36A79720Q0010-019.pdf

Qty Item Description

1 SOMATOM Force $ The all new SOMATOM Force contains two Vectron X-ray tubes with unprecedented tube current (2 x 1,300 mA) and generator power (2 x 120 kW). The StellarInfinity detector, including TrueSignal and Edge Technology provides increased in plane resolution (1,840 channels) and ~ 50% increased z-coverage, compared to SOMATOM Definition Flash.

SOMATOM Force takes CT imaging where it has never gone before by routinely generating ultra-thin 0.5 mm slices e.g. for most accurate stenosis, plaque and stent analysis and for low-kV imaging without compromises, even in adults or obese patients at scan speeds up to 737 mm/s (opt.). Additionally, the all new measurement system sets the benchmark in low contrast detectability. An object size of 2 mm, at a contrast difference of 3 HU, with a CTDIvol (Ø 32

cm) of only 12.3 mGy (with Phantom CATPHan (20 cm)) can be detected.

The all new SOMATOM Force gantry, with its powerful hollow shaft motor achieves maximum rotation speeds of up to 0.25 seconds (opt.) resulting in 66 ms temporal resolution, enabling you to freeze motion independent of heart rate. It features the industry leading Turbo Flash mode, with a dynamic Field of View (FoV) of up to 50 cm, even in ultra-high pitch applications (up to 737 mm/s table speeds, Opt.).

Besides, it enables reduction in dose, while it improves overall image quality (both high- and low-contrast resolution) for all scans, resulting, e.g. in dose down to sub-mSv for cardiac imaging and below. In its third generation, Dual Energy with Selective Photon Shield II (~ 30% better energy separation, for more precise Dual Energy quantification), automatically provides a second contrast for the best possible diagnosis without any extra dose at a Dual Energy Field of View (FoV) of up to 35 cm at scan speeds up to 285 mm/s (opt.).

1 syngo CT VB20 The software syngo CT VB20 enables new, but separately licensed features like Precision Matrix as well as enhancing several already existing features, e.g. FAST DE Results, DirectDensity(tm), increased image storing capacity, as well as FAST 3D Camera and Touch Panel workflow.

1 Multi-purpose table The Multi-Purpose table is especially designed for multi-disciplinary use, while still enabling ultra-fast spiral scanning (up to 737 mm/s with HeartView in Turbo Flash spiral). Its flexible design allows exchanging table tops for routine radiology, trauma or bariatric use.

1 Mattress with Spill Protection This mattress is ideal for trauma and acute care settings. The mattress has wide flaps and offers additional protection by preventing liquids spilling into the table by covering the gaps between table top and the table base.

REQUISITION: 644-B08013

REQUESTING SERVICE: RADIOLOGY SERVICE

SHIP TO: RECEIVING WHSE

V.A. Medical Center

VA MEDICAL CENTER

650 E INDIAN SCHOOL RD

PHOENIX, AZ 85012

1 High Cap. Patient & Trauma Tab.Top

The high capacity and trauma table top offers the capability to support up to 307 kg/676 lbs of patient weight. It allows easy positioning and transfer from and to the table, due to its flat surface. Special accessories and an extended table top width of 530 mm ensure a safe and comfortable positioning for obese patients.

1 High Cap. Patient & Trauma Acc Kit

The High capacity and Trauma accessory kit contains additional Patient restraint set with a width of 400mm and additional table extensions for feet and head.

1 Infusion Holder

A table attachment which provides a place for the patient infusion bags or bottles to be hung, so that the holder moves with the table during an acquisition.

1 Table Side Rails

Side rails enable the quick and easy attachment of additional accessories such as an infusion bottle holder and i-control intervention module to the patient table.

1 FAST IRS

Reconstruction computer for the preprocessing and reconstruction of the CT raw data. The reconstruction computer contains of a cluster of high-performance GPU boards performing the preprocessing and reconstruction of the CT data.

1 Force Imaging

We combine our market leading applications to make this the most personalised scanner for our customers. Including SureView, Turbo Flash Spiral, Adaptive Dose Shield, CARE Dose 4D, CARE kV, CARE Child, CARE Profile, CARE Dashboard, CARE Bolus, Dose MAP, FAST Adjust

1 ADMIRE

ADMIRE (Advanced Modeled Iterative REconstruction) is the next generation of Iterative Reconstruction. ADMIRE offers on the fly powerful dose reduction, excellent image quality and everyday suitability. Other unique qualities of ADMIRE are: Superb details, Positive impact on the reconstructed image quality in comparison to SAFIRE, Reader-ready reconstructions deliver the desired image impression on the fly. Due to the computer power of the new Image Reconstruction System (IRS), ADMIRE has a potential to lower radiation, and to offer a routine-ready performance.

