Philips 989806103039 452299116671 User Manual Veradius Unity Mobile C Arm Product Brochure 20c4493b2a4d4c24b7dca7a600daa8b3

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Veradius Unity
Surgery

Making the difference

with Live Image Guidance
Enjoy straightforward surgical imaging
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Key advantages
• Transform your surgical procedures
with a system as easy to use as a
tablet. The user interface is so easy, it
scored in the top 10% for ease of use1
• Cut miscommunication by almost
half during positioning through
our patented ClearGuide and color
coding on the C-arm2
• Increase confidence during complex
vascular, cardiac, and orthopedic
procedures with superb image quality
achieved at excellent dose efficiency

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Enhance teamwork for consistently
high image quality
New and complex surgical procedures
require surgical teams to work together
efficiently and understand the exact
nature of critical anatomy in relation
to the devices used. When carefully
setting pedicle screws, placing a
stent graft, or delicately inserting a
pacemaker lead, your X-ray system
provides crucial guidance. Getting
consistent high quality images is
only possible when there is excellent
interaction between the physician,
operator, and the mobile C-arm
system. We have re-defined teamwork
during surgical imaging so you can
experience a new level of efficiency in
surgical procedures.
80% say Veradius Unity is
easier to use2
Veradius Unity is already our third
generation Flat Detector system. Its
unique tablet-like user interface is
extremely user friendly. In fact, 80%
of non-Philips operators said the
user interface of the Veradius Unity
was easier to work with than the
C-arm they were currently using2.
Combined with our superb image
quality and dose efficiency, Veradius
Unity supports you to perform difficult
cases with confidence and experience
smooth procedures.

Making the difference
	 Philips Live Image Guidance
Together we make the difference in surgical procedures to improve
patient outcomes and save lives. With our Live Image Guidance
we are creating a better experience and providing greater insight
in the surgical theater, delivering relevant clinical value where it’s
needed most – at the point of patient treatment.

Contents
Better user experience to promote consistency and efficiency 	

4

Enjoy an enhanced C-arm experience with our tablet-like user interface, ClearGuide
positioning guidance, and intelligent workflow

Greater insight and confidence in finding and treating the problem	

6

Exceptional visualization of complex anatomy and dynamic structures supports fast
diagnosis and treatment

Lower barriers for minimally invasive interventions 	

8

Comprehensive X-ray dose management helps to further increases dose awareness
in the OR

Increased economic value	

10

Versatile imaging performance and service support enhance operational performance
and contributes to a strong return on investment

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Better user experience

	 to promote consistency and efficiency
Efficient workflow to enhance staff
satisfaction
When you are deciphering tortuous
vasculature or finding the sweet spot for
spinal surgery, establishing an efficient
workflow can enhance team member
satisfaction.

Physicians and operators experience a
whole new level of simplicity with our
tablet-like user interface on the C-arm.
Now you can just touch the screen with
a finger to drag the shutters and iris into
position on Last Image Hold. At each step
you only see the features you need, making
it easy to find the right selections.
Outstanding communication for faster
positioning
Our unique ClearGuide in combination
with color coding on the C-arm speeds
up positioning. This can make spinal
surgery and other procedures that require
frequent position changes more pleasant
for staff. ClearGuide provides a uniform
set of reference numbers for the operator
and physician to use during positioning.
In fact, when users tested ClearGuide
as they performed a simulated spinal
surgery, miscommunication about system
positioning was cut by almost half2.

Accurate repositioning – first-time-right
Returning the C-arm to the exact position to
check placement of a pedicle screw during
spinal surgery can require additional scout
images without extra positioning guidance.
With Position Memory, you can store a
previous position and recall it when needed
to speed up re-positioning. During user
tests, Position Memory increased first-timeright3 repositioning from 49% to 94%2.
Ample room to work
The optimized C-arc design provides ample
room to easily access and image normal
sized and obese patients. There is plenty
of space for the surgeon to work around
patients. It is easy to position the C-arm,
even for difficult projections. Plus, you have
room to maneuver and reposition your
instruments.
Wireless foot switch – less clutter
Our Wireless foot switch reduces clutter and
simplifies preparation.

