and R Technology Digital X-ray and Imaging Solutions The OR Technology Competence Group Version of 17 July 2OO9

Transcription

1 O The O Version of 17 July 2OO9

2 O Short Chronology Foundation of the company Oehm und Rehbein - Main business areas are sale, installation support of patient management systems (PMS), Picture Archiving Communication Systems (PACS) as well as the speech processing system SpeechMagic by Philips.SpeechMagic TM - Installation of the very first digital X-ray system in Germany including PACS with FUJI AC3 CS CR system in an orthopaedic practice - Start of long term, strategic business relationships with well known companies such as FUJI, Kodak, AGFA, Dornier MedTech, Esaote etc. - Development start of our PACS solution dicompacs - Additional business area: sales, installation support of conventional X-ray technology (CR, DR) by Siemens (OEM), AGFA, Kodak, Fuji Canon - Inception of the O Competence Group in Germany for concentrating sales activities The O 1

3 O Short Chronology Entry into the international market by building a dealer network - Expansion of the veterinary medicine first installation of dicompacs vet system (at the University of Veterinary Medicine Hannover) The international dealer network includes more than 30 distributors worldwide - Strategic business expansion through software development for DR solutions, own independent X-ray acquisition software as well as web based PACS solutions Product launch of O dicompacs DX-R acquisition software for DR CR systems - The O product range is exped by the DR products Divario, Leonardo, Medici Amadeo enlarge the product range - Transformation from Software house to system provider integration partner for manufacturer of X-ray technology with currently 30 staff members - over 5,000 installed workstation in over 30 countries - over 400 digital installed digital X-ray systems The O 2

4 O State of affairs of the O today: The O provides a major interconnected product service range in the image processing X-ray technology area sts for innovative first-class medical software solutions. The O offers tailor-made systems for s, clinics medical practices, from complete digital solutions with X-ray technology down to special software modules. The product range runs from: Acquisition diagnostic software for X-ray images dicompacs DX-R R X-ray Acquisition Software Conventional X-ray equipment accessories Conventional X-ray Equipment X-ray Systems for the Future PACS dicompacs Digital Image Management R Voice recognition dictadect Speech Processing R The O 3

5 O Product structure Human medicine Veterinary medicine (You can find our product range in the flyer "Product Structure Veterinary Medicine".) OEM Conventional X-ray equipment accessories Conventional X-ray Equipment X-ray Systems for the Future Digital X-ray systems incl. dicompacs DX-R acquisition software Medici DR Systems with DX-R Acquisition Software DR Retrofit Systems for the Future Leonardo DR Systems with DX-R Acquisition Software Portable X-ray Systems for the Future Amadeo DR Systems with DX-R Acquisition Software X-ray Systems for the Future Divario CR Systems with DX-R Acquisition Software CR Systems for the Future Image management (PACS) dicompacs Digital Image Management R X-ray acquisition software dicompacs R DX-R X-ray Acquisition Software DR retrofits DR suitcase solutions Complete DR systems CR solutions [only for OEMs] The O 4...the latest technology for conventional X-ray systems Versions ATX Quantpower Portable X-ray system for indoors outdoors Wall brackets For monobloc x-ray devices for the use on ships or similar...exping sets for existing X-ray systems (available for U-arm wall st table systems) Medici Versions Medici DR Solo 1 panel* incl. PC DX-R software Medici DR Multi 2 or 3 panel* incl. PC DX-R software * flat panels of different sizes types of different manufacturers can be applied...suitcases for mobile portable X-ray Leonardo Versions Leonardo DR 1417 portable DR solution with a sensor size of 14 x 17 (35 x 43 cm) incl. DX-R software Leonardo DR 1210 portable DR solution with a sensor size of 10 x 12 (27 x 33 cm) incl. DX-R software Leonardo DR 0810 portable DR solution with a sensor size of 8 x 10 (20 x 25 cm) incl. DX-R software...complete X-ray systems incl. st, table, generator, flat panel etc. Amadeo Versions Amadeo DR 1417 Complete U-arm system incl. DX-R software Amadeo DR ATX 1417 mobile ATX Quantpower with suitcase solution Leonardo 4336R incl. DX-R software...cr systems for digital X-ray with cassettes Divario Versions Divario CR 360 incl. DX-R software Basic device: Kodak PoC 360 Divario CR 35 incl. DX-R software Basic device: Dürr O, Waldemarstr. 20 g/h, Rostock, Germany, Tel. +49 (0) , info@or-technology.com...covers acquisition, processing, diagnosis, transfer archiving of image material; all exposures all types of documents will be filed in digital patient files. Modules Solutions Web Server Prosthesis Documentation Module Patient CD Report Module X-ray Journal Statistics Module Video Module Processing of CT MRT series many other functionalities dicompacs DX-R is a professional acquisition software for X-ray images of flat panel systems (DR) CR devices (readers) of any manufacturer. In addition, the software can control X-ray generators X-ray systems by various manufacturers. It ensures an organised smooth workflow. A simple user-friendly operating interface together with touch screen mouse control completes the system. dicompacs DX-R forms the core of a digital X-ray system whether it is a retrofit solution for the digitalisation of an already installed X-ray system, a completely new system with generator control or a transportable suitcase solution for a mobile X-ray generator. O

