HD Medical Video

Now here's where a niche really pays off. 

"Rivulet Communications, whose technology enables flawless HD medical video on the hospital IP network, has raised an $11.5 million round from ATA Ventures, Menlo Ventures, Performance Equity Management and Scorpion Capital Partners... The company won several patents for its technologies, which include its wide-area network Internet Protocol quality of service technology in 2008. ... Its technology helps high priority network traffic avoid bottlenecks, speeding real-time traffic and maintaining video quality. It can be used on existing networks."[TechJournal South]

Tele-Presence and Video Conferencing and HD Voice are services on the growth path, but certainly HD Medical Video is a specialization.
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