1. Ascom Connect for patient monitoring - Cardiomax
PL | Ascom Cardiomax, February 2013, © Ascom

2. INTENDED USE
The Intended use of the Ascom Cardiomax is to provide an interface with clinical systems to forward Information associated to the particular event to the designated display device(s). For medical, near real time alarms, the Ascom Cardiomax is intended to serve as a parallel, redundant, forwarding mechanism to inform healthcare professionals of particular medical related events. Ascom Cardiomax does not alter the behavior of the primary medical devices and associated alarm annunciations. The display device provides a visual, and/or audio and/or vibrating mechanism upon receipt of the alert.
PL | Ascom Cardiomax, February 2013, © Ascom

3. ASCOM CARDIOMAX SOLUTION
Integrates with leading patient monitoring systems for secondary alarm notification
Supports both bedside & mobile telemetry monitors
Sends interactive, alarm notification messages to wireless devices
Supports automatic alert escalation based on response
Enables smart alarm management through alarm message filtering
Customizable alert notification based on specific unit/ward (e.g. pediatric, ICU)
CNO:
Decreased response time to patient monitoring events
“Alarm fatigue” avoidance measures
Smart notification rules ensuring most important message goes to
assigned staff
Management:
Increase efficiency of nursing staff
Increase patient satisfaction and quality of care
Traceability of complete event for root cause analysis, workflow benchmarking and optimization
PL | Ascom Cardiomax, February 2013, © Ascom

4. Secondary Notification
ASCOM CARDIOMAX SOLUTION
Primary Notification
Patient Monitor System
Secondary Notification
CNO:
Decreased response time to patient monitoring events
“Alarm fatigue” avoidance measures
Smart notification rules ensuring most important message goes to
assigned staff
Management:
Increase efficiency of nursing staff
Increase patient satisfaction and quality of care
Traceability of complete event for root cause analysis, workflow benchmarking and optimization
Patient
Ascom Cardiomax integrates with patient monitoring system for secondary alarm notification
Wireless Handset
PL | Ascom Cardiomax, February 2013, © Ascom

5. ASCOM CARDIOMAX ADDRESSES PAIN POINTS
Alarm fatigue is the number one medical device hazard as reported by ECRI**
Too many alarms interrupt workflow and negatively impact staff efficiency
Excessive alarms may lead staff to silence alarms or turn alarms off completely
An overwhelming false positive alarm rate desensitizes clinicians
Risk of ignoring constant alarms can negatively affect patient safety
CNO:
Decreased response time to patient monitoring events
“Alarm fatigue” avoidance measures
Smart notification rules ensuring most important message goes to
assigned staff
Management:
Increase efficiency of nursing staff
Increase patient satisfaction and quality of care
Traceability of complete event for root cause analysis, workflow benchmarking and optimization
** ECRI Institute. Top 10 Health Technology Hazards for 2012.
PL | Ascom Cardiomax, February 2013, © Ascom

6. SOLUTION BENEFITS Improve response time to critical patient events
Receive patient monitoring alarm via mobile device
Reduce ”alarm fatigue” through smart alarm management
Use alarm filter to reduce number of alerts being sent
Increase efficiency of nursing staff by avoiding unnecessay interuptions
Provide distinctive alert tones based on event priority
Color code messages to readily identify critical events
Increase patient satisfaction and quality of care
Escalate alert message, if busy, via soft key response
PL | Ascom Cardiomax, February 2013, © Ascom

7. KEY FEATURES
Scalable from single department to hospital-wide deployment
Supports notification on wide variety of devices
Advanced filtering helps eliminate “alarm fatigue”
Supports web-based administration and staff assignment including Unite Assign
System admin log for event analysis
Redundancy option to ensure high availability
CNO:
Decreased response time to patient monitoring events
“Alarm fatigue” avoidance measures
Smart notification rules ensuring most important message goes to
assigned staff
Management:
Increase efficiency of nursing staff
Increase patient satisfaction and quality of care
Traceability of complete event for root cause analysis, workflow benchmarking and optimization
PL | Ascom Cardiomax, February 2013, © Ascom

8. Ascom CARDIOMAX conformity
EU/EFTA CE-marked in accordance with MDD
Canada
Listed at Health Canada
USA FDA Class II 510(k) cleared
PL | Ascom Cardiomax, February 2013, © Ascom

9. SUPPORTED PATIENT MONITORING SYSTEMS
Product
Panorama Patient Monitoring Network
PagerService Protocol v1.0
CareNet & IntelliVue Clinical Network
(PDI Rel. L & M)
ICS Clinical Event Interface Protocol v1.0
Market Approval
N. America
EU/EFTA
Protocol Support
TAP 1.8
Proprietary SOAP
HL7
Proprietary XML
PL | Ascom Cardiomax, February 2013, © Ascom

10. DISPLAY DEVICE SUPPORT
Ascom IP-DECT, VoWiFi & Paging devices
Cisco IP Phone Services enabled display devices e.g. 7925G
Polycom/SpectraLink devices supporting OAI (N.A. only)
Pagers input interfaces supporting ESPA (EU); TAP & SNPP (N.A.)
iOS and Android devices and tablets
teleCARE IP Corridor Display
Systems supporting SMTP Protocol input interfaces
Adaptive Alpha 1.0 (EZ95) Text Displays from Adaptive Micro Systems
PL | Ascom Cardiomax, February 2013, © Ascom

