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Recording Swallow Studies


The TIMS recording solution has been designed for speech pathology to simplify the video capture and archiving of your MBS/VFSS sequences. With TIMS you have full control over what you send to your PACS archiving system. We give you the ability to view your acquired images in full HD and edit out any extraneous images or streams that you do not want to archive. TIMS is the only system available which is capable of capturing a full video streaming study from any medical imaging modality, editing within your office and saving relevant images to PACS.


Watch the TIMS overview and demonstration Video.

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TIMS Case Studies

TIMS can be an essential tool in any department that uses diagnostic imaging – Radiology, Cardiology, GI, Urology, Endoscopy, Dermatology, Pathology, Motion X-ray, and more. TIMS can convert any non-DICOM modality to DICOM and then connect it to the PACS, or TIMS can simply connect a DICOM ready modality to the PACS thereby eliminating any destination charges from the modality vendor.


Many of our customers appreciate TIMS intuitive interface and useful editing feature. Because TIMS is a compete workstation, a technician is able to review and edit out extraneous images prior to sending to PACS. This assures that the radiologist only sees the views that are pertinent to the clinical diagnosis.


Fluoroscopy – Franklin Sq Centre Hospital MD

Fluoroscopy – Speech Pathology at University of Michigan Hospital, Ann Arbor, MI

Fluoroscopy and Speech Pathology – San Gabriel Valley Medical Center

TIMS Features

The solution for recording & review of speech pathology studies

Replace your outdated, low-quality DVD-video & video tape systems and upgrade to high resolution, DICOM, instant access, & syncronised audio with TIMS.


• DICOM format for compatibility with all PACS & EMR

• Windows 10 Pro 64 bit workstation

• High resolution video at 30 frames per second

• Benefits of eliminating DVDs and other removable media

• Eliminates HIPAA risk

• Patient data secure and archived

• Studies available on PACS/VNA for all authorised users

• Record the entire procedure

• Syncronised audio

• Record from any fluoroscopy or FEES system (or any medical video device!)

• DMWL for automated input of patient information

• DICOM send entire studies or portions of studies

• Archive studies to CD/DVD/USB/Network with DICOM Viewer included

• Study editing tools

• Instant access (no Fast Forward & Rewind necessary!)

• Custom annotations

• Remote review & analysis with TDRS (TIMS DICOM Review Software)

• Add audio comments

• Extensive review & analysis tools

• Customized workflow

• Calibrated measurement: line segment, freehand, area, angle

• Save study as AVI

• Graphic telestration

• Stopwatch timer

• Comprehensive Support & Maintenance

• Study timer

Improved Workflow

With over 3000 systems installed worldwide, TIMS Medical has worked extensively with speech pathologists to optimize workflow to make their recording, review, and analysis of modified barium swallow (MBS) studies more efficient. The result is customizable workflows from the extremely simple to the power user, and everything in between! For example, for the simplest workflow: (1) Input the patient information by a simple query of the DMWL from your RIS. (2) Record the entire speech study with synced audio automatically (with no interaction necessary with TIMS) from the fluoroscopy system. (3) Send the resulting DICOM study (with one click!) to PACS and/or a TDRS system in the speech pathology lab or office. For power users, extensive functions are available on both the TIMS recording system in the fluoroscopy room, and on the TDRS remote review system:


• Custom swallow consistency labels can be annotated on each video segment

• Editing of the studies

• Swallow segments can be timed with a stopwatch timer in 1000s of a second

• Extensive review & analysis with backward play, play at any frame rate, frame-by-frame analysis, contrast / brightness / zoom

• Add audio comments to the study

• Calibrated measurement and graphic telestration

TIMS DICOM Review Software

TDRS is a software-only version of the TIMS system (no video acquisition hardware). TDRS can be installed on any Windows 7 or 10 computer in the speech pathology lab, office area, or anywhere in the hospital. To speed workflow and immediately free up the fluoroscopy suite for the next patient, the speech study can be instantly sent over the hospital network from the TIMS system in the fluoroscopy suite to one or more TDRS systems throughout the hospital. Speech pathologists can then edit, annotate, review, and analyse the studies, free from the pressure of creating a bottleneck in the fluoroscopy suite, in the comfort of their own office or lab area.


Dimensions & Weight

  • 75” high x 9.875” wide x 9.875” deep
  • 9 lbs.


