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    sAnswers for life.

    LITHOSKOP

    Urology of the future available today

    Data Sheet

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    LITHOSKOP

    Urology of the future available today

    LITHOSKOP, the new multifunctional

    lithotripter from Siemens, can do much

    more than just lithotripsy. It also covers

    a wide range of urological applications.

    Patient comfort and workflow efficiency

    reach new heights.

    Intelligent design, an ergonomic table, a

    unique, flexible shockwave head, plus a

    wide variety of sophisticated details all

    add up to one-time patient positioning.

    Additionally, LITHOSKOP offers a fully

    digital imaging system as well as intuitiveoperation, providing optimum workflow

    found only in a mature and forward-look-

    ing solution.

    Shockwave technology

    The new Pulso technology is at the heart

    of LITHOSKOP. It offers a long service life,

    and an extremely high degree of

    efficiency.

    With a penetration depth of max. 15.7 cm

    (6.2) and a large shockwave focus, Pulso

    enables effective treatment even for larg-

    er patients.

    Lithotripsy

    The shockwave head provides high energy

    and a wide focus to optimize the stone

    disintegration. 38 power levels allow for

    efficient and individualized treatment.

    One-time patient positioning

    LITHOSKOPs most exciting innovation is

    the unique and flexible positioning of the

    shockwave head that allows for treat-

    ments without patient repositioning.

    Mounted on an isocentric C-arm, the

    shockwave head can be moved from an

    under-left or under-right position to an

    overtable position by pressing a single

    button. Thus you can treat the right and

    left kidney and ureter with your patient

    always supine. Repositioning is no longernecessary not even for auxiliary proce-

    dures.

    Inline X-ray and ultrasound

    localization*

    Excellent inline X-ray and ultrasound

    imaging simplifies accurate stone

    localization. The image quality for both

    localization methods is brilliant, making

    your work safer and more efficient. You

    decide which type of imaging you will use.

    Of course, if you wish, you may also use

    both imaging methods during a single

    treatment.

    Endourology

    The adjustable isocentric table tilt of 15

    about the perineal end allows for comfort-

    able endourological procedures as well as

    other necessary auxiliary procedures.

    LITHOSKOPs exclusive ergonomic table

    saves you from patient repositioning even

    when changing from endourology to

    lithotripsy.

    Endourological video sequences can be

    viewed in real time directly on the

    LITHOSKOP displays (part of the uro con-figuration).

    The integrated endoscopic shelf* offers

    enough space for most of your equipment.

    Percutaneous interventions and

    minimally invasive surgery

    Access from all sides of the ergonomic

    table makes LITHOSKOP ideally suited for

    percutaneous and minimally invasive

    surgical interventions. The one-time

    patient positioning keeps anesthesia

    at the same end of the table.

    Multifunctional

    LITHOSKOPs multifunctionality offers a

    system for optimized utilization. With this

    one system, you can handle virtually all

    demands of your urological practice with-

    out subjecting your patients to risky and

    time-consuming repositioning.

    * Option

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    System positions for the following indications:

    Right kidney stone treatment Left kidney stone treatmentUreteral stone treatment

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    4

    LITHOSKOP

    Technical Specification

    Basic unit

    Universal workstation for therapy and diagnosis for extracorporeal shockwave lithotripsy of kidney andureteral stones and for almost all urological interventions, includes a wide range of accessories

    The flexible system architecture allows the configuration to be adapted for the two main applications,urological diagnostics and therapy as well as extracorporeal shockwave lithotripsy

    Combined floor-mounted X-ray, shockwave and patient positioning system

    The X-ray system for digital acquisition techniques has been designed to meet the requirements of modernurological diagnosis and therapy

    The flexible shockwave system adapts to the stone location with one-time patient positioning

    Shockwave system Pulso

    Electromagnetic principle

    Energy adjustable in 38 steps (E 0.1 to E 8)

    Dry coupling

    Orbital movement 230 ( 180 to + 50)

    Aperture 15.8 cm (6.2)

    Aperture angle 53

    Penetration depth max. 15.7 cm (6.2)

    Adjustable shot frequency 60/90 /120 pulses/min or ECG triggering*

    Operating modes Standard mode Soft mode

    Focal pressure P+ 8.6 MPa to 75.3 MPa 8.6 MPa to 62.5 MPa

    Shockwave energy (E 6 mm) 4 mJ to 91 mJ 4 mJ to 42 mJ

    Focal width ( 6 dB) max. 12 mm max. 12 mm

    Measured with Light Spot Hydrophone

    Application

    All functions required for stone therapy as well as motorized table movements, movements of the X-raysystem and ESWL system can be controlled with the menu-guided remote control keypad

