NUCLeUS

The smart digital imaging platform for medical environments

Overview

Manage, share, and store 4K/HD/SD and 3D* video content across hospital networks and improve workflows
NUCLeUS™ is the scalable, upgradeable, and modality-neutral platform that streamlines the aggregation, management, and distribution of video content, up to 4K resolution, across a hospital's network.

Developed in consultation with leading surgeons, NUCLeUS guides clinical staff through the planning, recording, and sharing of any type of video, still images, and other patient-related data in the Operating Room, ICUs, Endoscopy Suites, or anywhere else in the hospital. The system can be applied in other spaces as well, including cath labs, pathology labs, classrooms, and lecture halls, physician offices — anywhere across the hospital campus and beyond. Seamlessly linking devices, applications, video, and most importantly, people, NUCLeUS focuses on hospital staff requirements and use cases — adding value to imaging workflows, enabling new possibilities, and supporting decisions by all stakeholders. The focus is patient care.

The intuitive interface accessed via a touch screen lets clinical staff route video from any source to any destination, display information on surgical monitors and large displays within the OR, or send images elsewhere on-site. Multiple video feeds from endoscopes, surgical microscopes, C-Arms, room cameras, ultrasound and anesthesiology systems, and other sources can be recorded simultaneously in any combination of formats and resolutions. NUCLeUS also offers simple video-editing functions as part of the workflow, with no need for external editing software or special skills.

NUCLeUS also gives surgeons the ability to share live video with their peers as well as other team physicians, doctors, staff, and students. Captured content can be associated with other patient records stored centrally (on a secure basis) and accessed from anywhere across the hospital-wide IP-network for secondary use, e.g., consultations, conferences, and educational purposes.

*3D is available in both Line by Line and Top and Bottom format in 4K/HD resolution.

Note: Image shown above represents Sony NUCLeUS™ software GUI displayed on a touch panel display that is manufactured by a third party. Touch panel display is available for purchase from Sony.

Features

Seamless, intuitive image workflow
NUCLeUS features an intuitive touch interface that simplifies imaging workflow and reduces the operational steps, which is helpful for clinical staff who want to concentrate on the surgery. Users can route any image source to any destination, with no need to unplug and reconnect equipment, and record multiple video sources simultaneously while maintaining the highest quality in real time.

