TELEMEDICIN

E
TeleMedicine defined
•It may also be referred to as telehealth, e-health, or virtual healthcare
•It seeks to improve patient’s health by permitting a two-way, real time interactive
communication between the patient and the physician or healthcare provider at the distant site
supported by audio and video equipment and integrated medical devices
Advances
•Helpful in rural areas, where the shortage of healthcare providers had led to a lack of
accessibility to both basic healthcare and specialty care.
•Patients can get access to healthcare faster, which is a leading factor in improved patient-
engagement and better outcomes
•Fewer hospital re-admissions, more faithful following prescribed courses of treatment, and
faster recovery than that of patients not receiving remote interventions
•Allows hospitals to create hub-and-spoke networks to provide each other with support
•Effective way to administer preventive medicine and manage chronic conditions
Powerful software to simplify virtual visits
Because delivering virtual consults requires powerful, easy-to-use software. The software has
flexibility built in, so you can follow your own workflow and documentation requirements.
A robust feature set includes: scheduling, patient eligibility, payments, ICD-10 codes and mobile
messaging. For providers, acquiring patients, pricing and choosing to offer video, phone, in-
home or office consultations and billing has never been easier. Administrators have the ability to
manage permissions and begin offering patients telemedicine solutions. Patients can choose
how and when they see their service provider, from anywhere around the world.
Contents
I. The TeleHealth Stations ◦ C.3 StethOne Stethoscope
◦ 1.1 GlobalMed Clinical Access Station ◦ D. Otoscopes
◦ D.1 OTOcam 300
◦ 1.2 Xpress Station
◦ D.2 Total ENT
◦ 1.3 Transportable Exam Station ◦ D.3 USB Otoscope
◦ 1.4 WallDoc
II. Connected Devices ◦ E. Other Medical Devices
◦ E.1 Total ECG
◦ A. Examination Cameras
◦ E.2 ECG Belt
◦ A.1 Total exam 3 Camera
◦ E.3 12-Lead EKG
◦ A.2 Total Exam HD Camera
◦ E.4 Total Vitals
◦ A.3 InVision Camera
◦ E.5 Spot Vital Signs LXi
◦ A.4 PanOpthic Ophthalmoscope
◦ E.6 ClearProbe
◦ A.5 Fundus Camera
◦ E.7 Non-ivasive Cardiac System
◦ B. Conference Cameras ◦ E.8 SpiroPerfect Spirometer
◦ B.1 i1000MD Camera ◦ E.9 BraiNet EEG
◦ C. Stethoscopes
◦ C.1 ClearSteth Stethoscope
◦ C.2 Littman Stethoscope
I. The TeleHealth Stations:
As an ISO 9001 and ISO 13485 certified manufacturer, GlobalMed designs, create and build
solutions with the utmost quality and precision. They have the hardware platform needed to
provide telehealth. GlobalMed's telemedicine medical stations allow visits to be safe and secure
no matter where they take place. With integrated video conferencing software and connected
medical devices on all carts, mounted solutions and transportable stations, quality healthcare
can be delivered anywhere, any time. Medical stations can be integrated in clinics and hospitals,
remote sites, patient homes and schools.
 ®
GlobalMed ClinicalAccess Station
Innovative modular design supports a telemedicine station
configurable to accommodate a wide array of examination
capabilities. With integrated video conferencing software and
connected medical devices, the ClinicalAccess Station delivers
secure, quality healthcare solutions for your clinic or hospital.
 ®
Xpress Station
Xpress Station frees you from the space
concerns of larger form factors. Customize
your station to accommodate specific
examination needs using its innovative
modular design. With its slim footprint,
built-in WiFi and Ethernet, Xpress Station is
the perfect mobile telemedicine solution to
seamlessly fit into small clinical spaces.
Transportable Exam Station (TES)
The GlobalMed Transportable Exam Station
(TES) offers a new solution for providing
evidence-based care to patients in remote
locations. TES, designed for the executive
environment, is a compact, mobile, rolling
case safely housing a tablet PC and other
fully-connected devices. Its rugged case
lets you travel to your patients with the
latest GlobalMed technology at your side.