1 X-CARE

Partial scanning to reduce direct X-ray exposure for the most dose-sensitive body regions, e.g.

the breasts, thyroid gland or eye lens.

1 CARE Contrast III

CARE Contrast III supports the consistent application of contrast media protocols on the scanner. Saving and linking contrast protocols to scan protocols is available in the Examination card or as part of the scan protocol manager.

1 High-speed 0.25 s rotation

High-speed 0.25 s rotation

1 Force Reading

We combine our market leading applications to make reporting consistant, fast and simple for our customers. Includes VRT, Workstream 4D and Extended FoV.

1 Force Reading - Advanced

We combine our advanced applications to make reporting of complex and atypical anatomical structures faster and simpler.

Includes:

iMAR for anatomically driven metal artifact reduction, combining three successful approaches (beam hardening correction, normalized sinogram inpainting and frequency splitting). This reduces artifacts caused by metal implants.

FAST Spine, providing anatomically aligned preparation of spine recons with just a single click.

HD FoV, special reconstruction algorithms allow for visualization of objects using a FoV up to 65 cm with an image quality suited for radiation therapy planning

UHR mode, with the wide large UHR-Comb, delivers Ultra High resolution in plane of up to32lp/cm (0.16 mm) for high defined imaging of small structures such as inner ear or even the lung, joints or fractures of the bone. The UHR Collimation could be increased to 32 x 0.6 mm collimation.

1 Force Function

We combine our market leading applications, Dual Energy, Cardiac and Dynamic Imaging, to make quantative scanning and cardiac analysis more accessible and simpler to use.

1 Rear cover incl. Touch Panels

Standard CT rear gantry cover, including two Touch Panels, for additional access to the positioning of the patient from both sides of the gantry.

1 Advanced Applications

We combine our market leading applications to make positioning simple for our customers.

FAST Topo - enables faster scan speeds in topograms, which minimizes breath-hold artifacts.

It also has the potential to decrease the topogram dose.

FAST Planning - assists scan and reconstruction planning, based on a topogram, to provide an easier, faster and standardized workflow in CT scanning. FAST Planning features the selection of the anatomical region of interest from a list prospectively defined scan and reconstruction ranges, automatic detection of the scan region(s) of interest and proposal of corresponding scan range(s) in the topogram (in a narrow or wide lateral FoV), optimized FoV and automatic iso-center adaptation for Head scans.

FAST 3D Align - automatically corrects misalignment of anatomic structures, organs of the patient. It aligns those to fit it to the selected reconstruction plane for a highly automated reconstruction workflow. Additionally it minimizes the black area in the image by automatically adjusting the recon field of view.

FAST 3D Align works in combination with Workstream 4D.

1 Adapt. 3D Intervent. Suite Wireless

The complete solution for 2D and 3D non fluoroscopic and 2D fluoroscopic minimal invasive volume interventions.

The Adaptive 3D Intervention Suite contains Adaptive 3D Intervention for 3D volume intervention.

Intervention Pro for spiral and sequential non- fluoroscopic interventional procedures and complete organ coverage with maximal flexibility and with minimal single click effort i-Fluoro CT allows for 2 dimensional interventional fluoroscopic procedures i-Control CT supports interventional procedures as independent remote unit

Foot switch for radiation release (x-ray).

1 Dual 19 Monitor #D Siemens proprietary syngo software visualizes the examination workflow in individual process steps on so-called task cards, such as the patient registration, examination, viewing or 3D task card. The dual monitor feature enables the split of the syngo task cards on two monitors in two different ways. This option includes the syngo dual monitor software and a second high resolution, flicker-free, 19-inch (48 cm) color flat panel display for medical diagnostic applications. This display provides a resolution of 1280 x 1024 and has a wide viewing angle, ensured by controlled backlight throughout the whole lifetime.

Possibility one: One monitor displays the viewing task card, for instance for the interactive review of image data. All other syngo task cards are displayed on the second monitor.

Possibility two: Both monitors display the 3D-Basic task card, enabling the viewing and manipulation of two different datasets on two monitors. It enables the comparison of two series from the same patient e.g. pre- and post-contrast or the comparison of two studies from the same patient e.g. pre- and post-surgery.

1 Dual Monitor Ceiling Support

The dual monitor solution enables access to images and scan data while interacting with the patient in the scan room. The high resolution, flicker free, 19-inch (48 cm) color flat panel displays are mounted at the ceiling support. The space-saving ceiling installation along with the large movement range of the support allows maximum operating convenience when positioning the monitor.

Ceiling Support Base

Ceiling support for the accommodation and safe installation of one or two flat screen monitors in the examination room.

19 flat screen monitor (2x)

The 19 monitors support CT interventions and CT fluoroscopy with a display in the examination room.

