(Picture Archiving and Communication System) FDA 510K K072637

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(Picture Archiving and Communication System)
FDA 510K K072637

• Introduction to

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• Picture Archiving and Communication Systems
  (PACS)
• are computers and other computerized hardware
  which run software programs dedicated to the
  storage, retrieval, distribution and presentation
  of medical diagnostic images, video and data.

Data Storage
Internet
Modem
Imaging Modality
Review Workstation
Remote Access
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• A Picture Archiving and Communications System
  consists of four major hardware components
• the imaging modality such as Ultrasound, MRI, CT,
  etc.
• a secure network for the transmission of the
  information,
• archives for long and short term storage and
  retrieval of images and reports.
• workstations for interpreting and reviewing
  images.

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PACS Software

• PACS software falls into 4 major categories
• Software which creates the images and data
• Software which stores the images and data
• Software which transports the images and data
• Software which displays the images and data

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• PACS Architecture
• DIVO consists of a laptop computer, mounted onto
  an ultrasound machine or imaging device and a
  network attached storage box which stores and
  distributes the images, movies and reports,
  either locally or remotely, in a secure HIPAA
  compliant manner.

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WHY DIVO?

• Beside the fact that DIVO can be added to any
  imaging system, old or new, DIVO creates and
  enables electronic images and movies about 1/100
  the size of dicom files. This enables them to be
  archived, accessed and transmitted easily and
  quickly, eliminating the need for cds and
  couriers.
• Traditional dicom has worked well for radiologic
  images for many years but still falls far short
  when it comes to echo and other motion studies.

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• Because DIVO is a laptop it can
• Access previous studies right at the imaging
  device
• DIVO can electronically access previous
  studies and play them directly at the imaging
  device.
• Access studies remotely DIVO, unlike
  conventional Echo PACS systems, provides rapid
  off-site access over the internet. It enables
  practitioners in different physical locations to
  access the same information simultaneously and it
  is able to provide doppler audio, triplex, and
  longer videos than dicom can.
• Access networked software DIVO provides the
  electronic platform for accessing other medical
  automation systems such as Hospital Information
  Systems (HIS), Electronic Medical Records Systems
  (EMR) and Radiology Information Systems (RIS) at
  the imaging station. It can make CDs and DVDs
  there too.
• Access the internet DIVO can provide access to
  email, educational materials and other internet
  resources, from the imaging device.

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Divo File Format

• MULTIMEDIA is the standard DIVO uses
• for handling, storing, printing, and transmitting
  information
• using all possible media and transport methods,
  including DICOM.
• Multimedia is not specific to medical imaging.
• Multimedia includes numerous file format
  definitions and network communications protocols
  to enable communication between systems.
  Multimedia files can be exchanged between two
  entities that are capable of receiving image and
  patient data in a variety of formats. The
  multimedia standard includes both media (data
  storage and transmission) and content
  (information) that use a wide variety of
  different software programs.
• Multimedia includes a combination of text, audio,
  still images, animation and video, using content
  forms which may also include DICOM.
• Multimedia content can be recorded and played,
  displayed or accessed by information processing
  software on devices such as computers, DVD
  players and computerized devices like cell phones
  or ultrasound machines.
• The communication protocols used for multimedia
  files can be any HIPAA compliant method including
  but not limited to SFTP (secure file transfer
  protocol), VPN (virtual private networking) with
  TCP/IP Transmission Control Protocol (TCP) and
  the Internet Protocol (IP).

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DIVO Imaging devices

• DIVO Multimedia static and motion video
  capture/networking can be added to any imaging
  device, no matter how old or how new.

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• DIVO Image Viewer
• Divo studies can be viewed on PCs or Macs and
  have various tools like zoom, brightness and
  contrast, scrolling video, pause, double screen
  to view two or more movies at once, thumbnails,
  and can view pdf, docs, scanned in files etc

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CONVENTIONAL DICOM PACS DISADVANTAGES

• DICOM image files are very large, making remote
  access more time consuming and jerky, especially
  with video.
• DICOM files have no doppler audio.
• DICOM files have no triplex, scrolling M or
  doppler modes.
• DICOM video files have very limited duration.
• DICOM files require application specific software
  for viewing.
• DICOM cannot incorporate standard computing
  programs like word, adobe and others or standard
  computing hardware like scanners and printers.

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DIVO PACS Advantages

• Smaller file sizes transport much faster.
• Unlimited video lengths.
• Audio, triplex, scrolling doppler and m mode
• Paper, PDF, DOC, TXT etc can be scanned into
  patient file.
• Instant retrieval of archived studies from LAN or
  WAN.
• Can be added to legacy equipment which cannot
  upgrade to DICOM.
• Can be viewed on any computer Mac or PC

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Installed base

• Since 2005 Divo has been installed in over 180
  locations including Guam, Holland, Israel, Dubai
  and all over the USA.

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• A2D Imaging LLC
• 17271 Lido Lane
• Huntington Beach, Ca 92647
• 818 324 2871
• www.a2dimaging.com