6 O Product structure Human medicine (You can find our product range in the flyer "Product Structure Human Medicine".) Veterinary medicine OEM Conventional X-ray equipment accessories Conventional X-ray Equipment X-ray Systems for the Future Digital X-ray systems incl. dicompacs DX-R acquisition software Medici DR Systemsvet with DX-R Acquisition Software DR Retrofit Systems for the Future Leonardo DR Systems with DX-R Acquisition Software Portable X-ray Systems for the Future Amadeo DR Systemsvet with DX-R Acquisition Software X-ray Systems for the Future Divario CR Systemsvet with DX-R Acquisition Software CR Systems for the Future Image management (PACS) dicompacs vet Digital Image Processing in Veterinary Medicine R X-ray acquisition software dicompacs R DX-R X-ray Acquisition Software DR retrofits DR suitcase solutions Complete DR systems CR solutions [only for OEMs] The O 5...the latest technology for conventional X-ray systems Versions portable X-ray units by GIERTH X-ray international mobile sts cassette holders X-ray tables wall arms...exping sets for existing X-ray systems Medici Versions Medici DR 1417vet 1 panel 14 x17 (mobile) incl. PC DX-R software Medici DR 1717vet 1 panel 17 x17 for fixed installation incl. PC DX-R software Medici DR 1216vet 1 panel 12 x16 incl. PC DX-R software...suitcases for mobile portable X-ray Leonardo Versions Leonardo DR the portable DR system; sensor 8 x 10 (25 x 20 cm) for equine pre-purchase examination incl. DX-R Software Leonardo DR 1210vet the portable DR solution; sensor 10 x 12 (27 x 33 cm) for equine pre-purchase examination incl. DX-R Software Leonardo DR 1417vet the portable DR solution; sensor 14 x 17 (35 x 43 cm) for all purposes incl. DX-R Software...complete X-ray systems incl. st, table, generator, flat panel etc. Amadeo Versions Amadeo DR 1417vet complete table with generator, PC DX-R software...cr systems for digital X-ray with cassettes Divario Versions Divario CR 360vet incl. DX-R software Basic device: Kodak PoC 360 Divario CR 35vet incl. DX-R software Basic device: Dürr...covers acquisition, processing, diagnosis, transfer archiving of image material; all exposures all types of documents will be filed in digital patient files. Modules Solutions Web Server Prosthesis Documentation Module Patient CD Equine pre-purchase examination Statistics Module Video Module Processing of CT MRT series many other functionalities dicompacs DX-R is a professional acquisition software for X-ray images of flat panel systems (DR) CR devices (readers) of any manufacturer. In addition, the software can control X-ray generators X-ray systems by various manufacturers. It ensures an organised smooth workflow. A simple userfriendly operating interface together with touch screen mouse control completes the system. dicompacs DX-R forms the core of a digital X-ray system whether it is a retrofit solution for the digitalisation of an already installed X-ray system, a completely new system with generator control or a transportable suitcase solution for a mobile X-ray generator. O

7 O State of affairs of the O today: Certification: - According to ISO 13485: According to the European Medical Devices Act 93/42/EEC, Appendix II (Class IIb) - 510(k) application for dicompacs has been cleared by the FDA - No. K The O 6