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User study confirms advantages of ClearGuide and
Position Memory
The Veradius Unity is the product of a collaborative effort
that involved physicians and operators around the world.
The result is an intuitive system with innovations not found
on any other mobile C-arm. To quantify the benefits of the
Veradius Unity in clinical practice, we put its novel design
through a rigorous set of independent user tests.
During the tests, 45 clinicians (15 nurses, 15 X-ray technicians,
and 15 physicians) were split into two groups. The first group
of 15 X-ray technicians and nurses tested the user interface.
The second group of 15 physicians and 15 X-ray technicians
and nurses performed simulated procedures in a simulated
OR environment. Each physician was paired up with one
nurse or X-ray technician. None of them had worked with
a Philips C-arm or with each other before. While looking at
a spine phantom, they were asked to perform sequences
of positioning tasks with an accuracy of ± 1 degree. As they
worked, an independent agency that specializes in usability
testing, measured the number of images and time needed to
reach the desired position, instances of miscommunication,
frustration, etc. Each test was performed once while using
ClearGuide and Position Memory, and once without, to
determine their effect on the parameters measured.

Swipe through images, pull up a large image, and
collimate and rotate images with the touch of a
fingertip on our intuitive touchscreen.

The same reference numbers are shown on the
clinical image and on the Flat Detector so everyone
knows which direction is meant when positioning
the C-arm.

Stored
position B

Current position
of the C-arm

Position Memory stores a previous position and displays it on the monitor above the current position,
helping the user to quickly return to the desired view with accuracy.

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6

AP view Thoracic Spine Fusion to reduce Scoliosis

EVAR (EndoVascular Aneurysm Repair)

AP view of an ERCP-Endoscopic Retrograde
Cholangio Pancreatography

Coronary angiography

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Greater insight and confidence
	 in finding and treating the problem

Exceptional quality images

See more, decide with confidence

Outlining made simple

A number of features enhance image
quality for specific procedures:

Our third generation Flat Detector system
once again raises the bar in surgical imaging
performance. It provides high quality
fluoroscopy, exposure, subtraction runs, and
roadmap guidance to support orthopedic,
cardiac and vascular surgeons in performing the
most challenging procedures. From pacemaker
lead insertions to abdominal aortic aneurysm
repair, from hand surgery to vertebroplasty.
The Flat Detector delivers consistent,
undistorted edge-to-edge image quality and
superb contrast resolution to support critical
decision making. Take a high resolution digital
exposure with the SharpShot feature to check
device placement after procedures. Get sharp
cardiac images with the 30 frames per second
fluoroscopy setting.

To easily mark a bifurcation or side branches
on live fluoroscopy images, the outlining tool
allows you to draw on the touchscreen of the
Mobile Viewing Station using a stylus pen or
your finger. Simply press the undo button to
correct or erase the outlining.

•	 High level fluoroscopy and exposure
mode – produces high quality images
of virtually every patient, whatever
their anatomy or size
•	 Unique BodySmart software – allows
free positioning of anatomy, even at
the edge of the image, by providing
automatic image adjustment
•	 Automatic shutter positioning – sets
shutters at the touch of a finger for
superb image quality
•	 Automatic contrast and brightness
control – optimizes images in real
time

Enhanced imaging for metal objects
To reduce artifacts from metal objects, such
as orthopedic implants, the Metal Correction
can be applied during imaging. It adjusts the
contrast and brightness of images to enhance
image quality when metal objects are present
in the field of view. This can be useful during
spinal surgery or fracture repairs.

Veradius Unity has a number of new features
to enhance decision making during challenging
surgical procedures.

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Lower barriers

for minimally invasive
interventions

Manage dose efficiently with
relevant acquisition settings
Different types of procedures require
different imaging parameters. A
fracture repair in an ankle (static and
small) can use relatively long pulse
times and higher levels of noise
reduction while still producing high
quality images. ERCP procedures
that involve lots of moving anatomy
require short pulse times, as well as
excellent contrast resolution for the
small biliary stones and guide wires
to be visible.
The Veradius Unity provides a pre-set
list of acquisition settings grouped by
types of exams. Now it’s even easier
to select the relevant procedure and
anatomical area from the list and
the system automatically applies the
parameters to get the required image
quality with the appropriate presets.
Manual adjustments can be made
as needed.

8

Conveniently select the procedure type and anatomy and
the system will automatically deliver superb image quality
at excellent X-ray dose efficiency.

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Comprehensive X-ray dose
management
With the Veradius Unity, you benefit
from highly evolved X-ray technology
with comprehensive dose management
features. Philips was the first company
to market the mobile C-arm and has
over half a century of experience in
developing mobile C-arm systems
for the surgical environment. That
translates into a full range of radiation
management features that allow
low X-ray dose for lengthy surgical
procedures, while providing superb
quality images:
• ClearGuide and Position Memory:
during a simulated spinal surgery
the use of these features cut the
number of scout images nearly in half,
compared to not using it2
• Independent shutters – position
shutters independently to better
match anatomy in the field of view
without using radiation
• Efficient beam filters with an additional
0.1 mm of copper and 1 mm of
aluminum increase the quality of the
X-ray beam, allowing a 40%4 reduction
in skin entrance dose rate compared
to the minimum filtering required by
international standards
• Monoblock design – delivers sharp
pulses to provide excellent radiation
dose management
• Removable grid – easily removed for
small anatomy and extremity exams to
enhance dose management.
• Integrated laser – accurately position
the C-arm without applying radiation