In addition, for even greater flexibility, NUCLeUS now provides wireless video streaming which allows clinical staff to access images from any modality via an iPad in virtually real time within the OR. This will enable medical staff in the OR to follow the intervention on their handheld devices.
Scalable, modality-neutral, and upgradeable
NUCLeUS is device-, format-, and resolution-agnostic, handling 4K, HD, and Standard Definition video and still image sources from any modality. Live video and audio streams are distributed over secure, standard IP connections outside the OR environment. NUCLeUS is a scalable platform that can be implemented with an efficient small footprint for a few ORs or it can then be scaled up by adding more processing power where needed to control and distribute images for large scale projects involving hundreds of ORs.
Compatible with medical image sources
NUCLeUS provides surgeons and clinicians direct, fingertip access to a wide range of medical image sources including live video signals from endoscopes, ultrasound scanners, in-light cameras, PACS workstations, and many more.
High-quality 4K conversion
Any HD resolution video content can be converted into 4K using advanced resolution-augmentation algorithms far superior compared with conventional upscaling, giving a crisp ultra-high-resolution view of converted video footage.
User-focused video editing
NUCLeUS integrates video editing functions commonly used in clinical environments — such as trim/cut, creating still images from video, and adding annotations. With NUCLeUS, making a video-clip based on a specific part of a surgery is simple compared to other systems where third-party software and hardware are required.
Flexible display options
NUCLeUS offers a wide range of display modes and customized screen layouts, including switching to multiple monitors in full screen, picture-in-picture, or multi-split (quad view) modes on any specified display. This flexibility supports improved workflow; designed to suit the needs of surgeons, physicians, and staff — through all phases of a surgical procedure. New Static Mosaic view presents video streams from image sources in multiple Operating Rooms and ICUs simultaneously on a single display in a tilled or mosaic format — ideal for providing a situational overview of activity in managers' offices and staff rooms.
Smart Applications
A growing range of apps add powerful real-time image-processing features to assist surgeons and clinical staff. For example, the Rotation Correction app enables the surgeon to stabilize the 'horizon' in an endoscopic video feed where the scope is rotated.
Telestration enriches teaching and consultation
Ideal for teaching and real-time consultation with other physicians outside the OR, new improved bi-directional telestration allows multiple remote users to simultaneously annotate, draw, or highlight areas of interest in the live stream video which is shared by viewers in all locations and discuss as a group in real time.
Streamlined information management
NUCLeUS integrates with Hospital Information Systems (HIS) for a seamless workflow. Multiple image sources used during surgery can be integrated with patient information gained through HIS/RIS, PACS, and EMR to create comprehensive, easily accessible patient records.
Integration and control of IP camera sources
IP Camera Source software converts signals from IP room cameras to a NUCLeUS stream, enabling switching, recording, and broadcasting of camera images just like any other NUCLeUS source. Clinicians can also control camera pan/tilt and zoom functions directly from the NUCLeUS interface. Up to five camera pre-sets can be registered per person per OR, and up to three IP cameras can be deployed in the same room.
Printing for enhanced documentation workflow, during or after surgery
Hard copies of still images captured by NUCLeUS can be created using an optional UP-DR80MD A4 digital color printer. One, two, four, or eight images can be selected per sheet, with optional inclusion of printing metadata. Auto Print extends CMS (Content Management System) print functionality to store and collect a preconfigured number of stills, printing them automatically when this number of images has been received.
Integrated support for Sony HVO recorders
Sony HVO-series medical recorders* can be operated directly with KVM (keyboard, video, mouse) control from the NUCLeUS touchscreen. Video files captured on an HVO recorder are recorded on the hospital's NAS. The CMS imports files from their folders and makes them available in the web app.

*Supported models: HVO-550MD, HVO-3300MT, HVO-4000MT.
Maintain standards with surgical safety checklist
Checklists simplify monitoring of safety standards at the start, during, and at the end of an operation. After the patient and surgeon are selected, NUCLeUS automatically displays the checklist on the system's touch panel monitor and on OR portal PCs. Checklists can also be manually activated at any moment during the intervention.
Flexible integration and remote support
NUCLeUS communicates with the entire hospital using DICOM and HL7 standards, providing input to PACS and multimedia archives and generating a wide range of medical image information that can be combined with the Electronic Patient Record. NUCLeUS scales smoothly, integrating with Hospital Information Systems, Operating Room Planning Systems, and DICOM worklists for a seamless workflow.
Flexible integration, seamless upgrades, and remote support
NUCLeUS offers hospital IT departments the benefit of low maintenance and peace of mind. Facilities can rest easy knowing that any hardware, software, or network issues are monitored by Sony around the clock allowing for remote maintenance system to prevent costly OR downtime interruptions. Add-on features and enhancements can also be installed remotely, without ever sending a technician into the room.
Open for developers
Open API (Application Program Interface) protocols simplify rapid integration with modality manufacturers' OR controllers and other hospital systems. This offers an attractive environment for modality makers, Integrators and/or developers to create their own specific applications that can be hosted on the NUCLeUS platform. Integrating the system at this level can provide a unique experience for an end user working within the confines of a specific system as needed — such as Interventional Radiology Systems, Robotic surgery systems and a number of other possibilities.
Reducing patient anxiety in the OR
Many patients are likely to feel very anxious when entering the operating room. Especially useful in pediatrics and obstetrics cases, surgical staff can use the Patient Distraction function, thus helping to reduce patient anxiety. Music tracks and video imagery can be played in the OR to create a more relaxing and comfortable atmosphere. By programming items in advance, staff can easily select the most suitable content for each patient and there are even 5 pre-sets for both music and video — for quick and easy playback.
Protecting patient privacy
Privacy Mode enables surgical staff to stop recording or broadcasting content to protect patient privacy when there is a risk that the patient can be identified. Recording and broadcasting can be quickly disabled with one button.

Resources and downloads