Powered by Vertex AI (Google Cloud’s platform for accelerating development and deployment of machine learning models into production), SAVI (Semi Automated Vision Inspection)1 is transforming surgical instrument identification and cataloging, leading to fewer canceled surgeries and easing pressure on surgery waitlists.

Max Kelsen, an analytics and software agency that specializes in machine learning, has worked closely with Google Cloud and Johnson & Johnson MedTech to create a system that can manage tens of thousands of individual devices, their characteristics, and how they apply to each set or tray used by a surgeon. SAVI does this while delivering a one in 10,000 real-world error rate, much faster and more accurately than manual processes currently in use across the industry. Implementing SAVI can also unlock end-to-end visibility and traceability across the surgical set supply chain and provide advanced analytics and insights.

Eliminating time-consuming manual processes

Surgeons need a large number of specialist instruments and devices to complete complex, delicate procedures. Because each tray of these instruments can typically cost more than $350,000, and having every type of set on shelf at every surgical facility is not feasible, manufacturers generally loan them to hospitals for procedures, such as inserting one of the manufacturers’ implants into a patient’s knee. Once a procedure is complete, the hospital returns the instrument tray to the manufacturer for storage and re-distribution to other hospitals as needed.

Each time a hospital returns a tray, the manufacturer needs to check that each instrument is there, correctly placed, cleaned, and fit for the purpose of the next procedure. As each set may hold more than 400 instruments, completing this process manually is complex and time-consuming. While each tray is checked before and after surgery at the hospital, and again when it arrives and leaves the manufacturer’s facility, Max Kelsen finds that 5% of surgeries can still be affected by missing, broken or bent instruments. This has a severe downstream impact on private hospitals in particular, directly affecting patient safety and outcomes; in Australia, for example, around 60% of surgeries are performed in private hospitals.

Johnson & Johnson MedTech has 60,000 surgical trays across the Asia-Pacific, and loans these trays out about 100,000 times per month. The manufacturer approached Max Kelsen to help design and develop a solution to make the supply chain more efficient, and to give more visibility into asset movement. As a Google Cloud Partner specializing in applying machine learning at scale in healthcare contexts, Max Kelsen had the expertise and track record to meet Johnson & Johnson MedTech’s need for a globally scalable solution that was engineered for quality and performance.

The first step was to establish a baseline for the project by determining how long the manufacturer’s team took to process each tray, and to set an efficiency number. We then spent six months determining and evaluating how to deliver a robust, accurate solution that outperformed current manual and labor-intensive methods in processing instruments and trays, globally. Our work included extensive technical feasibility research involving a representative sample for the variety and complexity of sets, trays, and devices needed for different types of surgery, including orthopedics, spinal trauma, and maxillofacial groups.

Working with Google Cloud to accelerate and de-risk the project

This is a familiar problem that is industry-wide. The issue has been widely explored and tried with a number of technologies over several years without producing the scalability and performance results required to make this an appropriate and feasible solution. Google Cloud partnered with Max Kelsen to accelerate and de-risk this large and strategic project for a mutual customer.

Technical feasibility took four months, prior to a year-long production pilot of SAVl in a distribution center in Queensland that services over 100 hospitals. After obtaining enough real-world data and experience to validate that the solution was as scalable and as accurate as needed, an Asia-Pacific rollout of the system commenced. SAVI is now live across Johnson & Johnson MedTech’s operations in Australia, New Zealand, and Japan, garnering recognition with a JAISA excellence award.

Google Cloud machine learning is integral to SAVI. Google Cloud’s technologies were a big differentiator for Max Kelsen’s engineering team in delivering the breakthroughs needed at scale, and in production, to meet Johnson & Johnson MedTech’s needs.

Reducing checking and documentation time

Running SAVI in Google Cloud has reduced the time Johnson & Johnson MedTech needs to check and document inspections of these surgical instrument sets by over 40%. The application also delivers consistent measurable quality that is often hard to measure at scale when using manual processes. During the pandemic, the application enabled Johnson & Johnson MedTech to operate with a lower headcount for the same volume output, enabling the organization to quickly service a backlog of waiting list surgeries.

