THE

U LT I M AT E
C-ARM
ZIEHM VISION RFD
ZIEHM VISION R
 02 | 03

flat-
T he panel
ultimate For distortion-free imaging.
C-arm also available as
Ziehm Vision R with image

c - arm intensifier.

19" TFT
Benefit from outstanding image quality at a monitors

free
minimized dose and from unparalleled ease Bright, high-contrast
images and cine loops
of use and flexibility.
a with a wide viewing
angle.
The Ziehm Vision RFD delivers superior image
quality previously only expected from fixed
installed systems. Equipped with flat-panel space
technology, the C-arm is the perfect fit for 83.5 cm of free space and ex-
tended 165° orbital rotation
demanding procedures: vascular and cardiac
for simplified positioning.
surgery, interventional procedures including
EVAR, PTCA and hybrid room applications
Advanced
like heart-valve implantations.
Active
The Ziehm Vision R is a more economical version
based on proven image intensifier technology.
Wireless Cooling
It meets your requirements in a wide range of
clinical applications. VIDEO For extended fluoroscopy time
in challenging procedures.

25 kW
Image transfer to
external monitors.

generator
Powerful generator with
up to 25 kW for improved
penetration of dense
anatomy.
 04 | 05

0 1 . im a g e q u a l i t y

For demanding
procedures

The Ziehm Vision RFD is equipped with the latest flat-panel technology.
Combined with finely tuned premium components, it helps you to achieve
outstanding results. You can rely on many years of experience and
know-how, as Ziehm Imaging was a pioneer in flat-panel technology –
it has had these C-arms in the field since 2006.

Ava i l a b l e c o n f i g u r at i o n s Premium
Flat-panel (aSi) 20 cm x 20 cm 30 cm x 30 cm
components.
Outstanding
Flat-panel (CMOS) 20.5 cm x 20.5 cm –
results.
Image intensifier Ø 23 cm Ø 31 cm
 06 | 07

G rea t fie l d of vie w , M ore de t ai l s .

The Ziehm Vision RFD is dedicated to challenging
procedures such as interventional vascular and cardiac
surgery. Ziehm Imaging’s flat-panel detectors generate
images with 65,536 shades of gray and excellent contrast.
The high dynamic range enables visualization of both soft
tissue and bone structure. The generous field of view,
with up to 30 cm side length, provides comprehensive
information with each examination, once only achievable
with fixed installed systems. Alternatively, the Ziehm
Vision R is available, featuring an image intensifier in
different sizes to optimally support your clinical
application.

4,096 shades of gray

Conventional image intensifier

65,536 shades of gray

The Ziehm Vision RFD with flat-panel technology

0 10 20 cm
Above: Flat-panels generate images with 65,536 shades of gray, 16 times more
than image intensifiers.
0 10 20 30 cm From Left to Right: Enhanced positioning with 165° orbital rotation; 20 cm x 20 cm
and 30 cm x 30 cm flat-panels fit any application; removable grid for low-dose applications.
 08 | 09

C ompac t and po w erf u l . The monoblock generator with

25 kW delivers crystal-clear images in demanding applications
such as endovascular or cardiac procedures, or involving obese
patients. Despite its high power reserves, the generator features
one of the smallest housings in the industry.

C r y s t a l- c l e a r i m a g e s . The C-arm features a highly compact and

powerful monoblock generator with up to 25 kW nominal power. This industry-
leading high-frequency pulse generator operates with a variable pulse width, which Ava i l a b l e c o n f i g u r at i o n s
optimizes the image quality while minimizing dose levels. With up to 25 frames per
second, the C-arm provides you with crystal-clear images, even of moving objects. 7.5 kW generator – Flat-panel Image intensifier
Due to its outstanding generator performance and innovative imaging chain, the
systems deliver excellent results – even during exposures with steep angles 20 kW generator Flat-panel Image intensifier

and lateral projections. The small housing of the compact yet powerful gen-
25 kW generator Flat-panel – Image intensifier
erator further simplifies its positioning at the OR table.
 10 | 11

C on t ras t- rich disp l a y.

The Ziehm Vision RFD uses dual 19" flatscreens,
which are designed for the highest demands in
the OR. With a luminance of up to 1,000 cd /m²,
they provide surgeons with a clear view of the
acquired image.

N e w d e s i g n , e x c e l l e n t b r i g h t n e s s . The
TFT monitors stand for their exceptional brightness and
contrast. Even at a distance, these high-end displays provide
the physician with optimal information by visualizing even
the finest details – from every angle.

