36A79719Q0013-041.pdf

Qty Item Description

1 Multitom Rax Multitom Rax is the world's first Twin Robotic X-ray scanner. The scanner provides a multitude of X-ray based imaging, interventional and therapeutic capabilities. In addition to digital skeletal radiography the scanner can be configured to perform fluoroscopic studies, selected angiographies and Real 3D imaging of recumbent, standing or seated patients.

The ceiling-mounted, integrated 43 cm x 43 cm RAX detector combines the capability of high-resolution static, dynamic, and 3D imaging with high positioning flexibility. Robotic automation, a fully digital imaging chain and workflow including DICOM connectivity enable fast, precise and easy operation of the scanner with consistent results.

Wireless flat detectors can be added to the scanner to further increase the clinical versatility of the scanner in radiography.

The syngo FLC digital one-stop workflow from patient registration to image documentation offers fast and easy operation for consistent exam settings and a consistent image impression.*

Following items are included in the standard delivery:

- Optitop tube

- 65 kW generator

- Keyboard/Mouse

- Grid holder

- Storage capacity: 10.000 RAD images (without Fluoro Option), - 2.000 RAD images / 50.000 DFR images (with Fluoro Option)

- DICOM Send and Print

- DiamondView Max

- CD / DVD recorder

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

1 Patient table Height-adjustable patient table column with foot kick-switch controls.

PURCHASE ORDER: 654-B99012

SHIP TO: VAMC WAREHOUSE

V.A. Medical Center

975 KIRMAN AVE

RENO, NV 89502-2597

1 Tabletop Carbon Fibre tabletop. Can be removed from patient table column to save space when necessary.

1 WLAN

WLAN functionality to connect MAX wireless detectors to the system.

1 Transparent grid 13/92, Universal Highly selective anti-scatter grid for scattered radiation reduction.

1 Extension to 80 KW PL F 80 Generator upgrade to 80kW for increased performance to extend the range of applications.

1 Examination room console FL Trolley-mounted remote fluoroscopy control console for full scanner operations in the examination room. Joystick control of scanner movements and touchscreen input of X-ray parameters and imaging system functions.

1 Footswitch Fluoro and Exposure Footswitch for fluoroscopy and examination.

1 syngo X WP Real 3D High-end post processing workstation for Real 3D.

1 Real 3D tableside Tableside trajectory for real 3D exposures of the upper extremities. Patient lies on the back on the patient table, with the arm secured in the arm rest. The X-ray tube and RAX detector rotate about the extremity extended out beside the patient table.

1 Real 3D lying Trajectory kit for real 3D exposures of the patient lying on the table. Trajectory around the tabletop for real 3D exposures of extremities.

1 Real 3D weight bearing Trajectory for real 3D exposures of the patient in upright position. X-ray tube and RAX detector rotate freely about the standing or sitting patient. This enables Real 3D imaging of extremities under a natural weight load. Contains fully radiotransparent 3D pillars to support the standing patient during the examination.

1 Grid 13/92, F115 3D Highly selective anti-scatter grid for Real 3D examinations.

1 Fluoroscopy Package Full remote controlled fluoroscopy functionality for Multitom Rax. Enables digital, generator pulsed fluoroscopy with up to 30 fps and digital fluoro radiographic series acquisitions with up to 8 fps on the RAX detector for fluoroscopy-guided contrast medium examinations, skeletal acquisitions, and interventional procedures. Includes the remote fluoroscopy control console for the control room.

1 SmartOrtho License SmartOrtho is an automated tilting technique for long leg and full spine imaging.

Up to 4 single images can be acquired to cover the selected region with the patient in standing or lying position. The images are automatically composed into a single image on the imaging system.

1 Multipurpose stand The multipurpose stand stabilizes the patient during upright examination, such as long leg and long spine imaging to prevent motion artifacts. It allows the safe movement of the bucky tray through doors and provides height adjustable handgrips for the patient.

The package includes:

- Patient hand grips, left and right

- Additional platform for smaller patients (e.g. children) and to make sure that the whole patient body can be mapped

1 ClearRead Bone Suppression HW+L ClearRead Bone Suppression from Riverain Technologies automatically suppresses the display of bone in digital chest X-rays. This results in an enhanced soft tissue image for more detailed and accurate detection of pulmonary nodules.

