Artis zeego The future is flexible Join the Artis zeego Club Answers for life.

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1 Artis zeego The future is flexible Join the Artis zeego Club Answers for life.

2 zeego looks better from every angle There s never been anything quite like the Artis zeego. As part of the Artis zee family of interventional imaging systems, Artis zeego is the first multi-axis system that can be positioned the way you want. What s more, it can be controlled with far greater ease and precision than a traditional floor- or ceiling-mounted system. Artis zeego gives you greater positioning flexibility and broader coverage, including large volume crosssectional images up to 45 cm (17.7 ) in diameter. Its height can be adjusted for individual operator preferences, reducing the fatigue associated with long procedures. With its compact park positions, it is also ideally suited for hybrid rooms, giving clinical teams excellent patient access. With the purchase of a system, you automatically join the Artis zeego Club, an exclusive membership offering several benefits. The future of interventional radiology is flexible as Artis zeego effectively demonstrates. With its multiple axes, Artis zeego offers unmatched flexibility. It enables complete head-to-toe coverage, and features a variable working height to help reduce fatigue. 4 5

3 Dose Time zee imaging excellence Life is precious Take CARE I zee CLEAR We greatly CARE about dose reduction. Our CARE (Combined Applications to Reduce Radiation Exposure) package reduces radiation dose for patients and clinical staff while still providing high image quality and diagnostic confidence. During interventions, the single most important factor for physicians is to have clear clinical images to help them make the right decision for the patient. CLEAR offers a comprehensive range of applications with real-time processing to enhance image quality without increasing the dose. Dose saving CAREvision provides variable fluoroscopy frame rates. Pulse frequencies can be adapted to clinical needs: from 30 p/s in variable steps down to 0.5 p/s. CAREfilter is a specially designed copper prefiltration system that automatically adjusts the filter to the patient s anatomy. CAREprofile allows radiation-free collimator and semitransparent filter adjustment using the last image hold (LIH) position as reference. CAREposition enables radiation-free object positioning. The graphic display in the LIH image lets you pan the table or C-arm position without using fluoroscopy. Low-Dose Acquisition, a dedicated acquisition protocol, can achieve dose savings of up to 67%. Low-Dose syngo DynaCT provides 3D images at the lowest possible dose levels. For neuro applications, it can achieve an effective dose of 0.3 msv. Dose monitoring CAREguard lets you define three threshold values (low, medium and high) for the accumulated skin dose. A warning sound and pop-up display on the system signal when a skin dose level is exceeded. CAREwatch displays the dose area product and dose rate at the interventional reference point on the live display in the examination and control room. CAREmonitor shows the accumulated peak skin dose according to the current projection in the form of a fill indicator on the live monitor. Any change to the C-arm, table, SID, zoom or collimator prompts the system to automatically update the calculation. Dose reporting CAREreport is a DICOM-structured radiation report containing all patient demographic, procedure and dose information. With commercially available programs or in-house software, the information can be filtered for further processing such as dose analysis. CARE Analytics is a non-medical tool designed to improve dose monitoring in interventional imaging. With it, relevant information such as dose area product, skin entrance dose and other X-ray imaging parameters can be presented in a table format for further analysis (e.g. statistical reports for dose data and related parameters). The flat emitter advantage The new MEGALIX Cat Plus tube with flat emitter technology makes everything you see and do on an Artis zee look amazing. That s because it delivers more fluoroscopic power and for longer. With up to 250mA of raw power, it provides up to 40% higher tube current, which is especially helpful when treating obese patients. CLEAR comprises an entire range of real-time processing tools to optimize image contrast and sharpness without increasing the dose. CLEARcontrol enhances the image creation process with a unique histogram analysis. It also optimizes brightness and contrast throughout the entire image for improved structure visualization near the diaphragm. CLEARview enhances overall image quality, especially when using low-dose imaging protocols with dose-adaptive noise reduction. CLEARvessel automatically detects vessel edges in the image and enhances their contrast. The result? Sharp vessel edges. CLEARmotion helps detect small structures and efficiently compensates for motion artifacts. The benefit? Optimal small vessel and guide wire visualization in the beating heart. CLEARchoice enables preferred image quality selection during application. Whether you like sharper or smoother images, you can optimize your Artis zee to suit your preferences Pulsed Fluoroscopy µgy/frame 2009 DICOM 2009 Acquisition Low Dose Acquisition 2010 Skin dose alert on the touchscreen 2011 Enhanced dose control Stand-alone PC CARE Analytics 2011 Enhanced dose reporting Gy Gy 0 > 2.0 Gy Timeline of Siemens innovations to reduce, monitor and report dose in angiography. CAREvision CAREfilter CAREprofile CAREposition Low Dose syngo DynaCT CAREreport Low-Dose Acquisition CAREguard CARE Analytics CAREmonitor 4 CARE and CLEAR are standard with all Artis zee systems 5