WallDoc®
WallDoc is a telemedicine solution designed
for areas with space limitations. WallDoc
mounts flat on the wall and occupies an
area only slightly larger than that of a flat
panel monitor, yet provides the
functionality of a fully-integrated
telemedicine solution.
II. Connected Devices:
The Challenge
When you can’t assess a patient in person,
digital medical devices takes telemedicine a
step further by enabling timely diagnoses and
easily saving patient details in EMRs.
The Solution
These digital devices helps you gather vitals,
monitor progress, view ultrasounds, hear heart
and lung sounds and capture images of skin,
ears, eyes and other areas. When integrated on
a telemedicine cart, these devices are mounted
so that cords and leads are not in the way, can
be damaged, or cause a trip or fall. Our digital
devices all integrate in the eNcounter® software
suite for a seamless diagnostic experience for
patients and doctors.
A. Examination Cameras
Total Exam 3 Camera
Has interchangeable heads and attachments Superior Image Quality: Delivers crisp, clear
including: manual focus head, otoscope head, HD images utilizing an 8 LED carousel, white
tongue depressor attachment and derm hood. balance and adjustable brightness. Provides
smooth video with 60 frame-per-second and
A handheld camera that delivers greater utility the clearest still image using count back freeze
and efficiency and produces an uncompressed frame analysis.
HD (16:9 AR) image alleviating any chance of
compression artifacts. Adaptability: USB 3.0 connectivity makes the
TotalExam 3 a true plug-and-play general
A USB 3.0 interface, making it easy to use with examination camera, with the ability to be
laptops as well as portable and mobile exam easily used with laptops, tablets as well as
stations. examination stations
The addition of a pivoting head on the camera Intuitive Design: A pivoting head, intuitive
improves ergonomics, making it easier to frame button locations and improved ergonomics
and capture images. makes it easier to capture hard to reach images
Total Exam HD Camera
8 Mega Pixel HD Imaging
Weighing in at just four ounces, the sleek, modern look focus. Delivers 27 times the clarity of standard
and small size is designed with the comfort of the user definition cameras.
in mind.
Interoperability & Flexibility
It is faster and easier to acquire the best freeze frame
images because the cameras count back frame analysis USB 3.0 allows for plug-and-play compatibility on a
automatically selects the clearest view among 17 tablet, laptop, telemedicine station or
frames. Still images obtained from the cameras superior videoconferencing system. Dual outputs (USB and
resolution are six-times the clarity of standard definition HDMI) provide the flexibility to simultaneously view the
cameras, making features crystal clear upon crystal clear images on different monitors and in
enlargement. All the cameras function buttons are different formats.
conveniently located on top, making image acquisition
and adjustment a simple one-handed operation. Smart & Intuitive
Unsurpassed Image Quality Auto focus takes the guesswork out of capturing the
clearest images. Dermatology attachments ensure you
With 3 light levels, HD resolution and an integrated auto are receiving the highest possible quality image.
InVision Camera
Mounted Exam Camera
The InVisionCam is a highly advanced camera •Provides hands free close detailed views as well
mounted on an articulating arm. as wide angle views multiple angles in
Dentistry, Anatomy, Physical Therapy,
Features Optometry, Surgery, and Women's Health.
•HD camera 1080i/ 720P, SD compatible
•Integrated 10x optical zoom lens and 12x digital
zoom, combined zoom of 120x
•Arm rotation and height adjustment
PanOptic Ophthalmoscope
•The patented optics make it easy to enter
undialated pupils with a 25 degree field of view
that is 5X greater than a standard
ophthalmoscope.
•By converging illumination to a point at the
cornea, Axial PointSource optics allows easy
entry into even the smallest pupils by creating a
very wide illuminated area of the fundus.
•By converging illumination to a point at the
cornea, Axial PointSource optics allows easy
entry into even the smallest pupils by creating a
very wide illuminated area of the fundus.
