Digital Radiography X-Ray System. X Twin with X Mobil Roesys GmbH [rshsmi] 1/11

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Digital Radiography X-Ray System 2017 Roesys GmbH [rshsmi] 1/11

1 General specifications The system is intended to be installed with floor mounted components only. It enables spacesaving installation without the need of any ceiling component. With the use of one embedded full size 17 x17 digital flat panel detector (DR) only, all common projection techniques of a conventional system with bucky table and wall stand are available. The positioning of the tube and the detector should be motorized and have an autotracking control. The (injured) patient can be examined in all (lying) positions without rearrangement on the table. The mobile patient table has to be motorized for height adjustment without disturbing cables on the ground. The floating tabletop allows precise patient positioning under the light collimator. Multifunctional Digital Radiography System (DR X-ray System) for routine skeletal, body and chest x-ray examinations Automated system positioning system (APS) controlled by organ program routines (APR) Motorized movement of tube and detector with auto centering function (ACF) Vertical and angel dependend autotracking (ATF) Color coding for all directions of manual movements Single sided mobile patient table with motorized height adjustment and floating table top Thermal Safety Switch for tube housing temperature Galvanic network separation 2017 Roesys GmbH [rshsmi] 2/11

2 System design Two column, floor mounted, motorized and software controlled X-ray system with only one embedded fullsize DR detector for general 2D imaging diagnostics in vertical and horizontal projections. A mobile patient table allows different room setups for different examination requirements. The change between AP and LAT projection on table should be possible without moving the patient. The distance between tube and detector is largely enough to place a normal hospital bed in between the columns. Patient support with stairs, handles and spezialized stands (i.e. for long leg or full spine examination) should be available to complete the system for specific needs. 2.1 Dimension The system should be able to be installed and operate without limitations in rooms from 245 cm height. It should be adaptable for left or right operation and has options for a modular setup with different active components (see chapter 3) in order to meet the real customer requirements. The static load on the ground has to be less than 5500 N/m². 2.2 Design The system has options to customize it with lining, light color and custom logos for an individual look to meet the customer CI. A LCD touch display on the tube side and a remote control on the detector side allows to move to standard positions and adjust height, distance and angel of tube or detector. 2017 Roesys GmbH [rshsmi] 3/11

3 System setup The system should be available in different configurations to meet the customer requirements concerning the forseen applications. 3.1 Generator The system can operate with at least two different generator manufacturer models with different specifications and power from 50 kw, 65kW up to 80 kw if needed. The software of the modality workstation (MWS) is able to control the generator with a bidirectional interface to send parameters (kv, AEC chamber, operation mode,...) and receive messages (ready state, error messages, DAP measurements, grid control,...). A full featured generator membran console is available as an option. 3.2 Tube The system can operate with at least two different tube manufacturer models with different specifications. All of them support high speed options, dual focus and thermal control. 3.3 Collimator The system can operate with at least two different collimator manufacturer models with manual or motorized operation. Options for LED light and cross laser should be available. The required filtration for pediatric imaging should be controlled and adjusted by MWS software via patient age in automatic mode. Pre shutter adjustments should be available for automatice modes. 3.4 Detector A solid detector carrier with easily removable grids for different focus distances comes with two parking positions near the detector housing. Grid position should be controlled by MWS software and affect the generator release state. The used technology should use a CsI-scintillator for low dose imaging with max. 143 µm pixel spacing. 3.5 Modality workstation The system comes with a state of the art workstation hardware for medical applications. The operation system should be at least Windows 7 professional or higher with 64 bit support. The LCD display should offer at least a 24 IPS panel with full HD support, contrast up to 1000:1, brightness of 300 cd/m², 170 angle of vision and DICOM presets. 3.5.1 MWS software The MWS software should be able to: control generator settings via APR tables with organ related setups adjust a given generator setting regarding age and weight of a patient control AEC setup in generator control detector settings for manual or automatic modes, states and error messages control automatic collimator (if available) regarding shutter and additional filtration navigate system positioning (distance, height, angel) get feedback of system position, grid usage, DAP measurement, relative exposure The MWS software takes care of the anatomically pre- and postprocessing of images. It allows user to acces RAW images for not disturbing quality control reffering to: 2017 Roesys GmbH [rshsmi] 4/11

