Digital Hand Held Fundus Camera

REVOLUTIONARY NON-MYDRIATIC HAND-HELD FUNDUS CAMERA

digital fundus camera modular imaging solution







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Introducing Eye Care Solution from BOSCH

Technology is a key enabler in the Bosch world towards making innovative products and services designed to fascinate and to improve the quality of life. Bosch has successfully leveraged its technology platforms already used in automotive and industrial engineering to create innovative products and solutions in the medical space. Bosch has often used its global capabilities to solve local problems.

The need for affordable health care is a pressing concern in countries like India. Challenged by a huge population, health care in India is marked by insufficient resources. This condition is even more critical in rural India. As per the National Rural Health Mission (NRHM), 30 percent of the rural population has to travel over 30 kms to get needed treatment, snaking health care less accessible.

In an endeavour to address the disproportionate burden of blindness in India, Bosch has developed a complete end-to-end eye care solution for the vast population which has a dire need of affordable and easily accessible universal health care systems. This is based on our three-pronged strong vision in the medical space: 'Better Health', 'Better Care' and 'Lower Costs'. As a company that has always taken into consideration wider social concerns, at Bosch we believe that our new venture in this domain reaffirms our commitment to create products that are truly 'Invented for Life.'


Why India Needs Cost-Effective Eye Care Solution

According to global health statistics, nearly one of every three blind people in the world is an Indian and an equally high proportion of visually impaired global population is in India. 17 million people are entering the 40 plus age demographic each year. As this demographic change happens, lifestyle diseases such as obesity, hypertension and diabetes are on the rise. The complication of these diseases, which can eventually lead to visual impairment and blindness, are rarely detected in time. Most patients only reach out for medical treatment well past the stages of treatable blindness.

Lack of definite nationwide screening programs and infrastructure and inaccessible tertiary eye care services have worsened the situation. Most of the eye screening centers/vision centers which cater to the majority of the population use ophthalmoscope (with dilation) to detect eye ailments leading to detection rates as low as 5 percent in the case of Diabetic Retinopathy (DR) and Glaucoma.

With an aim to make quality eye care available to all, Bosch has developed a comprehensive solution consisting of a digital eye care device in conjunction with software. This solution is simple, easy-to-use and suitable for local Indian operating conditions with the potential to make eye examination affordable and prevent visual impairment in large parts of the population.


Blindness Prevalence in India

Prevalence of blindness per 1000 population
  High (>13)       Medium (10-13)       Low (<10)

A Revolutionary Ophthalmological Point-of-Care Solution

For the first time in the ophthalmology space, Bosch brings together an end-to-end, feature packed, easy-to-use and affordable solution that seamlessly integrates multiple elements of eye care practice thus empowering an ophthalmologist to offer better point-of-care.

The solution comprises of the two parts - a physical hand-held device and the supporting software. The device is feature rich - a first of its kind, offering both Non-Mydriatic and Mydriatic modes for faster and accurate detection. The software enables importing of captured images to a computer, generates advanced diagnostics and even offers options by which the medical data can be integrated into hospital databases and systems. Together, the capabilities are far-reaching and more impactful.

The unique design of the solution allows for minimum dependencies on existing health care infrastructure. Bosch is ready to support wide scale deployments in synergy with eye care and health care providers to enable integration of this



Retinal Imaging - Mydriatic & Non-Mydriatic

The attachable retinal module enables non-mydriatic eye fundus examination with a 40° wide field of view. With the digital and video captures, the eye fundus can be visualized for retinal anatomical & pathological changes. The device can be both taken to the field for last-mile care delivery and mounted on a slit lamp holder with a special adapter to give additional stability to imaging in a clinical set-up.

