DRX Retrofit

Family Family

Northern Cluster Business Partner Meeting

9th-11th September 2014

Castricum, Amsterdam

Controlled company information - internal use only

Agenda

Reflections

DRX-1 In-Room

DRX-Mobile

DRX-Transportable

• Universal Mobile & Field Portable• Universal Mobile & Field Portable

– New release

Competitive overview

• Consideration on Beam detection

Promotions

There was a time not long ago…

... when Carestream in 2009 revolutionized the world of X-ray with a wireless, cassette-size DR detector and became an industry trendsetter.

2009: DRX-1 GoS detector

2010: DRX-1 CsI detector

2011: DRX-1 GoS & CsI, Gen 2a» New carbon fiber front panel

» Weight reduction

2012: DRX-1 GoS & CsI, Gen 2b» Further weight reduction

» Faster image transfer

» Improved weight bearing & battery life

2013: DRX2530C » Smaller format – integrated handle

2014: TDR detectors» Tethered detectors for Retrofit & Value Systems

Since introduction > 9000 detectors delivered WW

Next Gen detectors in development for next and following years

p.4

Portfolio & X-Factor Thinking

DRX-Ascend

DRX-Evolution

DRX-1 System

DRX-Mobile

Better Care of Patients Smarter Use of Capital

DRX-Evolution

DRX-Revolution

DRX-Transportable

DRX-1 In-roomDRX-1 In-room

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DRX-1 Console with DirectView SW1H 2013, ~60% weight & ~50% volume reduction

• Removed UPS and Toroid

–Will not provide UPS but will provide specifications if customer wants one

–Toroid was only necessary to provide universal power to the UPS

• Redesign console using a combination of sheet metal and vacuum formed plastic

Previous Console – 41kg, 569mm x 279mm

x 498mm

New Console – 20.4kg, 513mm X 214mm

X 374mm

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DRX Refresh Console Appearance

513mm

(20.20in)

374mm

(14.72in)

214mm

(8.42in)

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In-room retrofit expansion

2H 2013, introduction of:

•Tethered Detectors for DRX-1 Console with DirectView SW

•Tethered Detectors and Wireless Detectors for Image Suite V4 SW

In-room retrofits now support:

•DirectView SW or Image Suite SW V4

•Wireless Detectors or Tethered Detectors•Wireless Detectors or Tethered Detectors

- GoS or CsI

Image Suite DirectView

Positioning – A single acquisition software solution that powers both Carestream‘s CR and DR systems with an intuitive user interface, software features and options designed to provide unsurpassed diagnostic imaging and productivity for larger Health Care facilities.

Target Markets –

• Health Care Systems/Groups connected to an enterprise PACs system such as

In-room retrofit selection guide

Positioning – An acquisition software with an optional mini-PACs solution that has a simplified, intuitive user interface and a simplified set of options and tools to support the smaller sizes facilities.

Target Markets –

• Stand alone offices, with no need for an enterprise PACs system, performing up to 12,000 procedures per year such as

• Urgent care centers such as• Hospitals• Satellite facilities/surgical centers• Urgent Care centers

X-factor

Differentiating Features –

• Preference Editor Capability / Look Selection Tool

• IHE Scheduled Workflow/MPPS

• ROP Capability (CR only)

• Procedure Mapping and Enhanced Trauma Software

• Auto Correct for Image Display

• Priors (Query & Retrieve)

• Companion Image Applications (Tube & Line Visualization & Pneumothorax Visualization)

• Pediatric Capture Image Optimization

• Enterprise Security

• Urgent care centers• Small offices/clinics with 1-3 physicians – Orthopedics,

Chiropractic, Podiatry, Veterinary

No X-factor

Differentiating Features –

• Mini-PACS Capability for local archiving

• Specialized Veterinary applications including order entry fields, reference images, image processing database and measurement tools