crop images adjust window / level rotate and flip reprocessing with different organ filtration The WMS software supports at least the following DICOM classes: Basic modality worklist (SCU), to get patient data from HIS/RIS server Image store (SCU), to export and save images in PACS Print (SCU), for hardcopies on laser imager The MWS software has options for automatic workflows like: long leg exposure (auto-) stitching full spine exposure (auto-) stitching 3.6 Patient table The patient table should be mobile to allow the user space saving operations for standing and sitting patients. For easy positioning over the detector, the table top should be suspended on one side only and provide a X-ray transparent area for all beam directions of at least 170 cm length and 65 cm width. A table support for a maximum patient weight up to 250 kg is required. For an easy patient positioning under the collimator the table top should be able to float over an area of min. 12 x 56 cm². An electrical cable free heigt adjustment of the table top over min. 40 cm should be available as an option. 2017 Roesys GmbH [rshsmi] 5/11

4 Parameters X-ray System Unit Value Minimum source-image distance [SID] cm 100 Maximum source-image distance [SID] cm 200 Highest central beam position cm 190 Lowest central beam position cm 35 Maximum detector rotation ± 100 Maximum tube rotation ± 100 Possible decentering of X-ray beam cm ± 12 All movements should be motorized yes Vertical and angel dependend autotracking (ATF) - yes Automated system positioning system (APS) by APR table - yes Touch screen to control the X-ray system positions - yes Remote control to control the X-ray system positions - yes Ceiling support costruction needed? - no Static load on the ground N/m² 5500 Minimum room height cm 245 Minimum room width cm 395 Minimum room depth cm 395 Setup time for all mechanical components h 8 Complete system up and running d 3 Hospital bed entrance width on the bottom cm 85 Made from sustainable, recyclable materials (metal)? - yes Generator Unit Value Different manufacturer available? N 2 Microprocessor-controlled HF generator - yes Complete bidirectional control by the MWS software - yes Power range kw (50)-65-80 High voltage maximum kv 150 2017 Roesys GmbH [rshsmi] 6/11

Tube current range ma 10-800 Maximum exposure time s 5 Minimum exposure time s 0,001 Interface for AEC support - yes Interface for DAP support - yes Program automatic - yes Different exposure techniques - yes 3 phase 400 V connection available - yes High speed starter available? - yes Generator operating control console option - yes Weight kg 75 Dimensions (H x W x D) cm³ 55x42x67 Tube Unit Value Large focus mm 1,2 Small focus mm 0,6 Heat capacity of anode khu 300 Rotation min ¹ 9700 Anode angle 12 Anode diameter mm 74 Permanent filtration Al / 75 kv 0,9 Collimator Unit Value Automatic motorized shutter - yes Automatic motorized filtration - yes Cross laser sighting - yes LED light - yes Manual mode - yes DAP integration - yes DAP for pediatric imaging available - yes 2017 Roesys GmbH [rshsmi] 7/11

Detector Unit Value Scintillator type - CsI / asi-tft Pixel matrix pixel² 4318 x 4320 Active area mm² 432 x 432 Pixel pitch µm 100 AD converter bit 16 Size cm² 43 x 43 Weight kg 4,1 Wired data IF - 1000BaseT X-ray IF (trigger) - AED DQE (0 LP/mm) % 75 MTF (1 LP/mm) % 70 Limiting resolution LP/mm 5 Energy range kv 20-150 MWS software Unit Value Operating system - WIN7pro Certified according MDD - yes Image processing with RAW data - yes Reprocessing with RAW data available - yes Position control of the X-ray system with APR table - yes Control of generator settings with APR table - yes Bidirectional communication for error messages and DAP values - yes Control of collimator shutter and filtration - yes Control of grid type and position - yes DICOM MWL SCU - yes DICOM store SCU (also for different destinations) - yes DICOM print SCU - yes English GUI setting - yes Local GUI settings on request - yes Dongle protection - yes 2017 Roesys GmbH [rshsmi] 8/11

Patient table Unit Value Mobile patient table - yes Manual brakes - yes Floating table top - yes Floating area cm² 12 x 56 Table construction material - carbon fiber Motorized heigt adjustment cm 40 Minimum height cm 61 Maximum height cm 101 Battery powered - yes Cable free - yes Maximum patient weight kg 250 Single sided suspension - yes X-ray translucent area cm² 170 x 65 X-ray translucent for all projection angles - yes Accessories available - yes 2017 Roesys GmbH [rshsmi] 9/11

5 Drawings 5.1 X Twin 2017 Roesys GmbH [rshsmi] 10/11

5.2 X Mobil 2017 Roesys GmbH [rshsmi] 11/11