4 zee imaging excellence zeego opens your eyes One of the most valuable Artis zeego features is its ability to provide large volume, cross-sectional syngo DynaCT 360 visualizations in a single 6-second sweep in other words, CT-like coverage. Fast. The whole picture. With one sweep. In just 6 seconds. With syngo DynaCT 360, you can acquire large large-organ, soft-tissue images in just 6 seconds faster than with any previous syngo DynaCT application. For better image quality, fewer motion artifacts, greater patient comfort and less contrast agent. During abdominal and thorax applications, the large field of view (35 cm x 25 cm, 13.8 x 9.8 ) lets you visualize the entire tumor anatomy and feeding vessels to support interventional oncology procedures such as chemoembolizations, RF ablations and chemoperfusions. During vascular treatments of the abdomen, it can help detect endoleaks and improve precise graft positioning. The whole picture Large Volume syngo DynaCT imaging with Artis zeego provides better coverage of the entire abdomen, a clear advantage when treating obese patients or patients with liver cancer. It provides images of the whole liver for chemoembolization and other oncology procedures. And it enables enhanced imaging when performing needle guidance for biopsies and radiofrequency ablations. syngo DynaCT 360 provides full coverage in a single breath-hold Image the whole abdomen with Large Volume syngo DynaCT Multimodality Fusion with syngo InSpace 3D/3D Fusion syngo InSpace 3D/3D Fusion superimposes volumes from different modalities, thereby enhancing clinical workflow. syngo DynaCT or syngo InSpace 3D images can be fused with datasets from CT, MR or PET. During interventional guidance procedures, InSpace 3D/3D results can be overlaid on live fluoro images. The power of portraits Artis zeego enables portrait views with syngo DynaCT at a height of 25 cm (9.8 in). This is particularly valuable for spinal procedures, e.g., vertebroplasties, kyphoplasties, lumbar punctures, and CT myelographies. Fusing syngo DynaCT with a CT dataset during endoleak treatment Excellent spinal coverage with Portrait syngo DynaCT 86 97

5 zee imaging excellence zeego opens your eyes The whole picture. With one sweep. In just 6 seconds. With syngo DynaCT 360, you can acquire large large-organ, soft-tissue images in just 6 seconds faster than with any previous syngo DynaCT application. For better image quality, fewer motion artifacts, greater patient comfort and less contrast agent. During abdominal and thorax applications, the large field of view (35 cm x 25 cm, 13.8 x 9.8 ) lets you visualize the entire tumor anatomy and feeding vessels to support interventional oncology procedures such as chemoembolizations, RF ablations and chemoperfusions. During vascular treatments of the abdomen, it can help detect endoleaks and improve precise graft positioning. syngo Embolization Guidance facilitates minimally invasive embolizations by enhancing treatment planning and delivery as well as monitoring outcomes. By accelerating interventional procedures, it also helps to reduce contrast medium and dose. Needlework in the angio suite. Artis zeego with syngo iguide allows you to perform needle procedures in the angio suite more easily and with greater access than with a conventional CT, especially in cases of obese patients and complex needle positioning. syngo DynaCT 360 provides full coverage in a single breath-hold Fusing syngo DynaCT with a CT dataset during endoleak treatment Multimodality Fusion with syngo InSpace 3D/3D Fusion syngo InSpace 3D/3D Fusion superimposes volumes from different modalities, thereby enhancing clinical workflow. syngo DynaCT or syngo InSpace 3D images can be fused with datasets from CT, MR or PET. During interventional guidance procedures, InSpace 3D/3D results can be overlaid on live fluoro images. Saving dose with ex-centric syngo DynaCT Ex-centric syngo DynaCT minimizes radiation, sparing dose sensitive organs while giving you an image of the region of interest to visualize distal lesions. It is automatically triggered by the system position. Large Volume syngo DynaCT allows excellent visualization of both the skin entry and needle target point in one volume, even when treating obese patients

6 zee enhanced workflow zeego lightens your load As demand for interventional procedures increases, so does the need for more efficient performance. Artis zeego meets the challenge by enabling your clinical team to work with greater ease and comfort. Better for your back. Artis zeego features a variable isocenter, which allows you to adjust the working height of the system. This helps reduce the fatigue associated with performing long procedures with a fixed isocenter system. In short, Artis zeego allows clinicians to work with greater comfort and precision. At your fingertips. The new mouse-like control is easier to operate, and with its modular design, can be flexibly positioned to maximize operator comfort. 3D menu workflow. The new system-driven workflow enables faster acquisition of 3D images. To improve efficiency, the start position for 3D data collection is moved to automatically, eliminating the time-consuming need for the operator to select the position manually. Positioning flexibility. Artis zeego s multiple axes provide exceptional floor-mounted positioning flexibility, enabling more angulations, complete head-to-toe coverage, and multiple work positions. And zeego s enhanced ergonomics allows you to work more comfortably and efficiently. 10 The slimline control module (right) allows the operator to get closer to the table and allows easier patient access 14 11

