36A79719Q0013-035.pdf

Qty Item Description

1 SOMATOM Confidence (64-slice)

Whether you strive for advanced treatment techniques or for patient care that is both standardized and personalized - there are significant developments in Radiation Therapy that call for utmost precision.

This is why we designed our new dedicated CT scanner for RT: the SOMATOM Confidence(r) RT Pro. Thanks to images that are optimized for both contouring and dose calculation and a workflow that helps reduce sources of error, it brings together standardization and personalization.

There is no more compromise between efficiency, patient satisfaction, and clinical outcomes.

Face present and future RT challenges with confidence.

Blaze a new trail in RT.

1 RT Pro

Item includes

- Extended Field of View #AWP

- HD FoV Pro #AWP

- SAFIRE

1 RT Identifier

1 Standard rear cover

Sleek touch-control screen on the front side of the gantry only.

1 Standard IRS

Reconstruction computer for the preprocessing and reconstruction of the CT raw data. The reconstruction computer contains a cluster of 1 high-performance GPU boards performing the preprocessing and reconstruction of the CT data. The raw data memory is 900 GByte. The peak recon performance is 40 frames/sec.

1 Cooling System Air

Air cooling for the dissipation of heat generated in the gantry.

1 CT Replacement Confidence 64

Conversion to Siemens SOMATOM Confidence 64.

1 iMAR #AWP

The iMAR metal artifact reduction algorithm combines three successful approaches (beam hardening correction, normalized sinogram inpainting and frequency split). This allows to

REQUESTING SERVICE: RADIATION THERAPY

SHIP TO: WAREHOUSE

V.A. Medical Center

CHIEF, A&MMS (90D)

UNIV & WOODLAND

PHILADELPHIA, PA 19104

PO#: 642-B80023 • Change “64 slices” to “32 detectors”

• Minimum Field of View (FOV): 50 cm, with expandable FOV at least 70cm

• Minimum image quality (at identified clinical scan protocol and associated dose information):

o low contrast : 2mm at 0.3% contrast o Spatial resolution (High contrast resolution): >10 line pairs/cm

• CATPHAN (to measure image quality) reduce metal artifacts caused by metal implants such as coils, metal screws and plates, dental fillings or implants.

iMAR is compatible with extended FoV, the extended CT scale as well as the newest dose reduction feature.

Along with the new algorithm comes the simple user interface of iMAR enabling easy reconstruction of clinical images with reduced metal artifacts.

1 DirectDensity

Software feature that enables user to obtain relative electron densities directly from the CT images, allowing patients to be scanned at any kV setting**, and simplifying physics work for treatment planning.

It includes

- CARE kV, first automated, organ-sensitive voltage setting to improve image quality and contrast-to-noise-ratio

- CARE Child, dedicated pediatric CT imaging, including 70 kV scan modes and specific CARE Dose4D curves and protocols

*DirectDensity(tm) reconstruction is designed for use in Radiation Therapy Planning (RTP) only. DirectDensity(tm) reconstruction is not intended to be used for diagnostic imaging.

**As shown by measurements with a Gammex 467 Tissue

Characterization Phantom comparing standard reconstruction (kernel

D30) and DirectDensity(tm) reconstruction (kernel E30). HU value to relative electron density conversion for the standard reconstruction was based on a two-linear-equations approach with individual calibration for each tube voltage. For DirectDensity(tm) images, a single tube-voltage-independent linear conversion was used.

1 syngo DE Scan for Single Source#AWP

The syngo Dual Energy Scan for Single Source option offers the possibility to acquire two spiral data sets in sequence at different energies. The results are two data sets with diverse information. All features to reduce patient radiation like dose modulation or iterative reconstruction can be applied.

1 FAST DE Results #AWP

With FAST DE Results you can select Dual Energy applications at the AWP and the results will be sent directly to the PACS for a straight forward Dual Energy workflow.

1 Respiratory Motion Management

- Advanced 4DCT/respiratory gating package that allows for prospective or retrospective acquisitions

- Acquire, review/edit wave form, reconstruct, generate MIP, minIP, and AverageCT, and view 4D movie loop (optional) all on the console

- Compatible with multiple hardware devices including the Anzai Belt and the Varian RGSC, both of which offer complete integration with control console

1 FAST 4D

Enables guided 4D workflows and auto adjustment of scan parameters depending on breathing rate. The new algorithm analyses the breathing curve and selects automatically one out of 3 respiratory protocols. A pre-selection of the breathing rate is no longer required. FAST 4D also provides user feedback if patient's breathing is in range or if re-teaching is recommended.

