360 2203 User Manual

2017-01-27

User Manual: 360 2203 2203 produccion

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Page Count: 20

It’s all about you

Philips BV Endura functional description

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BV Endura functional description2

BV Endura functional description 3

Contents

3 Contents

4 System overview BV Endura

6 It’s all about you

7 Mobile C-arm stand

7 X-ray generation

7 Everything you want to do

8 X-ray collimation

8 Imaging System

8 X-ray modes

8 Image processing

8 Extended image post-processing

9 Vascular imaging functionality

9 Vascular image

10 Mobile View Station with unique

intelligent viewing concept

10 System controls

10 User Interface on C-arm Stand

11 User Interface on Mobile View Station

11 Safer treatment environment

DoseWise story

12 Handheld Remote Control

12 Customer support

13 Laser alignment tool

13 Laser Aiming Device

13 Medical DVD Recorder

13 Video paper/transparency printer

13 Video paper printer

13 ViewForum Surgical Workstation

13 Fully integrated DICOM solution

13 Color LCD Monitors

13 Touchscreen

13 LCD height adjustment

13 Handy extras

14 Making work easier

14 C-arm spring bow for sterilizable covers

14 Sterilizable covers

14 Cassette holder

15 TechnicalSpecications

20 Philips Healthcare is part of

Royal Philips Electronics

BV Endura functional description4

System overview BV Endura

Mobile View Station

Touchscreen

Live monitor color LCD

Reference monitor color LCD

Video paper/

transparency printer

ViewForum

Surgical Workstation

Fully integrated

DICOM solution

MDVDR

USB

Cable storage (at MVS)

Height adjustment

Cable storage (at MVS)

Video-In

500 / 5,000 / 10,000

image storage

Video-Out

Streamlined user interface

Ergonomic handgrips ensure

easy parallel movement

C-arm

stand brake

Automatic cable deectors

Handswitch

BV Endura functional description 5

C-arm stand

Collimator

X-ray tank unit

Fixed anode with efcient cooling

Ultra compact foot for optimal maneuverability

Fully counter-balanced C-arm

Extended rotation

Integrated laser alignment tool

Ergonomic C-arc handles

Compact Image

Intensier

1Kx1K CCD/TV camera

BV Endura functional description6

The BV Endura is a versatile mobile ﬂuoroscopy system

for routine surgical and vascular interventions. The BV

Endura incorporates a unique concept - SmartVision.

SmartVision, a highly advanced, full digital 1 Kx1K

imaging chain in combination with unique state-of-the-

art image processing algorithms (including BodySmart

and Automatic Shutter Positioning) provides you with

high quality images at the lowest possible dose.

The ultra compact Mobile View Station perfectly ﬁts

in the surgical workﬂow. The unique intelligent viewing

concept of the Mobile View Station provides the user

with easy transportation, easy and intuitive system

set-up and optimal viewing capabilities.

The BV Endura pairs dedicated interventional features and

best-of-class image quality to support minimally-invasive

procedures. Its single-user control and streamlined design

also helps you to perform a high volume of different

surgical procedures, smoothly and efﬁciently.

This versatile system comes with a 9”or 12” image

intensiﬁer and goes anywhere you need it – surgery,

intensive care, and emergency. And can handle all your

routine and interventional procedures:

•Orthopedicsurgery(fractures,xation)

•Abdominalsurgery(cholangiography,urologicalexams)

•Neurosurgicalprocedures(painmanagement,

vertebroplasty)

•Thoracicsurgery

•Vascularprocedures(peripheral/abdominal/cerebral,

interventions)

Whatever your situation, the BV Endura shows

everything you need to see in surgery.

It’s all about you

BV Endura functional description 7

Everything you want to do

The BV Endura consists of a mobile C-arm stand and

a Mobile View Station. It offers a choice of X-ray and

imaging functionality, as well as a variety of options

and accessories. The functionality of the complete

system is described in the following pages and the

text that is important for you depends on the system

conﬁguration chosen.

