DYONICS PULSE Wireless Image Solution

Introduction

Enhance workflow and efficiency through wireless media management

The DYONICS PULSE Wireless Image Solution offers surgeons and staff an easy-to-use and convenient wireless system that facilitates personal management of surgical media immediately following a procedure. Utilizing the PULSE Solution offers the power to wirelessly connect with surgical data through the convenience of a tablet device that can help to:

• Enhance patient and peer communication with the ability to annotate surgical images and video through graphic, text and voice notations
• Enhance data management and portability with wireless archiving and sharing of files through a tablet device
• Enhance efficiency and optimize workflow through wireless printing to a centralized location

Connecting with Surgical Media Has Never Been Easier

Through the use of the DYONICS PULSE Tablet Application, and a network kit, surgical media is immediately and automatically available from the 660HD Image Management System following a procedure. This improved access to surgical content means that you can work with your media whenever and wherever it is most convenient for you, and without first transferring it to a peripheral storage device.

Easily edit and customize video and still images.

A user-friendly interface and a variety of editing features allow you to tailor surgical media with text, graphic or voice annotations. Assorted annotating features are available through the text editor and graphic annotation options allow you to add graphics or text directly to images. Voice annotations provide an easy way to incorporate audio notes into videos and graphics.

Annotation Options

Conveniently share content with patients and peers.

Selected media can be shared directly from the iPad® for use in post-operative consultations. Entire cases, or individual or multiple media objects can easily be sent by email for educational purposes or to close the loop with referring physicians. And, media can be conveniently exported for use with PowerPoint® or other presentation software.

Immediate access to help and support.

As an added convenience, the PULSE Application features multiple options for answering questions or finding help right within the app itself. Additionally, detailed instructions are available in the Instructions For Use (IFU) document.

System Overview

DYONICS PULSE Wireless Image Solution Components

The DYONICS PULSE Wireless Image Solution is comprised of the DYONICS PULSE Network Kit, the DYONICS PULSE Application (downloadable from the Apple App Store), and the 660HD Image Management System. These components work together to provide the DYONICS PULSE Wireless Image Solution.

The solution enables users to:

• Annotate ✏️
• Educate ?
• Share ?
• Communicate ?
• Save ?
• Print ?️

Make the Connection

Activation Process

The PULSE Tablet Application is available at no cost through the Apple App Store and is ready to be utilized as soon as a DYONICS PULSE Network Kit has been installed. The application will walk you through the necessary steps to get started so that you can easily begin connecting with your surgical media.

1. ? DYONICS PULSE Application is downloaded from the Apple App Store.
2. ? Smith & Nephew is contacted by phone or email and provided with account information and iPad® code automatically generated by the PULSE application.
3. ?? Smith & Nephew will then verify that a DYONICS PULSE Starter Kit has been purchased.
4. ? Smith & Nephew will provide an activation code to unlock the PULSE Application ONLY from the iPad it was downloaded onto.
5. ✨ Activation code is entered to begin using the DYONICS PULSE Tablet Application.

Application Features

Creating a User Account

• User creation is established during the initial log in process.
• User creation requires a full name, user name, email address, password, and one security question.
• The PULSE application can hold up to 20 unique users per tablet.

Home Screen

• The PULSE application automatically scans for and identifies all 660HD Image Management Systems connected to the wireless network.
• Scan progress is represented by an orange progress bar.
• Each located 660HD is represented by a separate icon.
• Previously stored data is accessible through the "My Tablet Storage" icon.
• ℹ️ Note: 660HD systems can be renamed via the "Settings" menu on the 660HD. Detailed instructions are in the PULSE Application FAQ or PULSE Wireless Network Guide.
• ℹ️ Note: Passwords can be set for a 660HD or specific folders. Contact your Smith & Nephew sales representative or IT department for instructions on setting access rights.

660HD Image Management System

• Includes two folders:
  • Patriot (DYONICS PULSE USB Stick): Archives all media captured by the 660HD while the USB Stick is plugged in.
  • Procedures: Accesses a shared folder on the 660HD where all procedural media is located and archived.
• ℹ️ Note: In a multi-surgeon environment, the 660HD can be configured to auto-archive when a case is complete.