1 Varian RGSC online interface

Cable to connect to Varian RGSC device.

1 Multi-purpose table & RTP Table Top

Includes as standard:

- 227 kg/500 lb. capacity table

- Siemens RTP flat table top, with standard 14 cm indexing

- 165 cm scan range for RT scans

Offers as optional:

- Concave table top for backup diagnostic scanning

1 FAST CARE Package

Suite of automation and dose-saving tools to streamline workflow and simplify dose management.

Includes:

- FAST Adjust

- CARE Profile

- CARE Dashboard

- FAST Planning

- DoseMAP

1 Computer Desk #AWP

New CT desk to accommodate the control components and color monitor.

Width: 1200 mm, Depth: 800 mm, Height: 720 mm.

1 Computer Cabinet #AWP

New cabinet to accommodate the computer system and UPS. Matched to the design of the control console table.

Width: 800 mm, Depth: 800 mm, Height: 720 mm

1 Additional User Manual

Additional user manual for the above selected CT system.

1 CT Project Management

A Siemens Project Manager (PM) will be the single point of contact for the implementation of your Siemen's equipment. The assigned PM will work with the customer's facilities management, architect or building contractor to assist you in ensuring that your site is ready for installation. Your PM will provide initial and final drawings and will coordinate the scheduling of the equipment, installation, and rigging, as well as the initiation of on-site clinical education.

1 CT Standard Rigging and Installation

This quotation includes standard rigging and installation of your CT new system.

Standard rigging into a room with reasonable access, as determined by Siemens Project Management, during standard working hours (Mon. - Fri./ 8 a.m. to 5 p.m.)

It remains the responsibility of the Customer to prepare the room in accordance with the SIEMENS planning documents.

Any special rigging requirements (Crane, stairs, etc.) and/or special site requirements (e.g.

removal of existing systems, etc.) is an incremental cost and the responsibility of the Customer.

All other "out of scope" charges (not covered by the standard rigging and installation) will be identified during the site assessment and remain the responsibility of the Customer.

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 Initial onsite training 32 hrs GovOffset

1 Additional onsite training 32 hours

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 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 refund.

1 teamplay Welcome & Registration Package teamplay is a cloud-based network that brings together your imaging modality users, the systems' dose and utilization data, and the users' expertise to help you improve the delivery of care to your patients. Basic features are provided free of charge. Premium features (benchmarking, non-Siemens devices) are provided on a trial basis for three months at no charge, and may be used thereafter on a subscription fee basis.

To register: http://teamplay.siemens.com/#/institutionRegistration/1

1 Surge Protective Device (SPD)

1 Stellant D Dual Pedestal w/Certegra WS

Stellant D Dual Pedestal with Certegra Workstation NO Informatics, but is Informatics ready.

Includes Dual Flow as standard.

Includes Stellant D, Dual Head, pedestal mounted injector; Certegra workstation; installation and warranty through Medrad.

1 Low Contrast CT Phantom & Holder

1 DoradoNova/Green/CARINAnav/Wall

Includes: Three movable solid state red crosshair lasers on a computerized rails. CARINAnav Virtual Simulation Patient Laser Marking System compatible with all DORADO laser systems.

Each laser rail contains two Class II 532nm green diode lasers. Six axes adjustment. Final adjustment without removing the cover.

Positioning and travel accuracy < 0.3 mm. Each rail contains a microcomputer, an absolute encoder for dual feedback position verification. Auto calibration. On-rail function processing.

Variable speed laser movement. Brackets for angular installation.

Bi-directional data communication between control software and the laser rails.

Wilke laser alignment installation and quality assurance phantom with calibrated level and leveling plate.

The CARINAnav system is LAP's state of the art tablet wireless access control unit with a modern graphical touchscreen user interface. The CARINAnav software intuitively displays three point isocenters, skin markers, MLC points, and reference points in an easy to read tabular format. Data is imported via the LAP proprietary file format interface.

Key Features:

In CT Room Touchscreen Tablet PC

LAP Proprietary File Format Interface

Wireless BT Communication

Medical Grade Touchscreen Tablet Computer

10" Touchscreen Interface

Docking Charger Station w/ Wall Mount Bracket

Operating System: Windows 8

One year warranty through LAP

Installation by LAP must be included and is sold as a separate line item (LAPLI3).