Mobile C-arm stand

•Ultracompactfootincludingpushbarandhandlesfor

easy maneuverability and positioning of the stand

•Compact,counterbalancedC-armprovidesall

required projections

•Extendedrotation:C-armrotatesafull135º

•C-armhasaverylowlateralposition

•Rearwheelsteeringconcept

•Dedicatedparallelmovementwithergonomically

designed handgrips for easy positioning alongside

operating table

•SourcetoImageDistance(SID)is100cm

•Streamlineduserinterfaceforeasycontrol

during procedures

•Cabledeectorsbrushasideanyoorcables

•Systemincludesfootswitch,handswitch,

radiation indicator

•Remotecontrol

•Laseralignmenttool

•ErgonomicallydesignedC-archandlesguarantee

easy C-arc positioning

X-ray generation

•FixedanodeX-raytubewithexcellentcoolingrate

for the most demanding interventional procedures

•Becauseoftheintegratedpre-lter,thecompact

converter X-ray generator ensures a homogeneous

X-ray spectrum with the lowest possible skin radiation

•BodySmartwillndtheregionofinterest,dene

the optimal measuring ﬁeld and follow the region of

interest,ensuringoptimalkV/mAsettingsandresulting

in the best possible image quality

•AnatomicallyProgrammedFluoroscopy(APF)sets

ﬂuoroscopy parameters automatically, providing

consistent image quality for every examination type

•AutomaticHighPenetrationforoptimalimagequality

in heavy objects even in the steepest projections e.g.,

lateral hip

The ultra compact foot ensures easy

maneuverability and positioning of stand.

C-arm steering with parallel movement for positioning alongside operating table

BV Endura functional description8

X-ray collimation

•Fullleadshutterscanberotatedandmovedtogether

or independently to provide real protection against

direct radiation and thus reduce scatter radiation

•Anadditionalbeamlter(of0.1mmCu)reduces

patientandclinicalstaffskindoseby40%over

conventional ﬁlters

•ShuttersandIriscanbesetonLastImageHold

•TheIriscollimatorlimitstheX-raybeamtotheactual

ﬁeld of the image intensiﬁer

•AutomaticShutterPositioningforfunctionalitythatwill

automatically position the shutters according to the

region of interest with one touch of a button

Imaging System

•Choiceoftwotriple-mode,imageintensier

conﬁgurations:

 -23/17/14cm(9/7/5”)

 -31/23/17cm(12/9/7”)

•CompactCCD/TVcamera

•CarbonberX-raygrid

•Digitalrotationandmirroringup/downandleft/right

•1K2 imaging throughout whole imaging chain

X-ray modes

•LowDoseFluoroscopywithLastImageHold

•HighDenitionFluoroscopywithLastImageHold

•Pulseduoromodes(1/2doseand1/4dosemodes)

reducedosewith50%or75%

•Radiographicmodeforcassetteexposures

•Imagegrab

Image processing

SmartVision, a highly advanced, full digital 1Kx1K

imaging chain in combination with unique state-of-

the art image processing functions (like BodySmart,

Automatic Shutter Positioning, advanced noise reduction

algorithms) includes:

•Dedicated12-bitimagepipelineprocessor

•Patientdatabaseincluding16imagesRAMmemory

•Adaptivetemporalrecursivelteringfornoise

integration

•Vignettecorrection

•Dynamicmovementdetectiontoreducemotion

blurring

•Real-time2Dedgeenhancement,contrast,

and brightness control

•Automaticcontrastandbrightness(onthe

Mobile View Station)

•Annotation

•Videoinvert

Extended image post-processing

•Zoomandroam:200%real-timemagnicationon

any section of an image

•Measurementfunctionforpreciselyquantifying

lengths and angles in an image

•Electronicshutterstoblockoutover-exposed

image areas

Image post-processing functionality is also available

on the left monitor of the MVS.

This functionality provides easy access to the different

menus, performing patient administration or post-

processing on acquired images, with a tip of your ﬁnger.

