Commodity Description

Description : Ultra low dose 2D/3D imaging system Q'ty :1 Unit : System

A. Features :

A radically new vision for orthopedic imaging

1. Ultra low dose

2. Full body scan image
3. 3D weight-bearing

B. Specifications :

I. Ultra low dose 2D/3D imaging system

1. Key Facts
• Significant exposure dose reduction compared to Computed Radiography or Digital
Radiography
• Unique dynamic range, enabling outstanding image quality
• Biplane acquisition of the patient in weight bearing/seated position
• One contiguous long length digital X-ray image, no stitching
• Total exam cycle below 4 minutes even for complex spine or full body exam

2D imaging
• Images are obtained by vertical scanning
• Patient is in a standing or seated position
• The scan length is defined by the user and may cover the whole body or a specific
area (spine, lower limbs, etc).
• Acquisition is 5 to 10 seconds for a spine, less than 25 seconds for a whole body.
• Two simultaneous frontal and lateral acquisitions in a single scan.
Single plane acquisitions are also possible.
• Internal system calibration ensures maximum image contrast at all kVs.
• The user may chose during acquisition set-up, the type of contrast enhancement
(smooth, standard, hard) and apply a special processing if there is a prostheses present.
The types of processing and contrast enhancement by default are defined during the
applications training.
Tube (Quantity: 2)
• Model: DU 2506
• Nominal voltage: 140 kV(max)
• Nominal Anode Input Power: ▣28kW @ 1.0 sec ■42kW @ 1.0 sec
• Anode Speed: 3000 rpm
• Focal Spots (Nominal per IEC 60336): ▣0.4 x 0.7 @ 120kV-50mA ■0.6 x 1.3 @ 120kV-100mA
• Anode Heat Storage Capacity: 1.8 MJ (2.5 MHU)
• Maximum Anode Heat Dissipation Rate: 4.1 kW
• Anode Material: TZM, W, Re, Graphite
• Anode Disk Diameter: 165.1 mm (6.5 in)
• Anode Angle: 7.0°
• Stand-by Filament Current: 2.2A
• X-ray Tube Window Material: Glass
• Minimum Inherent Filtration (AI Equivalent): 1.0 mm AI
• Applicable Standards: IEC 60522, IEC 60613, IEC 60336, EN 60601-1-3, IEC 60878

Detectors (Quantity: 2)
• Detector: linear, unique AGD technology (Adjustable Gain Detector)
• Automatic calibration
• Number of pixels/line: 1764/line, Pixel size: 254 μm
• Digitization depth: 16 bits usable dynamic range; 30 000 grey levels
• Sensitive area width: 448 mm
• Interaction thickness: 100 mm
• Conversion gap: 1.6 mm
• Entrance window: 500 μm Aluminum
• Gas operating pressure: 6 bars

Planar imaging
• Up to 44.8 cm x up to 175 cm
• Image size: from 2 MB to 70 MB according to the acquisition surface area

Acquisition software
• Patient information management compatible with DICOM 3.0 standard (Modality
Worklist SCU)
• Selection of area of interest (height and width) and acquisition mode (biplane, frontal
or lateral)
• Morphotype Selection (patient size) :
» Small Morphotype : The combination of small focus and copper filter for the child
morphotype enables the reduction of the radiation dose as well as the improvement
of the image quality.
» Medium and Large morphotypes use the combination of large focus and aluminium filter.
• Adjustment of kV, mA and acquisition speed (auto/manual)
• Display of radiation exposure dose (mGy.cm²)
• Image display and processing tools (windowing, zoom, measurements, secondary captures)
• Contrast enhancement (smooth, standard, hard) and special processing if there is a
prostheses present, available at acquisition or during post-processing. The types of
default processing and contrast enhancement are set-up during applications training.
• Image print SCU and print true size
• Archive on DICOM 3.0 PACS (Verification service and Image Storage SCU & SCP, Query SCU)
• Option: Retrieve service SCU

Platform with footstep

• Removable platform including a fixation support, a platform and a footstep.
• Platform height: 30 cm

Patient stabilization accessories

• Stabilization bar: enables the stabilization of the patient for acquisitions of the lower
limbs in AP.
• Posture stabilization device: enables the stabilization of the patient using a pressure pad
applied to the head for AP and PA examinations of the spine and the full body.

