June 2003 Radiographic/Fluoroscopic Units, Mobile Purpose Mobile R/F units provide radiographic and fluoro- scopic imaging in surgical, orthopedic, critical care, and emergency care procedures. They are used to im- age patients in radiolucent beds, stretchers, or tables when it is not feasible to transport the patient to the radiology department. The fluoroscopic feature allows real-time imaging, which permits quick diagnoses and minimal patient time under anesthesia during surgi- cal procedures. Mobile R/F units are used in a variety of general surgical, cardiac, and neurological applications, includ- ing aneurysm repair, pacemaker implantation, hip re- placement, fracture reduction, foreign-body location, needle biopsy, catheter placement, percutaneous li- thotripsy, and brachytherapy. These devices also enable special studies, such as the diagnosis of swallowing dis- orders, in patients who cannot readily sit on a standard fluoroscopic table or stand on a footboard. Mobile C-arms can also be equipped with a variety of digital hardware and software options for use in angioplasty, interven- tional neuroradiology, neurosurgery, and trauma care. Compact, scaled-down fluoroscopic imaging sys- tems called mini C-arms are designed for extremity imaging in the emergency room, the operating room, the physician office, and on the industrial site. The user can quickly acquire projections of the patient’s anat- omy from various angles while continuously viewing 173302 424-010 Scope of this Product Comparison This Product Comparison covers mobile radio- graphic/fluoroscopic (R/F) units. Stationary R/F systems and mobile units not capable of fluoros- copy are covered in the following reports: • Radiographic/Fluoroscopic Systems, General- Purpose; Cameras, Radiographic Photospot • Radiographic/Fluoroscopic Systems, Urological • Radiographic/Fluoroscopic Units, Angiographic/ Interventional, Cardiovascular • Radiographic Units, Mobile These units are also called: C-arms. UMDNS information This Product Comparison covers the following device terms and product codes as listed in ECRI’s Universal Medical Device Nomenclature System™ (UMDNS™): • Radiographic/Fluoroscopic Units, Mobile [11-758] • Radiographic/Fluoroscopic Units, Mobile, Extremity [18-435] 5200 Butler Pike, Plymouth Meeting, PA 19462-1298, USA Telephone +1 (610) 825-6000 ● Fax +1 (610) 834-1275 ● E-mail [email protected]
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June 2003
Radiographic/Fluoroscopic Units, Mobile
Purpose
Mobile R/F units provide radiographic and fluoro-scopic imaging in surgical, orthopedic, critical care,and emergency care procedures. They are used to im-age patients in radiolucent beds, stretchers, or tableswhen it is not feasible to transport the patient to theradiology department. The fluoroscopic feature allowsreal-time imaging, which permits quick diagnoses and
minimal patient time under anesthesia during surgi-cal procedures.
Mobile R/F units are used in a variety of generalsurgical, cardiac, and neurological applications, includ-ing aneurysm repair, pacemaker implantation, hip re-placement, fracture reduction, foreign-body location,needle biopsy, catheter placement, percutaneous li-thotripsy, and brachytherapy. These devices also enablespecial studies, such as the diagnosis of swallowing dis-orders, in patients who cannot readily sit on a standardfluoroscopic table or stand on a footboard. Mobile C-armscan also be equipped with a variety of digital hardwareand software options for use in angioplasty, interven-tional neuroradiology, neurosurgery, and trauma care.
Compact, scaled-down fluoroscopic imaging sys-tems called mini C-arms are designed for extremityimaging in the emergency room, the operating room,the physician office, and on the industrial site. The usercan quickly acquire projections of the patient’s anat-omy from various angles while continuously viewing
173302424-010
Scope of this Product ComparisonThis Product Comparison covers mobile radio-graphic/fluoroscopic (R/F) units. Stationary R/Fsystems and mobile units not capable of fluoros-copy are covered in the following reports:
UMDNS informationThis Product Comparison covers the followingdevice terms and product codes as listed inECRI’s Universal Medical Device NomenclatureSystem™ (UMDNS™):
the fluoroscopic images. Radiographic imaging capa-bility may not be provided.
Principles of operationA mobile C-arm system usually consists of two
wheeled units, one supporting the C-arm and the con-trol console and the other supporting display monitorsand image processing and recording devices. The C-arm stand consists of a curved arm with an x-ray tubemounted on one end and an image intensifier on theother (see Fig. 1). The stand is constructed so that theC-arm can perform both linear and rotating motionsfor optimum positioning with respect to the patient.
The x-ray tube typically consists of a cathode (spiraltungsten filament) and an anode (tungsten target) inan evacuated glass tube. The filament circuit providesthe desired tube current, and the filament heats andbegins to emit electrons. High voltage between thefilament and target causes these electrons to speedtoward the anode, striking it at the focal spot andproducing x-rays. Generally, the greater the incomingpower, the stronger and more intense the x-rays; ap-plied current (mA) affects the number of electrons andthus the number of x-rays produced, whereas appliedkilovoltage (kV) affects their energy and thus theirpenetrating power. Filters, usually made of aluminum,are placed in the path of the x-ray beam to absorb theless penetrating (soft) x-rays. The more penetrating(hard) x-rays pass through the filters, and the beam isthen shaped by a set of collimators.
Most C-arm units offer a choice of two focal spotsizes, depending on the imaging mode. In the fluoro-scopic mode, focal spots typically range in size from 0.3to 0.8 mm (0.08 to 0.5 mm for mini units); in theradiographic mode, they range from 0.3 to 1.8 mm.Focal spot size is important in image production be-cause a smaller focal spot produces a clearer image.However, the anode-striking electrons produce intenseheat, which can destroy the target anode. Heat inten-sity increases as focal spot size decreases, causingfaster vaporization of the tungsten filament and short-ening the life of the x-ray tube. Rotating anodes dis-tribute the constant bombardment of electrons andresist pitting in a particular area. Thus, they canwithstand the higher heat loads produced by smallerfocal spots.
The control console on the C-arm stand is mountedon top of the x-ray generator housing. From the con-sole, the operator can control all the generator tech-nique parameters, which determine the intensity andenergy of the x-rays and therefore affect exposure andimage quality. The mA settings on the generator control
the intensity of x-rays; a higher mA setting increaseselectron emission and so increases the intensity of thex-rays. The kVp (peak kilovoltage) setting on the gen-erator controls both the energy and intensity of thex-rays. The mA settings range from 0.02 to 9 mA in thefluoroscopic mode and up to 250 mA in the radiographicmode. The kVp settings typically range from 40 to 125kVp. A typical fluoroscopic exposure is obtained at 70kVp at a current of about 2 mA. For production ofradiographic spot films, mobile C-arms can beequipped with automatic exposure control, which ter-minates operation of the x-ray tube when an adequateexposure has been sensed.
X-rays emerging from the patient carry the imageinformation to the input phosphor of the image inten-sifier, an evacuated tube consisting of an input phos-phor (cesium iodide), a photocathode, an anode, anoutput phosphor, and accelerating and focusing elec-trodes. The energy of the x-rays detected at the inputphosphor is emitted as light that causes the photo-cathode to release electrons. These electrons are ac-celerated and focused to produce a smaller, brighterimage on the output screen than was produced by theinput phosphor. The image on the output phosphor isbright, but too small to be effectively observed. Allfluoroscopic systems use a charge-coupled device cam-era to scan and transmit the image to a remote displaymonitor. In most units, a lens system couples the
PanningMotion
Horizontal,Vertical Motion
OrbitalRotation
Point ofPivotal
Rotation
C20
4UN
2B
X-Ray
Tube
Free
SpaceDepth
Image
Intensifier
Figure 1. Various movements of a typical C-arm unit
camera to the output phosphor, but a few units transferthe image through a fiberoptic coupling.