Since ClearRead Bone Suppression utilizes the original radiography for post processing, the patient is not subjected to additional radiation and motion artifacts do not arise.

1 Trolley with Display, Live Image Mobile trolley with one tiltable 19" monitor for live image display in the examination room and radiation indicator.

1 DICOM WORKLIST & MPPS

Import of patient/examination data from an external RIS (Radiology Information System) /HIS (Hospital Information System) patient management system with DICOM MWL (Modality Worklist) as well as feedback on the examination status with DICOM MPPS (Modality Performed Procedure Step).

1 External DVI interface Standard video output (DVI-D format) at the FLUOROSPOT Compact, for connecting an external recorder to record image information on video recording media.

1 Caremax plus HS Integrated CAREMAX plus DAP meter for measuring the dose-area product (DAP) and/or standardized patient entry dose. Resolution 0.01 µGym².

1 Fluoroloop - C Storage and review of fluoroscopy sequences for documentation. The maximum storable fluoroscopy time depends on the selected pulse rate.

1 Laser light localizer Additional laser line light localizer to form a 90° laser light cross for improved target setting and patient positioning.

1 Patient positioning mattress Radiolucent table pad with a heavy-duty, soft, light-colored plastic cover that is easy to clean.

The soft cushion allows comfortable patient positioning and repositioning. To prevent the pad from sliding during head-up positions, the straps of the patient table pad can be attached to the grip protection rail at the head end.

The soft cushion allows comfortable patient positioning and repositioning.

1 Intercom system

1 VA Kit Second set of documentation for Veterans' Affairs Administration Hospitals in the U.S.

1 Additional onsite training 24 hours Up to (24) 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 purchase date. If training is not completed within the applicable time period, Siemens obligation to provide the training will expire without refund.

1 Clinical Education & Training: Option 2 Siemens offers multiple options for clinical education and training on your new system. These options enable a more personalized approach to the introduction to system operation, features, and benefits and will help ensure that your technologists and physicians have the opportunity to engage in the level of training that best meets your current clinical needs and business objectives.

The following items are the education and training modules are highly recommended for the operation of your new Siemens system and are most effective for sites where technologists and/or physicians have some experience on Siemens' systems. This option provides additional opportunities to learn more specialized procedures and/or the ability to further increase efficiencies.

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 Additional onsite training 24 hours Up to (24) 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 purchase date. If training is not completed within the applicable time period, Siemens obligation to provide the training will expire without refund.

1 Additional onsite training 16 hours Up to (16) 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 purchase date. If training is not completed within the applicable time period, Siemens obligation to provide the training will expire without refund.

1 Remote Mapping Acceleration For new system mapping and/or database configuration, Siemens will work remotely to configure the provided information to help accelerate the transition to the new system. The correct RIS worklist must be provided by the customer in a format specified by Siemens to prepare the new parameters for loading into the new system. This educational offering must be completed the later of (12) months from install end or purchase date. If training is not completed within the applicable time period, Siemens obligation to provide the training will expire without refund.

1 e.learning CEU subscription (12 mths) This (12) month multi-modality e.learning subscription will provide access for (10) imaging professionals at the customer site to utilize up to (50 CEUs). This educational offering must be completed (12) months from date of purchase order. If training is not completed within the applicable time period, Siemens obligation to provide the training will expire without refund.

1 e.learning CEU subscription (12 mths) This (12) month multi-modality e.learning subscription will provide access for (10) imaging professionals at the customer site to utilize up to (50 CEUs). This educational offering must be completed (12) months from date of purchase order. If training is not completed within the applicable time period, Siemens obligation to provide the training will expire without refund.

1 Standard Rigging Fluoro

1 TIMS 2000 SP Package with Mobile Cart Si Includes: TIMS 2000 SP desktop system, Mobile Cart, 24" touch screen monitor, one license of TIMS DICOM Review Software (TDRS), wireless microphone, keyboard, mouse, and associated cables.

Description: Provides for the high resolution video and synced audio recording, review, analysis, and archiving to PACS of modified barium swallow studies for speech pathology.

