OR1

The new Design of Excellence

It is recommended to check the suitability of the product for the intended procedure prior to use.
 OR1 NEO Ultimate Operating Environment 3

OR1
The Ultimate Operating Environment

When minimally invasive surgery conquered OR1 NEO combines the 3 central elements of
operating rooms in the early 1990s, it changed efficient OR integration into a single strong system.
surgical techniques as well as the demands on
Simple control of endoscopic and peripheral
the operating room environment. Increasingly
devices through a centralized control system
complex technologies began to enter the OR,
for the entire OR as well as optimal display,
and it became clear that these new techniques
documentation, and transmission of
could not be optimally used in the existing
information from external and internal
surgical workspaces. The existing cumbersome
data sources to benefit the OR team
decentralized operation of the devices in the OR
and the inadequate use of the information stored Optimized workflows and modern,
in the hospital information systems, in part for efficient workspaces through ergonomic,
technological reasons, called for completely new user-friendly device design and a
solutions. The KARLSTORZ solution to these system tailored to the users needs
problems is OR1.
Comprehensive teleconferencing,
telemedicine, and teaching options through
OR1 is a highly successful OR integration
extensive networking and integration
concept that has been defining the state of
of the OR into the existing hospital
the art for years. However, advancements in
systems such as PACS, HIS, or RIS
medicine require continuous adaptation to new
technologies. On the basis of far more than
10 years of experience in OR integration and
more than 65 years of experience in medical
technology, KARLSTORZ is now redefining
the integrated OR with the OR1 NEO.

In the early 1990s, we had already started the research and development of a solution that would
enable the surgeon to control devices, room functions, and the telephone from the sterile field.
Our vision was to liberate the surgeon and his team from their sterile island.
We are what we repeatedly do. Excellence, then, is not an
act, but a habit.
Aristotle

Medical Integration for Medical

Professionals The Core Competency
of KARLSTORZ OR1NEO

Visualization, communication, integration, documentation

no one understands the complex demands in the OR better
than KARLSTORZ.

For decades, this has made us a reliable partner for physicians

and hospital administrators an expert who contributes to the
continued improvement of workflows and patient safety.

We set ourselves the highest standards in PROVEN MEDICAL

INTEGRATION. This has made the name KARLSTORZ a byword
for state-of-the-art endoscopy worldwide and OR1 a synonym
for innovation, efficiency and safety in the OR.

OR1 NEO is based on four pillars:

Ease of use
With centralized control via touch screen, the OR1 NEO offers
very easy and intuitive operation from the start. Devices are
controlled through a realistic user interface displayed on the
touch screen; this interface looks and works exactly like the
original interface of the corresponding device. As a result,
staff members do not need to familiarize themselves with
a new interface, and operating errors are minimized.
Ergonomics are further improved by the simple control
elements and the adaptation of the interface colors to
the lighting conditions in the OR. The consistent
operating philosophy ensures short learning curves,
user friendliness, safety, fast and accurate control,
and, as a result, high user acceptance.
 OR1 Proven Medical Integration 5

For that reason, we developed a remote control system for the KARLSTORZ devices. It let users
control the camera, light source, pump, and insufflator via the camera head buttons or a remote
control system called SCBcom. The KARLSTORZ Communication Bus (SCB) was born.
By 1998, we could control the devices from a touch screen. The first version was installed in
Prof. Abris OR at the MIC Clinic in Berlin. A few years later, in 2000, we launched our first voice
control system, SESAM. Today we have VOICE1, a new voice control system developed on the
basis of new technology, user feedback, and experience.
 OR1 Proven Medical Integration 7

Formula for success

Quality has always been the key for setting standards. With the
three central components of OR1NEO system integration
through SCB, data management and documentation through
AIDA, and communication and data transmission through
audio/video technology KARLSTORZ has successfully
set a new standard for OR safety and integration.

Science behind the appliance

Scientific studies have shown that the routine use of checklists
increases safety in the OR as well. Of course, these insights
have also been integrated into the OR1 NEO. The editable
OR1 Checklist offers users the WHO Surgical Safety Checklist
as well as a customizable software solution that can be modified
for numerous standard procedures and safely guides users
through the individual preparation steps. Such innovative
concepts directly impact the workflow by offering a safe,
proven basis for the OR teams work and contributing to a
relaxed atmosphere. Patients sense the reduced stress
level and feel safer as well.

Confidence through expertise

Medical professionals bear great responsibility: nothing less
than the life and health of their patients is in their hands.
The employed technology and its reliability and safety are
essential to allow the OR team to focus on its main tasks.
OR1 provides customers with a solution that is specifically
tailored to the requirements in the OR. A solution that is a
true and sound investment in safety.
From the very beginning, the Realistic User Interface (RUI) that exactly matches the device
interfaces has been an essential component of our control concept. Our philosophy has always
been that operating complex systems should be as easy and user-friendly as possible so that
the OR team can fully focus on the patient.

SCB control NEO
Efficient and Intuitive Control of Medical Devices
During procedures, the surgeon relies on the
assistance of the OR team to adjust, set up and
trouble-shoot devices like the camera, light source,
image recording devices, insufflator, OR phone,
and surgical lights. In addition, the OR staff
has other duties such as ensuring the sufficient
supply of staples and suture materials in the
OR, coordinating the collection of pathology
specimens, and documenting procedure times,
material consumption, etc., in the HIS. All these
duties are often the responsibility of one person.
SCB control NEO 9
To increase the efficiency of the OR staff, the
demands on the individual team members must
be reduced as much as possible. The redesigned
SCB control NEO does exactly that. It allows
all functions to be centrally controlled and
continually monitored at a glance from a user
interface within the sterile area. The selected
devices interface is exactly reproduced on the
control panel (RUI, Realistic User Interface).
The device is operated as usual, thereby reducing
user error, saving time, and increasing safety.
All device settings can be configured individually
to suit the user or surgical intervention (presets).
Once stored, these presets can be retrieved
within seconds as required to reduce changeover
times and eliminate the possibility of incorrectly
configured device parameters.
In addition, speech control with VOICE1 offers
an elegant alternative for OR control that allows
users to control devices entirely by their voice.

SCB control NEO puts you in control of your OR:

Central control of KARLSTORZ devices

- Endoscopic cameras
- Light sources
- Insufflators
- Suction and irrigation pumps
- HF units
- Shavers
- Motor systems
- Lasers
- AIDA compact NEO documentation
systems
- OR1 AV system NEO solutions

Compatible third-party devices

- HF units
- Surgical lights
- Surgical cameras
- Surgical tables

A few years later, we started to integrate other devices and make them controllable via touch
screen. We did so at our customers request who also wanted centralized control of the surgical
table or the surgical lights. Today, we can integrate more than 80 different devices and there are
still more to come.
SCB control NEO 11
AIDA compact NEO
Professional Data Capturing and
Documentation in Simple Steps

Optimal image quality and a clear control concept are important

factors for successful documentation.

The image quality of KARLSTORZ FULL HD cameras speaks for

itself and is characterized by the extremely precise display of even
the finest tissue and vascular structures. KARLSTORZ FULLHD
cameras use the 1080p standard, offering the highest resolution
defined for FULL HD, corresponding to 5 times the image data
volume of todays PAL standard. The wider images of the 16:9 format
also provide more image information. Great detail resolution and
depth of field combined with more natural color rendition ensure
far superior ergonomic viewing.
 AIDA compact NEO 13

At the same time, we developed the first AIDA documentation system. With AIDA 1.0, we
could store still images in a patient-related database. We installed this system at the MIC Clinic in
Berlin as well. At that time, AIDA and SCB could already be controlled through the same touch
screen. Of course, our customers also wanted to be able to capture videos, so we added this
function in the subsequent version.
The new and multifunctional design of the AIDA compact NEO documentation system simply
provides limitless possibilities, all accessed through the central control unit. Still images, audio files,
and videos in HD quality, of course are now much more easily and quickly captured, copied to
discharge letters, or saved for documentation purposes.
 AIDA compact NEO 15

AIDA compact NEO offers convenient archiving of all patient data on DVD, CD, or USB
storage media. In addition, data can be saved directly to the PACS or HIS server via the AIDA
communication HL7/DICOM interface packet, and patient data, images from previous surgeries,
and radiology images can be viewed even during the procedure.

To meet our customers varying requirements, we launched two other AIDA systems a few
years later the AIDA DVD as a space-saving stand-alone solution and the AIDA compact as
an all-rounder. Since connectivity and the access to previously stored data play an important role,
we equipped our systems with DICOM and HL7 interfaces, which of course bear the IHE certificate.
Software applications for structured reporting or editing now complete the AIDA product family.
AV system NEO
Flexible Communication Technology
Inside and Outside the OR

Communication now plays a central role in the OR, and it should

be made as simple as possible, even from the sterile area. Thanks
to rapid advances in communication technology, new options are
constantly being developed, and KARLSTORZ continually reviews
and adapts them for use in the OR.
 AV system NEO 17

In addition to the demand for documentation and centralized device control, we recognized the
need for information exchange at that time. Our customers wanted to be able to answer the phone
during surgery, for example. Also, all OR team members should be able to position the monitor
where they have the best view of the video from different positions, because our goal was of course
to create an ergonomic workplace for the OR team.
But why have so much technology in the OR?
The answer is quite simple. New communication
technologies can easily bring in the knowledge of
external experts, pave the way for interdisciplinary
consultation, and convey technical or medical
information to students. Therefore, these
technologies have a major impact on enhancing
patient care.
Our new AV system NEO offers intelligent
routing and imaging solutions and enables
interactions from the OR to another OR,
the Medical Directors office, lecture halls,
or other external locations within seconds.
Videoconferences, live transmissions of
surgical procedures, videostreaming,
and audio communication via telephone
or pager are all feasible.

