36A79719Q0013-018.pdf

Qty Item Description

1 Artis Q floor Interv. Rad.

Artis Q floor for interventional radiology

The Artis Q product line is setting new standards in interventional imaging.

The Artis Q floor for interventional radiology now features PURE(r).

PURE adds smooth interaction to Siemens' smart technologies. It is designed to boost productivity and enhance outcomes for certain clinical applications while increasing image quality and reducing dose.

The GIGALIX X-ray tube concentrates high pulse power on small, square-shaped focal spots (flat emitter technology for all focal spots). This provides unprecedented image quality for confidence in challenging situations.

The floor-mounted C-arm offers highly flexible positioning. The motorized rotation of the C-arm from a head-end position to a lateral position allows for free head access and full patient coverage.

The patient table is fitted with a freely movable patient positioning tabletop.

The as40HDR flat detector is optimized for the requirements of radiology.

Digital acquisition technology and digital subtraction angiography with up to 7.5 f/s in 1k/12 bit matrix are available.

The complete CARE+CLEAR package offers optimal image quality at the lowest reasonable dose.

Live and reference images are displayed on two 19" flat screens in the exam room. In the control room live images are displayed on a third screen.

1 MULTISPACE.F

Manual stand rotation for additional work positions.

1 Automap Automatic stand positioning depending on the selected reference image and automatic reference image selection depending on the stand positioning.

REQUISITION: 553-B90040

SERVICE: DIAGNOSTIC RADIOLOGY

SHIP TO: VAMC DETROIT

V.A. Medical Center

CHIEF ACQ. MGMT. 001R-A

4646 JOHN R STREET

DETROIT , MI 48201

TRADE-IN:

SIEMENS

ARTIS ZEE

SN 10860 (8/6/09)

1 4P wireless footswitch inst. of cbl

Wireless footswitch connection

Note: Wireless replaces the wired connection.

1 Head-end table tilting

Motorized tilt and stepping of the patient table in longitudinal direction for electrophysiological or peripheral examinations, for example, as well as for stabilizing a patient. Includes a power-assisted tabletop control module.

Notes:

Table tilting reduces the maximum patient weight to 200 kg. As before however, it is possible to install up to 40 kg of additional accessories.

Note: It is mandatory to provide UPS back up with this table option in order to comply with IEC 60601-2-43 CL. 201.15.101. Reason: In the event of power failure a neutral table position suitable for CPR must be reachable within 15 seconds. Please include a suitable UPS from Siemens as required or make sure any existing / planned UPS provision for your installation site will satisfy the requirement

1 Table tilt and cradle (OR)

Motorized dual-axis tilt and stepping of the patient table in longitudinal direction for surgical, electrophysiological, or peripheral examinations, for example, as well as for stabilizing a patient. Includes a power-assisted tabletop control module.

Notes:

Table tilting reduces the maximum patient weight to 200 kg. As before however, it is possible to install up to 40 kg of additional accessories.

1 wide TT thick mat. ins. of std. TT

Patient positioning tabletop made of carbon fiber in wide, straight design for interventional, radiological examinations. The tabletop is straight all the way to the head area.

Matching the wide patient positioning tabletop, special-foam mattress, 7 cm, made of open-pore polyurethane material and a latex-free cover.

Note: The wide patient positioning tabletop with the thick mattress replaces the narrow or wide tabletop with the thin mattress described in the basic configuration. The head-end holder, handles, and shoulder supports (if part of the basic configuration) are eliminated because they can only be used with the narrow tabletop.

1 Laser crosshairs

Laser crosshairs integrated in the cover of the flat detector and tableside operation for easier, quicker and dose-saving positioning of the patient (with biplane systems only plane A).

1 Fluoro Loop

Storage and review of dynamic fluoroscopic sequences (Fluoro Loop). This saves an additional acquisition and reduces dose. The maximum storable fluoroscopic time depends on the selected pulse rate, e.g. 34 s at 30 p/s, 68 s at 15 p/s.

1 2K acquisition

Acquisition and storage of single images and series with a resolution of up to 4.76 megapixels (2480 x 1920) at up to 7.5 f/s.

The 2k acquisition is valid for DR, DSA, 3D acquisitions and PERIVISION, and affects full format, Zoom 1, and Zoom 2.

1 PERISTEPPING / PERIVISION

Motorized stepping for real-time bolus chasing.

C-arm stepping with ARTIS pheno and ceiling mounted systems, table stepping with floor mounted and biplane systems.

Peripheral digital angiography with stepping and online subtraction display.

1 DYNAVISION DSA/DR

Native or subtracted digital rotational angiography with angle triggering.

1 Card acq. mode w/high speed

Fast acquisition module for DR and DSA as well as digital card acquisition technology with frame rates of 7.5, 10, 15 and 30 f/s, acquisition, display and storage in 1k matrix.

1 Vascular analysis

Vessel analysis with determination of degree of stenosis, distance measurement and calibration.

1 syngo interv. Onco. Engine Pro as40

A workstation for reconstruction, post-processing and handling of 3D information including specific applications for interventional oncology. The package includes the following functionalities: 3D high-contrast and CT-like soft-tissue imaging (syngo DynaCT), 3D functional imaging providing physiologic blood volume information (syngo DynaPBV Body), 3D roadmap for dynamic overlay of planning data and 3D volumes on live fluoroscopy, 3D/3D fusion functionality for integration of pre-interventional 3D datasets, Workflow support for embolization and needle guidance, extended visualization (e.g. DSA) and post-processing of 2D images or scenes on the XWP (Angio Viewer) incl. 2D functional imaging for visualization of blood flow characteristics (syngo iFlow) and side-by-side comparison of images or scenes (Scene Compare), in-room control for table-side operation of advanced applications, Expert-i functionality for remote operation of the XWP. Only for PURE systems, the package also includes: 3D Wizard for expert step-by-step guidance in 3D acquisition, Parallel patient processing capabilities, Fusion of pre-interventional 3D datasets based on 2 projections (2D/3D Fusion), Marking of points or lines on the 3D geometry or MPRs and overlay of these markings on live fluoroscopy.

