Becker's ASC Review

January/February 2022 Issue of Becker's ASC Review

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Case study: Dr. Marc Dean Board-certified Otolaryngologist - Fort Worth, Texas Dr. Dean's clinical innovation institute uses Sony's NUCLeUS platform to improve workflows that contribute to better patient care. Dr. Marc Dean is a board-certified otolaryngologist, specializing in ear and sinus disease and disorders of the eustachian tube. He runs a clinical innovation research institute and private practice in Fort Worth, Texas. In addition to his medical training at LSUHSC Shreveport and work as a clinical assistant professor at Texas Tech Health Sciences Center, Dr. Dean has a background in bioinformatics and computer programming, which contributes to his understanding of technology and its value. He utilizes new technologies in his practice to improve outcomes, elevate healthcare training and education experiences, simplify operations and foster collaboration. It's in Dr. Dean's clinical innovation research institute, which has similar surgical capabilities to an outpatient surgery center within a clinic setting, that he is able to implement new innovations that create efficiencies and offer his patients "an OR level surgical experience, but in a clinic setting." Recently, he adopted Sony's scalable NUCLeUS video-over-IP OR Integration solution, to streamline every phase of the imaging workflow including surgical video capture, recording and sharing, and to use alongside Sony's pan-tilt-zoom (PTZ) cameras and displays for enhanced interoperability and reach. Dr. Dean initially learned about NUCLeUS while he was looking for a boom-less system to integrate into his space and found it was "a complete offering" that aligned with many of the needs he had. This new solution allows him to route multiple sources to any destination in his facility. As he described it, "Using the NUCLeUS system, we can switch between three different rooms in the facility. It ties all of the different rooms' surgical and diagnostic feeds together so we can broadcast live, enabling telehealth visits and remote observation of cases." Dr. Dean added, "Paired with overhead room cameras, people can see my hand position and the room setup. We're also starting to integrate 3D technology – 3D cameras and stereoscopic view – and explore the different optic capabilities that exist in other disciplines." Dr. Dean relies on NUCLeUS' agility and flexibility to create a "seamless backbone" that allows him to use different computers on different screens throughout his facility. He explained, "Now I'm able to change the setup of the room at any time, transforming from an exam room to an OR room which provides my practice with expandability and flexibility." In addition, because NUCLeUS is modality neutral, he's able to use it with his microscopes, endoscopes, surgical navigation, 3D teaching programs, 3D cameras, PTZ cameras, 4K monitors and virtual reality/mixed reality platforms. Dr. Dean is also able to minimize the amount of equipment in his institute, freeing up critical space and saving money on additional technology expenditures. With NUCLeUS, he has a central hub. Each room is outfitted with screens, monitors and display ports and via Bluetooth, he can connect and power everything using only one system, which provides a strong return on his investment. Dr. Dean added, "With the purchase of this one device, I've been able to extend it across multiple rooms to recreate an OR footprint in an office setting."

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