Advantech Video Archiving and Streaming (AVAS)

Smart (Hybrid) OR Imaging Solutions

Brenton Chiu & Joe Lai, Product Manager
January 5, 2023

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Surgery Market Overview

Value CAGR

21.6 5.7 %
Billions 2024

3
 Operating Room Equipment

Technological innovations/Minimally invasive surgery (lesser trauma, reduced hospital stays

and cost-effective)/Prevalence of chronic diseases
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 Hybrid Operation Room
An alternative to conventional operating
room equipped with advanced medical
imaging systems and devices which support
high quality interventional imaging and
minimally invasive surgeries.

By product, sections could be considered are

• Intraoperative diagnostic system
• Operating room fixtures
• Communication systems
• Others

Credit: https://www.alliedmarketresearch.com/hybrid-operating-room-market

2026
Value $1,804 Millions
5
CAGR 11.7%
 Key Participants in OR Integration Market
•ALVO Medical •KARL STORZ SE & CO. KG
•ALVO® Integra •WD300 AIDA
•Brainlab AG •Meditek
•Surgery •Digital integration system (Skyvision LINX300 &
•Barco Skyvision SDS)
•Nexxis platform •Merivaara
•Care Syntax •OR INTEGRATION & AV SYSTEMS
•Digital OR integration platform - PRIME365 •Olympus
•Ditec Medical •Medical Procedure Recording - nCare® MX V9.0
•DIGITAL RECORDERS •Sony Corporation
•Doricon Medical Systems • NUCLeUS Smart Digital Imaging Platform
•Digital Operating Room • IP Converters for NUCLeUS
•EIZO GmbH • Recorder HVO series
• OR VIDEO MANAGEMENT •Steris Plc.
•Getinge AB •HexaVue™ Integration System
•Tegris platform •Zimmer Biomet Holdings, Inc.
•ISIS-Surgimedia •Omni™ Suite
•Integrated OR
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 Traditional System V.S. Integrated AVAS Solution

Video integration:
Too many monitors to manage... Messy cables Advantech’s video archiving and streaming solution
No video integration simplifies the streamlines of medical imaging
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application and environment.
 Pain Points in OR
Very complex, impeding efficient routines

Huge stack of cables in traditional OR systems

Difficult to access to all information

Lack efficiency imaging devices to raise hospitals

income
Slow efficiency due to maintenance downtime and
setup
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 What We Can Help
Save Times and Money
Medical equipment integration in an OR

Increase Hospital Revenue

Procedures simplify to raise efficiency

Easy to Connect Systems

VoIP among all devices

Customize to Satisfy Needs

Build system on demand
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 AVAS Product Offerings
AVAS-212 AVAS-402 AVAS-60E
NDcoder Recorder Video Mobile Workstation
An encoder and decoder in
one single product.

Software supported: iVideOR

Providing video streaming, image dispatching, video recording, WHO checklist, video conference, a post-production functions.

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AVAS Solution
AVAS Solution Architecture Overview
AVAS-200 Series
NDcoder
Stream lossless video with zero latency
An encoder and decoder in one single
product.

Video over IP for Streaming

AVAS-400 Series
Recorder
Video recorder and VMS console server
Video recorder Management

AVAS-60 Series
Video Mobile Workstation
A versatile workstation for surgical
demonstration and consultation

11 Video Mobile Workstation

AVAS Solution
HW Architecture
Surgical Camera
Giga LAN Control Console
HDMI Fiber Optic

AVAS-212
Giga LAN
Recording System
HDMI Fiber Optic

PACS Image
10GB Switch Giga LAN Master Node

Endoscope
SDI HDMI Fiber Optic Fiber Optic PAX Display 1
HDMI
Video Converter
AVAS-212
AVAS-212

DVI Fiber Optic

Fiber Optic HDMI PAX Display 2

Vital Sign Fiber Optic

…… X Video Outputs
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AVAS Solution
Data Server
System Parameters
Patient Data

HIS
Video Records
iVideOR Server
PostgreSQL DB Giga LAN

Giga LAN

Giga LAN Giga LAN

Switch

OR 1 13 OR 2
AVAS Solution
AVAS Main Features

Seamless Switching 4K End-to-End Resolution Multi-View

Quickly video switching and Medical images can be delivered Support simultaneous display
consistent visual performance. with high accuracy, clarity, and up to four images on a single
detail to enable more precise monitor
diagnoses.