The quoted size of the image intensifier refers to thediameter of the input phosphor and not to the diameterof the patient area that is imaged. Several suppliersoffer dual-mode 23/15 cm (9/6 in) image intensifiers;some offer trimode 23/15/11 cm (9/6/4.5 in) image in-tensifiers. Dual-mode image intensifiers provide onenormal and one magnified view, and trimode imageintensifiers provide one normal view and two magni-fied views.
Mini C-arms have very small input phosphors, typi-cally 6 to 15 cm (2.5 to 6 in) in diameter, that maypermit visualization of only a portion of three fingerssimultaneously on one image. Magnified images re-quire moving the extremity closer to the x-ray tube,increasing the level of radiation per unit volume. How-ever, a smaller patient area is exposed, keeping totalpatient radiation exposure constant. To aid in applica-tions when line power is not available, an opticalmagnifier can be used to view the output phosphor inplace of an electronic monitor.
All fluoroscopic imaging systems also incorporate anautomatic brightness stabilization system that is de-signed to maintain a constant image brightness as theimage intensifier is moved over various parts of thepatient and as contrast material (e.g., barium) entersand exits the field of view. The image can be kept at aconstant brightness in one of two ways: by varying kVpand mA to compensate for variations in patient andimaging conditions (automatic dose control) or by ad-justing the automatic gain control on the video system.
Continuous fluoroscopy for long periods of time de-livers a significant amount of radiation to the patient.Pulsed fluoroscopy is a technique in which the x-ray
output is pulsed for periods of 10 msec as many as 30times per second. The image acquired during eachpulse is held on the monitor until it is updated byanother pulse; therefore, an image is always presenton the monitor display, although the pulsed modedisplay can become jittery if very fast motion is beingobserved. In pulsed mode, exposure rates can be cut byas much as 75% without a significant loss of imageinformation.
The image displayed on the monitor can be saved ona high-capacity disk, video disk, compact disc, or 8 mmtape that can store several hundred images. The im-age can also be digitally stored in the C-arm’s digitalmemory on a local area network (LAN)-configuredpicture archiving and communication system (PACS).Storage of images on a PACS allows personnel toaccess and manipulate the images from any location inthe facility that has a PACS workstation. (For furtherinformation on PACS, see the Product Comparisontitled PICTURE ARCHIVING AND COMMUNICATION SYS-TEMS (PACS), RADIOLOGY.) Digitally stored images canbe electronically enhanced and/or subtracted fromother stored images. Digital memories on C-arms per-mit such functions as last-image hold and snapshotmode. In last-image hold, the last fluoroscopic imageis digitized, stored in memory, and then continuouslydisplayed on the monitor. This mode allows physiciansto view the structures being imaged without continu-ously exposing the patient to x-rays. In the snapshotmode, several acquired fluoroscopic images are aver-aged to improve the signal-to-noise ratio (SNR).
Most suppliers offer several options for hard-copyoutput, including multiformat cameras, video printers,and thermal printers. (For more information, see theProduct Comparison titled PRINTERS, DRY IMAGING.)A videotape recorder can be used to record severalminutes of live fluoroscopic images.
Three-dimensional (3-D) imaging is also now avail-able with some C-arm models to aid physicians duringsurgery. 3-D imaging provides higher-quality informa-tion during surgical procedures, allowing greater accu-racy than to two-dimensional imaging. 3-D imaging isespecially beneficial in bone and joint exposures, inwhich high-contrast objects necessitate greater imageprecision.
Reported problemsBecause mobile C-arms can be used in almost any
area of the hospital, efforts must be made to protectoperators and bystanders from radiation exposure.Operators should wear shielding garments such aslead aprons, and, if possible, the C-arm should be usedonly where the exposure of others will be limited.
Portable shields can serve as barriers to any scatteredradiation. The level of radiation exposure to the opera-tor should be monitored in accordance with applicablestate and/or federal regulations and should include theuse of film badges or pocket dosimeters.
Higher mA or kVp settings allow short exposuretimes and minimize blurring of the image due to pa-tient or organ movement. Because of design con-straints, mobile units often have lower tube currentsfor radiography than do stationary units; therefore, theimages they produce are usually not as clear as thoseobtained from fixed equipment. Some manufacturers’units are equipped with a high-level control featuredesigned to reduce quantum mottle during angiogra-phy. This feature permits the federally regulated en-trance air kerma rate (a measure of patient radiationdose) limit to be temporarily exceeded through a spe-cial means of activation called boost mode, which in-creases the milliampere range. However, this modecan produce exposure levels many times the maximumrecommended dose and should be used with care. An-other factor affecting both image quality and useful-ness is the difficulty in accurately positioning thepatient and the unit during bedside radiography andfluoroscopy.
Regular mobile C-arms can be difficult to maneuverbecause they are large, heavy, and hard to see around.Carpeted floors and hallways and the small emergencyand intensive care treatment rooms found in mosthospitals add to this difficulty. In addition, units thatare unevenly balanced can tip over; because of theweight of the x-ray unit chassis, tube locks and supportmechanisms may fail or require frequent alignmentand adjustments. Collisions of the image intensifierand the tube housing with the patient can not onlyinjure the patient, but also damage the electronic com-ponents.
Purchase considerationsThe C-arm gantry must have the proper dimensions
to be used effectively and easily in the hospital. Forinstance, it must be deep enough to accommodateobese patients. Additionally, the lower portion of theC-arm must be low enough to fit underneath the hos-pital’s beds and operating room tables.
The television (TV) chain system, another impor-tant component, displays the output of an image inten-sifier on one or more TV monitors during fluoroscopicprocedures. (See the Product Comparison titledFLUOROSCOPIC TELEVISION CHAINS.) Some suppliersoffer a high-resolution system; however, such systemsare rarely used and require more radiation. If a high-resolution system is needed, it should preferably be
one that can switch between standard and high reso-lutions. Other desirable features for the TV chaininclude a high SNR, a large digital storage capacity,and the ability to add alphanumeric characters to arecorded image for patient identification.
Facilities should also make certain that digital stor-age and/or transmission devices related to the use ofmobile C-arms conform to certain standards. TheAmerican College of Radiology-National ElectricalManufacturers Association Digital Imaging and Com-munications in Medicine Standard (ACR-NEMA DI-COM standard or DICOM 3.0) ensures that devicesmeeting this standard can be organized into a systemthat does not require customized interfaces. Addition-ally, the International Organization for Stand-ardization has developed the Open SystemInterconnect standard for network architectures.
Facilities interested in extremity imaging shouldconsider mini C-arms; these units are designed for usein office and surgical environments and are most use-ful in situations in which instantaneous imaging of thefeet, hands, wrists, elbows, or ankles would be helpful.The primary users of these devices are likely to be handor foot surgeons. The units are particularly usefulduring external reduction and fixation of fracturesbecause bone alignment can be visualized noninva-sively in real time.
Cost containment
Because mobile R/F units entail ongoing mainte-nance and operational costs, the initial acquisition costdoes not accurately reflect the total cost of ownership.Therefore, a purchase decision should be based onissues such as life-cycle cost (LCC), local service sup-port, discount rates and non-price-related benefits of-fered by the supplier, and standardization withexisting equipment in the department or hospital (i.e.,purchasing all mobile C-arms and R/F equipment fromone supplier).