8 O State of affairs of the O today: Business partners: SpeechMagic TM medicad hec tec VAR AN GmbH medical systems Market segments: - Established physicians with own practice - Clinics, s with up to approx. 500 beds - Veterinary surgeons animal s Sales area: national international The O 7

9 O State of affairs of the O today: Structure of the National structure O Competence Centre Medical Device of O Enterprises which are certified authorised attended extensive training sessions may call themselves O-Competence Centres. Here all O products of the entire portfolio can be acquired. To the field of responsibility belongs also the IT-service support. Service Centre Radiotechnology of O ISO-certified service centres for analog X-raying diagnostic systems. The service - irrespective of the competence centre the unit was purchased will only be carried out by these qualified service centres. Competence Centre Veterinary Medicine of O Authorised, qualified enterprises with experience of many years, may sell, install service the image processing solutions of the O in the veterinary medical field. The O 8

10 O State of affairs of the O today: Structure of the National structure O /81 83 The O 9

11 O State of affairs of the O today: Structure of the Norway Great Britain Netherls Germany Sweden Denmark Finl Lithuania Latvia Pol Czech Republic Russia USA Belgium Hungary Croatia Luxembourg Switzerl France Spain Austria Turkey Serbia Montenegro Syria Iran Japan Korea Portugal Italy Greece India Pakistan Brazil Tunesia Nigeria Egypt Saudi Arabia UAE New Zeal Zambia South Africa Australia Botswana incl. areas with implemented projects The O 10

12 O State of affairs of the O today: Over 300 installed PAC systems in practices of surgeons of urology, pneumology orthopaedic specialists: The O 11

13 O State of affairs of the O today: Selection of references: The O 12

14 The O 13 Portable/mobile X-ray solution for Lumwana Mining Company - Zambia Thorax wall st incl. grid docking station for Canon CXDI-50G Canon CXDI-50G X-ray Atomscope QUANTpower HF 400 human O solution for Canon 50G carrying case dicompacs single workstation laptop dicompacs diagnostic archive workstation 750 GB RAID5 2 x 21" colour monitor DVD backup Patient CD Remote support Synchronisation of images acquired out of the station dicompacs Digital Image Management by R Transport box for the X-ray machine Carrying case for detector laptop C Oehm und Rehbein GmbH

15 The O 14 Nuclear medical practice Lütten Klein, Drs Muscheites, Knuth Potschwadek X-ray with a Philips DR system Siemens MRI Siemens CT dicompacs archiv server Direct radiography Diagnostic workstation with dual monitor Reception MR 1 MR 2 Diagnostic workstation with dual monitor CT Diagnostic workstation with dual monitor -DVD RAM backup -backup storage -DICOM worklist server system -DICOM image distribution -Query Retrieve Bodyscan NUC Orbiter NUC Diagnostic workstation with dual monitor Toshiba ultrasound Diagnostic workstation with dual monitor MR Reception 1 Reception 2 incl. patient administration worklist jobs MINOLTA Printer system A3 Kodak laser imager Nuclear medicine Basic planning of IT networking C Oehm und Rehbein GmbH

16 The O 15 Basic planning of the IT network Radiological practice of Drs Schröder, Schaumlöffel-Schulze, Ringleben from Naumburg CT Philips Diagnost DL 512 x 512 Digital mammogram FUJI FCR 5000MA Sonography Diagnostic station1 Mammogram incl. two 5 Mpixel monitors Diagnostic station 2 incl. two 2 Mpixel monitors Support Server MTA 1 incl. 17 TFT colour monitor creation of patient CDs MTA 2 incl. 17 TFT colour monitor creation of patient CDs FUJIFILM DryPix 3000 C Oehm und Rehbein GmbH

