Digital Imaging for Ophthalmology

Digital Imaging for Ophthalmology

Contents

02 Company Overview

03 EyeRoute Products Overview

04 EyeRoute Application

Digital Imaging for Ophthalmology

Who We Are

At Anka Systems, Inc. (ANKA), we offer a one-stop solution for capturing, storing, and distributing digital images, tailored to the needs of the ophthalmology industry. Our digitizing system, EyeRoute, is specifically designed for handling the growing number of digital images used by today's ophthalmology hospitals. In addition, we provide complete project management and system integration services to allow a smooth transition from film to digital images.

Working closely with one of the top eye institutes in the world, Anka has spent more than a year developing the EyeRoute product line. The result is an affordable system that meets the highest standards for reliability and ease of use. Our system allows doctors to access images instantly from anywhere. In addition, a highly redundant architecture provides for maximum availability. Anka Systems is exclusively focused on delivering the best technology solutions to ophthalmology hospitals. As an Anka customer, you'll be working with the finest technologies and technologists the market has to offer.

EyeRoute Products

EyeRoute integrates the best image-capturing, storage, viewing, monitoring, and networking technologies available today. Considering the budget constraints of typical ophthalmology hospitals, EyeRoute products have been specifically designed as modular increments thereby giving hospitals the flexibility to scale as their particular needs grow. This means that the initial deployment budget for multiple capture stations managed by central storage and monitoring systems can be less than two hundred thousand dollars. Yet, by adding optional modules, it can grow to a comprehensive, integrated system that can meet the current and future needs of any ophthalmology hospital.

Applications

 FA, Color, Red Free, ICG

 Slit lamp, Echography, OCT

 Stereoscopy, Time Series

 Other digital imaging technologies

 Reading center

EyeRoute Services

 Project management

 Cost saving analysis

 Requirement definition and refinement

 Functional system analysis

 Commercial software analysis

 HIPPA/security analysis

 Network requirements analysis

 Functional and cost trade off

System Integration Services:

 External systems integration (HIS/Modality)

 System design

 Implementation, deployment, validation

 Infrastructure monitoring service

 Technical support

Key Customer Benefits

Given the comprehensive products and services Anka offers, customers would be able to make a rapid transition to the digital imaging system at a minimum cost. Our product architecture also allows our customers to expand their system with value added features as their needs grow.

 Scalable – can grow to largest hospitals

 Reliability – full redundancy of components

 Low-cost – very competitive pricing – modular architecture

 Low risk – proven vendors

Digital Imaging for Ophthalmology

EyeRoute Products Overview

Core System:

EyeRoute-CS: MRP capture station EyeRoute-View: MRP viewing station EyeRoute-Stor: Central database & storage EyeRoute-Mon: Monitoring system

Options:

EyeRoute-WOrDS: Work order data system EyeRoute-Web: Web viewing

EyeRoute-HL7: HIS integration system EyeRoute-DICOM: DICOM interface system

Diagnostic Display Hospital Information System (HIS) Work Order Web Server Capture Station Capture Station Capture Station Capture Station Capture Station

EyeRoute Product Overview

DICOM Gateway

Satellite Hospital

Web Users Storage and Database

Modality And Viewing Storage & DB Database Storage Viewing Station Viewing Station Viewing Station Viewing Station Viewing Station Viewing Station Viewing Station System Monitoring HIS Gateway Internet Internet

Digital Ophthalmology Applications

EyeRoute Entry-Level Configuration

Ophthalmology hospitals can finally deploy high quality digital imaging systems at affordable prices. Anka System’s EyeRoute products provide a modular incremental approach to deploying digital ophthalmology systems. The basic hospital system consists of capture stations, viewing stations, central patient records, and central storage. This entry-level configuration allows hospitals to capture studies on multiple capture stations, store studies on a central network, view the studies from multiple locations, and back the studies up to DVDs for disaster recovery.

Diagnostic Display

Capture Station Capture Station

Capture Station

EyeRoute Entry-Level Configuration

Storage and Database Modality And Viewing Database Storage Viewing Station Viewing Station Viewing Station Viewing Station Viewing Station

Digital Ophthalmology Applications

EyeRoute Redundant Storage and Monitoring

To improve the availability of data in the central location, a redundant central patient records and database can be installed, and an extensive web-based operations monitoring system, EyeRoute-Mon can be installed.

Diagnostic Display

Capture Station Capture Station

Capture Station

EyeRoute Redundant Storage and Monitoring

Storage and Database Modality And Viewing Database Storage Viewing Station Viewing Station Viewing Station Viewing Station Viewing Station System Monitoring

Digital Ophthalmology Applications

EyeRoute Satellite Hospital Support

To handle studies captured in satellite hospitals, Anka Systems provides EyeRoute-Cache, a special viewing station with a cache that can store many months worth of studies locally. The capture station also supports a local copy of the study database. Because both the image storage and the database are local, studies can be acquired even when the network to the central hospital is unavailable. This system also automatically copies these satellite hospital studies to the central storage. The copied satellite hospital studies can then be quickly accessed by central hospital users as well.

