5.- TELEMEDICINA

5.1.- Shuttle & Commander

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Bedside and ambulatory monitoring of 12-LEAD ECG, SpO2 and non-invasive blood pressure

   The shuttle and the Commander team up for a breaktrough in telemedicine by delivering hospital grade vital signs monitoring for the patient at home. These two components of the LifeSigns System enable rapid access to information necessary for managing patients more eficiently after shortened hospitalizations. Incorporated in this leading-edge technology are propietary advanced communications capabilities which allow transmission of the vital signs data to the LifeSigns Central Station.
   The Shuttle records and displays vital signs information including 12-lead ECG, blood oxygen saturation (SpO2) and when used with the Commander, non-invasive blood pressure (NIBP). this patient-worn monitor can be programmed to record vital signs periodically, on demand or automatically if specific vital limits ara exceeded.
   The Shuttle can store up to 20 recordings before it is necessry to transmit the information to the Central Station, a computerized patient manager system. A single recording consists of one 12-lead ECG; up to 60 seconds of three-lead ECG, retrograde or antegrade; SpO2; and blood pressure. The commander serves as a transmission link in the chain of communications between the Shuttle and the Central Station and also provides the non-invasive measurement of the blood presure. When placed in the Commander, the Shuttle automatically dials the receiving facility  and through the Commander's built in modem, downloads the vital signs information to the Central Station.
   A hands-free simultaneous voice connection between patient and the monitoring facility is archieved during data transfer to the Central Station. This enables communication using a standard telephone line between patient and clinician while the transmission is being received and displayed. Patient comfort, peace of mind and compliance are archieved.

5.2.- Central Station
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   At the heart of the LifeSigns Shuttle is the Central Station. As part of a powerful patient management system, it contains complete medical profiles for expedient review and analysis on-screen. Patient reports and vital signs data can be sent by fax for inmediate physician evaluation.
The Central Station receives, organizes and stores vital information recorded in an out-patient setting. The patient at home, for example, who is monitored with the LifeSigns Shuttle can record and store such vital information as 12-lead ECG, SpO2 and blood pressure. At any time during the prescribed monitoring period, these vital signs can be automatically downloaded to the CentralStation through a telecomunications port called the LifeSigns Commander. A built-in modem provides for continuous voice contact between patient and the attendant at the Central Station while the vital data is received at the Central Station, comparison and assessment are easy and quick to enable early response to changes in patient status. In addition to 12-lead ECG, SpO2 and blood pressure, the patient record is readily accessible on-screen and includes history and physical assessment, allergies, medications, therapies and progress notes. Current and previous physician orders can be displayed on one screen for convenient reference.
   Using the intuitive Windows interface, file cabinets, tabs and comment fields open up an array of options. Patient profile and assessment reports are accessed with a single click so that historical and current information can be viewed simultaneously and printed.
   Another measure of the system's efficiency is ability to generate individual and batch reports.
   The Central Station streamlines patient management through state-of-the-art technological advances which deliver an incomparable level of efficiency and cost-savings to the healt care network.