    Extracorporeal shockwave lithotripsy (ESWL)

    Urological diagnosis and endourologyProstate therapy procedures

    Percutaneous interventions

    Cystoscopy

    * Option

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    Patient table

    Tabletop with bilateral cut-out

    Minimum height for patient entry 71.5 cm (28.1)

    Table vertical travel range 48 cm (18.9)

    Longitudinal travel 25 cm (9.8)

    Transverse travel 15 cm (5.9)

    Isocentric table tilt 15 (Trendelenburg)

    Base plate 121.5 cm (47.8) x 73 cm (28.7)

    Tabletop extension 95 cm (37.4) x 68 cm (26.8)

    Max. patient weight 205 kg (450 Ibs)

    Aluminum equivalent value 0.9 mm at 100 kV, 2.7 mm Al/HVL according to CFRin examination area 1.2 mm at 100 kV, 3.7 mm Al/HVL according to EN 60601-1-3

    C-arm X-ray system

    Orbital movement 95 ( 45 to + 50)

    Source- I.I. distance 125 cm (49.2)

    X-ray generator

    Microprocessor-controlled high-frequency X-ray generator for radiography and fluoroscopy

    Automatic X-ray control system for fully automatic calculation and optimization of exposure data based onfluoroscopic values

    kV display and mAs post-display on the live image monitor

    Preprogrammed or freely adjustable kV values (64 organ programs)

    Integrated IONTOMAT automatic exposure control

    POLYDOROS SX 65

    Output 65 kW (650 mA at 100 kV/65 kW)

    Exposure voltage 40 kV to 150 kV

    POLYDOROS SX 80*

    Output 80 kW (800 mA at 100 kV/80 kW)

    Exposure voltage 40 kV to 150 kV

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    LITHOSKOP

    Technical Specification

    X-ray image intensifier

    Depending on the diagnostic and therapeutic focus, a 33 cm image intensifier with high dynamics is availablefor superselective and survey images

    The high contrast and outstanding modulation transfer characteristics enable display of the finest details

    Cesium-iodide input screen for high quantum absorption producing minimal quantum noise

    Precision electron optics with minimal image distortion and uniform high resolution across the entire imagefield

    Anti-reflective coating at I.I. input and glare trap at I.I. output

    Four selectable semiconductor measuring fields for dose control (SDM); automatic size correction with formatchange

    Collision protection on the I.I. housing

    DQE 65%

    SIRECON 33-4 HDR

    I.I. formats 33 cm (13) 22 cm (8.5) 17 cm (6.5) 13 cm (5)

    Visual resolution

    Mean value (LP/mm) 4.2 5.0 5.6 6.0

    Conversion factor 26 (cd/m2) (s/Gy)

    Contrast ratio 25:1 at 10% surface area

    Grid PB 15/80, f0

    115

    X-ray tube unit

    OPTITOP 150/40/80 HC-100

    Nominal voltage 150 kV

    Nominal output 40/80 kW

    Focal spot nominal value 0.6/1.0

    Anode heat storage capacity 580 000 J (783 000 HU)

    Anode speed 150/180 Hz

    Collimator system

    Multileaf collimator with rectangular and iris diaphragm as well as three motorizedCu prefilters (0.1 mm; 0.2 mm; 0.3 mm)

    CAREMAX* dose area product measuring device

    Measuring chamber/Ionization chamber integrated into collimator

    Measured value displays on the live image monitor

    Measured values of dose area product in cGycm2

    * Option

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    Display console

    Two TFT color displays on the console

    19 TFT color display

    Screen size 19 (48 cm)

    Image matrix 1280 x 1024

    Maximum brightness, typical 280 cd/m2

    Horizontal/vertical viewing angle 170/170

    Contrast ratio, typical 300 : 1

    Uro kit* (not retrofittable) # 144 04 743

    Recommended configuration for multifunctional use of LITHOSKOP:

    Flexible display support arm mounted on the unit column with two 17 TFT color displays

    Endo/US interface integrated in the unit

    Ergonomic multifunctional foot switch

    17 TFT color display

    Screen size 17 (43 cm)

    Image matrix 1280 x 1024

    Maximum brightness, typical 280 cd/m2Horizontal/vertical viewing angle 170/170

    Contrast ratio, typical 300 : 1

    Alternatively:

    19 TFT color display (optional)

    Screen size 19 (48 cm)