  • Intel Core i3 3.1 GHz 8th Generation (Intel Celeron 2.9 GHz for the TIMS 500)

Memory / HDD / CD / PCI

  • 8 GB (4 GB for the TIMS 500)
  • 1 TB SSD (500 GB for the TIMS 500)
  • CD/DVD-RW external via USB (none for the TIMS 500)
  • One half-size PCIe x4 slot

Front Panel

  • Two USB 2.0 ports
  • Audio in/out
  • Power switch

Back Panel

  • Four USB 3.0 ports
  • Two USB 2.0 ports
  • DisplayPort graphics port (2)
  • Audio in/out
  • 10/100/1000 Mbit network port
  • Foresight Imaging Video Input Board for all video & trigger inputs
  • External auto-switching power supply, 100-250 VAC

Operating System

  • Microsoft Windows 10 Enterprise LTSB 64 bit

TIMS Applications

TIMS Diagnostic Imaging

The number of applications for TIMS is nearly endless. TIMS can be an essential tool in any department that uses diagnostic imaging – Radiology, Cardiology, GI, Urology, Endoscopy, Dermatology, Pathology, Motion X-ray, and more. Our customers are finding new ways to use TIMS almost every day. In fact, the current TIMS version that is available today is a direct result of the customer feedback that we have received over the years. We listen to our customer’s feature requests and do our best to implement them in future releases. TIMS has evolved as our customers needs have evolved.

“TIMS is by far the leader in the medical imaging industry when it comes to capturing still and motion video studies. Because of its unique streaming capabilities, many of our diagnostic imaging customers are utilizing TIMS for all of their motion procedures such as: angiography, fluoroscopy, nuclear medicine and ultrasound procedures, barium swallows, catheterization procedures, and others. Don’t be fooled by other DICOM conversion boxes that claim to capture streaming video, but in fact can only capture mere seconds of a study. TIMS is the only DICOM conversion system available today that is capable of capturing an entire study to be sent to a PACS or other archiving system”.

Speech Bubble - Educational articles and research papers

Speech Bubble – educational articles and research papers

  • Swallowing exercise may improve chronic dysphagia A rehabilitative swallowing exercise program aids long-term head and neck cancer survivors with chronic dysphagia, according to a study published in Head & Neck. Read the article
  • Could 3D food printers improve mealtimes for patients with dysphagia? A swallowing disorder can affect nutrition, breathing and quality of life including mental health. Speech pathologists often recommend people with dysphagia eat texture-modified foods. Unfortunately, even well-made texture-modified foods can look unappealing. This is where 3D food printing might help. Printed food could improve the visual appeal, as well as the safety, of texture-modified foods. At the moment, 3D food printing is a futuristic venture in the research and development stage. Even so, it is still food for thought… Read the full article
  • Paediatric dysphagia links to fatalities in Zika Virus A report in ‘Emerging Infectious Disease’ reviews nine cases of Zika Virus in Brazil. The authors say their study highlights the importance of looking for dysphagia in children who have congenital Zika syndrome. The infants, all of whom had microcephaly, showed delays in the oral phase, with eight out of nine exhibiting delayed initiation of the pharyngeal phase of swallowing and all showing general oral dysfunction. Read the full article
  • ALS patients have no distinct swallowing pattern, which may increase choking risk Amyotrophic lateral sclerosis (ALS) patients follow no distinct swallowing pattern, and this may account for the development of dysphagia. Read the full article
  • Oral drug therapy in elderly with dysphagia: between a rock and a hard place! Demographic indicators forecast that by 2050, the elderly will account for about one-third of the global population. This population tends to suffer difficulties with swallowing. Caregivers in hospital geriatric units routinely compound in solid oral dosage forms for dysphagic patients by crushing the tablets or opening the capsules to facilitate administration. Compounding of marketed products has been recognised as being responsible for an increased number of adverse events and medical errors. In this article, the potential problems associated with the manipulation of authorized solid oral dosage forms are discussed. Read the full article
  • Pitt researcher receives NSF CAREER Award to develop improved screening method for dysphagia Read the full article
  • Have you considered acupuncture as part of the treatment plan of dysphagia? Read more from the article ‘Acupuncture Restores Swallowing After Brain Injury’
  • Swallowing Apps for Patients and Clinicians
  • ALS: early diagnostic workup for dysphagia advised. An article published in Nature by the Neurology Dept of Ulm, Germany, suggests patients with amyotrophic lateral sclerosis (ALS) should have an early diagnostic workup to evaluate dysphagia. Amyotrophic lateral sclerosis (ALS) is the most common neurodegenerative disease of the motor system. Bulbar symptoms such as dysphagia and dysarthria are frequent features of ALS and can result in reductions in life expectancy and quality of life. These dysfunctions are assessed by clinical examination and by use of instrumented methods such as fiberendoscopic evaluation of swallowing and videofluoroscopy. Read the full article