In addition, the automation delivered with SAVI has reduced the time required to bring technicians up to speed on quality control processes, from eight to 12 months down to just three months, enhancing productivity and performance while delivering a more robust workforce.

So how does SAVI work in a real-world context? SAVI is deployed via a tablet and a web-based application incorporates an API to photograph the medical device trays, as shown below. Max Kelsen captures the photograph and sends it to a range of different services, via an API endpoint hosted on Google Cloud:

• Image information is stored in Cloud Storage
• Data relating to the trays is stored in Cloud SQL for PostgreSQL
• APIs and web UI components run in CloudRun
• Analytics data is stored within BigQuery

Once this tray and device onboarding stage is completed, the next step is to perform inferences from the images and data. By hosting online models with Kubeflow model serving on GKE, we enable a model to identify all the instruments in a tray at low latency.

Vertex AI Workbench notebooks are used for data exploration and modeling. Kubeflow training pipelines hosted on GKE are executed to produce machine learning models for specific surgical instrument sets. Several hundred machine learning models are then hosted with Kubeflow model serving on GKE, with state and analytics managed using Firebase. Using machine learning to infer from images whether any devices are incorrectly placed, dirty, or otherwise not fit for purpose, the data is then returned to the tablet for the user to respond accordingly.

Based on our success to date with SAVI, it is now available on Google Cloud Marketplace to help healthcare organizations achieve machine learning-powered efficiencies across a range of use cases, and ultimately improve patient safety and outcomes.

Not to be confused with the usage of Visual Inspection Model (Assembly) available in Vertex AI Vision

“Hello, Marks & Spencer. How may we help you?”

As one of the biggest and best-loved retail brands in the UK, Marks & Spencer (M&S) is known for the personalized service it provides to its 30 million loyal customers. For 135 years and in 57 countries around the world, M&S has worked to meet and exceed customer expectations for quality and service. Since the advent of the telephone, this has meant cheerfully servicing customers who call in to M&S branches or into their contact centers, no matter what their request might be.

“Retail is in a state of flux and M&S is transforming to better serve our customers so that we can compete and win. Automating calls into our stores with Google voice recognition gives us every opportunity to get things right for our customers and keep them coming back again and again.”

—Akash Parmar, Enterprise Architect (Digital Customer Engagement), Marks & Spencer

The company now has a goal of bringing one third of its business online by 2022. In order to engage more customers online, it has opened a new voice channel hosted on Google Cloud.

The company previously had switchboards in 13 different stores across the UK and Ireland (UKI), handling up to nine million calls a year. But as its retail offering evolved across multiple channels, it was becoming increasingly difficult to quickly and effectively answer customer service requests using an outdated switchboard model.

Customers might call in to order an outfit they had seen in a store, to inquire about returning a dress they bought online, or to recover a lost umbrella in a food hall. Each of these different requests required a different routing response from staff, and if the company didn’t act soon, it knew that the cost of managing the increase in call volume would lead to a significant cost impact. M&S decided it was time to make a technological leap forward to meet customers’ expectations in the new, omnichannel retail environment.

“Retail is in a state of flux and M&S is transforming to better serve our customers so that we can compete and win,” says Akash Parmar, Enterprise Architect for Digital Customer Engagement at M&S. “Automating calls into our stores with Google voice recognition gives us every opportunity to get things right for our customers and keep them coming back again and again.”

Boosting opportunities for customer engagement with voice recognition

M&S customers were used to dealing with their local store for anything they needed. But as stores were completely separate from the online business, customers weren’t able to purchase something they’d seen online by calling stores because the store staff didn’t have access to platforms needed to place an online order securely. For a company that places a very high importance on customer experience, this was unacceptable.

Akash Parmar, Enterprise Architect for Customer Engagement, was set a the goal by Chris McGrath, M&S Programme Manager, to ensure that the right channel and the right level of assistance was available to customers at any point before, during, or after purchase. Akash set himself the challenge of building a platform that could adapt to all of these channels and scale very quickly.

“We didn’t have the resources to build a speech recognition platform. DVELP removed that obstacle. It understood what we wanted to achieve and how Google Voice APIs and Twilio could get us there. Whatever we want, DVELP builds it for us. DVELP always presents options, never problems.”

