1. GE Healthcare
Technology
in the Operating Room
DN.Srinath
Business Manager

2. General Electric – A heritage
of innovation
Founded by Thomas Edison in 1878
Only company from the original
1896 Dow Jones index still listed today
290,000 employees world-wide
Operating in more than 150 global
locations
$150 billion revenue in 2010
2
This is GE Healthcare 2011

3. General Electric today
GE Energy Infrastructure GE Capital
Energy Healthcare
Oil & Gas Aviation
Home & Business
Solutions, Media
Power & Transportation
Water
3
This is GE Healthcare 2011

4. GE Healthcare
$17 billion global business unit of
GE
53,000 employees
worldwide
$1 billion+/year
investment in R&D
Core strengths in
bio-sciences,
technology, business
4
This is GE Healthcare 2011

5. 3,000 scientists & technologists
strong in 5 global research facilities
Global Research - Europe
Munich, Germany
Global Research HQ
Niskayuna, NY
China Technology Center
Shanghai, China
Coming 2012
Global Research
Center John F. Welch
Rio de Janeiro, Brazil Technology Center
Bangalore, India
5
This is GE Healthcare 2011
© 2010, General Electric Company

6. Healthcare Systems
Advancing every phase of patient care, from diagnostic
imaging to routine testing to life-critical care.
Anesthesia Delivery Magnetic Resonance Imaging
Bone Densitometry Respiratory & Sleep
Computed Tomography Service
Diagnostic Cardiology X-ray
Home Health Ultrasound
Interventional
Life Support Solutions
Maternal Infant Care
Molecular Imaging
Patient Care Solutions
6
This is GE Healthcare 2011

7. The
environment
7
This is GE Healthcare 2011

8. Healthcare trends
Patient-centric care
• Better health for more people at lower cost
Towards wellness and prevention
• From post-symptomatic diagnosis to
pre-symptomatic screening
• Improved access through telehealth
Clinical convergence
• Diagnostic tests (in vivo and in vitro)
• Diagnosis linked to therapy
• Convergence of pharma / diagnostic industries
Productivity and „cost-out‟ driven
• Reimbursement pressure on providers
Information driven
• Payors demand rigorous cost/benefit analysis
• Accessible and actionable patient information
8
This is GE Healthcare 2011

9. Need for a fundamental change…
Aging population  People with multiple diseases
Treatment costs  Productivity loss
Cancer Heart Disease Brain Disorders
9
This is GE Healthcare 2011

10. How can GE help?
10
This is GE Healthcare 2011

11. The need for healthcare innovation
Healthcare Needs Best Solutions
” Big health challenges“ Technology for lower-cost
• Rise in chronic and costly diseases: outcomes
Alzheimer‟s, cancer, congestive • Targeted & “ just what you need”
heart failure, cancer, obesity. technologies and services.
• Aging populations. Accelerate healthcare IT
• Enable physicians through decision
Global vs. local responses support, productivity tools &
• Local solutions with global financing.
applicability. Rural & other underserved focus
• Tools to address rural health.
• Health essentials: water & energy,
financing.
Broaden technology &
services Consumer-driven health
• Innovation that drives access & • More innovations outside of
productivity. hospitals (e.g. homes, retail
settings).
• Consumer awareness, motivation.
Healthcare is changing around the world…so is
GE. 11
This is GE Healthcare 2011

12. healthymagination
Addressing important global healthcare needs
Reduce the cost of health procedures and
practices through GE technologies and services
Improve quality and efficiency by simplifying
ways of driving best standards of care
Increase access to better health for more people
through low-cost innovation, education, and financing
$6 billion commitment to making health sustainable
12
This is GE Healthcare 2011

13. Ways this may benefit…
Our world
 Underserved people will have more access
to better health technology and services
such as water, energy and GE Healthcare
solutions.
 People will be able to access quality health
from home and will have education and
tools on a variety of health and prevention
topics.
Healthcare
 More doctors and hospitals will have
access to lower-cost and more targeted
health products and IT through GE
Capital financing.
 GE will help health providers become
safer and more efficient through IT
solutions and process improvements.
13
This is GE Healthcare 2011

14. How can GE Healthcare
address new challenges in
OR of Ambulatory Surgery
& imaging needs in
Ultrasound Guided Regional
Anesthesia & Pain
Management ? 14
This is GE Healthcare 2011