An LCC analysis can be used to compare high-costalternatives and/or to determine the positive or nega-tive economic value of a single alternative. For exam-ple, hospitals can use LCC analysis techniques toexamine the cost-effectiveness of leasing or rentingequipment versus purchasing the equipment outright.Because it examines the cash-flow impact of initialacquisition costs and operating costs over a period oftime, LCC analysis is most useful for comparing alter-natives with different cash flows and for revealing thetotal costs of equipment ownership. One LCC tech-nique — present value (PV) analysis — is especiallyuseful because it accounts for inflation and for the timevalue of money (i.e., money received today is worth
more than money received at a later date). Conductinga PV/LCC analysis often demonstrates that the cost ofownership includes more than just the initial acquisi-tion cost and that a small increase in initial acquisitioncost may produce significant savings in long-term op-erating costs. The PV is calculated using the annualcash outflow, the dollar discount factor (the cost ofcapital), and the lifetime of the equipment (in years) ina mathematical equation.
The following represents a sample eight-yearPV/LCC analysis for a mobile R/F unit (not a miniC-arm).
Present Value/Life-Cycle Cost Analysis
Assumptions
• Operating costs cover years 1 through 8
• Dollar discount factor is 3.5%
• Inflation rate is 2.4% for a full-service contract
• Operation requires 1 full-time employee (FTE)
Capital Costs
• Mobile R/F unit = $115,000
Total Capital Costs = $115,000
Operating Costs
• Service contract, years 2 through 8 = $10,000/year
• X-ray tube replacement = $7,280 every 4 years
• Salary and expenses for 1 FTE = $45,000/year
Total Operating Costs = $45,000 for year 1;$55,000/year for years 2, 3, 5, 6, and 7; $62,280/yearfor years 4 and 8
PV = ($568,284)
There are other costs not included in the aboveanalysis that should be considered for budgetary plan-ning, including the following:
• Costs associated with software upgrades
• Costs of utilities
• Costs of disposables and components such as colli-mators, film, and filters
• Contributions to overhead
As illustrated by the above sample PV/LCC analy-sis, the initial acquisition cost is only a fraction of thetotal cost of operation over eight years. Therefore,rather than making a purchase decision based solelyon the acquisition cost of a mobile R/F system, buyersshould consider operating costs over the lifetime of theequipment.
For further information on PV/LCC analysis, cus-tomized analyses, and purchase decision support,readers should contact ECRI’s SELECT™ Group.
Hospitals can purchase service contracts or serviceon a time-and-materials basis from the supplier. Serv-ice may also be available from a third-party organiza-tion. The decision to purchase a service contract shouldbe carefully considered. The decision to purchase aservice contract can be justified for several reasons.Most suppliers provide routine software updates,which enhance the system’s performance, at no chargeto service contract customers. Furthermore, softwareupdates are often cumulative; that is, previous soft-ware revisions may be required in order to install andoperate a new performance feature. Purchasing a serv-ice contract also ensures that preventive maintenancewill be performed at regular intervals, thereby elimi-nating the possibility of unexpected maintenancecosts. Also, many suppliers do not extend unit perform-ance and uptime guarantees beyond the length of thewarranty unless the unit is covered by a service con-tract.
ECRI recommends that, to maximize bargainingleverage, hospitals negotiate pricing for service con-tracts before the unit is purchased. As a guideline,full-service contracts typically cost approximately 6%to 8% of the mobile R/F unit’s purchase price. Addi-tional service contract discounts may be negotiable formultiple-year agreements or for service contracts thatare bundled with contracts on other R/F equipment inthe department or hospital.
Stage of developmentDigital memory has expanded the usefulness of
mobile C-arms by increasing image-processing capa-bilities. This increased capability may allow more ex-tensive procedures, such as angiography, to beperformed at the patient’s bedside rather than requir-ing transport to a catheterization laboratory (Aliabadiet al. 1997). However, further study is required toensure the safety of such procedures performed at thepatient’s bedside, specifically with units modified forcardiac imaging.
Bibliography
Aliabadi D, Pica MC, McCullough PA, et al. Rapidbedside coronary angiography with a portablefluoroscopic imaging system. Cathet Cardiovasc Di-agn 1997 Aug;41(4):449-55.
Cagnon CH, Benedict SH, Mankovich NJ, et al. Expo-sure rates in high-level-control fluoroscopy for im-age enhancement. Radiology 1991 Mar;178(3):643-6.
Curry TS 3rd, Dowdey JE, Murry RC Jr. Christensen’sphysics of diagnostic radiology. 4th ed. Philadel-phia: Lea & Febiger; 1990.
Davis M, Palmer P, Kelsey C. Use of C-arm fluoroscopeto examine patients with swallowing disorders. AJRAm J Roentgenol 1990 Nov;155(5):986-8.
Glaze S, Wagner LK, Archer BR, et al. Exposure ratesduring special procedures with C-arm type fluoro-scopic systems. Radiology 1994 Jun;191(3):849-52.
Hendee WR, Ritenour ER. Medical imaging physics.4th ed. St. Louis: Mosby-Year Book; 2002.
Hernandez RJ, Goodsitt MM. Reduction of radiationdose in pediatric patients using pulsed fluoroscopy.AJR Am J Roentgenol 1996 Nov;167(5):1247-53.
Hiss SS. Understanding radiography. 3rd ed. Spring-field (IL): Charles C Thomas; 1993.
Kohn ML, Gooch AW Jr, Keller WS. Filters for radia-tion reduction: a comparison. Radiology 1988 Apr;167(1):255-7.
Lee SM, Orlinsky M, Chan LS. Safety and effective-ness of portable fluoroscopy in the emergency de-partment for the management of distal extremityfractures. Ann Emerg Med 1994 Oct;24(4):725-30.
Nicholson RA. The siting of consistency checks onmobile image intensifier automatic brightness con-trols [letter]. Br J Radiol 1994 Dec;67(804):1281.
Sanders R, Koval KJ, DiPasquale T, et al. Exposure ofthe orthopaedic surgeon to radiation. J Bone JointSurg Am 1993 Mar;75(3):326-30.
Standards and guidelines
Note: Although every effort is made to ensure that thefollowing list is comprehensive, please note that otherapplicable standards may exist.
American College of Radiology. Standard for diagnos-tic medical physics performance monitoring of ra-diographic and fluoroscopic equipment. 1992(revised 2001).
British Standards Institution. Specification for dimen-sions of radiographic intensifying screens for medi-cal use. BS 6126. 1988.
International Electrotechnical Commission. Inherentfiltration of an x-ray tube assembly [standard]. IEC60522 (1976-01). 1976.
Medical electrical equipment — part 1: general re-quirements for safety. Amendment 1 [standard].IEC 60601-1-am1 (1991-11). 1991.
Medical electrical equipment — part 1: general re-quirements for safety. Amendment 2 [standard].IEC 60601-1-am2 (1995-03). 1995.
Medical electrical equipment — part 1: general re-quirements for safety. Section 1. Collateral stan-dard: safety requirements for medical electricalsystems. IEC 60601-1-1 (1992-06). 1992.
Medical electrical equipment — part 1: general re-quirements for safety. Section 1. Collateral stan-dard: safety requirements for medical electricalsystems. Amendment 1. IEC 60601-1-1-am1 (1995-11). 1995.
Medical electrical equipment — part 1: general re-quirements for safety. Section 2. Collateral stan-dard: electromagnetic compatibility — requirementsand tests. IEC 60601-1-2 (2001-09). 2001.
X-ray tube assemblies for medical diagnosis —characteristics of focal spots [standard]. IEC 60336(1993-07). 1993.
National Electrical Manufacturers Association. Digi-tal imaging and communications in medicine (DI-COM) part 1: introduction and overview [standard].1999 (revised 2000). (There are 14 parts to thisstandard. We list only part 1 in the interest ofspace.)
U.S. Food and Drug Administration. Federal perform-ance standards for ionizing radiation-emitting prod-ucts. 21 CFR 1020. 2001.
Fluoroscopic equipment. 21 CFR 1020.32. 2001.
Radiographic equipment. 21 CFR 1020.31. 2001.
Radiology devices. 21 CFR 892. 2002.
Citations from other ECRI publicationsHealth Devices
Mobile C-arm units [evaluation]. 1990 Aug;19(8):251-92.
This Product Comparison lists Health Devices Alerts(HDA) citations published since the last update of thisreport. Each HDA abstract is identified by an Acces-sion Number. Recalls and hazard reports include de-scriptions of the problem involved; abstracts of otherpublished articles are referenced by bibliographic in-formation. HPCS subscribers can call the Hotline foradditional information on any of these citations or torequest more extensive searches of the HDA database.
A4930 FDA designated Class II Recall No. Z-1190-2certain GE Medical Systems mobile C-arm x-ray sys-tems. The x-ray units may become unbalanced and tipover when the C-arm assembly is extended. The manu-facturer initiated a recall by letter dated May 6, 2002.Identify and isolate any affected product in your inven-tory. For further information, contact GE Medical Sys-tems OEC at (800) 874-7378 with the U.S. or at (801)328-9300 outside the U.S. Source: FDA EnforcementRep 2002 Aug 14.
Health Devices Inspection and Preventive MaintenanceSystem
Mobile C-arms. Procedure no. 463.
Supplier information
Apelem
Apelem SA [194762]Parc Scientifique Georges Besse175 allee Von NeumannF-30035 Nimes CedexFrancePhone: 33 (466) 290907Fax: 33 (466) 297123E-mail: [email protected]: http://www.apelem.com
Direx
Direx Medical Systems Ltd [156982]PO Box 4190Petach Tikva IL-49120IsraelPhone: 972 (3) 9248095Fax: 972 (3) 9248092E-mail: [email protected]: http://www.direx.co.il
Direx Systems Corp [392289]11 Mercer RdNatick MA 01760-2414Phone: (508) 651-0900, (888) 874-7837Fax: (508) 651-8125E-mail: [email protected]: http://www.direx.co.il
GE Medical Systems [102107]PO Box 414Milwaukee WI 53201-0414Phone: (262) 544-3011, (800) 643-6439Fax: (262) 544-3384Internet: http://www.gemedicalsystems.com
GE Medical Systems Canada [174606]2300 Meadowvale BlvdMississauga ON L5N 5P9CanadaPhone: (800) 668-0732Fax: (905) 567-2115Internet: http://www.gemedicalsystems.ca
GE Medical Systems Europe [171319]283 rue de la Miniereboite postale 34F-78533 Buc CedexFrancePhone: 33 (1) 30704040Fax: 33 (1) 30709855E-mail: [email protected]: http://www.gemedicalsystems.com
GE Medical Systems (Hong Kong) [401905]15/Fl The Lee Garden33 Hysan RoadCauseway BayHong Kong SARPeople’s Republic of ChinaPhone: 852 21006300Fax: 852 21006292E-mail: [email protected]: http://www.gemedicalsystems.com
LISTEM USA Inc [393197]5200 NW 43rd St Suite 102 PMB 338Gainesville FL 32606Phone: (352) 271-5232Fax: (352) 271-8978E-mail: [email protected]: http://www.listem.co.kr
PCK
PCK Electronic Industry and Trade Co Ltd[277887]ASO 1 Org San Bol Orhan Isik Cad No 4SincanTR-06935 AnkaraTurkeyPhone: 90 (312) 2672046Fax: 90 (312) 2670609E-mail: [email protected]: http://www.pckmed.com
Philips
Philips Medical Systems Asia [188101]30/Fl Hopewell Centre17 Kennedy RoadWanchaiHong Kong SARPeople’s Republic of ChinaPhone: 852 28215888Fax: 852 25276727E-mail: [email protected]: http://www.medical.philips.com
Philips Medical Systems North America [102120]22100 Bothell Everett HwyPO Box 3003Bothell WA 98041-3003Phone: (425) 487-7000, (800) 526-4963Fax: (425) 485-6080E-mail: [email protected]: http://www.medical.philips.com
Philips Medical Systems UK Ltd [415447]The ObservatoryCastlefield RoadReigate, Surrey RH2 0FYEnglandPhone: 44 (1737) 230503Fax: 44 (1737) 230501E-mail: [email protected]: http://www.medical.philips.com
Philips Nederland bv Medical Systems [152365]Postbus 90050NL-5600 PB EindhovenThe NetherlandsPhone: 31 (40) 2782559Fax: 31 (40) 2780160E-mail: [email protected]: http://www.medical.philips.com
Siemens Medical Solutions USA Inc [399199]51 Valley Stream PkwyMalvern PA 19355Phone: (610) 219-6300, (888) 826-9702Fax: (610) 219-3124E-mail: [email protected]: http://www.siemensmedical.com
Siemens SA de CV [339105]Poniente 116 No 59002300 Cd de MexicoDistrito FederalMexicoPhone: 52 (5) 3282000Fax: 52 (5) 3282017Internet: http://www.siemens.de
Villa Sistemi Medicali SpA [156442]via delle Azalee 3I-20090 Buccinasco MIItalyPhone: 39 (02) 488591Fax: 39 (02) 4881844E-mail: [email protected]: http://www.villasm.com
VMI
VMI Industria e Comercio Ltda [174435]Rua Pref Eliseu Alves da Silva 400Dist Industrial Genesco Aparecido de OliveiraLagoa Santa-MG 33400-000BrazilPhone: 55 (31) 36819560Fax: 55 (31) 36819565E-mail: [email protected]
Note: The following company did not provide uswith any product information in time for publication.Its address is listed as a service to our readers.
Cares Built Inc [259630]75 Manchester AveKeyport NJ 07735Phone: (732) 739-8900, (800) 358-6370Fax: (732) 739-0316E-mail: [email protected]: http://www.caresbuilt.com
About the chart specificationsThe following terms are used in the chart:
Heat capacity, HU: The maximum heating duringx-ray generation that the x-ray tube can withstandwithout damage. It is expressed in heat units(HU) — the product of kVp, mA, and time of expo-sure in seconds — and can also be expressed injoules, a unit of work or energy at constant potential.
Cooling, HU/min: The rate at which the anode dissi-pates heat, measured in heat units per minute.
Focal spot size, mm: The smaller the focal spot (the areaon the anode that produces the x-rays), the clearerthe image produced, but also the more heat created.
Pulsed fluoroscopy: A mode of operation that usespulses of radiation to update a stored image everyone or two seconds.
Last-image hold: The ability to freeze the last fluoro-scopic image on the monitor.
Multiformat camera: A camera that can record individ-ual images in more than one size or configuration,sometimes simultaneously. A 4-on-1 capability, forinstance, means that 4 separate images can be re-corded on 1 piece of film.