    Image matrix 1280 x 1024

    Maximum brightness, typical 300 cd/m2

    Horizontal/vertical viewing angle 170/170

    Contrast ratio, typical 300 : 1

    * Option

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    LITHOSKOP

    Technical Specification

    FLUOROSPOT Compact (FLC) digital fluoro radiography system

    Remote service function (integrated service software, Magic Watch)

    Storage of all examination data in a patient folder in the FLC (including ultrasound images)

    Integrated help function

    Display of X-ray, endoscopic and ultrasound images on the reference monitor

    Automatic stone positioning in the therapy focus (AutoPos*)

    Integrated statistics tool for statistical analysis of therapy data

    Integrated image quality tool

    Image acquisition system Intel-compatible microprocessor with PCI bus architecture,

    min. 2 GHz, 768 MB RAM, SCSI drive and interface cards for thecamera/X-ray system, based on Windows 2000 operating system

    Digital fluoroscopy Continuous with 30 f/s (VIDEOMED),1024 x 512/10 bit matrix and digital filtration,storage of fluoroscopic images,sliding weighted averaging

    CAREVISION* Pulsed fluoroscopy (1024 x 1024/10 bit matrix)

    Dose saving of up to 90%Pulse rates: 15; 7.5 or 3 p/s

    Digital radiography Digital spotfilm technique with 1024 x 1024/10 bit matrix,digital filtration, single image acquisition

    Automatic measuring field display Predisplay of the selected measuring fields on the lastfluoroscopic image (LIH)

    Image storage 10,000 images on hard disk in 1024 x 1024 matrix(optionally 15,000 images or 20,000 images)

    Image display 5:4 aspect ratio corresponding to 1280 x 1024 matrix,1024 x 1024 image content, flicker-free freeze frame withprogressive scanning 72 Hz (TFT)

    * Option

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    FLUOROSPOT Compact digital fluoro radiography system

    Patient directory Input of patient name, patient ID, date of birth, study number,accession number, physician, etc.

    Input can be made via keyboard or directly via DICOM Worklist*

    Integrated system operation User programs with predefined parameter sets for radiographyand fluoroscopy (organ programs)

    Monitor display for live and reference images

    Endo/ultrasound* interface for displaying endoscopy orultrasound images on the reference color display

    Image display X-ray/endoscopic/ultrasound images

    DICOM Send incl. DICOM Storage Commitment

    Organ programs The following can be configured:

    X-ray parameterskV automatic or fixed, dose, adjustable frame rate,pulsed fluoroscopy (CAREVISION*), tube focus, automaticprefiltration, fluoro program, ADC field position (SDM)

    Image processing parametersWindow values, edge enhancement, black/white image inversion,harmonization factor*

    Automatic functionsAuto shutter, auto Cu-filter

    Image postprocessing Setting for contrast/brightness, edge enhancement,2-fold zoom, 2-fold electronic magnifying glass (EMG),split screen (4, 9, 16- on-1), angle measurement, black/whiteimage inversion (grayscale inversion), electronic shuttering,roaming, vertical and horizontal image reversal, R/L marking,harmonization (DDO)*

    Text/graphic functions Marking, annotation, image comment, R/L marking,quantification with angle/length measurement

    LithoReport Automatic recording of all ESWL parameters from the lithotripter

    Documentation of the therapy progress and outcome

    Tool for selective statistical evaluations of all ESWL treatments

    Background functionality Image processing functions such as DICOM Send, DICOM Print,CD ROM writing etc. are performed in background mode

    * Option

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    LITHOSKOP

    Technical Specification

    * Option1) Mandatory for the US

    Options for FLUOROSPOT Compact

    Reference image display In 1024 x 1024 matrix: storage and direct access to up to16 reference images on the second monitor

    Fluoro loop Storage and review of dynamic fluoro sequences

    The maximum storable fluoro time depends on the pulse rateselected, e.g. 30 and 15 f/s approx. 17 s; 7.5 f/s approx. 34 sand 3 f/s approx. 85 s

    Harmonization Digital Density Optimization (DDO) preprogrammed and/orpostprocessed to compensate for undesirable density differencesin the exposure

    Degree of harmonization configurable in the organ program,also including online DDO for fluoroscopy

    Security package (HIPAA) Advanced security functions including user management anddata access protection

    VIDEOMED DH TV system

    VIDEOMED DH High-resolution TV camera with maintenance-free 1K CCD sensorfor digital fluoroscopy, fluoro radiography