15. 100 years in Anesthesia . 2003
Aisys
A quarter million anesthesia machines.
“Knowing that GE is the 2010
global leader in anesthesia 2003 Aisys
makes it that much easier 2003 Avance with Et
Aespire control
for us.” 1998
Aestiva
“GE has more firsts than 1995
any other anesthesia 1987
AS/3l
company, bar none.” 1983 Excel
Mod 2
1980 “Listening to us has resulted in
Modulus
1978. a comprehensive family of
Ohio 30/70
1966. anesthesia delivery solutions,
1963. Ohio monitoring systems, information
Unitrol DM5000
management, training, service
1963. and education.”
Ohio 4000
1935. “Every time GE develops a
Heidbrink
212A new anesthesia delivery
1922. solution, they bring 100 years
Heidbrink
Junior of history to the table.”
1912. “To see GE‟s future, just look
Monovalve “GE has a deep history of to its past”
anesthesia
machine innovation in anesthesia from
1910. Teter which it build-upon like no one
Anesthesia else can.” “GE‟s anesthesia innovation in
Machine service is just as relevant as its
innovation in product” 15
This is GE Healthcare 2011

16. Carestation Vision
Best integrated point of care solution,
assisting caregivers to deliver truly safe
personalized clinical practice and Echocardiograph
decision management. integration on
Perioperative
Perioperative with Carestation
balanced Personalized Point
anesthesia, crisis of Care Management
management, -
device diagnostics, Pharmacogenomics
Fragmented and Clinical IT
Technology =
ergonomic Anesthesia-specific
problems clinical feedback
(Entropy/Analgesia)
to inhalation and iv
Acute Care device therapy
and clinical IT
Systems integration
integration of UI,
“Seamless Information
parameters and
info systems mediating clinical
applications
“Analog/Disparate “Partial Integration/ for Personalized
Information" Limited Connectivity" Patient Care"
Multiple stacked boxes/ Interfaced workstation 16
Drug delivery of monitoring & therapy
Intrinsic (natural)This is GE Healthcare 2011
Integration
dev

17. Wireless
17
This is GE Healthcare 2011

18. Wireless
18
This is GE Healthcare 2011

19. Point of care Ultrasound -
Anesthesia
The Surgical & AN
Perspective

20. Ultrasound-Guided RNBs
Making AN & Surgeons Champions of
Ultrasound
Situation Overview
Surgery and Anesthesia are intricately linked peri-operatively to
guide a patient comfortably through the surgical process and on
to recovery or rehabilitation. As Anesthesiologists consider
adding the benefits of an ultrasound-guided Regional Nerve Block
(RNB) program to their anesthesia delivery options, the surgical
team (surgeons/PACU nurses) becomes key stakeholders in the
decision. The surgical team is a direct beneficiary of the workflow
benefits of using ultrasound-guided RNBs by Anesthesia,
although some mis-information/myths exists within this
community. Further, because the surgical suite is a highly
profitable department within the hospital (or surgery center), the
surgeon holds an enviable position with Administration. This
makes them a desirable champion and ally in securing the funds
and workflow changes necessary to smoothly and efficiently
integrate ultrasound/RNBs in their O.R./surgical department to
realize the overall cost benefits.
KEY POINTS
- Surgery and Anesthesia are intricately linked in the OR
- The Surgeon/Anesthesiologist relationship can be tenuous
- Surgical team (surgeons/nurses) are key RNB stakeholders
- Some miss-info/myths exist w/surgery team regarding U/S
RNBs
- RNB programs change O.R. workflow and resource allocation
- RNB require a resource shift with more pre-op and less post-op
- Surgeons have CxO respect - can be u/s fund
promoter/detractor
20
This is GE Healthcare 2011

21. AN Audiences/Influencers A tool for this audience
Accelerate Adoption Surgeon/Nurse
• u/s is hot AN topic
• Easier for “me”
• Evidence accumulating
• Productivity gains post-op
• Education critical
• Patient/Staff Satisfaction
Justify Purchase
• Economics required
Support Coverage
• Quality/Safety/Cost
• Evidence-based
• Patient Satisfaction
• Quality/Safety/Cost
• ROI for HC system
Awareness Pull
•Avoid post-op pain, POVN
•Min. Opioid/pain med use
•Pain-free rehab w/confidence 21
This is GE Healthcare 2011

