Artis Pheno
Artis Pheno
As individual
as your patients
Cutting-edge robotic imaging to
drive minimally invasive procedures
siemens.com/artis-pheno
ARTIS pheno | Preface
The landscape of
healthcare is changing
Healthcare providers are facing economic restraints, better-informed patients, and medical and technological
advancements. These developments present not only great opportunities, they also make it crucial to keep pace.
A way to stay ahead lies in minimally invasive procedures.
Why? Projections show that it is a market which is continually growing and increasing in value.
Growth
(in %)
l ly
n ua
an
%
0.5
+1
2012 2019
2013 2014 2015 2016 2017 2018 2019
Expected A 2014 study1) by Transparency Market Reasearch Projected The same study estimates the global market for
growth (TMR) projects an annual growth rate of 10.5% for
the global market of minimally invasive procedures.
value minimally invasive procedures to double in value
between 2012 and 2019.
Minimally Invasive Surgery Market (Surgical Devices, Monitoring & Visualization Devices, and Endoscopy Devices) –
1)
02 Global Industry Analysis, Size, Share, Growth, Trends and Forecast, 2013 through 2019.
Preface | ARTIS pheno
These developments are due to the growing geriatric population, new technology,
and reimbursement opportunities, all driving higher per capita expenditures. An aging population
According to the WHO, the number of
2015 people older than 60 years will surpass
the number of children younger than
2012 five years by 2020. The aging population
So why aren’t all providers performing minimally invasive procedures all the time? Obesity and comorbidities
There are some factors that complicate minimally invasive approaches: Obese patients confront imaging systems
with a variety of challenges – in terms of
patient positioning, permitted table load,
39% BMI > 25 or required energy level to penetrate the
(overweight) patient.
A different set of challenges comes with
patients with comorbidities. In kidney-
impaired patients, for example, lowest
1980 2014 iodinated contrast usage is key. Patients
with vascular disease, on the other hand,
may require long procedures involving
more contrast and dose. Contrast and
13% BMI ≥ 30 dose therefore remain hot topics that
There are more obese (obese) Contrast medium usage must be addressed by modern imaging
people than ever before4) and dose remain hot topics systems.
2)
“Fact sheet no. 404: Ageing and health,” September 2015, World Health Organization.
3)
The World Bank: http://data.worldbank.org/indicator/SH.XPD.PCAP.
4)
“Fact sheet: Obesity and overweight,” June 2016, World Health Organization. 03
ARTIS pheno | Introduction
Cutting-edge
robotic imaging
to drive minimally
invasive procedures
04
Introduction | ARTIS pheno
ARTIS pheno
As individual as your patients
with a versatile and intelligent system that adapts to the reality of all Technical specifications . . . . . . . . . . . . . . . . . 30
your patients. About us . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
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ARTIS pheno | No matter which patient
1)
“Fact sheet: Obesity and overweight,” June 2016, World Health Organization.
06 2)
“Fact sheet no. 404: Ageing and health,” September 2015, World Health Organization.
No matter which patient | ARTIS pheno
ARTIS pheno
No matter which patient
Imaging of patients
requiring large
instruments and
devices is no issue
ARTIS pheno® allows you to optimally treat any patient in your
interventional suite or hybrid operating room – virtually regardless of
patient size, condition, or positioning needs. Optimize intraprocedural
quality control and confidently handle each individual patient –
thanks to a wide-space C-arm, a flexible isocenter, the short syngo
DynaCT scan times, and a permitted patient load of 280 kg (617 lbs)
on the multi-tilt table.
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ARTIS pheno | No matter which patient
High Performance,
High Quality
The zen40HDR detector
offers unmatched
technology for patients
with comorbidity.
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No matter which patient | ARTIS pheno
With ARTIS pheno®, you are prepared for the needs of any patient.
Fast scans, optimized visibility, and positioning flexibility all await you.
Scan time
68% faster
CO2
(sec.) scan time
15%faster I Ta
imaging
scan time
20 Pt Ba
10
Fe
Structure Gas
Scout
0
Head Body Tilt up to +15°/-20° and cradle up to +/-15°
Reduced contrast media usage by faster scan times Optimized visibility at lowest dose Optimal patient positioning for any procedure
Fast 3D imaging lowers the risk involved in treating The new StructureScout adapts imaging parameters With ARTIS pheno, you can also ensure optimal patient
patients with impaired kidney function. With syngo to the versatile visualization challenges throughout positioning regardless of the procedure. For safe CO2
DynaCT, scanning soft tissue takes less than five your procedural workflow. It offers structure-sensitive imaging, patients’ feet can be elevated simply by tilting
seconds for body acquisitions. Large volume acquisi- algorithms that permit an even greater reduction the table. ARTIS pheno automatically follows the tilted
tions with syngo DynaCT 360 require six seconds for of radiation dose while maintaining optimal image table during peripheral runoffs. Intelligent image-pro-
body acquisitions. Sensitive patients benefit from a quality for visualizing various important materials. cessing algorithms ensure exceptionally smooth vessel
reduction of required contrast agent. Shorter scan StructureScout optimizes the visibility of materials, visualization despite unequal gas distribution in vessels.
times also mean fewer motion artefacts, and patients gases, devices, vessels, and background structures ARTIS pheno makes treatment of patients with contrast
do not have to hold their breath for too long. independent of procedure or material type. allergies and impaired renal function easy.