1 Tunnel Light

SOMATOM Force offers a tunnel mood light (LED) in different, preset, adjustable colors that are synchronized with the gantry ring light. It makes the gantry bore appear wider thus making it easier for patients with claustrophobia to undergo their examination.

1 Ring Light

SOMATOM Force offers a gantry ring mood light (LED) in different, preset, adjustable colors that are synchronized with the gantry tunnel light. They help create a relaxing atmosphere for your patients, making a SOMATOM Force examination even more exciting and memorable.

1 Patient Restraint 400 mm

400 mm wide restraint strap for the safe positioning of even obese patients on the patient table.

1 Head Holder

Head holder for the fixation of the patient's head in combination with the cushion set.

1 Head-Arm Rest

This head-arm rest allows placing the head and the arm of trauma patients and even unconscious patients reliably for CT scanning. It is very useful in emergency rooms, e.g. for whole body scans, as it extends the scan range by about 30 cm. It can be placed in the standard Multipurpose Table accessory holder.

1 Computer Desk

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

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

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

Width: 800 mm, Depth: 800 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

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 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.

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 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 Flex injector-ceiling

Stellant Flex ceiling mounted injector with workstation, NO Informatics, but is Informatics ready.

Includes Stellant Flex ceiling mounted injector w/short post (580 mm) and ceiling plate;

workstation; installation and warranty through Bayer.

This post length is recommended for rooms with a floor to structural ceiling height of approximately 9 or 9.5 feet.

1 Medrad ISI900 interface, POS

1 Low Contrast CT Phantom & Holder

1 Standard UPS for Force

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 Neuro BestContrast

The Neuro BestContrast algorithm can provide enhanced tissue contrast, resulting in improved contrast between gray and white matter without increasing image noise. This post processing step is rapid and can be easily incorporated into clinical workflow where it can be used with other dose reduction approaches such as iterative reconstruction.

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

(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 UFC Detector

Ultra Fast Ceramics (UFC) technology is a unique type of scintillation technology material that quickly and efficiently transforms radiation from the X-ray tube into light signals. Its superb overall quantum efficiency and unique short afterglow enable time-critical X-ray detection at low doses and extremely fast data collection.

1 SOMATOM Force System Complimentary Biomed Training

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

Force Complimentary Biomed Training (

CT Education Offset Initial onsite training 32 hrs GovOffset

CT Education Offset Additional onsite training 32 hrs GovOffset

Offset CT Standard Rigging and Installation-BTL

Offset Part 14440662 Additional User Manual (

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Detailed Technical Specifications

SOMATOM Force

Description

The SOMATOM Force is Siemens' state-of-the-art high-end Dual Source CT that provides the possibility to scan with Turbo Flash speed to be two steps ahead in

a) Clinical Excellence - At the top of our Dual Source CT portfolio, SOMATOM Force enables new levels of image quality, clinical outcomes, and ultimately precision medicine. Examine patients without beta-blockers, with no need for them to hold their breath, while providing the ability to reduce contrast agent dosage. Make clearly quantified therapy evaluations with dose-neutral Dual Energy.

b) Workflow Performance - Automated technologies support safe, standardized, and highly efficient workflows – allowing for appropriate dose and reproducible precision from the smallest to the tallest patients.

c) Expert Leadership - Thinking beyond today, you’re connected to the future with an ever-growing expert community, exclusive access to highest quality CT data in the market today and the tools to advanced your research and clinical practice.

SOMATOM Force - the scanner that is able to scan:

- adults and obese patients at very low kV settings in order to save radiation**

- allows you routinely performing exams at 70-90 kV, even in adults. This may potentially reduce the amount of contrast media needed. The SOMATOM Force scanner provides the ability to reduce contrast agent dosage, which can improve patient safety

- for low dose early detection (e.g. in Lung and Colon)*

- with comparable air-to-soft tissue contrast (e.g. lung and colon) at significantly lower dose, compared to

Definition Flash)

- to scan soft tissue and the brain at new and higher low-contrast resolution

- with the Turbo Flash mode up to a FoV of 50 cm, dependent on the pitch (min. FoV 35 cm), making it suitable for trauma and ED imaging, also in obese patients

- all organs for dynamic perfusion imaging (whole organ coverage) (opt.)

- 4D dynamic imaging at reduced doses, compared to Definition Flash (opt.)

- 4D dynamic imaging at higher temporal resolution and longer ranges (opt.)

- the whole heart in 4D dynamic myocardial stress perfusion (quantitative) (opt.)

- in Dual Energy without dose penalty at a very high precision for iodine quantification (opt.)

- in Dual Energy at a fast acquisition speed of up to 285 mm/s, at a larger FoV (35 cm) making it suitable for

ED/trauma imaging. (opt.)

