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Knowledge Path: Equipment
We provide two-way interactive connectivity throughout Texas and the world.
Description and layout: The system centers around a triple-monitor with three individual workstation computers individually attached to each monitor. A wireless keyboard and mouse are tied to all three stations via a KVM switch mounted under the desktop. This minimizes desktop clutter and provides maximum flexibility. The three workstations provide internet and email access, videoconferencing, and an electronic medical record. A pan/tilt/zoom camera is mounted on top of the center monitor for videoconferencing purposes and a logo generator is integrated into the video output to provide for a UTMB “badge” to be overlaid on the broadcast image. An electronic stethoscope is mounted next to the KVM switch under the desktop to provide auscultation capabilities via digital stethoscope. To the left of the main monitors is another workstation set up for store-and-forward capabilities. It features an integrated ftp server to allow files to be electronically transferred for review. Further to the left is an integrated fax/printer/scanner that functions both as fax and as the printer for all computers in the system should hardcopy output be necessary. It can also scan papers into the system for insertion into the medical record. To the right of the main monitors is a telephone and to the right of that is a PACS station for viewing radiology images. The PACS features ultra-high resolution 20” black/white monitors for crisp definition of digital images. At the ends of both tables are cabinets for the computer systems that are used in the Consultation Station as well as other hardware necessary for the system integration. Fans are also used to provide necessary cooling for the electronics. The system is A.D.A. compliant to allow for future use by physicians who can no longer practice in a standard physician-office environment, but still possess the knowledge and capabilities to provide much needed consultative services.
Features: The overall cabinet is aluminum construction with stainless-steel accessories. Measurements are as follows:
The bottom cabinet features dual-locking doors on the front. Opening the cabinets reveals a lower shelf for a PC/CODEC combination as well as UPS and a medically approved isolation transformer. An upper shelf is provided for a VCR and a subwoofer/amplifier combination for the audio. Full venting along the entire bottom cabinet is provided for proper cooling of electronic components. The rear section of the bottom cabinet is covered by a locking door that comes off allowing full access to the rear of all electronics in the cabinet. There is also a cable wrap stanchion for the electrical cable and network wires. Above the bottom cabinet is a pullout drawer for the keyboard and microphone storage. The unit front folds down allowing access to the keyboard. This drawer is lockable as well. Above the keyboard
drawer is a stainless steel shelf that has a triple articulating
arm with the LCD monitor and camera
mounted
on it. This
allows the monitor/camera combination to be swung out,
up, down, tilted left or right, up or down for maximum viewing
by both
the
local patient and the far-end consultant. The top cabinet features two shelves and a single lockable cabinet door located on the right side of the unit. Medical instrumentation may be placed on these shelves for easy access. Wiring access holes are present for running audio, video, and power. The left side of the top has two stainless steel handles for steering the unit as it is being rolled around. This cabinet is patent-pending.
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High
End Systems
Increased interest in telemedicine from the consultant side has
led to the development of a telemedicine-oriented physician station.
The design places the physician at the center of an information center
with virtually all information the consultant needs for diagnosis
and patient review at their fingertips.
Requests for smaller and lighter telemedicine systems has led to
the creation of a roll-around patient cabinet. When fully equipped,
the cabinet is a full telemedicine system, with medical instrumentation
and a versatile configuration to allow the system to be used in a
number of environments with different pieces of equipment.