Transcript Slajd 1 - Pro Plus

Pro-PLUS Sp. z o.o.
Complex telemedical
solutions globally
Prepared by:
Agnieszka Tomczak
17th March 2015
ABOUT Pro-PLUS

Pioneer of telemedical solutions in Poland and worldwide

Producer of innovative devices, software and services for
telemedicine

Gold Medal at the International Exhibition of Innovation in
Shanghai

Cooperation with leading cardiology institutes and hospitals in
Poland

International telemedical project TeleInterMed: 10 thousand
patients diagnosed with Pro-PLUS devices

Participation in Strategmed I (cardiological tele-rehabilitation
at home)

Main entity in governmental projects (eg. with National Center
of Research and Development)

Several projects implemented for Polish army

90% shares of Polish telemedicine market
ABOUT Pro-PLUS
We provide ready
telemedical
solutions for
medical
environment
We create business
models
We listen to the
needs of medical
environment
We create
technological
solutions
POTENTIAL OF Pro-PLUS
 The market for telemedicine is developing rapidly. In 5 years it is predicted to
grow almost three times. The services are and will be the main part of the market
(about 60%), followed by the devices and software (each 17%).
 Pro-PLUS is a dynamic, modern company with 22 years of experience, unique
know-how and recognisable trademark, both on Polish and foreign markets.
 After many years of independent development in 2013 the company gained the
investor – ANNT Investment S.A., which took the company to new paths and
ensured stable growth.
 At the moment the company realizes the plans agreed with the Investor, getting
ready for the expansion to foreign markets, introduction of new devices and
offering new services.
BIGGEST CLIENTS OF Pro-PLUS
 Nation-wide Medical System in Indonesia
 Inter Business ‘91 Ltd. from Bulgaria
 Institute of Cardiology in Anin, Poland
 Crakow John Paul II Specialist Hospital, Poland
 Telemedycyna Polska S.A.
 Polskie Centrum Telemedyczne
 MedGo Sp. z o.o.
Pro-PLUS WORLDWIDE
Examinations
Satisfied patients
Cardiac rehabilitation after
heart attack
Pro-PLUS
The main area of our activity is cardiology and monitoring of the elderly.
Mobile, remote, easy-to-use ECG solutions with
additional modules (weighing scale, blood
pressure monitor, saturation sensor and
glucose meter)
Web based Telemedical Platform which collects
medical data and enables B2B and B2C
relations
Medical services provided by Monitoring Center
Pro-PLUS PRODUCTS
Pro-PLUS PRODUCTS
 Embedded communication modules: GSM, Wi-Fi, Bluetooth
 Interactive communication with external modules: weighing scale,
blood pressure monitor, saturation sensor, glucose meter
 Additional features:
• VOICE
• geolocation
• geofencing
• fall down sensor (patient’s body position detection)
• indoor location (IBEACOM)
ADVANTAGE OF Pro-PLUS
 Small, convenient and easy-to-use devices
 Flexible hardware platform with various
communication options
 Secure and reliable data transmission
 Components with API for easy integration with
existing hospital systems
 Dedicated R&D team for Fast Time to Market
projects
 Strongly motivated team, engaged in developing
new solutions
EHO-MINI EVENT-HOLTER
EHO-MINI EVENT-HOLTER
EHO-MINI EVENT-HOLTER
EHO-MINI EVENT-HOLTER
View of the ECG examination sent from the device to Telemedical Platform:
EHO-MINI EVENT-HOLTER
Recording of single cardiac incidents
 EHO-MINI event-holter with up to 5 minutes reverse buffer
(depending on settings)
 2- or 3-channels
 6 synchronic leads:
– limb leads: I, II, III, aVR, aVL, aVF i/lub
– Any 2 selected precordial leads: V1-V6
 Built-in electrode cable (3 or 4 electrode cables, using
disposable electrodes)
 Working time: 72 hours (transferring 10 recordings in 24h)
 Battery charging: 3 hours
EHO-MINI EVENT-HOLTER
Recording of single cardiac incidents
 Sample rate: 250/samples/second
 Resolution: 10 bit/sample for each channel
 Transmission: GPRS through built-in digital modem
 Transmission speed: 9600-32000 b/s GPRS
 Frequency range: 0,05-100 Hz
 Power supply: Li-lon 4,2V battery; 680mAh; 2,4Wh
 CMRR >70 dB
 Input range: 15µVac do 15mVac
 Weight: 100g with battery
 Compact device size: 85mm x 54mm x 17mm
EHO-MINI EVENT-HOLTER
The device can be optionally equipped with following modules:
 voice – enables remote doctor-patient communication, providing the doctor with
the posibility of rapid intervention
 geolocation (GPS) – allows to locate the position of the patient during
transmission
 geofencing – so-called „safe zone”, within which the patient can move. When
the patient crosses the safe zone, the alarm signal is sent to the nurse or
caretaker (for patients suffering from Alzheimer’s disease)
 fall down sensor – the device can send a notification with GPS position to the
Monitoring Centre (only for the devices with built-in GPS module)
 automatic record of ECG examination triggered by the measurements from the
external sensors, e.g. pulse oximeter – the device continuously monitors the
level of saturation and pulse, and after exceeding the levels set up by the doctor
automatically performs ECG examination (with reverse buffer), which allows to
determine the background of saturation disorder (sleep apnea)
EHO-MINI LIVE-HOLTER
Automatic recording of incidents
Modification of EHO-MINI device enabling automatic
ECG recording without participation of a patient.
ECG is recorded every 3 minutes and sent
automatically to Telemedical Platform (directly to the
Monitoring Centre).
EHO-MINI REHABILITATION
Tele-rehabilitation at home

