FIRST TO IMAGINE. FIRST TO INVENT.

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1 FIRST FIRST TO IMAGINE. FIRST TO INVENT. CRM Devices and Telemonitoring: Where the industry stands today EHRA Summit 2010, Tuesday 23 March 2010

2 e-health is at the interface of the different healthcare stakeholders, for the benefit of the patient Medical indsutry, big pharma labs clinical trials e-transmission of data remote medical check-ups Insurance companies tele-transmission of health sheets Medical industry Payers preventive measures smart chips Health professionals on-line appointments collaborative work telemedicine Health professionals emergencies organisations Hospitals & hospital for tomorrow Clinics geolocation digital medical files Electronic medical record (EMR) e-health Patients Assistance to patients tele-assistance (Alzheimer s disease, elderly..) remote diagnoses, follow-up of chronic disease Home care home hospitalisation stay at home

3 Sorin developed an e-health vision Services Services Services Devices 15/04/2010 3

4 Sorin developed an e-health vision Services Services Services Services Telecom Operator Devices Devices 15/04/2010 4

5 Sorin developed an e-health vision Services Services Services Services Telecom Operator Devices Devices 15/04/2010 5

6 Sorin has chosen Orange France Telecom Orange provides mobile, internet, and fixed telecommunications services to 193 million customers in 32 countries. Orange has a global reach seamless voice and data network, with local support in 166 countries and territories, mobile networks in 17 countries the world s largest voice and data network 132 million mobile customers number three mobile operator 13 million ADSL broadband customers in Europe number two provider of Brodband internet services in Europe 8 million business customers world leader in telecommunications services for multinational companies under the Orange Business Services brand key facts 4,200 R&D researchers *non-audited figures

7 Sorin with Orange Healthcare portfolio of services patients medical file & remote billing assistance services high speed medical access & applications health profe essional e-health platform disease management elderly medical care (home or hospital) screen at the hospital bedside support and home care for elderly people

8 Sorin leverages e-health solutions with Orange Being an integrated telecom operator Orange is a key player for ehealth Orange has gathered a tremendous body of experience in e-health Orange aims to be the e-health European leader Healthcare market (in the US, in Europe) is moving fast and a big step is expected in 2010

9 e-health will enable all sorts of services IT Services to Patients and Relatives Services to other Companies Medical Services to Patients Medical Services to Caregivers Technical Services to Hospitals and Clinics IT Services to Caregivers 9

10 Sorin s vision: from Devices to Patient Management VISION Leverage Sorin s expertise in treatment algorithm and data analysis intelligence Remote Monitoring to enhance Alerts with increased clinical focus Patient management: Peace of mind Offer complete remote monitoring functionality allowing routine remote follow-up as well as data check on patient s health condition. Close monitoring of patients health status Extend sensor capabilities into the patient s home. Provide caregivers with a solution for a patient s t disease management, supported by customized service based on modern technologies Launch Services & Solutions in line with SORIN e-health vision 15/04/

11 Devices and Remote Monitoring: Where does Sorin stand today? 15/04/

12 Alerts with increased clinical focus TODAY SHORT TERM FUTURE Technical Alerts Sorin focus on Monitoring of heart Impedance (brady and tachy) failure Battery status Other devices issues (e.g. long charge time) Sorin alerts will leverage combination of existing Alerts based on already existing sensors: diagnostic information Minute ventilation Atrial Arrhythmia Acceleration (exercise) Detection and treatment of Ventricular Contractibility Tachycardia All information on cardiac rhythm CRT delivery Reconstructed surface ECG

13 Sorin SonR: Hemodynamic CRT Optimisation sonr sonr Embedded lead sensor measuring heart sound Optimisation of VV & AV delays to maximize LV contractility and filling operates fully automatically at rest and exercise, during daily patients activity Runs through cardiac remodeling: VV & AV delays periodically re-adjusted

14 Sorin PHD: Patient status evolution at a glance PhD quantitatively tracks activity workload ventilation at rest and during exercise PhD flags significant evolutions over 6 months periods Atiit Activity workload Corresponding exercise and rest ventilation

15 Sorin remote monitoring: a global solution Remote Monitoring Orange hosting centre Orange application service non emergency monitoring of device and patient Clinician access IMD Home monitor CRM patient Hld Helpdesk Home Monitors and ICD deliveries home monitor inventory

16 Sorin remote monitoring: an end-to-end solution Patient Home Monitor Back- Web Physician & office Application Helpdesk Physician i Home Monitor Home Monitor Back-office Physician i Configures System Collects Data From Device Sends Data to Back-office Produces Clinical Report Evaluates Clinical Report and Treats Patient 15/04/

17 Sorin Group Remote Monitoring From device to patient management SESSION START Routine Follow-up Device Alerts Clinical events DATA SENT Patient information Battery status Lead status EGMs Arrhythmia Episodes Cardiac statistics USER INTERFACE Secure Access Clinic management All patients list New transmissions Follow-up schedule 15/04/

18 Nov 25th, 2009 Honored for their work in applying Machine-to-Machine and e-health technologies to improve patients quality of life Orange Business Services and Sorin Group awarded Best Change-Maker for Innovations in Remote Health Monitoring and Telemedicine 15/04/

19 World Communication Award The World Communication Awards is an annual event, which is the reference in the telecommunications world. Delivered by the WCA, the Best Change-Maker award is the telecommunication industry s most prestigious prize for monumental business achievements. It is a recognition of the best innovation of the year. This award is an extraordinary recognition of the unique strength resulting from SORIN and ORANGE partnership. It demonstrates the value of the full integration between medical devices and machine to machine telecommunications expertise. Customers and cardiac patients can trust SORIN commitment to providing innovative and robust remote monitoring solutions 15/04/

20 What enabled winning the best change-maker award? Sorin s intelligent algorithms streamline proper diagnoses and rapid medical decisions Sorin Algorithms Sorin User Interface Sorin s user-friendly and easy-to-access data to the physicians Sorin strengths in Remote Monitoring Sorin Service Orange s applications development, systems integration support, and data management expertise TechTeam helpdesk solutions deliver peace of mind to the physicians and their patients 15/04/

21 Sorin Service with the most advanced Technology operational excellence Infrastructure Transmissions Back Office -Network - Internet Dial - Speed - Telephony - Internet Direct - Reliability - Hosting - Security - Uptime Application - Function - Maintenance Archive - Backup - Data Recovery 15/04/

22 Sorin Service with professional support to the users #1 globally in HelpDesk Outsourcing (2009) service desk excellence EXECUTION EXCELLENCE AGILE AND RESPONSIVE DEEP EXPERTISE MEDICAL EXPERIENCE eclinical support Increased User satisfaction 15/04/

23 Sorin remote monitoring Service excellence with your Sorin Sales Rep peace of mind during Remote Follow-Ups and when analysing your Data 15/04/

24 FIRST FIRST TO IMAGINE. FIRST TO INVENT. 15/04/

25 FIRST FIRST TO IMAGINE. FIRST TO INVENT. Cardiac Rhythm Management BU overview and update Stefano Di Lullo 15/04/2010 President Cardiac Rhythm Management Business Unit

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