W i r e l e s s v i d e o TR A NSMISSION . Our systems

can wirelessly transfer the live X-ray images and cine loops
to external monitors in real time. You benefit from fewer
cables and more flexibility in the OR.

Z i e h m E n d o Pa c k a g e . The Ziehm Endo Package

is a unique configuration designed in cooperation with
clinicians to optimize minimally invasive endoscopy
procedures (e.g. ERCP) under fluoroscopic X-ray control.
A 26" color monitor enables the combined display of the
 Superior
X-ray image and the live endoscopic image side by side.
The surgical team gains more space as a separate en-
luminance
doscopy monitor becomes unnecessary.

From Left to Right: Dual 19" displays; compact design with integrated
radiation lamp; wireless transfer of X-ray images to external monitors;
dedicated Endo monitor.
 12 | 13

s u ppor t ing op t ima l image q u a l i t y. Every clinical

application brings its own specific demands for the C-arm. The
Ziehm Vision RFD offers optimally adjusted anatomical programs
for different applications. The unique SmartVascular software
and dedicated anatomical programs deliver outstanding results
in vascular applications.

A n at o m i c a l p r o g r a m s . contr ast medium

To ensure the best image quality, i m a g i n g w i t h CO 2 .
Ziehm Imaging offers precon- With Ziehm Imaging you stay
figured anatomical programs that flexible: In addition to the use of
optimize the C-arm’s settings, iodinated contrast, we also offer
such as generator power, filters contrast-medium imaging with
and noise reduction. Empirical CO2. As one of the first manu-
values compiled over decades facturers worldwide, we were
and the close collaboration with able to display CO2 as a contrast
clinical partners lead to optimal medium with mobile C-arms,
system settings. The number of including MSA and roadmapping
anatomical programs is reduced (RSA) with dedicated software.
to a minimum to allow for quick
selection. The advantages of CO2 are obvious:
no allergic reactions and well-toler-
ated by patients as well as low cost
of use.
 14 | 15

0 2 . wor k f l ow

Supporting your
clinical procedures.

Ziehm Imaging’s comprehensive operating concept makes sure that

PACS,
you can focus on your procedure and not the C-arm: with fast setup, HIS / RIS
easy integration over WLAN and workflow-oriented software.

I n t u i t i v e u s e r i n t e r f a c e . The Vision Center is a rotating and

tilting touchscreen control panel mounted on the mobile stand and on the
monitor cart. The synchronized user interfaces offer the entire range of
functions on both units. The wizard-guided workflow, coupled with clear
Intuitive operating concept 18 | 19
and easy-to-follow icons, makes operating the imaging system easy and
intuitive. With SmartArchive, it has never been easier or faster to access
current patient data at any time.

AMT: The Anatomical Marking Tool (AMT) en-

markings
asily be transferred to PACS in DICOM 3.0 format.
is also a
ables the user to apply markings and left / right
it easy to quickly scroll through and find locally stored
labels to livethanks toimages
the touchscreen using the touchscreen. It is
ant
CS in DICOM 3.0 format. SmartArchive provides you
Up-to-date
intuitively archived in the existing IT networks. With > Remote control of C-arm even from OR table
growing. This makes it even more important to also
> Clearly designed screen a straightforward
Your
display C-arm
with shouldn’t
non-relevant tool
only be
functions masked to mark blood vessels
outstate-of-the-art

relevant information. > Intuitive operation

branches today, but or tomorrow as
implant well.
positions on live images.
> Central access to all functions via synchronized touchscreens
organized in such The synchronized touchscreens are designed to meet your specific needs
Benefits at any time. Updates and software maintenance are not bound by fixed
operating elements but can be flexibly expanded. We thereby ensure that
your C-arm can always be kept up-to-date.

those functions that are currently being used.

. Ziehm
ded through the workflow in only 4 steps. a clear overview, the touchscreen displays only
mage.
h justAll
one click. In 3D mode, you are then C-arm operation for every application. To ensure
thereby
itch quickly from 2D imaging to 3D functionality Easy-to-follow icons help facilitate intuitive
one finger.

one finger.
itch quickly from 2D imaging to 3D functionality
thereby Easy-to-follow icons help facilitate intuitive
h justAll
mage. one click. In 3D mode, you are then C-arm operation for every application. To ensure
ded through the workflow in only 4 steps.
. Ziehm a clear overview, the touchscreen displays only
those functions that are currently being used.

your C-arm can always be kept up-to-date.