Diagnostic Display Capture Station Capture Station Capture Station Capture Station Capture Station

EyeRoute Satellite Hospital Support

Satellite Hospital

Storage and Database Modality And Viewing Storage & DB Database Storage Viewing Station Viewing Station Viewing Station Viewing Station Viewing Station Viewing Station Viewing Station System Monitoring Internet

Digital Ophthalmology Applications

EyeRoute Full System Configuration

Additional modules can be added to the system to increase EyeRoute’s functionality and automation:

 EyeRoute-HL7 automates the input of patient demographic information and provides image availability information back to the hospital information systems.

 EyeRoute-Web allows access to patient data and images from anywhere.

 EyeRoute-DICOM provides the ability to retrieve and store DICOM based studies.  EyeRoute-WOrDS (Work Order Data System) automates order generation and study

tracking information. Diagnostic Display Hospital Information System (HIS) Work Order Web Server Capture Station Capture Station Capture Station Capture Station Capture Station

EyeRoute Full System Configuration

DICOM Gateway

Satellite Hospital

Web Users Storage and Database

Modality And Viewing Storage & DB Database Storage Viewing Station Viewing Station Viewing Station Viewing Station Viewing Station Viewing Station Viewing Station System Monitoring HIS Gateway Internet Internet

Ophthalmology Capture Station

EyeRoute-CS

EyeRoute-CS provides high performance high quality image capturing.

EyeRoute-CS from the MRP Group offers ophthalmology photographers a completely automated high

perform-ance solution for capturing high quality images. All the menus and functions are intuitive and provide photographers with fast easy access to image operations. EyeRoute-CS captures sequential images within one second (important for Angiograms) and displays images on the monitor in real time. This high speed processing increases the volume of patient’s hospitals can photograph. Captured studies are saved to a centralized storage and database so all viewing stations can retrieve studies quickly. All the operations and procedures such as camera configuration and control, elapse time measurement and auto image enhancement are completely automated. EyeRoute-CS also uses a full sized CCD chip allowing visual fields to be the same size as film based studies.

Functions

 High performance and high speed image capture, loading and enhancements  Color, FA and ICG image capture with dual FA and ICG timers

 Easy to use ophthalmology measurement tools such as GLD, MPS and PDT  Create and search patient records

 Export to email, PowerPoint and files  Import other modalities via JPG/TIFF  Stereo pair display and scrolling  Proof sheet display and printing  Works with standard fundus lenses  Full film sized 3Kx2K CCD

Ophthalmology Viewing Station

EyeRoute-View

EyeRoute-View provides high quality image access for patient diagnosis.

EyeRoute-View from the MRP Group offers ophthalmologists a complete high quality solution for study diagnosis and image processing. EyeRoute-View provides easy to use ophthalmology specific measurement tools such as GLD, MPS, and PDT. The viewer also provides extensive image manipulation functions such as stereo viewing and scrolling, cine viewing, thumbnails, zoom, contrast, invert, and automatic image depth. All the menus and functions are intuitive and provide fast easy access to image operations. The user interface is identical to EyeRoute-CS simplifying the learning curve.

Functions

 Provides high performance and high speed image loading and manipulation  Easy to use ophthalmology measurement tools

 Search and load studies via patient records  Import other modalities via JPG and TIFF  Export images to email, PowerPoint and files  Stereo image pair display and scrolling  Proof sheet display and printing

Ophthalmology Storage

EyeRoute-Stor

EyeRoute-Stor provides enterprise quality patient record and image storage.

Storage Satellite Hospital Database Central Hospital Capture Station Storage Database Viewing Station Record Synchronization Image Replication Capture

Station Viewing _Station

Internet

EyeRoute-Stor has been designed for and is tightly integrated with ophthalmology capture stations. This system simplifies study management by automating data replication, synchronization, and fail-over tasks to provide always-online study access. Satellite hospitals are also supported through distributed storage and patient records. EyeRoute-Stor is designed to work through multiple system failures such as disk, DVD, network, and server failures.

Functions

Patient Records Storage

 Multiple patient record copies for redundancy with easy fail over  Satellite and Central hospital patient record synchronization  Satellite hospitals can work as standalone systems

Image Storage

 Multiple image copies for redundancy

 Removable DVDs for off-site disaster recovery  Automatic fail over to backup image copies

 Replication of satellite hospital images to central storage  Satellite hospitals can work as standalone systems

Ophthalmology Monitoring System

EyeRoute-Mon

EyeRoute-Mon monitors all operational aspects of the EyeRoute system.

Storage

Database _{Work Order}

Web Server

System Monitoring

Capture Station

Viewing

Station Elements Network

DICOM Gateway HIS Gateway

EyeRoute-Mon is an application that monitors all aspects of the EyeRoute system (computer servers, storage, network and applications) to determine hardware and software failures. EyeRoute-Mon provides automatic email or paging of the administrator when problems are detected and when they are resolved. System administrators can view the current service status, history, etc. via a web browser to determine the system’s health, operational status and other statistics.