1 Installation, LAP Laser System

1 LAP CARINAnav Upgrade DLS

Upgrade option for the LAP's CARINAnav product. It will enhance the features of CARINAnav

1.2 with a direct laser steering (DLS) function for Siemens syngo.via RT Image Suite VB20.

The Siemens syngo.via RT Image Suite VB20 is able to control LAP's DORADO or DORADOnova laser systems directly via a CARINAnav system. The CARINAnav system has to have the CARINAnav Upgrade DLS installed to allow the direct laser steering (DLS) functionality. Only one user interaction "LAP Zero" is needed for referencing the lasers. All other user interactions are done in syngo.via. RT Image Suite VB20

1 AS-64 slice configuration z-Sharp Tech.

The unique STRATON X-ray source utilizes an electron beam that is accurately and rapidly deflected, creating two precise focal spots alternating 4,608 times per second. This doubles the X-ray projections reaching each detector element. The two overlapping projections result in an oversampling in z-direction. The resulting measurements interleave half a detector slice width, doubling the scan information without a corresponding increase in dose. Siemens' proprietary UFC (Ultra Fast Ceramic) detectors and the corresponding 64-slice detector electronics enable a virtually simultaneous readout of two projections for each detector element - resulting in a full 64-slice acquisition. This sampling scheme is identical to that of a 64 x 0.3 mm allowing for reconstruction of 192 slices using 0.1 mm reconstruction interval increment. z-Sharp Technology, utilizing the STRATON X-ray sources and the UFC detectors, provides scan speed independent visualization of 0.33 mm isotropic voxels and a corresponding elimination of spiral artifacts in the daily clinical routine at any position within the scan field.

1 Standard UPS for Definition AS

The standard partial system uninterruptible power system (UPS) is built directly into the power distribution cabinet (PDC) and supports the critical circuits for table and gantry electronics, console computer, image reconstruction system, and the internal Ethernet switch (to ensure connectivity). This enables safe removal of patient if outage occurs during scanning.

The UPS allows for a safe shutdown of the CT scanner in the event of power interruption. The UPS provides 5-7 minutes of power, during which the user is prompted and guided through the process to perform a safe shutdown of the system. This safe shutdown ensures that no data is lost.

1 Access Protection

Scan Protocols are password protected allowing only authorized staff members to access and permanently change protocols

1 Adaptive Dose Shield

Adaptive Dose Shield for spiral acquisition to eliminate pre- and post-spiral over-radiation.

1 CARE Analytics

Stand-alone tool, for installation in any PC in the hospital network, allowing evaluation of DICOM dose Structured Reports (DICOM SR)

1 CARE Dashboard

Visualization of activated dose reduction features and technologies for each scan range of an examination to analyze and manage the dose to be applied in the scan

1 CARE Dose4D

CARE Dose4D delivers the highest possible image quality at the lowest possible dose for patients - maximum detail, minimum dose. Adaptive dose modulation for up to 60% dose reduction

1 CARE Dose Configurator

CARE Dose Configurator: Enhancement of Siemens' renowned real-time dose modulation CARE Dose4D, introducing new reference curves for each body region and for each body habitus allowing to adjust the configuration even more precisely to the patient's anatomy.

1 CARE kV

CARE kV: First automated, organ-sensitive voltage setting to improve image quality and contrast-to-noise-ratio while optimizing dose and potentially reducing it by up to 60%.

1 CARE Profile

CARE Profile: Visualization of the dose distribution along the topogram prior to the scan

1 DICOM SR Dose Reports

DICOM structured file allows for the extraction of dose values (CDTIvol, DLP)

1 DoseLogs

Whenever a dose limit exceeds the established reference dose levels (Dose Notification and Dose Alert) a report is automatically created on the system, enhancing your ability to track radiation dose.

1 Dose Alert

Dose Alert: Dose Alert automatically adds CTDIvol and DLP values depending on z-position (scan axis). The Dose Alert window appears, if either of these cumulative values exceeds a user-defined threshold.

1 Dose Notification

Dose Notification: Dose Notification provides the ability to set dose reference values (CTDIvol, DLP) for each scan range. If these reference values are exceeded the Dose Notification window informs the user.

1 FAST Adjust

FAST Adjust: assists the user to handle system settings in a fast and easy way by automatically solving of conflicts within user defined limits by one single click on the FAST Adjust button. The limits for scan time and tube current per scan are defined via the Scan Protocol Assistant. FAST Adjust offers an undo functionality to return to previously set values.