1 syngo DynaCT SMART

Streak Metal Artifact Reduction Technique for syngo DynaCT images.

Metal implants, like coils and stent markers, create artifacts in the reconstructed images that might make it difficult to detect bleedings or restenosis around the ends of the stent, for instance. syngo DynaCT SMART is a dedicated reconstruction algorithm to reduce metal artefacts.. This type of integrated image reconstruction protocol results in 3D volumes with reduced metal artefacts.

1 syngo Aneurysm Guidance Neuro

An integrated workflow to perform automatic 3D measurements on a cerebral aneurysm.

With three simple mouse clicks, a cerebral aneurysm and its parent vessel are segmented in the syngo Dyna3D\DynaCT image. Based on this segmentation, a complex analysis of the aneurysm is performed by the workstation and the aneurysm dome height and width, the ostium neck, angle and length as well as the ostium area and cutting plane are measured automatically. The application also determines the centerline of the parent vessel and displays the vessel as a curved MPR along this centerline.

1 syngo 3D Basic SW license

Basic 3D viewer platform for display of 3D series with Multiplanar Reconstruction (MPR), Surface Shaded Display (SSD) and Maximum Intensity Projection (MIP).

2 Lower body radiation protection This radiation shield protects the user from scattered radiation when standing at the table side.

It can be attached to the accessory rails either on the right or on the left side of the patient

It provides the user an additional accessory rail.

It includes a basic unit

(71.5 cm x 75 cm / 28.2'' x 29.5'' (l x w); 7.7 kg / 16.98 Ib), one lower body radiation protection pivot swivel element

(77 cm x 48 cm / 30.3'' x 18.9'' (l x w); 3.8 kg / 8.4 Ib) and three clip-on units

(57 cm / 22.4'' x 33 cm / 12.99'' (l x h), 2.2 kg / 4.85 Ib;

27 cm / 10.6'' x 33cm / 12.99'', 0.9 kg / 1.98 Ib and

27 cm / 10.6'' x 25cm / 9.8'', 1 kg / 2.2 Ib ) with a lead of 0.5 mm / 0.02'' Pb.

The maximum weight of the accessory rails is 40 kg (88.2 Ib).

Intended only for use with Artis / ARTIS tables.

1 Moveable upper body rad. protection

This radiation shield protects the user from scattered radiation.

For room heights up to 290 cm / 114.2''.

It includes a ceiling rail (4 m / 157.5''), a ceiling mounted and movable stand (80 cm or 57 cm / 31.5'' or 22,4"), a support arm (94 cm x 91 cm / 37'' x 35.8'') and an acrylic glass.

The shield is made of acrylic glass with lead equivalent of 0.5 mm

(w x h: 61 cm x 76 cm / 24'' x 29.9''), which can pivot and rotate around a fixed point with a range of 360 degrees.

The operation range is limited when used with Artis floor/biplane MN.

Max. weight: 18 kg / 39.68 Ib.

1 LED Surgical Light

Ceiling-mounted small LED OR light with variable focusing of the light field for optimum illumination. It is fully integrated into the ceiling-installed radiation protection mounting unit.

- Luminance: 100,000 Lux for 100 cm / 39,4'' distance

- Field: 60 to 150 cm / 23.6'' to 59.1''

- Color rendering index Ra at 4500 Kelvin: 95

- Color temperature: 4,500 Kelvin, single color

- Focusable light field: 14 to 28 cm / 5.5'' to 11''

- Diameter of light head: 49 cm / 19.3''

- Number of LED lights: 21

- Total input power: 30 VA.

1 VA kit Artis Q/Q.zen systems

Second set of system documentation (operator manual, etc.)

1 Intercom - Comfort

Intercom system for communication between examination room and control room.

It includes

- a microphone with a control box for the control room

- a microphone with an adaptive acoustic filter for background noise suppression for the examination room

- a footswitch for conversation selection for the examination room

1 Large Display diagn. Protection The high quality laminated glass protective screen protects the panel of the monitor against mechanical damage and fluid ingress on the front.

It is suited for clinical image evaluation.

Features:

The laminated glass enforces high mechanical strenght and resistivity against mechanical the special coating reduces reflections for a continuous image quality, excellent spectral transmisison of at least 98%, can be added to existing Artis Large Display installations.

Weight: approx. 12kg (55") up to 16kg (60")

Note: Observe the maximum permissible load of the display suspension, a combination with other options mounted to the display suspension might be restricted.

1 syngo Security Package (SW lic.)

SW extension providing enhanced security features including user management and audit trail functionality.

1 Narrow tabletop with thick mattress

This tabletop is for maximum freedom of C-arm angulation.

It includes a carbon fiber patient tabletop and a set of three Velcro body straps for securing and compressing the patient.

Maximum weight: 240 kg (529.1 lb)

Maximum weight in connection with tilting table: 200 kg (440.93 lb).

Weight: 10 kg / 22 Ib.

Length: 2287 ± 1mm / 90 ± 0.04''.