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ARTIS pheno | No matter which patient
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No matter which patient | ARTIS pheno
Adopt to the size, weight, and angulation needs of any patient. ARTIS pheno®
transforms complex space and positioning requirements into almost effortless tasks.
280 kg
(617 lbs)
95.5 cm
(37.5”)
open space
Maximum patient weight: 280 kg (617 lbs) Position the tabletop with virtually no force More space and positioning flexibility
The multi-tilt table accommodates a maximum The multi-tilt table comes with the easy-float tabletop ARTIS pheno lets you get close without feeling
patient weight of 280 kg (617 lbs). An additional 100 kg that permits hassle-free positioning of the patient. cramped. The wide-space C-arm’s unmatched
(220 lbs) for accessories plus 60 kg (132 lbs) for CPR It is power-assisted, so virtually zero force is required focal-spot-to-detector distance (SID) of 130 cm (51.2”)
may be added. This allows you to accommodate even to achieve the desired table position – regardless gives the patient and team a usable clearance of
the heaviest patients. of desired table angulations and patient weight. 95.5 cm (37.5”). You are looking at far more freedom
Positioning remains easy even the table is tilted. during preparation and superior access to all
working positions during the procedure – even with
the heaviest of patients.
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ARTIS pheno | No matter which patient
All in view
ARTIS pheno enables
intraprocedural 3D
imaging of large volumes
of the body.
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No matter which patient | ARTIS pheno
No matter how complex the setup may be, ARTIS pheno® optimally supports treatment
of any patient by giving you the space and flexibility you need to work with confidence.
Trumpf
Maquet
Sufficient room to navigate complex imaging setups Flexible isocenter for unmatched positioning flexibility Full support for third-party surgical tables
The wide space C-arm of ARTIS pheno lets you rotate ARTIS pheno’s flexible isocenter offers a new way for For surgical procedures, a variety of patient positions
around complex setups with ease, even with accessories handling procedural challenges. Position the patient in and tabletops are needed to make accurate treatment
such as armboards in place. With a usable clearance of whatever way is necessary and adjust the working and comfortable working access for staff possible.
95.5 cm (37.5”), you can realize steeper angulations and height for your comfort. 2D and 3D imaging are possible ARTIS pheno is fully compatible with surgical tables
extreme views while still yielding more patient coverage in virtually any patient position you choose. from market leaders Trumpf and Maquet that serve
than ever before. Typical procedures become easier, these specific needs.
and the scope of the treatments you can offer naturally
increases.
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ARTIS pheno | No matter which procedure
Advances in minimally invasive treatments are helping patients with challenging condi-
tions live better lives. Due to growing clinical excellence, along with advances in device
and imaging technology, more and more minimally invasive procedures are possible.
This puts less physical stress on the patient, reduces procedural side effects, and lowers
healthcare costs on a global scale.
Robotics and cutting-edge software solutions make it easier for medical institutions to
add the latest procedures to their treatment portfolio. Image guidance for minimally
invasive procedures makes complex treatment safer and more efficient and ensures
optimal clinical outcomes. The potential benefits for patients include less dose and
Ready for
contrast, potentially less readmissions, and improved quality of life.
transarterial
chemoembolization
First ARTIS pheno user states:
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No matter which procedure | ARTIS pheno
ARTIS pheno
No matter which procedure
Ready for
spinal fusion
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Ready for
fenestrated EVAR
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No matter which procedure | ARTIS pheno
Step up your treatment workflow for fenestrated EVAR with EVAR Guidance Engine,
the first assisted workflow for endovascular repair. With support before, during, and
after the procedure, you can save your brainpower for stent deployment.
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Ready for
spinal fusion
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No matter which procedure | ARTIS pheno
Step up your treatment workflow for spinal fusion to achieve faster procedures with
less displacement. With automated support during the procedure, ARTIS pheno® helps
significantly improve the accuracy of pedicle screw placement*.
