The digital 2-in-1 solution for fluoroscopy and radiography. AXIOM Luminos drf.

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1 The digital 2-in-1 solution for fluoroscopy and radiography AXIOM Luminos drf

2 Double your benefits with a true 2-in-1 solution AXIOM Luminos drf tears down the wall between fluoroscopy and radiography. With this true 2-in-1 system, you can perform both enhanced digital fluoroscopy and digital radiographic imaging. Its large 43 cm x 43 cm (17 x 17 ) dynamic flat detector and the height-adjustable table that can be lowered to only 48 cm (19 ) offers multifunctionality, extraordinary convenience, and optimized workflow. AXIOM Luminos drf delivers benefits such as distortion-free exposures and brilliant contrast in fluoroscopy as well as in radiography. Streamline your clinical workflow with AXIOM Luminos drf. Optimize Your Workflow with AXIOM Luminos drf Ease of Use Expedite your routine with a compact yet open and accessible design plus outstanding convenience for users and patients. Care Provides low dose without sacrificing image quality. Thanks to a comprehensive dose reduction feature and time-saving presets. Image Quality Quickly delivers precise diagnoses via digital imaging in both fluoroscopy and radiography, which offers brilliant images acquired with a large-coverage flat detector. Connectivity Benefit from optimized networking capabilities from registration to archiving. 02

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4 Fluoroscopy Cutting-edge technology and versatility in fluoroscopy 04

5 Outstanding image quality for excellent clinical results in dynamic imaging Increase your benefits in fluoroscopy and angiography 05

6 Master two fields w With its dynamic flat detector and flexible positioning, AXIOM Luminos drf supports a wide scope of applications as well as patients of various sizes and ages. Gastrointestinal examinations Examination of the urogenital tract Endoscopy Arthrography Venography Lymphography Myelography Interventional radiology Digital angiography Digital Subtraction Angiography (DSA)* *Option 06

7 ith a single system With a tiltable table, AXIOM Luminos drf can perform diverse views including: Skull Thorax Abdomen Vertebral column Pelvis Upper extremities Lower extremities Specific examinations such as Tomography* or Image composing* of long anatomical regions can also be performed. *Option 07

8 Outstanding image quality for excellent clinical results in radiography Increase your benefits with digital radiography 08

9 Radiography Flexible, state-of-the-art radiography solution 09

10 Streamline your workflow Available almost instantely: Radiographic images and fluoroscopic sequences in one patient folder Procedure time: without Luminos drf with Luminos drf Streamline your workflow When it comes to examinations that require a combination of fluoroscopy and radiography, AXIOM Luminos drf can redefine the way you work. Fluoroscopy Radiography Radiography Fluoroscopy Fluoroscopy Radiography Radiography Fluoroscopy Now there is no need to send a patient to a separate radiography room just to perform a scout radiograph prior to the fluoroscopy procedure. Interruptions and delays due to cassette handling and film development are eliminated, and you simply perform the radiographs right in the fluoroscopy suite. Shorten examination time The images are available almost instantly, helping to further streamline your workflow. In addition to optimizing the utilization of equipment, human resources are assigned appropriately. The end result: your patient benefits from shorter examination times. Up to speed in every respect: AXIOM Luminos drf encompasses every advantage of digital imaging for both fluoroscopy and radiography. Hence, the duration of mixed examinations employing both imaging techniques is noticeably reduced. 10

11 2-in-1 Multi-faceted to meet your individual patient mix Benefits Future-proof investment with multifaceted equipment that easily adapts to a wide applications mix Minimum space requirements Single intuitive platform to reduce training requirements Streamlined workflow as a result of both imaging techniques being performed digitally by one single modality Shorter examination times High utilization rates result in an early break-even point Current applications mix Fluoroscopy/Angiography Radiography Unused capacity Future-proof your investment: AXIOM Luminos drf enables flexible utilization of the equipment depending on clinical applications range. Future applications mix Fluoroscopy/Angiography Radiography Unchain your performance from current limitations Dedicated fluoroscopy systems usually operate at full capacity in the morning, while utilization rates slow down in the afternoon. This has a strong adverse effect on the overall efficiency of the systems and thus on the fluoroscopy room. Reassign your workload for optimized utilization AXIOM Luminos drf is multi-faceted. It can increase utilization rates throughout the whole day by delivering higher capacity in fluoroscopy paired with a strongly enhanced application spectrum in radiography. No matter whether you want to utilize it as a one-room solution for both imaging techniques or just as a back-up for the radiography room: AXIOM Luminos drf adapts to your individual applications mix. Furthermore, a true 2-in-1 system enables you to significantly reduce time and money spent on training, maintenance and technical service. In addition to that, a 2-in-1 system also requires less space. The results are obvious: improved efficiency, improved workflow, and a remarkable plus in work comfort. 11

