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Making Medicine Mobile

About TMA Medical • Founded 1993 – until 2000; R&D for several clients in the medical field. • 2001 until 2003 R&D plus distribution of diagnostic devices in the European market. • 2004 Own R&D and S&M development Mobile Care Unit (MCU). • 2004 Medica Düsseldorf Exhibition in Germany - Launching MCU to the market 3

Visual acuity Blood Monitor Lipids, Glucose, Health Scale Rapid Tests White Blood Cell count Medical assistance anywhere anytim

NIBP Pulse Medical assistance anywhere anytim

Pulso-Oximetna Presion sangmnea Analisis orina iBienvenido a la Unidad Movil de TMA Medical Medical assistance anywhere anyti

Medical assistance anywhere anyti

Paciente SELECCION Jfesl Jfest Apellido Nombie Huevo | Dalos | Anamnesis | Bienvenido a la Unidad Movil de TMA Medical Histoiia Teclado Pulso-Oximetria Presion sangmnea Analisis de sangre Espirometria Teclado Giabai Bienvenido a la Unidad Movil de TMA Medical Medical assistance anywhere anyti

Mobile Care Unit – Main features • • • • • Wide range of medical examinations User friendly operation touch screen panel Portable, ideal for remote areas, emergency Remote diagnostic/ Video consultation Secured operation system/ Remote access support 9

Mobile Care Unit - Packaging ◄Soft bag textile Rugged size on demand ▼Rugged polycarbonate 10

Medical assistance anywhere anytim

Mobile Care Unit – SDD • SDD – Solid State Drive – Memory chip/ Flash memory – No movement – Data access time 50 times faster then HDD • HDD – Hard Disk Drive – magnetic coating – Rotating at high speed – Fragile to shocks 12

Mobile Care Unit – 12 Lead ECG 13

Data Anan Keyboard Backup Restore Remote Iconic to the 'Mobile Care U -Global parameters Intervals (msec) Axis (degree) Medical assistance anywhere anyti

Patient: Drobrk Heinz (Patient ID: 2012042501) Medical assistance anywhere anyti

Mobile Care Unit – Ultrasound • • • • PC based / USB probes Black and White image Remote US possible Various probes available Application Focal Zone Pulse Frequencies End-Fire Angle Abdominal 4 cm to 20 cm 3.5 and 5 MHz 90 Vascular 0.5 cm to 4 cm 24, 15, 12 and 7.5 MHz 60 Small Parts 0.5 cm to 4 cm 24, 15, 12 and 7.5 MHz 90 Trans-Vaginal 0.5 cm to 4 cm 24, 15, 12 and 7.5 MHz 90 Trans-Rectal 0.5 cm to 4 cm 24, 15, 12 and 7.5 MHz 90 16

Patient name: Medical assistance anywhere anyti

Mobile Care Unit - Ultrasound ◄ Carotid-thyroid (SP) Liver - kidney ▼ Ovary 18

Mobile Care Unit - Video scope 19

Mobile Care Unit - Defibrillator • Compact • Located in MCU unit • For external use 20

Defibrillation waveform: Pulsed biphasic - MULITPULSE BIOWAVE®_ Energy*: Configurable from 1 to 120 J (adults), from 1 to 70 J (children) Automatic recognition when children pads are connected._ Manual mode (option): Override of the AED mode to define energy level and shock delivery. Charging is commenced with the blue ANALYSIS button and the shock delivered with the orange SHOCK button._ Power supply: Li-Mn02 cell_ Screen: Screen: LCD 60 x 40 mm, high resolution with LED background lighting, text display, ECG display (configurable)._ Defibrillation electrodes: Adults: 64 cm2 surface area per...

Mobile Care Unit - Compliance • All medical devices are CE Medical approved according to MDD 42/93/EEC (and additional FDA for some devices) • Original of medical devices: Europe/ USA/ Japan • ISO 134585 certified 22

Second Opinion Medical assistance anywhere anytime

Mobile Care Unit - Transmission • Mode of transmission: – LAN, WLAN, Wi-Fi, PSTN Satellite – Via VPN encrypted RAS (static IP mandatory) • No necessity to be permanently online • Transmission performed when the network is identified 24

Mobile Care Unit - Synchronization • Homogeneous electronic medical record • Data saved offline or online • Various possibilities of data synchronization with the Data center: – Automatic: according to setting period (1 to x minutes) – Forced: manual input to perform immediate synchronization – Urgent: synchronization of a specific selected medical result 25

Mobile Care Unit – Receiver • Receiving station: dedicated Touch Screen PC configured with MCU Viewing License • Server: i.e. central database • Consulting Physician 26

Mobile Care Unit – Receiving Station • Viewing all synchronized examinations • Remote access to a particular MCU on field • Remote control and operation of MCU on field • Online examination (i.e. ECG, Ultrasound….) 27

Mobile Care Unit – Mobile Health Unit 28

About Mobile Care Unit from TMA Medical Copyright 2004 TMA Vertriebs GmbH, Vbllegg 13 AUSTRIA, www.tnna-nnedical.conn Email: [email protected] Licencia ilimitada Por favor lea el contrato de servicio Mobile Care Unit Bateria cargada Medical assistance anywhere anyti

MCU – Field of application • Remote areas/ Rural Medical Centers • Army: Emergency / Check-up of candidates) • Tele Healthcare / Cardiology patient monitoring Mobile Doctors, Mobile Nurses screening and/or diagnostic • • • Elderly Houses preventive and routine screening Developing Country Humanity use Preventive medicine screening of population and/or diagnostic 30

MCU – Field of application • Occupational medicine screening of workers • Offshore / Oil & Gas platforms experts diagnosis • Correction Houses security gaps • GP’s Network with Hospital specialists second opinion diagnostic • Hospitals - home care follow-up after hospitalization • Immigration health services 31

Mobile Care Unit – Worldwide 32

ngs! reeti G TMA Medical Völlegg 13, 8654 Fischbach, AUSTRIA TEL: +43-3865-8633, Fax: +43-3865-27130 Email: [email protected] 33