1 FAST Scan Assistant

FAST Scan Assistant: An intuitive user interface for solving conflicts by changing the scan time, resp. the pitch and/or the maximum tube current manually.

1 NEMA_XR-29 Standard

This system is in compliance with NEMA XR-29 Standard Attributes on CT Equipment Related to Dose Optimization and Management, also known as Smart Dose.

1 SureView

Provides exceptional image quality at any pitch setting, enabling you to scan faster because you can scan at any pitch without degrading image quality

1 Initial onsite training 16 hrs syngo.via

Up to (16) hours of on-site clinical applications training on syngo.via basic navigation and modality specific clinical workflows, scheduled consecutively (Monday - Friday) during standard business hours for a maximum of (4)users. Training will focus on the use of syngo.via in clinical routine and customization of systems based on workflow needs. This educational offering must be completed (12) months from turnover date. If training is not completed within the applicable time period, Siemens obligation to provide the training will expire without refund.

1 syngo.via local Impl. (Identifier)

Identifier for professional services completely provided by locally organized resources.

1 Virtual Initial Consultation, syngo.via

This virtual initial consultation session, up to 4 hrs in duration, is designed to define the clinical customization of syngo.via specific to radiology workflow. Through direct communication with a clinical education specialist, this session will identify and configure site-specific workflow and imaging storage and retrieval parameters. This educational offering must be conducted no more than 4 weeks before the scheduled system turnover event. This consultation session will be scheduled during standard business hours, Monday through Friday. If training is not completed within the applicable time period, Siemens obligation to provide the training will expire without refund.

1 syngo.via RT Bundle (Identifier)

RT system bundled with syngo.via

1 syngo.via Project Identifier

System identifier for syngo.via project

1 HP Care Pack. 5y WS HW Support

Prime HW Support for 5 years (for Workstation/Workplace HW ? ML30 Gen9)

1 Workplace/Workstation Hardware syngo.via Server-based Workstation HW, tower floorstand configuration.

1 EIZO MX241W Display

The EIZO MX 242W is a color widescreen LCD monitor for diagnostic use and clinical review with a resolution of 1920 x 1200 pixels.

1 syngo.via RT Workplace SW syngo.via RT Workplace software solution for one user.

syngo.via RT Workplace SW offers Siemens syngo.via cross-modality common graphical user interface, which has the capability to be deployed at desired locations, facilitating ease of access.

1 syngo.via RTiS Advanced Sim #1

The package contains 1 user.

syngo.via RT Image Suite is a dedicated RT software that is designed to make multimodality simulation, image assessment, and contouring easier and better integrated - while also offering capabilities that go beyond the current standard.

The simulation package is tailored for efficient patient marking and basic contouring.

Image support for CT, MR, PET, PET-CT, CBCT, 4D CT, time-resolved CT / MR images (e.g.

perfusion).

Direct4D for creation of tMIP, tminIP, AverageCT, phase splitting, 4D contouring, tumor motion analysis, semi-automatic generation of ITV / Mid Ventilation phase (Deformable Registration option recommended).

Automatic rigid image registration with automatic alignment when volumes are loaded.

Multiple contouring tools, incl. auto contouring for organs-at-risk (brain, heart, lungs, liver, kidneys, femoral heads) and parallel contouring on multiple images.

Collaboration tools

Patient marking with reference point & isocenter management and laser steering.

1 Via Workstation Server HW Installation

Basic installation of the syngo.via Workstation hardware with the operating system at the customer's site by the hardware supplier. Integration into the Local Area Network of the customer and to Siemens Remote Service over internet connection.

Please check that the following information is included in the customer quote: correct and complete delivery location, customer's contact person for implementation planning. See also the questions in the Sales Checklist, which supports you in evaluation of the customer's requirements.

1 VIA Govt Server HW Install (FMV$-1,500)

Per agreement, credit for syngo.via hardware installation by 3rd party integrator 14412656

1 Basic Implementation Package

This Basic Implementation Package includes installation and integration services for syngo.via dedicated to one modality.

This package includes professional services, such as:

- Installation of the syngo.via server software

- Installation of the syngo.via client software on one clinical user's computer for one user

- Connection to up to 5 DICOM nodes

- Configuration of basic syngo.via workflows and rules

- Installation and integration of one syngo.via client workplace on one syngo MultiModality Workplace.

- Installation of WebViewer integrated license (syngo.via SW version VA30 or higher, country restrictions might apply).

