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Physiological Diagnostic
&
EMR Platform
Main Features
 Integrated EMR
 Galaxy supports various amplifiers, ranging from
small wireless ambulant systems to high density EEG
systems
 Recording with relevant information (trends,
dynamic summary) at your finger tips
 Manual and automatic analysis during recording
 Reviewing with many display options for easier
interpretation
 Custom reports with advanced options for more in-
depth analysis and interpretation of results
Galaxy EMR
 Patient Management
 Intake, Scheduling, Diagnosis, Photos, Notes and other
relevant patient information
 Study data, Outcomes
 Access from any workstation in the network
 Remote authorized access
 Security role-based access control
 Quality Control
 Advanced export tools
 Archive management tools
 Facility Tracking
Providing workflow management that includes:
Advantages
Simplify workflow and reduce time by
eliminating redundant data entry.
Strengthen quality control by tracking
numerous patient and sleep center
parameters.
Improve facility performance and increase
marketing results.
Patient information
- all information, data, documents, diagnoses in 1 central place -
Physicians, Insurance information
Appointments, available rooms, technicians
Final Diagnosis
Additional notes, photos and documents
NOTES
Images & exam
documents
Scheduling Calendar
Access to data from every work station
SQL Database Entry Windows
Patient
Information
Physicians
Insurance
Appointment
Diagnosis
Notes
Images/
Documents
Scheduling
Data
Management
Cloud and Multi-center EMR
Multiple labs in one database
Database can be hosted remotely or locally
No additional overhead for single lab center
Sleep application Galaxy works side by side
with EMR applications on tablets or internet
Load balancing by storing large data (images
and PSG) separate from interpretation data
Recording, Analysis and Review
Multiple views.
More information with past/future views.
Dynamic summary.
- VIDEO -
All information at a glance with
multiple views
Dynamic Summary Window
Displays a wide variety of sleep parameters,
graphs, plots and animations.
These are user selected in both collection and
analysis modes.
Advantages
Ability to see beyond just waveforms to view
another dimension of sleep data at any
moment in time.
This changing snapshot of items provides a
better understanding how to score and
interpret a sleep study.
Dynamic Summary
Past/Present/Future Windows
Ability to look back at the data, view the
present and see what is coming in the future.
User selectable in both collection and
analysis modes.
Advantages
Another unique tool to assist with scoring
and interpreting sleep data.
During collection the recording can be
manually scored using lookback.
Within analysis the study can be viewed from
3 different time windows.
Past/Present/Future Windows
150 sec time base
30 sec time base
Multiple Time Bases
150 sec time frame
Display with various Time Frames
30 sec time frame 150 sec time frame
Whole night time frame
Manual and automated scoring during data
collection and review.
Manual scoring during collection in lookback
mode.
Easy tools for manual editing of scored
events.
Analysis on the Fly as well as Offline
Manual and Automated Analysis
Easy Editing Tools
Reporting
Custom reports.
Advanced reporting for in-depth analysis.
Report export in various formats (e.g. pdf,
Word, Excel)
Real Custom Reports
 Available as a standard feature for each individual Galaxy
account.
 User can select from a wide variety of graphs, charts and
tables.
 Reports can be constructed to individually suite their labs
specific needs.
 Each report is thoroughly tested and installed on the GSS
before system delivery.
Reports: letters, trends and numbers
Advanced Analysis Reports
Advanced analysis features for more insight in
the physiology
New advanced PHI proprietary algorithms for
SaO2, Respiration, ECG analysis
Clear graphical presentation for more easy
interpretation
Desaturation Drops and CPAP Pressure
Index
Largest dropx
Lowest Desat Index
Lowest Desat Drop
Desaturation Recovery
% age of desaturation events recovered to >96%
of baseline
Baseline (0cm) 61%
CPAP (5cm) 82%
CPAP (7cm) 80%
CPAP (9cm) 78%
CPAP (10cm) 43%
A desat is less severe if it recovers to
>96% of the baseline before next desat
starts.
Heart Rate (stable NREM) and
CPAP Pressure
Median HR
Highest HR
Lowest HR
Pulse Transit Time and CPAP pressure
0
10
20
30
40
50
60
70
80
90
100
200 210 220 230 240 250 260 270 280 290 300 310 320 330 340 350 360 >360
<-- Worse (High BP) Better (Low BP) -->
%Breath
0cm
5cm
7cm
9cm
10cm
Lower BP with lower
CPAP pressure
BP highest with CPAP
pressure 9 and 10
Pulse Transit Time (PTT) = indicator of BP.
Too high CPAP pressure: PTT (= BP), due to increase in Respiratory Effort.
Work of Breathing and CPAP Pressure
More breath’s with lower work of breathing values:
reduced respiratory distress
0
20
40
60
80
100
120
0 5000 10000 20000 30000 40000
Work of breathing
%agebreath
0cm
5cm
7cm
9cm
10cm
CPAP 7 cm: Lowest respiratory distress
CPAP 9 cm: Second lowest respiratory distress
Galaxy Supports Various Amplifiers
Wearable wireless Neptune
Ambulatory Saturn
Laboratory Jupiter
Up to 32 channels of PSG/EEG.
Internal storage
Online connection via Bluetooth or Fiber optics
True DC recording
Use in Laboratory or at home
Saturn Ambulatory Amplifier
Jupiter Laboratory Amplifier
 Light weight compact 42 channel
PSG amplifier.
 Can be worn in a pouch
 Single cable disconnect
 Increased freedom of movement
 Multichannel unit that combines the
headbox and amplifier in a single enclosure
 CAT5 wiring for easy expansion of lab
 AC version for advanced clinical work
Jupiter Laboratory Amplifier
 Jupiter can be expanded for
advanced clinical work or research
 64 channels
 128 channels
 256 channels
 Flash accessory for EEG diagnostics
64 – 256 channels EEG system for high density
EEG.
Additional polygraphy channels.
Truly DC recording.
High Density EEG amplifiers
Galaxy Storage & Support
GSS is an intelligent, internet accessible and
removable 2 TB hard drive.
Single device connects fixed and virtual
multiple workstations together.
Provides central mass storage, archiving and
cloud monitoring functions.
Advantages
Provides a level of system integration, storage
and support never achieved in a PSG system.
GSS allows for local storage, off site archiving
and secure internet access to all recordings and
database parameters.
System troubleshooting is greatly simplified
since user logs and files are constantly
monitoring for ongoing issues.

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Galaxy Cloud Based Physiological Diagnostics

  • 2. Main Features  Integrated EMR  Galaxy supports various amplifiers, ranging from small wireless ambulant systems to high density EEG systems  Recording with relevant information (trends, dynamic summary) at your finger tips  Manual and automatic analysis during recording  Reviewing with many display options for easier interpretation  Custom reports with advanced options for more in- depth analysis and interpretation of results
  • 3. Galaxy EMR  Patient Management  Intake, Scheduling, Diagnosis, Photos, Notes and other relevant patient information  Study data, Outcomes  Access from any workstation in the network  Remote authorized access  Security role-based access control  Quality Control  Advanced export tools  Archive management tools  Facility Tracking Providing workflow management that includes:
  • 4. Advantages Simplify workflow and reduce time by eliminating redundant data entry. Strengthen quality control by tracking numerous patient and sleep center parameters. Improve facility performance and increase marketing results.
  • 5. Patient information - all information, data, documents, diagnoses in 1 central place -
  • 9. Additional notes, photos and documents NOTES Images & exam documents
  • 11. Access to data from every work station
  • 12. SQL Database Entry Windows Patient Information Physicians Insurance Appointment Diagnosis Notes Images/ Documents Scheduling Data Management
  • 13. Cloud and Multi-center EMR Multiple labs in one database Database can be hosted remotely or locally No additional overhead for single lab center Sleep application Galaxy works side by side with EMR applications on tablets or internet Load balancing by storing large data (images and PSG) separate from interpretation data
  • 14. Recording, Analysis and Review Multiple views. More information with past/future views. Dynamic summary.
  • 15. - VIDEO - All information at a glance with multiple views
  • 16. Dynamic Summary Window Displays a wide variety of sleep parameters, graphs, plots and animations. These are user selected in both collection and analysis modes.
  • 17. Advantages Ability to see beyond just waveforms to view another dimension of sleep data at any moment in time. This changing snapshot of items provides a better understanding how to score and interpret a sleep study.
