TESSA (Tele-Echography for ESA) system for long-distance ultrasound. An assistant simply holds the device against the patient and the ultrasound expert can move the probe as if present in the examination room. They control the device in real time using a joystick, based on ultrasound imagery relayed back. AdEchoTech, based in Vendôme in central France, has marketed this ‘tele-echography’ system to more than 15 hospitals and health institutes in France and abroad, with others participating in trials.