www.aerotel.com

Telemedicine Adds Value

to

Emergency Ambulance Services

Ofer Atzmon

Aerotel Medical Systems (Israel)

Med-e-Tel

Luxembourg, 16 April, 2010

Aerotel Medical Systems

2

• A global supplier of personal telemedicine systems

• Modular, mobile & home based solutions

• Technology powering many successful telemedicine

services

• Based in Israel

• A client base in 50+ countries

Abstract

3

• We present three case studies describing the use of tele-

cardiology devices by ambulance services

• Product description

• Service description

• Benefits

• Conclusions

4

Acoustic Transmission of ECG

5

Taking ECG with

HeartView™

Acoustic transmission of

ECG via phone

6

(fixed or mobile)

7

Heartline™ Receiving System (HRS™)

HeartView™ Tele-Cardiology System

8

Case study 1: Italy

9

• Tele-Cardiology service for 118 (emergency

service) in the region of Puglia, Italy

• Service operated by: Cardio On Line Europe

• Equipment and software provided by: Aerotel

Medical Systems

• Service started: October 2004

• Data for the period Oct 2004 – Feb 2010

10

27 First Aid Points

BARI

BRINDISI

TARANTO

FOGGIA

32

24

43

48

6

13

4

3

175

1

5

12

16

2

2

3

164 Ambulances (118 Service)

33 Points of Early Intervention (Summer)

12 Medical Cars

1 Medical boat

End Users in the Region (as of Feb 2010)

LECCE

Service Operation

11

The operator transmits the

recorded signal by telephone

to the 24x7 Tele-cardiology

center

The operator is using the

ECG device to record the

ECG of the patient in 50

seconds

The receiving center analyzes the

ECG trace providing a real-time

phone consultation between a

specialist doctor and the

ambulance staff

An ECG report is faxed

to the 118 center

The ECG is displayed

in real time via the

Internet to all

authorized parties

ECG Transmissions by Month (Oct 2004 – Feb 2010)

12

600

847936 1000

1075

1114

10891176

13241379

1542

1334

17681707

2026

2264

2188

23892350

25122618

2783

3094

25082657

29903182

3224

3021

326732223304

3411

4261 4284

3396

3648 3708

41084149

40924225

38434005

3810

4366

4778

3822

4023

4269

4617

4815

4394

5077 5043

52285348

6283

7169

61066226

6318

7191

7085

6400

0

250

500

750

1000

1250

1500

1750

2000

2250

2500

2750

3000

3250

3500

3750

4000

4250

4500

4750

5000

5250

5500

5750

6000

6250

6500

6750

7000

7250

7500

7750

ott

-04

no

v-0

4

dic

-04

ge

n-0

5

fe

b-0

5

ma

r-05

ap

r-0

5

ma

g…

giu

-05

lug

-05

ag

o-0

5

se

t-0

5

ott

-05

no

v-0

5

dic

-05

ge

n-0

6

feb

-06

ma

r-06

ap

r-0

6

ma

g…

giu

-06

lug

-06

ag

o-0

6

se

t-0

6

ott

-06

no

v-0

6

dic

-06

ge

n-0

7

feb

-07

ma

r-07

ap

r-0

7

ma

g…

giu

-07

lug

-07

ag

o-0

7

se

t-0

7

ott

-07

no

v-0

7

dic

-07

ge

n-0

8

fe

b-0

8

ma

r-08

ap

r-0

8

ma

g…

giu

-08

lug

-08

ag

o-0

8

se

t-0

8

ott

-08

no

v-0

8

dic

-08

ge

n-0

9

fe

b-0

9

ma

r-09

ap

r-0

9

ma

g…

giu

-09

lug

-09

ag

o-0

9

se

t-0

9

ott

-09

no

v-0

9

dic

-09

ge

n-1

0

feb

-10

Breakdown of ECG Results

13

NORMALI; 122.896; 54,34%PATOLOGIE GRAVI;

38.991; 17,3%

PATOLOGIE MINORI; 64.101; 28,36%

54% Normal –

No Action Taken

28% Minor Pathology –

No Immediate Action Needed

17% Serious Pathology –

Immediate Hospital Admission

Reported Benefits

• Empowerment of ambulance staff

• Immediate professional response in case of acute

conditions

• Avoid unnecessary hospital admissions

• Immediate identification and treatment of critical

conditions

14

Case Study 2: Brazil

• Device used: Aerotel HeartView™ 12L Professional 12-

Lead ECG

• ECG Interpretation provided by St. Paul Heart Hospital

in Sao Paulo

• Software provided by ITMS (Brazil)

• Devices installed in national emergency service

ambulances(SAMU)

• Service started end of 2009

• The service is available in 37 cities in nine states and

the Federal District (Brasília)

15

16

Courtesy of Globo TV, Brazil (28 January 2010)

(Click on picture to see video)

Service Description

Reported Benefits

• Half of stroke victims die within two hours after

cardiac arrest

• Every 30 minutes of delay in treatment, the risk of

death from heart attack increases by 7%

• With new service - In five minutes the ambulance crew

knows exactly what to do

• Significant time savings translates to life savings

• Specific statistical data not yet available

17

Case Study 3: Russia

18

• Tele-Cardiology service in the city of Perm (Ural Region)

• Similar services available in other Russian cities

• Device used: Aerotel HeartView™ P8/12 – personal 12-

Lead ECG

• Device originally designed for self-use by patients, but

preferred by professionals thanks to ease of use

• 60 devices used in ambulances

• 10 devices used in small regional clinics

Service Description

19

Courtesy of UITV – Ural Inform TV, Russia (18 Feb 2010)

(Click on picture to see video)

Reported Benefits

20

• Very easy to learn and use by doctors, paramedics

or even patients

• Reduces the time of diagnosis

• Urgent medical care provided to the patient

reduces the risk of complications

Conclusions: Summary of 3 Cases

• Low cost solution is highly affordable

• Devices are easy to learn and use by paramedics and

medical staff

• Brings advanced medical service to the point of need

• Wins race against time - speeds diagnosis of

myocardial infarction

• Immediate hospital admission without waste of time

• Reduce unnecessary hospital admissions

• Reduce mortality rates and save lives

21

Thank You

Obrigado

Спасибо

Grazie

Merci

Ofer Atzmon

VP Business Development

Aerotel Medical Systems

Tel: +972-3-5593222

Cel: +972-52-2451771

Ofer@Aerotel.com

www.aerotel.com