Open API & SDK Zero Latency Medical-Grade

Ensure easy integration with Imaging data is transmitted at the Certification
existing infrastructure and same frame with zero latency
management systems Certified to relevant medical standards
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AVAS Solution
Integrated AVAS Solution

Zero Latency Seamless Switching Multi-View 4K End-to-End Resolution

Providing an imaging control system and integrating patient Multi-view function allows four 4K streams to be
data from diverse medical devices, the AVAS solution displayed simultaneously on a single monitor.
optimizes surgical workflows 15
AVAS-212
Product Introduction_AVAS-212

AVAS-212-KNN0-D00 AVAS-212-HNN0-D00 AVAS-212-VNN0-D00

- 1 channel 4K UHD NDcoder

- Lossless video transmission
- Video/Audio over IP with Fiber
- Display resolution up to 4Kp60
- Zero latency display
- VESA mount
44mm
- SDK/API/Demo AP
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AVAS-212 Strengths
AVAS-212 Comparison Weaknesses

Brand/Model Sony/NU-IP3R
AVAS-212 Barco Nexxis
Functionality NU-IP3T
IP infrastructure 10Gb SFP+ - 20Gb ready 10Gb SFP+ 10G SFP+/RJ45
Video connectors HDMI DVI/HDMI/SDI/DP/ Analog DVI/HDMI/SDI/DP/ Analog
Lossless / Compression Yes / Uncompressed Yes / Uncompressed Uncompressed/ Compressed
Switching Instantaneous Less instantaneous not known
Latency < 1ms < 20 ms 6 ms
Single/Pip/Pap/Quad/1+3/1+3ri
Multiview PiP/PaP not known
ght
Resolution Up to 4K/60 Up to 4K with 2 fibers 4K with 2 fibers
System Encoder and Decoders Encoder and Decoders Encoder and Decoders
Fanless Yes No not known
HID/KVM MouseThru/TouchThru KVM in single view No
Encryption No (not needed for OR's) Yes Yes
MDR (medical Device
Yes Yes Yes
Regulation)
API available/open Yes Yes not known

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AVAS-212
AVAS-212 Architecture
Transport Receive
Controller
Wireless connection
Vital signs info Surgical Room
AVAS-212 HDMI

WIFI AP AVAS-212
• HDMI
Endoscope
• DVI AVAS-212 HDMI
• Signal convertor LAN cable
10Gb Switch
AVAS-212
Optical Fiber PAX Series Medical Monitors
CT/ MRI scan cable
AVAS-212
Controller Consulting Room
LAN cable
Surgical light
video camera AVAS-212
HDMI

AVAS-212
AVAS-212 Server
PTZ camera (Master node)
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AVAS-212
AVAS-212 Product Specification

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AVAS-402
AVAS-402 Features
Simultaneously 4K and 1080p multi-channel medical video recording supported

HEVC/H.265 codecs to reduce recorded file size

Open SDK/API for easy integration with customers’ systems

Support Windows video recording and management software

DirectX Media Player

DICOM format image upload supported

Certified by medical grade for FCC/CE/MDR 60601/UL/CB/CCC

Support software based RAID 0, 1, 5, 10 and TPM 1.2/2.0 (selectable)

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AVAS-402
AVAS-402 Product Specification and Peripherals
329 mm 320 mm
Higher Flexibility and Scalability
145 mm
USB 2.0 Headphone
Earth Ground RJ45

RS232
USB 3.0

Captured Card (Optional)

Items 3U-height
Part Number Description
PCIe Design
PCIe×4 DVP-7111UHE 1ch 4K HDMI 2.0 HW Video Card
HDV/SDI/CVBS/YPrPr/S-video
PCIe×1 DVP-7611HE
PCIe HW
DP USB 3.0
Graphic Card (Optional) HDMI MIC
GTX-NG1650F16-5B GTX1650 4G PCIEX16 DVI+HDMI AC 100–240V
500W
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AVAS-402
AVAS-402 Architecture
Source Recording Saving Presenting

Surgical Room

Vital signs info Network

AVAS-402 PACS
• HDMI
• DVI Cloud
Endoscope • DP/SDI via signal NAS
convertor
Local host Consulting Room
RJ-45
Network
CT/ MRI scan

DICOM format Open API & SDK

CMS Server
Surgical light supported
Education Room
video camera

Network

4K quality Versatile editing

recording functions
PTZ camera
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AVAS-402
AVAS-402 Product Specification

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AVAS-60E
AVAS-60 Video Mobile Workstation
• Real time video management & procedure recording to support
• Precision surgery and patient safety.
• One integrated solution, less components for the splitters, extender and converter, saves the maintenance and management cost
for long term benefit.