- Installation of the syngo.via WebViewer client application on one Mobile Device or Web Client system if requested by the customer. Ensure that the customer's Web Clients / Mobile Devices fulfill the minimum requirements according to the syngo.via WebViewer Data Sheet.

Verification of the syngo.via WebViewer basic functionality

- If applicable: Integration into the Local Area Network of the customer and to Siemens Remote Service over the internet connection plus basic installation service for the syngo.via hardware system at the customer's site.

The Active Directory (AD) of the customer is configured in syngo.via. The AD for integrated user administration already exists at the site.

This option includes professional services, such as:

- Integration of syngo.via into the IT infrastructure using an existing Active Directory, configuration of the AD in syngo.via

- Consultation of the customer's IT administrator for routing/ports and integration of syngo.via in the customer's AD

1 VIA Govt Trng in Basic Imp (FMV$-1,000)

Per agreement, credit for initial training in Basic Implementation 14412662

1 Confidence System Complimentary Biomed Training

This educational offering includes system training tuition for 1 clinical engineering professional on the SOMATOM Confidence 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.

Offset Part 14408165 Additional User Manual

Offset Part CT_ADD_32 One Additional Onsite Training 32 hours (

Ofset Initial onsite training 16 hrs syngo.via (

Offset Virtual Initial Consultation, syngo.via (

GE Lightspeed RT16, Proj Num 2018-3715, Deinstall 10/2019, Expires 10/31/2019, -

Additional Rigging CT

Offset Confidence System Complimentary Biomed Training

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Detailed Technical Specifications

Description

Siemens’ latest wide bore 64-slices CT scanner designed specifically to meet the needs of the modern radiation therapy department. 80 cm large bore CT scanner.

Powered by:

- 80 kW generator and 50 MHU STRATON X-ray tube

- Stellar RT Detector: high-end detector equipped with Siemens’ most advanced detector technology

Ready for:

- Respiratory Motion Management: provides smooth 4D workflow and complete integration at the CT console with

Varian RGSC device

- DirectDensity™*: enables user to obtain electron densities directly from the CT images, allowing patients to be scanned at any kV setting**, and simplifying physics work for treatment planning

- ADMIRE: Siemens’ latest generation iterative reconstruction technique. Ideal for noise reduction for 4D scans and crisper images for bariatric patients

- iMAR metal artifact reduction: the first technique which addresses metal artifacts based on the specific location of metal in the body

- Dual Energy: can potentially aid in better tissue visualization and characterization

*DirectDensity reconstruction is designed for use in Radiation Therapy Planning (RTP) only. DirectDensity reconstruction is not intended to be used for diagnostic imaging.

**As shown by measurements with a Gammex 467 Tissue Characterization Phantom comparing standard reconstruction (kernel D30) and DirectDensity™ reconstruction (kernel E30). HU value to relative electron density conversion for the standard reconstruction was based on a two-linear-equations approach with individual calibration for each tube voltage. For DirectDensity™ images, a single tube-voltage-independent linear conversion was used.

The iMAR metal artifact reduction algorithm combines three successful approaches to reduce metal artifacts: beam hardening correction (in sinogram regions of less severe metal attenuation), normalized sinogram inpainting (in sinogram regions of high metal attenuation), and frequency split (to mix back noise texture and sharp details that are potentially lost during inpainting).

The correction process is then iteratively refined by repeating the normalized sinogram inpainting and the mixing steps thanks to the Adaptive Sinogram Mixing.

Along with the new algorithm comes the simple user interface of iMAR. Besides the typical reconstruction parameters it only requires to select the desired protocol from a drop down menu which contains the following type of implants: dental fillings, neuro coil, thoracic coil, hip implants, extremity implants, pacemakers, spine implants and shoulder implants.

The X-ray tube’s kilo voltage (kV) determines the average energy level of the X-ray beam. Changing the kV setting results in an alteration of photon energy and a corresponding attenuation modification of the materials scanned. In other words, X-ray absorption is energy dependent, e.g. scanning an object with 80 kV results in a different attenuation than with 140 kV. In addition, this attenuation depends also on the type of tissue scanned. Iodine, for instance, has its maximum attenuation at low energy, while its CT-value is only about half in high-energy scans.

The attenuation of bones, on the other hand, changes much less when exposed to low-energy scans compared to high-energy examinations. syngo Dual Energy Scan for Single Source exploits this effect: Two spiral data sets acquired in sequence at different energies show different attenuation levels.

