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On-board medical Systems Tempus IC & Safe Triage System (reposted from General Questions)
sean
Posted: Friday, February 4, 2011 7:25 PM
Joined: 05/06/2008
Posts: 87


 

I posted this forum in the General area but thought it might overlooked by people in the know, so I re-posted it here:

I am looking into the on-board medical units that are getting attention in the magazines and at boat shows. 

From what I've found there are now 2 units that cater to maritime medical emergencies via paitient monitoring device & communications link to land based medical services.  These are the "Tempus IC" by RDT technologies & the "Safety Triage System" by Ocean Medical International.  I've recieved and researched information on these systems and despite claims made by both companies, the units are comparable with some differences in technology, experience in the industry and price. 

Now before I ask for opinions, I will state that clearly no piece of hardware is nearly as valuable as educated crew in a emergency situation. However in threory both these units are valuable tools in such a situation at sea.  

 I wanted to inquire thoughts from anyone that may have first-hand experience with either unit...

Thanks,

-S


Yacht Lifeline - Tony
Posted: Monday, February 7, 2011 12:28 PM
Joined: 07/02/2011
Posts: 1


Hi Sean, To make it clear from the outset Yacht Lifeline is one of the monitoring centres for the Tempus IC. We are however independent in our advice. In our professional opinion having reviewed most current methods on the market we recommend the Tempus a long way ahead of any other options. There are a lot of technical reasons for this (and I am happy to go in to detail if you want) however as far as true telemedicine goes it is the only available unit that has all of the expected communications parameters. All other units are essentially PCs with peripheral devices collecting data (with most requiring an internet connection for any comms). This is not going to help you if you are away from the Yacht or you are relying on lower bandwidth comms. As well as this the passage of medical diagnostics information on which remote treatment calls are being made needs to be bombproof and well tested. What I do know is that there is only 1 unit with any significant history and the relevant approvals internationally. As far as crew training goes - couldn't agree more - however even when we work with Yachts with Nurses and Physicians on board we still suggest the Tempus IC. Remember that Doctors spend 8 years at medical school learning to diagnose and when it comes to improving accuracy of diagnostics reliable medical grade information is key. The ability to send this information reliably over a range of comms and get confirmation of diagnosis is only going to improve the patients clinical outcome. I would think that any assessing medic (including Captain or Crew) would value getting the right advice back - this is only going to be as good as the information coming in! In regards to which unit - personally - when it is this important I can only recomend that you go with what has been proven. On a final note any focus on improving medical outcome has to be positive. Telemedicine is definitely the way of the future and as a Response centre it certainly makes our job easier. Regards TN
Paulo Alves, MD, MSc
Posted: Monday, February 7, 2011 11:01 PM
Joined: 07/02/2011
Posts: 3


Telemedicine devices: A doctor’s point of view. I entirely concur that telemedicine is the best approach to address remote medical events. In the yachting scene, nothing could be more true. As a doctor in the telemedicine industry, I believe the two most important benefits of a remote telemedicine device is the availability and reliability of medical parameters needed to make a diagnostic assumption to properly manage a case. Since most devices offer at least the essential parameters (blood pressure, heart rate, oximetry, glucometry, temperature and ECG) and integrated features (photo/video streaming for injury evaluation, etc.), reliability becomes the critical issue. The device and its parameters must be ready for use when needed. Getting unreliable information is certainly worse than no information at all. An ECG, for example, must have diagnostic quality to be useful. To be obtained by lay people, the system must be easy and reliable enough to provide an accurate reading. Additionally, the lay person should receive significant training which should involve testing the communication links and speaking with a medical professional. While RDT is a preferred provider of my company, MedAire, our MedLink Global Response Center is and has been open to working with other providers. In this capacity, we have witnessed 10+ years effort from RDT to reach the current level of stability and reliability of its Tempus IC device. Unfortunately, we’ve also witnessed less successful initiatives from other manufacturers due to lack of systems integration, regulatory approval (e.g., FDA) and reliable connections. To conclude, I urge anyone who is seriously considering the important and necessary step to invest in telemedicine should carefully test the solutions available on both ends: the remote environment (meaning crew training and user-friendliness of the device), and the receiving telemedicine provider.
Anonymous
Posted: Tuesday, February 8, 2011 10:20 PM
Ha... that was helpful coming from the folks that sell the Tempus. I am SURE they don't benefit from their recommendations eh?
GalSal
Posted: Tuesday, February 8, 2011 10:54 PM
Joined: 08/02/2011
Posts: 1