operating elements but can be flexibly expanded. We thereby ensure that
at any time. Updates and software maintenance are not bound by fixed
 16 | 17

B e s t- i n - c l a s s e r g o n o m i c s . 1 / P r e p a r a t i o n a n d s e t u p.
Fast and convenient attachment of custom
The Ziehm Vision RFD has a footprint of only 0.8 m².
sterile drapes.
Its compact design and easy-drive system mean it
can be maneuvered with minimal effort. All steering
2 / Ea s y h a n d l i n g .
and braking functions are activated by color-coded Color-coded brake handles allow for clear
brake handles. All system movements are fully counter- instructions and straightforward operation
balanced in every position. The wider C-arm opening in the OR.
enabled by the flat-panel and the 165° orbital rotation
make it easier for the operator to position the system. 3 / settings.
The Remote Vision Center can be conveniently
mounted on both sides of the OR table or
W i r e l e s s f o o t s w i t c h . All imaging alternatively on a separate mobile cart. Bedside
functionalities can also be controlled by a wireless control allows sterile operation of all C-arm
footswitch. The OR team benefits from fewer cables functions.
on the OR floor and fewer failures due to damaged
cables. 4 / touchscreen control.
Ziehm SmartEye offers you a large live reference
image on the user interface. You can easily adjust
S e a m l e s s i n t e g r a t i o n . The Ziehm Vision the image settings with just one finger.
RFD’s open NetPort interface enables easy integration
into existing IT networks. For convenient data manage- 5 / wireless image transmission.
ment, patient information saved in DICOM 3.0 format Ziehm Imaging offers wireless transmission
can be transferred to PACS or HIS / RIS over WLAN. of X-ray images from the C-arm to external
monitors in real time.

Z- CONFERENCE . Z-Conference enables getting

a colleague’s advice in your surgery room. With the 6 / long-l asting procedures.
integrated video server, live images can be streamed Advanced Active Cooling keeps the generator at
a consistent operating temperature. With heat
within the hospital network. Z-Conference supports
capacity of 10 million HU, it prevents system
bidirectional voice transmission: colleagues can failure due to overheating.
communicate with the surgeon in the OR right from
their office PC via headset. 7 / f l e x i b i l i t y.
Due to its unique maneuverability, the system
can easily be rolled out of the OR and transferred
to another room.

above: System can be easily moved to another OR.

Below: Compact design and color-coded brake
handles ensure easy handling.
 18 | 19

0 3 . sm a r t dose

B e s t i m a g e q u a l i t y.
Minimized dose.

SmartDose* is a comprehensive concept for dose reduction. With several

new enhancements, it allows the physician and staff to significantly
reduce dose while optimizing image quality. SmartDose benefits both
patients and staff alike. With significant dose savings, Ziehm Imaging sets
the benchmark in userfriendly adjustment of dose exposure.

L A SER POSITIONING Reduction of

ODDC
OBJECT DETECTED A u t o m a t i c a d j u s t m e n t o f s e t t i n g s . The Ziehm Vision RFD greatly
Device pulse frequency DOSE CONTROL ( ODDC )
inside
simplifies patient positioning and dose control. ODDC (Object Detected Dose Control)
integrated in flat-panel and manually or fully automatically to automatically analyze the area
generator housing for accurate to lower the accumulated dose of interest and minimize dose while
places a matrix over the entire field of view and uses 256 measurement cells to analyze
and dose-free positioning of optimizing image quality the position of the anatomy. All settings are automatically adjusted in real time – from
C-arm dose to noise reduction.

A n at o m i c a l P r o g r a m s HIGH - SPEED A DR Z A IP a l g o r i t h m a n d
ODDC’s measurement cells detect motion and adapt pulse frequency automatically. If
with automatic optimization of for intelligent, fast regula- f i lt e r s
dose and image quality for best tion of pulse rate to lower to display fast-moving objects like the patient is not moving, the pulse frequency can be lowered significantly. Furthermore,
results the dose level guide wires and even the smallest the system compensates for metal objects in the field of view and adjusts generator
vessels in razor-sharp image quality output and video levels to reduce metal distortion and improve image quality.