FAST DE Results enables a straight forward Dual Energy workflow. You can select dedicated Dual Energy applications at the AWP and they will be sent directly to the PACS without any interaction needed. Available applications for FAST DE Results are:

- DE Monoenergetic (40 keV, 50 keV, 70 keV, 100 keV, 120 keV, 140 keV, 190 keV)

- DE Mixed images

FAST DE Results is as easy as selecting a recon job and will enhance you daily workflow significantly.

Item includes

RTP Excellence Package

2 RTP Indexbars

Eaton Surge Protective Device (SPD) Panel, 250kA per phase rating, 277/480VAC Wye, Three Phase (4W+G), Surge Counter, Dimensions 12.05"H x 7.47"W x 6.69" D, Weight: 13.5 lbs, 10 Year Limited Warranty

LAP two-day installation, calibration, and user training of CT-3 Laser Marking system in the Americas and Western Europe. Requires CT room to be prepared prior to on-site arrival of LAP installation team.

The unique STRATON X-ray source utilizes an electron beam that is accurately and rapidly deflected, creating two precise focal spots alternating 4,608 times per second. This doubles the X-ray projections reaching each detector element. The two overlapping projections result in an oversampling in z-direction. The resulting measurements interleave half a detector slice width, doubling the scan information without a corresponding increase in dose.

Siemens' proprietary UFC (Ultra Fast Ceramic) detectors and the corresponding 64-slice detector electronics enable a virtually simultaneous readout of two projections for each detector element – resulting in a full 64-slice acquisition. This sampling scheme is identical to that of a 64 x 0.3 mm allowing for reconstruction of 192 slices using 0.1 mm reconstruction interval increment. z-Sharp Technology, utilizing the STRATON X-ray sources and the UFC detectors, provides scan speed independent visualization of 0.33 mm isotropic voxels and a corresponding elimination of spiral artifacts in the daily clinical routine at any position within the scan field.

Brief description

Prime HW Support with a service window depending on your IT Care Plan and on the SIEMENS Customer Care Center (CCC) office hours.

The delivery of the on-site Break&Fix support is performed by HP.

- Content of the Prime HW Support: Remote problem diagnosis and support – Siemens Service remotely uses HP support tools to isolate your problem and facilitate resolution in close cooperation with the next HP service hub in your area.

- Break & fix service with on-site support. – For issues that cannot be resolved remotely, an authorized HP Services representative will be sent on-site and returns your system to operational condition, repairing or replacing components or entire units. If required, HP services restore at the same time system and network functionality to allow Siemens Service to seamlessly continue with any further required remote service activity.

- Defective Media Retention Service – This option lets you protect sensitive data by keeping your defective disk, without the need to return defective media.

- Integrated service management: - Seamless cooperation and processes between SIEMENS and HP to ensure optimized end-to-end issue handling.

- Enhanced HW support – Provision of necessary BIOS-, Firmware and Driver update packages to keep the HW system up to date. Required patches and updates are provided remotely to be installed conveniently during the next application maintenance or service window by the responsible IT system administrator.

Type: Hewlett Packard server-based workstation

Operating System: Windows Server 2016 Standard

Processor: 1x CPU with memory System Disk with Data Disk: RAID Level 5 Gross Image Storage: approximately 1300GB Optical drive: CD/DVD-RW Graphical Processing Unit: NVIDIA GPU Mouse: USB Optical Scroll Mouse Included accessory: USB Standard international keyboard

Recommended Environment Requirements A 100 Mbit/s (minimum) / 1 Gbit/s (recommended) network environment is needed for optimal performance.

For remote access a 6 Mbit/s (minimum) / 10 Mbit/s (recommended) broad-band connection is required.

Technical details are subject to change without notice!

Size: 24.1” Brightness: 350 cd/m² Contrast ratio: 1000:1 DICOM calibration: with bundled RadiCS LE quality control After-sales service: 3 years swap service

Due to country-specific regulations, the monitor will be shipped without a power cable. The power cable will need to be sourced locally.

syngo.via is based on the client-server architecture. The client provides the Siemens cross-modality common graphical user interface and offers general functions, including:

- Browser functionality for fast patient and data access

- Case navigator for easy and fast case navigation

- Automatic image processing

- Loading and displaying images of images in user-specific layouts, multiple layouts for 2D, 3D diagnosis

- Ad Hoc workflow change for flexible application handling

- Scrolling through images (for example, movie mode, fast mouse scrolling, synchronized scrolling)

- Mirror, rotate, invert, windowing, pan/zoom, annotations, distance and angle measurement, pixel lens, and ROI/VOI evaluation