BV Endura functional description 9

Vascular imaging functionality

•Subtracteduoroscopymodedisplaysimages

in subtracted mode

•Trace-subtractshowsmaximumopacication

ofvasculatureusingCO2 or iodine contrast

•ViewTracecreatingatraceimage,postprocessed

•Roadmapimagessupportcatheterguidance

•Remaskletsyoureselectthebestimageinyourrun

as a mask image for contrast runs

•Landmarkinghighlightsbackgroundanatomy

for reference

•Real-timepixelshiftcompensatesformovement

artifacts

•SmartMaskreducesdoseandcontrastmediumusage

by re-using previously acquired mask images for

roadmapping

•Subtractionon/offsimpliestheorientationfor

subtracted images or during roadmap procedures

(Remotecontrol,MVS)

Vascular image

The Vascular Package, which includes subtraction,

can easily be combined with Extended Processing

functionssuchasZoomandMeasure.

Choose either a 9”or 12” triple-mode image intensiﬁer, to match

your applicational requirements

The Vascular Package, which includes subtraction, can easily

be combined with Extended Processing functions such as

Zoom and Measure

Mobile View Station with unique intelligent

viewing concept

The ultra, compact Mobile View Station perfectly ﬁts

in the surgical workﬂow. The unique intelligent viewing

concept of the Mobile View Station provides you with

easy transportation, easy system set-up, ﬂexible monitor

positions and extended viewing capabilities. When the

MobileViewStationisintheOR,patientdemographics

can easily be entered manually or retrieved via the

hospital network. After entering these data, the

monitors can be rotated and the clean side of the MVS

can be positioned as close as possible to the operating

table and operating staff. After the procedure is ﬁnished,

yousimplyturnthemonitors180degreesandyoucan

post-process the images and send the to the PACS.

TwodifferenttypesofLCDmonitorscanbeprovided:

•18”standardcolorLCDmonitorsprovidingoptimal

image quality

•18”highbrightnesscolorLCDmonitorsproviding

superb image quality

•Optionallyaheightadjustmentforthemonitors

is available

HeightoftheLCDmonitorscanbeincreased/decreased

with25cm(10”).Thissteplessheightadjustmentcan

be done manually and will bring ergonomic operation,

easy transportation and easy storage.

•Designedtoaccommodatepaper/transparency

printe.MedicalDVDRecorder,ViewForum

Surgical Workstation and a fully integrated

DICOMconnectivitysolution

•Ontopofthestandard500images,thefollowing

memory extensions are available:

 -5,000imagesonharddisk(8frames/second)

 -10,000imagesonharddisk(25frames/second)

System controls

A variety of intuitive system controls provide the utmost

ﬂexibility in controlling procedures.

User Interface on C-arm Stand

•Streamlineduserinterfaceforeasycontrolduring

procedures. Includes pre-set Anatomically Programmed

Fluoroscopyparameters(APF)

•Workoworientedatpanelshowsfunctional

separation of keys and can be easily cleaned

•Choiceoflanguageisincorporatedintothesystem

(English/French/Spanish/Swedish/German)

BV Endura functional description10

BV Endura functional description 11

User Interface on Mobile View Station

•Vequioncompetentuserinterfaceconsistingofon-screen

display and alphanumeric keyboard with touchpad

•Touchscreenoptionfortheleftmonitor.Easyaccessto

the different menus, performing patient administation

or post-processing on acquired images, with a tip of

yournger.TouchscreeniscompatiblewiththeHigh

BrightnessandStandardcolorLCDmonitors

•Multi-patientdatabaseprovidesfastaccesstoclinical

images and patient data

•Imagehandlingcanbecontrolledviaremotecontrol,

C-arm stand, or Mobile Viewing Station

•Choiceoflanguageisincorporatedintothesystem.