- the heart in Dual Energy mode with a temporal resolution down to 66 ms (opt.)

- the heart routinely below 1 mSv, and selected patients even at 0.1 mSv (opt.)

- patients without the need for breath hold or holding still

- pediatric patients without controlled breathing

- thorax/heart/abdomen in about 0.2 s at a dose of <3 mSv

- to scan the heart even in the systolic phase with Turbo Flash mode (opt.)

- to scan the body and the heart at an higher high-contrast resolution (standard: 22 lp/cm @ 0% MTF in x/y plane (0.24 mm) and 16.7 lp/cm in z-direction (0.30 mm))

- to scan the lung at a slice width of down to 0.4 mm (opt.)

*The SOMATOM Force may achieve the same Contrast-to-Noise level (in terms of image pixel noise) in the image at reduced dose.”

** "With the low kV / high mA capabilities of the VECTRON tube, SOMATOM Force allows scanning with a very high tube current of up to 1300 mA at 70, 80 and 90 kV, such that a high tube output even for these low kV settings can be achieved. Along with SOMATOM Force’s unique Turbo Flash Mode, this scan configuration is also available for conventional spiral or sequential scanning.“

- at 66 ms temp. resolution for all heart rates (even atrial fibrillation) (opt.)

- obese patients up to 307 kg (opt.) with 78 cm bore and 2 x 120kW

- at up to 60% lower dose with iterative recon (SAFIRE)* at an unprecedented recon speed

* In clinical practice, the use of SAFIRE may reduce CT patient dose depending on the clinical task, patient size, anatomical location, and clinical practice. A consultation with a radiologist and a physicist should be made to determine the appropriate dose to obtain diagnostic image quality for the particular clinical task. The following test method was used to determine a 54 to 60% dose reduction when using the SAFIRE reconstruction software.

Noise, CT numbers, homogeneity, low-contrast resolution and high contrast resolution were assessed in a Gammex 438 phantom. Low dose data reconstructed with SAFIRE showed the same image quality compared to full dose data based on this test. Data on file.

The SOMATOM Force is founded on the two fully-integrated Siemens' Stellar Infinity detector systems, with two revolutionary Vectron X-ray sources, the Turbo Flash Spiral scanning up to 737 mm/s, the diagonal z-Sharp technology, Dual Energy with Selective Photon Shield II and a range of proven CARE solutions from X-CARE to the Adaptive Dose Shield.

Using Siemens' diagonal z-Sharp technology the SOMATOM Force can provide the fastest sub-millimeter volume coverage at industry's highest spatial resolution. The high rotation time of 0.25 seconds delivers excellent temporal resolution up to 66 ms independent from the heart rate.

The SOMATOM Force opens a door to new levels of patient friendliness with the speed to cover the entire thorax in less than a second - if necessary even without a breath hold. A whole-body scan requires only five seconds, while for perfusion or dynamic vascular imaging long-range scans become routine and pediatric scans become sub-second procedures. Your patients will be off the table faster than ever before - with positive feelings about their scan experience. Turbo Flash is also the solution for scanning your most difficult patients (i.e. obese and trauma patients, restless children, patients who cannot hold their breath for long), thus causing no time-consuming interruptions in your daily practice.

And now Siemens is once again redefining speed: the new SOMATOM Force, with the new FAST CARE technology platform, allows you to maximize clinical outcomes - meaning you will have the best possible clinical results, but with significantly fewer resources bound to the CT system. The ultimate goal is to provide you with more time for patients and diagnosis - in effect, patient-centric productivity.

The complete examination - from scan preparation, scanning, reconstruction, and data assessment - is streamlined, leading to a fast and reliable diagnosis with less patient burden. Ultimately, the combination of highest image quality and highest patient-centric productivity is the lever to maximizing your clinical outcomes.

Maybe even more important - and impressive - is the significant reduction in dose which allows e.g. for sub-mSv scanning in case of cardiac imaging Furthermore, the third generation of dual source systems also enables the user to acquire Dual Energy data and benefit from Dual Energy post processing without compromising image quality or dose. Due to the introduction of the new Selective Photon Shield II, with an even further improved energy separation for more precise DE quantification, each scan on the SOMATOM Force can now become a precise Dual Energy scan. At the same time, X-CARE protects individual organs and the most radiation-sensitive body regions - for example, female breasts - by accurately and efficiently minimizing exposure while preserving image quality.