My Tablet Storage

• Includes two folders:
  • Downloaded content: Local storage for all content and media saved directly to the iPad®.
  • Example Patient File: Features sample images and video.

Patient Cases

• Accessed by clicking "My Tablet Storage" or the 660HD icons.
• Each patient case is shown by a thumbnail icon.
• ℹ️ Note: Patient case information is pulled directly from the 660HD. It is advisable to enter patient identification thoroughly and accurately into the 660HD for proper identification in the PULSE application. At minimum, the patient name and MRN should be entered.

Patient List

• Patient Lists are accessed through the local tablet storage or the 660HD icon(s).
• Each Patient File is represented by its own thumbnail within the Patient List.
• The MRN is always present. If patient name and other information were loaded into the 660HD, it will appear here.
• To view a Patient File, click the corresponding thumbnail within the Patient List.

Patient Files

• Patient files are accessed through the Patient List.
• Patient files house all media objects (images, video, HTML, and text files) associated with that patient's procedure.
• To view an image, video, text, or HTML file, click the corresponding media object.
• ℹ️ Note: Patient identification information should be entered correctly into the 660HD for easy identification when sorted through the tablet application. At minimum, the patient name and MRN should be entered.

Viewing Screen

• Once specific patient media objects are selected, the Viewing Screen is entered.
• Annotation icons are present and can be selected to annotate with text, graphics, or audio.
• Zoom in on images or scroll to other images by swiping, similar to the iPad® camera roll.

Text Annotation

• Accessed through the ? icon.
• A text box and keyboard appear, allowing comments to be inserted relative to the selected media.
• Text annotations can be made to images, videos, text, and HTML files.

Graphic Annotation

• Accessed by selecting the ✏️ icon.
• A toolbar appears with various graphic annotation types, such as shapes, arrows, and freehand drawing.
• Graphic annotations can only be made to images.

Audio Annotation

• Inserted through the ? icon.
• A pop-up box appears and begins recording. Recording can be stopped, and the recording can be played back, re-recorded, deleted, or saved.
• Audio annotations can be inserted into images, videos, text, and HTML files. They are saved as separate files with the video, not embedded.

Confirming Annotations

• When annotations are made, respective icons appear at the bottom right of the Viewing Screen as confirmation.
• Clicking confirmation icons allows viewing of made annotations.
• Long-pressing a confirmation icon allows deletion or sharing of annotations.
• Annotations are tracked or confirmed in the Patient File Screen and shown by icons in the upper left of an image.

Image Capture from a Video

• While playing a video, pause and capture to create a new image by pressing the Capture Button.
• Advance or rewind video by one second using forward and reverse icons to select the best image.
• After pressing the capture button, a pop-up box allows naming the new image.
• Saved images are stored in the patient file, within the image row.

Sharing, Saving, Printing and Managing Media

• Sharing, saving, and printing media is easy via the media icon, which opens a dropdown menu with options: email, send to camera roll (local storage), and print.
• Multiple media objects can be selected by checking the circle in the lower right corner of a media file. This allows selection, sharing, or deletion of specific objects or entire patient files at once.
• Apple limits sending to 25MB at a time. File sizes vary between media objects and patient files.

Settings & Help

• User-controlled parameters are customizable through the Settings Menu, including how patient data is labeled, sorted, and the frequency of automatic scans.
• The Settings Menu includes a FAQ tab for information on main functionalities and common questions.
• Selecting the Help icon and then "All" provides a list of mini tutorials separated by topic.
• Each topic provides a short explanation and a respective screenshot.

Ordering Information

DYONICS PULSE Wireless Image Solution

660HD Image Management System*

*Please contact Customer Service for product availability.

Smith & Nephew, Inc.
150 Minuteman Road
Andover, MA 01810
USA

www.smith-nephew.com
T +1 978 749 1000
US Customer Service: +1 800 343 5717
International Customer Service: +1 978 749 1140

PowerPoint is a registered trademark of Microsoft Corporation in the United States and/or other countries. iPad® is a registered trademark of Apple Inc. TMTrademark of Smith & Nephew. Certain marks registered US Patent and Trademark Office. All Trademarks acknowledged. ©2014 Smith & Nephew. All rights reserved. Printed in USA. 01485 V1 09/14