• Chiropractic/Orthopedic Measurement Tools

• Positioning Guides & Reference X-Ray Images

• Both DICOM & HL7 supported worklist

DRX MobileDRX Mobile

DRX Mobile – available for 3 vendors

Supported Mobile Systems / Status

Mobile Systems Supported CAT Number

GE AMX-4

GE AMX-4 PLUS

1 CAT Number for both models

Siemens Mobilett Plus

Siemens Mobilett XP

There is a separate CAT number for the Mobilett Plus and another for the Mobilett

XP/XP Hybrid (see next page)Siemens Mobilett XP

Siemens Mobilett XP Hybrid

XP/XP Hybrid (see next page)

Shimadzu MobileArt / MobileArt Plus

Shimadzu MobileArt Evolution

1 CAT Number for all models

REMINDER! All V5.7 base & optional SW’s are available!

Siemens Mobilett Models

The Mobilett Plus Retrofit Kit fits on

Siemens units that have a metal casting

top plate

The Mobilett XP / XP Hybrid Retrofit Kit

fits on Siemens units that have a sheet

metal top plate. They also have a

rounded user handle.

Siemens Mobilett Models

CAUTION: There are units in the

field that are branded XP / XP Hybrid

but require a Plus Retrofit Kit to fit.

Notice that this system has a metal

casting top plate and a non-rounded

handle. The Plus Retrofit Kit CAT

number should be ordered!

DRX

TransportableTransportable

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WHAT is the DRX-Transportable?

The CARESTREAM DRX-Transportable System further extends the family of DRX products utilizing the DRX Detector

There are 2 versions of the DRX-Transportable System:

• DRX-Transportable / Universal Mobile

• DRX-Transportable / Field Portable

The /Universal Mobile is a mobile retrofit kit for x-ray systems other than The /Universal Mobile is a mobile retrofit kit for x-ray systems other than GE, Siemens and Shimadzu (the /Universal mobile will work on GE, Siemens, and Shimadzu but will not be as tightly integrated)

The /Field Portable has the same components as the /universal mobile but also includes a rugged carrying case for field use such as nursing homes and military

Where does it fit in?

Non- Specific Mobile Platforms

• Many Mobile systems on the market

• Enable integration of many different Mobile

systems

• For Mobile System beyond GE, Siemens, &

Shimadzu

In-Home Applications (Nursing Facility, Out-Patient )

• Elder Care

• Nursing Home

• In Home X-ray Service

Remote Military Hospital Deployment

• Military Field Hospitals

• On Board Naval Ship

• Civic Emergency Response (CBOC)

New release – DRX-Transportable

All-In-One Transportable/ Field & Universal Mobile

The new CARESTREAM DRX-Transportable Systems will further improve the competitiveness of current DRX- Transportable Field and Universal Mobile

• Replace the interface box with a very small wireless box using blue tooth technology.

• Reduces the number and weight of system components

Key Features

• Hand switch and generator interface cable plug into the compact interface box

••• Compact interface box communicates via blue tooth with the computer running

DirectView or Image Suite

• Can pair switch box with a battery operated generator for completely wireless transportable operation

• Includes Tablet PC for use on IS or DirectView due to Virtual Access Point

Estimated availability

• Mid 2015

Competitive

overviewoverview

Competitive overview – Konica

Offer both In-room & Mobile Retrofit

with AeroDR

Key Strength

• Light weight detector

• AeroSync (ie. Automatic X-ray beam • AeroSync (ie. Automatic X-ray beam

detection)

Key Weaknesses

• Internal DR detector battery – once

drained it’s out of service

• No real custom fit for mobile

• No complete DR family portfolio

Competitive overview – Agfa

Offer both In-room & Mobile Retrofit with

DX-D detectors

Key Strength

• None discovered

Key Weakness

• Late to market – offer me-too product

• Small installed base (4 systems in Nordics)

Competitive overview – Fuji

Offer both In-room & Mobile Retrofit with

FDR detectors

Key Strength

• SmartSwitch (ie. Automatic X-ray beam

detection)detection)

Key Weakness

• Bulky & heavy package to carry (7,6kg +

detector)

• No custom fit for mobile units

Competitive overview – Canon

Offer In-room & Mobile Retrofit with CXDI

detectors

Key Strength

• Very easy configuration

• Automatic X-ray beam detection• Automatic X-ray beam detection

Key Weakness

• No complete DR room family portfolio of their

own

Automatic X-ray Beam detection

How good is it?