  • 19. Past/Present/Future Windows Ability to look back at the data, view the present and see what is coming in the future. User selectable in both collection and analysis modes.
  • 20. Advantages Another unique tool to assist with scoring and interpreting sleep data. During collection the recording can be manually scored using lookback. Within analysis the study can be viewed from 3 different time windows.
  • 22. 150 sec time base 30 sec time base Multiple Time Bases
  • 23. 150 sec time frame Display with various Time Frames 30 sec time frame 150 sec time frame Whole night time frame
  • 24. Manual and automated scoring during data collection and review. Manual scoring during collection in lookback mode. Easy tools for manual editing of scored events. Analysis on the Fly as well as Offline
  • 27. Reporting Custom reports. Advanced reporting for in-depth analysis. Report export in various formats (e.g. pdf, Word, Excel)
  • 28. Real Custom Reports  Available as a standard feature for each individual Galaxy account.  User can select from a wide variety of graphs, charts and tables.  Reports can be constructed to individually suite their labs specific needs.  Each report is thoroughly tested and installed on the GSS before system delivery.
  • 30. Advanced Analysis Reports Advanced analysis features for more insight in the physiology New advanced PHI proprietary algorithms for SaO2, Respiration, ECG analysis Clear graphical presentation for more easy interpretation
  • 31.
  • 32. Desaturation Drops and CPAP Pressure Index Largest dropx Lowest Desat Index Lowest Desat Drop
  • 33. Desaturation Recovery % age of desaturation events recovered to >96% of baseline Baseline (0cm) 61% CPAP (5cm) 82% CPAP (7cm) 80% CPAP (9cm) 78% CPAP (10cm) 43% A desat is less severe if it recovers to >96% of the baseline before next desat starts.
  • 34. Heart Rate (stable NREM) and CPAP Pressure Median HR Highest HR Lowest HR
  • 35. Pulse Transit Time and CPAP pressure 0 10 20 30 40 50 60 70 80 90 100 200 210 220 230 240 250 260 270 280 290 300 310 320 330 340 350 360 >360 <-- Worse (High BP) Better (Low BP) --> %Breath 0cm 5cm 7cm 9cm 10cm Lower BP with lower CPAP pressure BP highest with CPAP pressure 9 and 10 Pulse Transit Time (PTT) = indicator of BP. Too high CPAP pressure: PTT (= BP), due to increase in Respiratory Effort.
  • 36. Work of Breathing and CPAP Pressure More breath’s with lower work of breathing values: reduced respiratory distress 0 20 40 60 80 100 120 0 5000 10000 20000 30000 40000 Work of breathing %agebreath 0cm 5cm 7cm 9cm 10cm CPAP 7 cm: Lowest respiratory distress CPAP 9 cm: Second lowest respiratory distress
  • 37. Galaxy Supports Various Amplifiers Wearable wireless Neptune Ambulatory Saturn Laboratory Jupiter
  • 38. Up to 32 channels of PSG/EEG. Internal storage Online connection via Bluetooth or Fiber optics True DC recording Use in Laboratory or at home Saturn Ambulatory Amplifier
  • 39. Jupiter Laboratory Amplifier  Light weight compact 42 channel PSG amplifier.  Can be worn in a pouch  Single cable disconnect  Increased freedom of movement  Multichannel unit that combines the headbox and amplifier in a single enclosure  CAT5 wiring for easy expansion of lab  AC version for advanced clinical work
  • 40. Jupiter Laboratory Amplifier  Jupiter can be expanded for advanced clinical work or research  64 channels  128 channels  256 channels  Flash accessory for EEG diagnostics
  • 41. 64 – 256 channels EEG system for high density EEG. Additional polygraphy channels. Truly DC recording. High Density EEG amplifiers
  • 42. Galaxy Storage & Support GSS is an intelligent, internet accessible and removable 2 TB hard drive. Single device connects fixed and virtual multiple workstations together. Provides central mass storage, archiving and cloud monitoring functions.
  • 43. Advantages Provides a level of system integration, storage and support never achieved in a PSG system. GSS allows for local storage, off site archiving and secure internet access to all recordings and database parameters. System troubleshooting is greatly simplified since user logs and files are constantly monitoring for ongoing issues.