Width head-end: 228 mm / 8.98''.

Width middle body: 450 mm / 17.7''.

Width lower body: 525 ± 0.5 mm / 20.7 ± 0.02''.

Matching this tabletop a mattress and a mattress cover is included. This mattress adapts to the individual body shape under the influence of body weight and heat.

It is made of open-pore polyurethane material.

Mattress thickness: 70 ± 5 mm / 2.8''.

Mattress weight: 14.9 kg / 32.8 Ib.

1 Acc. rail module, narrow tabletop

This mounting frame is a table module with accessory rails for mounting control modules on the tabletop near the patient's abdomen.

It includes a radiolucent carbon fiber board with accessory rails attached to the right and left slides over the outer edges of the patient tabletop.

Maximum weight: 40 kg / (88.19 lb)

Weight: 5.8 kg / (12.79 Ib)

Width carbon fiber board: 47.5 cm / 18.7''

Width with accessory rails: 54.5 cm / 21.46''

Length accessory rails: 45 cm / 17.7''

Length: 48 cm / 18.9 ''

Intended only for use with Artis narrow tabletop.

Not for use with MediGuide Technology.

1 Acc. rail module, wide tabletop

This is an attachable module with accessory rails for placing the control modules near the patient's abdomen.

It includes a carbon fiber module with accessory rails (45 cm / 17.7'') attached to the right and left slides over the outer edges of the patient positioning tabletop.

Length: 48 cm (18.9 '')

Width (without accessory rails): 47.5 cm (18.7'') 55 cm / 21.65''

Width (with accessory rails): 54.5 cm (21.5'') 62 cm / 24.4''

Length: 62 cm (24.4'')

Weight: 5.9 kg (13 Ib)

Maximum weight: 40 kg (88.19 lb).

Intended only for use with Artis / ARTIS wide tabletop.

1 Kyphoplasty arm rest "UNI"

This item can be used when it is required to have the patient in a prone (lying face down) position.

It includes the armrest (width: 61.5 cm / 24.2"; length: 35 cm / 13.8") and two pads (thickness:

3.5 cm / 1.38").

Weight: 6.15 kg / 13.56 Ib

Maximum weight: 20 kg / 44.09 lb

Intended only for use with Artis wide / ARTIS narrow or wide tabletop.

1 Body strap set

Can be used to secure patient to the patient table and to compress patient anatomy. It consists of two belts with Velcro straps (l x w: 185 cm x 10 cm / 72.8'' x 3.94'').

Intended only for use with Artis / ARTIS tables.

1 Sec. operation in the control room

Interface for connecting the additional system control from the control room.

Rail profile for hanging control modules (e.g. the table module) in the control room.

Safety button for switching off all system functions from the control room.

1 Secondary System Control (C Room)

Touchscreen control with a multi-functional joystick for the selection of the organ programs, operation of the imaging system, including post-processing and quantification

1 Secondary Device Control (C Room)

Additional control module, monoplane, for all functions of the C-arm movements and multileaf collimator. For both acquisition planes for a biplane system.

1 Secondary Table Control (C Room)

Second control module to remote-control the patient table in the examination room. Table control within the degrees of freedom supported by the motor drive. (Release knob in connection with the standard table; joystick in connection with the OR table, the table with tilting and the table with stepping).

1 Secondary Hand Switch Ctrl (C Room)

Additional hand switch for radiation release and additional control functions.

1 Secondary Footswitch Ctrl (C Room)

Additional footswitch for radiation release including configurable control functions

1 VOLCANO s5i cable set

Cable set for operating the Volcano s5i ultrasound system incl. s5iz and s5iu (CORE-System).

It contains all cables for connecting the components at the patient table to the s5i imaging system in the control room.

This cable set will already be integrated into the Artis table in the factory.

With this item, a display is delivered additionally for the examination room if an Artis Large Display was not ordered. If an Artis Large Display is ordered, the configuration includes a connection kit for the Artis Large Display instead of the 19" display.

1 DICOM Print

Provision of DICOM Print service for connection to a laser camera or a network printer (postscript-capable).

1 DICOM RIS-Modality Worklist

Import of patient/examination data from an external RIS/HIS patient management system with DICOM MWL (Modality Worklist).

1 DICOM MPPS

Feedback of examination status via DICOM MPPS (Modality Performed Procedure Step) to an external RIS/HIS patient management system.

Data such as the dose-area product can be transferred to the RIS.

1 Injector conn. in the control room

Interface for controlling the contrast medium injector in the control room.

Injectors can be offered by Siemens Healthcare Accessory Solutions

1 AX ELEVATE #R ROW BuyBack zee floor

AT Elevate program for Artis systems (monoplane, floor-mounted) that will be replaced by a new Artis zee (without Artis zee MP), Artis one, Artis Q or Artis Q.zen system.

AT Elevate is the Siemens managed system upgrade program, which helps you replace your existing system with a new one, allowing you to benefit from modern technologies and functionalities. The old system will be bought back by Siemens.

1 Customer documentation - 2nd copy

Second operator manual

1 Large Display large work area

Preparation for the large color flat screen display on an extended arm for increased reach and working range. An additional cantilever beam extends the radial coverage of the display by approximately 60 cm.

This extended suspension is installed on a ceiling-mounted carriage. The display holder is height-adjustable, longitudinally mobile and can swivel and rotate.

In case of a ceiling-mounted or biplane configuration the carriage operates in the same rails as the C-arm carriage, which have been extended by 1.2 m for easy operation.

This item also includes cables for the examination room.