(English/French/Spanish/Swedish/German)

•DICOMfunctionalitycanbeoperatedatthe

Mobile View Station

Safer treatment environment DoseWise story

•Uniquebeamltersreducepatientskindoseby40%

over conventional ﬁlters

•Pulseduoromodes(1/2doseand1/4dosemodes)

reducedosewith50%or75%

•Independentlymovableleadshuttersprovidebetter

radiation protection than semi-transparent shutters

•SmartMasksavesdoseandcontrastmediumbyletting

you re-use previously acquired subtracted and non-

subtracted images as masks for roadmapping

•Thesystemletsyouadjustthecollimator,shutters,

andimageorientationduringLastImageHoldwithout

applying radiation

•AutomaticShutterPositioningwillpositionthe

shutters according to the region of interest, with one

touch of a button

BV Endura functional description12

Handheld Remote Control

The remote control unit is a handheld infrared keypad

used to control the main image handling functions.

Forsterileoperation,itcanbeusedinatransparent

sterile plastic cover. The functions include:

•Runloop

•Overviewrun/exam

•Retrievepreviousimage/run

•Retrievenextimage/run

•Parkimageonreferencemonitor

•Protectimage/releaseimage

•SmartMask

•Fluoroscopymodeselection

•II-formatselection

•Subtractionon/off

•Imagegrab

Customer support

Philips’ ongoing commitments to develop future-safe

technology means that your BV Endura system can be

kept up-to-date throughout its lifecycle, embracing

emerging applicational demands, and keeping up with

advances in networking and PACS.

ThePhilipsCUSTOMerCAREserviceprogramsoffer

a wide and ﬂexible choice of equipment maintenance

services, clinical education, ﬁnancing, remote support,

product upgrading and beyond give the power of choice

to keep you BV Endura at peak performance.

Remote control provides full control over

X-ray modes and image handling

BV Endura functional description 13

Handy extras

Laser alignment tool

TheLaserAlignmentToolisanoptionalpositioning

device integrated into the X-ray tank unit. It projects an

image of a cross on the patient indicating the center of

the X-ray beam, which allows the C-arm to be precisely

positioned using the least possible radiation (e.g., for

locking nail procedures).

Laser Aiming Device

TheLaserAimingDeviceisanoptionalpositioning

device for use at the Image Intensiﬁer side.

Medical DVD Recorder

MedicalDVDRecorderforrecordingclinicalimageson

aDVD(upto2hours).Bothstaticanddynamicimages

canberecorded.ReviewofimagesonBVfamilysystem

or a standard PC.

Video paper/transparency printer

Thermal multi-media printer for printing images

(multi-format) from live monitor onto paper or blue

transparency.

Video paper printer

Thermal printer for printing images from live monitor on

paper.Hardcopiesofclinicalimagescanbemadeduring

or after examinations.

ViewForum Surgical Workstation

A workﬂow enhancer bringing extra efﬁciency to the

ORproceduresproviding:

•Anintuitivemulti-purposeplatformforhandling

multi-modality images

•Astand-aloneorintegratedsolution

•DICOMQueryandRetrieve/USBstorage

TheViewForumSurgicalWorkstationcanbeextended

with the following options:

•MIP/MPR

•ProcedureReportingPackage

•DVDDICOMstore

Fully integrated DICOM solution

All BV family systems can be equipped with Philips

IntegratedDICOMsolutionwhichtransfersimagesfrom

theBVfamilyontothehospitalnetworkinaDICOM

SecondaryoraDICOMXAformat.TheStandard

DICOMpackagesupportstheDICOMPrintand

DICOMStore.

TheAdvancedDICOMpackagesupportsModality

Worklist Management, Modality Performed Procedure

Step and Storage Commit.

Color LCD Monitors

Highcontrastimagescanbeobtainedviathestandard

orhighbrightness18”colorLCDmonitors.

Touchscreen

Speeding up workﬂow with Touchscreen added to the

(left) monitor. The Vequion competent graphical user

interface allows easy patient administation (through

different menus) or post processing of the acquired

images, with the tip of your ﬁnger.

