FutuRIS System. Pavel Zaytsev CEO

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2 FutuRIS System Pavel Zaytsev CEO

3 About Us PACS and RIS Advantages Markets Technology Support Prices

4 About Us Our Company IBERIS SOFTWARE is a startup company founded in 2009 in Asturias, Spain, on 20 years of experience in information technologies in the healthcare industry in other countries. It all had started as an IT company in Moscow, Russia, and then evolved into a partnership with a South Korean system integrator. In our perpetual search for business opportunities we turned our eyes to Spain. We still maintain strong ties with our partners, collaborating in the development, promotion and support of our products. Our principles are: Flexibility, safety, and simplicity Readiness to address customers needs ASAP Openness to partnership in the PACS and RIS development.

5 About Us Markets and Partners IBERIS SOFTWARE TechHeim PACSESS Westfalia Asia Europe North America Africa Asia Russia We are very interested in partnership with experts in: Distribution (sales and marketing) Outsourcing Hardware and software supplies Medical equipment supplies.

6 About Us PACS and RIS Advantages Markets Technology Support Prices

7 PACS and RIS What are PACSes and RISes? PACS (Picture Archiving and Communication System) is a system for storage, distribution and presentation of medical images, e.g. radiology diagnostic images. It acquires digital images from medical devices, processes them and distributes over high-speed communication networks. RIS (Radiology Information System) is a system that stores comprehensive diagnostic information (radiology reports, diagnostic opinions, etc.), thus complementing a PACS. Medical Modality Diagnosticians Storage Network Image Information Physicians

8 PACS and RIS PACS/RIS Structure G/W CR US MRI MRI CT G/W 100Mbps Clinic Workstation Clinic Workstation 10Mbps HIS NAS Gigabit Ethernet HIS Client 1Gbps Admin. Workstation Diagnostic Workstation DICOM Server Database Server Backup Server Workstation

9 About Us PACS and RIS Advantages Markets Technology Support Prices

10 Advantages For Hospital Administration Economy, Control, Status

11 Advantages For Hospital Administration Economy, Control, Status: Saving space and expendable materials is an important economic factor Easy control over daily workflow instant access to the documentation improved overall management The reporting system a tool to analyze and evaluate performance at all levels (worker, department, hospital) for a specified time period High-quality computer-aided diagnostic tools significantly improve the hospital s image in the eyes of patients, major stakeholders, and with peers.

12 Advantages For Doctors Convenience, Accessibility, Veracity

13 Advantages For Doctors Convenience, Accessibility, Veracity: Access to the history of all examinations Ability to search and compare similar cases Use of templates Easy to exchange thoughts with peers and seek a second opinion Access to the radiology data via the Internet.

14 Advantages For Patients Security, Reliability, Service Quality

15 Advantages For Patients Security, Reliability, Service Quality: 100% secure and reliable storage Imperishable digital images, no film necessary Personal data are accessible via the Internet Digital images facilitate and expedite the diagnostic process, with less chance of error Patient s records can be downloaded on a flash drive or burned on a disc Dry-printing makes it possible to print images out if other hospitals won t accept them in digital form.

16 About Us PACS and RIS Advantages Markets Technology Support Prices

17 Markets Analysis of the European PACS/RIS Market Analysts at Frost & Sullivan predict that the European PACS/RIS market will double in six years: its value was 535 million in 2009 and, and they expect it to reach 1,065 million in 2016 As of today, 80 percent of European hospitals use PACSes of any kind, whereas RISes are introduced in only 40 percent of them Outdated RIS modules dominate the market As a rule, there is minimal integration between PACSes and RISes, which increases the operational costs of the both systems Hospitals are beginning to realize the importance of investing in modern and more sophisticated RISes bundled with PACSes in one package Hospitals also understand the convenience of buying their RISes and PACSes from one vendor, which reduces the costs of purchase by 50 percent, and operational costs by 20 percent.

18 Markets Our Edge over Competition Advantages: More flexibility and minimal response time to customer requests Lower prices Free connection to medical devices PACS and RIS can be installed as one package or come piecemeal We can replace the RIS with a system from another manufacturer We ensure compatibility with a wide range of analog devices (non-standard video output, CCDs, film scanners, etc.) The product interface can be redesigned according to the dealer or customer s taste.

19 About Us PACS and RIS Advantages Markets Technology Support Prices

20 Technology Principles of the System Architecture Implement the latest Microsoft technologies. Use the most advanced middleware: LeadTools and Genome Ensure maximum simplicity and clarity Develop end-user-friendly products with intuitive interface Install easily modifiable and scalable systems, promptly addressing hospital-specific requests Design customizable user interface, adjustable to the client s needs and taste.