Functions

 Extensive hardware and software monitoring of all servers including:  System availability

 Network connectivity  Component failures  Disk usage

 Processor load

 Central and satellite site network capacity and performance  Web interface for status and statistics reporting

Web Integration for Ophthalmology

EyeRoute-Web

EyeRoute-Web allows instant access to patient and image data from anywhere.

Storage Database Web Server Internet Browsers Network Elements Internet Local Browsers

EyeRoute-Web allows ophthalmologists to access patient demographic and study information over the Internet and Intranet through a browser. This feature allows ophthalmologists to take advantage of accessing high quality images through ubiquitous low cost browser based PCs. EyeRoute-Web provides this web based image access with the high level security required to meet HIPAA compliance using Internet security protocols and encryption technologies. EyeRoute-Web provides diagnostic viewing station like capabilities such as high image quality, stereo viewing and scrolling, thumbnails, cine viewing, zoom, contrast, invert, measurements and automatic image depth. EyeRoute-Web provides a seamless expandable, flexible and reliable system, which allows many users to access ophthalmic images without significant system wide changes and software installation.

Functions

 Rich image processing and viewing functions  Image viewing through an Internet browser:

 Instant access from anywhere for authenticated users

 Cost-effective manageable solution without additional client software  Consultation features including email, reports, image export and import  Variable image compression reduces download times

HIS Integration for Ophthalmology

EyeRoute-HL7

EyeRoute-HL7 provides flexible communication with hospital information systems.

Database _{Hospital Information} System (HIS) HIS Gateway

Hospital Information Systems (HIS) are used to create a patient’s demographic and scheduling information when they make appointments. EyeRoute-HL7 retrieves the patient’s demographic and scheduling information from the HIS system through HL7 (Health Level 7) based messages. HL7 is an industry standard format that is used for electrical data exchange within the hospital environment. This interface is useful for procedure automation that requires the retrieval, distribution and validation of patient records and registration of this information to other client components such as the capture stations, work flow for order processing, viewing applications and storage systems. By deploying EyeRoute-HL7, all the manual procedures related to the patient demographic information can be automated. Additionally, EyeRoute-HL7 provides an update capability to report the examination status and medical notes back to HIS for access, billing and transcription purposes.

Functions

 International standard HIS interface (HL7 version 2.3)

 Translates ADT (admission, discharge, and transfer) messages  Bi-directional message communication

 Receives patient records via HL7 messages  Sends image availability via HL7 messages

Work Orders for Ophthalmology

EyeRoute-WOrDS

EyeRoute-WOrDS provides ophthalmology specific order generation and exam tracking.

Database Internet Browsers Network Elements Internet Local Browsers Work Order Capture Station Hospital Information

System (HIS) HIS Gateway

EyeRoute-WOrDS (Work Order Data System) is specially designed for the ophthalmology hospital environment and provides work order generation and management capability through a web based user interface. Eye Route-WOrDS provides ophthalmology modalities with work order lists and detailed order instructions for medical photographers. EyeRoute-WOrDS generates the work order list through a web-based user interface. Generated work order lists are stored in the WOrDS database and provided to modality stations.

Functions

 Web-based user interface:

 Automatic display of admitted patient records  Optional manual creation of new patient records  Order generation and deletion

 Order status display

 One click access to completed orders  HIS data synchronization via EyeRoute-HL7

 Retrieval of admitted patient records  Validation of manually created records  Notification of study availability

DICOM Integration for Ophthalmology

EyeRoute-DICOM

EyeRoute-DICOM enables communications with DICOM compatible systems.

Other DICOM Imaging Systems and Modalities

DICOM Gateway

Storage Database

EyeRoute-DICOM allows EyeRoute to communicate with other systems using the DICOM standard. Digital Imaging and Communications in Medicine (DICOM) specifies a network protocol utilizing TCP/IP, defines the operation of Service Classes beyond the simple transfer of data, and provides a mechanism for uniquely identifying information objects as they are acted upon across the network. DICOM is also structured as a multi-part document in order to facilitate extension of the standard. Additionally, DICOM defines information objects not only for images but also for patients, studies, reports, and other data groupings. With the enhancements made in DICOM (Version 3.0), the standard is now ready to deliver on its promise of permitting the transfer of medical images in a multi-vendor environment.

Functions

 DICOM 3.0 support

 Verification service provider  Storage service provider

 Query/retrieve service provider  Report query service provider  Basic worklist service provider  Lossless image compression

 Automatic and manual process recovery  Automatic image backup

ANKA Systems, Inc. www.ankasystems.com 1616 Anderson Road Suite 108 McLean, VA 22102 USA Tel: 703-714-0700 Fax: 703-714-0701 Contact: Email: [email protected] Anka Systems, Inc.