Fundus Camera
An easy-to-use hand held portable camera that
utilizes non-mydriatic technology to capture
images of the fundus.
Images captured are crisp and clear aiding in •Images are simply captured with a touch of a
the early detection of eye diseases. button and can be transferred seamlessly to a
laptop or PC.
Features
•The included cradle acts as both a charger and
•Ophthalmologic attachment captures and an image transfer docking station (via USB).
records High Definition (1080p) still images and
video that can be displayed on the 3.5" full
color LCD display.
B. Conference Cameras
i1000MD Camera
Fast and Accurate Focus Performance
i1000MD has a 5MP image and 10X 62.5 degree FOV optical lens which contributes to fluid and
precise, crystal image quality.
Easy to Install, Simple to Operate
With a simple USB 3.0 connection, i1000MD is easy to install, set up and operate, making it
simple to upgrade in the field.
Compatible with a wide array of video conferencing platforms
i1000MD uses UVC 1.5 protocol standard, making it compatible with GlobalMeds eNcounter
platform and many other software video conferencing platforms. The camera can also receive
another codecs IR remote control signal and pass IR control signals to the codecs IR receiver.
C. Stethoscopes
ClearSteth Stethoscope
Amazing Sound Quality
ClearSteth delivers clear, crisp sound with
filtering capabilities on both sides to emphasize
focus on bell or diaphragm ranges throughout
the exam. It will also automatically adapt to the
available network bandwidth on either side of
the connection, while still maintaining sound
quality.
Versatile and Secure
Allows users on various networks to access
encrypted auscultation connections with the
push of a button. ClearSteth is interoperable
with the RNK PCP-USB, ThinkLabs One, and 3M
Littmann 3200 stethoscopes. Encrypted
auscultations will ensure that patient security
and privacy is still the number one priority.
User Friendly Interface
Improve workflow by allowing users to stay
logged into the application and display all
participants in your telesteth program during
the consultation. Your telesteth program will
provide team members the opportunity to
collaborate with one another in real time.
Littman Stethoscope
•With proprietary Ambient Noise
Reduction(ANR) technology, reduces on
average 85% of unwanted background sounds
noise and provides 24x sound amplification •Use available eNcounter Application Suite
capability when sounds are soft. further enhance the auscultation process,
•Due to its user-adjusted sound amplification, which is helpful when a heart, lung or body
clinical evidence demonstrates its easier to sound is especially faint.
detect difficult-to-hear heart sounds, like S3
gallops, aortic regurgitation murmurs as well as
abnormal lung sounds.
•Captured sounds can be shared real-time,
saved to medical records or reviewed online
with using onboard Bluetooth technology.
StethOne Stethoscope
•The StethOne is a complete auscultation kit for
videoconferencing. Transmit and receive heart
and lung sounds through broadband
connections or through most Polycom and •have the capability to acquire.
TANDBERG videoconferencing systems.
•Bell Mode position includes low frequency
•Hear all pulmonary sounds with the widest boost to enhance very low frequency sounds.
auscultation bandwidth of 20 Hz 1,400 Hz at a
low data bandwidth of just 19.2 Kb/s. Using
StethOnes B/D switch in the Bell position,
capturing cardiac sounds is made easier with
automatic low frequency boost.
•StethOnes broad frequency range helps you
hear lighter sounds than other stethoscopes
D. Otoscopes
OTOcam 300
Small and lightweight, the OTOcam 300 offers
crisp full-color images of the inner ear with a
direct connection via USB to a computer. Video eliminates the need to charge a battery. Built-in
and still images can be shared with a remote heating system reduces annoying delays caused
physician during a live video conference. by condensation.

Well-lit video enables a clinician to acquire

crisp full-color patients images to clearly see
features in a patients inner ear. Workflow is
simplified when using the OTOcam 300 in
conjunction with GlobalMeds CapSure® image
automation software to draw and annotate on
images. Light-weight design provides for true
one-handed operation. USB direct connection
Total ENT
An illumination device with a fiber-optic light
cable and camera for use with a number of
different scopes, including but not limited to an provides superior lighting to the depth of the
otoscope, laryngoscope, and naso-laryngoscope. TotalENT scope line.