—Akash Parmar

In 2018, Akash reached out to Google Cloud partner DVELP, one of the UK’s leading experts on the Twilio programmable contact center platform and Google speech recognition technology. DVELP recommended a Google Cloud-based natural language speech recognition platform that leverages the audio stream intent detection functionality in the Contact Center AI solution, Dialogflow, as the heart of an inbound-call-handling strategy. This strategy was designed to improve routing accuracy, give customers more self-service options, and increase analyst visibility into customer journeys.

“We didn’t have the resources to build a speech recognition platform. DVELP removed that obstacle,” says Akash. “They understood what we wanted to achieve and how Google Cloud Voice APIs and Twilio could get us there. Whatever we want, DVELP builds it for us. DVELP always presents options, never problems.”

Using Google speech recognition to improve customer experience

M&S wanted to use natural language to enable customers to speak and state what help they required rather than choose from a list of options. This would help them answer the millions of calls coming in and figure out what customers needed quickly.

In order to do that, DVELP needed to consider how best to address tying customer intent to actions, while maintaining flexibility. DVELP recommended the unconventional choice of not referencing intent in the application layer, but mapping the available actions to the information required to perform them. These actions were then used to build a “declarative dictionary” for the customer service team.

By focusing on actions rather than intents, the solution enables the customer services team to configure actions to intents in virtually any combination of key-value pairs. Leveraging the fact that Dialogflow can detect and respond to customer intents in real time, M&S has already reached 92% accuracy in translating customer declarations to actionable intents.

“With Google Cloud speech recognition and Contact Center AI solutions such as Dialogflow, there’s no information that we can’t make sense of. No matter where you call from, who you are, your age, your gender: you speak, and we understand.”

—Akash Parmar

Akash recalls that once customers became comfortable with the prompt, “in a few words, how may we help you?” they started providing simple, concise responses, and the customer learning curve quickly leveled out. At that point, Google Cloud speech recognition and Dialogflow took over. “The technology worked perfectly and the result was like magic,” says Akash.

“With Google Cloud speech recognition and Contact Center AI solutions such as Dialogflow, there’s no information that we can’t make sense of,” he says. “No matter where you call from, who you are, your age, your gender: you speak, and we understand.”

Enabling self-service contact center improvements with Dialogflow

It was important to M&S that contact center employees be self-sufficient in updating the platform to reflect changes in demand. They needed to be able to easily react to a spike in inquiries about a special offer, for example, without relying on the engineering team. At the same time, neither Akash nor the DVELP team wanted the staff to have to learn error-prone JSON inside contexts, or write responses in order to get necessary information from customers.

DVELP’s creative solution was to fill out the “Action and parameters” section of every intent. This is usually reserved for collecting information from customer declarations, but was also easily adapted to implementing custom key-value pairs. This is particularly helpful in making sure that the contact center is ready to handle new promotions as they arise. As sales and special events are communicated to the contact center from the head office, staff can program specific vocabulary directly into Dialogflow, thanks to Contact Center AI, ensuring that the M&S system is immediately ready to handle related customer calls.

Rolling out the platform to the UK and Ireland

In just a few months after going live, calls are being efficiently routed to the contact center and its existing customer service platform. At the contact center, staff can quickly and easily respond to customer requests, place orders, and process returns. Thanks to the natural language capabilities of Google Cloud, a simple customer request like “order the red children’s dress in the Bath high street window in size six” not only gets correctly routed, but provides data points for future personalized interactions.

Being able to accurately recognize customer intent 92% of the time after less than four months since deployment is an important milestone for M&S. With a concurrent 89% voice-to-text accuracy rate for Dialogflow transcriptions, M&S has rolled out the successful speech recognition platform to all of its stores in UK and Ireland and customer service contact centers.

Akash is so pleased with the performance of the new Google Cloud platform that he’s focusing on what new functionality he can add next to improve customer experience even more.

“We’re working on collecting product codes from customers using natural language so we can give them stock availability details,” he shares. “We also want to use Google Cloud to enable a more conversational experience when customers are searching for help or FAQs on our website. At the same time, we’re looking at Contact Center AI and Dialogflow to provide a virtual assistant experience for our webchat journey. Thanks to our new voice solution, we can clearly understand the key issues that our customers face on a day-to-day basis; the aim now is to start solving these issues through self-service and automation.”