EHO-MINI rehabilitation with programable process of
rehabilitation session (depending on individual
arrangements)

2- or 3 channels

6 synchronic leads:
– limb leads: I, II, III, aVR, aVL, aVF
– and/or: any 2 selected precordial leads : V1-V6
 Buit-in electrode cable (3 or 4 electrode cables, using
disposable electrodes)
 Working time: 72 hours (sending 10 recordings in 24h)
 Battery charging: 3 hours
EHO-MINI REHABILITATION
Tele-rehabilitation at home
 Sample rate: 250/samples/second
 Resolution: 10 bit/sample for each channel
 Transmission: GPRS through built-in digital modem
 Transmission speed: 9600-32000 b/s GPRS
 Frequency range: 0,05-100 Hz
 Power supply: Li-lon 4,2V battery; 680mAh; 2,4Wh
 CMRR >70 dB
 Input range: 15µVac do 15mVac
 Weight: 100g with battery
 Compact device size: 85mm x 54mm x 17 mm
EHO-MINI REHABILITATION
The device can be optionally equipped with following modules:
 voice – enables remote communication doctor-patient, providing the doctor with
the posibility of rapid intervention
 geolocation (GPS) – gives the possibility to locate the position of the patient
during transmission
 geofencing – so-called „safe zone”, within which the patient can move. When
the patient crosses the safe zone, the alarm signal is sent to the nurse or
caretaker (for patients suffering from Alzheimer’s disease)
 fall down sensor – the device can send a notification with GPS position the the
Monitoring Centre (only for the devices with built-in GPS module)
 automatic record of ECG examination triggered by the measurements from the
external sensors, e.g. pulse oximeter – the device continuously monitors the
level of saturation and pulse, and after exceeding the levels set up by the doctor
automatically performs ECG examination (with reverse buffer), which allows to
determine the background of saturation disorder (sleep apnea)
EHO12
12-lead cardiomonitor
Enables the measurement of resting, 12-lead ECG, performed after
connecting the device to the computer.
EHO12
View of the ECG examination sent from the device to Telemedical Platform:
EHO12
12-lead resting ECG recording
 12-lead, resting ECG, performed after connecting
the device to the computer.
 12 synchronic leads:
– limb leads: I, II, III, aVR, aVL, aVF
– pre-cordial leads: V1-V6
 Detachable electrode patient’s cable (12 electrodes)
 Working time: power supply from the computer
EHO12
12-lead resting ECG recording
 Sample rate: 250/samples/second
 Resolution: 10 bit/sample for each channel
 Direct, digital transmission via USB cable
 Transmission speed: directly: USB 2.0, 115200 b/s
 Frequency range: 0,05-100 Hz
 CMRR >70 dB
 Input range: 30µVac do 15mVac
 Size: 115mm x 70mm x 25 mm
 Weight: 100g
ADDITIONAL MODULES
It is possible to widen the functionality of the devices by the measurement
of any parameter, e.g.:
 body mass
 blood pressure
 blood saturation
 glucose
TELEMEDICAL PLATFORM
TELEMEDICAL PLATFORM
Pro-PLUS Telemedical Platform is a software available for users from
anywhere in the world, through a web browser.
Telemedical Platform enables:
 Integration of a patient and a doctor
 Collection of medical data
 Usage of modern telemedical devices for remote patient care
 Monitoring of selected medical parameters
 Easy access for all users (doctors, nurses, patients and their family
members, Monitoring Centre) from anywhere in the world
TELEMEDICAL PLATFORM
The main functionalities of Telemedical Platform:
 Collecting and viewing of medical data
 Management of: users, their priviledges and devices
 Clear presentation of ECG examination records in a modern web browser
 Automatic ECG algorithms supporting a doctor
 ECG description service for health care centers which don’t hire a cardiologist
 Consultations between specialists
