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I NNOVATIVE ENERGY SYSTEMS LLC Technology Innovations through creative partnerships… BIO-MEDICAL/ GAS & FUEL/ FIRE & SAFETY

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Page 1: INERSYS HF EQUIPMENT

INNOVATIVE ENERGY SYSTEMS LLC

Technology Innovations

through creative partnerships…

BIO-MEDICAL/ GAS & FUEL/ FIRE & SAFETY

Page 2: INERSYS HF EQUIPMENT

Near to the Muscat International Airport

650, Way No 6802, North Al Anwar Street, Azaiba, P.O. Box 610, Seeb,

P.C 111, Sultanate of Oman

LOCATION

Page 3: INERSYS HF EQUIPMENT

INERSYS offers a wide range of hospital Systems Integrationspecialisations to its valuable customers. INERSYS has developed itscapabilities as a multifunctional company that offers technologicalproven systems and solutions in Low Voltage, MGPS, Biomedical, cleanrooms, and Industrial Electronics in cooperation with our world widepartnersOur extensive referral basis, information and capability resources allowus to provide systems & solutions for hospital projects throughout theSultanate of Oman and in the neighbouring countries.Our goal is to create an organisation that provides unmatched servicesand support to its valuable customers in building hospitals andintegrating them.

INERSYS BIO-MEDICAL

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MANAGINGDIRECTORAUGUSTHYM'CHALIL

OPERATIONSMANAGERPHILLIPMARTIN

FIRE&SAFETYDIVISIONMANAGER

BIOMEDICALDIVISIONMANAGER

MGPSSENIORENGINEER

INSTALLATIONTEAMA

SITEENGINEER

INSTALLATIONTEAMB

SITEENGINEER

FACILITYMANAGEMENT

DIVISIONMANAGERDESIGN&ESTIMATIONFUEL&GAS

DIVISIONMANAGERADMIN&FINANCE

EQUIPMENT&LVSYSTEMS

SENIORENGINEER

MAINTENANCE&SERVICEENGINEER

PIPEFITTER

PIPEFITTER

PIPEFITTER

PIPEFITTER

APPRENTICE

SUPERVISOR

APPRENTICE

TECHNICIAN

TECHNICIAN

TECHNICIAN

TECHNICIAN

SUPERVISOR

PIPEFITTER

PIPEFITTER

PIPEFITTER

PIPEFITTER

APPRENTICE

APPRENTICE

INERSYS ORGANISATION

Page 5: INERSYS HF EQUIPMENT

Fixed Hospital Equipment Systems & Solutions(A) Modular Operation Rooms, Clean Rooms & Fresh Air Handling units (B) Medical Gas Pipe Line Systems(C) Nurse Call & Hospital Communication Systems

INERSYS BIO-MEDICAL

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MODULAR OPERATION THEATERS & CLEAN ROOMS

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Our design meets four major criteria requirements of OT

◦ Controlling the temperature & humidity of space at a required level

◦ Assisting in the removal and dilution of waste anesthetic gases from the OT

◦ Preventing/ diluting airborne bacterial contamination in the OT

◦ Controlling the movement of air within the department

OT DESIGN CRITERIA

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Current Issues of conventional OTs

� No physical zoning system� Inefficient work flow� Uncontrolled direction of air flow� In case of infection, whole the complex needs to be shut down.� False ceiling with its associated issues.� Non-availability of dedicated AHUs for OTs� No proper air filtration� Improper movement of soiled and dirty linen.� Delays in maintenance of OT and Sterile Areas.

SAFETY &

EFFICIENCY-COMPROMISED

CONVENTIONAL OT

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Solutions addressed and main Features of a Modular OT� Prefabricated Zinc Passivated / SS Wall panels with Anti-Bacterial Coating� Conductive Vinyl / Epoxy Coated Flooring� Digital Surgeon’s Control panel for Medical Gases, AC, lighting controls etc� Laminar Airflow system with HEPA filters � Return Air Grills & Ducts to control the airflow� Hermetically Sealed Sliding Doors for full isolation of the room� Stainless Steel Scrub Sink� Hatch Box for passing clean and dirty linen and equipment� Ceiling Mounted Surgeon & Anaesthesia Equipment Pendant� LED Colour rendering Surgical lights within the laminar flow diffuser � Video Preparation facility and monitoring

