wednesday @ medica 2 eh @ medica no 3 2016 big data sits at the heart of address- ing the challenges that will lead to a more sustainable health and social care system, according to dr mark davies, medical director of healthcare analytics company medeanalytics. a speaker in a panel discussion entitled the power of big data, at the ehi live conference in birmingham, united kingdom, he warns that health and social care still lies ‘about 15-20 years behind almost every other industry’ in its uptake of tech- nology. however, change is beginning because the ability to hold and pro- cess massive amounts of information offers the potential to process and model data in areas such as predic- tive analytics, mathematical model- ling and segmenting populations. if they are to exploit the potential of big data, however, health sys- tems and hospitals need to address their fundamental approach to it and big data, harness the potential of the technical capability, exploit it capacity and shift from introspec- tive organisations to actively par- ticipate in broader population health management. ‘these elements have come together in something of a perfect storm, which has put big data at the heart of trying to address some of the real challenges that lead us to getting a much more sustain- able health and social care system,’ davies said. the challenges that exist in hos- pitals are often determined by out- side factors, such as referral num- bers, levels of illness or help-seeking behaviour in the populations they serve. therefore, the answers to ‘this data is available to us to understand the broader eco-system of our population and some of the interplay between these and illness and wellbeing,” said dr davies, for- mer executive medical director for health and social care information centre. ‘no conversation on big data is complete without talking about genomics and proteomics – starting to understand our genetic make- up in a way that we get a much better understanding of our risk of developing disease, which opens up the whole prospect of personalised medicine.’ four critical areas where big data those problems will be derived from a joined-up data set that understands the entire patient journey and the context in which the hospital oper- ates. this linked data that describes a whole care economy is changing, becoming more timely and granu- lar, down to individuals rather than departments or services and includes patient-generated data with patient- reported outcome and experience measures, data from wearable health devices and even patient-generated diagnostics. now, that is being augmented by other data sets, such as transport, housing and weather. offers opportunities within a health- care setting are: targeting care more efficiently; understanding interde- pendence; using boundaries and redesign principles to measure out- comes; and audit capability. in terms of targeting care more efficiently, examples could include combining data on people at risk of respiratory disease with weather or pollution data, or analysing popu- lations at risk of falling – an area where medeanalytics has developed an algorithm that combines primary and secondary care data. ‘that algorithm is outperforming face to face assessments by a com- munity nurse, so it is very reliably identifying groups of people who are suitable for fall prevention interven- tion,’ davies points out. with interdependence, big data can be used to combine data sets to influence the relationship between elements of the care delivery system to model onward care pathways with an ‘information architecture’ based around individuals. big data can be used to meas- ure clinical outcomes from particu- lar levels of intervention and used as the basis for discussion on any service reconfiguration, and also to audit performance and deliver quality improvement programmes focused more on joined-up care. there are challenges, particularly information governance and find- ing ways of sharing data to improve healthcare, but not breach patient confidentiality or privacy protocols. there are privacy-enhancing tech- niques that mean there are no longer excuses to link data. however, other challenges lie in system alignment and the capacity in the system to use insights to redesign services, so new ways of working are required. data security also remains a para- mount concern but, as in everyday life with risks in online shopping or banking, the risk/benefit balance is largely around convenience and cost. ‘but, in health it’s literally life and death,’ said davies. ‘i think there’s a very clear relationship between data driven decision-making and design and its impact on reducing mortality.’ big data, he believes, will make healthcare more viable, deliver improved clinical outcomes and bring health and social care closer together because of that ability to ‘join up’ systems, break down barriers and create an ‘information architecture built around the individual’. davies concludes: ‘if you put the individual at the centre of things, it forces different sectors involved in their care to interoperate and share information meaningfully, to create a much more coordinated approach to care.’ also speaking at the ehi live session was julian david, ceo of techuk, the uk’s technology trade association. ‘whilst the health and social care sector has made good progress in its approach to harness- ing big data,’ he said, ‘there’s still huge potential to use intelligent ana- lytics to deliver better public services to the most vulnerable. the benefits are clear from the potential to bring efficiencies, reduce treatment costs, increase prevention and improve the quality of life for patients. ing inform decisions in trade, demog- raphy, transportation and economics, he said. however, the study team does acknowledge limitations to the data set because seasonal migration is not captured by the censuses, nor movement triggered by war and natural disaster. professor andy tatem, director of worldpop, said: ‘understanding how people are moving around within countries is vital in combating infec- tious diseases such as malaria. the parasite that causes the disease can be quickly re-introduced to a malaria- free area by highly mobile popula- tions. having an accurate overview of how different regions of countries are connected by human movement aids effective disease control plan- ning and helps target resources, such as having treated bed nets, or com- munity health workers, in the right places. ‘having data for all low and mid- dle income countries across three continents will greatly aid disease control and elimination planning on global and regional scales.’ the worldpop project was initi- ated in october 2013 and aims to provide an open access archive of detailed spatial demographic data- sets for central and south america, africa, and asia to support develop- ment and health applications. hospitals need to become less introspective organisations big data power will improve healthcare hospitals and health systems must embrace a big data approach if they are to deliver better care for patients, a leading analytics expert tells eh correspondent mark nicholls mark davies md is medical director of medeanalytics international. with more than 20 years’ experience as a gp, he joined the company in 2014 having previously worked in a number of informatics roles in the department of health, cabinet office and as medical director of the health and social care information centre. with a particular interest in clinical quality measurement and opening up data to the public, he was previously national clinical director for nhs connecting for health. continued from page 1 the global migration ... ©wk1003mike eh @ medica no 32016

actisound, guided therapy systems’ newest product, acts as an invisible scalpel working beneath the surface of the skin by delivering small thermal ablations to tendons, ligaments, and other soft tissue that stimulate collagen growth and the regeneration of connective tissue. the intense therapeutic ultrasound technology in the actisound device is the only energy source that can penetrate safely through intervening tissue and focus on a specific point within the body, allowing physicians to deliver treatment directly to the injury up to 20mm deep, without ever requiring any opening of the skin. it is the only patient-centric form of non-invasive treatment that results in an increased rate of healing and pain relief, as well as a faster and more complete return to activities. actisound is also affordable and compact, and is simple and easy to use. it is typically a 10-minute procedure that only requires 1-2 treatments. for more information contact: stephen zastrow, vice president of strategy & operations guided therapy systems s.zastrow@guidedtherapy.com (480) 649-4399 http://www.guidedtherapy.com get back in the game actisound guided therapy s y s t e m s www.pelicanfh.co.uk gynaecology & obstetrics innovative single-use solutions visit us in hall 16/f42 medica 105x70mm_aw1.indd 1 18/08/2015 11:06 wednesday @ medica 4 eh @ medica no 3 2016 new wearable open healthcare platform a dutch e-health start-up – 112motion – has developed new wearables and an open platform to connect medical and consumer devices. as an open platform, any vendor can connect and begin to monitor people’s health. healthcare data is recorded in personal dossiers in the cloud and the patients have full control over ownership, and thus themselves can decide when and with whom to share their data. the platform features an iot con- nector, decision support and case management, using workflows and medical business rules & personal rules to trigger actions. the system combines the new- est technologies to share data and reports, thus breaking traditional bar- riers between corporate it systems and the internet as we know this today. ‘this concept works for both the user and the healthcare parties,’ said nanno van der laan, founder and ceo of 112motion. ‘the user has the kind of technology innovation that this sector needs. it’s actually one of the goals set by minister edith schippers of the dutch ministry of public health.’ www. 112motion.com more control over their own health data and caretakers and doctors will be able to access a dossier with all the historical data. it’s a huge step forward in preventive care and really wearable monitoring devises are alerting physicians and carers when a patient may be unwell, or their condition needs closely monitoring, and they have potential to improve the accuracy of findings within clini- cal trials. the role of wearable healthcare was a keynote issue in a session at the ehi live conference – the united kingdom’s largest digital health event – held in birmingham this november. chaired by maxine mackintosh, chair of healthtech women - an organisation that aims to promote more participation by women in healthcare innovation – the event included representatives from across the national health service (nhs) and industry. devices have become much smaller and discreet deb el sayed, director of digital and multi-channel for nhs england, explained how experiments in the 1990s to try to monitor patients remotely, such as those with copd, had proved ‘clunky’ and relied heav- ily on the patient, but within the space of two decades had reached a scenario where there is the ability for continuous effective monitoring. ‘we are getting data from individuals continuously, which is giving clini- cians a much broader view of what is going on,’ she explained. the period has seen devices become much smaller and more discreet, to the extent that there has been the development of wafer thin patches with minute circuitry and space technology developed by nasa, which is now seen in health- care settings. ‘wearable patches can monitor patients after surgery, using the skin as a digital platform,’ el sayed said. ‘the next step is looking at “digesti- bles” that look inside the body rather than invasive procedures, such as a colonoscopy. ‘however, with all these technolo- gies, the important aspect is ensuring their accuracy and that adoption is evidence-based so that these systems can be used much more pervasively.’ from there, she added, it is also about addressing how that captured data is stored securely in the future. the question of wide variability in data delivered by different devices was raised, but panel members felt that it was still better that on-going data was delivered, rather than the occasional snapshot in response to a face-to-face consultation with a gen- eral practitioner (gp) or other health professional. el sayed said a number of trials are taking place aimed at offer- ing a better understanding of that data variability and to help improve accuracy. dr elin haf davies, founder and ceo of aparito – which uses weara- bles and disease specific mobile apps to deliver patient monitoring beyond the hospital - outlined how weara- bles can have an important role in clinical trials. ‘using an episodic or static snapshot of the patient is not really reflective of how the patient is doing; we need to be moving towards an overall understanding of how they are doing between these assessments and that’s where a wearable really lends itself,’ she pointed out. with rare diseases often affecting children, she suggested that assess- ing them consistently with traditional data gathering was more difficult adding a new dimension to healthcare space technology influences wearable dev wearable monitoring devices are offering patients the chance to play a greater and more active role in their own healthcare, mark nicholls reports from left: deb el sayed, director of digital and multi-channel, nhs england; elin haf davies, founder and ceo of aparito; suzanne homewood, enterprise sales director, samsung; maxine mackintosh, chair of healthtech women; and louise sinclair, head of the uk network at healthtech women 112motion is at medica hall 15 / stand a23 medica 105x70mm_aw1.indd 118/08/201511:06 eh @ medica no 32016

make the connection the world’s easiest to use hba1c analyzers just got even better. quo-test and quo-lab from ekf diagnostics now come with poct1-a2 connectivity, qc and user id lockout as standard. make your connection today:  hba1c-test.com  +44 (0)2920 710 570  connect@ekfdiagnostics.com 1 2 3 4 5 6 7 8 9 10 11 12 visit us at medica stand #c70, hall 3 diagnostics for life connectivity now available on quo-test and quo-lab a1c analyzers. universal stand “riviera” fully motorized easy and fast positioning new integrated dr system dicom connectivity welcome to our booth hall 10 f 74 contact us by email: sales@primaxint.com wednesday @ medica 6 eh @ medica no 3 2016 a number of organisations within healthcare remain at risk of leav- ing systems vulnerable by failing to ensure there is a broad range of protection in place to safeguard data from hackers or cyber attack. it expert dr john lockley, clinical lead for informatics with the bedfordshire clinical commissioning group (ccg) in the uk, also believes healthcare providers need to factor in more elements alongside it con- siderations. in a presentation at the ehi live event in birmingham, entitled ‘a holistic view of healthcare cyber security’, he suggested it was wrong to think of it in isolation: ‘we have to consider what it interacts with – programmes inter- acting with patients, the paperwork, protocols, processes and pounds, as well,’ lockley explained. ‘we need also to remember that people are involved and how they and their psy- chology work.’ this is not just about individuals falling for phishing emails and click- ing on unauthorised websites, or hospitals installing advanced virus blockers and other firewall safe- guards, but also in ensuring staff are adequately trained in how to respond to such threats. additionally, personnel need the time, a robust infrastructure, and the correct hardware and software needed to carry out their roles cor- rectly and safely. dr lockley said that the national health service (nhs) often invests heavily in certain parts of the sys- tem but fails to guard against ‘back door’ attacks on the more vulnerable aspects of their it. he also warned that systems run- ning unsupported software, such as windows xp, were particularly vul- nerable to attack and added: ‘my advice is for hospitals to spread resources carefully and thoughtfully in terms of cyber security and edu- cate and train staff. that means hav- ing money available to buy in people to do the teaching and then giving staff the time to receive the training.’ equally, hospitals should not go to the opposite extreme of having so many technical and procedural checks inserted into their systems that it can actually prevent people from working efficiently. with nhs organisations now working more closely with local authorities, as health and social care come together, the health service need to ensure it is not left vulnera- ble when linking with outside bodies that have older, or more vulnerable, it systems and equipment. health remains a prime target for hackers and the consequences of not adequately protecting data can be devastating, with patient and clinical information potentially lost, encrypted or even altered by hackers. ‘the first priority is, take regular backups; the second priority is to ensure that you’ve put in all the lat- est software patches; and the third element is to train the staff to think carefully about what they are doing and not automatically click on links of open documents just because they are there,’ dr lockley advised. ‘cyber security also needs board level priority and it’s important to have the it team available 24 hours a day to respond.’ hospitals and healthcare providers also should be aware that it is not always straightforward to upgrade to the latest versions of software, because that may impact, or not be directly compatible, with other parts of the system. ‘overall,’ lockley added, ‘when it comes to cyber security, hospi- tals should think holistically and not just about the software, or the hardware, but also remember to give ordinary front-line staff enough training in cybercrime awareness - and then give them enough time to put these defensive procedures into action.’ hospitals need a holistic approach to cyber security biomod 3s hospitals and healthcare providers are being urged to adopt a holistic view of cyber security to help protect critical patient data, mark nicholls reports. the 3-d reconstruction alternative dr john lockley is the clinical lead for informatics for bedfordshire ccg (clinical commissioning group), chair of systmone national user group and a member of the ereferral service programme board and electronic referral advisory board. he is also deputy chair of the board of bedfordshire and hertfordshire lmcs ltd and chair of beds and herts lmc im&t advisory group dtr is at medica hall 16 / stand f42 dms is at medica hall 10 / stand d78 launching the lletzlearn training simulator practical colposcopy training surgical instruments special- ist and award-winning single- use instrument supplier dtr medical is presenting its new lletzlearn training simulator at medica this year. developed in collaboration with anna barbour, gynae- cology out-patient sister, and theresa freeman- wang, who is a consult- ant gynaecologist, the new training simulator enables a trainee to practice perform- ing cervical procedures while also gaining necessary confidence and competence prior to working on a patient. this simulator has been designed for use with electro-surgical tools to further simulate real-life procedures, which in turn improves the trainees’ skills, while also eliminating the risk to patients, the manufacturer points out. ‘it is difficult for new clinicians to know exactly what to do when car- rying out procedures with certainty for the very first time, coupled with the fact that it’s also challenging for trainees to truly know the extent of how to use new tools,’ anna barbour confirms. these reali- ties pointed directly to the fact that something was needed for both experienced and inexpe- rienced clinicians to practice, to essentially create safer proce- dures for patients, the manufacturer adds. the lletzlearn training simulator features intuitive assembly and, dtr underlines, it is easy to clean. the simulator also has pins that securely hold the specimen in place, offering ease and efficiency during procedures.’ other products include those for general and neuro-surgery, ophthalmology, orthopaedics, etc. www.dtrmedical.com providing a complete range of solutions for radiology, bone densitometry, stereo-radiogra- phy and post-urology, dms imaging, the newly created division of the three decades old firm, includes the brands apelem, dms, axs medical and medilink. among the products is biomod 3s, which the manufacturer proudly describes as ‘an ele- gant tool that brings three-dimensional tech- nology to classic two-dimensional x-ray rooms’. this technology combines optic information about back morphology with a radiographic image of the spine (stitching) to yield a 3-d reconstruction of the vertebral column, the manufacturer adds. ‘with absolutely no additional dose com- pared to a classic stitching exam, and no change in the clinical routine, the 3-d model gives practitioners a complete view of the spine in an upright weight-bearing position. the automatic calculations of frontal and sagittal 2-d/3-d measurements allow for a thorough and accurate evaluation of spine deformities common in pathologies such as scoliosis, kyphosis, vertebral compression, dorsopathy, as well as posture and bal- ance anomalies, just to name a few spinal problems. biomod 3s, can be seamlessly inte- grated into any chest and bone room or r/f suite capable of full spine stitching exams, adding value to an existing suite, the company adds. details: www.dms-imaging.com  +44 (0)2920710570 eh @ medica no 32016