 Possibility of manual entering of medical data from devices not integrated with
Telemedical Platform
 Remote management and care for the patient
 Geolocation of devices and geo-tagging studies
 SMS module – event notification
TELEMEDICAL PLATFORM
Collecting and viewing of medical data
TELEMEDICAL PLATFORM
Management of Platform users, their rights and devices
TELEMEDICAL PLATFORM
Clear presentation of ECG records in a modern web browser
TELEMEDICAL PLATFORM
Automatic ECG algorithms supporting a doctor
TELEMEDICAL PLATFORM
Consultations between specialists
TELEMEDICAL PLATFORM
Possibility of manually entering medical data from devices
unitegrated with Telemedical Platform
TELEMEDICAL PLATFORM
Remote management and care for a patient
TELEMEDICAL PLATFORM
Geolocation of devices and geo-tagging studies
TELEMEDICAL PLATFORM
SMS module – event notification
Pro-PLUS FUTURE
 New medical areas:
• CTG
• Wearable devices
• HCMS (Home Care Monitoring Station)
 Intensive product development:
• new design of devices
• integration with mobile devices like smartphones
 Entering US market (FDA Certification)
 Private health care center
Pro-PLUS BUSINESS MODELS
Pro-PLUS offers various telemedical solutions suited to individual needs of all
users – doctors, health care centers, environmental nurses and patients.
They are used for effective diagnosis of cardiac disorders and monitoring of
patients’ health condition.
Examples of Pro-PLUS business models:
Model 1 Long-term monitoring
Model 2 Cardiac event-type diagnostics
Model 3 ECG preselection
Model 4 Environmental nurse
MODEL 1: LONG-TERM MONITORING
Model directed to patients under permanent care of a cardiologist.
The doctor offers remote service like long-term cardiac monitoring in addition to
traditional medical care. A patient regularly but rarely, at the time and frequency
consulted previously with the doctor, performs a number of tests – usually several
times a month. Records go directly to the Telemedical Platform, where they are
available to the specialist. A cardiologist can get SMS notifications about the latest
examinations and watch them in chosen time. Doctor responds only if the ECG is
abnormal for the patient.
It provides better control of the patient between visits and makes an opportunity to
automatically respond to incoming signals and to intervene quickly in situation of
disease progression, eg. modifying the dose of medicaments. It also reduces the
amount of unnecessary medical visits, which translates to greater availability of the
doctor to another patients.
MODEL 2: CARDIAC EVENT-TYPE
DIAGNOSTICS
In cases of patients suffering from rare and irregularly occurring cardiac
disorders, in which the classical diagnostic Holter-type methods failed, EHOMINI event-holter device is recommended.
It can be used for a very long period of time, up to effective registration of ECG
abnormalities/ incidents.
A doctor lends a patient a small, mobile device that patient wears all the time. At the time of
feeling unwell, e.g. pain, palpitations or arrythmia, the patient presses a button on the device.
Examination goes on-line to the Telemedical Platform, where it is available to the cardiologist or
directed to the Monitoring Centre for description. This enables highly efficient detection of very rare
and sporadic cardiac disorders. After detection of irregularity the doctor and the patient receive
reliable material, which is the basis for application of an effective treatment method.
Such model has been running successfully at the Cardinal Stefan Cardinal Wyszyński Institute of
Cardiology in Anin. This model would also work for a GP, who rents a device to a patient with
suspected cardiac disorders. Examination from the device goes through Telemedical Platform to