11. HANDSET ALARM MESSAGE INTERACTION
FOUR DISTINCTIVE MEDICAL ALERT TONES
MESSAGES COLOR CODED BASED ON IMPORTANCE
QUICKLY DETERMINE HOW TO REACT
SOFT KEYS PROVIDE QUICK RESPONSE: ACCEPT OR BUSY
RECEIVE MESSAGE EVEN WHEN ON A CALL
PL | Ascom Cardiomax, February 2013, © Ascom

12. EASILY IDENTIFY THE RIGHT PRIORITY
High Priority Alert
Medium Priority Alert
Low Priority Alert
PL | Ascom Cardiomax, February 2013, © Ascom

13. MESSAGE ALERT ESCALATION
If no response, message is automatically escalated to back-up
NO RESPONSE
If nurse presses “Busy”, message escalated to back-up
Once message accepted, previous message recipients are notified
Up to 5 levels of escalation are possible
Press “enter” key only once to run animation sequence
PL | Ascom Cardiomax, February 2013, © Ascom

14. MESSAGE FILTER OPTIONS
Message Option
Benefit
“Pass” Filter*
Consolidates common alerts to a single forwarded message
e.g. repetitive high heart rate alarm for same patient
Reduces unnecessary messages causing alarm fatigue
“Delay” Filter*
Forward alarms only if active for specific period of time
e.g. high heart rate that quickly returns to normal state
Reduces false positive alarm notifications
“Stop” Filter
Only forward appropriate alarm messages
e.g. send heart alarms in ICU versus pulmonary alarms in Neonatal unit.
Ensures only desired alarm messages are sent
* Only supported with Philips integration
PL | Ascom Cardiomax, February 2013, © Ascom

15. Support BY VENDOR Mindray Nihon Kohden Philips Spacelabs 1-2 seconds
Avg. Message Latency*
1-2 seconds
Alarms Sent to Cardiomax
Active Alarms
All Alarms
“Pass” Filter Msg. Settings No
Yes
“Delay” Filter Msg. Settings
“Stop” Filter Msg. Settings
Max No. Monitor Locations
2000
1900
Max Escalation Levels 5
* Defined as time between when an alarm is received by Cardiomax and message is sent from Cardiomax under normal operating conditions and excluding database synchronization.
PL | Ascom Cardiomax, February 2013, © Ascom

16. ASCOM HANDSET MESSAGE FEATURES
Message Features By Vendor
Mindray
Nihon Kohden
Philips
Spacelabs
Mobile message delivery with predefined soft key responses
Up to five escalation levels
Auto-escalate message to designated backup if no response
Escalate message if “Busy” soft key selected
Group messaging – send messages to designated teams
Notify other team members when message is “Accepted” by an individual team member
Color-coded messages to visibly distinguish priorities
Four medical alert message tones to audibly distinguish priorities
Receive notification message when alarm is cleared
Supported
Not Currently Supported
PL | Ascom Cardiomax, February 2013, © Ascom

17. ASCOM Cardiomax Architecture
IP-DECT Access Point
Patient Monitors
PM SYSTEM
LAN
Devices
Unite Connectivity Mgr.
WLAN Access Point
Unite Application Mgr.
Unite Assign
Text Display
PL | Ascom Cardiomax, February 2013, © Ascom

18. ALARM MESSAGE PATH Unite Application Manager Cardiomax
Assign
Who is assigned?
Patient Monitoring System
Event
Assignment
Action Configuration
Message Routing
Carrier System Interface
Display Devices
Event
Primary notification
What has
happened?
What shall
be done?
To which
device?
Distribute
message
Secondary notification
Cardiomax
Unite Connectivity Manager
PL | Ascom Cardiomax, February 2013, © Ascom

19. X Module redundancy Primary Cardiomax Secondary Cardiomax
Redundancy provided via warm standby if primary module fails
When primary module fails, alarm is activated
Secondary module becomes active automatically within 60 seconds
After failover, system no longer redundant since no data synchronization possible
Manual switch back to the primary module required
30 day limit operating on secondary module X
Primary
Cardiomax
Secondary Cardiomax
Active Failover Monitoring
PL | Ascom Cardiomax, February 2013, © Ascom

20. Linking patient monitor alarms with wireless device messaging!
ASCOM CARDIOMAX
Integrates with multiple patient monitoring systems for secondary alarm notification
Delivers near-real-time alarm messages to wireless devices
Performs message filtering to reduce unnecessary and “false positive” alarms
Benefits include faster response to patient events, improved staff efficiency and reduced alarm fatigue
Linking patient monitor alarms with wireless device messaging!
Ascom
Cardiomax
Wireless Devices
Patient Monitors
PL | Ascom Cardiomax, February 2013, © Ascom

21. MARKETING COLLATERAL Sales Presentation Product Sheet Mailer Template
PL | Ascom Cardiomax, February 2013, © Ascom

22. STANDALONE CONFIGURATION
Hardware:
Cardiomax Elise3 Hardware
FE3-G1ABAA
Cardiomax, Std (EU/EFTA) or
FE3-G1ABAB
Cardiomax, Std (UK/NA/ANZ)
SW License:
Cardiomax Base
FE3-G2ALBAS
Cardiomax LIC: Base License (base license includes 50 monitoring locations & 1 duty assignement client)
Select Cardiomax Vendor*
FE3-G2AL1MR
Cardiomax LIC: Base Mindray
FE3-G2AL2NK
Cardiomax LIC: Base Nihon Kohden
FE3-G2AL3PS
Cardiomax LIC: Base Philips
FE3-G2AL3PSE
Cardiomax LIC: Philips Extension (Requires additional h/w FE3-G1ABAA/ABAB)
FE3-G2AL4SL
Cardiomax LIC: Base Space Labs
Monitor Locations
FE3-G2ALLOC
Cardiomax LIC: 50 Monitoring Locations (each license supports 50 monitoring locations) (Maximum no. monitoring locations. 2,000; except Philips 1,900)
Duty Assignment Clients
FE3-G2ALDAC
Cardiomax LIC: 1 Duty Assignment Client
*One Cardiomax per patient monitor vendor, Cardiomax installed per site.
Philips Base license supports 100 monitoring locations, filtering & management for all extension modules
Each additional Philips Extension license supports 200 additional monitoring locations
PL | Ascom Cardiomax, February 2013, © Ascom

23. REDUNDANCY CONFIGURATION
Hardware:
Cardiomax Elise3 Hardware
FE3-G1ABAA
Cardiomax, Std (EU/EFTA) or
FE3-G1ABAB
Cardiomax, Std (UK/NA/ANZ)
SW License:
Cardiomax Base
FE3-G2ALRBAS
Cardiomax LIC: Base License (base license includes 50 monitoring locations & 1 duty assignement client)
Select Cardiomax Vendor*
FE3-G2ALR1MR
Cardiomax LIC: Base Mindray
FE3-G2ALR2NK
Cardiomax LIC: Base Nihon Kohden
FE3-G2ALR3PS
Cardiomax LIC: Base Philips
FE3-G2ALR3PSE
Cardiomax LIC: Philips Extension (Requires additional h/w FE3-G1ABAA/ABAB)
FE3-G2ALR4SL
Cardiomax LIC: Base Space Labs
Monitor Locations
FE3-G2ALRLOC
Cardiomax LIC: 50 Monitoring Locations (each license supports 50 monitoring locations) (Maximum no. monitoring locations. 2,000; except Philips 1,900)
Duty Assignment Clients
FE3-G2ALRDAC
Cardiomax LIC: 1 Duty Assignment Client
*One Cardiomax per patient monitor vendor, Cardiomax installed per site.
PL | Ascom Cardiomax, February 2013, © Ascom

24. UNITE APPLICATION MGR CONFIGURATION When Deployed With Unite Assign for Staff Assignment
Hardware:
Cardiomax Elise3 Hardware
FE3-G1ABAA
Cardiomax, Std (EU/EFTA) or
FE3-G1ABAB
Cardiomax, Std (UK/NA/ANZ)
SW License:
Cardiomax Base
FE3-G3ALBAS
Cardiomax LIC: Unite AM Base License
Select Cardiomax Vendor*
UAM-LAFEADIN
Cardiomax LIC: Base Mindray Unite AM
UAM-LAFEAEIN
Cardiomax LIC: Base Nihon Kohden Unite AM
UAM-LAFEAFIN
Cardiomax LIC: Base Philips – Unite AM
UAM-LAFEAHIN
Cardiomax LIC: Base Space Labs – Unite AM
Monitor Locations (each license supports 1 bed, configured & priced per bed)
UAM-LADEADLB
Cardiomax LIC: 1 Mindray Mon/bed Loc Unite AM
UAM-LADEAELB
Cardiomax LIC: 1 Nihon Kohden Mon/bed Loc Unite AM
UAM-LADEAFLB
Cardiomax LIC: 1 Philips Mon/bed Loc Unite AM
UAM-LADEAHLB
Cardiomax LIC: 1 Spacelabs Mon/bed Loc Unite AM
*One Cardiomax per patient monitor vendor, Cardiomax installed per site.
PL | Ascom Cardiomax, February 2013, © Ascom

25. MINIMUM LICENSE CONFIGURATION REQUIREMENTS
Elise 3 Hardware Variant
Select hardware based on region
Cardiomax Base License
Select Cardiomax base license (e.g. Standalone, Redundant or Unite AM)
Select patient monitor vendor base license (e.g. Philips, Mindray…)
PM Vendor Base License
Select number of monitor locations in increments of 50 (Unite AM configuration allows increments of 1)
Monitor Location License
Select a least one duty assignment client (note: Unite AM configuration does not require duty assignment license)
Duty Assignment Client License
PL | Ascom Cardiomax, February 2013, © Ascom

26. THANK YOU!
PL | Ascom Cardiomax, February 2013, © Ascom