complete 2d/3d spine analysis in weight-bearing position seamlessly integrates into any existing x-ray suite no additional irradiation p r e s e n t s medica’2016: booth 10d78 today! medicine meets technology chairman: dr. bruno michel zurich, switzerland • wednesday, 16 nov 2016 12.20 p.m. – 2.00 p.m. room 16 wednesday @ medica 8 eh @ medica no 3 2016 enrique de la vega is digital product manager in knowledge transfer at eurecat.a telecommunications graduate from madrid polytechnic university (2005), he gained a master’s degree in biomedical engineering at madrid polytechnic university and another ma in integrated projects management at the university of barcelona (2011). currently manages two ehealth- based products, ekauri and ekenku. formerly a healthcare consultant and product manager supporting phillips healthcare portfolio in monitoring, electrocardiography and obstetrics, he also had been product specialist and healthcare consultant in radiological imaged-based alma it systems company, and worked for a catalonian health department initiative to develop policies and initiatives in the non- radiological image integration field. asked what is unique about its new remote monitoirng system, digital product manager enrique de la vega explained that this is a professional solution to monitor patients remote- ly. ‘its name, ekenku, means health in japanese. basically this is a patient kit, which comes with a tablet and an already uploaded application, sensors and medical devices, to collect physi- cal parameters and vital signs. the system connects with arm tensiome- tre, glucometer, pulse oximeter and balance. so far we have been work- ing with one provider, medisana. ‘our objective is to reduce the possibility of technical problems due to misuse and focus on improving the clinical process rather than diver- sify the technical scheme with multi- ple devices and app versions. ‘it’s not enough to offer new tech- nology and complete clinical infor- mation flow; but it is essential to bring solutions that fit new business models and current priorities, such as guaranteeing sustainability through a more efficient healthcare ecosystem.’ which vital signs does it help to monitor? ‘we can monitor glucose, tension, pulse, weight, hydric balance, oxy- gen saturation in blood, and infor- mation send by activity trackers and wearables, as well as d information about patient’s well being through personalised questionnaires. patients can also take part in virtual sessions using the videoconference module. ‘we estimate ekenku will be able to follow 100 patients a year, wheth- er they take part in clinical stud- ies for pharmaceutical companies or suffer complex chronic illness and need monitoring for a few weeks, or months, to avoid readmission to hos- pital and reduce hospital stay. these patients may have suffered acute episodes or had to prepare or recover from surgical interventions. ‘opportunities for adequately equipped hospitals, pharmaceutical groups, insurance companies and clinical research institutes are huge.’ what are the first results? ‘ekenku was launched a few months ago and currently monitors 30 patients; we expect it will follow 50 by the end of the year. the prod- uct’s introduction has been a success both with patients and healthcare professionals, and we have received feedback about its high reliability and quality. following the data brought by ekenku the medical team can work out new scenarios to assist patients and this is will determine the future evolution of the tool.’ what are your projections? ‘we want to offer the service to more hospitals and patients with different pathologies next year. we will also offer more features. ‘the curiosity from healthcare pro- fessionals is very high, since many have taken a growing interest in telemedicine over the past few years. however, management and organi- sation in a hospital are not aligned with remote patient monitoring and virtual assistance; healthcare actors do not understand the deployment of a product such as ekenku equally. ‘further development must be based on positive results and there must be a return on investment, which we estimate will take about six months. the capacity to generate savings for the healthcare system is huge and type of solution will be a key element to sustain the system in the future.’ can you ensure patient data remains safe if, for example, the tablet is stolen? ‘we avoid having personal data with- in the devices; the tablet is linked to a specific patient and the information stored within it is referenced with a code, which is not sent to anyone outside the security of healthcare networks. so, if the device is stolen, or another user tries to access the information, no patient reference will be found.’ what benefits a patient as well as healthcare providers? ‘for patients the benefits include reduction in hospital stay and life quality improvement, because they don’t have to visit the hospital. people have a direct and rapid access to doctors whenever needed. ‘doctors can work better in the case of an emergency, because they receive the information earlier. treatment adherence also increases and clinical follow up is more pre- cise. finally ekenku monitoring helps us to reduce costs and empowers patients.’ what are the challenges to ehealth in spain? ‘in spain healthcare works in a very dispersed fashion and, despite ongo- ing efforts to integrate the clinical history and improve processes, a lot of work remains to be done regard- ing continuous care and data access and management. up to 50 patients will be monitored by 2017 spanish hospital checks vital signs remotely not having to visit hospital daily, or stay there too long, can improve the lives of patients tremendously. the vic hospital consortium, in catalonia, spain, has begun to use a new remote monitoring system that enables it to monitor patients wherever they are. european hospital correspondent mélisande rouger spoke with enrique de la vega, digital product manager at catalonia’s technology centre eurecat, the organisation behind the tool. eurecat works with hospitals and companies in the healthcare sector on innovative solutions in consulting, training, applied research and development, technology services and professional events. soled15, one of acem medical company’s starled range of lamps, is an led examination light for diag- nostics, minor surgery and universal applications, and can be used for intensive care, the recovery room, first aid, cosmetic surgery and den- tistry. the firm adds that there is excellent light intensity, ir-free light beam, colour temperature (cct) of 4.500°k, colour rendering index (cri) of 95 and low power consumption for a long life. ‘the high technological level com- bined with the use of high-powered leds allow soled15 to have a very linear yield and a negligible perfor- mance decay for its entire life dura- tion,’ acem continues. ‘thanks to the high efficiency achieved, soled15 has a light intensity of 65,000 lux (85,000 lux with ‘boost’ function) and a low power consumption (16w). ‘the leds layout gives a visual comfort and produces a uniform, homogeneous and shadow-less light. the company also points out its round shape, which ‘makes it handy and functional both in use and to move’. the new ‘sel’ function allows uniform, homogeneous and shadow-less illumination lighting up minor sur and more acem is at medica hall 10 / stand e3 » 201612.20 p.m. – 2.00 p.m. eh @ medica no 32016

editor-in-chief: brenda marsh art director: olaf skrober managing editor: sylvia schulz editorial team: sascha keutel, marcel rasch senior writer: john brosky executive director: daniela zimmermann founded by heinz-jürgen witzke correspondents austria: walter depner, michael kraßnitzer, christian pruszinsky. china: nat whitney france: annick chapoy, jane macdougall. germany: anja behringer, annette bus, cornelia wels-maug, holger zorn. great britain: brenda marsh, mark nicholls. malta: moira mizzi. poland: pjotr szoblik. russia: olga ostrovskaya, alla astachova. spain: mélisande rouger, eduardo de la sota. the netherlands: madeleine van de wouw. usa: cynthia e. keen, i.t. communications, lisa chamoff. subscriptions liane kaiser, european hospital, theodor-althoff-str. 45, 45133 essen, germany subscription rate 6 issues: 42 euro, single copy: 7 euro. send order and cheque to: european hospital subscription dept advert for medica.pdf 1 17/10/2016 15:56 wednesday @ medica 10 eh @ medica no 3 2016 captiview – a microscope image injection system from leica microsystems, which overlays critical virtual reality imaging directly onto the brain when viewed through the eyepiece (the ocular) during surgery, has been used for the first time by a neurosurgeon, joshua bederson md, professor and system chair for the department of neurosurgery at mount sinai health system. 28 new specialist cameras have been delivered to tübingen university hospital in baden-württemberg by ikegami, leading producer of high- and ultra-high-definition imaging and display equipment for broadcast, process-control and high-end medi- cal applications worldwide. headed by medical director professor bartz-schmidt, the hospi- tal provides teaching, research and advanced medical services as one of the university’s 17 clinics. ‘this is a highly prestigious order from one of the largest and most important ophthalmic medi- cal centres in germany,’ said zeljko romanic, industrial and medical fibre-optic probe non-invasively measures blood flow and more ‘o2c (oxygen to see) is a non-inva- sive diagnostic tool used to deter- mine the oxygen supply in blood per- fused tissue,’ explains its manufac- turer lea medizintechnik gmbh. ‘it allows a non-invasive measurement of blood flow (au), capillary venous oxygen saturation (%), regional hae- moglobin value and relative post capillary filling pressure (au) using a fibre optic probe.’ o2c can be used to monitor con- tinuously the pedicle and microvas- cular flaps, such as visible and buried flaps. ‘the flap perfusion is continu- ously monitored using microcircula- tory parameters. the microcircula- tory assessment can be done during operation and post-operation. o2c guarantees an alarm at the earliest during the critical conditions of flap that was caused by an arterial occlu- sion or venous congestion. video division manager, ikegami electronics (europe). ‘the cameras will be integrated into a new build- ing, which is nearing completion. we provided and installed the camera systems in partnership with our part- ner and distributor bildsysteme horn. ‘the project includes 25 ikegami mkc-210hd full-hd cameras. these will be used to capture real-time video from slit-lamp bio-microscopes that allow detailed inspection of the front segment of each patient’s eyes. the cameras are equipped to allow monitoring and recording of the entire examination.’ ‘university hospital tübingen has also taken delivery of three ikegami mkc-750uhd 4k cameras, making it one of the first medical facilities in europe to invest in the 4k ultra-high- definition format. ‘the mkc-750uhd cameras will be deployed in an operating suite specialising in advanced treatment of macula degeneration and retina disorders, as well as for neuro-oph- thalmology and refractive surgery. ‘the uhd resolution and very high quality of ikegami 4k medical cameras opens new possibilities for studying eye conditions in very pre- cise detail.robot precision combined with physician’s expertise.’ videoing surgical proce- dures as well as attach- ing to the micro- or endoscopes ‘studying medical conditions at this very advanced level demands very good doctors, very good micro- scopes and very good cameras. university hospital tübingen now has them all.’ ikegami’s first 4k 3-sensor medi- cal camera, the mkc-750uhd, is a full 4k ultra-high-definition camera, the firm points out. introduced at medica 2015, it is designed to cap- ture video of surgical operations as well as attachment to microscopes or to endoscopes. ‘the integral 3840 x 2160 pixel uhd 3-cmos optical this new microscope technology allows images of chosen objects, including original ct, mri and angio- gram datasets, to be superimposed, or ‘injected’, directly into the neu- rosurgeon’s eyepiece during micro- scopic surgery. ‘this next-generation augmented virtual reality tool pro- vides real-time information in ways never before realised,’ bederson says. he has worked closely with leica microsystems and brainlab to develop the surgical navigation tool and confirms that he now uses this technology for all his cases. the captiview image injection system utilises brainlab cranial 3.1 navigation software in conjunction with a leica m530 oh6 microscope. the heads-up display provides neuro- vascular and fibre-track information in 2-d or 3-d, as well as on-screen video overlays visible through the ocular. the microscope integration also allows the surgeon to switch views in the eyepiece, toggling between live and pre-operative anatomical images using handle control buttons, or a footswitch, for ease of use and uninterrupted workflow. markers attached to the microscope enable positional tracking and autofocus. this new technology will be uti- lised alongside surgical navigation advanced platform (snap) devel- oped by surgical theater, llc, which is a standard feature in the operat- ing room. ‘snap,’ the firm explains, ‘provides advanced 3-d visualisation technology that gives surgeons an intraoperative and patient-specific 3-d environment to plan and under- stand surgical approaches.’ bederson concludes: ‘we are driv- ing and advancing the development of next-generation simulation and virtual reality technology, which can help improve patient outcomes and solve neurosurgical challenges.’ images are superimposed into the surgeon’s eyepiece 28 new cameras go to work in tübingen university hospital microscope imaging system integrates virtual reality technology investment: 4k-uhd and full-hd o2c – oxyg a mount sinai neurosurgeon is the first to use microscope imaging system that stunningly integrates virtual reality technology. image: mount sinai health system sensor is capable of resolving much higher image detail than high-defini- tion cameras.’ the mkc-750uhd can output pictures in uhd and full hd, allow- ing use with existing hd monitors as well as uhd displays. ‘an image cor- rection function enables the camera to express high image resolution in detail. also included is a gradation correction function, which delivers high contrast without over-exposure or black-crushing. ‘structurally, the mkc-750uhd consists of miniature camera head with integral optics. the head con- nects via cable to a mains-powered compact control unit (ccu). the camera and ccu have an antibiotic coating to assist infection control. all major camera functions, plus the ability to record video and capture still images, can be controlled from the front panel of the ccu,’ the company reports. ‘the ikegami mkc-210hd employs a single 2.1 megapixel full hd 1/3-inch cmos sensor to deliver 900 tv lines of horizontal definition video images. providing f/7 at 2000- lux high sensitivity performance, it delivers the video quality required for high-end medical video system. ‘optimised signal processing cir- cuitry achieves a high signal-to-noise ratio of 50 db. video signal process- ing is performed in the same appli- cation-specific integrated circuit as ikegami’s hdtv broadcast cameras, ensuring the same high level of qual- ity and reliability.’ www.ikegami.de/medical.html ikegami is at medica hall 10 / stand b12 » lea is at medica hall 09 / stand d4 » advert for medica.pdf 117/10/201615:56 eh @ medica no 32016