LifeBot 5 : The Future of Telemedicine

Real-Time Physician TelePresense Redefined. Anywhere at Anytime.

Use LifeBot DREAMS on a 1.5 lb. tablet, a ruggedized pre-hospital system, a touchscreen desktop or advanced telemedicine cart system. Click on images below to view the related product information.

Enabling the Use of Mobile Telemedicine

Critical Mobile Pre-Hospital Connectivity
The Intelligent Communications Manager

Most often the weakest link in the chain is the ability of a pre-hospital vehicle to maintain reliable wireless data connectivity, particularly if it is moving at high speed. At one moment cellular from Verizon may not work, but Sprint will. Such is the challenge presented.

The LifeBot DREAMS Digital Ambulance System, funded with $14 million in military research grants, has an exclusive solution to effectively combat these problems. It is called the Intelligent Communications Manager or ICM.

The ICM system may utilize multiple cellular providers, e.g. Sprint, Verizon, AT&T, etc., but also integrate 3G, 4G, Wi-Fi, WiMAX, LTE, Satellite, and military data radio. It automatically manages and aggregates connectivity and bandwidth in totally transparent fashion. At any one time the system analyzes what works and uses it automatically.

The ICM is unlike most other so called “wireless gateways” presently in use because it manages so many more critical aspects necessary to making things work.

Exclusive Patient Data Management

The ICM is also the only system that marries connectivity with data management functions. It tags data so one patient’s call data does not get mixed with another’s.

If connectivity is compromised, important data may be saved and the “intelligence” of the ICM includes a feature to send the most important life-saving information first, once reconnected.

Patient data with the ICM is securely transmitted, for HIPAA compliance, using AES encryption. This also makes voice and video communications secure. This is even more secure than most existing radio and cellular communications, because no one may easily “listen in”. Secure text messaging may also be used to send highly specific or sensitive information “silently”.

The Only System in the World used During Major Disasters for Telemedicine

The brain child of renowned surgeon Dr. James “Red” Duke, Jr., DREAMS™ was used during Hurricanes Katrina and Rita triaging patients over 375 miles away in New Orleans from the Memorial Hermann Trauma Center in Houston. In fact, it is the only such system to demonstrate full mobile telemedicine during actual major disasters.

Video-Conferencing is NOT Telemedicine.

Video alone does not provide critical patient physiological data; live clinical waveform single, 12 and 15 lead ECG, HR, NIBP, dual invasive BP, SpO2 with plethysmogram, etCO2 with capnogram, tpCO2, dual temperatures, etc. The DREAMS™ System is the only telemedicine system in the world to transmit this critical data.

If one looks at the prominent telemedicine suppliers today, you may be shocked to find out most have little or no experience in the healthcare field at all; little knowledge of medical devices and acquiring critical life-saving physiologic information. Most are dedicated to performing video teleconferencing only and have a history as only audio visual specialists. view more..

Award Winning Telemedicine Designs:

Two physicians received the distinguished General Maxwell Thurman Award for their participation in the design DREAMS. This includes Dr. S. Ward Cassells, former U.S. Assistant Secretary of Defense (Health Affairs) and Dr. James ‘Red’ Duke, Jr.

The award is given at annual meetings of the American Telemedicine Association in recognition of someone who exhibits the qualities of a natural born leader, an innovator, and a pioneer in the advancement of technology.

The LifeBot Community Paramedicine Technology Guide

This is a comprehensive guide to the deployment of the Mobile Primary Care Unit (MPCU) for delivering primary care via EMS providers. This guide also is a detailed presentation on EMS Telemedicine and the prospects for using these technologies for substantially reducing healthcare costs.

Crucial to these systems is the use of Decision Support Software (DSS) to triage callers at the dispatch, call-center, and in actual field operations to determine if a call or a patient is an actual emergency (emergent) or non-emergency (non-emergent). Also reviewed is the crucial nature of EMS Telemedicine to “look inside” and acquire critical physiological data and transmit this to hospital physicians and specialists to save lives.

Community Paramedicine may not only reduce healthcare delivery costs, but it also increases the quality of individual patient care. EMS Telemedicine and Decision Support provide new levels of provider safety, efficiency, and significantly reduces daily work-loads.

Download the Community Paramedicine Guide

Finally, It’s Your Data!

Now not only is DREAMS more portable and extensive in its feature-set, but now you have direct access to all your patient data without the expense of costly third party servers.

With the LifeBot Interceptor™ CCU Grade Patient Monitoring is Built-in

LifeBot has now built into the DREAMS Interface a complete physiological patient monitoring system. The system displays ECG, 12-15 Lead Diagnostic ECG, Pulse, Respiration, SpO2 with Plethysmogram, etCO2 with Capnogram, NIBP (Systolic, Diastolic, Mean), and two Temperatures. Two invasive Blood Pressure modules are optional.

The monitoring system integrates MasimoSet®, the most popular patient monitoring accessories in emergency care.

LifeBot DREAMS Features:

Most of the features listed below are exclusive and only available from use of LifeBot DREAMS telemedicine systems.

• Real-Time Live Usable Data – video, voice, data appears at both physician and patient ends real-time with live information displays
  

• Multi-Function – may be utilized for day to day use but may handle emergencies or disasters
  

• Hands-Free Automatic – transparent so focus is on patient and quality of care instead of verbal communications
  

• Automatic Mobile Connectivity – Intelligent Communications Manager (ICM) transparently enables reliable 3G 4G cellular, LTE, WiMAX, Wi-Fi, Satellite and Military Data Radio connections – securely aggregates video-voice communications, patient data and cumulative bandwidth with secured HIPAA compliance.
  

