el emedicine Cen ents te to 03.5.2 On 03.05. 004, by en r Gen Hosp Nah 2004: The related with ou arlagun. gineers of r first and T Instal successf elemedicine ac TeleVita ul Telecon l, Bangalo lation of compu tivity are Tajum P ter HW aja 1 & ½ re. as follow sultation s: years old with Neu BRAIN T rosurgeo male child UM ns of AIM socially B OUR, late pres w ith br S, Cochi ain en PL not w n Kerala. orth spen tation. Prognosis tumor. We Dicom Patients: ding by se ised the di CT imag lling prop scussed. We deci Moni Mor es erties of de an ang, 4 m d not to re d sent. 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Soc ung age ated on th On 07.06. t Ductus groups. T the cost of travel ially BPL e patient an 2004: Neu he risk w pa . as discus d other expenses tient, Dr Shetty male. Im ages sent rosurgical Consu sed and . O ur Pae patient su lta - Dicomis Hydroce ed CT of tion with Dr Dilip bmitted to ditrics surgeon phalus. S Bra Panicker, uggested high risk awaiting consulta for MRI.M in and others. D VP-shunt nt ia R by our lo Neurosu cal team I revealed Multip gnosis? Primary rgeon, A , as he be IMS. Pat Cerebral le Neuro We expe ient Ram cy atrophy ? longs to ct to mak socially B stisarcosis with K e best ap most attr active pa Neuro cystisarco ilo 14 year’s PL. plic ac sis of br rasites. P Hepatolog tive avenues of ap ation of this facilit ain with t is on Antih y for mul y, Diabe plications el menthics tispeciality to consulta and tions and logy, Derma, Pat include: Cardiolog consulta ho tio follow up y, Neuro , Psychia ns rather logy and consulta try, CME than limiti N tions for eu fo ng In Aruna ro r doctors. pts alread ch Connect surgery, Radiolo ourselves one or y treate d condition al Pradesh, major ivity with gy two only there. s and low ity Tata Mem , Oncology, Gas . The density of of population is tro and orial is m promises remote fr ost cove populatio cost savi om amen ted for on ng and qu n makes people. ities of ci cology it difficult ality heal tie to a ttrac th to the t doctors s, including spec ialis to work in remote lo t health care se rv cations. Telehealth ices. The terrain technolo Sincerely gy , yours Dr Mari Basar, In charge, Telemed icine, Gen Hosp Nah arlagun , Arunac hal Prad esh. TeleVital India Pvt. Ltd., PESIT Tech Park, 2nd Floor, 100 Feet Ring Road, BSK III Stage, Bangalore-560085 www.televital.com Karnataka State (India) Telemedicine Project-Operational Phase: TeleVital has the unique distinction of being the only Telemedicine company in the world to be participating as an Telemedicine solution provider in this unique healthcare Project any where in the world by ISRO. The Indian Space Research Organisation (ISRO) has implemented the Karnataka Telemedicine Project-Operational Phase to bring multi-specialty healthcare to a significant section of the rural population of the state of Karnataka, India. Technology wise, this network would be the state-of-the-art; from societal angle, unique. This network would also serve as a model for the utilization of “Healthsat” proposed for launch in the future. In this phase the state-of-the-art “Server/Browser-based, Multi-point-to-Multi-point” type of Telemedicine System/Network (provide by TeleVital) is put into operation. This Multi-Specialty Network has a network consisting of a pool of specialty hospitals. Under this network specialty hospitals for Oncology, Gynecology, Nephrology, etc provides telemedicine service to various district hospital across Karnataka. TeleVital India Pvt. Ltd., PESIT Tech Park, 2nd Floor, 100 Feet Ring Road, BSK III Stage, Bangalore-560085 www.televital.com