Note: The type of large display can be chosen with a separate position.

1 Large Display video controller 18

Large Display Video Controller 18 is the middle of three different video controller sizes. A maximum of 18 video signals can be connected and displayed simultaneously on the Large Display.

The Large Display video controller 18 receives various internal and external video signals for presentation to scale on the Large Display.

Up to 18 external and internal video sources can be connected (max. 14 DVI-D and 4 analog (VGA) channels).

1 Add 19" display for LD (rear mount)

19" TFT display including 36 m cable with DVI-D connection and transceiver for display installation on the rear of the DCS in combination with the Large Display.

1 Quad HD to Full HD video controller

The quad HD video signal of the Large Display with a resolution of 3840x2160 is converted to the common full HD video standard in this video standard converter (resolution 1920x1080).

This signal then can be used for all common full HD video components.

Optical video isolation is part of the downscaler.

1 LD High Contrast panel size 55"

Large color flat screen display (including cables) for the examination room, with a panel diagonal of 55". This large display version provides an excelling clinical image quality due to it's new IPS panel technology.

1 Artis Cockpit - 1 console

The Artis Cockpit enables the operation of up to 9 systems and the presentation of up to 9 video signals on a high-resolution High Bright 30" display. The connected systems are operated via keyboard and mouse.

Attention: If a Cockpit is selected, the Artis basic configuration includes a connection kit for the Cockpit instead of the display for the control room.

1 Initial onsite training 32 hrs

Up to (32) hours of on-site clinical education training, scheduled consecutively (Monday - Friday) during standard business hours for a maximum of (4) imaging professionals. Training will cover agenda items on the ASRT approved checklist. Uptime Clinical Education phone support is provided during the warranty period for specified posted hours. This educational offering must be completed (12) months from install end date. If training is not completed within the applicable time period, Siemens obligation to provide the training will expire without refund.

1 Follow-up training 32 hrs

Up to (32) hours of follow-up on-site clinical education training, scheduled consecutively (Monday - Friday) during standard business hours for a maximum of (4) imaging professionals. Uptime Clinical Education phone support is provided during the warranty period for specified posted hours. This educational offering must be completed (12) months from install end date. If training is not completed within the applicable time period, Siemens obligation to provide the training will expire without refund.

1 Follow-up training 12 hrs

Up to (12) hours of follow-up on-site clinical education training, scheduled consecutively (Monday - Friday) during standard business hours for a maximum of (4) imaging professionals. Uptime Clinical Education phone support is provided during the warranty period for specified posted hours. This educational offering must be completed (12) months from install end date. If training is not completed within the applicable time period, Siemens

3 Additional onsite training 16 hours

Up to (16) hours of on-site clinical education training, scheduled consecutively (Monday -will cover agenda items on the ASRT approved checklist if applicable. This educational offering must be completed (12) months from install end date. If training is not completed within the applicable time period, Siemens obligation to provide the training will expire without

1 Additional onsite training 32 hours

Up to (32) hours of on-site clinical education training, scheduled consecutively (Monday -will cover agenda items on the ASRT approved checklist if applicable. This educational offering must be completed (12) months from install end date. If training is not completed within the applicable time period, Siemens obligation to provide the training will expire without

2 GOVT Training Class (T & L not included)

Tuition for (1) government attendee to attend a classroom course of choice at one of the Siemens training centers. This educational offering must be completed (12) months from install end date. If training is not completed within the applicable time period, Siemens

1 Mark 7 Arterion, Pedestal System

The Arterion Mark 7 Pedestal contrast medium injector can be positioned anywhere at the patient positioning table on a mobile unit, for direct operation of all functions in the examination room.

The injector system includes:

A mobile pedestal stand with electronics unit, a contrast medium heater and a connection cable to the manual release.

A support arm with injector head and a control lever for moving the injector head.

A user control console with large touch screen and corresponding additional monitoring display on the injector head.

Functions

Pressure limitation:

for 150 ml syringes 689 to 8273 kPa, corresponds to 100 to 1200 psi. .

Flow rates for 150 ml syringes:

0.1 to 45 ml/s in increments of 0.1 ml/s

0.1 to 59.9 ml/min in increments of 0.1 ml/min rise/fall: 0 to 9.9 s in increments of 0.1 seconds

Release delay for injection or radiation:

0 to 99.9 s in increments of 0.1 s.

Adjustable volume for 150 ml syringes:

1 ml to the max. syringe capacity in increments of 1 ml.

Fill rate:

Variable syringe filling speed 1-20ml/s.

Injection protocols:

Up to 40 injection protocols possible.

Parameters currently displayed on the touch screen display and on the head display:

Injection speed

Injection volume

Remaining volume

Injection duration

Applied pressure

Contrast medium heating:

Nominal 35°C (95°F)+-5°C (9°F)

Injection data memory

Up to 50 injection data items stored

Included in the scope of delivery

Injector standard configuration 150 ml

SIEMENS interface cable

Operator Manual

Service manual (English).

Power supply

200 V to 250 V; 50/60 Hz.

1 Arterion Pedestal Install

1 Eaton 93PM-150 kW UPS

Complete system backup without interruption. One UPS per lab.

Includes the following:

Eaton 93PM UPS Electronics Cabinet w/integrated maintenance bypass sidecar

Eaton 93PM Single Battery Cabinet System (Full load back-up time @ 150kW of 7.1 minutes.)

Eaton 93PM Remote Monitoring Panel

Network Card

Eaton 24x7 start-up

One year (24x7) warranty through Eaton Corp.

Not approved for sites that require OSHPD.