• Separate Non-Mydriatic and Mydriatic modes with 40 deg FOV
• Portable & Ergonomic design
• 5 MP CMOS sensor
• 3.5 mm minimum pupil size
• Modular design - one device, multiple applications
• Auto-focus for fast capture (AF assist from -11 to + 3 diopters)
• Manual focus (-20 to + 20 diopters)
• IR / Red free imaging

digital fundus camera
Retinal Imaging - Mydriatic & Non-Mydriatic

Retinal inflammatory and degenerative conditions; Retinal injury, detachment and hemorrhage; Retinal vascular diseases like DR; Vitreoretinal diseases; Neuroretinal diseases.

Anterior Imaging

High resolution digital image data of the anterior segment can be obtained by using the attachable anterior module along with the imaging module.
The cobalt blue LEDs allow fluorescent imaging to detect a dry eye or any cuts or punctures on the surface of the eye, cornea, pupil or sclera.
6 x digital zoom provides a magnified image for viewing the details of the area of interest. Lightweight and portable design allows the device
to be used in field conditions outside the clinic and also for examining bed-ridden patients.

• White and cobalt blue LEDs
• Auto-focus and optional manual focus
• 6 x Digital zoom
• Image resolution 2560 x 1920 Pixels

digital fundus camera

Indicative list of conditions seen using anterior module:

Conjunctival infections and inflammations; Corneal abrasions, chemosis and opacities; Inflammatory conditions of Iris; Haziness of medica and opacity of lens including

MediBilde Solution - Smart Solution for Doctors

At Bosch we believe in creating smart solutions and with our latest offering, we have woven an end-to-end solution around the eye care imaging digital fundus camera that further empowers doctors. The MediBilder software offers the ability to import images taken by the camera to a desktop or laptop. The medical practitioner can perform multiple image analysis, use colour filters, make annotations / markings and maintain digital medical records of the patients.

Further, in combination with lmPACS (Picture Archival and Communication System), the images could simply remain on the hard disk of the doctor's laptop or be transferred to the hospital management system. lmPACS enables the doctor to create a reliable patient referral system. The ImPACS also is a solution for medical images-anytime, anywhere and can be accessed using smart gadgets like mobile phones or iPads.


MediBilder - DICOM compliant Client Software for PACS

• Image importing and viewing frorn any camera and of any modality.
• Image operations such as marking, annotation and layering.
• Layer-wise segregation of markings across images and across specialists.
• Ability to view multiple cases and markings simultaneously.
• Ability to focus on small regions of the images and marking.
• Ability to view and manipulate red, red-free, inverted (contrast) images for analysis and rnarking.
• HL7 & DICOM compliant patient management.
• Patient referral. Available for both Windows and Mac OS.

ImPACS - Medi Image, Anywhere, Any time

• Cloud based DICOM compliant Picture Archival and Communication System to provide your medical images anywhere, any time.
• Online image viewing, marking and patient referral.
• Connectable to MediBilder for seamless workflow.


Automated Detection Algorithm

The algorithm is envisioned to address the growing deficit of trained medical specialists to treat a larger patient base. The self learning algorithm can detect disease conditions based on specific inputs by doctors and mark concern areas that can then be diagnosed by a specialist doctor. The advanced image processing algorithm uses cutting edge protocols.


The end-to-end solution from Bosch is designed with considerations of addressing specific Indian needs while remaining broad-based to create a larger impact.

Bosch solutions are always flexible

The portable device designed for eye care could be used for a wider spectrum of health care needs and not just by an ophthalmologist. It could be used by diabetologists, general physicians and trained technicians enabling early intervention of many retinal diseases.


Better disease management

The device is equipped with a rechargeable battery that can be charged from any normal power plug. It can be used in a clinical environment, in health camps or taken to a patient's doorstep for community screening. Imaging quality does not falter even when pictures are taken in low-lit environments. The device can also be mounted on a slit lamp holder with a special adapter for a clinical environment.


Modular and versatile

The device has a highly modular design with interchangeable accessories for fundus examination, anterior segment examination and even Fundus Fluorescein Angiography (FFA) imaging. The device can provide high-resolution still images and videos that can be stored on your computer or cloud.


