State-of-the-art technology in the fields of laparoscopic surgery and medical diagnostics. version 2.0

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1 State-of-the-art technology in the fields of laparoscopic surgery and medical diagnostics version 2.0

2 2 A newly conceived monitor for 3D laparoscopy

3 A newly conceived monitor for 3D laparoscopy 3 The laparoscopic approach has been adopted in the last years in the majority of surgical disciplines, including urology. Its main advantages are the amplification of images and the reduced invasiveness. The 3D vision is a new technology which has been more recently coupled with both laparoscopic and robotic approaches. The main disadvantage of this technology is the discomfort created to the surgeon which appears to be more evident following long lasting surgical procedures. This disconfort is the result of an altered visual perception which has not been untill now fully elucidated and which is attributed to the use of polarized lenses by the surgeon. The first aim of our research was to document the presence of a visual alteration following a series of laparoscopic procedures using the 3D with polarized glasses compared to the 2D technology. The second aim was to introduce in clinical practice a new 3D Realvision monitor which avoids the need of polarized lenses. A severe alteration at the orthoptic tests was invariably documented in all members of surgical teams following the use of 3D monitors with polarized glasses in laparoscopic procedures.

4 A newly conceived monitor for 3D laparoscopy 4 On the other hand, no abnormalities of conventional eye exam and of the visual evoked potentials were evident post operatively following the utilization of 3D Realvision monitor and other ordinary 2D tools. When RealVision 3D System was employed for a surgical simulation in the pig, results were fully satisfactory according to the statements of 3 surgical teams. RealVision 3D monitor was subsequently employed in humans in a randomized controlled trial. The aim of this trial was to test efficiency and invasiveness of the monitor with respect to conventional lenses during a homogeneous series of 3D laparoscopic procedures. Ad interim results indicate that the use of RealVision 3D monitor is satisfactory and avoids all visual abnormalities which are detected at the orthoptic tests in all surgical teams after conventional 3D with polarized glasses laparoscopy. Prof. Andrea Tasca Chief of Urology Department S. Bortolo Hospital Vicenza & Prof. at the University Tor Vergata in Rome

5 Executive summary 5 RealVision 3D System consists of hardware and software that are protected by worldwide patents. Without the obstacle of a polarized barrier, coloured filters and polarized filters,realvision 3D System grants a natural vision as pupil does not dilate and, consequently, accommodation and relative convergence are not altered. At cortical level, RealVision 3D System produces a visual experience (both real and constructive) where the visual conditions are the patient s natural ones. Therefore it allows a more truthful and careful measurement of the patient s condition. An ordinary 3D system with polarized glasses may frequently cause troubles to sight. Instead, RealVision 3D System does not produce any trouble to sight and everyone can see in 3D (except people with poor visual ability). Software included in RealVision 3D System has many innovative features and characteristics that have allowed to patent it. One of these is the possibility to create an inlet filter : RealVision 3D System is able to convert several system/software languages - produced by different sources (incoming and outgoing) - into a language compatible with its wireless devices.

6 Executive summary 6 This novelty allows to avoid modification and/or installation of different software applications on existing (for example, hospital) devices, making RealVision 3D System compatible with a great economy of expenditure and installation times. Furthermore, RealVision 3D System avoids additional training of operators and maintenance and allows updating of tools/machinery currently installed, making said equipment more modern and efficient. Another important feature of RealVision 3D System is the possibility to stream wi-fi between microscopes or 3D cameras without slowdowns or deferred storms that would vitiate a surgery laparoscopy. RealVision 3D System will allow, for example, a specialist in New York to watch live and in 3D a surgery taking place in Rome (today not possible given the unbearable weight of a stereoscopic 3D video). RealVision 3D System can be customized on the specific needs of different industries: medical aviation mechanics simulators training communications

7 Mission 7 RealVision 3D System intends to define the global benchmark for the development of display technologies in 3D without the use of polarized glasses.

8 The strategy 8 Deliver to the market the best visualization system in real 3D and Wireless Technologies. Assist clients in the realization of vertical projects that use technology in different sectors of RealVision 3D System application. Achieve worldwide a leadership role in the distribution and sale of equipment and RealVision 3D System technology solutions. By: Consultancy services and customized development projects, quick and efficient execution, high quality and remarkable added-value services.

9 Technology 9 TECHNOLOGY already working and applied to dedicated 10 tablets and monitors up to 50 The system consists of HW equipment and SW solutions able to take pictures Side by Side coming from any camera or capture source images and convert them into a real 3D format that can be viewed without the aid of polarized glasses RealVision 3D System is protected by international patents, required 8 years of studies and researches and being originally developed for medical purposes - had to pass severe functional tests and assure maximum quality RealVision 3D System is CE and RoHOS certified

10 Technology Uniqueness of the project 10 Worldwide, there are well-known TV brands (such as Sony, LG and Samsung) that offer - at very high costs - last generation video solutions which include 3D viewing without glasses. RealVision 3D System is substantially different. As a matter of fact, other systems provide a visual illusion created via a software that simulates a 3D through the superposition of different images with different depths, with the result of perceiving an unrealistic effect that is fatiguing to the human eye. RealVision 3D System is the only real 3D that combines hardware and software to create a true 3D effect and to provide a natural viewing experience.

11 Technology Two models in comparison 11 Our RealVision 3D System technology Monitor 3D (lcd panel + barrier ) + software Monitor 3D Right most image Left most image Parallax panoramagram image The natural vision is natural given the absence of barriers polarized, colored filters and polarizing filters The pupil does not dilate and therefore are not altered, the accommodation and convergence on A cortical level this system generates in fact a real and constructive visual experience in which the visual conditions are the natural ones of the subject Watching 3D without glasses allows for a much more truthful and accurate measurement of volumes in space

12 Technology System Architecture 12 Benefits Composition In addition to the advantages of the system, our Monitor provides: high definition, high brightness, high contrast, excellent quality tests, complete absence of ghost images. New instruments (in progress) Eye Frame assistant (EFA) application Print Controller + Access Point 55 Monitor for visual rehabilitation and Sport Vision (in progress) 3D FarMonitor (with glasses) 3D NearVision Tablet (3D-NV) w/out glasses Apps updates

13 Application 13 health Laparoscopic surgery Medical diagnostics (magnetic resonance, computerized axial tomography, mammography) Optics - Optometry - Ophthalmology Gynaecology (colposcopy - ultrasound) Endoscopy

14 Application 14 AVIATION Flight simulators Entertainment on plane

15 Application 15 engineering CAD Virtual Prototyping Structural Analysis

16 Application 16 entertainment TV and video solutions Videogame

17 Future development 17

18 REALVISION S.r.l. Piazza Abba, Sesto Calende (VA) Italy Tel This document is the intellectual property of REALVISION srl, and was created for demonstration purposes only. It may not be modified, organized or re-utilized in any way without the express written permission of the rightful owner. Copyright 2015 by REALVISION srl all right reserved

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