The device takes the control of the various imaging tools which are present in today’s clinical environment. The capability to regulate and control video signals is necessary, particularly with the requirement to allocate a widespread video display system. Manage OR can scale, format, and split video signals based upon what is required. The system incorporates 10 input and 5 output capability. On the top of that it also proffers a simultaneous distribution of signal sources to one or more displays, Input/output connections using analog, digital and fiber standards, Picture-in-picture, picture-by-picture, picture-on-picture capabilities, configure video distribution by the use of touch screen tablet interface and upgrades and maintains signal integrity.