The system is positioned on a mobile cart in the procedure area, allowing for more flexibility and in-study review and analysis of video and audio. Also includes one license of TIMS DICOM Review Software (TDRS) for the remote review and analysis of studies in the speech pathology office area. This allows for more efficient use of the fluoroscopy room because studies are sent immediately to the TDRS system at the completion of the study. With this workflow, the fluoroscopy room is immediately available for the next patient, allowing more studies per day. Speech pathologists can then edit, review, label, analyze, and archive to PACS studies from the comfort of their own office. Onsite installation and training is included when purchased with a new Siemens' system. When purchased to upgrade an existing system, the customer is responsible for room preparation and cable installation per Foresight Imaging's planning guide. Additional costs may be required for a Siemens service engineer.

Warranty: Support & Maintenance for one year. Includes technical support via telephone, email, and online on regular business days from 8:00am to 8:00pm EST, downloadable software updates, and in the event of a hardware failure, a replacement system is sent within two business days.

1 Mobile detector holder for Max wi-D The versatile holder accommodates computed radiography (CR) cassettes and light portable DR Panels (including the max wi-D detector) with a total weight (including clip-on grid if required) of less than 4.3kg (9.5 lbs).

The holder rolls on large locking castors and facilitates examinations in accident and emergency departments, in operating rooms and radiographic rooms. The heavy duty base gives a low center of gravity.

Properties:

• The holder is adjustable for height from floor level to 50 in (measured from its lower edge)

• The holder is counterbalanced for easy rising or lowering and can overhang the x-ray or operating table by 24 in.

• Supports detectors with a width of 9.6 to 21 in

• Maximum detector thickness 1.2 in (including clip-on grid if required)

• The holder can be turned & tilted and orientated to suit any examination position

• Effective locks keep the holder firmly in place

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 TIMS Mobile DVI Extra Modality Kit This is the equipment required when TIMS needs to be installed with a second modality. For example, if there are two Agile systems to connect to one TIMS unit on a cart, there is additional equipment needed.

NOTE: INSTALLATION OF THE CABLES AND CONNECTION TO AN EXISTING SYSTEM

IS THE RESPONSIBILITY OF THE CUSTOMER.

1 Mavig mobile shield The sheet made of lead acrylic glass is easily height adjustable spring support and disappears almost completely in sturdy sheet metal body. Upper-and lower-body radiation protection are combined in a mobile system.

Design:

Steel panel with sheet lead lining and adjustable from 115-190 cm in height adjustable acrylic shield.

Easily movable in all directions.

Painted in white color RAL Medico 9002.

Lead Equivalent:

lower wall section Pb 1.0 mm, lead acrylic sheet Pb 0.5 mm Dimensions:

Max.-Height adjustment: 190 cm Min.-Height adjustment: 115 cm lower wall section: Height 107 cm and Width 78 cm lead acrylic sheet: Width 70 cm

1 MultiTom RAX Complimentary Biomed Training This educational offering includes system training tuition for 1 clinical engineering professional on the MultiTom RAX system, 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.

Additional Rigging AXD

Offset XPRF_MTRX_BIOMD Complimentary Biomed Training

Offset Initial Training 32 hrs (

Offset onsite Training 24 hrs

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

Sticky Note Unmarked set by AMMHINWARDM

OPTIONS

OPTIONS

Qty Item Description

1 Service Essentials - X-Ray Advanced This educational offering covers ADVANCED modality service essential training tuition for 1 clinical engineering professional on the X-Ray imaging systems.

The training curriculum depends on and is limited to the system purchased and may include multiple courses including classroom training and/or virtual and web-based training. This offering 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 Service Essentials - X-Ray Basic This educational offering covers BASIC modality service essential training tuition for 1 clinical engineering professional on the X-Ray imaging systems.

The training curriculum depends on and is limited to the system purchased and may include multiple courses including classroom training and/or virtual and web-based training. This offering 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.

Detailed Technical Specifications

Multitom Rax

Description Basic system components:

- Ceiling-mounted tube assembly support with X-ray tube and motorized multileaf collimator

- Ceiling-mounted detector arm with an integrated detector for static, dynamic and Real 3D imaging

- An imaging and control station with application and evaluation programs, as well as DICOM system interfaces.

- CD/DVD drive for digital image storage on CD-R/DVD for offline data exchange in DICOM format

Tube assembly support with X-ray tube assembly and motorized collimator.

All projection-relevant tube assembly positions can be manually adjusted with servo-motor support with handles symmetrically mounted to the tube assembly collimator unit.

The ceiling-mounted tube assembly support can be adjusted in 3 axes for longitudinal, transverse, and height adjustment (x, y, and z-axes).