Organizations across industries are looking to AI to turn troves of data into intelligence, powered by the latest advances in generative AI. Yet for many organizations, there is a barrier to adopting the latest models because they can be costly to train or serve. A new class of cloud GPUs is needed to lower the cost of entry for businesses that want to tap the power of AI. 

Today, we’re introducing G2, the newest addition to the Compute Engine GPU family in Google Cloud. G2 is the industry’s first cloud VM powered by the newly announced NVIDIA L4 Tensor Core GPU, and is purpose-built for large inference AI workloads like generative AI. G2 delivers cutting-edge performance-per-dollar for AI inference workloads that run on GPUs in the cloud. By switching from NVIDIA A10G GPUs to G2 instances with L4 GPUs, organizations can lower their production infrastructure costs up to 40%. We also found that customers switching from NVIDIA T4 GPUs to L4 GPUs can achieve 2x-4x better performance. As a universal GPU offering, G2 instances also help accelerate other workloads, offering significant performance improvements on HPC, graphics, and video transcoding. Currently in private preview, G2 VMs are both powerful and flexible, and scale easily from one up to eight GPUs. 

Currently organizations require end-to-end enterprise ready infrastructure that will future proof their AI and HPC initiatives for a new era. G2s will be ready to be deployed on Vertex AI, GKE, and GCE, giving customers the freedom to architect their own custom software stack to meet their performance requirements and budget. With optimized Vertex AI support for G2 VMs, AI users can tap the latest generative AI models and technologies. With an easy to use UI and automated workflows, customers can access, tune and serve modern models for video, text, images, and audio without the toil of manual optimizations. The combination of these services with the power of G2 will help customers harness the power of complex machine models for their business.

NVIDIA L4 GPUs with Ada Lovelace Architecture

G2 machine families enable machine learning customers to run their production infrastructure in the cloud for a variety of applications such as language models, image classification, object detection, automated speech recognition, and language translation. Built on the Ada Lovelace architecture with fourth-generation Tensor Cores, the NVIDIA L4 GPU provides up to 30 TFLOPS of performance for FP32, and 242 TFLOPs for FP16. Newly added FP8 support, on top of existing INT8, BFLOAT16 and TF32 capabilities, makes the L4 ideal for ML inference. 

With the latest third-generation RT Cores and DLSS 3.0 technology, G2 instances are also great for graphics-intensive workloads such as rendering and remote workstations when paired with NVIDIA RTX Virtual Workstation. NVIDIA L4 provides 3x video encoding and decoding performance, and adds new AV1 hardware-encoding capabilities. For example, G2 can enable gaming customers running game engines such as Unreal and Unity with modern graphics cards to run real-time applications. Likewise, media and entertainment customers that need GPU-enabled virtual workstations can use the L4 to create photo-realistic, high-resolution 3D content for movies, games, and AR/VR experiences using applications such as Autodesk Maya or 3D Studio Max.

What customers are saying

A handful of early customers have been testing G2 and have seen great results in real-world applications. Here are what some of them have to say about the benefits that G2 with NVIDIA L4 GPUs bring:

AppLovin

AppLovin enables developers and marketers to grow with market leading technologies. Businesses rely on AppLovin to solve their mission-critical functions with a powerful, full stack solution including user acquisition, retention, monetization and measurement.

“AppLovin serves billions of AI powered recommendations per day, so scalability and value are essential to our business,” said Omer Hasan, Vice President, Operations at AppLovin. “With Google Cloud’s G2 we’re seeing that NVIDIA L4 GPUs offer a significant increase in the scalability of our business, giving us the power to grow faster than ever before.”

WOMBO

WOMBO aims to unleash everyone’s creativity through the magic of AI, transforming the way content is created, consumed, and distributed. 

“WOMBO relies upon the latest AI technology for people to create immersive digital artwork from users’ prompts, letting them create high-quality, realistic art in any style with just an idea,” said Ben-Zion Benkhin, Co-Founder and CEO of WOMBO. “Google Cloud’s G2 instances powered by NVIDIA’s L4 GPUs will enable us to offer a better, more efficient image-generation experience for users seeking to create and share unique artwork.”

