1. Remote Medicine A New Paradigm in Medicine

2. Constraints of Tele-Presence 1. Bandwidth 2. Latency 3. Satellite v. Ground Communication 4. Cultural/Political Sensitivities 5. Knowledge of Staff Delayed Action to Real-Time Movement – Snip…Uh Oh!!!

3. Requirements of a PMN 1. Bi-Directional Integrated Video (MSI™) or Video 2. Bi-Directional Fidelity Audio 3. Remote Control of Systems HIPAA Compliant Low Latency Network Operation Center (NOC) Layer 2 Framework Point-to-Point Managed Network 4. Academic Medical Network 5. GUI Interface CT Scans PSA Robotics

4. SystemsShare™ SystemsShare™ is the hardware that connects physicians, technicians and administrators in all departments and surrounding community hospitals to the network. It allows everyone to communicate and view all stored and live data simultaneously.

5. All Image Components to a Single 56” QuadHD Monitor As an “open architecture” solution, we are able to integrate ALL digital/video components in your lab. Whether it’s a Phillips, Siemens, Stereotaxis, Brainlab or a GE lab, we have the ability to connect. Our technological innovations have made us the defacto industry standard for complete systems integration applications.

6. SystemsIntegrator (MSI™) The MSI™ system solves the problem of integrating all patient modalities, patient records, archived information, PACS images, and any other digital/video source onto a single screen. The 56" QuadHD monitor can be positioned directly in front of the physician providing patient care.

7. SystemsVM allows the Broadcast of Patient Digital Data Contextually. Collaborative Case Studies and Reviews have the ability to Capture Video of the procedure. The Ability to View stored PACS, X-Ray, MRI images along with EHRs and All Other Patient Information Simultaneously. Additional Features

8. Applied Science: Medtronic Example Connect with multiple labs and multiple hospitals Integrated video with flexible layout options Remotely control medical devices, software, and input data in real-time Perform software updates remotely View live procedures from any lab in the network Remote iPad control of PSAs

9. Single MSI + Share + VF http://www.haivision.com/products/recording-vod

10. Share Bidirection Both Encoders & Decoders