We recently looked at these systems at the boat shows for our new build. Our owners daughter is diabetic so they want the best technology. Honestly they both do the same things but the thing that really stood out for us was the Safe Triage unit was so much more interactive and can be totally set up for our specific needs. All of the little devices are all wireless which is much newer technology. Price was a big difference too, the Tempus cost a lot more and had an expensive plan. Could not see enough difference to justify the huge extra costs. We are buying the Safe Triage. Hope this helps you, I understand because not having a medical background makes these decisions harder.
Anonymous
Posted: Tuesday, February 8, 2011 11:18 PM
I am a stew and we have been spending more time than you would imagine on this but I know it is important. By far the STS is more up to date technology, less expensive and we know that service is key with something like this so we have decided to go with OMI. Really once we spoke to the owner and gave him the pros and cons he was a bit upset that we did not just make the decision. I am really keen on learning more about the Medical side of things so I am going in for the MO thanks to my great Captain.
Anonymous
Posted: Tuesday, February 8, 2011 11:20 PM
Looked at both. got a Tempus, didn't work. It never worked right. Expensive and I wouldn't recommend it.
Anonymous
Posted: Wednesday, February 9, 2011 2:10 AM
I'm intrigued by the responses here, and imagine that OMI have been posting comments on this forum.  I don't normally post on forums but feel the need to in this instance.

We looked at both options as STS Lite was cheaper and it was my responsibility to carry out due diligence.  I actually took my owner to see both units at Monaco Yacht Show, and the difference between the two units was staggering.  Tempus IC was far superior - it is designed to be used in the maritime industry and offers great piece of mind to our vessel.  The unit we saw from OMI even crashed several times during our demo, and I've heard this is a regular problem (but dont quote me on that).  When we asked for client references we were told by OMI they had only sold a couple and that it hasn't been used before in a real incident.  RDT were able to point me in the direction of several very happy clients, and had over a hundred vessels using the device.

My owner refused to buy something thats totally unproven and I personally would not have felt comfortable in using it - I'm not a medic, and felt as though its designed for someone far more medical than I am.  We havent had a single problem with Tempus IC, and we test it regularly as part of crew training.  I'd take note of the above comments from MedAire and Yacht Lifeline, as I imagine they are both medical professionals who clearly understand the requirements of such a device.

To summarize, yes Tempus was slightly more expensive, but our owner had no hesitation in purchasing it over STS Lite.  Also i'm not sure what you mean by an expensive Tempus plan, we don't pay any annual fee at all, its a one off purchase.  Hope this helps - Claire (Chief Stew)

Glen Taylor - RDT / Head of Maritime Sales
Posted: Wednesday, February 9, 2011 2:09 PM
Joined: 09/02/2011
Posts: 2


I can confirm that RDT design, manufacture and sell Tempus IC. Tempus IC is not sold through 3rd parties as suggested in a previous post. Customers also have free choice with regards to response centre selection.   Tempus IC is a dedicated fully integrated vital signs medical monitor and telemedicine system, designed for the specific needs of clients seeking remote emergency medical assistance and incorporating over 10 years of successful real world experience. The medical parameters provided on Tempus were decided by a multidisciplinary panel of emergency and specialist clinicians after extensive research into medical presentations in remote sites such as aircraft in flight and boats at sea.   RDT prides itself in having over 800 Tempus systems in active operation globally spanning a number of demanding applications and markets that include yachting, commercial shipping, Fortune 500 companies, Heads of State, leading commercial airlines and US military customers whom engaged in due diligence prior to purchase.
Glen Taylor - RDT / Head of Maritime Sales
Posted: Wednesday, February 9, 2011 2:11 PM
Joined: 09/02/2011
Posts: 2


In reply to the message on 8th Feb - 23.20. Firstly I'm pleased you looked at both systems and decided upon Tempus IC. We have had no reported issues at all with Tempus IC, so would you please let me know which vessel this is so we can address accordingly. I look forward to hearing from you.
sean
Posted: Wednesday, February 9, 2011 3:46 PM
Joined: 05/06/2008
Posts: 87


I really appreciate all info that has been offered here.  I would like to add one addendum which I should have stated previously.  In your opinions/experiences with each of these units, please leave the price aspect out. While I know it is a consideration, my concerns are that of the reliability (technical/hardwrae), usefullness/flexability (can they also be used in issues deemed not an emergency/as stand alone hardware when not in nettwork range) & of course any first hand experiences with these units. 

Thanks again

-S


Ian Marshall
Posted: Thursday, February 10, 2011 4:12 AM
Joined: 10/02/2011
Posts: 1


Just seen this interesting discussion, and would like to confirm that to the best of my knowledge this is the first post from anyone at Ocean Medical International, of which I am the Medical Director, and we have not been posting anonymously as claimed by someone anonymously!

I am not going to use this forum as an opportunity to advertise the unit which we supply, but would encourage those interested in such systems to look in detail at what is available and make up your own minds.

Maximising medical safety at sea is something all medical kit suppliers should be emphasising and telemedicine is an important area which is destined to become an integral part of on-board medical care. Not long ago there was reluctance on the part of captains and owners to have a defibrillator onboard but now it is recognised as  necessary and life-saving, and I believe that telemedicine is going to follow a similar path.