17 The O 16 Ratzeburg Hospital IT network diagramme Joint radiology practice Drs. Marienhoff, Barbey Partners Siemens CT Somatom Siemens MRI Magnetom Mammoreader AGFA CR 75.0 Diagnostic workstation 1 Multi monitor workstation with 2x20,1 monitor-b/w 2-megapixel 17 TFT data monitor Diagnostic workstation 2 Multi monitor workstation with 2x20,1 monitor-b/w 2-megapixel 17 TFT data monitor Diagnostic workstation 3 Multi monitor workstation with 2x20,3 monitor-b/w 5-megapixel 17 TFT data monitor Viewingstation Multi monitor workstation with 2x20,1 monitor-color-2 megapixel 17 TFT data monitor Conventional X-ray Fluoroscopy system Siemens Polydor via non stard video signal (resolution x 1.024) Archive Server 2,6 GHz with 2,5 terrabyte archive memory RAID5 system, CD/DVD backup modul XEROX A3 Workcenter for printing images on paper Laser imager AGFA Reception with patient CD creator Ratzeburg Hospital CR RIS Console Turbomed station (existing) Diagnostic workstation 1 TFT monitor 2 megapixel Diagnostic workstation 2 TFT monitor 1.3 megapixel Diagnostic workstation 3 2 monitor-b/w 2 megapixel Diagnostic workstation 4 TFT monitor 1,3-megapixel Laser imager Beamer Images for radiology DSL Hospital images of radiology DVD backup every day RAID 5 Archive server (2 years) View 1 with patient CD creator View 2 with patient CD creator View 3 with patient CD creator View 4 with patient CD creator View 5.. with patient CD creator. View 31 with patient CD creator. C Oehm und Rehbein GmbH

18 The O 17 Joint radiology practice Drs. Decho, Busch Maltzan, SANA Hospital Eutin (257 beds) SANA Hospital Eutin Radiology Bahnhofstraße Eutin Conventional X-ray Toshiba CT Philips MRI Mammoreader FUJI FCR 5000 MA Laser imager FUJI DryPix 7000 XEROX A3 Workcenter for printing images on paper Conventional X-ray X-ray CR system FUJI XG1 NUK MEI 2 Mbit leased line Router Router Archive Server Diagnostic workstation 1 2,5 terrabyte, Multi monitor workstation with DVD backup module 2 monitors b/w 2-megapixel RIS monitor with patient CD creator Diagnostic workstation 2 Multi monitor workstation with 2 monitors b/w 2-megapixel RIS monitor with patient CD creator Mammo diagnostic workstation Multi monitor workstation with 2 monitors b/w 5-megapixel RIS monitor with patient CD creator Teleradiology access to Hospital Neustadt Diagnostic workstation 1 with monitors b/w 2-megapixel RIS monitor with patient CD creator Reception Special inkjet system by TETENAL for paper prints C Oehm und Rehbein GmbH IT network diagramme

19 The O 18 Joint orthopaedic practice Drs. Münch, Gmel, Ritter, Pingsmann Müller, Biberburg Orthopädicum Berlin Server room Cabinet 6 Cabinet 7 Cabinet 8 Cabinet 9 Physiotherapy reception Physiotherapy Private consulting room Reception 1 Reception 2 Reception 3 Server viewing station Ultrasound viewing station with CD writer with document scanner Reception 4 Consulting room 1 Consulting room 2 Consulting room 3 Consulting room 4 Consulting room 5 Aku Cabinet 10 Ultrasound viewing station with document scanner Ultrasound viewing station with document scanner Ultrasound viewing station with document scanner Ultrasound viewing station with document scanner Diagnostic station with document scanner CD writer Ultrasound viewing station Cabinet 11 Surgery planning Havelklinik Surgery planning Osteodensitometry Office 1 Office 2 Office 2 Private office 1 Private office 2 Private office 3 Ultrasound viewing station with document scanner CD writer with CD writer with document scanner CD writer Ultrasound viewing station Tower X-ray room Hard plaster room Office Console Physiotherapy office Basement 3D surveying OP Havelklinik MRI with document scanner CD writer with CD writer Ultrasound viewing station ISDN with CD writer laser imager (FUJI DryPix 3000) C Oehm und Rehbein GmbH IT network diagramme