Shipment is to customer's dock. Customer is responsible for logistics from the dock to inside location.

1 Black anti-fatigue mat 36x60

Black NewLife EcoPro anti-fatigue mat (36 inches x 60 inches), 3/4 inch polyurethane foam, fluid and dirt resistant with anti-micorbial properties, matte textured surface.

The ultimate employee benefit for workers who stand, are ergonomically designed to provide the perfect balance of premium comfort and optimal support. Proprietary Cellulon(r)Polyurethane Technology stands up to the tough demands of commercial environments while providing lasting comfort that won't bottom out over time. This eco-friendly line of anti-fatigue mats is certified by the National Floor Safety Institute for its high traction bottom surface.

1 PERI BOLUS KIT

1 Standard Rigging zee SP GOV

1 Artis Q System Complimentary Biomed Training

This educational offering includes system training tuition for 1 clinical engineering professional on the Artis Q System Training and the syngo multimodality workstation as applicable. The training curriculum depends on and is limited to the system purchased and may include multiple courses including classroom training in USA or an international site, and/or virtual and web-based training. Additional modality basics training may be required as a prerequisite to these courses and must be purchased separately. This system training includes a 15% discount. Travel and lodging are not included. This educational offering must be completed by the later of (12) months from purchase or install end date; if training is not completed within the applicable time period, Siemens obligation to provide the training will expire without refund.

This forfeiture does not apply to Federal government agencies.

1 Elevate R Deinstallation Ceiling-Flr-MP

Additional Rigging AXA for OOS cost

Offset Artis Q System Complimentary Biomed Training

Offset Initial Training 32 hrs

Elevate R Zee Floor Promotion:

Elevate R Deinstal Ceiling-Flr-MP Offset:

Offset Part 14434137 VA Kit Artis Q/ Q.zen systems (

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Sticky Note Unmarked set by AMMHINWARDM

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Unmarked set by AMMHINWARDM

ALTERNATE PRODUCTS

ALTERNATE PRODUCTS

1 Artis Cockpit - 2 consoles

The Artis Cockpit enables the operation of up to 9 systems and the presentation of up to 9 video signals on up to two high-resolution High Bright 30" displays. The connected systems are operated via keyboard and mouse.

Contains mouse and keypad

Attention: If a Cockpit is selected, the Artis basic configuration includes a connection kit for the Cockpit instead of the display for the control room.

The above item(s) are being quoted as a substitute for the following quoted Part No(s).

• 14434188 - "Artis Cockpit - 1 console

AMMHINWARDM

None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Sticky Note Unmarked set by AMMHINWARDM

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

OPTIONS

OPTIONS

1 Qfix DSA-3Q HEAD HOLDER

The Qfix DSA-3Q Head Holder is designed for neurological procedures which require head immobilization and multi-positioning, such as angiography. The DSA-3Q universal mounting clamp securely attaches to the head end of flat-top tables ranging from 0.50" (1.3cm) to 1.75" (4.5cm) in thickness. The composite skull cradle provides rigid positioning. Easy-to-maneuver swivel joint allows for various head positions and enables quick positioning changes. Includes two hook and loop straps for securing the forehead and chin and a foam pad insert for patient comfort.

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Sticky Note Unmarked set by AMMHINWARDM

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Detailed Technical Specifications

Description

System description:

The single plane X-ray angiography system for digital acquisitions was designed to meet the requirements of modern angiography and interventional procedures, with a focus on interventional radiology.

C-arm floor-mounted stand:

- Up to 5 preprogrammed work positions, additional 50 user-definable work positions and 3 direct positions can be stored and recalled from table side.

- One single joystick for patient angle oriented operation of C-arm and change of source image distance (SID).

- Integrated, computerized collision protection .

- C-arm positioning 0° to the head end and 35° at the left side C-arm position.

- Double oblique projections:

- LAO/RAO: ±130°

- Cranial max. 55°, 52° with isocenter 12 cm above patient positioning tabletop

- Caudal 45°

- Variable C-arm speeds up to 25°/s.

- Variable focal spot-to-detector distance between 90 cm and 120 cm.

- Isocenter-floor distance 106 cm.

- Focus-isocenter distance 75 cm.

Patient table configuration

Table

- Direct patient access from all sides, both through the swiveling table and large tabletop cantilever.

- Electromechanical release of table swivel at the touch of a button at the table.

- Telescopic foot with motor-driven height adjustment.

- Maximum patient weight: 250 kg. It is possible to install up to 40 kg of additional accessories, plus a further 100 kg for patient resuscitation.

The table can be rotated to ensure quick access to the patient even in emergency situations.

Tabletop Patient positioning tabletop made of carbon fiber in wide, straight design for universal use. The tabletop is straight all the way to the head area.

Mattress Matching, special-foam mattress, 4 cm, incl. a latex-free cover.

This visco-elastic comfort mattress reacts to temperature and has the special property of adapting to the individual body shape under the influence of body weight and heat.

Application-specific accessories

- Infusion bottle holder

- Unilateral armrest: Carbon fiber armrest for cardiology and arm angiography to slide underneath the positioning mattress.

- Arm holder (1 pair): Two arm holders for comfortable lateral arm positioning along the patient's body.

- Instrument tray: Plastic instrument tray to be positioned at the patient table above the patient. It is swivable and height-adjustable, so that it can be positioned directly or sideways above the patient.

- Hand switch for radiation release and additional control functions.

Operating modes

Fluoroscopy

- Digital pulsed fluoroscopy with pulse frequencies of 7.5 p/s, 10 p/s, 15 p/s, and 30 p/s in 1k/12 bit matrix.

