Physiological Diagnostic &

EMR Platform

Physiological Diagnostic &

EMR Platform

Main Features

Integrated EMR

Galaxy supports various amplifiers, ranging from small wireless ambulant systems to high density EEG systems

Recording with relevant information (trends, dynamic summary) at your finger tips

Manual and automatic analysis during recording

Reviewing with many display options for easier interpretation

Custom reports with advanced options for more in-depth analysis and interpretation of results

Galaxy EMR

Patient Management Intake, Scheduling, Diagnosis, Images, Notes and other

clinical and admin documents Study data, Outcomes

Access from any workstation in the network Remote authorized access Security role-based access control Quality Control Advanced export tools Archive management tools Facility Tracking

Providing workflow management that includes:

Advantages

Simplify workflow and reduce time by eliminating redundant data entry.

Strengthen quality control by tracking numerous patient and sleep center parameters.

Improve facility performance and efficiency.

Patient information - all information, data, documents, diagnoses in 1 central place -

Physicians, Insurance information

Appointments, available rooms, technicians

Final Diagnosis

Additional notes, photos and documents

NOTES Images & exam documents

Scheduling Calendar

Access to data from every work station

SQL Database Entry Windows Patient

Information

Physicians

Insurance

Appointment

Diagnosis

Notes

Images/ Documents

Scheduling

Data Management

Cloud and Multi-center EMR

Multiple labs in one database

Database can be hosted remotely or locally

Sleep application Galaxy works side by side with EMR applications on tablets or internet

Load balancing by storing large data (images and PSG) separate from interpretation data

Recording, Analysis and Review

Multiple views.

More information with past/future views.

Dynamic summary.

- VIDEO -

All information at a glance with multiple views

Dynamic Summary Window

Displays a wide variety of sleep parameters, graphs, plots and animations.

Gives instantaneous information on patient status

Information is user selected in both collection and analysis modes.

Dynamic Summary

Advantages

Ability to see beyond just waveforms to view another dimension of sleep data at any moment in time.

The changing snapshot of items provides a better understanding how to score and interpret a sleep study.

Past/Present/Future Windows

Ability to look back at the data, view the present and see what is coming in the future.

User selectable in both collection and analysis modes.

Past/Present/Future Windows

Advantages

Another unique tool to assist with scoring and interpreting sleep data.

During collection the recording can be manually scored using lookback.

Within analysis the study can be viewed from 3 different time windows.

150 sec time base

30 sec time base

Multiple Time Bases

150 sec time frame

Display with various Time Frames

30 sec time frame 150 sec time frame

Whole night time frame

Manual and automated scoring during data collection and review.

Manual scoring during collection in lookback mode.

Easy tools for manual editing of scored events.

Analysis on the Fly as well as Offline

Manual and Automated Analysis

Easy Editing Tools

Reporting

Custom reports.

Advanced reporting for in-depth analysis.

Report export in various formats (e.g. pdf, Word, Excel)

Real Custom Reports

Available as a standard feature for each individual Galaxy account.

User can select from a wide variety of graphs, charts and tables.

Reports can be constructed to individually suite their labs specific needs.

Each report is thoroughly tested and installed on the GSS

before system delivery.

Reports: letters, trends and numbers

Advanced Analysis Reports

Advanced analysis features for more insight in the physiology

New advanced PHI proprietary algorithms for SaO2, Respiration, ECG analysis

Clear graphical presentation for more easy interpretation

Desaturation Drops and CPAP Pressure

Index

Largest dropx

Lowest Desat Index

Lowest Desat Drop

Desaturation Recovery

% age of desaturation events recovered to >96% of baseline Baseline (0cm) 61% CPAP (5cm) 82% CPAP (7cm) 80% CPAP (9cm) 78% CPAP (10cm) 43%

A desat is less severe if it recovers to >96% of the baseline before next desat starts.

Heart Rate (stable NREM) and CPAP Pressure

Median HR

Highest HR

Lowest HR

Pulse Transit Time and CPAP pressure

0

10

20

30

40

50

60

70

80

90

100

200 210 220 230 240 250 260 270 280 290 300 310 320 330 340 350 360 >360

<-- Worse (High BP) Better (Low BP) -->

% B

reath

0cm

5cm

7cm

9cm

10cm

Lower BP with lower CPAP pressure

BP highest with CPAP pressure 9 and 10

Pulse Transit Time (PTT) = indicator of BP. Too high CPAP pressure: PTT (= BP), due to increase in Respiratory Effort.

Work of Breathing and CPAP Pressure

More breath’s with lower work of breathing values: reduced respiratory distress

0

20

40

60

80

100

120

0 5000 10000 20000 30000 40000

Work of breathing

% a

ge

bre

ath

0cm

5cm

7cm

9cm

10cm

CPAP 7 cm: Lowest respiratory distress

CPAP 9 cm: Second lowest respiratory distress

Galaxy Supports Various Amplifiers

Wearable wireless Neptune

Ambulatory Saturn

Laboratory Jupiter

Neptune wearable amplifier

Truly wireless 11 channels polygraphy.

Cell phone size

Wireless Gateway connects to Web/LAN

Up to 72 hours recording time

Up to 32 channels of PSG/EEG.

Internal storage

Online connection via Bluetooth or Fiber optics

True DC recording

Use in Laboratory or at home

Saturn Ambulatory Amplifier

Jupiter Laboratory Amplifier

Light weight compact 42 channel

PSG amplifier.

Can be worn in a pouch

Single cable disconnect

Increased freedom of movement

Multichannel unit that combines the headbox and amplifier in a single enclosure

CAT5 wiring for easy expansion of lab

Synchronized Digitial Video

Jupiter Laboratory Amplifier

Up to 2048hz sample rate per channel

16-bit A/D, 0.17895µV resolution

Impedance = 10MΩ, Noise<0.1µV rms

Flexible choice of 64, 128, 192 or256 channels by daisy chain

Flash accessory for EEG diagnostics

HP=1sec time constant

LP=1500Hz + FIR filter 1/3 sample rate

Network connection via Ethernet

Secure hi-speed network allows recording over the internet

High Precision, Hi-Density EEG

Up to 2048hz sample rate per channel

22-bit A/D per channel, 17.526nV resolution

Input Impedance = 1012Ω, Noise<0.1µV rms

True DC = 0.00 sec time constant

LP=1500Hz + FIR filter 0.27*sample rate

Active shielding electrodes

64, 128, 256 inputs + 8 aux inputs for external sensors that need power

Fiber Optic connection

Synchronized Digital Video

Digital inputs and outputs for advanced research experiments

GSS Cloud Based System

GSS is heart of Galaxy Intelligent, internet accessible and removable 2 TB hard drive Data server Automatic Backup Central repository of algorithms and setting

Single device connects fixed and virtual multiple

workstations together. Provides central mass storage, archiving and cloud

monitoring functions.

Advantages

Provides a level of system integration, storage and support never achieved in a PSG system.

GSS allows for local storage, off site archiving

and secure internet access to all recordings and database parameters.

System troubleshooting is greatly simplified

since user logs and files are constantly monitoring for ongoing issues.