Touchscreen is compatible with the standard and high

brightnesscolorLCDmonitors.

LCD height adjustment

This height adjustment can be done manually with

just one hand. The adjustment is stopless, meaning

that the monitors can be positioned at any desired

height between the lowest and highest position (height

adjustmentoftheLCDmonitorsispossiblewith25cm).

BV Endura functional description14

Making work easier

C-arm spring bow for sterilizable covers

The spring bow holds the sterilizable covers of the

C-arm in position while allowing free movement

of the C-arm.

Sterilizable covers

To help maintain optimal levels of hygiene and sterility

in the surgical environment, sterilizable drapes are

provided for shielding the X-ray tank unit, image

intensiﬁer, and C-arm. Both sterile transparent covers

and green fabric covers are available. The green covers

arearemadeoflint-freefabric(35%Trevira,65%

cotton) and are resistant to boiling.

Cassette holder

The cassette holder is suitable for a standard cassette or

a grid-cassette. The holder accommodates two cassette

sizes:24x24cmand24x30cm.Thecassetteholdercan

berotatedafull360°aroundtheimageintensiereld.

The cassette holder can be rotated a full 360° around the

image intensiﬁer ﬁeld

BV Endura functional description 15

Technical Specications

X-ray tube / tank unit

Tube type Fixedanode

Nominalfocalspotvalues(IEC336) 0.6IECand1.4IEC

NominalX-raytubevoltage 110kV

Maximum anode heat content 35.5kJ=50kHU

Anode cooling capacity 21.6kJ/min.=30.6kHU/min.

Maximum housing heat content 840kJ=1200kHU

Inherent ﬁltration 3.0Aleq.

Additional ﬁltration 1mmAl+0.1mmCu

Collimator unit

Iris collimator

Type Circular opening, lead iris leaves

Indication DuringLIH(andalsoonimage)

Shutters

Type 2 independently movable real lead shutters with steel wedge tip

Rotation 360°

Indication DuringLIH(andalsoonimage)

Automatic Shutter Positioning Option

X-ray generator

Generatortype DCconverter,ConstantPotential(CP)generator,micro-processorcontrolled

Max. generator output 3.15kW

Max. X-ray tube voltage 110kV

Max. X-ray tube current 20mA(30mAforFrance)

Continuous ﬂuoroscopy

kV range 40to110kV

mArangeforLowDoseFluoroscopymode 0.10to3.0mA(upto7.20mAduringAutoHighPenetration)

mArangeforHighDenitionFluoroscopymode 0.24to7.20mA

Half Dose Fluoroscopy

kV range 40to110kV

mA range 0.1to3.0mA(upto7.2duringAutoHighPenetration)

Pulse widths 40ms

Pulse rate 12.5pulses/second

Quarter Dose Fluoroscopy

kV range 40-110kV

mA range 0.1to3.0mA(upto7.2duringAutoHighPenetration)

Pulse width 40ms

Pulse rate 6.25pulses/second

Radiography

kV range 40-105kV

mA range DuringLIH(andalsoonimage)

mAsrange(R’10seriesfromISO497) 1024x1024InterlinetransferCCD;highresolution

BV Endura functional description16

Detection 360°

Image intensiﬁer type Triplemode9”HRC/Triplemode12”

NominalIIformats 32,22,and17cm(12”,9”,and7”)

23,17,and14cm(9”,7”,and5”)

Entrancescreen=Inputscreen Cesium Iodine

DetectionQuantumEfciency(DQE),

typical[%]accordingtoIEC1262-5

9”:62

12”0:65

Gridtype Circular,carbonber;60lines/cm

Ratio=1:10atFFD=100cm

TV camera type InterlinetransferCCD;highresolution

Image rotation Digital,liveandonLIH

Rotationpositionindication Pre-indicationonimage,duringLIH

Image reversal Yes

Mirrorup/down Digital,liveandonLIH

Mirrorleft/down Digital,liveandonLIH

Automatic anatomical measuring ﬁeld Yes with ‘BodySmart’