Image Quality Verification Accessories

Tools for quality assurance procedure supplied by EOS imaging to verify image quality
and dose levels.

Optional accessory

Laser positionning system

A laser positioning system is available as an option on customer request in order to
expedite the definition of top and bottom limits of the scanning area by using two
independent laser lines projected on a patient’s skin. This option comes in addition to
the external metric scale and preview scan setting tools offered in the EOS system for the
definition of the scanning area.

QC phantom

EOS Radiolucent Chair

Installation

Equipment
• External dimensions: 2 m (w) x 2 m (l) x 2.7 m (h)
• 6.6 ft (w) x 6.6 ft (l) x 8.9 ft (h)
• Internal dimensions: 76 cm x 76 cm x 254 cm
• 29.9 in x 29.9 in x 100 in
• Patient entrance width: 46 cm; 18,11 in
• Total scanning height: 175 cm; 68.9 in
• Scanning speed: 30.5 cm/s; 15.2 cm/s; 10.2 cm/s; 7.6cm/s; 6.1 cm/s; 5.1 cm/s; 4,4 cm/s;
3.8 cm/s
• Generator, PDU and acquisition station as shown in the typical room layout
• Microphone and loud speaker to communicate with the patient in the cabin
• Stabilization accessories to stabilize patient during acquisition
• Laser pole option: installation is dependent on there being adequate space in the room.

X-ray room
• Typical room dimensions: 4 m (w) x 5.4 m (l) x 2.75 m(h)
• (2.75m is a minimum) 13.1 ft (w) x 17.7 ft (l) x 9.0 ft (h)
• Floor static resistance: 1450 kg (3197 lbs) on equipment surface i.e. 480 kg/m² (98 lb/sq ft)
• Floor dynamic resistance: 1650 kg (3638 lbs) i.e. 550kg/m² (113 lb/sq ft)
• Delivery path: Rolling weight > 1100 kg (2425 lbs), free length > 250 cm (98.5 in),
free width > 140 cm (55 in), free height > 204 cm (80.5 in), Slope < 3%
• Electrical power requirements: 140 kVA, three-phase + neutral + ground (480V/60Hz/175A
– 400V/50Hz/200A for exposure up to 25 s)
• Mounting/dismounting: standard

II. sterEOS - 2D/3D Workstation (Option)

Key facts
The first weight-bearing 3D modeling solution that automatically calculates over 100
clinically relevant parameters.

Workstation
• PC Windows XP SP3 and Windows 7
• Dedicated graphics board
• Medical LCD monitor 21 inch colour / 2 million pixels (1600x1200)
• Microsoft Word and Excel

• specification for EOS acquisition computer

» Reader/Writer CD 16X DVD +/-RW
» Processor Reference: Processor CORE 2 DUO E8400 3 GHz FSB 1333, cache 6 Mo
» RAM size: DDR2 2 Go , 800 MHz
» Hard Drive: 3"1/2, SATA 500 Go, 16Mo de cache
 » Graphic adapter desc: QUADRO-NVIDIA 410 : Quadro 410 - 512 Mo GDDR3 - PCI Express 3.0 x16

• specification for sterEOS workstation computer

» PC DELL PRECISION T1700
» System Model : Precision T1700
» System Type : 64 bits (x64)
» Processor Reference : Intel Core i3
» Installed Physical Memory RAM Size : 4 GB
» Graphic Adapter Description : NVS 310
» Graphic Adapter RAM Size : 510 MB
» Graphic Adapter Driver Version : 9.18.13.2009
» Hard Drive Letter : C:
» Hard Drive Size : > 250 GB