22. Ultrasound Value Chain for
Anesthesia
Workflow Comparison Gen An vs Ultrasound RNBs:
Gen An. Workflow
•Pain
•PONV
OR •Bladder Retention
•Constipation
PRE-OP
PACU
Arrival Prep Intubate Surgery Emergence Post-Op Recovery
Unintended Admittance
•Arrive •In-theater intubation for gen AN
•Prep •Surgery
•Sedate •Anesthesia Emergence pre-PACU HOME
ICU
• Pre-op
• In OR
Ultrasound Workflow
• Post-op
U/S RNB Workflow Oppty:
OR
• addl pre-op time
PRE-OP PACU • shorter in-OR time
Arrival UGNB Blx Set Surgery Recovery • save/eliminate post-op
•Earlier discharge
•Earlier arrival HOME
•Administer RNB
• Patient rolled in ready
• Surgery
• $ oppty for OR dept
•Pre-op Block set time • Pot. no intubate/emergence
•Pain- free recovery, happy nurses
•No PONV or other complications to delay discharge 22
•Reduce PACU LoS or potential to skip PACU altogetherThis is GE Healthcare 2011
•Pat on-to life/rehab quicker

23. Why use Ultrasound in Reg‟l Anesthesia?
• Patient comfort. Patient safety – single needle stick
vs. multiple attempts
• Visualization of peripheral nerves and surrounding
structures
• Visual tracking of needle movement in real time
• Portable, affordable, accessible in the OR
• Numerous articles supporting the use of ultrasound
• Trend towards outpatient care and minimally invasive
surgery
• Reimbursement for anesthesiologist
23
This is GE Healthcare 2011

24. PAIN
MANAGEMENT
“For all the happiness Mankind can gain; Is not in
pleasure , But in rest from pain.”
JOHN DRYDEN
(1631-1701)

25. PAIN PATHWAYS
25
This is GE Healthcare 2011

26. Pain Management : Nerve Block Placement
Accurate placement of local anesthetic in sufficient amounts around
a target nerve to achieve successful blockage & efficient pain
management
Clinical situations:
•Intra-op pain management
•Post-op pain management
Traditional methods:
•Trial and error technique, “Poke and hope”
•Anatomical markers
•Indirect cues - Peripheral nerve stimulators
26
This is GE Healthcare 2011

27. 27
This is GE Healthcare 2011

28. 28
This is GE Healthcare 2011

29. Introducing Venue™ 40
Simple Sophistication
• Exceptional image quality
• Cross Beam & SRI Integrated
• Easy to use
• Portable & sleek
• Easy to clean
• Hi Frequency Probe upto
18Mhz
• Wide Range of Probes
“GE Venue 40 Ultrasound Guidance for Efficient PNB & Pain Management "
29
This is GE Healthcare 2011
….Just Gel and go

30. Easy to Use
• Intuitive touch interface
• Pre-configured applications
• User-friendly image file formats
…touch and go.
Freeze/Save Annotation Stylus Flexible
Depth/Gain library precision archiving
30
This is GE Healthcare 2011

31. Easy to Clean
• Cleanable by design
No seams
• Fluid resistant
Single-
surface • Withstands many
user interface
medical disinfectants
No knobs
or
keyboard to
…clean and go.
clean
Flush
probe
connector
31
This is GE Healthcare 2011

32. GE Vscan – Now answers deeper connection
For All Ambulatory Physicians & Surgeons ,
Vscan is a pocket-sized ultrasound device
that provides immediate information
to help answer focused cardiovascular questions
which can improve efficiency of patient management
and strengthening their role as specialist.
For compassionate point of care providers,
Vscan is a pocket-sized visualization tool
that provides more clues & enhances their discoveries
to help them maintain a deeper connection with their patients.
That‟s because Vscan allows them
to take an easy look inside the body
that enhances the physical exam.
32
This is GE Healthcare 2011

33. GEHC Education & Training Partnership
Seek & Own the Luminaries Be the Leader with
Awareness Education
Education
Building brand GE program
recognition and sponsorship, sales
leadership reputation growth enabler
Products Distribution
Leveraging adjacent
“One size fits all” to segment leaders and
customer tailored experts, expand GE
solutions expertise
Design & Market to Engagement, Metrics, Partners
33
one This is GE Healthcare 2011

34. GE Healthcare
Thank you Nova India Team
& best wishes for all your healthcare
initiatives focussed on world
class care