12 Lowering the table to 48 cm for easiest positioning Maximum comfort with table travel down to a low 48 cm (19 ) Even small patients and disabled persons will find it easy to position themselves on the tabletop when you lower it down to 48 cm (19 ). And greater comfort for the patient equals greater convenience for the staff. Heavy or immobile patients are easier to handle, work becomes more ergonomic. For some radiographic examinations, the patients can even remain seated in a chair or in a wheelchair. Optimized patient transfer AXIOM Luminos drf offers patient transfer at its best with the push of a single button. With preprogrammed horizontal and vertical patient transfer positions, AXIOM Luminos drf quickly moves all the involved components into a comfortable position. Sophisticated system expansions The system s optional compression device can be operated remotely via a mechanism where the cone is automatically parked in a position outside of the x-ray when not in use. The remote control console provides quick and intuitive system operation from the control room with clear, user-friendly functions and a comprehensive touchscreen. A mobile control console* enables quick access to all functions from the patient s side. *Option 12

13 Ease of use Benefits Table height continuously adjustable from 48 cm up to 98 cm (19 to 39 ), resulting in trouble-free patient positioning and a healthy working position Large tabletop and wide scanning range supports effortless coverage of very tall or obese patients High table and footboard capacity and fully dynamic table tilt for patients up to 230 kg (500 lbs) Excellent patient access from all around the table Two quickly selectable patient transfer positions Compact system design for excellent patient access Even from the rear of the table, excellent access to the patient is provided. This enables convenient patient transfer from a stretcher and comfortable positioning. And you will also profit from the free access to your patients from all sides during examinations. High table capacity accommodates obese patients The high table-weight capacity enables full tilting with patients weighing up to 230 kg (500 lbs). Of course, the sturdy and easily attachable footboard supports the same weight. Whole body coverage in every dimension AXIOM Luminos drf offers a large tabletop of 210 cm x 80 cm (83 x 32 ) to easily accommodate patients of various sizes and provides enough space to comfortably turn patients during examinations. The excellent travel range of both the image receptor and tabletop enables coverage of the entire body virtually without repositioning the patient. For example, the 8-way tabletop enables longitudinal movements of as much as 80 cm (32 ) in both directions. 13

14 14 Brilliant image quality even in the four corners with the large 43 cm x 43 cm flat detector

15 Image quality Brilliant images with the large 43 cm x 43 cm flat detector I.I. 33 cm (13 ) I.I. 40 cm (16 ) Distortion-free imaging with FD technology Benefits 43 cm x 43 cm flat detector for excellent coverage of the region of interest Dynamic sequences and static images can be performed with one and the same detector Pristine digital images yield outstanding image quality High dynamic range compensates for variances in exposures Distortion-free imaging High dynamic range Getting the big picture With the 43 cm x 43 cm flat detector you get the big picture of valuable information clear out to the four corners. A nearly 50% larger anatomical region can be covered compared to image intensifiers with a 40-cm diameter. Innovative technology for accurate diagnosis AXIOM Luminos drf is built around a state-of-the-art indirect conversion flat detector based on CsI scintillators. Dynamic sequences and static images can be captured without the distortion typical for image intensifiers. Anatomic details are thus always reproduced properly. And with the flat detector right below the tabletop, magnification of objects is reduced to a minimum. The high dynamic range of the flat detector compensates for variances in exposures. The result: brilliant images that support the best possible diagnosis. 15

16 Outstanding image quality for diagnostic confidence Benefits High resolution up to 3.4 lp/mm Cutting-edge post-processing features render further support to accurate diagnosis DiamondView for enhanced image contrast of radiographic images Dynamic density optimization (DDO) for harmonization and edge enhancement of fluoroscopic sequences Advanced applications for increased versatility High resolution images for brilliant results No compromise on image quality when it comes to radiography. High resolution images with up to 3.4 lp/mm deliver clinical results comparable to images acquired with state-of-the-art flat detectors dedicated to radiography. Outstanding image quality the FLUOROSPOT Compact digital imaging system The intuitive, easy to operate FLUOROSPOT Compact digital imaging system transforms image information into brilliant images. Accurate diagnostics are possible right at the monitor, supported by comprehensive postprocessing functions. Optional system expansions such as advanced examination modes or DICOM capabilities further optimize the use of AXIOM Luminos drf. 16

17 Image quality Without DDO With DDO Without DiamondView With DiamondView Image composing for high-level radiographic use Enhanced image quality improves diagnostic confidence Benefit from cutting-edge post-processing features: DiamondView reduces noise and increases both detail contrast and sharpness of radiographic images. DDO improves image contrast in critical regions to further enhance detail recognition of fluoroscopic sequences. Selective Dominant Measurement (SDM) can be selected depending on body region and automatically adapts during zooming and thus enables brilliant image quality even in high contrast objects. Advanced features for cutting-edge versatility AXIOM Luminos drf provides a vast field of application. Advanced applications such as Fluoroloop* for storage and review of fluoroscopy sequences or Digital Subtraction Angiography (DSA)*, further broaden the system s versatility. Image composing* for long leg or long spine and Tomography* bring the radiographic functionality to the next level. *Option (may require extra hardware) 17