- Horizontal travel range in longitudinal direction 355 cm.

- Horizontal travel range in transverse direction 346 cm.

- Vertical lift 180 cm.

In 2 further axes (α- and β-axes) the tube assembly collimator unit can be manually adjusted for oblique acquisitions of the recumbent patient, or for horizontal, oblique, or lateral acquisitions on the portable detector, or for free bedside acquisitions.

- Rotation around the vertical axis of the ceiling-mounted support from +154° to -182°. Lock-in positions every

90°.

- Rotation around the horizontal axis of the tube assembly support arm ±140°. Lock-in positions at 0° and ±90°.

X-ray tube assembly OPTITOP 150/40/80 HC-100:

Single-track dual-focus rotating anode tube with compound anode (rhenium-tungsten, molybdenum, graphite), with high heat storage capacity and high load capacity for small focal spots. Integrated overpressure safety device in the tube protective housing.

- 150 kV nominal voltage acc. to IEC 613.

- Nominal power (focal spot nominal values acc. to IEC 336):

40 kW: small focus 0.6 80 kW: large focus 1.0

- Anode speed ≥ 8.500 r/min, anode angle 12°.

- Heat storage capacity of the anode 580 kJ (783 kHU) acc. to IEC 613.

- Total filtration (IEC 601-1-3) ≥ 2.5 mm Al equiv.

Multileaf collimator:

With full field and laser line light localizer. Rectangular collimation, manual and motorized, via organ programs.

- Multileaf collimator rotatable by ±45° around the center beam axis, e.g. for correct positioning of objects.

- A tape measure is integrated to check the focus-to-object distance.

- To improve radiation quality through dose reduction of the soft radiation parts, Cu prefilter (0.1 mm; 0.2 mm and 0.3 mm) are inserted into the primary beam projection, depending on the organ program selected. They can also be selected manually.

Twin FAST Automatic positioning of tube and detector into more than 1000 pre-defined exam positions.

Description RAXalign Automated tube-to-detector and detector-to-tube alignment, leading to undistorted images without grid cut-offs.

RAXtilt Automated 90° tilt of both the detector and tube head. Combined with dual robotic automation, this allows cross-table and lateral exams without the need for patient repositioning.

RAXtrack Extensive tracking capabilities of tube and built-in RAX detector.

RAX arm Detector arm for high speed and safe positioning with robotic precision in up to five axes simultaneously.

- 180 cm vertical travel range

RAX detector High resolution dynamic detector, developed for radiographic, fluoroscopic and 3D exams.

Technical specs:

- Material: a-Si with Csl scintillator

- Detector size: 43 cm x 43 cm

- Pixel size: 148 µm (6,76 Pixel per mm)

- Physical matrix size: 2880 x 2880 (8.3 Million Pixel

- Active matrix size: 2840 x 2874 (8.2 Million Pixel)

- Spatial resolution: 3.4 Lp/mm

- Digitization depth: 16 bits

RAXconfirm Fluoro positioning capability for challenging radiography exams - in order to save retakes.

Careprofile Displays the adjustment of the collimator blades on the Last Image Hold (LIH) without radiation.

Careposition Capability to control visually the patient repositioning without radiation.

Controls and displays The control elements at the tube assembly and the multileaf collimator are ergonomically arranged for single-handed operation.

Controls and displays at the tube assembly support (MAXtouch):

Multifunctional control display with color touchscreen for adaptation of acquisition parameters directly in the examination room.

Displays include:

- The collimation size of the acquisition field (in cm x cm).

- The selected SID.

- The selected Cu additional filters.

- Rotation from the 0-position.

- Tube assembly and detector centering.

- Operating states such as "ACSS/Manual", "Ready", "Selected", etc.

- Current detector angle (MAXalign feature) - to eliminate the need to guess the tube angle and to protect the patient by reducing repeat exposures. Available with MAX wi- D and MAX mini.

The display follows the tube assembly orientation.

The following functions can be set manually at the multileaf collimator:

- Full field light localizer with timer for optical display of the collimated acquisition format and an optionally coverable laser line light localizer.

- The collimation of the acquisition format set last can be retrieved via a memory button.

- The rectangular collimation of the radiation field is pre-defined through the organ program and can be set manually by means of two dials.

- The motorized insertion of the Cu additional filters is controlled via the organ program, but can also be selected freely.

Imaging and control station (syngo FLC) The entire control and communication of the Twin Robotic X-ray scanner incl. digital image processing takes place from a central operating site - the imaging and control station.

It includes:

- A high-end PC imaging system, based on Windows 10 with syngo user interface.

- Storage of original data 14 bit.

Storage of image data 12 bit.

Storage capacity approx. 25.000 images.

- Keyboard and mouse.

- One 19" color flat-screen as control display or diagnostic display.

- Manual button for exposure release.

Functions of the imaging and control station Patient and study administration:

- Importing of patient lists and examinations from the HIS/RIS

- Manual patient registration

- Patient, study, and image data management

- Configuration functions

Acquisition and post-processing:

- Organ program selection and configuration

- Selection of generator and diaphragm parameters.

Parameterization of image preprocessing: enhancement, harmonization, edge enhancement, and look-up tables (LUT)

- Display of current acquisition 1.5 s preview image; 3.5 seconds full image

- Display of image markers (L/R, a.p./p.a.)

- DiamondView Plus: multi-scaling procedure for image post-processing with high detail contrast and reduced noise

DiamondView is a multi-scale procedure, i.e. filter size and strength are weighted differently and are used for adaptation to the overall image content.

- DiamondView enhances the signal exploitation of the dynamic range and improves the organ-specific detail contrast (soft tissue and bone).

- DiamondView can be selected via the "Pre-processing card".

- By entering "0", the image can be displayed without DiamondView.

Image processing functions:

- Image rotation

- Horizontal/vertical image mirroring

- Image zoom

- Pan

- Windowing

- Filters for edge enhancement and noise reduction

Image documentation and archiving:

- Image transfer to the network

- Automatic, user-configurable data distribution (DICOM Send, see also system interfaces DICOM)

- Automatic filming with virtual film sheet (DICOM Print, see also system interfaces DICOM)

- Image data export (12 bit) on CD/DVD

Password protection:

System access protected by password.

Option:

Security Package: SW option with enhanced security features such as User Management and Audit Trail function (if offered, see text of the corresponding components).

19” TFT monitor for live image display in the control room.

Image display

DICOM system interfaces

- 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 or a DICOM workstation. The user can perform his examinations without interruption while the system fully automatically transfers the images to the archive. This image data transfer takes place entirely in the background and thus does not affect acquisitions performed at the same time.

- 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 way the user can be sure that the acquisitions stored locally in the imaging system can be deleted.

- DICOM Print: Printing of images by means of a virtual film sheet on a DICOM laser camera.

Selecting "Auto-Print" automatically forwards the images stored in the virtual film sheet to the laser camera.

This optimizes the workflow, eliminating the need for user interaction. In addition, a specific layout can be configured on the virtual film sheet, which the user can review and edit on the monitor at any time. As a result, printing is only required after the layout has been optimized on the monitor, saving time and costs.

Options:

- DICOM Modality Worklist/MPPS

- DICOM Query/Retrieve

Note concerning DICOM interface(s) For diagnostic purposes, only hardcopy cameras/laser printers explicitly approved for this system may be used.

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

Functionalities across system borders 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.

syngo Remote Assist syngo Remote Assist is a standalone service option.

With syngo Remote Assist, Siemens uses a secure broadband VPN connection (VPN = Virtual Private Network) to establish a connection to your Siemens imaging console in order to offer you direct, real-time support and training.

This seamless and simultaneous virtual interaction will contribute to improvements in image quality and optimization of system use.

Smart Remote Services Prepared for optional Smart Remote Services SRS (during warranty period, subsequently with service contract):

- Hardware and software remote diagnosis.

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

- Early warning system to secure system operation.

- Functions according to the selected maintenance package.

Technical details:

- Single side floor mounted table column

- For use with removable tabletop

- Free access to table and patient from all sides

- Height adjustment of the tabletop 42 cm: from 50 cm to 92 cm

- Max. patient weight of 240 kg

Foot kick-switch control functions:

- Moving table up

- Moving table down

- Centering tube to detector

- Auto positioning

Technical details:

- Size: 75 cm x 219 cm

- Total table length 312 cm

- Max patient coverage of 190 cm without patient repositioning

- Radiation absorption ≤ 1 mm Al

- Max patient weight capacity: 240 kg

Technical details:

- Grid ratio 13:1, 92 lines/cm

- Grid focusing for source-image distance (SID) of 140 cm (55")

- Universal grid: Working range between F115 cm and F180 cm (45" to 71")

- Dimensions (W x H): 460 mm x 460 mm (18,11" x 18,11")

- Weight: 1,31 kg (2,88 Ibs)

Upgrade to 80kW POLYDOROS F80 generator:

- 80 kW at 100 kV (IEC 60601-2-7), 1,000 mA at 79 kV.