C-arm, free space, cm (in): The distance between thex-ray tube and the image intensifier.
List price, std configuration: Some of the pricing infor-mation in this chart has been derived from list pricesreported to ECRI’s in-house information services byhealthcare institutions and by suppliers. A footnoteidentifies these prices. In these instances, suppliershave declined to provide HPCS directly with pricesand may not have confirmed the information. Theseprices are estimates and may or may not reflectdiscounts, options, special packages, and multiple-unit sales. They are provided for the convenience ofour readers.
SVGA — Super Video Graphics Array, a VGAadapter that has a resolution of 1024 × 768 pixels;see VGA
SVHS — Super Video Home System
TFT — Thin-film transistor
TUV — Technischer Ueberwachungs Verein
UL — Underwriters Laboratories
VCR — Video cassette recorder
VDE — Verband Deutscher Electrotechniker
VGA — Video Graphics Array
Note: The data in the charts derive from suppli-ers’ specifications and have not been verified throughindependent testing by ECRI or any other agency.Because test methods vary, different products’ specifi-cations are not always comparable. Moreover, prod-ucts and specifications are subject to frequent changes.ECRI is not responsible for the quality or validity ofthe information presented or for any adverse conse-quences of acting on such information.
When reading the charts, keep in mind that, unlessotherwise noted, the list price does not reflect supplierdiscounts. And although we try to indicate whichfeatures and characteristics are standard and whichare not, some may be optional, at additional cost.
For those models whose prices were supplied to usin currencies other than U.S. dollars, we have alsolisted the conversion to U.S. dollars to facilitate com-parison among models. However, keep in mind thatexchange rates change often.
Need to know more?For further information about the contents of this
Product Comparison, contact the HPCS Hotline at +1(610) 825-6000, ext. 5265; +1 (610) 834-1275 (fax); [email protected] (e-mail).
Tube power rating,kW @ 100 kVp 5 Not specified 15 1.4
X-RAY GENERATOR TYPE High-frequency High-frequency High-frequency NA
Power rating,kW @ 100 kVp 5 Not specified 15 2 (300 W)
Radiographic modekV range 40-120 40-110 40-120 NAmA range 40-80 25-65 25-100 NAmAs range 3-250 1-250 1-185 NAAEC No No No NAExposure time, sec 0.06-5 0.011-5 0.02-3 NA
Fluoroscopic modekV range 40-120 40-110 40-120 40-110mA range 0.1-6 0.2-4 0.2-5 4-7Pulsed fluoroscopy Yes Yes Yes Not specified
Pulses per sec 1-25 Not specified 1-25 Not specified
ABS control kVp kVp kVp kVp and mA
Snapshot mode Yes Yes Yes No
IMAGE INTENSIFIERDiameter, cm (in) Not specified 23/16/12 (9/6.3/ 32/23/16 (12/9/ 23 (9)
H x W x D of C-armframe, cm (in) 180 x 82 x 180 180 x 82 x 180 200 x 81 x 175 210 x 40 x 125
(70.9 x 32.3 x 70.9) (70.9 x 32.3 x 70.9) (78.7 x 31.9 x 68.9) (82.7 x 15.7 x 49.2)
Colons separate data on similar models of a device. This is the second ofthree pages coveringthe above model(s).These specificationscontinue onto thenext page.
Radiographic modekV range 40-120 36-110 50-120 50-120mA range 300 @ 40, 125 @ 120 20 fixed Up to 75 Up to 75mAs range Not specified 80 1-300 1-300AEC Yes No No NoExposure time, sec 1-5 0.1-4 0.1-4, automatic 0.1-4, automatic
computer control computer controlFluoroscopic mode
kV range 40-120 36-110 40-120 40-120mA range 0.2-30 0.2-8 0.2-10; 1-20, HLF 0.2-10; 1-20, HLFPulsed fluoroscopy Yes Yes Yes Yes
Pulses per sec 1, 3, 6, 12, 25 Not specified 1, 2, 4, or 8; 15 or 1, 2, 4, or 8; 15 or30 up to 150 mA 30 up to 150 mA(cardiac mode) (cardiac mode)
ABS control kV, mA, camera gain kVp, mA, camera gain kVp, mA, camera gain kVp, mA, camera gain
CASSETTE HOLDERSIZES 18 x 24 cm (7.1 x 24 x 30 cm 24 x 30 cm (10 x 12 24 x 30 cm (10 x 12
9.4 in) (10 x 12 in) in), 35 x 35 cm in), 35 x 35 cm(14 x 14 in) (14 x 14 in)
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Video storage type Digital memory Floppy disk, hard PCMCIA drive, digi- PCMCIA drive, digi-disk, optional SVHS tal memory, hard & tal memory, hard &VCR floppy disks, VCR floppy disks, VCR
motorized flip-flop rotation flip-flop rotationReverse position Yes Yes Yes Yes
POWER REQUIREMENTS Not specified 110/230 VAC, 15/8 A 120/240 VAC, 15/10 A 120/240 VAC, 15/10 A
H x W x D of C-armframe, cm (in) 177 x 80 x 170 169 x 78 x 163 179 x 84 x 196 179 x 84 x 196
(69.7 x 31.5 x 66.9) (66.5 x 30.7 x 64.2) (70.5 x 33 x 77.2) (70.5 x 33 x 77.2)
Colons separate data on similar models of a device. This is the second of* Also onboard instant film and paper printer. three pages covering** 71 cm (28") medium C (12" I.I.), 84 cm (33") super C (9" I.I.). the above model(s).
Tube power rating,kW @ 100 kVp Not specified Not specified 0.5 0.5
X-RAY GENERATOR TYPE High-frequency, High-frequency High-frequency High-frequency20 kHz
Power rating,kW @ 100 kVp 2.2 Not specified 3.3 3.3
Radiographic modekV range 40-110 NA 40-110 40-110mA range Up to 20 NA Not specified Not specifiedmAs range 80 NA 0.16-160 0.16-160AEC No NA No NoExposure time, sec 0.1-4 NA Not specified Not specified
Fluoroscopic modekV range 40-110 40-80 40-110 40-110mA range 0.1-3, 0.1-6 HLF 0.02-0.16 0.1-6 0.1-6Pulsed fluoroscopy Yes No Yes Yes
Pulses per sec 1, 2, 4, 8 NA 0.7 0.7
ABS control kVp, mA, camera gain kVp, mA kV, mA, camera gain kV, mA, camera gain
Snapshot mode Yes Yes Yes Yes
IMAGE INTENSIFIERDiameter, cm (in) 23/15 (9/6) 15/10 (6/4) 23/15 (9/6) 23/15 (9/6) or
15 (6)
TV MONITORSIZE, cm (in) 40.6 (16), dual 40.6 (16), 50.8 (20), dual 50.8 (20), dual
square monitors dual monitors monitors monitors
CASSETTE HOLDERSIZES 24 x 30 cm (10 x 12 NA 24 x 24 cm 24 x 24 cm
in) (10 x 10 in) (10 x 10 in)
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Video storage type PCMCIA drive, hard PCMCIA drive, Digital memory, VCR Digital memory, VCRdisk, floppy disk, digital memory, hardoptional SVHS VCR disk, floppy disk *
POWER REQUIREMENTS 100/240 VAC, 15/10 A 100/240 VAC, 6/4 A 100/240 VAC, 100/240 VAC, 50/6050/60 Hz, 15 A Hz, 15 A
H x W x D of C-armframe, cm (in) 171 x 84 x 177.3 165 x 71 x 71 177.8 x 80 x 180.3 177.8 x 80 x 180.3
(67.3 x 33.1 x 69.8) (65 x 28 x 28) (70 x 31.5 x 71) (70 x 31.5 x 71)
Colons separate data on similar models of a device. This is the second of* SVHS VCR optional. three pages covering** Also interface for external hard-copy device. the above model(s).