With the new SOMATOM Force with FAST CARE, Siemens introduces several innovative Combined Applications to Reduce Exposure (CARE). CARE kV, for instance, is the industry's first tool that automatically solves the complex equation for optimal image quality at lowest possible dose for each individual CT exam while considering tube voltage, tube current, and contrast changes at different voltages and attenuation. This allows you to benefit from the industry's widest tube voltage range - not only 150 kV for bariatric imaging but now, if necessary, also down to 70 kV for new safety and image quality standards, not only in pediatric imaging, but thanks to Vectron tube, The SOMATOM Force may also allow obese low kV imaging. Add SAFIRE*, our raw-data-based iterative reconstruction and define low dose for all body regions to take best care of your patients' well-being.

* In clinical practice, the use of SAFIRE may reduce CT patient dose depending on the clinical task, patient size, anatomical location, and clinical practice. A consultation with a radiologist and a physicist should be made to determine the appropriate dose to obtain diagnostic image quality for the particular clinical task.

The SOMATOM Force System Overview

- SOMATOM Force Gantry The SOMATOM Force gantry is founded on two fully-integrated Stellar Infinity Detector systems, with two revolutionary Vectron X-ray sources, the Turbo Flash Spiral scanning up to 737 mm/s, the diagonal z-Sharp technology, Dual Energy with Selective Photon Shield II and a range of proven CARE solutions from the Adaptive Dose Shield to X-CARE.

The 78 cm large bore, the 200 cm scan range - with patient weight up to 307 kg (676 lbs) (opt.) - and the 200 kW generator power, it can scan most acute patients independent of size or condition, helping to save precious time from scan to diagnosis.

It's Ultrafast rotation time of 0.25 sec. (optional) leads to acquired (not reconstructed) 66 ms temporal resolution to freeze any cardiac motion even in high and irregular heart rates.

The optional Dual Source Turbo Flash Spiral mode acquisition of 2 x 192 x 0.6 mm allows for increased scan speed up to 737 mm/s e.g. for pediatric head or chest CT scans or routine sub-mSv heart examinations in patients with stable/low heart rate and a weight of up to 90kg.

- Vectron tubes with diagonal z-Sharp Technology The two Vectron sources provide cooling through an water-chilled e-catcher, closely mounted to the rotating anode, for direct cooling of the anode Utilizing the Turbo Flash Spiral scanning technology in combination with Siemens' own diagonal z- Sharp Technology it routinely enables the industry's highest isotropic, scan field position and pitch independent spatial resolution. This allows a highly beneficial combination of exceptional image detail and unmatched sub-millimeter volume coverage of 737 mm/sec enabling whole body examinations within sub-seconds and seconds, even without the need for breath hold - adapting to challenging patients such as poly-trauma and incautious or uncooperative patients, leading to an improvement in image quality (e.g. minimized motion artifacts) and patient comfort (e.g. no breath hold,).

In addition, the Vectron Tubes are equipped with the Adaptive Dose Shields world's first dynamic tube collimation that protects the patient from clinically irrelevant radiation in every spiral scan.

- Stellar Infinity detector The revolutionary Stellar detector, is designed to minimize electronic noise using Siemens' innovative TrueSignal technology. It thus significantly improves the signal-to-noise-ratio (SNR). In combination with Siemens' proprietary UFC scintillator the SOMATOM Force acquires 2 x 192 slices per rotation at outstanding dose efficiency.

Herein the new Stellar Infinity detector hardware minimizes electronic noise and cross-talk, through its TrueSignal technology.

By further applying Edge Technology the spatial resolution can now be increased to an unprecedented

0.30 mm (16.7 lp/cm) in daily clinical routine, which makes it finally suitable for clinical practice as the signal-to-noise ratio is adequate without an additional increase in dose.

In combination with UHR (optional), it delivers a slice width of unprecedented 0.4 mm allowing visualizing extremely small anatomical structures with exceptional quality, for example the complex inner-ear bones,.

- Power Generator The generator power of up to 2 x 120 kW delivers sufficient resources for every clinical challenge and thus helps to acquire exceptional image quality and save precious time from scan to diagnosis.

- Patient table The patient table with a scan range of up to 200 cm and a load capacity of up to 307 kg / 676 lbs.

(optional) in combination with the 78 cm gantry diameter of the SOMATOM Force virtually adapts to any patient independent of size or condition thus helping to avoid patient exclusions.

- FAST CARE

With Siemens' unique FAST CARE platform, the SOMATOM Force is set to raise the standard of patient-centric productivity. Utilizing FAST - Fully Assisting Scanner Technologies -, typically time-consuming and complex procedures during the scan process are extremely simplified and automated, not only improving workflow efficiency, but optimizing the overall clinical outcome by creating reproducible results, making diagnosis more reliable and reducing patient burden through streamlined examinations. For example FAST Spine automatically labels all vertebrae and discs after the data acquisition and prepares typical reconstruction ranges rapidly in spine examinations.

- The World’s First FAST Integrated Workflow (opt.)

We combine our market leading applications to make positioning simple for our customers.

