It’s all about you - Amazon Web Services...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

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 stand7 X-ray generation

7 Everything you want to do8 X-ray collimation8 Imaging System8 X-ray modes8 Image processing8 Extended image post-processing9 Vascular imaging functionality9 Vascular image 10 Mobile View Station with unique

intelligent viewing concept10 System controls10 User Interface on C-arm Stand11 User Interface on Mobile View Station11 Safer treatment environment

DoseWise story 12 Handheld Remote Control12 Customer support13 Laser alignment tool13 Laser Aiming Device13 Medical DVD Recorder13 Video paper/transparency printer13 Video paper printer13 ViewForum Surgical Workstation13 Fully integrated DICOM solution13 Color LCD Monitors13 Touchscreen13 LCD height adjustment

13 Handy extras

14 Making work easier14 C-arm spring bow for sterilizable covers14 Sterilizable covers14 Cassette holder

15 TechnicalSpecifications20 Philips Healthcare is part of

Royal Philips Electronics


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 deflectors

Handswitch


C-arm stand

Collimator

X-ray tank unit

Fixed anode with efficient cooling

Ultra compact foot for optimal maneuverability

Fully counter-balanced C-arm

Extended rotation

Integrated laser alignment tool

Ergonomic C-arc handles

Compact Image

Intensifier

1Kx1K CCD/TV camera


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:

•Orthopedicsurgery(fractures,fixation)

•Abdominalsurgery(cholangiography,urologicalexams)

•Neurosurgicalprocedures(painmanagement,

vertebroplasty)

•Thoracicsurgery

•Vascularprocedures(peripheral/abdominal/cerebral,

interventions)

Whatever your situation, the BV Endura shows

everything you need to see in surgery.

It’s all about you


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

•Ultracompactfootincludingpushbarandhandlesfor

easy maneuverability and positioning of the stand

•Compact,counterbalancedC-armprovidesall

required projections

•Extendedrotation:C-armrotatesafull135º

•C-armhasaverylowlateralposition

•Rearwheelsteeringconcept

•Dedicatedparallelmovementwithergonomically

designed handgrips for easy positioning alongside

operating table

•SourcetoImageDistance(SID)is100cm

•Streamlineduserinterfaceforeasycontrol

during procedures

•Cabledeflectorsbrushasideanyfloorcables

•Systemincludesfootswitch,handswitch,

radiation indicator

•Remotecontrol

•Laseralignmenttool

•ErgonomicallydesignedC-archandlesguarantee

easy C-arc positioning

X-ray generation

•FixedanodeX-raytubewithexcellentcoolingrate

for the most demanding interventional procedures

•Becauseoftheintegratedpre-filter,thecompact

converter X-ray generator ensures a homogeneous

X-ray spectrum with the lowest possible skin radiation

•BodySmartwillfindtheregionofinterest,define

the optimal measuring field and follow the region of

interest,ensuringoptimalkV/mAsettingsandresulting

in the best possible image quality

•AnatomicallyProgrammedFluoroscopy(APF)sets

fluoroscopy parameters automatically, providing

consistent image quality for every examination type

•AutomaticHighPenetrationforoptimalimagequality

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


X-ray collimation

•Fullleadshutterscanberotatedandmovedtogether

or independently to provide real protection against

direct radiation and thus reduce scatter radiation

•Anadditionalbeamfilter(of0.1mmCu)reduces

patientandclinicalstaffskindoseby40%over

conventional filters

•ShuttersandIriscanbesetonLastImageHold

•TheIriscollimatorlimitstheX-raybeamtotheactual

field of the image intensifier

•AutomaticShutterPositioningforfunctionalitythatwill

automatically position the shutters according to the

region of interest with one touch of a button

Imaging System

•Choiceoftwotriple-mode,imageintensifier

configurations:

-23/17/14cm(9/7/5”)

-31/23/17cm(12/9/7”)

•CompactCCD/TVcamera

•CarbonfiberX-raygrid

•Digitalrotationandmirroringup/downandleft/right

•1K2 imaging throughout whole imaging chain

X-ray modes

•LowDoseFluoroscopywithLastImageHold

•HighDefinitionFluoroscopywithLastImageHold

•Pulsedfluoromodes(1/2doseand1/4dosemodes)

reducedosewith50%or75%

•Radiographicmodeforcassetteexposures

•Imagegrab

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:

•Dedicated12-bitimagepipelineprocessor

•Patientdatabaseincluding16imagesRAMmemory

•Adaptivetemporalrecursivefilteringfornoise

integration

•Vignettecorrection

•Dynamicmovementdetectiontoreducemotion

blurring

•Real-time2Dedgeenhancement,contrast,

and brightness control

•Automaticcontrastandbrightness(onthe

Mobile View Station)

•Annotation

•Videoinvert

Extended image post-processing

•Zoomandroam:200%real-timemagnificationon

any section of an image

•Measurementfunctionforpreciselyquantifying

lengths and angles in an image

•Electronicshutterstoblockoutover-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.


Vascular imaging functionality

•Subtractedfluoroscopymodedisplaysimages

in subtracted mode

•Trace-subtractshowsmaximumopacification

ofvasculatureusingCO2 or iodine contrast

•ViewTracecreatingatraceimage,postprocessed

•Roadmapimagessupportcatheterguidance

•Remaskletsyoureselectthebestimageinyourrun

as a mask image for contrast runs

•Landmarkinghighlightsbackgroundanatomy

for reference

•Real-timepixelshiftcompensatesformovement

artifacts

•SmartMaskreducesdoseandcontrastmediumusage

by re-using previously acquired mask images for

roadmapping

•Subtractionon/offsimplifiestheorientationfor

subtracted images or during roadmap procedures

(Remotecontrol,MVS)

Vascular image

The Vascular Package, which includes subtraction,

can easily be combined with Extended Processing

functionssuchasZoomandMeasure.

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

MobileViewStationisintheOR,patientdemographics

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,

yousimplyturnthemonitors180degreesandyoucan

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

TwodifferenttypesofLCDmonitorscanbeprovided:

•18”standardcolorLCDmonitorsprovidingoptimal

image quality

•18”highbrightnesscolorLCDmonitorsproviding

superb image quality

•Optionallyaheightadjustmentforthemonitors

is available

HeightoftheLCDmonitorscanbeincreased/decreased

with25cm(10”).Thissteplessheightadjustmentcan

be done manually and will bring ergonomic operation,

easy transportation and easy storage.

•Designedtoaccommodatepaper/transparency

printe.MedicalDVDRecorder,ViewForum

Surgical Workstation and a fully integrated

DICOMconnectivitysolution

•Ontopofthestandard500images,thefollowing

memory extensions are available:

-5,000imagesonharddisk(8frames/second)

-10,000imagesonharddisk(25frames/second)

System controls

A variety of intuitive system controls provide the utmost

flexibility in controlling procedures.

User Interface on C-arm Stand

•Streamlineduserinterfaceforeasycontrolduring

procedures. Includes pre-set Anatomically Programmed

Fluoroscopyparameters(APF)

•Workfloworientedflatpanelshowsfunctional

separation of keys and can be easily cleaned

•Choiceoflanguageisincorporatedintothesystem

(English/French/Spanish/Swedish/German)



User Interface on Mobile View Station

•Vequioncompetentuserinterfaceconsistingofon-screen

display and alphanumeric keyboard with touchpad

•Touchscreenoptionfortheleftmonitor.Easyaccessto

the different menus, performing patient administation

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

yourfinger.TouchscreeniscompatiblewiththeHigh

BrightnessandStandardcolorLCDmonitors

•Multi-patientdatabaseprovidesfastaccesstoclinical

images and patient data

•Imagehandlingcanbecontrolledviaremotecontrol,

C-arm stand, or Mobile Viewing Station

•Choiceoflanguageisincorporatedintothesystem.

(English/French/Spanish/Swedish/German)

•DICOMfunctionalitycanbeoperatedatthe

Mobile View Station

Safer treatment environment DoseWise story

•Uniquebeamfiltersreducepatientskindoseby40%

over conventional filters

•Pulsedfluoromodes(1/2doseand1/4dosemodes)

reducedosewith50%or75%

•Independentlymovableleadshuttersprovidebetter

radiation protection than semi-transparent shutters

•SmartMasksavesdoseandcontrastmediumbyletting

you re-use previously acquired subtracted and non-

subtracted images as masks for roadmapping

•Thesystemletsyouadjustthecollimator,shutters,

andimageorientationduringLastImageHoldwithout

applying radiation

•AutomaticShutterPositioningwillpositionthe

shutters according to the region of interest, with one

touch of a button


Handheld Remote Control

The remote control unit is a handheld infrared keypad

used to control the main image handling functions.