- Fluoroscopy, 450 W from 40 kV/0.2 mA to 110 kV/23 mA, pulsed fluoroscopy

Optional 2 pedal footswitch for the Multitom Rax table. It’s possible to execute fluoroscopy and examination. The footswitch can be connected to the table base of the Multitom Rax and easily detached when not used.

The functionality of the syngo X Workplace Real 3D is based on the syngo X WP. The intended use is the 3D workstation for reconstruction and display of Real 3D data from the Multitom Rax. It can be extended with additional software functions to suit specific user or clinical needs. The use of the licensed software is limited exclusively to the specific syngo X Workplace included with this configuration.

The base viewing system can be extended by adding a wide range of application options.

Scope of delivery

- syngo X Workplace PC

- syngo X Workplace Basic User Software

- Real 3D reconstruction Software integrated in the 3D viewer package syngo X Workplace PC High-performance workstation based on Windows 7 with Intel Xeon CPU, 32 GB RAM and SSD hard drive with 512 GB for image data. The workstation is equipped with an Open GL accelerator board to support 3D applications. To exchange medical images on DICOM-compatible CD-Rs and DVDs, the system is equipped with a

CD/DVD burner.

syngo X Workplace can be connected to an existing network via Gigabit/100 Mbit Ethernet.

syngo X Workplace Basic User Software The syngo X Workplace software features an intuitive and thus easy to learn user interface developed from prototypes tested in close cooperation with users.

Standard functions such as filming or image review, and optional clinical application software, are performed in individual processes on dedicated task cards. A number of functions and input parameters, as well as the language used, can be selected according to individual requirements.

Package comprising the following software licenses Basic software with CD and dongle for the following functions:

- Patient Browser,

- Filming,

- Viewer,

- System services.

Patient Browser

- Patient management.

- DICOM communication with Send, Receive, Query/Retrieve, Print.

- Reading of CDs/DVDs.

- Module for writing DICOM CDs/DVDs for data exchange. Writing is in background mode.

Filming A virtual filmsheet shows a 1:1 display of the film sheets to be printed. This permits an effective preview of the filming job and the windowing of images, as well as providing a large number of evaluation functions.

Viewer The Viewer task card supports interactive 2D review, evaluation, and documentation functions. Multiple studies from the same patient can be displayed side-by-side for comparison.

- Image display: 1.0242 screen matrix, configurable with up to 64 image segments.

- Measurement and annotation: Text annotation; distance, angle, circle, ROI and pixel lens, depending on information available from the acquisition system.

System services Microsoft Office 2003 Word, Excel, PowerPoint plus Outlook are supported (not provided!).

- Any user-selectable file, such as AVI video sequences, can be burned to CD to prepare quality presentations and demos of pathologies.

- Network module: For connection to a local Ethernet (Gigabit or 100 Mbit) for communication with networked archives, printers, diagnostic and therapy workstations, and teleradiology routers.

Scope of functions:

- Network stations can be configured.

- Unlimited selection of stations.

DICOM

Industrial standard for the transmission of information between DICOM-compatible equipment from different manufacturers. The scope of functions is described in detail in the DICOM Conformance Statement and in its standard version includes the Transmission/ Reception, Query/ Retrieve and Basic Print functions.

Note concerning DICOM interface(s) For diagnostic purposes, only hardcopy cameras/laser printers explicitly approved for this system may be used.

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.