Diameter: 32 cm (12.6”)
23.5 cm (9.3”)
Height: 23.5 cm (9.3”)
17.5 cm (6.9”)
See up to 10 vertebrae in 3D Always on the right path during spine surgery Support for segmented tables
ARTIS pheno lets you visualize up to ten vertebrae at Plan your screw paths for spinal fusion with syngo Segmented tables accommodate the particularly
the same time. By seamlessly combining two 220-degree Needle Guidance and let the laser cross guide your hand challenging positioning requirements you may encounter
rotations into one volume, syngo DynaCT Large Volume to the desired entry point at the angle you envisioned. during spinal fusion. For these cases, ARTIS pheno
is able to scan a cylinder of 32 cm (diameter) and 23.5 cm The path is shown as a superimposition on the live provides full integration of surgical tables from Trumpf
(height) in portrait mode. This way, you can feel confi- fluoro image regardless of the perspective you choose. and Maquet, allowing you to optimally perform any
dent that you know precisely where you are without procedure.
The C-arm automatically aligns with the screw path –
having to sacrifice the general overview.
no need to manually drive the table. Intra-operative
3D control scans make post-operative CT obsolete.
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Ready for trans-
arterial chemo-
embolization
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No matter which procedure | ARTIS pheno
ARTIS pheno® enables you to step up your treatment workflow for complex transarterial chemoembolization.
Assessment of full vessel anatomy, automatic feeder detection, and individualized patient selection using
imaging biomarkers make truly personalized medicine possible.
Post-embolization
Pre-embolization
Assessment of full vessel anatomy One-click automatic feeder detection Evaluation of tumor blood volume
Only ARTIS pheno provides coverage of the entire The simplified navigation path planning of syngo Emboli- ARTIS pheno offers personalized treatment during
abdomen to enhance interventional oncology proce- zation Guidance fosters safe and complete tumor every step of interventional therapy. You can assess
dures. With a full 360° rotation in only six seconds, embolization. With our new embolization planning soft- blood volume levels in the tumor before and after
syngo DynaCT 360 offers a large field of view of 32 cm x ware you are always just a click away from detecting embolization using syngo DynaPBV Body. This allows
23.5 cm (12.6” x 9.3”) that lets you visualize the entire tumor feeders – even right from tableside. Automatic for better candidate selection for TACE treatment
tumor anatomy and all feeding vessels. You get com- detection of the catheter tip and tumor feeding arteries because you can anticipate treatment response ahead
plete liver coverage with excellent image quality and is possible in case of single and multiple lesions. of time. It also helps you confirm the optimal emboli-
great patient comfort – as fast and easy as conventional zation endpoint to ensure complete treatment and
You can select treatment positions with confidence and
cone-beam CT. reduce the risk of tumor recurrence.
perform faster microcatheter navigation with less dose
and contrast.
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ARTIS pheno | Because infection control matters
1)
everick J. Anderson et al., “Strategies to Prevent Surgical Site Infections in Acute Care
D
22 Hospitals: 2014 Update,” Infection Control and Hospital Epidemiology 35, no. 6(2014): 605–27.
Because infection control matters | ARTIS pheno
ARTIS pheno
Because infection control
matters
Maintain the
highest infection
control standards
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ARTIS pheno | Because infection control matters
Prepared in no time
Covering ARTIS pheno
with sterile drapes is
quick and easy.
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Because infection control matters | ARTIS pheno
Free
ceiling
Smooth and anti-microbial surfaces Sealed tableside Pilot Module Internal cable guidance
ARTIS pheno provides passive infection control that The Pilot Module offers intuitive and comfortable The internal cable guidance improves sterility in the
supports regular cleaning and disinfection efforts. operation of the entire system. The illuminated operating room. The cleaning team can simply wipe
Seamless sealed covers with evenly smooth surfaces controls and touch display are easy to use – even down the smooth surfaces – no cumbersome cleaning of
protect against spills and facilitate easy cleaning. when covered with sterile drapes. The placement of inaccessible components and wheels. The floor mount
Clean conditions are improvedthanks to significant the module allows for a comfortable posture as you simplifies construction requirements and keeps moving
antimicrobial effects on non-sporulating micro- work. Touch2Move technology prevents unintentional parts in the room to a minimum. With no ceiling-mounted
organism. system motion. rails, you can maintain a sterile airfield above the
patient at all times.
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ARTIS pheno | Because infection control matters
Comprehensive
cleaning concept
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Because infection control matters | ARTIS pheno
ARTIS pheno® optimally prepares you for infection control. We worked closely with
ECOLAB to develop the CleanGuide, a comprehensive cleaning concept for ARTIS pheno
that includes cleaning agent recommendations as well as guidance for optimal
cleaning procedures.
Cleaning agent recommendations Guidance for optimal cleaning procedures Improve infection control
ARTIS pheno supports clean working environments Routine cleaning prevents infections – but it needs ARTIS pheno means comprehensive infection
every step along the way. CleanGuide contains recom- to be done right. ECOLAB and Siemens developed control in your hospital. Adherence to the CleanGuide
mendations for detergents and processing that allow CleanGuide for optimized routine cleaning and disinfec- cleaning concept yields validated results and
you to achieve optimally clean conditions. tion. This comprehensive process suggests cleaning improved infection control.
methods and techniques that ensure validated results.