• All Physiological Data – live clinical waveforms, single, 12 and 15 lead ECG, HR, NIBP, dual invasive BP, SpO2 with plethysmogram, etCO2 with capnogram, tpCO2, dual temperatures
  

• Multi-Camera Handling – handles up to five separate cameras including individual pan zoom tilt and transmission speeds and resolutions
  

• Preset Camera Positions – to rapidly view select patient locations
  

• Maps and AVL – real-time GPS maps location and optional automatic vehicle tracking complete with ETA (Estimated Time of Arrival) – may also be used to optimize fast transport to nearest facility
  

• Standardized User Interface – enables cost savings through uniform interactive design in both pre-hospital and clinical use
  

• Instant Data Usability – real-time data shared automatically without separate parties or costly third party servers assures timely critical patient assessments
  Saves Data – No Connectivity – if connectivity is compromised select data may be selectively stored in local system database
  

• Important Data First – if data connection is restored most important life-saving data is sent first with priority status
  

• Region of Interest – Remote physician or intensivist may screen draw frame area of video increasing focus while reducing bandwidth used
  

• Tele-Stration – physician or intensivist may instruct through play-by-play screen drawing in multiple colors for critical real-time guidance in procedures
  

• Selective Recording – may selectively record physiological data and video
  

• Real-Time Live ePCR EHR – live transmission of patient medical record, medical and call reporting proceeds communicated from both ends with update indicators
  

• Export e-Mail Print EHR – call records and physiological information may be printed, exported to Adobe PDF and e-mailed
  

• Tagged Patient Data – all data call tagged to prevent e-PCR EHR record data mix-up
  

• Data Parity – ePCR EHR and physiological data may be stored automatically at both ends
  

• Inventory Management – on-board scanner allows scanning of supplies for inventory management and resupply of ambulances
  

• Drivers License ID Scanner – allows scanning directly into EHR or ePCR of critical contact information speeding care
  

• Portable Data – standard SQL database storage allows export of all data to standard EHR ePCR systems
  

• AES Encryption – all data transmissions encrypted for HIPAA compliance and safer more secure voice video transmissions
  

• Text Messaging – each user can send silent or highly specific text messages during critical or sensitive procedures
  

• Exclusive Patented – use of LifeBot systems includes exclusive access to proprietary, patented, and future patent pending technologies only available from LifeBot.
  

Save Money. Save More Lives.

Faster EMS-to-Balloon Times with the Fastest Simplest 12-Lead System

The LifeBot DREAMS system automatically sends 12-lead ECGs in an average of just
5 seconds. This makes it the fastest 12-lead transmission system on the planet. The 12-lead is sent the moment it is acquired with no gadgets to use or buttons to push. It just happens.

In addition, a PDF of the 12-lead ECG may be instantly sent by e-mail to an interventional cardiologist in just seconds, so they may review it on-line, even on their cellphone. A call does not need to be initiated for this transmission to occur, so it may be sent before you contact anyone.

Send 12-Lead ECGs from Any-Where

With LifeBot DREAMS you may not only send ECGs from hospitals or clinics, but also from any location, from any home, business and any pre-hospital field venue.

Save Tens of Thousands and
More Patient’s Lives too.

With LifeBot, it is your data from the beginning to the end, with no special exorbitant costs from third party servers for the hospital. And, you have your 12-lead ECGs in seconds to review, instead of searching for it somewhere lost in “The Cloud”. That means savings in the tens of thousands for your services with even faster EMS-to-Balloon times. This means saving more lives.

Providers Save Thousands More…

Since LifeBot systems usually cost less than most modern monitor-defibrillator systems, prehospital providers may save even more. Now you may have on-board full telemedicine capabilities that far exceed existing systems and save money too. Save more for your services and save more lives too.

The Most Advanced System for Tele-Stroke

LifeBot DREAMS may be used on portable tablets, desktop, or portable cart systems. The base collaboration system is also one of the most cost effective solutions for this application. Videos may be selectively recorded and then forwarded to a neurologist remotely.

Tele-Stroke from Pre-Hospital ambulances

Since the LifeBot system is totally portable, it forms a versatile system for mobile remote diagnosis of stroke. The lightweight portable nature means it may be carried and deployed in minutes, capturing critical symptoms quickly and early.

Existing tele-stroke hub and spoke networks may be readily extended into new regions giving new responsiveness to their critical needs. This may be done with greater features and at much reduced costs over other conventional telemedicine solutions.

Compatible with SonoSite® Ultrasound Systems for Remote Diagnoses

SonoSite NanoMaxx®

LifeBot recommends the SonoSite NanoMaxx® system for mobile pre-hospital applications. It is the single most popular system for use by Emergency Medical Systems and the U.S. Military. The NanoMaxx® ultrasound system combines best-in-class performance with affordability and simplicity.

SonoSite M-Turbo®

The M-Turbo® SonoSite system is designed for in-hospital applications. The M-Turbo® ultrasound system offers striking image quality. Because the more you can see, the more you can do for your patients.

SonoSite, the world leader in bedside and point-of-care ultrasound, delivers solutions that meet the critical imaging needs of the medical community.

LifeBot DREAMS Exclusive Tele-Stration for Instructive Ultrasound Procedures

Ultrasound images may be readily transmitted to a remote physician or specialist, but there is more.

Tele-Stration or tele-demonstration is a feature of the LifeBot DREAMS telemedicine system. This exclusive feature may be used on all transmitted videos by DREAMS, but it is especially useful with ultrasound.

Using this feature a physician, intensivist, or other medical specialist using the LifeBot Slate tablet PC or Desktop PC may draw directly upon the screen of transmitted videos “live”. Those instructive drawings appear “live” at the patient end rendering real-time clinical care instruction.

Physicians may illustrate “play-by-play” where pertinent and important information exists and use this method to instruct those treating the patient with precise critical observations.