    Dynamics Max. 69 dB

    TV matrix 1024 x 1024 matrix

    TV frame rate Max. 30 f/s; with CAREVISION* 15; 7.5; 3 pulses/s

    TV standard 72 Hz, progressive sampling independently of line frequency

    Ultrasound localization*

    Allows precise inline localization and continuous follow-up of the stone treatment with ultrasound imaging

    Software-controlled display of the cross hair for precise stone localization

    ECG triggering*1)

    Physiological measuring device with screen for monitoring the patient and for ECG triggering of shock waves

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    DICOM 3.0 functions*

    DICOM Print For connection to a DICOM- compatible camera or aDICOM-compatible printer

    Sending and receiving of images

    DICOM Worklist / MPPS DICOM Worklist ManagementFor importing patient /examination data from an independentHIS/RIS system, incl. HIS/RIS queries via special search criteria

    MPPS (Modality Performed Procedure Step)For importing/exporting examination data from/to anindependent HIS/RIS system

    DICOM Query/Retrieve Retrieval of studies and images created with Fluorospot Compactfrom a digital image archive (PACS) or from a workstation

    Documentation

    CD/DVD writer* Documentation of images in DICOM format on CD/DVD(multisession)

    Interface for paper printer* Suitable for image and report documentation on paper(local connection or in network) Prerequisite: PostScript Level 2, formats: DIN A 4, US letter or

    US tabloidFor connection within network: Network-compatible printerrequired (not suitable for diagnostic purposes, only in connectionwith additional documentation device)

    Interface for laser camera* Suitable for printing image information on film

    Operating data

    Power requirements 3/PE ~ 400 V ( 10%) with 50 Hz or 60 Hz;440/480 V ( 10%) via optional line-matching transformer;internal line resistance according to Planning Guide

    Environmental conditions (operation)

    Temperature range + 10C to + 30C

    Relative humidity 30% to 75%, non-condensing

    Barometric pressure 700 hPa to 1060 hPa

    * Option

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    LITHOSKOP

    Technical Specification

    1) Mandatory for the US

    Options

    Shockwave system AutoPos

    Imaging system and display Fluoro loop

    Harmonization

    CAREVISION

    Memory extension 15,000 images or 20,000 images

    HIPAA Security package (Health Insurance Portability andAccountability Act)

    Data transfer and documentation DICOM Print

    DICOM WorklistDICOM Query/Retrieve

    CD/DVD writer

    Printer interface

    Dose measurement CAREMAX integrated dose measuring chamber

    Patient monitoring ECG monitoring1) and triggering

    Generator/unit POLYDOROS SX 80

    Endoscopy shelf

    Table Coxafix leg supports

    Pediatric leg supports (Coxafix)

    Amatech foot supports

    Amatech knee crutch stirrups

    Patient arm rest (rigid)

    Shoulder supports

    Wrist restraints

    Elbow supports

    Multifunctional foot switch

    Drain pan

    Holder for plastic drain bag

    Anesthesia screen holder

    Infusion bottle holder

    Paper roll holder

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    Standard accessories

    Head wedge

    Head wedge for comfortable positioning of the patient.

    Compression belt

    For reducing stone excursion caused by respiration and for patientimmobilization.

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    LITHOSKOP

    Accessories

    Coxafix leg supports # 144 00 922

    The leg supports can be attached anywhere along the lateral OR rails witha quick-action lock. Continuous, gas spring assisted height adjustment withself-locking spindle, padded leg rests, lockable and swivelable in 3 directionsfor pressure-free positioning of the legs in the knee joint. Leg rest quick-action lock, suitable for use of the special pediatric leg rest.

    Pediatric leg supports (Coxafix) # 144 00 923

    For examinations of children, the adult leg rests of the Coxafix leg supportscan be replaced by pediatric leg rests.

    Accessories (optional)

    Amatech foot supports

    Amatech adjustable gas spring loaded foot supports. Attached with lowprofile siderail clamps.Boot stirrups, Siemens customization, including clamps and boot pads.Adjusts at side rail socket from low to high lithotomy.The telescoping bar permits simple length adjustment while eliminating anyprotrusions beyond the boot. An offset support creates unrestricted accessfor the operative team. A limited motion ball socket at the base of the bootprevents unsafe inversion or eversion when the socket is loosened.It may be left loosened to self-align during position changes and then lockedin final position.