Descript

Descript’s AI-powered features and intuitive interface fuel YouTube and TikTok channels, top podcasts, and businesses using video for marketing, sales, and internal training and collaboration. Descript aims to make video a staple of every communicator’s toolkit, alongside docs and slides. 

“G2 with L4’s AI Video capabilities allow us to deploy new features augmented by natural-language processing and generative AI to create studio-quality media with excellent performance and energy efficiency” said Kundan Kumar, Head of Artificial Intelligence at Descript.

Workspot

Workspot believes that the software-as-a-service (SaaS) model is the most secure, accessible and cost-effective way to deliver an enterprise desktop and should be central to accelerating the digital transformation of the modern enterprise.

“The Workspot team looks forward to continuing to evolve our partnership with Google Cloud and NVIDIA. Our customers have been seeing incredible performance leveraging NVIDIA’s T4 GPUs. The new G2 instances with L4 GPUS through Workspot’s remote Cloud PC workstations provide 2x and higher frame rates at 1280×711 and higher resolutions” said Jimmy Chang, Chief Product Officer at Workspot.

Pricing and availability

G2 instances are currently in private preview in the following regions: us-central1, asia-southeast1 and europe-west4. Submit your request here to join the private preview, or to receive a notification as when the public preview begins. Support will be coming to Google Kubernetes Engine (GKE), Vertex AI, and other Google Cloud services as well. We’ll share G2 public availability and pricing information later in the year.

Customers tell us that sharing and exchanging data with other organizations is a critical element of their analytics strategy, but it’s hamstrung by unreliable data and processes, and only getting harder with security threats and privacy regulations on the rise. 

Furthermore, traditional data sharing techniques use batch data pipelines that are expensive to run, create late arriving data, and can break with any changes to the source data. They also create multiple copies of data, which brings unnecessary costs and can bypass data governance processes. These techniques do not offer features for data monetization, such as managing subscriptions and entitlements. Altogether, these challenges mean that organizations are unable to realize the full potential of transforming their business with shared data.

To address these limitations, we are introducing Analytics Hub, a new fully managed service, available in Q3, in preview, that helps you unlock the value of data sharing, leading to new insights and increased business value. With Analytics Hub you get:

• A rich data ecosystem by publishing and subscribing to analytics-ready datasets. 
• Control and monitoring over how your data is being used, because data is shared in one place.
• A self-service way to access valuable and trusted data assets, including data provided by Google. For example, a unique dataset from Google Search Trends will be available, that you can query and combine with your own data.
• An easy way to monetize your data assets without the overhead of building and managing the infrastructure. 

Built on a decade of cross-organizational sharing

While Analytics Hub is a new service, it builds on BigQuery, Google’s petabyte-scale, serverless cloud data warehouse. BigQuery’s unique architecture provides separation between compute and storage, enabling data publishers to share data with as many subscribers as you want without having to make multiple copies of your data. With BigQuery, there are no servers to deploy or manage, which means that data consumers get immediate value from shared data. Data can be provided and consumed in real-time using the streaming capabilities of BigQuery and you can leverage the built in machine learning, geospatial, and natural language capabilities of BigQuery or take advantage of the native business intelligence support with tools like Looker, Google Sheets, and Data Studio.

BigQuery has had cross-organizational, in-place data sharing capabilities since it was introduced in 2010. We took a look at usage metrics in BigQuery and found that over a 7 day period in April, we had over 3,000 different organizations sharing over 200 petabytes of data. These numbers don’t include data sharing between departments within the same organization.

As you can see, data sharing in BigQuery is already popular. But we want to make it easier and even more scalable.

Raising the bar on data sharing 

To make data sharing easier and more scalable in BigQuery, Analytics Hub introduces the  concepts of shared datasets and exchanges. As a data publisher, you create shared datasets that contain the views of data that you want to deliver to your subscribers. Next, you create exchanges, which are used to organize and secure shared datasets. By default, exchanges are completely private, which means that only the users and groups that you give access to can view or subscribe to the data. You can also create internal exchanges or leverage public exchanges provided by Google. Finally, you publish shared datasets into an exchange to make them available to subscribers. 