The FAST 3D camera captures the patient’s shape, position, and height in three dimensions.

Using infrared measurement, it even recognizes body contours: for example, when people are wearing masking clothes or blankets.

The 3D camera is equipped with an infrared light source and sensor as well as an RGB camera. It is positioned above the patient table and in front of the gantry.

A live image of the patient is displayed on the Touch Panel and a planning image can be taken and displayed.

Algorithms use the measured data to calculate:

- The body regions in z-direction

- The patient’s direction – “head-first versus feet-first” as well as “prone versus supine”

- The table height and patient thickness

Specialized applications support accurate and reproducible positioning:

- FAST Isocentering, at the push of a button, provides the correct isocenter position, enabling the right dose modulation and consistent images.

- FAST Range supports scanning the correct body region in the topogram with no cut-off – by aligning the automatically identified anatomical position with the protocol.

- FAST Direction helps safeguard the right scan direction of the topogram, which is crucial when moving the table with infused patients.

The 3D camera system consists of several components.

- Ceiling flange: The ceiling flange covers the fixation to the concrete or suspended ceiling.

- Ceiling extension: The length of the ceiling extension is variable to allow an installation of the 3D camera at different room heights.

- Camera Interface Computer (CIC): The computer is connected to the 3D camera and the syngo Acquisition Workplace.

- 3D camera: The camera is used to get the data of the patient structure in three dimensions.

FAST Topo - enables faster scan speeds in topograms, which minimizes breath-hold artifacts. It also has the potential to decrease the topogram dose.

FAST Planning - assists the scan and reconstruction planning, based on a topogram, to provide an easier, faster and standardized workflow in CT scanning. FAST Planning features the selection of the anatomical region of interest from a list prospectively defined scan and reconstruction ranges, automatic detection of the scan region(s) of interest and proposal of corresponding scan range(s) in the topogram (in a narrow or wide lateral FoV), optimized FoV and automatic iso-center adaptation for Head scans.

FAST 3D Align - automatically corrects misalignment of anatomic structures and organs of the patient. It aligns those to fit it to the selected reconstruction plane for a highly automated reconstruction workflow.

Additionally it minimizes the black area in the image by automatically adjusting the recon field of view.

FAST 3D Align works in combination with Workstream 4D.

- Low Dose with CARE Siemens has developed many significant products and protocols that follow the “As Low as Reasonably Achievable” (ALARA) principle to reduce radiation dose to the lowest possible level. This desire for as little radiation exposure as possible lies at the heart of our CARE - Combined Applications to Reduce Exposure - research and development philosophy. The SOMATOM Force consequently offers a unique portfolio of dose saving features; many of them being industry's first like the Adaptive Dose Shield, CARE kV or 70kV scan modes. Using Siemens' CARE solutions radiation dose can be significantly reduced compared to conventional CT systems.

Clinical Applications

The SOMATOM Force introduces the third generation of Siemens Dual Source Dual Energy imaging, proven by more than 1.500 installations worldwide and a wide range of clinical publications. With the all-new Selective Photon Shield II and a larger field of view (500 mm FoV visual, 350 mm full Dual Energy FoV), it offers up to 30% increased energy separation.

SOMATOM Force now allows DE scanning with 80 kV/150 kV, 90 kV/150 kV and 100/150 kV with Sn (tin) filtration.

Thus is adjusted even for larger patients, all the while the additional diagnostic information of Dual Energy is available without additional dose

Adaptive 4D Spiral With its unique Adaptive 4D Spiral plus scan mode (optional) the SOMATOM Force overcomes the coverage limitations in dynamic CT imaging when using a static detector and allows for up to 80 cm coverage in dynamic CT imaging. It even enables for 4D CT DSA evaluation.

3D Interventional Suite In addition the SOMATOM Force optionally offers a built in 3D minimal invasive suite, enabling 3D guided interventions with full control of the radiologist due to the all-new wireless in-room control.

Neuro BestContrast Neuro head image quality is significantly improved with Neuro BestContrast, by optimizing grey/white matter differentiation without increase in radiation dose.

HeartView With the HeartView CT option the SOMATOM Force achieves the industry's lowest heart rate independent temporal resolution of 66 ms. It allows to reliably scan all heart rates - even highest and irregular heart rates (atrial fibrillation), e.g. in acute chest pain evaluation, in coronary visualization, dynamic myocardial stress perfusion imaging and in functional analysis of the heart.

Heart Perfusion The optional Heart Perfusion mode, for quantitative, dynamic myocardial stress perfusion imaging, is a sequence shuttle mode to dynamically cover up to approximately twice the detector width for myocardial perfusion studies of up to 105 mm, with sufficient temporal resolution of 66 ms even for high heart rates. This it provides sufficient temporal resolution even for high heart rates.