Forsterileoperation,itcanbeusedinatransparent

sterile plastic cover. The functions include:

•Runloop

•Overviewrun/exam

•Retrievepreviousimage/run

•Retrievenextimage/run

•Parkimageonreferencemonitor

•Protectimage/releaseimage

•SmartMask

•Fluoroscopymodeselection

•II-formatselection

•Subtractionon/off

•Imagegrab

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.

ThePhilipsCUSTOMerCAREserviceprogramsoffer

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


Handy extras

Laser alignment tool

TheLaserAlignmentToolisanoptionalpositioning

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

TheLaserAimingDeviceisanoptionalpositioning

device for use at the Image Intensifier side.

Medical DVD Recorder

MedicalDVDRecorderforrecordingclinicalimageson

aDVD(upto2hours).Bothstaticanddynamicimages

canberecorded.ReviewofimagesonBVfamilysystem

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.Hardcopiesofclinicalimagescanbemadeduring

or after examinations.

ViewForum Surgical Workstation

A workflow enhancer bringing extra efficiency to the

ORproceduresproviding:

•Anintuitivemulti-purposeplatformforhandling

multi-modality images

•Astand-aloneorintegratedsolution

•DICOMQueryandRetrieve/USBstorage

TheViewForumSurgicalWorkstationcanbeextended

with the following options:

•MIP/MPR

•ProcedureReportingPackage

•DVDDICOMstore

Fully integrated DICOM solution

All BV family systems can be equipped with Philips

IntegratedDICOMsolutionwhichtransfersimagesfrom

theBVfamilyontothehospitalnetworkinaDICOM

SecondaryoraDICOMXAformat.TheStandard

DICOMpackagesupportstheDICOMPrintand

DICOMStore.

TheAdvancedDICOMpackagesupportsModality

Worklist Management, Modality Performed Procedure

Step and Storage Commit.

Color LCD Monitors

Highcontrastimagescanbeobtainedviathestandard

orhighbrightness18”colorLCDmonitors.

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

brightnesscolorLCDmonitors.

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

adjustmentoftheLCDmonitorsispossiblewith25cm).


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

arearemadeoflint-freefabric(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:24x24cmand24x30cm.Thecassetteholdercan

berotatedafull360°aroundtheimageintensifierfield.

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

image intensifier field


Technical Specifications

X-ray tube / tank unit

Tube type Fixedanode

Nominalfocalspotvalues(IEC336) 0.6IECand1.4IEC

NominalX-raytubevoltage 110kV

Maximum anode heat content 35.5kJ=50kHU

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

Maximum housing heat content 840kJ=1200kHU

Inherent filtration 3.0Aleq.

Additional filtration 1mmAl+0.1mmCu

Collimator unit

Iris collimator

Type Circular opening, lead iris leaves

Indication DuringLIH(andalsoonimage)

Shutters

Type 2 independently movable real lead shutters with steel wedge tip

Rotation 360°

Indication DuringLIH(andalsoonimage)

Automatic Shutter Positioning Option

X-ray generator

Generatortype DCconverter,ConstantPotential(CP)generator,micro-processorcontrolled

Max. generator output 3.15kW

Max. X-ray tube voltage 110kV

Max. X-ray tube current 20mA(30mAforFrance)

Continuous fluoroscopy

kV range 40to110kV

mArangeforLowDoseFluoroscopymode 0.10to3.0mA(upto7.20mAduringAutoHighPenetration)

mArangeforHighDefinitionFluoroscopymode 0.24to7.20mA

Half Dose Fluoroscopy

kV range 40to110kV

mA range 0.1to3.0mA(upto7.2duringAutoHighPenetration)

Pulse widths 40ms

Pulse rate 12.5pulses/second

Quarter Dose Fluoroscopy

kV range 40-110kV

mA range 0.1to3.0mA(upto7.2duringAutoHighPenetration)