OTHER SPECIFICATIONS DAP; touchscreen ABS control tables. Cine review; Cine review up tooperation and integ- Meets requirements sequential acqui- 30 fps; automaticrated footswitch for of CISPR, CSA, EU, sition. brightness control;user interface and IEC, ISO, JIS, and automatic brightnessoperation. MedGV. detection; automatic
gain control.
Colons separate data on similar models of a device.
Tube power rating,kW @ 100 kVp 17 3.85 0.0075 0.0075
X-RAY GENERATOR TYPE High-frequency High-frequency High-frequency High-frequency
Power rating,kW @ 100 kVp 2.8 2.8 0.0075 0.0075
Radiographic modekV range 40-120 40-110 NA NAmA range 23-65 23-65 NA NAmAs range 1-250 1-250 NA NAAEC No No NA NAExposure time, sec 0.0015-6.3 0.0015-6.3 NA NA
Fluoroscopic modekV range 40-110 40-110 40-75 40-75mA range 0.2-6 0.2-6 0.02-0.1 0.02-0.1Pulsed fluoroscopy Yes Yes NA NA
H x W x D of C-armframe, cm (in) 173 x 78 x 180 173 x 78 x 180 Not specified 152 x 66 x 84
(68.1 x 30.7 x 70.9) (68.1 x 30.7 x 70.9) (59.8 x 26 x 33.1)
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Radiographic modekV range NA 40-110 40-110 40-110mA range NA 0-20 0-20 0-20mAs range NA 0-100 0-100 0-100AEC NA No No NoExposure time, sec NA 0.1-5 0.1-7.5 0.1-5
Fluoroscopic modekV range 40-75 40-110 40-110 40-110mA range 0.02-0.1 0-20 0-20 0-20Pulsed fluoroscopy NA Yes Yes Yes
Pulses per sec NA 1-3 1-30 1-3
ABS control Full range kV, mA, gain, black kV, mA, gain, black kV, mA, gain, blacklevel, TV iris level, TV iris * level, TV iris
CASSETTE HOLDERSIZES NA 24 x 30 cm 24 x 30 cm 24 x 30 cm
(10 x 12 in) (10 x 12 in) (10 x 12 in)
Colons separate data on similar models of a device. This is the first of* Also dual histogram and multiregion control. three pages covering** Flicker-free portrait displays with right screen touch. the above model(s).*** Optional 18" TFT, flat panel. These specifications
MODEL HOLOGIC/FLUOROSCAN INSTRUMENTARIUM INSTRUMENTARIUM INSTRUMENTARIUM
Premier Encore Ziehm Compact Ziehm Vision Ziehm Vista
IMAGE PROCESSINGAND STORAGE
Video storage type Digital memory, hard Digital memory Digital disk/memory, VCR, digital memory,and floppy disks, floppy disk, SVHS floppy disk, Zipoptional VHS VCR * VCR, Jaz, Zip, CD-RW ** disk
Capacity, numberof images 2,000-image HD; 1-2 500 up to 50,000 16-6,952
4 images/diskette; with 30 fps, dynamic4,000-image HD image storage,upgrade optional dynamic
array
Image matrix size 768 x 480 x 8-bit 525 x 525 x 8 1000 x 1000, 16-bit 1287 x 512 x 10processing
Last-image hold Last 4 images Yes Yes YesFrame integration 2-16 frames Yes Yes Yes
DICOM CONFORMANCE Yes No Yes Yes
HARD-COPY DEVICES Thermal printers Video printer Instant film/paper, Multiformat camera,Sony 960 and 980; video and thermalSony SVO 9500MD VCR; printersCodonics EP 1660
POWER REQUIREMENTS 100-120/230-240 VAC, 115/220-240 VAC, 115/220-240 VAC, 115/220-240 VAC,50/60 Hz 20/16 A 20/16 A 20/16 A
H x W x D of C-armframe, cm (in) 152 x 66 x 84 170 x 80 x 160 170 x 80 x 162 170 x 80 x 162
(59.8 x 26 x 33.1) (66.9 x 31.5 x 63) (66.9 x 31.5 x 63.8) (66.9 x 31.5 x 63.8)
Colons separate data on similar models of a device. This is the second of* CD-R and CD-RW drive. three pages covering** Integrated DICOM 3.0 interface. the above model(s).
std configuration Not specified $90,000 $155,000 $125,000
Warranty 1 year, parts and 1 year 1 year 1 yearlabor
Delivery time, ARO 2-6 weeks 30-60 days 30-60 days 30-60 days
Service contract Yes Not specified Not specified Not specified
Training (includedin purchase) 1 day on-site Yes Yes Yes
Year first sold 2003 Not specified Not specified Not specifiedNumber installed
USA Not specified Not specified Not specified Not specifiedWorldwide Not specified Not specified Not specified Not specified
Fiscal year October to September January to December January to December January to December
OPTIONAL FEATURES Professional-grade Laser positioning Laser positioning Laser positioningVHS; 15 x 23 cm device, dose device, DSA, road- device, real-time(6 x 9 in) thermal measurement system mapping, digital edge enhancement,printer, 15 x 23 cm image rotation with- zoom, patient(6 x 9 in) thermal out radiation, annotation, windowpaper/film; real- Vision trac (virtual level, 4-on-1 printtime histogramming; collimator without format, real-timeAutoMode ADR radiation) subtraction,control; contrast roadmapping, peakexpansion; edge opacification, cineenhancement; B/W loop, dose measure-reversal, mirroring; ment system,area of interest 5,000,000 HU storage
and cooling system,Zip disk
OTHER SPECIFICATIONS Offers same specifi- Frame averaging; Auto point ABS; Frame averaging;cations as Premier field upgradable Vision Center field upgradableplus touch-sensitive with all options. (touchscreen graph- with all options.display monitor; Complies with ical user inter- Complies with185, 600, and 700 MB IEC 601-1. Meets face); field upgrad- IEC 601-1. MeetsCD-R/CD-RW; custom requirements of TUV, able with all requirements of TUV,settings for up to UL, and VDE. options. Complies UL, and VDE.20 physicians; video with IEC 601-1.CD-ROM in-service Meets requirementstool. of TUV, UL, and VDE.
Colons separate data on similar models of a device.