    Amatech knee crutch stirrups

    For easy attachment to the table rails.The Lift Assist neutralizes leg weight, allowing easy handling andadjustment of the leg position.Knee crutch stirrups, Siemens customization, including clamps and crutchpads. Stirrups attach to the lateral OR rails.Provides excellent patient comfort and precise surgical positioning for shortduration procedures. Doughty soft pad reduces popliteral pressure.One easy to use handle provides vertical adjustment from 40 cm (16)to 52 cm (21) and 360 horizontal rotation.Velcro strap for security.

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    Patient arm rest (rigid) # 144 00 929

    The padded arm rest allows safe and comfortable positioning of the patientsleft or right forearm. It can be locked in place anywhere along the lateral ORrails.

    Accessories (optional)

    Shoulder supports # 144 00 931

    The shoulder supports allow safe and comfortable positioning of the patientin Trendelenburg positions. The padding can be adapted to the patientsanatomy. The shoulder supports attach anywhere along the lateral OR rails.

    Wrist restraints # 144 00 934

    The wrist restraints are attached to the OR rails and are used to restrain thepatients hands during an examination.

    Elbow supports # 144 00 919

    Swiveling elbow supports at the perineal end of the tabletop, supporting theexaminers elbows during transuretheral procedures.

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    LITHOSKOP

    Accessories

    Accessories (optional)

    Multifunctional foot switch # 144 00 918(fluoroscopy/radiography/endoscopy/table movements)

    Ergonomic foot control for lift, tilt, longitudinal/transverse table movement,switchover between X-ray/endoscopic/ultrasonic images, image storage androcker switch for fluoroscopy/radiography, rocker switch for C-arm orbitalmovement.

    Endoscopy shelf # 144 00 921

    Compact storage rack mounted on the unit base with integrated powersupply for ergonomic positioning of endoscopy modules such as endo lightsource, endo camera, HF generator, video recorder or video printer.

    Max. load capacity 50 kg (110 lbs) with limited mounting height of themodules.

    Drain pan # 144 00 927

    Stainless-steel drain pan which can be hooked in at the perineal table endand moved laterally, with water supply and drain hose, including a parkposition holder.

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    Accessories (optional)

    Holder for plastic drain bag # 144 00 924

    Flexible, tiltable spring band frame for use at the perineal table end, allowingeasy attachment of a plastic drain bag with drain hose.

    Urological PE drain bag (box of 20) # 144 00 925

    Preassembled plastic drain bags with apron, removable filter screen and

    expandable drain hose.

    Infusion bottle holder # 144 00 932

    The telescopic extendable infusion bottle holder can hold up to 4 infusionbottles and attaches anywhere along the OR rails of the table.

    Paper roll holder # 144 00 930

    Attaches to the examination table for holding medical crepe paper.

    Medical crepe paper # 144 04 755

    Medical crepe paper is placed between the patient and the examination

    table.

    Anesthesia screen holder # 144 00 933

    The telescopic height-adjustable anesthesia screen holder allows theattachment of a sterile cover and mounts anywhere along the OR rails.

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    LITHOSKOP

    Technical Specification

    Dimensions in cm (inches)

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    19

    Dimensions in cm (inches)

    Room layout

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    www siemens com/healthcare

    Siemens AG

    Wittelsbacherplatz 2

    D-80333 Muenchen

    Germany

    Headquarters

    Siemens AG, Medical Solutions

    Henkestr. 127, D-91052 Erlangen

    Germany

    Telephone ++49 9131 84-0

    Contact addresses:

    In the USA

    Siemens Medical Solutions USA, Inc.

    51 Valley Stream Parkway

    Malvern, PA 19355

    Telephone: +01 610 448 4500

    Telefax: +01 610 448 1620

    In Germany

    Siemens AG, Medical Solutions

    Special Systems

    Allee am Rthelheimpark 2

    D-91052 Erlangen

    GermanyTelephone ++49 9131 84-0

    The information in this document contains

    general descriptions of the technical options

    available and may not always apply in individual

    cases.

    The required features should therefore be

    specified in each individual case at completion

    of contract.

    Siemens reserves the right to modify the design

    and specifications contained herein without

    prior notice. Please contact your local Siemens

    sales representative for the most current

    information.

    Original images always lose a certain amount

    of detail when reproduced.

    In the interest of complying with legalrequirements concerning the environmental

    compatibility of our products (protection of

    natural resources, waste conservation),

    we recycle certain components.

    Using the same extensive quality assurance

    measures as for new components, we guarantee

    the quality of these recycled components.

    02.2008 Siemens AG

    Order No. A91001-M1530-G945- 4-4A00

    Printed in Germany

    SP PLM DA 02082