Tele-medical activities in SNUBH and Learning points Tele-medical activities in SNUBH and Learning points Inholee, Engineer, Ho-Seong Han, MD, PhD,JunghunLee, Chief Engineer Seoul National University Bundang Hospital

Contents 1.Tele-live surgery 2.Tele-education 3.Tele-conference

1.Tele-live surgery Live surgery is high educational technique by using TEIN network we are usually sending operation images on educational purpose from operating room to institution in real time. Development of HD laparoscopic equipment made possible to sending clear and vivid images of operation.

Tele-Livesurgery

HD uncompressed DVTS Surgery Operating room Chairman 1.5Gbps APII Demonstration Laparoscopic Live-surgery Full-HD Transmission from SNUBH KR to Fukuoka JP

2.Tele-education SNUBH has own server. Also SNUBH is available to produce video educational contents. Not only producing contents but also saving all information and images during operation and Tele-conference is possible at SHUBH.

Endo scope C-ARM HD Camera PATCH PANEL OR Network System HD SDI to HDMI 초음파 HD DVI RGB Y/C CV CONVERTER SCALER/SWITCHER CODEC CONVERTER DVTS COMPOSITE local Other site PATCH PC COMPONENT Echo Canceller System V2 Conference Laparoscope Recording Archiving System SNUBH has broadcasting system in operation room for Tele-livesurgery

st MTC Project Tele-lecture Tele-education

3.Tele-conference In these days, using KOREN research network led us to having Tele-conference instead of having a offline meeting We can meet all members from many countries in Tele- conference room which makes us to save our time and cost. Also, there is less limitation and barrier of time and place than having meetings in meeting room.

Tele-conference

Traditionally telemedicine has been held back by the bandwidth requirements needed to transmit high-quality images between hospitals. The 10year’s challenges for telemedicine

Teleconfrence and Live-Surgery ( ) Advanced Workshop on Laparoscopic Surgery in Oncology Singapore (Oct, 2004) Hepatobiliary-pancreatic Teleconference (Dec,2004 ) Teleconference on Endoscopic Surgery between Seoul & Fukuoka with the guests from Samsung Hospital(Jan, 2005) 19 th APAN meeting in Bangkok (March, 2005) Teleconference of KOR and JPN Petrology (Feb,2005) Teleconference of KOR and JPN Petrology (July,2005) Teleconference The 4 th Pancreatobiliary Clinico-pathological (8April 2006) Live surgery in ELSA2006 in Seoul (22. Sept. 2006) Live surgery in The 1 st Asia-Pacific Gastric Cancer Conference (21 Nov 2006) Live surgery in 23 rd APAN meeting (25 Jan. 2007) Live Surgery of Laparoscopic hepatectomy (8 May,2007)

Live Surgery of Laparoscopic hepatectomy (23 Oct. 2007) Live Surgery in 2008 Korea Study Group Liber (22 Feb. 2008) India Hepatectomy live demonstration (28 April 2008) Live surgery for Student lecture Kyushu Uni.,Japan(13 May 2008) Italy Live Surgery (15 may 2008) Korea Laparoscopic Liber surgery Study group Live (23 May 2008) ERCP Live 2009 (21 Feb 2009) JSS 2009 International Video Colorectal Live surgery (22 April 2009) Live surgery for Student lecture Kyushu Uni.,Japan(13 May 2009) Live Surgery of Laparoscopic hepatectomy at APAN-MY (23 Jul 2009) Live Surgery of 19th World congress of the IASGO (25 Nov. 2009) Live Surgery of Korea-Vietnam (22 Oct 2009) 2010 ERCP Live (27 Jan 2010) Conference of APAN Sydney (11 Feb. 2010) Live surgery for Student lecture Kyushu Uni.,Japan(11 May 2010) Live Surgery of 5 th Postgraduate Course of Laparoscopic Surgery in conjunction with the CME Course of the IASGO ( 28 May 2010) Live Surgery of 6 th Postgraduate Course of Laparoscopic Surgery in conjunction with the CME Course of the IASGO ( 1 July 2011) Teleconfrence and Live-Surgery ( )

Live Surgery of 6 th Postgraduate Course of Laparoscopic Surgery in conjunction with the CME Course of the IASGO ~2

Global Student Lecture

#14th Conference of Korean Laparoendoscopic Gastrointestinal Surgery Study Group

HD Tele –Live Surgery in 1st APHPBA (KO-JP)

Tele-collaboration events Telemedicine 2004~2013 Total : 123 case

155 M 1 G 10 G 2014

MIS(Minimally Invasive Surgery) Prof. Ho-Seong Han, Vice Director of Seoul National University ,

Operation Room (with ORnetwork system)

Video assist equiments Micro scopeLaparoscope

HD image

International Training Program (2006~2014) The Total Number of doctors 160 International Doctors who participated in SNUBH training programs : Japan(39), China(27), France(1), Italy(1), UK(3), USA(7), Russia(13), Germany(2), Sweden(5), HongKong(1), Singapore(8), Taiwan(5), India(8), Uzbekistan(5), Kazakhstan(7), Ukraine(2) Thailand(14), Malaysia(1), Philippines(5), Vietnam(1), Nepal(2), Ecuador(1), Bosnia(2)

26 Bundang H Kyushu U New surgery Telemedicine English Video Demostration Share Knowledge and promote standardization in Medical field

Tele Live-Surgery via TEIN NETWORK

To share medical knowledge with TEIN countries so we can decrease the gap of knowledge in medical field and it can promote medical standardization. (Elevation effect) To activate TEIN network by Tele- education between collaborated hospitals on regular basis To help medical team and engineers learn new skills Collaboration to improve medical standard in their own countries. Collaboration to improve the quality of patient outcomes.

KOREN Research in field Medical Application (2004~2014) 2004 Using IPv6 Internet High Quality Video Transmission system with GIST 2008 Research on Remote Medical Service using Fast Compressed HD Transmission Technology with KT 2009 ~ 2011 Research on remote medical service using fast compressed HD transmission technology 2012 Research of Global Telemedicine Video Platform 2013 Study on Open Contents Delivery Test bed with KAIST (24,000 EUR) 2014 A Field Trial Research on Global Networked Medical e-Learning using Domestic ICT Equipment and Systems

KOREN Research in field Medical Application (2015) Verification test on Global Medical Contents Providing through high-speed leading test network for ICT industrial development

Important status of Tele-collaboration via Network Benefit Doctors and medical team is participated for Live surgery. Tele-education program and medical education contents produce Web base education Special committee (members can contents review and advice) is necessary.

Benefit The committee is consisted of medical doctors for high quality of contents. Also special medical contents team for engineers make to support the committee. Committee of producers produce and manage medical educational contents. Important status of Tele-collaboration via Network

Current status of Tele-collaboration MTC telecollaboration workshop 2014

WHY Tele Medicine, Why SNUBH ! Through telemedicine, technology and communications have radically changed healthcare in the Asia-Pacific region, enabling remote diagnosis and underpinning international collaboration. High- speed research and education internet networks, such as TEIN, enable a new phase of telemedicine by providing the ability to remotely train doctors on the latest medical techniques by streaming high quality live operations and consultations across Asia. This helps spread best practice, benefits physicians and surgeons in developing countries and is saving many lives.

Let us go Telemedicine! CAREN Conference in Almaty in Kazakhstan ( )

Thank you for your attention!