SOMATOM Force System specification in detail

1. System Gantry and Detector:

Aperture: 78 cm; power supplied via low-voltage slip ring.

Patient Table: Standard table (200 cm) or Multi-purpose table (opt.) are available. The standard table consists of:

- Motor-driven table height adjustment from min. 49 cm to max. 92 cm

- longitudinal movement of the tabletop 200 cm in increments of 0.5 mm, positioning accuracy +/- 0.25 mm from any direction

- Horizontal scan range 200 cm

- Control elements on both sides on the front and rear panel of the gantry

- Table height can be controlled alternatively by means of foot switch (2 each on both sides of the patient table)

- Max. table load: 227 kg/500 lbs (optional 307kg/676lbs)

- Table feed speed: 2-800 mm/s

- Distance between gantry front and table base 40 cm, e.g. for convenient positioning of a mobile C-arm between gantry and table or for convenient access during CT-intervention.

- Positioning aids: Positioning mattress, mattress protector, head-arm support (inclusive cushion), tiltable head holders with positioning cushion set, patient restraining system for head fixation, restraining-strap set with body fixation strap that can be directly connected to the patient table top, headrest, table extension with positioning mattress, knee-leg support

- 4 pairs of optional Foot Pedals, available for high capacity table, conveniently allow table lifting and lowering from various positions

- Optional Multi-purpose table: Additional exchangeable table tops for High-capacity patient and trauma table top; RTP table top

- In the case of emergency stop or power failure, the tabletop can also be moved manually in horizontal direction

Scanning system: Adaptive Array Detector (AAD) systems based on UFC with 88,320 elements for measurement system A and 61,440 for system B. 2 x 192 detector electronic channels (DAS) utilized for up to 2 x 192 slices/rotation acquisition, and 1,840 for measurement system A and 1,280 for system B, measuring channels per slice (The measuring system can contain replacement components).

In cases of very low signal at the detector (e.g. when scanning bariatric patients), the Adaptive Signal Boost improves image quality by amplifying individual pixels based on an analysis of the surrounding image data. It reduces streaks and noise and maintains the correct HU values for large patients.

Spiral acquisition modes: 192 x 0.6 mm, 64 x 0.6 mm, 40 x 0.6 mm, 32 x 0.6 mm, 20 x 0.6 mm, 10 x 0.6 mm, 32 x

1.2 mm, 16 x 0.3 mm*, 8 x 0.3 mm*, 16 x 0.6 mm*, 8 x 0.6 mm*.

Sequence acquisition modes 64 x 0.6 mm, 32 x 0.6 mm, 32 x 1.2 mm, 12 x 1.2 mm, 1 x 5 mm, 1 x 10 mm, 8 x 0.3 mm*, 8 x 0.6 mm* (* optional).

The scan field diameter is 50 cm.

Three laser light markers: Horizontal, sagittal, and vertical laser light that shows the isocenter position of the scan plane.

2. Tube Assembly:

Source: The two Vectron sources provide cooling through an water-chilled e-catcher, closely mounted to the rotating anode, that significantly reduces extrafocal radiation,for reliable performance when operating two x-ray sources at an ultrafast rotation time of 0.25 sec.

- 2 x Vectron high performance X-ray source

- Tube current range: Single source 20-1.300 mA

- Dual Source 40-2600 mA

- e-Catcher, catching extra-focal electrons off the anode, thus directly cooling the anode through its internal water cooling. - Focal spot size according to IEC 60336: 0.4 x 0.5mm/8°, 0.6 x 0.7 mm/8° and 0.8 x 1.1 mm/8°.

- Computer controlled monitoring of anode temperature

- Multifan principle with new diagonal flying focal spot (diagonal z-Sharp technology)

- 2 x Adaptive Dose Shields with ultrafast blade positioning and movement enabled through SiDaNet (Siemens Data Net Bus technology)

3. Diagonal z-Sharp Technology:

The unique Vectron X-ray source with diagonal z-Sharp technology utilizes an electron beam that is accurately and rapidly deflected, creating two precise focal spots alternating multiple thousand 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' Stellar Infinity Detector hardware and the highly integrated 2 x 192-slice detector electronics enable a virtually simultaneous readout of two projections for each detector element - 2 x 2 x 96 slices for every viewing angle - resulting in a full 2 x 192-slice acquisition. Diagonal z-Sharp technology, utilizing the Vectron X-ray sources and the Stellar Infinity detector hardware, 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.

