Siemens Artis Zee II Floor Mounted (2015)

Interventional cardiology is served by the as20 detector where fitted, with acquisition to 30 frames per second and pulse rates reduced through the navigation phases of a case.

Paediatric cardiology benefits most from the lower end of the pulse range and from automatic copper prefiltration adjusted to a small patient in the beam.

Electrophysiology is supported by long procedure times where fluoroscopy can run at reduced pulse rates, alongside syngo LA Segmentation and mapping system interfaces where licensed.

Peripheral vascular work is supported by the as40 HDR detector where fitted, with stepping performed on a single contrast injection as the table travels.

Interventional radiology is served by the larger detector format and by syngo DynaCT for cross-sectional imaging at the table where that application is licensed.

Structural and device procedures are supported by CLEARstent Live, which verifies stent position in real time while the device is being moved.

Services under a formal radiation protection framework are supported by dose area product and dose rate displayed at the interventional reference point in both rooms throughout the case.

Pulse Rate Matched to the Step

CAREvision sets fluoroscopy from 30 pulses per second down to 0.5 in steps, so a long navigation runs at a low rate and the rate rises only where movement must be resolved.

Filtration Following the Patient

CAREfilter adjusts copper prefiltration automatically to the anatomy in the beam, so the beam entering the patient suits that body habitus.

Dose Seen by Everyone in the Room

CAREwatch puts dose area product and dose rate at the interventional reference point on the live display in the examination room and the control room together.

Skin Dose Tracked by Projection

CAREguard presents accumulating peak skin dose for the current projection as a fill indicator, so a projection can be changed before a threshold is approached.

Field Adjusted on the Stored Image

Where those functions are present, collimation and repositioning are carried out on the last stored image, without further exposure.

Noise Reduction That Adapts to Dose

CLEARview applies dose-adaptive noise reduction, so image quality is supported at the exposure being used.

Motion Compensated in Fine Structures

CLEARmotion detects small structures and compensates motion artefacts, which supports guide wire and small vessel visualisation.

Stent Position Verified While Moving

CLEARstent Live provides real-time verification of stent positioning with cardiac movement compensated.

A Contained Installation Footprint

The floor-mounted stand occupies a defined position beside the table and leaves the ceiling free, which reduces what a room must be prepared for.

A Detector Sized to the Work

The as20 at 20 × 20 cm suits cardiac procedures and the as40 HDR at 30 × 40 cm covers larger fields, with both rotating to any angle.

Dose Application Set Documented Before Order

The licensed CARE applications, tube condition and service history are provided by the seller at quotation, so the radiation protection position is established in writing.

Floor-Mounted C-Arm Angiography System

A floor-standing C-arm with flat detector, examination table and control room equipment.

Year of Manufacture: 2015

Bearing on software version, licensed applications, detector generation and support arrangements.

CAREvision

Fluoroscopy pulse frequency variable in steps from 30 to 0.5 pulses per second.

CAREfilter

Copper prefiltration adjusted automatically to the patient's anatomy.

CAREwatch

Dose area product and dose rate displayed at the interventional reference point in the examination and control rooms.

CAREguard

Skin dose control with peak skin dose for the current projection shown as a fill indicator on the live monitor.

Collimation and Repositioning on the Stored Image

Field adjustment performed on the last stored image without further exposure, where those functions are present.

CLEARview

Dose-adaptive noise reduction applied to the live image.

CLEARcontrol and CLEARvessel

Image harmonisation across large density differences and definition of vessel edges.

CLEARmotion and CLEARchoice

Fine structure detection with motion artefact compensation, and selectable image quality preference during the application.

CLEARstent and CLEARstent Live

Automatic improvement of deployed stent visibility, with real-time verification while the device is moving.

as20 Flat Detector

A 20 × 20 cm amorphous silicon detector with 16-bit technology, rotatable to any angle.

as40 HDR Flat Detector

A 30 × 40 cm high dynamic range detector with 16-bit technology for larger coverage.

High-Resolution 2k Matrix

Acquisition, display and storage in the original matrix at 2,480 × 1,920.

Acquisition Rates: 7.5, 10, 15 and 30 f/s

With fluoroscopy at up to 30 pulses per second.

MEGALIX Cat Plus X-Ray Tube

Angiography tube with flat emitter technology for fluoroscopic power and contrast.

Maximum Anode Current: 800 mA Large Focus

Available during acquisition.

Anode Input Power

4,000 W over 10 minutes, 3,000 W over 20 minutes and 2,500 W beyond 30 minutes.

Total Filtration: ≥ 2.5 mm Al Equivalent

Measured under IEC 60601-1-3.

Leakage Radiation: Below 0.44 mGy/h

At 125 kV and one metre under IEC 60601-1-3 conditions.

Water Cooling Circuit

Water with coolant additive at 3.5 litres per minute, up to 3.1 bar and 55 degrees Celsius.

syngo DynaCT

Cross-sectional imaging acquired at the table, available where licensed.

syngo LA Segmentation

Left atrial anatomy acquired from a single footswitch action, available where licensed.

Peripheral Stepping

Table stepping with a single contrast medium injection, available with the large detector.

Magnetic Navigation

Offered on the floor-mounted configuration, with presence on this unit confirmed at quotation.

Configurable Control Layouts

Console layouts customised on site, with a control joystick mountable on either side.

Display Options

19-inch monochrome flat display, with large in-room displays available according to the configuration supplied.

CE Marking and Declaration of Conformity

Issued by the manufacturer and requested from the seller at quotation.

Decontamination Certificate and Warranty Terms

Provided by the seller at quotation, in line with normal practice for used clinical equipment.

This Siemens Artis zee floor-mounted system was built in 2015, and the case for it rests on exposure being set step by step. An interventional case moves through navigation, device positioning and documentation, and each asks something different of the image. CAREvision sets fluoroscopy pulse frequency in steps from 30 per second down to 0.5, CAREfilter adjusts copper prefiltration automatically to the anatomy in the beam, CAREwatch puts dose area product and dose rate at the interventional reference point on the live display in both rooms, and CAREguard shows accumulating peak skin dose for the current projection so a view can be changed before a threshold is approached. CLEARview supports image quality at the exposure in use, and CLEARmotion and CLEARstent Live carry that through to guide wire and stent visualisation. Around them sit a flat detector in a 20 × 20 or 30 × 40 format at a 2k matrix, the MEGALIX Cat Plus tube at up to 800 mA on the large focus, and a floor-mounted stand that keeps the installation contained. Procedural judgement remains with the interventional team. The detector fitted, licensed applications, tube condition and service history are provided by the seller at quotation. Medigear.uk lists the system for UK business buyers and can arrange a room survey, delivery, installation, staff familiarisation, service cover and the supply of spares and consumables. Enquire for a written quotation.