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- 1. This presentation contains trade secret data, which is the property of Icrea Infotech Pvt Ltd and Gynius. This document is submitted to the recipient in confidence. Certain information contained herein may not be otherwise used, copied, or disclosed in whole or in part except as permitted by written agreement signed by an officer of Icrea and Gynius. Certain material contained herein is protected by copyright law of the United Kingdom and Sweden. Unauthorized use, copying or other reproduction is prohibited by law and may give rise to civil and criminal liabilities.
- 2. About ICREA • The Company and the team maintain a paranoid intensity in their core focus in “Clinical” healthcare. • Our Core focus: • Digital Healthcare • Accessible Healthcare • Affordable Healthcare • We specialize in delivery of high performance healthcare data management solutions • Our flagship product MEDICS CLOUD has 20 specialties.2006, 2008 & 2011 ONC ATCB certified Meaningful use Stage I and Stage II. • Over 5,000 installations; this includes Hospitals and individual practices of various sizes.
- 4. Offerings • Products • Gynocular • eTestify • Telemedicine • Medics Cloud Electronic Medical Record with 20 specialties • Health Cloud – Wellness Program • HIMS (Hospital Information Management System) • CTMS (Clinical Trials Management System) with Data centric approach • Rota Management System • Document Management System
- 5. EMR Specialities • Behavioral Health • Cardiology • Women’s Health • Dermatology • Endocrinology • Family Practice • Gastroenterology • Internal Medicine • Family Medicine • Neonatology • Orthopedics • Otolaryngology • Pain Management • Pediatrics • Physical Therapy • Primary Care • Pulmonology • Rheumatology • Urology • Chiropractic Care • General Surgery
- 6. Offerings • Solutions • Customized Product Development • Enterprise Solutions • Mobility Solutions • Portal Based Solutions • Clinical Dashboards • Community Health
- 7. Offerings • Consulting • Project Management • IT Consultancy • Business Intelligence • Managed Services » Application Management » Application Support » Infrastructure related services
- 8. Offerings • Research & Development • Innovative medical solutions • Mobility Apps for multi environment usage • Remote optical fibre sensors for various applications • Portable devices for medical diagnosis • E-clinic concept aimed to reduce the intake of antibiotics and over the counter drugs without pre-medical consultation.
- 9. About Gynius • Fast growing Swedish medical diagnostic company in the field of cervical examination • The Gynocular is the world's first truly portable colposcope • Our telemedicine solution for smartphones is the first FDA approved cloud based clinical app record • Invented by Gynius Medical Director, Dr. Elisabeth WikströmShemer, a Senior Consultant of Obstetrics and Gynecology • Found in hospitals and clinics in all over the world
- 10. Joint Mission • We strive to improve women’s health throughout the world • We believe this goal is achievable by making women’s health care affordable, simple and accessible • We create innovative simple solutions to complex problems
- 11. Background data on cervical cancer • Each year 5,28,000 women are diagnosed with cervical cancer and 2,66,000 women die of the disease. Ferley et al 2012 GLOBOCAN • A majority of these women live in less developed regions in the world (87%). Ferley et al 2013 GLOBOCAN • Incidence rise sharply among women over 35 years of age, thus cervical cancer has vast impact on communities at a time when the woman’s presence is vital to social and economical stability. Castellsagué et al 2008 GLOBOCAN, Anorlu RI et al 2008 Can J Urol. • According to the IARC’s projections for the coming decades, deaths from cervical cancer will continue to rise. Ferley et al 2012 GLOBOCAN
- 14. Advantages of colposcopy • Visualizing the cervix with strong illumination and magnification • Can be applied at each gynaecological examination with ease and produce immediate result • Determine the site and extent of the lesion • Can be learned by every physician and VIA skilled nurse • Screen positives (VIA, Pap smear, HPV) should be referred for colposcopy • Avoid unnecessary tests and accurately detect those who needs further follow-up and treatment
- 15. Access to cervical cancer screening and colposcopy A majority of women in the world do not have access to cervical cancer screening programs and colposcopy. Nessa et al 2013, Hitt et al 2013, Ferley et al 2012, Hoover et al 2009 Limited access to colposcopes are due to: • High costs of colposcopes • Reduced portability due to size & weight • Need for power outlet • Lack of manpower (ie lack of doctors) • Limitations in infrastructure • Resulting in lack of close access, travelling costs and lost of income for women
- 17. The Gynocular Quality, Convenience & Affordability • The Gynocular is affordable and highly cost-effective • No service. No maintenance. No expensive halogen bulb to replace • No electricity needed • Easy to use, clean, and store • Save time through quicker procedures • No need for a dedicated colposcopy room • Perfect for rural screening programs as well as hospitals and clinics
- 18. The Gynocular • FDA approved, CE marked. patented and trademarked • Device Made in Sweden and software Made in India • Portable, battery driven monocular colposcope • Optics developed especially for vulvovaginal-cervical examination • High resolution and deep focal depth • Warm white LED light with high colour rendering. • Handheld or may be used together with a camera tripod • Smartphone adapter and secure cloud database colposcopyguidance software • For e-medicine and telemedicine. Images integrated into patient file
- 19. The Gynocular vs. Colposcope Comparison of technical specifications Gynocular Colposcope Med- Gyn Focal distance (mm) 300 mm 300 mm Magnification (x) 5 8 12 7.5 15 30 Field of view (mm) 40 30 20 45 22 11 Resolution (LP/mm) b 25 40 60 27 55 64 Light source LED Fiberoptic Green filter Yes Yes Weight (gram) 480 8,000 Energy source Rechargeable battery Electrical grid
- 21. • T2D colposcope management application is a unique secure cloud based clinical record system • Allows one to connect a smartphone to the eyepiece of the Gynocular • Image capturing directly into the Gynocular T2D record App • Stand alone system or integrate your clinical data into existing EMR • True telemedicine capabilities: teach, consult and record efficiently Triage to Diagnose (T2D) Software
- 22. T2D management software • Gynocular mobile app fully integrated with activation key, passwords and thus a secure cloud electronic medical record (EMR) • Also may be used on stationary computer, laptops and integrate to local EMR systems • Multilingual • Simple solution: a smartphone, an activation key and an organization code is all you require to start the application • Disconnected architecture that will allow the application to function from remote location where internet may not be available • Unique patient id connected to local patient id
- 23. Telemedicine to screen and diagnose everywhere Gynocular withsmartphone Gynocular T2D cloud application
- 24. Login • User can Login to the app in two modes i.e, Online and Offline. • When user Logins for the first time, it is mandatory to have device’s Wi-Fi or cellular data ON. • App can be viewed in multiple languages as per the selection made by the user.
- 25. Home Screen – Online • Add and save patient records which is exported to the cloud via internet. • User can search patient moved to the cloud. • User can view booked appointments for a particular date on the Scheduler.
- 27. Triage by the Swede score systematic colposcopy system • Acetowhiteness, margins plus surface, vessel pattern, size of lesion and iodine staining • Each variable are given a score of 0, 1, or 2 points. Maximum score is 10. • The total score gives an indication of the severity of the visual impression of the cervix. • High resource: biopsy if score >6 • Low resource: see and treat of score >5
- 28. Swede score
- 30. Refer directly
- 32. Mirraging
- 33. Key findings • Key findings: The Gynocular is equally good as a stationary colposcope in detecting abnormal cervical lesions. • Modern technology enables the production of a pocket–sized, battery driven colposcope. • Gold-standard colposcopy can be administered everywhere. • A Gynocular examination of the cervix using Swede score could possibly be a future screening model offering an accurate and a highly cost- effective diagnostic, at the early stages of cervical neoplasia.
- 34. Future perspectives • Gold-standard colposcopy in any setting • Screen VIA and HPV positive women with colposcopy • Direct diagnosis after positive screen test • Standard protocols can be followed and users monitored • Direct consultation of difficult cases over telemedicine platform • Educate VIA nurses to colposcopy nurses
- 36. Oral colposcopy
- 37. eTestify - Forensic colposcopy • The eTestify is a new software for a forensic examination of sexually abused victims, both adult and children. • The eTestify is a safe, easy to use, complete forensic clinical with direct integration of images to the patient file. • The eTestify gives you the opportunity to document new examinations, refer and review patients, register and schedule your patients, and much more. • The Clinical record includes Patient information, Integrated voice, Patient history, Injury exam, Genitalia Exam and Genitalia Injury Scale, Body chart directly integrated photos. The software also include a consent for the patient and the doctor to sign directly in the application. • Launched November 2015 in the US.