Complete, cloud based image management solution

Purpose

This manual has been written for the operators of Tricefy ™ systems. The general instructions for operation, precautionary instructions, and maintenance recommendations should be read before connecting the box and using Tricefy. In order to obtain maximum efficiency from Tricefy equipment and service and to assist in the proper operation of the system this manual should be read thoroughly and understood completely. Changes to the specifications in the manual may be made at any time without obligation on the part of Trice Imaging.

Tricefy Overview

Tricefy transfers images to Trice Imaging servers at a remote data center over the open Internet. Medical imaging devices do not include encryption in a DICOM transfer specification. To ensure security and privacy, Tricefy provides a hardware device, which first encrypts then forwards DICOM transfers securely to Tricefy servers. A single Tricefy Uplink, installed on the local network, can handle multiple imaging devices at the same time.

The Tricefy Uplink appears as a DICOM server on the local network and stores the DICOM data locally, then forwards all data to the Tricefy Service. A positive DICOM acknowledgement is not returned until it is 100% guaranteed that the file can be processed by the Tricefy service. The encryption used follows the DICOM specifications and is of the same caliber as online banking and commerce.

The underlying architecture of the Tricefy Service is a User‐based, User‐centric system. Medical professionals can be members of multiple clinic accounts simultaneously, accessing them with a single login. Data for each individual clinic is retained and managed in a separate database. Those who are the Administrators for a Clinic (or those who have been given Admin Level permissions when the Administrator checked “Is Admin?” in the Members and Privileges Screen) will be the only Users that have access to settings for the Clinic Profile, Members and Privileges, as well as the entire Branding and Statistics sections. Each of these administration sections requires Admin level permissions to access and is invisible to regular Users.

Tricefy includes a web interface where Users can login to export imaging studies, change settings for messaging, incorporate branding and perform other administrative tasks as well as view statistics and usage information. The main page, the Study List, is a

complete list of exams that have been uploaded to Tricefy (parsed by clinic for those with multiple memberships.) Users can use the Study List to locate particular data for viewing, exporting and downloading by browsing, searching, filtering and sorting the Study List contents. Users can also Open Study, Share With Colleagues, Send to Patient, Download Study (.zip), Export as PDF, Open in Osirix, Check Active Links or Show the Access Log by using the drop down menu available on individual studies in the Study List.

From the Study List, Users can click through to the browser‐based Viewer with User selectable views of an Image Gallery that supports up to 6 images or cine clips simultaneously, automatic playback of single or multiple cine clips and side‐by‐side comparison of multiple studies. Each image and cine clip can be zoomed, scrolled, panned, pinned, commented on, sent to patients and colleagues, downloaded, and/or exported as a PDF.

Email and/or mobile messages created by physicians who use the “Send to Patient” function (from Tricefy or directly through the modality) will provide a link for patients to view their own files in a dedicated Landing Zone. Email and/or mobile messages sent between medical colleagues using the “Share with Colleagues” function (from Tricefy or directly through the modality) will provide an email with a link to view the study, if the recipient is already a Trice customer, or a will provide a link to register as a Tricefy user before viewing. The sender may also opt to utilize authentication tokens.

The System then includes an area for “Shared Cases” where studies that colleagues have shared for review and commentary are aggregated in the Tricefy Web interface as “Open Cases” or “Closed Cases.” A Case that is Open can be viewed by invited collaborators who can engage in a digital dialogue that will remain outside of the actual study details until the Owner closes it, at which time it will transition to a Closed Case and appear only in that list.

The following diagram (Operating Environment) shows Tricefy in relation to its operating environment. The following sections describe each component with which the system interacts.

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DICOM Imaging Device The primary data input method is via DICOM storage, networking directly from an imaging device. These devices are typically Ultrasound systems for the targeted medical market segments.

1. PACS and Other DICOM Software Using the same DICOM storage protocol, Tricefy can also accept data from most PACS and DICOM workstation software.

2. Network API There is a Network API allowing imaging software Users to integrate and control certain features of Tricefy. This API is currently very limited as it is very specifically designed to interoperate with one particular piece of software.

3. Computer and Tablet Browsers The main way for Users to interact with Tricefy is via a web application interface, which is compatible with desktop computers and most tablets. The image access section of the User interface is designed to suit any device from simple mobile phones all the way up to large computer screens

4. Email Accounts Tricefy ™ sends out messages via Email and other formats.

5. Mobile Phones Tricefy is also able to send out messages via a short message, known as an SMS or, simply, a text message.

Tricefy Uplink

Trice Imaging offers a downloadable software service called Tricefy Uplink for receiving data and securely forwarding it to the Tricefy service. If a computer is not available to run the Tricefy Uplink, a computer will be recommended for purchase. Tricefy Uplink appears as a DICOM server on the local network, receives the DICOM data locally, then forwards all data to the Tricefy Service. A positive DICOM acknowledgement is not returned until it is 100% guaranteed that the file can be processed by the Tricefy service. Tricefy Uplink, installed on the local network, can handle multiple imaging modalities simultaneously. The system can act as a light version of a PACS system or co‐exist with any other solution. There is no other hardware or software required and no need for large system integration projects.

Tricefy ™ Intended Use

Tricefy is intended to provide physicians with functionalities for receiving, transmitting, presenting, sharing, communicating retrieving, and viewing medical images.

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