Ross - SPS
Posted: Thursday, February 10, 2011 5:29 PM
Joined: 10/02/2011
Posts: 1


This is a very interesting post which appears to have prompted some good debate on the issue!  From the outset, let me say that I work for the company that manufactures the STS unit.  As the precedent has been set for the manufacturer to comment here, I feel obliged to add my ‘two cents’!

I completely agree with the comments above that you should carefully assess each product and make a decision which is based on your needs.  I am not naive enough to think that one solution is entirely better than the other.  Each one has pros and cons and everyone has different needs, all of which should be considered when making a decision.

That said however, I just wanted to level the playing field a little by commenting on what has been said above.  It was suggested above that there is only one product that “has all the expected communications parameters”.  In reality, both systems do.  Both the Tempus IC and STS units work over GSM, satellite link, WiFi and Ethernet and can work away from the yacht and over low-bandwidth links.  Furthermore it has been said that the STS unit hasn’t been used before in a real incident.  STS is an established product.  The product was designed by paramedics (EMS crews) and has been used in real life scenarios with them and air ambulance under the same demanding conditions.  We are quite proud of the fact that over 100 years of combined medical experience has gone into it!

I hope that I have clarified a couple of points.  To echo the statements above, I suggest that you try out both systems for yourself and make a decision based on your needs.


sean
Posted: Friday, April 29, 2011 3:43 PM
Joined: 05/06/2008
Posts: 87


Thanks to all for your insight on this matter.  We did our research and checked every facet of this technology from the hardware to the services that support them.  We contacted references, did our homework and made a decison.

Both units cater to different concepts on how they are to be used, the training & viability of those who use them and principles on the technology that supports them.

If anyone is interested on further info, please contact me and Ill be happy to send along thoughts on our findings.

Thanks again to all who posted


Triage
Posted: Saturday, November 12, 2011 5:09 PM
Joined: 12/11/2011
Posts: 2


I am currently talking to reps for the Tempus and STS. Which one did you go with and why? Can you forward any information comparing the 2? Thanks
sean
Posted: Tuesday, November 15, 2011 7:44 PM
Joined: 05/06/2008
Posts: 87


Triage...In the end we went with the Tempus I.C. unit.  When compared, the Tempus is a unit designed to be more reponsive to a medical emergecy from start-up which was our primary interest, while the STS is more of a device for medical experts that collects data, inventories medications and has some diagnostic capability.  The user experience is simpler and is also able to be remotely operated by the phycisians on the other end via Tempus I.C..  All data is collected via voice from the bluetooth earpiece and external attachments (Blood pressure cuff, ECG, Camera, Thermometer, Glucose meter) and sent to remote phycisians just as you see it on-screen.  The STS requires cumbersome patient information to be typed in via touch-screen before taking any diagnostics and any voice communication with the Telemedicine provider must be made from a seperate phone.  The Tempus runs on its own native software  while the STS is Windows based and its software runs within that enviroment...this lead to slower boot-up, repsonsiveness from external devices and a few crash situations.  STS is only supported by it's own Telemedicine provider while Tempus is supported by most if not all providers (Med-Aire, George Washinton University, Yacht Life-Line..which has now merged with Med-Aire). 

Simply put, we did full demonstrations of both units with the whole crew and owner and hands down, everyone felt more comfortable & relied with Tempus I.C. 

The only negatives against Tempus was it's price (Tempus at $60,000 USD vs STS at $34,000)...but with the STS being the only competition for Tempus as of now, that cost is justified when the differences between the two are compared.

While not trying to sound like I work for RDT, these were our core points which made us make our choice.  In all it is something you should judge for yourself, but if you have any other more specific questions about either unit or Telemedicine providers (we did thourough research with them as well), Im happy to answer.


Triage
Posted: Sunday, November 20, 2011 4:09 AM
Joined: 12/11/2011
Posts: 2


Thanks for the information! Helps out a lot.
owz
Posted: Wednesday, February 15, 2012 7:36 PM
Joined: 15/02/2012
Posts: 1


We have a tempus IC onboard which we bought for a world trip. The unit was bought september 2010 we are looking to sell if anyone is looking for a good deal please contact me if you want more details and price. crewzone@hotmail.co.uk
CRY
Posted: Monday, February 24, 2014 2:24 PM
Joined: 24/02/2014
Posts: 1


I won't do a sales pitch.. because I do not have anything to gain. We offer our clients both the Tempus and Digigone units. But I think it is very very important to have information to compare. Every company that has a product thinks theirs is the best, as they should. But what works for one person does not always work for another. I say do your research, and find what fits. Here is a link to another system which you might find interesting. Never hurts to check out all of the options. http://www.diginonymous.com/ Cindy
 
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