Communications Interface
• Transfer of images to the PACS in DICOM format
• Sending images to DICOM printers(Print true size available)
• Generation of a patient report in DICOM and RTF (Rich text format)
including selected EOS X-Ray images, 3D images, clinical data and users comments.

sterEOS 2D
sterEOS 2D provides specialized tools dedicated to the post-processing
of paired images taken with EOS, such as the « Epipolar Line », which
allows the User to see the corresponding level on both the frontal and
the lateral images. sterEOS 2D provides state of the art features for the
management of DICOM images acquired from EOS or other modalities**.

sterEOS 3D
Without any additional radiation, sterEOS 3D enables three-dimensional
clinical measurements and modeling of the spine, the lower limbs
(femur and tibia) and hip prothesis (cup and stem post operatively).
Using 3D modeling, sterEOS automated calculation of diverse clinical
parameters allows global postural assessment.

3D Modeling
• 3D Lower Limb Alignment:
The fast 3D lower limb alignment process provides reliable leglength and postural angles,
independent of the leg orientation orpatient position in the EOS system.
• 3D Lower Limb Modeling:
It is possible to complete the lower limb alignment process toobtain a 3D lower limb
modeling . The visualization of the 3D modelcan be made from any point of view
(top & bottom views, frontal& lateral views). 3D lower limb modeling allows the calculation
of further clinical parameters, including femoral and tibial torsions.
• 3D orientation of the acetabular cup andfemoral stem:
sterEOS 3D provides the clinician with 3D tools allowing postoperative assessment
of acetabular cup orientation and femoral stem position and orientation.
• 3D Spine Modeling
The 3D spine modeling process may aid in the analysis of scoliosis and related spinal
disorders and deformities. Modeling may be carried out from T1 to L5 and allows for
the selection of the apex and junctional vertebrae of the scoliosis and an automatic
calculation of clinical parameters. sterEOS allows the user different viewing angles of
the global spine (including “birds-eye view” or view from above).
- Fast 3D modeling
sterEOS 3D provides a fast workflow of spine modeling. It optimizes the processing
time by modeling only the vertebrae related to the calculation of the clinical
parameters. Fast spine modeling may be carried out from T1 to L5 and allows:
• The identification of the apical and junctional vertebrae of the scoliosis as well as
the automatic calculation of the scoliosis parameters: Cobb angles (3 max) and
axial rotations of the apical vertebrae,
• The automatic calculation of the sagittal clinical parameters:
Kyphosis T1-T12 and T4-T12, Lordosis L1-L5 and L1-S1.
- Full 3D modeling):
sterEOS 3D spine modeling allows the 3D detailed modeling of all thoracic and
lumbar vertebrae. In addition to the clinical parameters computed from the fast
3D modeling of the spine, the system gives access to the calculation of all vertebrae
orientations and inter-vertebral rotations (frontal, lateral, axial) of the spine 3D model.
• 3D Tool Box:
Due to the perfect relationship between the two orthogonal images acquired
simultaneously with EOS, the 3D toolbox enables the clinician to obtain, in a few clicks,
real three-dimensional measurements**, eliminating typical errors linked to X-ray projection.

C. Consist of :
1. EOS Acquisition System ­1­
1) X-ray Gantry complete with 2 tubes and 2 detectors
2) Intercom
3) Patient stabilisation tools (Spine/ Lower Limb)
4) Acquisition Workstation
5) EOS Acquisition software
6) EOS Radiolucent Chair 1set
7) QC phantom

2. SterEOS 2D/3D workstation ­1­

1) Workstation (PC + 1 monitor 21")
2) Software sterEOS viewer
3) Software sterEOS 3D modeling Basic
 4) ster EOS 3D

3. Laser pole for automatic vertical collimation adjustment ­1­

4. Operation service Manual ­1­

D. Remarks:
1. Warranty: 2 years.
ress 3.0 x16