Pulse rates of 0.5 - 4 p/s are also possible with CAREvision.

- Overlay fade: On-line overlay of the reference image onto the active fluoroscopy. This improves efficiency and safety during interventional procedures because additional information which is clinically necessary can be displayed directly in the live fluoroscopy image.

Digital acquisition technology Digital acquisition technology with frame rates of 0.5 to 7.5 f/s in 1k/12 bit matrix and digital real-time filtration.

Single image and serial acquisitions with time-controlled and manually variable frame rate.

The 1k image matrix with a bit depth of 12 bits allows an excellent image contrast by using 4,096 shades of grey.

Thus, the image quality meets highest expectations in angiography and fulfills all prerequisites for precise diagnostics and safe interventions.

Digital Subtraction Angiography:

Digital Subtraction Angiography with frame rates of 0.5 to 7.5 f/s, including pixel shift, remask, roadmap, peak opacification for iodine contrast (MaxOpac), and CO2 contrast (MinOpac); adding of the anatomical background (landmark) from 0 to 100%.

Includes the "Advanced Roadmap" additional function which offers the following clinical benefits:

- DSA image can be selected as a mask for Roadmap

- Zoom can be changed during Roadmap

- Catheter and vascular contrast can be changed separately Unexpected patient movements in DSA acquisitions can be corrected easily with Auto Pixelshift. This saves time for the user and improves image quality.

CLEARmap Special 2D Roadmap operating mode creating a vessel map from a DSA-scene using Maximum Opacification technique. As an additional operating mode, you can also decide to pick one frame out of a DSA run (i.e. for venous access in Roadmap).

This provides improved image quality compared to conventional Roadmap, and reduces x-ray dose and contrast media.

CLEARmatch Automatic/Online pixel shift processing for most accurate subtracted image display during Roadmap and DSA based on real time movement detection and compensation.

Six degrees of freedom - vertical, horizontal, rotational, zoom and shearing movement (left and right) - allowing highest possible efficacy. In order to show the most recent information in raw format, the pixel shift operation is applied to the mask image. This optimized way of pixel shifting ensures a perfect match of Roadmap image and native fluoro image, being shown at the Assist monitor.

CARE package

ALARA principle

Siemens follows the ALARA principle: "As Low as Reasonably Achievable"; the CARE package (Combined Applications to Reduce Exposure) was developed based on this research and development principle to protect the examiner and the patient.

Dose saving

- CAREfilter: Intelligent control software that minimizes X-ray dose. During fluoroscopy and acquisition, special copper prefilters are automatically inserted into the X-ray beam depending on current X-ray transparency, which is calculated continuously. This is necessary to ensure that the optimal prefilter value is always active.

This automation makes work easier for the user because the optimal filter setting need not be adjusted manually for each case.

The adaptive Cu prefiltration has five steps (0.1, 0.2, 0.3, 0.6, 0.9 mm) and is used to lower the reference air kerma and improve radiation quality by reducing the low-energy X-ray radiation.

- CAREvision with as20 detector: Pulsed fluoroscopy with additional, reduced pulse rates of 0.5, 1, 2, 3, 4, 6 p/s. Adaptation of pulse rate to the current application requirements for significant reduction of radiation exposure, especially during interventional procedures.

- CAREvision with as40HDR detector: Pulsed fluoroscopy with additional, reduced pulse rates of 0.5, 1, 2, 3, 4 p/s. Adaptation of pulse rate to the current application requirements for significant reduction of radiation exposure, especially during interventional procedures.

- CAREprofile: Radiation-free positioning of the primary and semi-transparent diaphragms by means of graphic display in the LIH (Last Image Hold). Collimator shutters and semi-transparent filters can be adjusted as a graphical overlay on the last-image-hold without any need for fluoroscopy or radiation.

- CAREposition: Radiation-free object repositioning by means of graphic display of the X-ray center beam and image edges in the LIH image. With CAREposition it is possible to reposition the object under visual control without radiation.

- In case of table movements the current position of the central beam and the image edges are superimposed on the LIH image as orientation points.

- Low dose acquisition: enables dose savings of up to 67 % during the examination. The Low Dose Acquisition protocol can be released with a separate pedal on the footswitch.

Dose monitoring

- CAREwatch: Display of the measured dose-area product and the calculated patient reference air kerma on the flat-screen display. Electronics unit with DIAMENTOR measurement chamber integrated in the collimator housing for dose acquisition.

Configurable screens on the data display and imaging system monitor:

During fluoroscopy: Reference air kerma rate.

During fluoroscopy interval: Accumulated reference air kerma or dose-area product, or percentage of the reference air kerma limit (total from fluoroscopy and acquisition).

- CAREguard: Monitoring the reference air kerma. If the accumulated reference air kerma exceeds one of the three configurable limits, a warning appears on the live display and tableside on the touchscreen control. This allows ideal monitoring of the accumulated reference air kerma during the examination.

- CAREmonitor: Special model-based monitoring of the measured skin entry dose, taking into account the geometric conditions of the system (actual device angulation, table position, patient weight, patient size). It then continually displays whether the skin entry dose applied to a specific region of the patient's body exceeds a specific configurable upper limit. CAREmonitor continually calculates and displays the actual accumulated skin entry dose as a portion of this upper limit. This helps the user to detect a potential patient hazard at an early stage. The patient is therefore better protected against the damaging effects of radiation.

