“Innovation in clinical healthcare”

1. NHS 5 Year Plan
1© Richard Wolf GmbH, Pforzheimer Straße 32, 75438 Knittlingen, Tel. 07043 350, www.richard-wolf.com
Discover
The first fully network-based integrated OR

2. NHS 5 Year Plan
2© RiICHARD WOLF UK, WATERSIDE WAY, WIMBLEDON, SW17 0HB

3. NHS 5 Year Plan
3© RiICHARD WOLF UK, WATERSIDE WAY, WIMBLEDON, SW17 0HB
Previously at the Integrated Digital Care seminar ……
1. Over 100 years ago – founded by Georg Wolf
2. By 1930 already produced over 1000 Endoscopes
3. In 1959 produced the first Film recordable cystoscopy
4. In 1963 first cold-light illumination for Endoscopes
5. In 1968 first illuminated lens telescopes
6. In 1990 first Extracorporeal Shock Wave Lithotripter
7. In 2004 Introduction of CORE Endoscopy system
8. in 2007 CORE fully integrated Theatres in UK
9. In 2012 introduction of first HD Endoscopy cameras
10. In 2013 CORE.nova IP-networked Integrated Theatres
The Trend: less hardware - more software

4. NHS 5 Year Plan
4© RiICHARD WOLF UK, WATERSIDE WAY, WIMBLEDON, SW17 0HB
Previously
Systems were a set of
products
Hardware was in the
foreground
Upgrade was through
additional hardware
Hardware was mostly
isolated
Today
core nova is a set of
software solutions
core nova is part of
network infrastructure
In core nova upgrade
mainly via software
core nova software
embedded in the clinical
process
Core.nova is the future for Digital Theatres

5. NHS 5 Year Plan
5© RiICHARD WOLF UK, WATERSIDE WAY, WIMBLEDON, SW17 0HB
1. Existing & New Technologies
2. Software Applications
3. Systems: Integrate and unify
4. Monitor & Manage
Let’s look at some fun technologies ….

6. NHS 5 Year Plan
6© RiICHARD WOLF UK, WATERSIDE WAY, WIMBLEDON, SW17 0HB
Robotic Surgery …..
Core.nova interface:
All data acquired during the procedure can be
archived, logged with Text reports, Time stamped,
Video & Audio recalled from anywhere.
a) Archive can be in any format: DICOM / HL7,
Mpeg video, Jpeg. Etc.
b) Interface can be Laptop, Mobile phone or PC.
c) Surgery shared via Video-conferencing,
Telestration or simply broadcast streamed for
educational purposes.
d) Financial asset management
1. Existing & New Technologies

7. NHS 5 Year Plan
7© RiICHARD WOLF UK, WATERSIDE WAY, WIMBLEDON, SW17 0HB
3D Visualisation …..
Core.nova interface:
Magnetic Resonance Imaging (MRI) and scanned images used to build 3D
models of affected organ which can be verified by core.nova 3D systems
via keyhole surgery
1. Existing & New Technologies

8. NHS 5 Year Plan
8© RiICHARD WOLF UK, WATERSIDE WAY, WIMBLEDON, SW17 0HB
3D Virtual surgery …..
Core.nova interface:
a) Working with scanning
system, patient details are
recorded.
b) Scanned images are
converted to life-size models
for surgeons to inspect from
every angle.
c) Through core nova
information can be shared
with other consultants.
d) With consensus from all
enables the perfect way to
test mechanical fittings.
1. Existing & New Technologies

9. NHS 5 Year Plan
9© RiICHARD WOLF UK, WATERSIDE WAY, WIMBLEDON, SW17 0HB
Clinical Simulation …..
Core.nova interface:
a) The most innovative Apps can run
on core nova and shown in Theatre
to help Surgeons think out-of-the-
box.
b) Dynamic interaction for both
Patient and Surgeon – “this is what
we’ll do”
c) The Apps accuracy can be seen
using side-by-side comparisons
during surgery.
d) A training vehicle with no risk to
the patient.
1. Existing & New Technologies

10. NHS 5 Year Plan
10© RiICHARD WOLF UK, WATERSIDE WAY, WIMBLEDON, SW17 0HB
Robotic Check ups …..
Core.nova interface:
a) Medical-robots can patrol hospital
wards checking on patients in
different rooms, monitoring vital
signs and charts without direct
human intervention.
b) Core nova can link with medical
information, patient and archive
servers providing Medical-robot
with all information needed to
diagnosis.
c) A two way video link to a human is
reassuring yet may not necessary.
1. Existing & New Technologies

11. NHS 5 Year Plan
11© RiICHARD WOLF UK, WATERSIDE WAY, WIMBLEDON, SW17 0HB
Core.nova interface …..
a) Media continuity: multiple video/audio sources are captured & archived.
b) Easy and complete access to relevant information from any location.
c) High automation means error reduction, shorter down times
d) Cost assessments based on:
 Staff involved
 Time
 Consumables
 Machinary used
2. Software Applications

12. NHS 5 Year Plan
12© RiICHARD WOLF UK, WATERSIDE WAY, WIMBLEDON, SW17 0HB
Core.nova interface …..
e) Digitise Patient check-lists and Theatre procedures
No duplication and errors. Everyone on the same page and nothing forgotten
f) 3rd Party device administration / maintenance
h) Analysis and Correlations
Numerical analysis of data, graphical representations, multi-function analysis to determine
best practice; determining a final solution based on experimental findings
i) Predictive & Pre-emptive
Graphical analysis with forward and backword interpolation. Theoretical assessments based
on factual evidence.
2. Software Applications

13. NHS 5 Year Plan
13© RiICHARD WOLF UK, WATERSIDE WAY, WIMBLEDON, SW17 0HB
Core.nova interface …..
a) Physical integration is minimal over IP
b) Software integration - provides greater flexibility to depth of control
whether it is simply superficial or detailed fine-tuning by core.nova.
c) Where multiple systems operate in the same work space – it is more
effective and less costly to operate only one over-controlling system that
simply manages the other platforms.
3. Integrate and unify

14. NHS 5 Year Plan
14© RiICHARD WOLF UK, WATERSIDE WAY, WIMBLEDON, SW17 0HB
Core.nova interface …..
Monitoring
Manage & schedule surgical assets. Monitor consumables and replenish.
Financial assessments of Theatres with cost analysis. Monitor 3rd party product
performance and medical equipment. Access Patient’s history or medication or
vital signs, and reduce Patient’s risk, etc
Command & Control
Command & control environmental systems. Control other Theatre equipment
to enhance operating function. Manage 3rd Party software packages (scheduling,
Theatre processes, Management systems). Provision a high overview of all
systems functions under one control platform.
4. Monitor & Manage

15. NHS 5 Year Plan
15© RiICHARD WOLF UK, WATERSIDE WAY, WIMBLEDON, SW17 0HB
Core.nova interface …..
- More efficient provisioning of resources
- A paperless environment
- Systems are Intuitive and Fun to Use
- A happy workforce – cheers!
CONCLUSIONS

16. Integrated Digital Care
16© RiICHARD WOLF UK, WATERSIDE WAY, WIMBLEDON, SW17 0HB
Thank you
Bryan Fernandez
Richard Wolf UK
Integrated Systems Specialist