- 2 x 192-slice acquisition with diagonal z-Sharp technology

- routine 0.5 mm slice with 0.3 mm cross-plane resolution

- 0.4 mm slice with extra-large UHR comb (32 x 0.6 Collimation) (opt.) and a spatial resolution of 32 Ip/cm (0.16 mm)

- Industry's highest isotropic and scan field position independent spatial resolution of 0.33 mm voxel size

- Visualization of the smallest anatomical structures with exceptional image quality in complex inner-ear bones, lungs or small sized vessels such as the intracranial, mesenterical and coronary system. Based on that accurate stenosis measurements or stent planning with outstanding precision are enabled.

4. High Power X-ray Generator:

2 microprocessor-controlled, low-noise high-frequency generators with integrated, automatic self-testing system for continuous monitoring of operation. Settings: High-voltage range 70, 80, 90, 100, 110, 120, 140 and 150 kV; power max. 2 x 120 kW (depends on clinic network) - for no compromises in obese imaging - adjustable in fine steps. The kV are automatically pre-selected through CARE kV in finest 10 kV steps based on patient body habitus and examination type for lowest possible dose at constant signal to noise ratio (image quality). The generator can maintain very high tube current (up to 2 x 1.300 mA) even during low-kV imaging thus allowing to benefit from radiation dose or contrast media concentration reduction - from pediatric to adult patients. "Early clinical experience based on imaging of the left ventricle and aortic root (TAVI studies) demonstrate that a reduction of contrast media administration may be possible using SOMATOM Force´s Turbo Flash Mode and its low kV / High mA capabilities."

5. Control and Evaluation Unit:

Control box: CT control with patient intercom, user-recordable patient instruction system, 30 automatic patient instruction (API) text pairs are available in nine languages.

syngo Acquisition Workplace: The syngo Acquisition Workplace provides an intelligent and reliable workflow for data acquisition, image reconstruction and routine post-processing at the CT scanner. Built on the unique syngo platform, the syngo Acquisition Workplace is intuitive and user friendly. Computer system: High-performance computer with DVI graphics card for fast 3D post-processing. High resolution, flicker free, 19-inch (48 cm) color flat panel display for medical diagnostic applications combining the demanding requirements of medical imaging with the advantages of liquid crystal displays. This display provides a resolution of 1280 x 1024 and has a wide viewing angle, features high contrast even under high ambient light conditions. Display light output stability is enabled by controlled backlight throughout the whole lifetime. Keyboard and mouse, External USB 2.0 devices for data storage are supported

6. CT Image Computer System:

Reconstruction computer for the preprocessing and reconstruction of the CT raw data. The reconstruction computer contains of a cluster of high-performance processors performing the preprocessing and reconstruction of the CT data

External USB 2.0 disks for quick and easy raw data storage are supported

Reconstruction fields of 5 cm to 50 cm through raw data zoom with the possibility of freely selecting the image center either prospectively before each scan or retrospectively. Reconstructions of different slice thicknesses from a single raw data record, e.g. lung soft tissue and lung high-contrast with CombiScan, with simultaneous suppression of partial volume artifacts.

Up to 8 reconstructions per scan range can be predefined with the examination protocol. Patient-related storage of the image and raw data.

Image display: 1024 x 1024 display matrix; screen splitting configurable up to 64 image segments. CT value scale from -1024 to +3071 HU. For very dense objects, the CT value scale can be extended from -10240 to +30710 HU (extended CT scale) e.g. for suppressing metal artifacts.10,000 pre definable examination protocols

7. Cooling System:

Gantry is cooled with a water/water cooling system. An optional split cooling (water/air) is available to reduce reconstruction efforts and costs.

System operating temperature: 18-28°C, 20 - 75 % rel. air humidity (not condensing).

8. syngo User Software:

syngo features an intuitive and thus easy-to-learn user interface developed from prototypes in close cooperation with users. syngo visualizes the examination in individual process steps on so-called task cards, such as patient registration or examination card. A large number of functions and input parameters as well as the language used can be selected according to individual requirements. Frequently repeated processes can be automated and saved.

Patient registration:

The system can accept patient data in different ways. These include entering the data via keyboard or transfer of a work list via network. DICOM work list: Software module for accepting lists of patient data and exam requirements from a Radiology Information Systems (RIS) via DICOM Get Work list functionality. The program enables very efficient working and enables consistent patient data. In emergency cases, fast registration is possible. Here the system automatically assigns an emergency number which can later be replaced by the actual patient number.

The input profile can be designed individually.

Examination card:

The SOMATOM Force is delivered with a large number of predefined examination protocols (e.g. for pediatric applications), making examination planning a very fast and efficient procedure. Example: A three-phase examination of the liver available as independent protocol only needs to be adapted to the patient's individual situation. Each examination is represented pictorially as a so-called "chronicle", which views the individual phases of the examination separately. This has the advantage that the individual phases of the examination can be accessed quickly and selectively and changes to the protocol can be made easily in graphical mode via drag-and-drop using the mouse.