The TotalENT provides superior flexibility for the Availability of other rigid scopes eliminates the
user with the ability to use a variety of scopes. need for other systems.
When used in conjunction with CapSure Available scopes include: - Otoscope - Rigid
Software, a clinician can compare images over a laryngoscope - Nasopharyngoscope
period of time. Because it produces digital
video, it can be used for live consultations with Works with both NTSC (USA) and PAL
specialists worldwide. (International)
Best single-chip camera with a built-in light
source. A 24-watt short arc Xenon metal halide
USB Otoscope
USB Otoscope provides twice the field of view of
other otoscopes, providing nearly a full view of
the tympanic membrane. The USB Otoscope uses virtually eliminates the need for panning. The
fiber optics, which means no reflections and no easy-to-focus MacroView allows for enhanced
obstructions during a patient exam. visualization to aid in seeing past wax, locate fluid
behind the eardrum and even perform exams
Bundled with GlobalMeds video conversion without your glasses.
package, the USB Otoscope provides a
streamlined solution to share high-quality images Tip grip for secure fastening of ear specula along
during videoconferencing. When used with with ejection feature for disposal.Fiber optics
eNcounter, GlobalMeds Store and Forward produce cool light with no reflections, no
Solution, images can also be shared from the USB obstruction.
Otoscope.
Small size makes for easier transport.Ability to
The USB Otoscope features advanced optics that adjust focus for variable ear canal lengths.Built-in
increase magnification while giving you close to insufflation port for pneumatic otoscopy.
full view of the tympanic membrane, which
E. Other Medical Devices
Total ECG
Wireless Simplicity - Portable & Accurate
The TotalECG PC based resting ECG Machine is a
wireless 12-Lead ECG system that consists of
Windows based CardioVu software using the
world renowned Glasgow Interpretation system,
and a compact ECG acquisition device. The No Bluetooth drivers required. Only GlobalMed
TotalECG wirelessly streams ECG data from the devices show up in the device list to avoid
patient to a remote computer such as a PC, laptop confusion
or Windows tablet. 12 bit resolution with 6000 sps over-sampling per
The battery operated TotalECG device is hooked channelOne-click connection process to connect
up to a patient and ECG data is wirelessly ECG acquisition device to PC for streaming
streamed from the patient to the computer Optional 128-bit encryption for secure data on
running the interpretation software. Glasgow 12- any BluetoothRuns on Windows 7 and Windows
lead Analysis 8Device works up to 100 ft. away from receiving
PC
ECG Belt
The Tapuz ECG Belt is a system of ECG
Electrodes cast in a hyper-flexible silicone that
is similar to the existing V1-V6 Pre cordial via a dedicated adapter.
electrodes, LA, RL and RA, LL electrodes are The limb electrodes include 2 arm electrodes
attached separately. and right leg electrode (GND) embedded in the
The ECG Belt including the conductors is belt. The left leg electrode (clamp) is connected
flexible and can be stretched to fit all body to the patient cables leadwire.
shapes and sizes, men and women alike. When Connects to patient cable, 6 chest electrodes.
fitted to the chest, it stretches to the required Includes straps. Compatible with all 12 Lead
proportions, and the distance between the ECG devices. For 12 Lead Resting ECG
electrodes is set automatically.
The ECG belt can be connected to a standard
ECG patient cable with banana plugs or studs,
12-Lead EKG
The 12-Lead EKG provides all the benefits of a
full-featured, PC-based ECG in an affordable
solution. It speeds the turnaround of test
results, makes patient diagnostic information
more readily available..
Retrieve previous records with the touch of a
key, and cut and paste ECG monitor strips into
email for consults. Use onscreen report editor
to change or add a diagnosis in seconds. For
better flexibility, reports can be printed on plain
paper using an ink jet or laser printer.