TV monitor

FlatscreenLCDmonitors Extra high resolution, high contrast , extra high brightness,

18”screensize,TFTtechnology,resolution1280x1024(hxv)

Image storage and processing

Digitalimageprocessortype Dedicated12bitvideopipelineprocessor

Displayimagematrixsize resolution1280x1024(hxv)

Image storage capacity and max. storage rate 10,000imagesmax.30frames/second

5,000imagesmax.8frames/second

500imagesmax.5frames/second

Patient data handling Multipatient database

Image processing Edge enhancement (real-time and post processing), Windowing (real-time and

postprocessing),Recursivenoisereduction,Movementdetection,Mosaic,

Replay,Annotation

Processing options Subtraction,Roadmapping,Remasking,Trace(max.opacication),Tracewhite

(CO2imaging),Memoryroadmapping(SmartMask),Landmarking,Pixelshift,

Zoom,Measurement,Electronicshuttering

BV Endura functional description 17

Geometry

Longitudinalmovement 20cm(7.9”)

Swivel range ±10°

Vertical movement 50cm(+44cm/-6cm)(+17.3”/-2.3”)Motorized

Rotation ±180°,withsafetystopat±135°

Angulation (orbital movement) +90°,-25°

Angulation (orbital movement) option +90°,-45°

Sourcetoimagedistance(SID) 99.5cm(39.2”)

FreespacewithinC-arc 78cm(30.7”)

C-arc depth 61cm(24.0”)

Brakes for all movements Yes, manual

Steering Rearwheel

Parallel movement Via rear wheel control

Cable deﬂectors Yes

C-arm stand weight 9”:280kg(617lb)–12”:295kg(650lb)

C-arm stand length 9”:184cm(72.4”)–12”187cm(73.6”)

C-arm stand width 81cm(31.9”)

C-arm stand height 9”:168cm;(66.1”)–12”:181cm(71.3”)

Mobile view station depth 70cm(27.6”)

Mobile view station width 91cm(35.8”)

Mobile view station height 188cm(74”)

Power supply

Input voltage 110-240V+/-10%

Frequency 50/60Hz

Options

Laseralignmenttool Yes

Laseraimingdevice Yes (9”only)

Videopaper/transparencyprinter Yes

MedicalDVDRecorder Yes

StandardDICOMpackage Yes(supportsDICOMprint,DICOMstore)

AdvancedDICOMpackage Yes(incl.MWL,MPPS,SC)

Sterile covers Yes

Detachablecassetteholder Yes

FlatscreenLCDmonitors Yes

Touchscreen Yes

LCDHeightadjustment Yes(25cm/10”)

ViewForumSurgicalWorkstation Yes(supportsMultiModalityImageQuery/Retrieve)

BV Endura functional description18

38 77

9" 174-217

12" 181-231

102 44

118 - 138

80 6

9" 30

12" 38

188

9” system

Dimensions in cm.

BV Endura functional description 19

108 - 151

12" 61

9" 55

74 - 124

(

)

25°

90°

10° 10°

12" 187

9" 184

12” system

Dimensions in cm.

Philips Healthcare is part of

Royal Philips Electronics

Howtoreachus

www.philips.com/healthcare

healthcare@philips.com

fax:+31402764887

Asia

+85228215888

Europe, Middle East, Africa

+4970314632254

LatinAmerica

+551121250764

NorthAmerica

+14254877000

8002855585(tollfree,USonly)

PhilipsHealthcare

GlobalInformationCenter

P.O.Box1286

5602BGEindhoven

TheNetherlands

All rights are reserved.

PhilipsHealthcarereservestherighttomakechangesinspecicationsand/ortodiscontinueanyproductatanytimewithoutnoticeor

obligation and will not be liable for any consequences resulting from the use of this publication.

PrintedinTheNetherlands.

452296208171/718*SEP2008

360 2203 User Manual

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