pro-plus sp. z o.o. complex telemedical solutions globally prepared by: agnieszka tomczak 17th march...

Pro-PLUS Sp. z o.o.

Complex telemedical

solutions globally

Prepared by:

Agnieszka Tomczak

17th March 2015

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

ABOUT Pro-PLUS

We listen to the needs of medical environment

We create technological solutions

We create business models

We provide ready telemedical

solutions for medical

environment

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.

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.

BIGGEST CLIENTS OF Pro-PLUS

Pro-PLUS WORLDWIDE

Examinations

Cardiac rehabilitation after heart attack

Satisfied patients

Pro-PLUS

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

The main area of our activity is cardiology and monitoring of the elderly.

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


View of the ECG examination sent from the device to Telemedical Platform:


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


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


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

Tele-rehabilitation at home



Transmission: GPRS through built-in digital modem

Transmission speed: 9600-32000 b/s GPRS


Power supply: Li-lon 4,2V battery; 680mAh; 2,4Wh

CMRR >70 dB


Weight: 100g with battery

Compact device size: 85mm x 54mm x 17 mm


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)


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



Direct, digital transmission via USB cable

Transmission speed: directly: USB 2.0, 115200 b/s


CMRR >70 dB


Size: 115mm x 70mm x 25 mm

Weight: 100g

EHO12

12-lead resting ECG recording

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

ADDITIONAL MODULES

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


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


Collecting and viewing of medical data


Management of Platform users, their rights and devices


Clear presentation of ECG records in a modern web browser


Automatic ECG algorithms supporting a doctor


Consultations between specialists


Possibility of manually entering medical data from devices unitegrated with Telemedical Platform


Remote management and care for a patient


Geolocation of devices and geo-tagging studies


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, EHO-MINI 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 offeeling 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

pro-plus sp. z o.o. complex telemedical solutions globally prepared by: agnieszka tomczak 17th march...

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