MODULAR OT

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OPERATION THEATER PLAN

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Composition of New Operating TheatersNEW AUTOMATIC DOORSNEW WALL COVERING SYSTEM

NEW FLOOR COVERING

NEW LIGHTING - SYSTEM

NEW FALSE CEILING

NEW CABLING SYSTEM(CABLE TRAY)

Wall System

Cable Tray

False ceiling

New Lighting

MODULAR OT

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Wall Surfaces

The main requirements for any Operation Theatre wall is that they should be impact resistant, resistant to solvents, chemicals & must be bacteria freeDifferent material could be used as a wall surface of an operating theatre suite. We mainly use Stainless Steel panels with supportive baffles for rigidity. Best finish of epoxy paint is applied and an antibacterial film coating is done which is guaranteed for at least 10 years.

MODULAR OT

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Standards of Wall Paneling - HBN 26

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Standards of Ceiling - HBN 26

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Standards for Laminar system as per ASHRAE

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AntiBacterialFilming- Certificate

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COMPARISON CHART–WALL PANELING

PROPERTIES/WALLPANELTYPE HPL STEEL CORIAN®

ImpactResistance Good Excellent Excellent

Jointless/SeamlessFinishOfWall No Yes Yes

Anti-Bacterial/MicroorganismsGrowth Average Excellent Excellent

ResistanceToSolvents&Chemicals Good Excellent Excellent

CorrosionProtection Excellent Excellent Excellent

Porosity Good Good Excellent

OctagonalShape No Yes No

ThermalInsulation Good Average Good

DelaminatingOfPanels Possible No No

Cost Good Average Expensive

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AIR & LIGHT DISTRIBUTION PLENUM

Air & Light Distribution PlenumOur Laminar flow system plenum ensuresturbulence free unidirectional air flow. This ensures the air from the laminar system directly fall on the patient and washes away the possible contaminants. The plenum has also energy efficient, colour rendering LED lights. The diffusers used are synthetic washable and clear, ensuring easy maintenance and contaminant free service.

HEPA(high-efficiency particulate air) FiltersCertified Heppa filters are placed on the exit point of the air duct which ensures clean air into the plenum.

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Traditional Turbulent Air Distribution System

CONVENTIONAL VENTILATION SYSTEM

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CONVENTIONAL AIR DISTRIBUTION SYSTEM

Diagonal flow systems are the

most turbulent of all available

airflow systems and have a

tendency to entrain the

surrounding contaminated air

and pick up contaminants from

objects within their path

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Unidirectional Air Distribution

UNIDIRECTIONAL AIR FLOW–LAMINAR SYSTEM

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Hepa Filter Planair System

LAMINAR FLOW SYSTEM

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ESD VINYL FLOORINGVinyl is the oldest effective ESD flooring material. Solid vinyl tile (SVT) can give a hospital the required cleanliness and hygeneFacilities managers often favour vinyl floor because vinyl has a reputation for being inexpensive, simple to repair and easy to cleanThe joints between individual tiles are welded by heat fusion process to get a seamless floor

MODULAR OT FLOORING

Electrostatic conductive vinyl covering has high resistance against chemical & mechanical strains.Homogeneous installation at wall connections and has a wide color range to suit the decor and ambiance. It is easy to install, repair, clean and maintain as well

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CATEGORY PRODUCT TYPE ESD VINYL TILE (Conductive) ESD EPOXY (Conductive)Cost Lowest ModerateCost of Maintenance Low - Moderate LowDurability Excellent ExcellentEase Of Repair Easy Most Difficult

Long Term Appearance Excellent - resurfaced by buffing Difficult to hide micro-scratches

Colour through out Thickness Yes NoHandle / With stand Rolling Loads Excellent ExcellentMaintenance Sweep, Damp Mop & Buff Sweep and Damp MopInstallation Average DifficultSlip Resistance 0.5 - 0.6 0.4 - 0.6 (depends on texture)Chemical Resistance Excellent ExcellentAcid, Alkali & Solvent Resistance Good ExcellentSound Absorption 4 dB Not Sound Resistant

Comparison Chart…Different Types of ESD Flooring

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Sliding Hinged

MODULAR OT - DOORS

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SWING DOOR SLIDING DOOR

DOORS – HERMETICALLY SEALED

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Why hermetic sealing for sliding doors . . .?Contamination risks in the room are under controlDisinfecting is quicker & saferControl the positive pressure in the roomThe number of air changes and amount of clean air required is reduced, saving moneyLess clean air is necessary with hermetic doorsControlled theatre atmosphere: constant temperature of 18ºC - 24ºC and a humidity of 40 – 60% can be easily controlledIn case of fire, prevents smoke from spreadingCreating a quite environment in & outside the theatre

DOORS -WHY HERMITECALLY SEALED

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Surgical Pendent

METICULOUS DESIGNSuperior technologyFull-aluminum construction, with high torsion resistance.The maximum permissible loads are determined in accordance with the IEC 60601 standard, 3rd edition.Soft motions, optimal safetyThe standard equipment of the SURGIBEAM pendants includes the electromagnetic E-Brake™ or pneumatic brakes.Large effective fields

Page 29: INERSYS HF EQUIPMENT

LED Surgical Light

The X3 & X2 cupolas are innovative LED surgical lights manufactured by SURGIRIS based on a new optical lighting system FocusmaticTM. Made of aluminium with module of separate petals, convenient for operating rooms with laminar flow systems. The X3 & X2 are available in MT (Multi-color Temperature) and ST (Single color Temperature) versions.Capable of video solution & Communication.

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RangeManual and Automation OperationStainless Steel Grade 304 Also Available in Due Pont Corian.User Defined settings in 1,3,5 & 10 min Available in various sizes 2,3 & 4 Bay DesignConstructed from Corian / Stainless steelUnit have radiuses with anti splash frontsProvide knee action or infrared sensor or both in Stainless Steel version, thermostatic controls with fail-safe temperature controls

SURGICAL SCRUB SINKS

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SURGEON CONTROL PANEL

Control Panel for OTsControl Panel of the operating theatre is a modern medical device necessary in the OT. It enables remote control of various devices and equipment placed in the room, from one or more places, which significantly increase ergonomics and effectiveness of staff at work.

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DIRTY/CLEAN HATCH

Dirty/Clean HatchTotally isolated passage for transferring dirty/clean equipment, linen and surgical tools etc.Has double locking and interlocking facility.

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OT TH

AT IS FA

R M

OR

E EFFICIEN

T A

ND

LESS INFEC

TIOU

SA SAMPLE MODULAR OT ROOM

Page 34: INERSYS HF EQUIPMENT

MEDICAL GAS PIPELINE SYSTEMS (MGPS)

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Medical gases are essential in a Hospital and it should have..

• CONTINUITY – Uninterrupted continuous supply

• ADEQUACY – Adequate flow and pressure

• IDENTITY - Right gas should always be delivered

• QUALITY - Gas must be pure and safe

Why Medical Gas Pipeline System ?

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Medical Gas Pipeline System Comprises◦ Medical Oxygen Supply◦ Nitrous Oxide Supply◦ Medical Air and Surgical Air Supply◦ Medical Vacuum Supply◦ Anesthetic Gas Scavenging System◦ Area Valve Service Units◦ Medical Gas Terminal Outlets◦ Central and Area Alarm Panels

Medical Gas Pipeline System

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Automatic Gas Manifold

• Provides centralised distribution of Medical Gases

• Reduces the number of cylinders in ward areas

• Built in safety features to monitor gas distribution within the hospital.

• Gas specific connectors ensure correct supply

Medical Gas Pipeline System Components

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Medical Air Plant

Provides clean dry Medical quality air

@ 4 bar, @7 bar & @10 bar

Conforms to requirements of HTM 02-01

Duplex/ Triplex/ Quadruplex plants

Include duplex bacterial filters, desiccantdryers and controls.

High quality compressors for long troublefree operation

Medical Gas Pipeline System Components

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Medical Vacuum Plant• Conforms to HTM 02-01 requirements• Duplex/Triplex/Quadruplex plants• Provides Medical Suction to wards

and theatres• Includes medical vacuum filters to avoid risk of

contamination• High quality compressors for long trouble free operation

Medical Gas Pipeline System Components

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Anaesthetic Gas Scavenging System

• For the safe and effective removal of waste anaesthetic gas

• Conforming to HTM 02-01 requirements• Simplex / Duplex systems

Medical Gas Pipeline System Components

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Area Valve Service Unit

◦ To provide local isolation at the entrance to

ward areas and theatre suites.

◦ Provided with locking mechanism for operation by authorised persons only.

◦ Includes ‘Break Glass Panel’ facility for emergency access.

◦ Gas Specific NIST connectors included up and down stream.

Medical Gas Pipeline System Components

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Lockable Line Valve• To provide local isolation at the pipeline

branches and to hospital ward areas / Theatre Suites in the event of any maintenance.

• Provided with locking mechanismfor its operation by authorised persons only.

• Conforming to HTM 02-01

Medical Gas Pipeline System Components

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Terminal Outlets

◦Forms the user interface with the system

◦Conform to the requirements of BS EN 9170-1:2008 and BS EN 7396-1:2007

◦Colour coded body to provide instant gas recognition

Medical Gas Pipeline System Components

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Alarm PanelsCentral / Master Alarm PanelMonitoring the status of primary/secondary/emergency gas / vacuum suppliesLocal Area Alarm Panel –Monitoring line pressure at each area/ AVSU’sConforming to HTM 02-01 requirements.

Medical Gas Pipeline System Components

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Pipes and Fittings• Degreased Cu Tubes manufactured from phosphorous

deoxidized non arsenic Cu to BS EN 1412:1996 grade CW024A

• End feed capillary fittings conforming to BS EN 1254-1:1998

Medical Gas Pipeline System Components

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Pipeline identificationPipeline identification in accordance with BS 1710:1984Color band identification in accordance with HTM 02-01Chapter 13, Pipeline Identification

Medical Gas Pipeline System Components

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Medical Gas Pipeline System - STANDARDS

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◦ HTM.

HTM 02-01

PART A – Design installation, validation and verification

PART B – Operational management

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• BS EN 7396 Part 1 – Medical Gas Pipe Line System for compressed gases and vacuum

• BS EN 7396 Part 2 – Anesthetic Gas Scavenging Disposal Systems

• BS EN 9170-1 – Terminal units for use with compressed medical gas and Vacuum

• BS EN 9170-2 - Terminal units for use with compressed medical gas and Vacuum

• C11 NHS Model Engineering specification – Medical Gases

• Medical Gas Directive 93/42/EEC (CE 086)

Other relevant standards

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HOSPITAL COMMUNICATION & NURSE CALL SYSTEMS

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Patients NursesDoctors

ManagementAdministrationTechnical Service

MODERN HOSPITAL COMMUNICATION SYSTEMS

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Patients’ Requirements

Call for helpCommunication with hospital staffGood connection with friends and relatives Remote control for light, TV, shuttersEntertainment: Radio, TV, Video, Internet, Games, …Infotainment: Hospital or therapy informations, …Services like food and drink ordering, shop orders, magazines, ….

Page 53: INERSYS HF EQUIPMENT

Nurses’ and Doctors’ Requirements

Satisfied and „calm, well entertained“ patients. Full concentration on patient careSaving time and reducing unnecessary footways. Direct communication with patients. Call for help, emergency callsand direct communication to other staff members, nurses, doctors.Organisation help like call prioritizing, call reminders, ward overview of staff allocation and call locations, evacuation…Access to patient dataEasy care administration and documentation.

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Requirements of Management, Administration

Establish modern and efficient medical and care facilities. Maximum income and cost effectiveness. Highly efficient process organisation, workflow and Quality Management. Investments for long term use, future proof. Low investment costs, low maintenance costs. Easy and fast project implementation and renovation.Good managing support with user friendly data access, documentation, reports and statistics. Patient and staff security (emergency, fire, evacuation, ..)