Total Vitals
GlobalMed's TotalVitals Monitor is a hand-held
device that digitally captures a wide range of
vitals including: temperature, blood pressure, continuous monitoring that is uploaded
heart rate, spirometry and blood glucose wirelessly throughout a patient exam and sorted
(optional). in the patient record.

Lightweight and Compact Accurate and Easy to Use

The main console weighs less than 1.25 lbs and TotalVitals' advanced design combines accurate
fits easily in the palm of your hand. measurements of key vitals with intuitive
functionality.
Integrated and Wireless
When integrated with the eNcounter
Application Suite, TotalVitals provides
Spot Vital Signs LXi
It easily integrates with GlobalMed's
eNcounter Store-and-Forward Image
Automation Software to add vital signs to saved
images. distances and with the help of optional wireless
Improve patient comfort while saving your time connectivity the portable machine can transmit
when measuring blood pressure with the help vitals directly to a patients EMR.
of integrated SureBP technology that checks
pressure in 15 seconds while the cuff is
inflating. In order to easily fit into workflow and
existing products both Masimo and
Nellcor sensors can be used with the unit.
A larger and brighter LCD display provides
easier visibility of vital signs from greater
Clear Probe
With 256 shades of gray and is highly reliable
and durable. It carries a one-year warranty.
Easily save, store and print images with
measurements, calculations, annotations, General Purpose Abdominal Probe abdominal
cinloop and zoom with the help of the cavity (abdominal aorta, liver, kidney, gall
ClearProbesautoscan mode. Easy quick look bladder) and pelvic cavity (uterus, bladder).
without tying up other systems. Plugs into the Good for use with FAST exam.
USB port of your PC.
Endocavity Probe transrectal-prostate
Probes for Every Application wtransvaginal-uterus, adnexa.
The ClearProbe offers surface and endocavity
scanners to suit uses in a wide variety of Vascular Access Probe vascular access (PICC
medical fields, including family practice, lines), nerve blocks, foreign bodies, small parts,
OB/GYN, urology, internal medicine, emergency MSK.
medicine, anesthesiology, pain medicine,
podiatry, cath labs and ophthalmology. Ophthalmology Probe eye, retina
Non-invasive Cardiac System
NICas utilizes the principal of Whole Body Bio-
impedence, which results in superior accuracy
and agreement with thermodilution of
estimates of cardiac output. Provides
continuous data of key cardiac, vascular,
respiratory and fluid parameters. Non-Invasive
and Easy to Use
Objective Data
Better outcomes and decreased cost of care.
Provides data that can directly or indirectly
relate to cardiac output and each of its
determinants. When physicians have access to
these objective data points, they can make
more accurate diagnoses, utilize this data to
guide therapy, achieve better outcomes,
decrease cost of care and identify patients and
high risk of hospital readmission.
Wide Range of Clinical Applications
Heart Failure, Hypertension, Dyspnea,
Pacemaker and CRT Optimization, Assessment
of LV Function as well as monitoring patients
before, during and after surgery.
SpiroPerfect Spirometer
Portable Spirometer | Pulmonary Function Test
With a simple digital USB connection,
SpiroPerfect portable Spirometer allows
clinicians to see and compare accurate results
from pulmonary function tests in seconds.
Clearly and quickly evaluate pulmonary
obstruction or restriction. Increase success
rates of patients undergoing smoking cessation.
Show progress and help pediatric patients
comply with test procedures. Motivate
pediatric patients using incentive graphics
within the software design.
BraiNet EEG
This revolutionary product overcomes all major
obstacles preventing timely diagnostics. Our
time tested template system for electrode for review via the cloud and EEG reader is
placement has evolved into a complete solution notified via text that a file is ready.
making it easy for anyone with minimal training
to rapidly complete a patient hookup and
complete an EEC acquisition.
Streams Data Wirelessly
The WiEEG Bluetooth enabled wireless mini
amplifier seamlessly transmits the EEG data to
any Windows based laptop or tablet PC
eliminating cables and clutter from the patient
care arena. The data is immediately available