21 Technology The Means Our tools-of-choice: Microsoft Net Framework as the system platform for its ability to implement all of the above principles in the Microsoft Windows environment LeadTools Medical Imaging Suite for processing images and DICOM data Microsoft SQL Server (preferably) or Oracle as the database server Object-relational mapping middleware Genome.

22 Technology The Means Our data storage preferences: In the environment of a small-size hospital, files are stored locally on the server: a hard drive or a RAID system In a larger hospital or in order to improve security, we recommend to store the data remotely, using SAN or NAS.

23 Technology FutuRIS Gateway There is a simplified version of the workstation for technicians to work with x-ray panels, x- ray film scanners, and analog video. This version supports direct connection to the following devices: DR flat-panels (Rayence, Atlaim, and Iray Technology), via Ethernet Medical (VIDAR) or office (TWAIN) film scanner, via USB Analog video, including non-standard (Foresight Imaging and Matrox), via the following types of cables: Composite, S-Video, VGA, DVI, HDMI.

24 Technology Information Exchange with HIS Hospital Information System (HIS) has become quite common at hospitals across the world. If this be the case, we integrate our system with the HIS. We make sure the following information exchange will go hitchfree: Receiving information about patients from the HIS Receiving exam data and appointment schedules from the HIS Sending exam reports to the HIS.

25 Technology Telemedicine Exchange of radiology images between hospitals is carried out by means of our product, DICOM Router, allowing to: Connect one FutuRIS with another, or any other PACS Store images, awaiting delivery, in an intermediary database Send images through the secure DICOM and FTP protocols Store arrived images in an intermediary database and dispatch them to a PACS. Web access to images is provided by either an HTML+desktop version, working under Microsoft Windows, or a light HTML5 version run in any web browser.

26 Technology Installation The system installation can be either piecemeal or full. Full installation ensures instant and total elimination of physical paperwork, but requires thorough preparation and the toughest one readiness of every worker to accept and adjust to changes. Full installation generally takes two to four months. Piecemeal installation is characterized by: Gradual proliferation of the system within the hospital Stepwise expansion of the capabilities of the server components Stepwise increase in system functionality along with the development of new functions, for each room may have a specific requirement.

27 Technology Installation While planning a project, we take into account the volume of the document flow and the requirements a hospital sets forth for the data structure. Our design allows for the development of custom-made modules, implementation of hospital-specific functions, and installation of specialized equipment. We also develop templates for medical and statistical reports. If there is a PACS/RIS package already installed in a hospital, we can easily feed its data into our system. We can even integrate our system with another PACS, if need be.

28 About Us PACS and RIS Advantages Markets Technology Support Prices

29 Support Training Training of medical personnel is conducted on-site. It is necessary that physicians be acquainted with computers, either self-taught or by attending computer classes. The personnel in each department are given an 8-hour course which enables doctors to perform standard operations with the systems. Moreover, the workstation is supplied with a copy of User s Guide.

30 Support Training Training of technical personnel is conducted during the entire system installation period. The system is supplied with the Installation and Administration Manual that describes just standard actions: installation, management and troubleshooting. If the IT department intends to design medical and statistical report templates, we can offer an 8-hour course (they must be already familiar with basic system tools).

31 Support Support Software updates will be performed by either us or local administrators under our supervision. Automatic workstation software updates from the server are also available. We recommend our clients to select the support level that covers the following maintenance operations on the server: Database profiling Database backup checks Log monitoring Hardware checks (e.g., RAID disks).

32 About Us PACS and RIS Advantages Markets Technology Support Prices

33 Prices Price List Our prices for distributors: Viewer: 1,000 Database Explorer: 500 DICOM Client (optional): 500 DICOM Service: 2,000 Storage Service: 500 This price includes one year of remote support (phone, the Internet, or dealers). On-site support will be provided at an additional charge. Available discounts: 5 copies: 10% 10 copies: 20% 20 copies: 30% 50 copies: 40% 100 copies: 50% 250 copies: 60% 500 copies: 70% After two years, customers will be charged for support and system updates 20 percent of the contract price.

34 Prices PACS/RIS Installation Costs Cost estimates for a hardware-software package for a medium-size hospital (20 physicians and 4 diagnosticians): 20 regular workstations: 2,300/unit 4 diagnostic workstations with dual monitors: 8,800/unit 2 servers (min functionality): 6,500/unit NAS: 2,000 Dealer s markup. Total (approx.) 96,000: this includes one year of free online support. After the first year, support charges will be 7,000 (approx.) annually.

35 Thank you! Pavel Zaytsev CEO July, 2015