the cardiologist, who makes description and sends it to the GP, so that it is possible to make a
preliminary diagnosis. It has a significant impact on shortening queues and greater availability of
medical specialists for those who are truly sick.
MODEL 3: ECG PRESELECTION
Model addressed to cardiologists for rapid diagnosis of rare and irregular
cardiac disorders.
A doctor lends a patient an EHO-MINI event-holter device for 7, 14 or 30 days. The
device performs ECG examination every three minutes, without the participation of the
patient. Records are automatically sent to the Telemedical Platform. Then they are
viewed and selected live by cardiologists at the Pro-PLUS Monitoring Centre. Cases in
which irregularities were found are identified and after the preselection – submitted in a
report to the doctor or the patient.
This provides more than 80% relative detection of existing disorders due to the large
amount of research. At the same time, thanks to the preselection service performed by
specialists from the Monitoring Centre, there is no need for the cardiologist to view and
analyze a large amount of records. The doctor gets only significant studies and settles
effective treatment. It crucially enhances specialists’ work.
MODEL 4: ENVIRONMENTAL NURSE
12-lead ECG at patient’s home
Through EHO12 connected to a computer with the Internet a nurse can perform
professional 12-lead ECG examination at patient’s home.
Examination is sent automatically to the Monitoring Centre, where a cardiologist
describes it. After ten minutes results are sent back to the nurse.
This way, the nurse has reliable information about patient’s state of health during the
same visit. It is possible to react properly to a communicate about dyspnea or pain in the
chest. It eliminates unnecessary calling for an ambulance and transporting the patient to
a hospital.
The examination can be performed periodically and prophylactically to the elder cardiac
patients. The examination may be sent to the cardiologist that takes care of the person.
It helps to avoid unnecessary visit to the cardiologist, better treatment and react to the
progress of disease, e.g. by modifying dose of the medicines.
MODEL 4: ENVIRONMENTAL NURSE
EHO-MINI event-holter
Through using EHO-MINI event-holter and Telemedical Platform an environmental nurse
and a doctor can remotely monitor cardiac disorders and another medical parameters
like: blood pressure, weigh and saturation.
The nurse consults with the patient the frequency and kind of examinations. The device
is easy to use. Examinations are sent automatically to the Telemedical Platform, where
they are available to the nurse. It enables monitoring of any number of patients. Remote
access to the data enables the observation of the results more often, react to signals
faster and sending examination results to the doctor for consultation in case of an
emergency.
The patient can enter their examination manually at Telemedical Platform and add
comments. It enables the nurse to:
 fully control their patients’ health condition
 offer professional care to larger numer of patients
 perform more medical services and tele-care
ADVANTAGES OF TELEMEDICINE
IMPLEMENTATION
 Better detection of cardiac disorders during diagnostic process
 More effective monitoring of treatment progress
 Less amount of traditional medical visits
 More clients, especially wealthy people
 Increasing health care centers incomes
 Enrichment of services package
 Optimal time management of specialists
 Possibility to perform services to health care centers that don’t employ any
cardiologist
 Competitiveness in performing services in comparison to other units on the market
CONTACT:
Mobile:
(+48) 725 724 919
(+48) 785 436 707
e-mail: [email protected]
www.pro-plus.pl