According to Fuji's own Specifications:

• Draining the detector batteries

– 50% reduction in battery life

• Limiting the exposure technique and collimation settings

– No exposures below 10mA current allowed

– No exposures below 5ms time allowed – limiting typical exams of Pediatrics

(Germany)

– Recommending collimation outside of region-of-interest –> potentially giving

higher dose to patient

Automatic X-ray Beam detection – battery life

Automatic X-ray Beam detection – Limitations

PromotionsPromotions

Digital Capture Solution – Promotions

For participants of the 2014 Northern Cluster Business Partner Meeting in

Netherlands, September 9 - 11, we are announcing special promotions.

• Buy any 1 DRX Retrofit Kit incl. 1 detector of choice – get 2nd detector of choice 30% off

• Buy any 1 DRX Retrofit Kit incl. 1 detector of choice – get 1 additional console for free

• Buy any 1 DRX Detector of choice – get 2nd detector of choice 30% off

Promotions are valid until Oct 31, 2014 – all items to be ordered at the same time.

Formal orders to be submitted to your local Carestream Business Partner Manager

before Oct 31, 2014.

All orders to be delivered before Dec 19, 2014.

Appendix –

Additional Additional

information

Product Description - Power

DRX-1 detector battery and charger• There is NOT a DRX-1 detector battery charger on the

Mobile system

• The DRX-1 charger will be placed at home base

• There is a storage bin for an extra DRX-1 battery on the Kit thus providing plenty of imaging capability

Kit battery and charger• The Kit does not utilize any power from the Mobile system

• There is a separate battery for the Kit to power the

DRX-1 Spare

Battery Holder

Both the portable x-ray system • There is a separate battery for the Kit to power the

computer and Kit electronics

• The Kit will have a separate power cord for charging along with the Mobile system

• The Kit battery will last for >3 hours on a full charge

• The Kit will take approximately 4 hours to charge to full on a empty battery (can be operated while charging)

• There is a battery display on the front of the Kit to indicate Kit battery charge level

• The GUI will also warn the user of low-battery

Both the portable x-ray system

and the DRX-Mobile Retrofit Kit

will need to be plugged into a wall

outlet to charge

Product Description – GE Dimensions / Weight

Original With Kit

Length 1066mm (42in) 1162mm (45.8in)

Width 621mm (24.4in) 623mm (24.5in)Width 621mm (24.4in) 623mm (24.5in)

Height 1930mm (76in) 1935mm (76.2in)

Weight 490kg (1080lb) 558kg (1230lb)

Product Description – Siemens Dimensions / Weight

Original With Kit

Length 956mm (37.6in) 967mm (38.1in)

Width 558mm (22in) 614mm (24.2in)

Height 1570mm (62in) 1570mm (62in)

Weight Plus/XP 210kg (463lb)

XP Hybrid 285kg (628lb)

Plus/XP 301kg (663lb)

XP Hybrid 376kg (828lb)

Product Description – Shimadzu Dimensions / Weight

Original With Kit

Length 1150mm (45.3in) 1250mm (49.2in)

Width 580mm (22.8in) 620mm (24.4in)

Height (100-H)1930mm (76in)

(100-HJ)1780mm (70.1in)

(100-H) 1935mm (76.2in)

(100-HJ) 1785mm (70.3in)

Weight 370kg (816lb) 434kg (956lb)

Shimadzu MobileArt / MobileArt Plus

Weight 370kg (816lb) 434kg (956lb)

Original With Kit

Length 1220mm (48in) 1320mm (52in)

Width 580mm (22.8in) 620mm (24.4in)

Height (Tall) 1930mm (76in)

(Short) 1780mm (70.1in)

(Tall) 1935mm (76.2in)

(Short) 1785mm (70.3in)

Weight 390kg (860lb) 454kg (1000lb)

Shimadzu MobileArt Evolution