18 Care Low dose without sacrificing image quality Benefits Cutting-edge detector technology with a high Detective Quantum Efficiency (DQE) Automatic copper prefiltration Preset organ programs Pulsed fluoroscopy modes Relative Dose 0.0 mm Cu Easily removable grid Radiation-free collimation and repositioning Large coverage means fewer images need to be taken mm Cu Energy kev The Combined Applications to Reduce Exposure (C.A.R.E) low dose program together with detector technology known for its high detective quantum efficiency result in excellent dose reduction for patients, physicians, and staff. Every patient has different needs The grid can be easily removed for examination of thin patients, extremities, or in pediatrics. Preset parameters in the organ programs can be adjusted during examination for different patient types to avoid unnecessary radiation. Carematic automatically optimizes the exposure parameters during fluoroscopy. CARE without compromise CAREVISION enables the selection of different frame rates for pulsed fluoroscopy ranging from 15 fps, down to 7.5 fps* and 3 fps* for optimized low-dose imaging depending on movements of objects and organs. With CAREFILTER, the patient entrance dose is reduced to a minimum by filtering out low energy radiation with copper prefilters that move in automatically during examination based on the patient s anatomy. 18

19 Only apply radiation when clinically relevant CAREPROFILE* enables graphical positioning of collimators and semi-transparent wedge filters without radiation. Simply use the last-image-hold (LIH) for orientation. CAREPOSITION* facilitates the radiation-free repositioning of the patient under visual control. Whenever the table or image receptor is needed, the current position of the center x-ray beam is displayed in the LIH image. Get a second look and cut radiation dose FluoroLoop* enables storage and review of dynamic sequences and thus reduces the need for re-exposition. For studies such as the upper gastrointestinal tract, up to 150 seconds (depending on selected pulse rate) can be replayed in different speeds, postprocessed and archived, keeping exposure time and examination time to a minimum. *Option 19

20 Connectivity Come up to speed with fully digital imaging Optimized connectivity with FLUOROSPOT Compact imaging system Benefits Network integration for both fluoroscopy and radiography Retrieve patient data and scheduled exams through worklist* Fluoroscopic images Radiographic images Completion of case through MPPS* No need for cassette handling Sophisticated data storage and archiving Data transfer made as easy as possible, even with external partners Seamless and effortless data exchange with the FLUOROSPOT Compact imaging system DICOM Worklist/ MPPS* DICOM Query Retrieve* CD/DVD drive* FLUOROSPOT Compact CD/DVD burner* DVD recorder* (mpeg2) DICOM Send/ StC/Print Connection to DICOM laser camera Paper printer* Remote diagnosis Security package* * Option Eliminate multiple patient records full of mistakes Plug into networking and experience a tremendous improvement in your workflow. With AXIOM Luminos drf, network integration has become possible for fluoroscopy and radiography. The system complies with DICOM standards, enabling direct access to archived data. Reduce laborious work steps AXIOM Luminos drf merges fluoroscopic and radiographic images within the system itself. Images are displayed on a live monitor immediately after acquisition. There is no need for cassette handling during examination. Digital post-processing can be accomplished right at the system or alternatively at a workstation. *Option 20

21 Increase your skills, technology, and productivity Benefit from optimized networking capabilities from registration to archiving Life our customer care solution Life is the unique customer care solution from Siemens that helps you get the most from your investment. Benefit from sophisticated archiving All images are automatically stored to a hard disk drive, and data can be easily reactivated and updated, i.e. once a folder is created for a patient, further studies and examinations will be automatically stored in the same folder. Enjoy data transfer made as easy as possible Aside from network connectivity, images may also be printed out or burnt onto a CD for easiest communication with external partners. Life. The continuous development of your skills: On-site applications training, CD and Web-based e-learning tools to optimize your know-how to use the full potential of your system.... productivity: Siemens comprehensive portfolio of customized performance plans and variable shared service agreements for every type of service support as well as the Guardian Program for high system availability keep your system running at peak performance day in and day out.... technology: Keep your system state-of-the-art and expand your applications range with new functionalities for more versatility in usage. For more information about Life go to: 21

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23 AXIOM Luminos drf at a glance AXIOM Luminos drf is a state-of-the-art multifunctional system encompassing the advantages of digital imaging for both fluoroscopy and radiography for a more streamlined workflow and enhanced patient throughput. 2-in-1 AXIOM Luminos drf is a true 2-in-1 system that delivers fluoroscopic and radiographic images and merges both types in the same patient folder. 43 cm x 43 cm The large 43 cm x 43 cm (17 x 17 ) flat detector makes AXIOM Luminos drf the ideal solution for a wide range of applications and eliminates the most time-consuming manual tasks during examinations. 48 cm Continuous height adjustment from 48 cm (19 ) up to 98 cm (39 ) and a compact yet open system architecture make AXIOM Luminos drf convenient and comfortable for both patients and staff. 23

24 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. Contact Address Germany Siemens AG, Medical Solutions Angiography, Fluoroscopic and Radiographic Systems Siemensstr. 1, D Forchheim Germany Telephone: 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: , Siemens AG Order No. A91AX C Printed in Germany CC AX WS Siemens AG Wittelsbacherplatz 2 D Munich Germany Headquarters Siemens AG, Medical Solutions Henkestr. 127, D Erlangen Germany Telephone: