Understanding Variables Choosing Configurations Agency Regulations Training Staff Changing Workflow Our engineers use their knowledge of Operating Room equipment, procedures and workflow to help meet even the most restrictive surgical suite imaging requirements. Richardson Healthcare's team can help you solve your surgical imaging challenges using our proven 5-Step Implementation Process: 1. Understand Installation Variables 2. Choose Display & Mounting Configurations 3. Meet Agency Regulations 4. Train Surgeons & Staff 5. Change Workflow Processes Each surgical suite has its own unique challenges. Richardson Healthcare's team can help you through the process of “thinking out loud” to develop an implementation plan to meet your specific objectives. Most institutions utilize a mix of multiple display configurations. Richardson Healthcare's installation engineers can help you match the best solution to your needs, based on a Workload Analysis. Deciding which displays will be used in the surgical suite and which ones will be needed within or outside the open field is critical to your OR PACS implementation. Some displays may need to be equipped as Class I Medical devices*. Training surgeons and staff members to use the new PACS software is the key to a successful implementation. A combination of formal and informal learning opportunities works best. A properly planned OR PACS implementation, with the help of Richardson Healthcare's team, will provide your institution with solutions designed for optimal efficiency and customized to meet your exact requirements. Before choosing a configuration for your system, consider the advantages and requirements of each type: • How to get users comfortable with PACS software • How images will be manipulated • How to handle outside images • Process Improvements • Productivity Increases • Capability Enhancements • Surgeon never has to leave the patient to look at films. • No need to courier film and patient charts to and from the OR • Additional real-time tools: Window & Leveling, Magnification and even 3D Reconstruction • Real-time consulting with other physicians, viewing the same image Left vs. Right side of the table Physical location of the surgeon Distance away from the display Requirements for Neuro, Vascular and Orthopedic Suites Action Steps • Set up meetings with surgeons, their support staff, and facilities management • Facilitate open discussions on desired configuration requirements • Discuss the PACS software capabilities and how it will meet their needs • Mobile: Smaller budget, Flexible use, Shared resource • Wall Mount: Customize to room, Conserve procedure room space • Boom: Ideal for smaller spaces, Keeps floor space clear Display Options • • • • • • Format: 1UP, 2UP, 3UP or 4/4 Color vs. Monochrome Large vs. Small Screen Mobile vs. Fixed System Crash Contingency Plan Clone Mode “At first, the [PACS] workstations were a novelty…but once [the surgeons] used them during a case, they were extremely impressed with image quality and the flexibility the workstations provided. This project has been an instant success!” Project Manager, Information Systems SMDC Health Systems Duluth, MN Considerations • Regulation Requirements • Compliance Options • Display Choices Decision Points • Does the display need to be a Class I Medical device*? • Does it need to be equipped to stop the ingress of fluids? • Will it be within the 6 foot sterile field of the Patient? • Do other devices need to follow IEC60601-1 or isolated via a Medically Certified isolation transformer? IEC 606001-1 Regulation 2.12.20DV D2 Addition Patient Vicinity: In areas in which patients are normally cared for, the patient vicinity is the space with surfaces likely to be contacted by the patient or an attendant who can touch the patient. This encloses a space with the room 1.83m (6 feet) beyond the perimeter of the bed (examination table, dental chair, treatment booth, etc.) in its intended location, and extending vertically 2.29m (7 ½ feet) above the floor. *Monitors can not leak more than 100 micro amps. • Stage a Pilot Run • Roll out software several weeks prior to “go live” • Place workstations in accessible areas, so users can get familiar with software tools • Deploy system trainers in the OR during “go live” “Richardson Healthcare’ s display solution expertise has benefited us in multiple areas: from our Radiologist’s PACS diagnostic workstations, to clinical display monitors, to the large-screen LCDs in every one of

Design & Integration The Richardson Healthcare Advantage • Largest product selection in the industry • Over 10 years display systems experience • Solutions for all imaging applications • International sales and support team • 24x7 phone and Internet support • Best-of-Class warranty and protection/replacement plan • Partnerships with the leading manufacturers: Protective, Touch and Privacy Screens Custom Bezels & Enclosures High-Bright Ruggedized Chassis Protective Panels Large screen LCDs are equipped with protective shields, installed with a rubber gasket beneath the bezel to facilitate proper...