Tube power rating,kW @ 100 kVp Not specified 5 7 3.15 @ 110 kVp
X-RAY GENERATOR TYPE High-frequency High-frequency High-frequency DC converterconstant potential
Power rating,kW @ 100 kVp 2.5 5 7 3.15 @ 110 kVp
Radiographic modekV range 40-110 40-120 40-120 40-105mA range Not specified 40-100 0.2-56 20 fixedmAs range 1-120 1-200 300 0.2-80AEC No Yes Yes NoExposure time, sec Not specified 0.01-5 0.01-5 4
Fluoroscopic modekV range 40-110 40-120 40-120 40-110mA range 0.2-4 0.2-10 0.2-20 0.1-7.2 w/auto HIPPulsed fluoroscopy No Yes Yes Safe-pulse
Pulses per sec NA 25 25 Variable
ABS control kVp, mA kVp, mA, camera kVp, mA, camera kV and mAgain, black level gain, black level
Snapshot mode Yes Not specified Not specified No
IMAGE INTENSIFIERDiameter, cm (in) 23/15 (9/6) 23/17/16 23/17/16 23/17/13 (9/7/5),
(9/7/6) (9/7/6) 31/23/17 (12/9/7)
TV MONITORSIZE, cm (in) 43.2 (17), dual 53.3 (21), 43.2 53.3 (21), 43.2 43.2 (17), dual
CASSETTE HOLDERSIZES 24 x 30 cm 24 x 24 cm 24 x 24 cm (10 x 10 24 x 24 cm (10 x
(10 x 12 in) (10 x 10 in) in) 10 in), 24 x 30 cmoptional (10 x 12 in)
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on options on options 5,000 @ 8 fps,10,000 @ 30 fps
Image matrix size Not specified 752 x 582 x 10-bit 752 x 582 x 10-bit 1006 x 480 x 8(60 Hz) display
Last-image hold Yes Yes Yes YesFrame integration Not specified Yes Yes Yes
DICOM CONFORMANCE Not specified Yes Yes XA multiframe,RIS/HS, MPPS *
HARD-COPY DEVICES Optional camera Multiformat camera, Multiformat camera, Video media (dual)video, laser, or video, laser, or and paper printers;thermal camera thermal camera video and CD/DVD
Radiographic modekV range 40-105 40-110 40-120 40-120mA range 20 fixed 60 fixed 25-100 25-100mAs range 0.2-80 3.2-125 1-300 1-240AEC No No Upon request Upon requestExposure time, sec 4 2 0.01-3 0.01-3
Fluoroscopic modekV range 40-110 40-120 40-120 40-120mA range 0.1-7.2 w/auto HIP 0.1-20 0.2-5 0.2-5Pulsed fluoroscopy Yes Yes Yes Yes
Pulses per sec 15 15 1/3/6/12/25 12/25
ABS control kV and mA kV and mA kVp and mA kVp and mA
DICOM CONFORMANCE XA multiframe, XA multiframe, Optional OptionalRIS/HS, MPPS * RIS/HS, MPPS *
HARD-COPY DEVICES Video media (dual) Video media (dual) None specified Optional camera,and paper printers; and paper printers; video printer,video and CD/DVD video and CD/DVD thermal printerrecorders recorders
POWER REQUIREMENTS 110-240 ±10% VAC, 110-240 VAC; 220/240 VAC, 220/240 VAC,30/16 A 15 A @ 120 VAC, 5 kVA 5 kVA
16 A @ 220 VAC
H x W x D of C-armframe, cm (in) 181.5 x 89 x 168 184 x 88 x 175 178 x 80 x 190 178 x 80 x 190
(72.6 x 35.6 x 67.2) (73.6 x 35.2 x 70) (70.1 x 31.5 x 74.8) (70.1 x 31.5 x 74.8)w/23 cm (9") I.I.,187 x 88 x 181(74.8 x 35.2 x 72.4)w/31 cm (12") I.I.
Colons separate data on similar models of a device. This is the second of* Also store commit. three pages covering
the above model(s).These specificationscontinue onto thenext page.
OTHER SPECIFICATIONS Anatomically Anatomically Mobile DSA; PTCA; Mobile unit foradaptive measuring adaptive measuring intraoperative operating room.field; image field; image angiography; Meets requirementsintensifier intensifier digital disk of IEC 601-1.fiberoptically fiberoptically storage; real-timecoupled to TV coupled to TV subtraction; specialcamera (CCD) with camera (CCD) with procedures; motionamorphous lens; amorphous lens; artifact reduction;16-image overview. real-time edge roadmapping; max
enhancement and peak opacification;movement detection; noise reduction;auto high-penetra- laser-beam center-tion low-dose ing; 130 mA pulsedtechnique; 16-image fluoroscopy.overview/run over- Meets requirementsview; vascular foot- of IEC 601-1.switch.
Colons separate data on similar models of a device.
Tube power rating,kW @ 100 kVp Not specified Not specified 20 1.4
X-RAY GENERATOR TYPE 40 kHz 40 kHz High-frequency High-frequency
Power rating,kW @ 100 kVp 15 15 20 1.4
Radiographic modekV range 40-120 40-120 NA 40-110mA range 25-100 25-100 NA 6.9-20mAs range 1-300 1-300 NA 1-150 in 23 stepsAEC Upon request Upon request NA mAsExposure time, sec 0.01-3 0.01-3 NA 0.05-10
Fluoroscopic modekV range 40-120 40-120 40-125 40-110mA range 0.2-5 0.2-5 0.2-6.7 0.2-8.9Pulsed fluoroscopy Yes Yes Yes Yes
Pulses per sec 1/3/12/25 1/3/6/12/25 0-15 0-2
ABS control kVp, mA kVp, mA Exposure, TV iris, Exposure, TV iris,camera gain camera gain
TV MONITORSIZE, cm (in) 43.2 (17) 43.2 (17); 21" for 43.2 (17), dual 43.2 (17), dual
motorized version monitors monitors
CASSETTE HOLDERSIZES 24 x 30 cm 24 x 30 cm NA 24 x 30 cm
(10 x 12 in) (10 x 12 in) (10 x 12 in)
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POWER REQUIREMENTS 220/240 VAC, 220/240 VAC, 110-240 VAC 110-240 VAC5 kVA 5 kVA
H x W x D of C-armframe, cm (in) 178 x 80 x 190 178 x 80 x 190 212 x 80 x 181 165 x 80 x 164.8
(70.1 x 31.5 x 74.8) (70.1 x 31.5 x 74.8) (83.5 x 31.5 x 71.3) (65 x 31.5 x 64.9),212 x 80 x 181(83.5 x 31.5 x 71.3)
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std configuration According to type of According to type of Not specified Not specifiedmemory memory
Warranty 1 year 1 year 1 year 1 year
Delivery time, ARO Not specified Not specified 8 weeks 6 weeks
Service contract Not specified Not specified Yes Yes
Training (includedin purchase) Not specified Not specified 3 days 2 days (3 days DSA)
Year first sold 2001 : 1992 2001 1999 2001 (1996 Compact)Number installed
USA Not specified Not specified Not specified Not specifiedWorldwide Not specified Not specified Not specified Not specified
Fiscal year Not specified Not specified Not specified Not specified
OPTIONAL FEATURES Keyboard for patient None specified Digital cine mode up Digital imageID data, to 250 mA, cableless rotation, electroniclaser-beam center- counterbalanced shutters on storeding, half-trans- isocentric C-arm, image, imageparent collimator, DSA and roadmap collage, dose-areavariable (90-105 mm) standard product display,SID auto window imaging,
OTHER SPECIFICATIONS Mobile DSA; PTCA; Motorized with None specified. None specified.intraoperative movements speedangiography; proportional; remotedigital disk controlled by joy-storage; real-time stick or withsubtraction; special dedicated panel onprocedures; motion both sides; manualartifact reduction; and motorized C-armroadmapping; max movement; safetypeak opacification; clutches for all130 mA pulsed electric-poweredfluoroscopy. movements; touch-Meets requirements screen-controlledof IEC 601-1. x-ray parameters;
5 x-ray tube coolingfans to extendoperationalcapabilities; 130 mApulsed.
Colons separate data on similar models of a device.