PAX Series HIT Series Camera

Surgical Display Medical Grade Computer For high quality recording
for operation precision for video display management

*Inside the cart

AVAS-212 AVAS-402
NDcoder for video-over-IP Recorder for streaming
An encoder and decoder in one single product. console & management

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AVAS-60E
AVAS-60E Modular Design
Modular Design

Flexible Options Upgrade Quickly Save money for

long-term benefit
1. Upgrade your ideal OR type flexibly.
2. Expand the OR type without complex technical set-up with
modules.
Application
• Reporting
• Recording
• Conference
• Streaming
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iVideOR
AVAS - Video Dispatch by API/SDK
All Video Sources All Display Monitors Display Layouts

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iVideOR
AVAS - Video Dispatch by iVideOR
• Users could create their custom-made patterns
• The system will load the saved patterns and shared patterns by user login
• Switch thru the patterns will display the layouts and the source dispatched
• Various multi-view layout can be selected

Image source

2
1

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iVideOR – QCAP Service System information

An light-weighted WinForm recording software

Simple operation interface for single or multi-channel recording & snapshot.

A complete system setting information to assist user to select recording

parameters including encoder type & format, video & audio source and log
section for debug.
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iVideOR – QCAP Service Preview

To capture specific channel,

just check the checkbox before
pressing the buttons below

Live preview video of channels

The videoPoint function should

work with another software,
iVideOR Editor

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iVideOR introduction
Advantech iVideoOR solution is based on Advantech AVAS HW which provides OR video
solution including 2 main systems.

OR Room 1. Office 2.
22.

• Patient list • Patient list

• Video streaming • Video play/
• Image dispatching preview
• Personal patterns • Bookmark edit
• Pattern share • Add video/ image
• Video recording • Trim video
• Video bookmark
• WHO checklist
• External
applications
iVideOR iVideOR
Management Editor
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 Workflow of iVideOR

Surgery information Image management Operation/Recording Editing/Upload

• Create a surgery • Choose a suitable previously-used • Record and snapshot the surgery • Edit the recorded video
• Could be edit after established layout • Layout and image sources are • Snapshot could be
• Create a custom-made layout changeable during operation uploaded in DICOM
• Dispatch the right image sources

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 iVideOR - Management Surgery information

Surgery i nfo.

Start

Open content

1 Surgery info. Surgery info.

Click “start” will go to”Layout & Dispatch” page and display Surgery info.

2 Layout & Dispatch Layout dispatch

La yout &
Di s patch
Surgery i nfo.
3 Record Record

4 Check list WHO Surgery Check list

5 Video Conference Video Conference

Guild user following the steps to

finish setups
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iVideOR - Management Layout & Dispatch- Dispatch
Ima ge source

1. Click the monitor want to set up and the system will pop the “image source” window
2. Select the source want to dispatch.

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iVideOR- Management Record
Snapshot
Record
Press the “Snapshot” button that the system will snapshot the
Press “record” button to start recording. The monitor will display the record time screen. There will show a light color small screenshot on top for 2
sec.

Mark

Press the “Mark” button that the system will mark a tag on
the timeline. There will show small sign” Marked ” on top for
2 sec.

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iVideOR - Management WHO checklist

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iVideOR - Editor Surgical patient list- Edit

In Editor, nursing staff

could easily create patient
list. Editing functions like
• Exporting
• Adding note
• Book mark add/edit/or
delete
• Color grouping
• Trimming, copying, or
deleting the selected
video.
• More
Click to add a video with same encoder format
(only the same format videos would be shown)
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36
iVideOR - Editor Surgical patient list- Upload files

Copy Share

Here shows all the export files or called finished

files. Users are able to copy the files or share the
files with others.

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 Appendix

Video
• Advantech’s Video Archiving and Streaming (AVAS) Solution
• Erasmus MC Application Story by Advantech, INTER and Technolution
• AVAS Integrates Images for Improved Quality of Surgery-Cheng Hsin General Hospital
Appendix/video
AVAS Solution Introduction

• YouTube
39
Appendix/video
Erasmus MC Application Story by Advantech, INTER and Technolution

• YouTube

40
Appendix/video
Cheng Hsin General Hospital

• YouTube
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Co-Creating the Future
of the IoT World
World