- Findings navigator - create, collect, navigate and present findings quickly

- Correlated cursor

- Series synchronization for pan/zoom, windowing, LUT, scrolling

- User-defined context menu

- Snapshot images as secondary capture

- Movie export syngo.via stores images and changes in a short-term storage (STS). It capably integrates imaging modalities with IT, making it possible to access and share information with clinical partners. The following integration and data exchange features are supported:

- DICOM Standard (e.g. send/receive from/to configured DICOM nodes)

- sending DICOM images based on specific rules to one or multiple DICOM nodes which has been configured for archiving (e.g. Vendor Neutral Archive (VNA) or PACS Archive)

- importing and exporting data from/to local or network drives and CD/DVD

- DICOM print

Prerequisites for all service related issues:

- availability of a customer administrator that performs dedicated administration and support tasks (e.g. 1st line support, data security, backup, etc.)

- minimum permanent broadband internet connection bandwidth for uncompromised service support are 2000 kBit/s downstream and 512 kBit/s upstream

Otherwise, certain support services may not be provided and the agreed remote response time cannot be guaranteed

Specification of minimum broadband internet connection in detail:

- Downstream: 2000 kBit/s for Software update, IT- and Application support (Siemens Remote Service –

SRS)

- Upstream: 512 kBit/s for Application support (SRS)

- Upstream: 256 kBit/s for Software update and IT support (SRS)

Scope of delivery:

- DVD with syngo.via software – VB20

- Software license for one concurrent syngo.via user

Contouring

- The application supports image review and contouring on CT, MR, PET, PET-CT, CBCT, 4D CT, time-resolved CT / MR images (e.g. perfusion).

- Fast and efficient contouring with 3D contouring, adaptive smart brush, contour cropping, contour preview, contour re-size, organ templates.

- Organs-at-Risk auto-contouring (brain, heart, lungs, liver, kidneys, femoral heads).

- Fast and efficient 4D contouring including semiautomatic ITV generation and calculation of the Mid Ventilation phase (Deformable Registration option recommended).

Image handling

- Rigid image registration including automatic registration of images, Region-of-Interest based registration, multiple registrations per image pair, export of registration matrix and registered image series.

- Simple integration of multiple images into the contouring workflow with display of up to 4 images series over two panels (2 series + 2 fused series) and parallel contouring on multiple images.

- Direct4D for creation of tMIP, tminIP, AverageCT, calculation of Mid Ventilation phase, phase splitting, tumor motion analysis with visualization of 3D tumor trajectory.

Collaboration

- Create annotations and measurements and share them using the Findings Navigator.

- Screen and mouse sharing with other syngo.via users.

Patient Marking:

- Reference point & isocenter management.

- Direct Laser Steering for compatible LAP lasers. It requires CARINAnav 1.2 or greater and the CARINAnav

Upgrade DLS.

- DICOM transfer of coordinates for LAP lasers.

- Text-file based transfer of coordinates for other laser manufacturers.

- Virtual Laser View: display of laser cross hairs on volume rendering of patient skin.

This hardware installation service includes the following tasks:

- Unwrapping of server and monitors (if applicable). Consolidation of all packaging material and notification to the Customer that the materials are ready for removal

- Mechanical and electrical connections at site of operation

- Mechanical connections to console and to diagnostic monitors (if applicable)

- Connection to the power supply, to Uninterruptable Power Supply (if applicable)

- Startup of operating system, check status of patches, drivers, service packs and hot fixes etc.

- Connection of the server and the remote service board (e.g. the HP dash board) to LAN; network configuration of the server and the remote service board

- Configuration of the operating system for two monitors (if delivered by Siemens)

- Test monitors setup (if applicable)

- Handover of the readily installed system to the customer.

Context of the implementation tasks:

The customer provides, as described in the syngo.via Data Sheet:

- Access to the location and space for server operation as well as for the monitors (if applicable)

- Server and monitor(s) are on-site of operation. The customer’s monitors are accompanied by appropriate cables.

- Electrical power

- LAN access and LAN configuration

- Configuration of the broadband internet access for Siemens Remote Services

- IT Administrator’s coordination and support for the mechanical and IT installation.

- The connection of one or two monitors to a workstation-based server does not include monitor calibration.

- Depending on local legal regulations, the monitor installation described here may allow viewing only.

The Basic Implementation Package includes the following tasks:

- Import of all syngo.via server license files.