Cost-effective and efficient

Efficient technology and engineering makes the device a portable, hand-held, easy-to-use device for routine examinations. It is an affordable, large-scale solution for vision screening and early detection of impairments.


Comprehensive Vision Screening

• Applicable in multiple medical specialties
• Suitable for hospitals, clinics, vision centers
   • Outpatient screening
   • Inpatient diagnosis
   • Paediatric ophthalmology
• Easy integration with existing workflows

 
   
Grassroot impact  

• Point-of-care solution
• Userful in both community and eye camp ophthalmology
• Geographical and social reach





High blood sugar from diabetes is associated with damage to the tiny blood vessels in the retina, leading to diabetic retinopathy. Diabetic eye disease have the potential to cause severe vision loss and blindness without any early symptoms. However, early detection and treatment can reduce the risk of blindness by 95 percent.


Major Diabetes Complications


Diabetic Eye Diseases

Diabetic Retinopathy (DR) affects blood vessels in the light-sensitive tissue called the retina that lines the back of the eye. It is the most common cause of vision loss among people with diabetes and the leading cause of vision impairment and blindness among working-age adults.

Diabetic Macular Edema (DME) is a consequence of diabetic retinopathy leading to a swelling in an area of the retina called the macula.

Glaucoma affects the bundle of nerve fibers that connects the eye to the brain. Some types of glaucoma areassociated with elevated pressure inside the eye. In adults, diabetes nearly doubles the risk of glaucoma.


Diabetic Retinopathy

Diabetic Retinopathy Diabetic Retinopathy Diabetic Retinopathy

Blindness / Visionloss

The retina detects light and converts it to signals sent through the optic nerve to the brain. Diabetic retinopathy can cause blood vessels in the retina to leak fluid or hemorrhage (bleed), distorting vision. In its most advanced stage, new abnormal blood vessels proliferate (increase in number) on the surface of the retina, which can lead to scarring and cell loss in the retina.
The visual loss could start with black spots in the field of view, These spots are often followed within a few days or weeks by a much greater leakage of blood, which blurs the vision. In extreme cases, a person may only be able to tell light from dark in the affected eye.


Detection & Prevention

If you are a diabetic patient it is likely that you may already have one of the eye diseases. The only way to detect is through Retinal examination. Ask your diagnostic lab / diabetologist / ophthalmologist for periodic retinal examination for timely detection.
proliferate (increase in number) on the surface of the retina, which can lead to scarring and cell loss in the retina. The visual loss could start with black spots in the field of view, These spots are often followed within a few days or weeks by a much greater leakage of blood, which blurs the vision. In extreme cases, a person may only be able to tell light from dark in the affected eye. Management in the early stage of the disease prevents dimness of vision / vision loss due to Diabetes. Also the health of your eyes could also indicate the health of your kidney and other body parts from diabetes complications. As for any disease, Cost of prevention through detection will be less costly than the cost of cure.


Bosch Eye Cam Specifications and technical data

Bosch Eye Cam is a portable medical camera that enables both non-mydriatic fundus imaging and anterior segment imaging with one device. Bosch Eye Cam with Posterior optics module is an easy to use tool for screening the eye fundus to detect early signs of the most common retinal abnormalities, such as diabetic retinopathy, glaucoma and AMD.

The attachable anterior optics module provides high resolution digital image data of anterior seg-ment of the eye

bosch eye cam

 Feature

 Description

 Indications of use  To capture digital images and videos of the fundus/human eye
 Usage  Prescription use
 Use condition  Designed to enable non-mydriatic imaging but can also work in mydriatic cases
 Observation light source  Visible and Infrared LEDs
 Observation and display system  2.4” active color TFT LCD
 Photographing light source  Visible and IR LEDs
 Camera specification  Color CMOS camera; maximum specifica-tion: 5 megapixels (effective usage 2.76 MP)
 Aperture  Fixed Aperture of F:2.8
 Certifications  CE and FDA Approved
 Field of view  40 degrees
 Storage media  8 GB Flash memory card
 Image data format  JPEG, MPEG-1, MPEG-4
 Weight  400 g (camera); 180g (posterior imaging module)
 Power consumption  Rechargeable Ni-MH battery 4.8V; charg-ing unit: 44 VA
 Output terminals and data collection  USB 2.0 terminal USB A type to mini B type connector; compatible with Windows
 Exposure parameters  Class II LED according to IEC 60825-1:2001. Group 1 instrument according to ISO 15004-2:2007
 Standards  IEC-60601-1:1998+A1+A2; IEC 60601-1-2:2001+A1; IEC 60601-1-4:2000; (EN)IEC 60825-1:2001+A1:2002+A2:2001; ISO 15004-2



Bosch Medibilder Lite Specifications and technical data

Bosch Medibilder Lite is designed for frequent use, and offers robust performance, intuitive op-eration, and intelligent reading tools. It is a state-of-the-art productivity driver for Fundus Image viewing and beyond. And makes reading and reporting pay off today and tomorrow.

• Easy saving of patient report with images with Smart PACS (Picture archiving and communi-cation system).
• Fast post processing functions to support diagnosis.
• Ease of image viewing, sharing and archiving
• DICOM Compliant
• Telemedicine features enable medical care to any patient located in a remote location

With the mobile extension of our PACS (Picture archiving and communication system), referrers can securely access images and reports for viewing in a standard web browser or on a mobile device. Since this solution can be accessed from a standard web browser, Apple IOS or An-droid mobile device, sharing information with fellow physicians inside and outside the hospital is fast and easy way.

 Categories

 ImPACS Server

 Technology / platform  Apache Tomcat web server, Apache ActiveMQ messaging server, Xeams mail server, JRE 1.7
 Database/storage  MariaDB/MySQL DB, Amazon S3 object store
 Compliance standards  ISO 13485 in progress, Images/ROI data are in DICOM standard
 Certifications  CE marking in progress, hosted on HIPAA certified cloud in-frastructure
 Minimum OS standards  Windows 2012 R2 64-bit server
 Browser dependencies  Microsoft Internet Explorer 9+, Safari 5+, Google Chrome 26+, Mozilla Firefox 24+, Opera 16+
 Minimum bandwidth re-quired (recommended)  Minimum 200 Mbps recommended 600 Mbps

 

 Categories

 MediBilder Web Client

 Technology / platform  HTML 5 / CSS / JQuery, Bootstrap, AngularJS, Ama-zon Web Service
 Database/storage  RAFH uses Derby file DB, MariaDB, Amazon S3
 Compliance standards  ISO 13485 in progress, Images/ROI data are in DI-COM standard
 Certifications  CE marking in progress
 Integration capabilities  USB / Wi-Fi integration with EyeCam
 Minimum OS standards  32/64 bit Windows Vista or above / Mac OSX 32/bit
 Browser dependencies  Google Chrome 26+, Mozilla Firefox 24+
 Browser dependencies  Limited support in Microsoft Internet Explorer 9+, Sa-fari 5+, Opera 16+
 Minimum bandwidth required (recommended)  minimum 4 Mbps recommended 10 Mbps

 Categories

 MediBilder Mobile

 Technology / platform  Android, Java, ADK
 Database/storage  SQLite
 Compliance standards  ISO 13485 in progress, Images/ROI data are in DI-COM standard
 Certifications  CE marking in progress
 Integration capabilities  Wi-Fi integration with EyeCam
 Minimum OS standards  Android Kit-kat or above
 Browser dependencies  Microsoft Internet Explorer 9+, Safari 5+, Google Chrome 26+, Mozilla Firefox 24+, Opera 16+
 Minimum bandwidth required (recommended)  Minimum 4 Mbps recommended 10 Mbps

 


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