Tube power rating,kW @ 100 kVp 1.4 1.4 Not specified Not specified
X-RAY GENERATOR TYPE High-frequency High-frequency High frequency High frequency
Power rating,kW @ 100 kVp 1.4 1.4 2.8 2.8
Radiographic modekV range 40-110 40-110 40-110 40-110mA range 6.9-20 6.9-20 25.4-65 25.4-65mAs range 1-150 in 23 steps 1-150 in 23 steps 1-250 1-250AEC mAs mAs Not specified Not specifiedExposure time, sec 0.05-10 0.05-10 Not specified Not specified
Fluoroscopic modekV range 40-110 40-110 40-110 40-110mA range 0.2-8.9 0.2-8.9 0.2-4 0.2-4Pulsed fluoroscopy Yes Yes Yes Yes
Pulses per sec 0-2 0-2 Not specified Not specified
ABS control Exposure, TV iris, Exposure, TV iris, kV and mA kV and mAcamera gain camera gain
Snapshot mode 0.2-12.2 mA 0.2-12.2 mA Not specified Not specified
TV MONITORSIZE, cm (in) 43.2 (17), dual 43.2 (17), dual 44 (17), flat screen 44 (17), flat screen
monitors monitors
CASSETTE HOLDERSIZES 24 x 30 cm 24 x 30 cm 24 x 30 cm 24 x 30 cm
(10 x 12 in) (10 x 12 in) (9.5 x 11.8 in) (9.5 x 11.8 in)optional optional
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Reverse position Yes Yes Not specified Not specified
POWER REQUIREMENTS 110-240 VAC 110-240 VAC 230 VAC, 230 VAC,50/60 Hz, 16 A 50/60 Hz, 16 A
H x W x D of C-armframe, cm (in) 165 x 80 x 164.8 165 x 80 x 164.8 211.3 x 88.4 x 182 211 x 88.4 x 182
(65 x 31.5 x 64.9) (65 x 31.5 x 64.9) (83.2 x 34.8 x 71.7) (83.1 x 34.8 x 71.7)
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std configuration Not specified Not specified Not specified Not specified
Warranty 1 year 1 year 1 year 1 year
Delivery time, ARO 6 weeks 6 weeks Not specified Not specified
Service contract Yes Yes Not specified Not specified
Training (includedin purchase) 2 days (3 days DSA) 2 days (3 days DSA/ Not specified Not specified
3D)Year first sold 1998 : 1999 2001 Not specified Not specifiedNumber installed
USA Not specified Not specified Not specified Not specifiedWorldwide Not specified Not specified Not specified Not specified
Fiscal year Not specified Not specified January to December January to December
OPTIONAL FEATURES Digital image Digital image Digital systems, Digital systems,rotation, electronic rotation, electronic cross-laser cross-lasershutters on stored shutters on stored localizer, models of localizer, models ofimage, image image, image collimators, collimators,collage, dose-area collage, dose-area sterilized covers sterilized coversproduct display, product display,auto window imaging auto window imaging,: Cableless cableless isocentricisocentric design design supportssupports, 3-Dfeature forreal-time intra-operative acquisi-tion of 3-D dataset (CT-like images) *
OTHER SPECIFICATIONS None specified. 3-D feature for None specified. None specified.real-timeintraoperativeacquisitionof 3-D data set(CT-like images)before, during, orafter OR procedures;instant review of3-D and multiplanarreconstructions.
Colons separate data on similar models of a device.* Before, during, or after OR procedures; instant review of 3-D and multiplanar reconstructions.
Tube power rating,kW @ 100 kVp Not specified Not specified 4 17
X-RAY GENERATOR TYPE High-frequency High-frequency Digital high- Not specifiedfrequency
Power rating,kW @ 100 kVp 2.8 2.8 Not specified 2.8, 5
Radiographic modekV range 40-120 40-120 Not specified 40-120, 1 kVp stepsmA range 23.3-65 23.3-65 Not specified 23-90mAs range 1-250 1-250 Not specified 1-250AEC Not specified Not specified Not specified NoExposure time, sec Not specified Not specified Not specified 0.011-5
Fluoroscopic modekV range 40-120 40-120 40-110 40-120, 1 kVp stepsmA range 0.2-4 0.2-4 0.2-4 0.2-8Pulsed fluoroscopy Yes Yes Not specified Yes
Pulses per sec Not specified Not specified Not specified 0.2-2
OMNISCOP CR with 9" OMNISCOP CR with 12" Biplanar 400 E TCA 5RImage Intensifier Image Intensifier
IMAGE PROCESSINGAND STORAGE
Video storage type Digital memory Digital memory RAM Digital memory
Capacity, numberof images 1 1 2 Digital imaging
processor 100 Hz/48frames on RAM and20,000 frameson hard disk
Image matrix size 576 x 576 x 8 576 x 576 x 8 750 x 576 576 x 576 x 8
Last-image hold Yes Yes Yes YesFrame integration Not specified Not specified 2-16 Yes
DICOM CONFORMANCE Not specified Not specified Optional Optional (with DIPmemory)
HARD-COPY DEVICES Not specified Not specified Video-copy printer, Optional video/film/optional multiformat thermal/lasercamera and DICOM printer, hard disk,interface CD-ROM *
std configuration Not specified Not specified Not specified Not specified
Warranty 1 year 1 year 1 year Not specified
Delivery time, ARO Not specified Not specified Not specified 4 weeks
Service contract Not specified Not specified Not specified Not specified
Training (includedin purchase) Not specified Not specified Yes None
Year first sold Not specified Not specified 1987 2003Number installed
USA Not specified Not specified Not specified NAWorldwide Not specified Not specified 200 Not specified
Fiscal year January to December January to December January to December January to December
OPTIONAL FEATURES Digital systems, Digital systems, Hard-disk storage Laser targetingcross-laser cross-laser for up to 2,900 device, thermallocalizer, models of localizer, models of images printer, dosimetercollimators, collimators, w/printer, flicker-sterilized covers sterilized covers free TV chain,
digital image pro-cessor, DICOM inter-facing, CD-ROM (withDICOM), videorecorder
OTHER SPECIFICATIONS None specified. None specified. Meets requirements None specified.of EMC andEN 60601-1-2,601-1, 601-2-7,601-2-28,62B (CO) 88, and62B (CO) 108.
Colons separate data on similar models of a device.
X-RAY GENERATOR TYPE Not specified High-frequency High-frequency High-frequency
Power rating,kW @ 100 kVp 2.8 5 2.8 10
Radiographic modekV range 40-110, 1 kVp steps 40-120 40-110 40-120mA range 25-65 23-90 25-65 25-100mAs range 1-250 1-250 1-250 1-400AEC No Not specified Not specified Solid-stateExposure time, sec 0.015-5 0.011-5 0.015-5 0.1-5
Fluoroscopic modekV range 40-110, 1 kVp steps 40-120 40-110 50-110mA range 0.2-4 0.2-12 0.2-6.5 0.5-5Pulsed fluoroscopy Yes Yes Yes Yes
Pulses per sec 0.2-2 0.08-2 0.08-2 2-30, optional 60
POWER REQUIREMENTS 105/240 VAC, 115/230 VAC 115/230 VAC 220 VAC,50/60 Hz, 24/10 A 50/60 Hz
H x W x D of C-armframe, cm (in) 190.8 x 79.8 x 187.6 185 x 80 x 190 185 x 80 x 190 177 x 79 x 205
(75.1 x 31.4 x 73.9) (72.8 x 31.5 x 79.8) (72.8 x 31.5 x 79.8) (69.7 x 31.1 x 80.7)
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