- Basic clinical configuration and integration of up to 5 DICOM nodes in syngo.via (e.g. one modality, one PACS, one syngo MultiModality Workplace, one printer). All nodes need to be validated for connection with syngo.via.

- Configuration of the DICOM access to syngo.via in one formerly installed syngo MMWP 2012A (VE50A) or higher;

- Integration of the basic syngo MMWP access into one syngo.via client workplace by installation and configuration of the software Expert-i on the syngo.via client.

- Configuration of basic workflow rules: autodelete, archiving, autorouting in syngo.via.

- Installation of the WebViewer integrated license (applicable only for syngo.via SW version VA30 or higher and only in countries where released)

- Acceptance Test in cooperation with the customer.

- If applicable: Basic hardware installation and network integration

- Activation of Siemens Remote Services connections

- The configuration of the customer's Local Area Network, including the customer's Active Directory, is performed by the customer.

NOTE: An Active Directory (AD) must already exist on site.

Context of the implementation tasks:

- The DICOM conformance of the DICOM nodes is a prerequisite for connection to syngo.via.

- The DICOM nodes to be connected to syngo.via must be configured and tested by the customer, for e.g.

configuration of the remote DICOM node syngo.via, routing rules, procedures. If necessary, the customer orders these services from the DICOM node's vendor.

- The configuration of the customer's Local Area Network is performed by the customer.

- Provision of a minimum broadband Internet connection bandwidth with 2000 kBit/s downstream and 256 kBit/s upstream for Siemens Remote Services (SRS) by the customer. If the customer does not provide SRS connectivity, then additional professional services for implementation without SRS support are offered. For service support after implementation the following minimum specification has to be provided: Downstream 2000 kBit/s (for Software update, IT- and Application support); Upstream 512 kBit/s (for Application support);

Upstream 256 kBit/s (for Software update and IT support).

- The customer provides information, such as: IP addresses of the server for its network integration and the DICOM nodes identifiers.

- The customer provides the required power supply and the installation location for the server hardware, as well as the required LAN capacity. For the LAN capacity between syngo.via and the PACS/ modality systems a min. of 1 Gbit/sec is required. Between syngo.via workstations and server a min of 100 Mbit/ sec is required.

- Presence and support of the customer's administrators (clinical and IT administrator) is required during implementation. In preparation for implementation support the customer's administrators have completed the syngo.via web-based trainings, which are part of the scope of delivery.

- A list of applications and systems with validated connectivity to syngo.via can be requested from your Siemens Sales Representative.

- If a DICOM node or another system has not been validated yet for connection to syngo.via by Siemens, then the customer will give his acceptance though there could be a narrowed functionality of the connection.

- Installation of syngo.via client software on additional workplaces or configuration of additional DICOM nodes are performed by the customer's administrator or can be ordered from Siemens separately as an option.

- Project coordination is performed by Siemens. Please see the syngo.via Data Sheet for system requirements and detailed description of implementation tasks.

If applicable, the hardware installation service includes the following tasks:

- Unwrapping. Consolidation of all packaging material and notification to the customer that the materials are ready for removal.

- Mechanical and electrical connections at site of operation

- Mechanical installation in a common rack (e.g. HP, Fujitsu, IBM, Rittal) not older than three years and connection to a console.

- Connection to the power supply, to Uninterruptable Power Supply (if applicable)

- Startup of operating system; check status of patches, drivers, service packs and hot fixes, etc.

- Connection and network configuration of the server and the remote service board to the LAN

- Configuration of remote service board (network settings, users configuration) if supported by server

- Test monitor setup and Handover of the readily installed system to the customer.

For the installation the customer provides, as described in the syngo.via Data Sheet,:

- Access to the location and space for server operation

- Electrical power

- LAN access and LAN configuration

- Configuration of the broadband internet access for Siemens Remote Services

- IT Administrator's coordination and support for the mechanical and IT installation.

- Server and monitor(s) are at the site of operation. The customer's monitors are accompanied by appropriate cables.

- The connection of one or two monitors to the Workstation HW (including the Workstation HW Extended) does not include monitor calibration.

- For the Workstation HW (including the Workstation HW Extended), depending on local legal regulations, the monitor installation described here may allow viewing only

If applicable, the import of a predefined container is to be done by the customer administrator for the setup of a virtualized system.

Note:

Some activities (e.g. hardware installation) may be subcontracted to a local partner of Siemens HQ.

Note:

Certain constraints apply regarding the supported OS versions for the syngo.via clients and the supported versions of MMWPs. For details please check the datasheet of the respective syngo.via version.