7 zee enhanced workflow zee more, do more with the Artis zee Large Display It s all about access Artis zeego helps make the most of the limited space available in the interventional suite. It can be stowed in a variety of compact positions so interventionalists have more work space and better access to the patient. Its smaller C-arm enables access to both the patient s left and right sides, and it affords better access to the head during neuro procedures than conventional ceiling-mounted systems. And since Artis zeego is floor-mounted, it easily meets laminar flow and other sterility requirements. Safety first Artis zeego features SafeMove, an intelligent collision protection function that allows operators to maneuver the system around the patient with confidence. SafeMove controls 18 proximity switches and cover elements to provide excellent collision protection. Two independent software surveillance systems ensure the safe control of system speed, acceleration, axle movements and positions within room limitations. System movement speed is also reduced while operating elements are being actuated. Artis zeego can be parked in a variety of compact positions to make the most of the limited space available in the interventional suite With the Artis zee Large Display, Siemens features a full color 56-inch medical-grade screen that lets you view multiple inputs simultaneously and provides over 200 layout configurations. Up to 12 different screen combinations can be directly selected at tableside and the image of clinical focus can be zoomed up to twice the size of a standard display. The Artis zee Large Display gives you the whole picture

8 zee opportunities The future is flexible Join the Artis zeego Club With the purchase of an Artis zeego system, you automatically receive membership to the Artis zeego Club a world of service and value designed to enhance your Artis zeego ownership experience. The club lets you access services and resources to increase your knowledge of system operation, exchange insights with other Artis zeego owners and experts and learn how to perform new techniques to further improve your productivity and stay at the cutting edge. Artis zeego Club members have access to: Dedicated Artis zeego team Receive privileged advice and assistance from Artis zeego experts. Knowledge base Access dedicated technical and clinical knowledge through unique video demonstrations, webcasts and educational programs. Complimentary software updates* Stay on the cutting edge with continuous system software updates at no extra charge. Discussion board Network with other users, share insights and learn from each other via the private Artis zeego discussion forum. Articles & case reports Learn about the latest Artis zeego techniques through exclusive articles and case sharing. 14 Tech corner Get the inside story on groundbreaking technologies and the latest technical developments syngo DynaCT 360, syngo iguide, syngo Embolization Guidance, etc. Journal club Keep up-to-date on current developments with special monthly journal reports from clinical experts. *Service hours not included 15

9 zee a confident investment zeego gives you the edge Siemens UPTIME Services a smart investment for a wide range of very individualized support offerings. UPTIME Services solving tomorrow s problems today At Siemens, systems and services go hand in hand. During interventional radiology procedures, imaging systems play an increasingly important role in providing critical support. With the development of digital solutions, there is a greater need for seamless workflows and for high operational security. Our proactive service solutions help increase system availability, reliability and workflow efficiency. We also offer hands-on training, workshops and continuing education courses. A partner at your side As a proactive service provider, Siemens UPTIME Services offers real-time remote monitoring and preventive maintenance of your Artis zeego hardware and software components. The Siemens Guardian Program TM provides continuous real-time remote Artis zeego system monitoring on an ongoing basis for possible deviations from defined parameters. It thus ensures a high level of system availability by detecting and resolving errors before malfunctions occur. Siemens Performance Plans tailored to your specific needs Service and maintenance are crucial for preventing unscheduled downtimes and, thus, improving workflow. Our Siemens Performance Plans help you run your operations more smoothly with predictable costs, less risk and greater efficiency. Individual needs call for individual service agreements. At Siemens, you can choose between a TOP, PLUS or PRO Performance Plan agreement as well as optional modules. You thus receive a solution with substantial benefits that best fits your requirements. Capitalize on a new dimension in system support All of our proactive services are powered by Siemens Remote Service, the efficient and comprehensive infrastructure for the complete spectrum of medical equipment-related remote services. Services that formerly required on-site visits are now available via data transfer, including error identification and immediate remote repair. From on-site applications training to optional clinical courses, we can help you optimize your workflow and get the most from your Artis zeego The Siemens Guardian Program optimizes your workflow with proactive real-time system monitoring

10 On account of certain regional limitations of sales rights and service availability, we cannot guarantee that all products included in this brochure are available through the Siemens sales organization worldwide. Availability and packaging may vary by country and are subject to change without prior notice. Some/All of the features and products described herein may not be available in the United States. The information in this document contains general technical descriptions of specifications and options as well as standard and optional features which do not always have to be present in individual cases. Siemens reserves the right to modify the design, packaging, specifications, and options described herein without prior notice. Please contact your local Siemens sales representative for the most current information. Note: Any technical data contained in this document may vary within defined tolerances. Original images always lose a certain amount of detail when reproduced Please find fitting accessories: medical-accessories Global Business Unit Siemens AG Medical Solutions Angiography & Interventional X-Ray Systems Siemensstr. 1 DE Forchheim Germany Phone: Global Siemens Headquarters Siemens AG Wittelsbacherplatz Muenchen Germany Global Siemens Healthcare Headquarters Siemens AG Healthcare Sector Henkestrasse Erlangen Germany Phone: Legal Manufacturer Siemens AG Wittelsbacherplatz 2 DE Muenchen Germany Order No. A91AX C Printed in Germany CC AX WS , Siemens AG