Dose documentation

- CAREreport: Dose information as part of the DICOM Structured Report. After each examination, the information is available in DICOM format and can be sent to a DICOM archive together with the image data, for example. Saving dose information in DICOM format also enables flexible analysis and further processing via a DICOM-capable analysis software/database.

- CARE Analytics: Standalone PC program for analyzing doses in angiography, CT, and radiological examinations. The data can be exported to statistics programs such as Microsoft Office Excel and SPSS for further analysis. CARE Analytics is available for download from the Siemens Intranet.

CLEAR package The CLEAR package enables optimized image quality through real-time processing of the image data without increasing the radiation dose.

- CLEARpulse optimizes the X-ray pulse in two ways: the high pulse power allows for additional filtration to reduce radiation. In addition CLEARpulse shortens the X-ray pulse through the use of grid-pulsed flat emitter technology in concert with a high anode rotation speed. The required X-ray energy can be provided in a shorter period of time, thereby shortening the X-ray pulse by up to 43% at constant tube voltage. Moving objects like coronary arteries can be visualized sharper and with less blurring artifacts.

- CLEARcontrol: The new histogram analysis provides a more homogeneous image impression by harmonizing over- and underexposed areas of the image. This is done fully automatically, thus eliminating any further manual user corrections through windowing.

- CLEARview: Dose-dependent filtering of the image data efficiently suppresses image noise, enabling clear, sharp images, even for low-dose acquisitions.

- CLEARvessel: Every pixel is analyzed in real time, and vessel edges are shown in high contrast without adding noise to the image.

- CLEARmotion: Fine moving structures, such as small vessels and guidewires, are detected in the image and motion artifacts are suppressed efficiently. The visibility of small moving vessels and guidewires is improved significantly during fluoroscopy.

In addition there is Dynamic Density Optimization (DDO) for on-line harmonization of native series and single images.

Image generation

X-ray generator Microprocessor-controlled high-frequency X-ray generator with automatic dose rate control.

- Power output: 100 kW at 100 kV (IEC 60601-2-7 and IEC 60601-2-54).

- SID tracking: Automatic tube current adaptation to focal-spot-to-detector distance.

- CAREmatic: Automatic X-ray control system for fully automatic calculation and optimization of exposure data based on fluoroscopic data.

- Patient transparency monitoring.

- Tube load monitoring with indication in the live display.

The optimal X-ray parameters depend on the transparency of the patient at the current angulation, measured during fluoroscopy. These parameters are continuously calculated and updated. Test shots are no longer required.

This ensures superior image quality and minimum radiation exposure for user and patient with every exposure release.

GIGALIX 125/30/40/90 - X-ray tube assembly Triple-focus high-performance X-ray tube assembly with unique flat emitter technology for generating extremely high tube currents of max. 250 mA in fluoroscopy and 1000 mA in acquisition. This provides very good image quality even with heavier patients or steep angulations. The focus is always quadratic and permits outstanding perceptibility of small structures with a nominal quadratic focus of 0.3/0.4/0.7. The anode has a high heat storage capacity of 5.2 MHU and the metal center tube with liquid bearing technology allows a maximum cooling power of 1520 kHU/min. This means that pauses are not required during radiation, even for lengthy procedures. The X-ray tube is almost silent, which is an additional benefit for patient and user.

as40HDR flat detector The digital high-resolution dynamic flat detector with integrated removable grid is especially designed to fulfill the requirements of interventional imaging.

The detector features 16-bit analog-to-digital conversion, resulting in a gray scale resolution of 65,536 gray scales.

This in turn improves contrast resolution in 3D imaging with syngo DynaCT.

The increased scintillator layer thickness of 750 µm results in a high DQE (Detective Quantum Efficiency) of 77%, thereby improving image quality at low radiation doses.

154 μm pixel arrays provide highest spatial resolution (3.25 LP/mm) and excellent contrast. Acquisition frame rates of up to 60 f/s are possible.

Usable input formats:

- Overview mode 30 cm x 38 cm

- Zoom 1: 30 cm x 30 cm; diagonal 42 cm

- Zoom 2: 22 cm x 22 cm; diagonal 32 cm

- Zoom 3: 16 cm x 16 cm; diagonal 22 cm

- Zoom 4: 11 cm x 11 cm; diagonal 16 cm

- Zoom 5: 8 cm x 8 cm; diagonal 11 cm

The flat detector is mounted on a motorized rotating turntable at the C-arm. It can be rotated by 90°, so that it can be adjusted to landscape format or portrait format. Any angle in between can be adjusted.

Motorized adjustment of the detector-patient distance.

The as40HDR flat detector offers additional operating functions directly on the detector housing, such as angulation, FD rotation (cranial/caudal, RAO/LAO), and change of the focus-detector distance.

Removable grid:

The grid can easily be removed, saving the user time in examinations not requiring a grid. For example in pediatrics, where dose reduction is especially important.

Angio collimator Compact multileaf collimator with rectangular blade, wedge-shaped finger filters for DSA and cardiological applications and graduated filter.

- Independent rotation and shift of filter blades

- Automatic synchronous rotation of detector and collimator unit to compensate image rotation at the different examination positions of the support stand.

- Rotation also possible via table side control enabling upright images of objects or body parts not aligned with the table e.g. arms.

- Manual rotation of the detector and collimator unit using the control right on the detector housing.

- Five-step adaptive Cu pre-filtration (CAREfilter) to reduce the equivalent skin dose and improve radiation quality through dose saving for the soft radiation parts. Filter steps: 0.1; 0.2; 0.3; 0.6; 0.9 mm Cu.

