it’s all about you - amazon web services...it’s all about you bv endura functional description 7...
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It’s all about you Philips BV Endura functional description
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BV Endura functional description2
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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
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BV Endura functional description4
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
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BV Endura functional description 5
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
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BV Endura functional description6
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
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BV Endura functional description 7
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
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BV Endura functional description8
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.
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BV Endura functional description 9
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
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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)
BV Endura functional description10
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BV Endura functional description 11
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
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BV Endura functional description12
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
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BV Endura functional description 13
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).
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BV Endura functional description14
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
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BV Endura functional description 15
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
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BV Endura functional description16
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
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BV Endura functional description 17
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)
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BV Endura functional description18
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.
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BV Endura functional description 19
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.
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Philips Healthcare is part of
Royal Philips Electronics
Howtoreachus
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