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Increased dose awareness
All our mobile C-arms provide radiation
dose awareness features which aid
in the documentation, analysis, and
awareness of radiation dose in the OR.
These include DICOM Radiation Dose
Structured Reporting, dose indication
during the procedure, and a dose alert
when the examination dose exceeds a
preprogrammed level.
DoseAware real-time dose feedback
The DoseAware5 dose monitoring
system provides real-time feedback
that is displayed during a procedure,
so staff can immediately adjust working
habits to better manage radiation
exposure. DoseAware also provides
a time-stamped record of where and
when X-ray dose was acquired.

9

Increased
	

economic value
We are committed to
working with you to reduce
re-admissions, streamline
workflow, and increase
patient volume by opening
the door to new procedures
and techniques. By
supporting a wide range of
procedures and improving
workflow efficiency during
imaging, the Veradius Unity
can help you increase system
utilization and reduce the
total cost of ownership.

10

Full utilization of your system
You no longer need separate
systems for orthopedics, vascular,
and cardiac procedures. The
Veradius Unity is a versatile imaging
system that supports all your clinical
needs. To enhance performance
in these different applications and
to simplify use, each procedure
type is supported by a dedicated
preprogrammed exam set with
suitable imaging parameters.
Your needs, your support
As your healthcare business
changes, we are changing right
alongside you. Today’s healthcare
providers are looking for more
flexibility in the support they
receive from their imaging partners.
Our Veradius Unity is the result

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of a close collaborative process.
Our new portfolio of RightFit
Service Agreements6 have also
been designed from the ground
up based on extensive input from
healthcare providers to meet their
service challenges and business
priorities.
Philips Remote Services
Our worldwide Remote Services is
an advanced, virtual private network
that links your Philips Healthcare
equipment to our global Remote
Services Customer Care Centers.
Services that formerly required
onsite visits are now available
by connecting to our remote
experts. This includes system
error identification, diagnosis,
and troubleshooting, as well as
immediate remote repair online.

Save precious time
Time is money, especially in an OR. Many options in our system help you save
valuable surgical time. These small savings can quickly add up to shorter procedures
in the end:
• Using an intuitive streamlined user interface can prevent delays from searching for
specific functions
• During preparation, you can boot-up the system in less than 70 seconds and bring
it into the OR – ready to go. That can save start-up time per case. Start imaging
immediately after the system is up and add patient data later when it’s convenient
• ClearGuide, with its unified way of working, reduced the time needed for
positioning by more than 20% in user tests2
• Position Memory, facilitating first time right repositioning, reduced the time
needed to get back to a previous position by more than 40% in user tests2

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1	 Top 10% for ease of use is based on an average
score of 83.5 on the System Usability Scale (SUS) by
15 users in an independent study, interacting with
the C-arm software’s user interface. The SUS was
developed by J.Sauro (See “A Practical Guide to the
System Usability Scale: background, Benchmarks,
& Best Practices, “by J. Sauro, 2011, Denver, CO,
USA, Measuring Usability LLC.) Sauro’s study tested
the ease of use of 500 consumer and commercial
products and did not necessarily include mobile
surgery C-arms.
2	 Results obtained during user tests performed in
November 2013 by Use-Lab GmbH, an independent
company. The tests involved 30 USA based
clinicians (15 physicians teamed up with 15 nurses
or X-ray technicians), who performed simulated
procedures in a simulated OR environment. None of
them had worked with a Philips C-arm or with each
other before.

3 First time right repositioning was defined
as moving to a position within 1 degree of
required position in test set-up.
4	IEC 60601-2-43: 2010 specifies minimum
filtering of 3 mm aluminum. Data was obtained
from non-clinical testing using PMMA
phantoms.
5	DoseAware is not a replacement for the
thermoluminescent dosimeter (TLD) as a qualified
dose meter. DoseAware is not intended for patient
use.
6 The RightFit Service Agreements portfolio is not yet
available in all countries.

© 2016 Koninklijke Philips N.V. All rights reserved. Philips Healthcare reserves the right to make changes in specifications and/or to
discontinue any product at any timewithout notice or obligation and will not be liable for any consequences resulting from the use
of this publication.
4522 991 16671 * MAR 2016

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How to reach us
www.philips.com/veradiusunity
healthcare@philips.com



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