Technical specifications:

- SID 115 cm. Adjustable isocenter

- Scan angle: 200°

- Number of projections: 104/298/362

- Scan time: 14 s / 20 s / 24 s

- Includes Real 3D arm support that is attached to the tabletop (14443441)

Technical specifications:

Head end trajectory

- Scan angle: 183°

- SID of 105 cm with fixed isocenter

- Duration: 20 s / 14 s

- Number of projections: 152/104

Tabletop trajectory

- Scan angle: 163°

- Variable SID: 108 cm to 129 cm with fixed isocenter

- Duration: 20 s / 14 s

- Number of projections: 152/104

Technical specifications:

Upright trajectory

- Scan angle: 188 degrees

- SID: 115 cm, adaptable isocenter

- Duration: 20 s / 14 s

- Number of projections: 152/104

Foot trajectory

- Scan angle: 186 degrees

- SID: 140 cm, adaptable isocenter

- Duration: 20 s / 14 s

- Number of projections: 152/104

Knee trajectory:

- Scan angle: 187 degrees

- SID: 140 cm, adaptable isocenter

- Duration: 20 s / 14 s

- Number of projections: 152/104

The orientation of the grid lines is adapted to the examination modes Real 3D lying and Real 3D weight bearing.

The grid is needed to filter scatter radiation during the 3D examination. A grid is needed if the option Real 3D lying or Real 3D weight bearing (or both) is selected.

Technical details:

- Grid ratio 13:1, 92 lines/cm

- Siemens lead/fibre technology

- Grid focusing for source-image-distance (SID) of 115 cm (45")

Operating modes:

- Digital pulsed fluoroscopy (CAREVISION) with selectable pulse frequencies: 3 P/s; 7.5 P/s; 10 P/s; 15 P/s in

1024²/12-bit matrix; 30 P/s in 512²/12-bit matrix. Pulsed fluoroscopy is especially suitable for time-intensive examinations to reduce the radiation dose for physician, staff and patient.

- Displays and saves the last fluoroscopic image after radiation is switched off (Last Image Hold = LIH).

- Single image and serial mode up to 1,440²/12-bit or 1,024²/12-bit matrix (depending on zoom level). Serial mode (8 f/s maximum) with variable frame rate in three steps (1,440²/12-bit matrix maximum). DDO (Dynamic Density Optimization) for on-line harmonization of native series and single images.

- Live auto-windowing during fluoroscopy

- Live auto-shutter during fluoroscopy

RAXorbit:

Isocentric orbital movements around the patient during fluoroscopy with control console.

Movement around table: Orbital only -15° – +120° degrees, with variable SID Movement around standing patient: Rotation -90 - +25°, also with oblique projection +/- 45°

SW license for Ortho function For systems with bucky wall stand:

Ability to acquire up to 4 images of the legs or spine in sequence on the Bucky wall stand using a MAX wi-D, MAX static detector

Only for Ysio:

Ability to acquire up to 3 images at the patient table.

Only for Multitom Rax:

Ability to acquire up to 4 images of the legs or spine with RAX detector (patient in standing position or lying on the table)

Spine Composing Spine Composing takes individually acquired digital radiographic images of the spine and composes them into an overall image.

The main functions are:

- automatic composing of digital radiographs into an overall image

- standard image post-processing functions are available

Ortho-Leg Composing Ortho-Leg Composing takes individually acquired digital radiographic images of the legs and composes them into an overall image.

The main functions are:

- automatic composing of digital radiographs into an overall image

- standard image post-processing functions are available

The ClearRead Bone Suppression function works with the ClearRead Workstation. The Workstation has no user interfaces (only DICOM interface and internet connection). The chest image of the modality will be sent to the DICOM node of the Workstation. The Workstation starts a connection to the Riverain Database (Safe Data protocol with anonymized data) and will receive the suppressed image. The suppressed image together with the original image will be sent to the DICOM node of the PACS from the Workstation.

TFT technology with high luminance and extended viewing angle.

Technical details:

- 19" (48 cm) monitor

- Resolution: 1280 x 1024 pixels

- Maximum brightness (typ.): ≤ 800 cd/m²

- Flicker-free and distortion-free image display

DICOM MWL (Modality Worklist):

Import of patient/examination data from an external RIS/HIS patient management system.

DICOM MPPS (Modality Performed Procedure Step):

Sending of dose data, patient data, and examination data to an external RIS/HIS patient management system.

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 system borders 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.

The CAREMAX plus dose-area product meter (DAP meter) is connected to the collimator via the CAREMAX adapter cable. The dose-area product (DAP) is displayed on the TUI of the system operating console and is recorded in the examination report.

Technical specifications:

- Length: 198 cm

- Width: 66 cm (of which 53.5 cm is padded)

- Thickness: 2.5 cm

- Weight: 2.7 kg

Weight: 8 kg (17.6 Ibs)