Pulse width 40ms

Pulse rate 6.25pulses/second

Radiography

kV range 40-105kV

mA range DuringLIH(andalsoonimage)

mAsrange(R’10seriesfromISO497) 1024x1024InterlinetransferCCD;highresolution


Detection 360°

Image intensifier type Triplemode9”HRC/Triplemode12”

NominalIIformats 32,22,and17cm(12”,9”,and7”)23,17,and14cm(9”,7”,and5”)

Entrancescreen=Inputscreen Cesium Iodine

DetectionQuantumEfficiency(DQE), typical[%]accordingtoIEC1262-5

9”:6212”0:65

Gridtype Circular,carbonfiber;60lines/cmRatio=1:10atFFD=100cm

TV camera type InterlinetransferCCD;highresolution

Image rotation Digital,liveandonLIH

Rotationpositionindication Pre-indicationonimage,duringLIH

Image reversal Yes

Mirrorup/down Digital,liveandonLIH

Mirrorleft/down Digital,liveandonLIH

Automatic anatomical measuring field Yes with ‘BodySmart’

TV monitor

FlatscreenLCDmonitors Extra high resolution, high contrast , extra high brightness, 18”screensize,TFTtechnology,resolution1280x1024(hxv)

Image storage and processing

Digitalimageprocessortype Dedicated12bitvideopipelineprocessor

Displayimagematrixsize resolution1280x1024(hxv)

Image storage capacity and max. storage rate 10,000imagesmax.30frames/second5,000imagesmax.8frames/second500imagesmax.5frames/second

Patient data handling Multipatient database

Image processing Edge enhancement (real-time and post processing), Windowing (real-time and postprocessing),Recursivenoisereduction,Movementdetection,Mosaic, Replay,Annotation

Processing options Subtraction,Roadmapping,Remasking,Trace(max.opacification),Tracewhite(CO

2imaging),Memoryroadmapping(SmartMask),Landmarking,Pixelshift,

Zoom,Measurement,Electronicshuttering


Geometry

Longitudinalmovement 20cm(7.9”)

Swivel range ±10°

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

Rotation ±180°,withsafetystopat±135°

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

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

Sourcetoimagedistance(SID) 99.5cm(39.2”)

FreespacewithinC-arc 78cm(30.7”)

C-arc depth 61cm(24.0”)

Brakes for all movements Yes, manual

Steering Rearwheel

Parallel movement Via rear wheel control

Cable deflectors Yes

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

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

C-arm stand width 81cm(31.9”)

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

Mobile view station depth 70cm(27.6”)

Mobile view station width 91cm(35.8”)

Mobile view station height 188cm(74”)

Power supply

Input voltage 110-240V+/-10%

Frequency 50/60Hz

Options

Laseralignmenttool Yes

Laseraimingdevice Yes (9”only)

Videopaper/transparencyprinter Yes

MedicalDVDRecorder Yes

StandardDICOMpackage Yes(supportsDICOMprint,DICOMstore)

AdvancedDICOMpackage Yes(incl.MWL,MPPS,SC)

Sterile covers Yes

Detachablecassetteholder Yes

FlatscreenLCDmonitors Yes

Touchscreen Yes

LCDHeightadjustment Yes(25cm/10”)

ViewForumSurgicalWorkstation Yes(supportsMultiModalityImageQuery/Retrieve)


3877

9" 1

74-2

1712

" 18

1-23

1

102

44

67

61

118 - 138

80

6

13

33

9" 30

186

20

12" 38

91

70

188

25

9” system

Dimensions in cm.


108

- 151

38

53

12" 6

19"

55

74 -

124

45° (option)

25°

90°

81 41

10°

10°

12" 1879" 184

12” system

Dimensions in cm.

Philips Healthcare is part of

Royal Philips Electronics

Howtoreachus

www.philips.com/healthcare

[email protected]

fax:+31402764887

Asia

+85228215888

Europe, Middle East, Africa

+4970314632254

LatinAmerica

+551121250764

NorthAmerica

+14254877000

8002855585(tollfree,USonly)

PhilipsHealthcare

GlobalInformationCenter

P.O.Box1286

5602BGEindhoven

TheNetherlands

©2008KoninklijkePhilipsElectronicsN.V.All rights are reserved.

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

PrintedinTheNetherlands.452296208171/718*SEP2008

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It’s all about you - Amazon Web Services...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