20 The O 19 Radiological practice of Drs Plümer Schnur, Bergen Basic planning of the IT network Screening AGFA CR 85-X Swissray Direct radiography Ultrasound CT MRI Laser imager Kodak 8900 DICOM Reception CD Robot 1 Reception 1 with patient CD creator with patient CD creator manually operated DVD backup MTRA Station with patient CD creator manually operated DVD backup UPS Remote maintenance Diagnostic workstation 1 AGFA CR 85/CR 35 with 2 TFT monitors b/w 2 megapixel patient CD creator Diagnostic workstation 2 CT/MRT with 2 TFT monitors b/w 1,3 megapixel patient CD creator Diagnostic workstation 3 Mammogram with 2 TFT monitors b/w 5 megapixel patient CD creator Archiv server 3,5 TB RIS Server (David) XEROX Workcenter A3 paper print Emergency room (Impax available) Orthopaedics - Viewing - Interface to practice management system Surgery - Viewing - Interface to practice management system Viewing 10 Viewing n... Viewing 1 Viewing 2 Viewing 3 ENT medicine - Viewing - Interface to practice management system Viewing 9 Viewing 8 Viewing 7 Viewing 6 Viewing 5 Viewing 4 Campus licence dicompacs - Viewingstation Clinical discussion (Demo room)

21 The O 20 DICOM network - Veterinary Academy Hannover, Clinic for small pets CT Siemens MRI Siemens AGFA Ultrasound HDI 5000 Diagnostic station; monitor TFT b/w 2-megapixel Viewingstations 1 to 10 USV Support AGFA laser imager 19 server 420 GB Viewingstations 11 to 20 C Oehm und Rehbein GmbH IT network diagramme

22 The O 21 dicompacs solution for AL Noor Hospital - Abu Dhabi Mammography Konica Regius 190 GenRad + OPG Konica Regius 190 General X-ray Room 1 Mammo X-ray Analogue Room 2 OPG unit Room 3 CT GE 64 slice MRI Hitachi Gamma camera Philips Cardiac catheter GE BMD GE DICOM DICOM DICOM DICOM DICOM DICOM DICOM DICOM DICOM DICOM DICOM DICOM DICOM Endoscopy 1 Endoscopy 2 Arthroscopy 1 UPS DVD backup Remote control 6 x GE color ultrasound Operating room 1 Operating room 2 Operating room 3 Archive server 3.5 TB Viewing 10 Viewing n... Viewing 1 Viewing 2 Viewing 3 Home workstation Laptop Telereceive module Viewing 9 Campus licence dicompacs - up to 500 viewing stations Viewing 4 Viewing 8 Viewing 7 Viewing 6 Viewing 5 Doctors main workstation with 2 TFT monitors b/w 5 megapixel Doctors workstation 1 with 2 TFT monitors b/w 3 megapixel Doctors workstation 2 with 2 TFT monitors b/w 3 megapixel Doctors workstation 3 with TFT monitor color 2 megapixel 2 Laser imagers Konica Minolta Drypro793 optional DVD backup Robot system C O

23 The O 22 dicompacs solution for Cancer Charity Hospital, Saudi Arabia Mammography Giotto Mammography workstation 2 monitors b/w 5 megapixel Ultrasound color Ultrasound b/w DICOM DICOM DICOM UPS Viewing 1 ultrasound with dictation system Archive server 1,5 TB C O

24 The O 23 dicompacs solution for Medica Medical Center Istanbul, Turkey MRI CT PET Digital Mammogram CR FUJI Diagnostic station DICOM DICOM DICOM DICOM DICOM DICOM DICOM Viewingstation 1 Viewingstation 2 Ultrasound Laser imager Archive server C Oehm und Rehbein GmbH

25 The O 24 Horse clinic Burg Müggenhausen; Dres.vet. Weinberger, Gather, Thorben, Schulze und Antys PACS solution MRI CR FUJI XG1 Ultrasound NUK (planned) CT (optionally planned) Laser imager FUJI Endoscopy DICOM DICOM DICOM DICOM DICOM DICOM Patient CD Patient CD Patient CD Patient CD Patient CD Patient CD Treatment 1 2x19" colour monitor Treatment 2 2x19" colour monitor Treatment 3 2x19" colour monitor Director's office Vet Office 1 Vet Office 2 Arthroscopy Patient CD Patient CD Patient CD Backup system LTO 3 auto loader Router Remote maintenance VPN connection Conference room A 19" colour monitor 37" colour moitor Conference room B 19" colour monitor 37" colour moitor Conference room C 19" colour monitor 37" colour moitor (projected) Server XEON MS Small Business Server 2003 R2 (existing) Laptop dicompacs vet Digital image processing in veterinary medicine R Tele reception C Oehm und Rehbein GmbH