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ARTIS pheno Additional products and services
Additional
products & services
ARTIS pheno® provides integration Navigation – Brainlab Curve system Ultrasound – ACUSON Freestyle
support for additional products. The Brainlab CURVE surgical navigation system The ACUSON Freestyle™ ultrasound system sets the
improves navigation during procedures where highest pace for modern healthcare. Its advanced technologies,
precision is needed. Used together with ARTIS pheno, it including the industry’s first wireless ultrasound
offers real-time guidance for intraoperative navigation. transducers, are designed to streamline operation and
Automatic registration of the navigation system to sterile field management. Value-based innovations for
the syngo DynaCT 3D dataset is quick and easy. The improving visualization and cable-free scanning are
combination of ARTIS pheno and the Brainlab Curve built to deliver new levels of ease and efficiency at your
system leads to better decision making and improved point of care.
patient safety.
Deliver the quality and safety your patients deserve
with value-based technologies designed to reduce
complications and improve infection control.
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Additional products and services | ARTIS pheno
Siemens Healthineers will help you maximize the benefits of hybrid OR technology.
Our planning and monitoring services are always tailored to your needs.
Contact your local Sales notes all requests Planning department Detailed discussions
sales representative and forwards them to delivers first proposal to refine planning
planning department
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ARTIS pheno | Technical specifications
Technical specifications
Key data
Installation • F loor-mounted to keep the ceiling free Display • 55” Large Display with 8 M-Pixel resolution and eight external sources
C-arm •R
obotic C-arm with 6 axes for positioning of the C-arm, SID lift, 3D acquisition • Integrated Workstation functionality with workflow integration
and Detector + Collimator rotation and processing
• Rotation speed up to 90°/s for 3D and syngo DynaCT acquisitions
Display • Siemens fixed-point or rail mount display suspension
• Wide space C-arm with 130 cm (51”) SID and 95.5 cm (37.5”) usable
suspension • Alternative mount on customer-supplied display suspension
clearance for easy patient access and C-arm positioning
Detector • 30x40 detector with zen-Technology Tables • Siemens multi-tilt table with easy-float tabletop for positioning
• 1,000 micrometer scintillator thickness for high quantum efficiency of patients weighing up to 280 kg (617 lbs) in virtually any tilt and
cradle – all movements with motor-driven support
• 92 fps readout for 3D and syngo DynaCT acquisitions
• Trumpf TruSystem 7500 surgical table*
for short scan times
• Maquet Magnus surgical table*
X-ray tube • High-performance X-ray tube with flat emitter technology
and CLEARpulse
CleanGuide • Guidelines to process system cleaning and sterilization
• Providing 90 kW of power at 125 kV
• Flat emitter technology at all focal spot sizes (0.3, 0.4, 0.9) CleanSurface • Anti-microbial coating on C-arm and housing to reduce
harboring of bacteria
Operating • Digital pulsed fluoroscopy, with 0.5, 1, 2, 2.5, 4, 5, 7.5, 10, 15, 30 p/s
modes • Acquisition at frame rates from 0.5 fps to 7.5 fps (up to 30 fps optional)
• Live 2k imaging at full detector resolution with up to 15 fps during
fluoroscopy and acquisition
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About us | ARTIS pheno
*Siemens AG, “Sustainable healthcare strategy ‐ Indicators in fiscal 2014”, page 3–4
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On account of certain regional limitations of sales rights and Siemens reserves the right to modify the design, packaging,
service availability, we cannot guarantee that all products specifications, and options described herein without prior notice.
included in this brochure are available through the Siemens sales Please contact your local Siemens sales representative for the
organization worldwide. Availability and packaging may vary by most current information.
country and are subject to change without prior notice. Some/all
Note: Any technical data contained in this document may vary
of the features and products described herein may not be available
within defined tolerances. Original images always lose a certain
in the United States.
amount of detail when reproduced.
The information in this document contains general technical
Not all features shown in this brochure are necessarily standard
descriptions of specifications and options as well as standard
and available in all countries. Brainlab, Trumpf, and Maquet
and optional features which do not always have to be present
products are not sold by Siemens. They have to be ordered,
in individual cases.
installed, and serviced by way of separate contracts with the
The statements by Siemens’ customers described herein are based vendor in question.
on results that were achieved in the customer’s unique setting.
For accessories, go to:
Since there is no “typical” hospital and many variables exist
siemens.com/medical-accessories
(e.g., hospital size, case mix, level of IT adoption), there can be
no guarantee that other customers will achieve the same results.
Published by Siemens Healthcare GmbH · Order No. A91AX-21671-39-C3-7600 · Printed in Germany · 5738 07181. · © Siemens Healthcare GmbH, 2018