Advanced
ASMIS Video-Server Software
ASMIS is a central storage system for surgical images and videos, serving as a buffer between imaging in the operating room and the hospital’s long-term archive (e.g., PACS).
The core purpose is to prevent the long-term archive from being “flooded” with unwanted or irrelevant OR video recordings. Instead, only the desired and documentation-relevant video sequences are transferred. To achieve this, ASMIS offers a wide range of intelligent, largely automated functions that streamline clinical workflows.
ASMIS was developed in close collaboration with surgeons, biomedical engineers, and hospital IT managers to ensure maximum practical relevance and seamless integration into diverse medical device and IT environments.
Automatic Archive Management
Still images captured by the surgeon during the procedure are usually sent directly to the PACS as the central image management system – but videos are not.
Long-term archiving of lengthy video sequences, with their very large data volumes, is neither required nor economical in the PACS. The intelligent HCI ASMIS archive management system provides an ideal solution for this challenge. Images and videos from the operating room are transferred to the central ASMIS video server already during a procedure, eliminating any waiting time at the end of the operation.
ASMIS automatically forwards the still images to the PACS, where they are available via the existing clinical image distribution system and the DICOM viewer. Longer videos – for example, complete surgical recordings from incision to suture – are stored in the ASMIS video archive instead of being sent to the PACS. ASMIS provides surgical video documentation via a web interface for post-processing, video editing and annotation. Manual transfer to the PACS is possible if required.
Videos belonging to a study can also be accessed directly from the DICOM viewing software or the HIS via a URL call. After a user-defined retention period – for example, six months – the videos are automatically deleted from the ASMIS video server. In this way, the PACS system is relieved from huge amounts of video data, and costly storage space is saved, since long-term archives must comply with legal requirements such as a minimum retention period of at least ten years, as well as regular backups and RAID structures.
Movie around Snap – Intelligent Video Documentation without Extra Effort
The innovative ASMIS technology is revolutionizing surgical video documentation: automatically creating short, precise video sequences exactly where the surgeon considers it important – around intraoperative markers or snapshots.
How does it work?
ASMIS automatically records one minute before and after a snapshot, resulting in a compact 2-minute video – with the key event always at the center.
Why is this revolutionary?
- No manual effort – Structured surgical documentation happens in real time, without any need for post-processing by the surgeon.
- Efficient storage – Only clinically relevant scenes are saved, reducing storage requirements.
- Seamless integration – Generated videos and still images are automatically transferred to the PACS, VNA, or research and teaching archive based on predefined rules.
- With Movie-around-Snapshot, the tedious task of reviewing and cutting surgical videos is a thing of the past – everything happens automatically, precisely, and exactly when it matters.
Features of the HCI ASMIS Video Server
- Central media archive with individually configurable rules for retention periods and target archives
- Broad format support: Images (JPEG, PNG, GIF, PDF); videos (MPEG2/MPEG4, MP4, AVI, MOV – up to 8K and 120 fps)
- DICOM integration: Import from DICOM-capable modalities (e.g., endoscopy, SCP support)
- Media import: Via network shares or manual file upload by the user through a web browser
- File management according to predefined rules, e.g., automatic PACS export for still images, while videos are not automatically exported to PACS
- Flexible export options: DICOM Store to PACS, anonymized USB export in open format, research & teaching archive
- Numerous direct interfaces to modalities and image archives of endoscopy systems, surgical robots, and digitally integrated OR systems
- External access to ASMIS studies from the existing HIS/PACS via direct study URL
- Flexible integration into existing image management systems and workflows via REST API
- Supports connections to in-house AI models for image analysis via REST API and automatic import/export
- Multi-client capable, with LDAP / Active Directory integration and a multi-level access concept (e.g., for affiliated physician models or decentralized care facilities)
More Information
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- HTML5-based user interface supporting all common browsers on desktops, tablets and smartphones, as well as in terminal server environments
- Video editing function: cut or merge video sequences
- Graphical annotation tool with various drawing and marking options
- Anonymized download and sharing within the local network
- Structured documentation with the marker and comment function “Info Pins”: Within a video, custom markers – so-called Info Pins – can be placed at points of interest. Each Info Pin can be individually labeled with a short comment or descriptive keyword. When exporting a video, the ASMIS server automatically generates a separate still image (JPEG) at each Info Pin position. During PACS export, this results in a patient study whose series includes, in addition to the actual video, automatically generated images corresponding to each Info Pin. The comment text stored at each Info Pin is written to the DICOM tag “Image Comment” for the associated image.
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- Operating system: HCI ASMIS runs as a Windows service under Microsoft Windows Server, including in virtualized server environments.
- System requirements: 16 GB RAM, 120 GB disk space for installation, and at least 500 GB storage for data, preferably on NAS/SAN storage (the required storage capacity depends on the number and type of data to be stored from the modalities).
- REST server: REST-based API, fully documented.
- Database: MySQL.
- Web server: Microsoft Internet Information Server, optionally with SSL certificates.
- User interface: HTML5 GUI, multilingual, based on customizable HTML stylesheets.
- LDAP/AD: ASMIS supports any number of user groups for precise separation of departments and access rights.
- PACS export: Any number of DICOM SCPs (PACS servers) can be configured, each with its own IP, port, and AET, to which data can be sent according to predefined rules.