- Electronics unit with DIAMENTOR dose measurement chamber integrated in the collimator housing, for acquisition of the dose-area product and the calculated patient entry air Kerma at the patient entrance reference point (CAREwatch).

StraightView The flat detector and the multileaf collimator are installed on a motorized rotating turntable on the C-arm. They automatically line up with the table swivel, thus ensuring upright images of objects which are in line with the table.

The flat detector and multileaf collimator can also be rotated together at any angle relative to the table, enabling upright presentation and collimation of objects which are not in line with the table.

Image processing

- Image display as positive and negative, windowing, contrast and brightness control, electronic display shutter, image shift (roaming), vertical and horizontal image inversion, magnifying glass, and zoom functions

- Storing of single images as reference images for acquisition and fluoroscopy

- Quantification: angle and length measurements, automatic and manual calibration

- Text functions: user-definable image annotation, free annotation or by means of text components, comments line for the image, R/L display

- Fast and direct access to all series, single images, reference images, and photo file images via MULTIMAP.

Access possible both in the examination and in the control room for displaying or post-processing images

Imaging system

Dual architecture In order to provide highest level system availability, the imaging system consists of two independent computer systems that manage central tasks such as real-time image processing during fluoroscopy or acquisition as well as post-processing and networking functionality separately from one another. This ensures the best possible system performance and availability.

Image storage capacity 25,000 images in 1k/12 bit image matrix. This can be optionally extended to 50,000 / 100,000 images.

Image export and networking

DVD/CD burner DVD drive for automatic digital image storage in the background on DVD-/CD-ROM for off-line data exchange in DICOM format.

Networking

- Network interface (1000 BaseT) with the following integrated DICOM services:

- DICOM Send: Sending of images into the DICOM network: The DICOM Send function enables fully automatic transfer of generated image data to a DICOM archive and/or a DICOM workstation. The user can perform his examinations without interruption, while the system is fully automatically transferring the images to the archive scene by scene. This is a background process, and thus does not interfere with the ongoing fluoroscopy or acquisition.

- DICOM Storage Commitment (StC): Feedback from the image archive. The DICOM StC function automatically gives feedback on whether the generated image data were successfully transferred. This provides the necessary certainty to the user before deleting the acquired images locally in the imaging system.

- DICOM-Query/Retrieve: Retrieval of archived images from a digital archive or from a workstation: Already archived image data from a previous examination can be fully retrieved and is then available for review and processing. The user can request CT or MR system images from the archive and display the image in the examination room. There is no need for a separate workstation.

- DICOM Structured Report: All the quantification results obtained on the system as well as all dose information on the individual radiation releases can be saved in DICOM SR (enhanced SR) format and transferred to a DICOM network.

Note concerning DICOM interface(s) The description in the DICOM Conformance Statement downloadable from the Internet is exclusively binding for the functionality of the DICOM interface(s).

Functionalities across interfaces with/between partner systems require explicit validation, since the interpretation of the interface by the partner/target system is not part of the product's responsibility.

A modification of the interface that might be required is not included in the offer; e.g. for the rare case that available configurations are not sufficient. With regard to expenses for interface configurations that might be required, the agreements on maintenance/service of the product apply.

Display and display suspension

Displays in the exam room Live and Assist displays are 19” TFT color and gray scale flat-screen displays with high luminance and extended viewing angle.

- Screen size: 19” (48 cm)

- Resolution: 1,280 x 1,024 (pixels)

- Excellent brightness for the entire service life: 400 cd/m² at a contrast ratio of 1000:1

- Flicker-free and distortion-free image display

- Ambient light sensor for optimum adaptation of the image display to the room brightness

Reference images are shown on the Assist display.

Data for device and table position, dose data, and system messages are displayed in the examination and control room on both the live and the Assist display.

Displays in the control room 19“ high-contrast display for live image display in the control room is included as a desktop version.

Display suspension Ceiling-mounted, swiveling, rotating, and height-adjustable display suspension system with longitudinal travel. It features two 19” high-contrast TFT displays for live and reference image display in the examination room (Standard configuration - unless modified).

Operation syngo The intuitive syngo operating elements allow for managing the whole process from preparation of the patient to image post processing in a safe, reliable, and time efficient way.

Footswitch A 4-pedal wired footswitch to release fluoroscopy, exposure, and table brake as well as a configurable additional function is included as standard.

In the examination room For an ideal workflow, full operation capabilities for the system can be accessed directly at the patient table. These include complete system operation through modular control elements for controlling C-arm movements, the patient table, and the multileaf collimator.

syngo-based touchscreen with multi-functional joystick for operation of the imaging system, including post-processing and quantification as well as selection of the organ programs. The touchscreen is specifically configurable to individual clinical requirements.

This means that the user can operate the system on their own without having to leave the examination room if this is deemed necessary by the situation.

In the control room Standard Siemens syngo control via country-specific keyboard and mouse for all imaging system functions such as image post-processing, storing, and configuring of organ programs.

Smart Remote Services Prepared for Smart Remote Services (during warranty, then with service contract):

- Hardware and software remote diagnosis.

- System remote configuration, e.g. adding of a DICOM node.

- Early warning system ensuring system operation.

syngo Evolve syngo Evolve is a service feature that is offered as a separate sales option. It is a key component of our upgrade strategy and allows you to take advantage of technological advancements.

Customer Care - the customer care solution from Siemens Healthcare From the moment you purchase your Siemens system you will benefit from many services that are offered by "Customer Care"*. These include:

- Initial application training

- Interactive e-learning for various applications

- Free customer magazines

-…