Data subscribers search through the datasets that are available across all exchanges for which they have access and subscribe to relevant datasets. This creates a linked dataset in their project that they can query and join with their own data. Subscribers pay for the queries that they run against the data while the publisher pays for the storage of the data. Data providers can add new data, new tables, or new columns to the shared dataset and these will be immediately available to subscribers. In addition, the publisher can track subscribers, disable subscriptions, and see aggregated usage information for the shared data. 

Analytics Hub makes it easy for you to publish, discover, and subscribe to valuable datasets that you can combine with your own data to derive unique insights. Here are some types of data that will be available through Analytics Hub:

• Public datasets: Easy access to the existing repository of over 200 public datasets, including data about weather and climate, cryptocurrency, healthcare and life sciences, and transportation. 
• Google datasets: Unique, freely-available datasets from Google. One example of this is the COVID-19 community mobility dataset. Another example is the forthcoming Google Trends dataset, which will provide the top 25 search terms and top 25 rising search terms over a 5 year window in 210 distinct locations in the US. Trends data can be used by everyone in the organization to gain insights into what customers care about.
• Commercial (paid for) datasets: We are working with leading commercial data providers to bring their data products to Analytics Hub. If you are interested in delivering your data via Analytics Hub, we’re also introducing Data Gravity, an initiative that provides storage benefits and new distribution paths for data published through Analytics Hub. 
• Internal datasets: We know that data sharing can be challenging in larger organizations. Analytics Hub can be used for internal data, for example, to share standardized customer demographics with your sales engineering and data science teams.

Customers and partners using Analytics Hub

“Google Search Trends data has always been an important tool for our WPP agency data teams. At WPP we believe that data variety is a superpower which is why we are excited to use the new Trends dataset availability within BigQuery, plus the launch of Analytics Hub. The best creativity in the world is informed by data insights, and influenced by what people search for, so the operational efficiencies we’ll gain via the Analytics Hub and the insights we can drive with Trends data are just phenomenal.”
—Di Mayze Global Head of Data and AI, WPP

“Equifax Ignite is our shared data analytics environment within our Equifax data fabric. We are excited to partner with Google to leverage Analytics Hub and BigQuery to deliver data to over 400 statisticians and data modelers as well as securely sharing data with our partner financial institutions.”
—Kumar Menon, SVP Data Fabric and Decision Science, Equifax

“The flow of data and insights between our teams at Deloitte and our clients is paramount for building truly transformational data cultures. With its purpose-built architecture for secure data exchanges and sharing analytics resources, Google Cloud’s Analytics Hub can help provide significant operational efficiencies for how Deloitte teams support our clients’ data-driven initiatives within their industry ecosystems. It will also help minimize the worries about scale, privacy and security, or the administrative burden associated with each.”
—Navin Warerkar, Managing Director, Deloitte Consulting LLP, and US Google Cloud Data & Analytics GTM Lead

“Crux Informatics is proud to partner with Google to support the launch of Analytics Hub, removing friction for those who need access to analytics-ready data. With thousands of datasets from over 140 sources, Crux Informatics will accelerate access to data on Analytics Hub and together provide a more efficient and cost effective solution to deliver datasets in Google Cloud’s ecosystem.”
—Will Freiberg, CEO, Crux Informatics

Next steps for Analytics Hub

This is just the beginning for Analytics Hub. As we get to preview and general availability, we will be adding additional capabilities, including workflows for publishing and subscribing, publishing analytics assets (Looker Blocks, Data Studio reports, Connected Google Sheets) along with the shared data, the ability for data publishers to specify query restrictions on the usage of their data, and making it easy for data publishers to create sandbox environments for subscribers to work with their data, even if they are not yet on Google Cloud. We will provide features in Analytics Hub for monetization of data, including managing subscriptions, data entitlements, and billing.

Please sign up for the preview, which is scheduled to be available in the third quarter of 2021. In the meantime, you can learn more about BigQuery and how to leverage its built-in data sharing capabilities. Please go to g.co/cloud/analytics-hub to register your interest in Analytics Hub.