Page 55: INERSYS HF EQUIPMENT

© SCHRACK SECONET AG • SVE • Hospital Conference 2013

Requirements of Technical Service

Support of all required services, functions and featuresCreative solutions provider with high reliability and future proof technologyEasy implementation and installation of systemsMinimum maintenance efforts and costsHigh efficiency of technical equipmentIntegration and interconnectivity of systems and devices, technical compatibility and data exchange capabilityModular systems, future expansion abilitiesIndependency by self-monitoring and -repairing systems, low failure rates, low external support needs

Page 56: INERSYS HF EQUIPMENT

Typicalsysteminstallationsintoday’sHospitals

Andsomeoneshouldbeabletomanagethisall!

Mobile guest login

W-LANHIS server

Billing systemand payment station

Door / IntercomControl unit

Door intercoms

Intercom units

Video sur-veillance

Building management system

Aircon

BlindsLight

Aerialhead station

Patient TV

PABX

Paging/DECT

Staff telephones

Patient telephones

ISDN

Telephone exchange

Nurse callsystem

Patient monitoring

Telemedicine

Internet, Intranet

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System integration into one network - VISOCALL IP

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Bed Head Unit – ALL IN ONE

VISOCALL IP

ALL IN ONE

24VDC BUS PA a/b Coax LAN

NursecallRadio

Phone TV Network

Voice

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From separate wiring to integration into one cable

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Main benefits of system integration

Multiple functions in one system- optimum interoperabilityOne system has much lower investment costs than many systemsSaves a lot of individual installationsUse of existing network structureHigher reliability and lower failure rate

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Main benefits of system integration

Maintenance of only one structurereduces manpower and costs for whole system lifetimeEasy data transfer between servers via IP protocolFuture oriented investment for easy, modular hardware and software extensionSupports all functional requirements for patients, nurses, doctors, administration and technical services

Page 62: INERSYS HF EQUIPMENT

VISOCALL IP System Structure

Sound Interface

VISOCALL IP Server

PABX

InternetServer

Billing Server

Host

AlarmServer

Fire Alarm System

Page 63: INERSYS HF EQUIPMENT

VISOCALL IP System Concept

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Staff Terminal – user friendly operation

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Patient handsets –choices

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The releasing plug IntelliFIX

Page 67: INERSYS HF EQUIPMENT

Medical Device Monitoringwith VISOCALL IP

Infusions

Heart monitoring

Contact plates, fall sensors or other monitoring devices

Page 68: INERSYS HF EQUIPMENT

§ High risk of accidents due to unwanted exits

§ High responsibility

for hospitals

§ Psychological distressfor staff

Protecting demented patients

Solution: Protection by means of wireless tags for patients and integration of door alarm

Page 69: INERSYS HF EQUIPMENT

.

Alarm overview Detail view

Page 70: INERSYS HF EQUIPMENT

.

Job overview Detail viewJob entry

Page 71: INERSYS HF EQUIPMENT

VISOCALL IP Software Modules

Control panelEvent database

VISOTAX IPSeco CareDATA

Audio managerSystem monitor

Patient managementOther functions…

Page 72: INERSYS HF EQUIPMENT

.

SW Module Control Panel

Page 73: INERSYS HF EQUIPMENT

.

SW Module Event Database

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SW Module Seco CareDATA

Simple and fast menu drivendata entry at care placeAutomatic switch to menuafter insertion of staff chipcardAutomatic call cancellationand presence settingAutomatic data transfer to serverafter chip card removalNo additional staff workload

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.

SW Module Seco CareDATA

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.

SW Module Audio ManagerAnnouncements / Evacuation

Support

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From room TV to Multimedia Solutions

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Modern Patient Entertainment

§ IP – TV at each individual bed

§ Video On Demand

§ Internet and Intranet

§ Games

§ Multilingual user interface§ Food or shop orders

§ Wellness and healthcare informations

and explanations to patients regarding their therapy

§ Access to HIS (via Citrix server)

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TV / Multimedia Terminal Design and Mounting

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How to use sources of income

Integrated paymentsystem for services

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Thank you

INNOVATIVE ENERGY SYSTEMS LLC650, Way No 6802, Al Anwar Street, Azaiba NorthP.O. Box 610, P.C. 111, SeebSultanate of OmanTel: 00968 24613492/ 24613493Fax: 00968 24613490E-mail:[email protected]

We deliver what we commit……