In 2001, we developed MEDIA CONTROL to facilitate audio-video-routing, telephone conferences,

room light control, and much more. MEDIA CONTROL was the first unit of its kind combining AV
with medical technology. We have always used a single touch screen for all three functionalities
SCB, AIDA, and AV.
 AV system NEO 19

The modularity of the new AV system NEO

is a key advantage. Its flexible structure that
nevertheless clearly defines elements and
options enables individual customization while
leaving room for future upgrades and extensions.
All telemedicine functions are operated via the
central touch screen. The new design of the user
interface enables easy and intuitive operation.

Shortly thereafter, in 2004, we launched the second generation: the OR1 S-Series, which was
even better adaptable to the users needs, and the StreamConnect Server, one of the first video
streaming solutions for use in combination with an integrated OR.
OR1Checklist
Workflow Management Delivering Patient Safety

Inspired by the cockpit check just before take-off,
several studies were conducted to analyze the
impact of a purpose-made checklist on surgical
procedures. All studies found a decrease in
complication rates, and a study by the World
Health Organisation (WHO) even showed a
significant lowering of mortality rates.
The OR1Checklist offers great potential to
enhance patient safety and reduce complication-
related costs because it supports the OR team in
the surgical workflow before, during, and after the
procedure by listing important steps.
In addition to the safety checklist for surgical
procedures recommended by the WHO,
the software allows users to generate their
own checklists and adapt them to their local
circumstances. The OR team can then ensure,
for instance, that the correct instruments are
prepared for the correct patient, the correct
surgery, and on the correct side. This gives the
staff a sense of security and the patient a feeling
of confidence and trust.

Today, our customers need further OR integration, imaging and communication solutions as
well as connection to hospital information systems with simple and intuitive use. Economic aspects
and process optimization continue to gain in importance, and at the same time, specialized hybrid
ORs are becoming more relevant.
 OR1 CHECKLIST 21

We are continuously focused on advancing the development of the OR1 technology. As a result,
we have added software applications like OR1 Checklist, AIDA Advanced Reporter, OverView,
and ORchestrion to our product portfolio. Our aim is to establish OR1 seamlessly into the
hospital infrastructure and to enhance the surgery results for patients within the surgical process.
As mentioned, the very first installation took place in 1998 at the MIC Clinic in Berlin. It was a
kind of prototype and a research installation. We installed an OR in Paris in 2001 and one in Saudi
Arabia in 2002. Since that time, OR1 has been like we know it today. Nowadays we can look
back on something like 3,000 OR1 installations worldwide.
 Synergy in Operation 23

Synergy in Operation
Design, Planning, and Financing

The modern operating room, the centerpiece
of every hospital, is one of the most sensitive
systems in healthcare. The sheer variety of
tasks to be considered in the planning of new
or modernized OR solutions is breathtaking.
In cooperation with our professional partner
MEDPLAN Engineering, KARLSTORZ offers
diverse solutions to help you breathe more easily.
The planning and realization of the OR1NEO
is MEDPLAN Engineerings core competence.
The process is based on a holistic concept that
involves the consultation, development, planning
and the realization of anything from operating
rooms to entire hospitals. This concept also
integrates country-specific requirements for
building and medical technology and offers
flexible solutions that meet the individual
requirements of a particular hospital.
MEDPLAN Engineering analyzes and records
existing workflows and integrates the findings
into the planning and design phase with the help
of simulations.
In cooperation with our expert partner
KARLSTORZ-SOLUTIONS, we accompany
and consult you in a comprehensive way from
the conceptual design to the financing of the
project. This process is guided by our core
principle of offering all from a single source
and from a single partner.
Whatever your planning or financing requirements
are, the services from KARLSTORZ pursue only
one goal to implement your individual solution in
a transparent and efficient manner.

The experiences of all these various OR1 projects inform all our future projects and the
development of new products and technologies. OR1NEO is the next step that will be followed
by many further steps. Project Sales Team, Product Management, Marketing and R&D we are all
proud of our OR1 success story.
 96201605 OR1-NEO 2.5 11/2016/MB-E

KARLSTORZ GmbH & Co. KG

Mittelstrae 8, 78532 Tuttlingen/Germany
Postbox 230, 78503 Tuttlingen/Germany
Phone: +49 (0)7461 708-0
Fax: +49 (0)7461 708-105
E-Mail: info@karlstorz.com
www.karlstorz.com