Low dose mode Premag A UTOM A TIC A DJUSTMENT

in all anatomical programs for exposure-free magni- for obese patients – with no
for particularly dose-sensitive fication of X-ray images additional increase in dose
procedures, e.g. in pediatrics In pediatric surgery, you can
significantly lower the C-arm
dose with a single click.
REMOV A BLE GRID V i r t u a l c o l l i m at o r s
to reduce dose in pediatric for exposure-free positioning
and other dose-sensitive of collimators * T he SmartDose concept includes all above mentioned features. Due to regulatory reasons the availability
procedures of each feature may vary. Please contact your local Ziehm Imaging partner for detailed information.
 20 | 21

Ziehm Vision R Ziehm Vision RFD

O ve r vie w Powerful solution for excellent mobile imaging. The ultimate C-arm.

O p t ima l so l u t ions . Ziehm Imaging’s

C-arms set international benchmarks. With a
multitude of options, they can be specifically F e at u r e s
tailored to your needs, making it the ultimate
20 cm x 20 cm (aSi) /
C-arm for any requirement. Flat-panel – – 30 cm x 30 cm (aSi)
20.5 cm x 20.5 cm (CMOS)

service . Regardless of your needs, our Image intensifier 23 cm 31 cm – –

experts are on hand. You can always rely on
Ziehm Imaging for flexible and fast service.
Pulsed monoblock generator 7.5 kW / 20 kW 7.5 kW / 20 kW 20 kW / 25 kW 20 kW / 25 kW
With Ziehm Remote Service, our remote support
solution, we deliver faster and easier problem
Optional: endoscopic landscape color monitor
solving and optimize your system’s uptime.

Trainings . With Ziehm Academy you can

enhance your clinical knowledge, find out more C l i n i c a l A p p l i c at i o n s
about mobile C-arms and benefit from tailored
training. Ortho pedics / trauma / spine •• •• ••• •••

Vascular surgery •• •• •• •••

Angioplasty •• •• •• •••

Electrophysiology •• •• ••• ••

We would be pleased to consult Cardiac surgery •• •• ••• ••

with you personally. Please scan

to give us a call. Coronary imaging •• •• ••• ••

available | not available – | good • | very good • • | ideal • • •

 22 | 23

Z iehm I maging
the c - a r m
s peciali s t

With technology “Made in Germany”, we have

become a market leader for mobile C-arms – in
Germany and other European countries. Today,
Ziehm Imaging is a global systems provider,
employing over 400 people worldwide. Building on
competence and creativity, a continuous dialogue
and close cooperation with partners, we are
elevating the boundaries of mobile X-ray imaging.
This is why we can provide best solutions to meet
your specific clinical demands.

1 2
Ziehm Imaging has received several awards for
3
its groundbreaking technologies, including the
iF Design Award 2011, Frost & Sullivan Award
2006, 2007, 2009 and 2011, Stevie Award For
Sales & Customer Service 2013 and and Best
O ffices
New Product Award 2014.
1 Nuremberg (Germany)
2 Kerava (Finland) 4
3 Reggio Emilia (Italy)
4 Shanghai (China)
5 Singapore (Singapore)
6 Paris (France)
7 São Paulo (Brazil)
8 Orlando, FL (USA) 5
8 7 6
 Ziehm Imaging is constantly improving its products and reserves the right to change the specifications
without notice. presented data are subject to tolerances. country specific data and options may apply.
headquarters germany usA china
Ziehm Imaging gmbH Ziehm Imaging Inc. Ziehm Medical Shanghai co., ltd.
Donaustrasse 31 6280 Hazeltine National Dr. Hongqiao New tower centre
90451 Nuremberg, germany Orlando, fl 32822, uSa Rm 06-07, 25 / f
phone +49.(0) 9 11.21 72-0 toll free +1.(800) 503.4952 83 loushanguan Road
fax +49.(0) 9 11.21 72-390 phone +1.(407) 6 15.8560 Shanghai, p.R. china; 200336
[email protected] fax +1.(407) 6 15.8561 phone +86.(0) 21. 62 36 99 03
[email protected] fax +86.(0) 21. 62 36 99 16
italy [email protected]
Ziehm Imaging Srl brazil
Via paolo Borsellino, 22 / 24 Ziehm Medical do Brasil singapore
42100 Reggio Emilia, Italy av. Roque petroni Jr., Ziehm Imaging Singapore pte. ltd.
phone +39.05 22.61 08 94 1089 cj 904 7030 ang Mo kio ave 5
fax +39.05 22.61 24 77 04707-000 São paulo, Brazil #08-53 Northstar@aMk
[email protected] phone +55.(11) 30 33.59 99 Singapore 569880, Singapore
fax +55.(11) 30 33.59 97 phone +65.6 39.1 86 00
finland [email protected] fax +65.6 39.6 30 09
© 2017 Ziehm Imaging, 280653 04 / 2017

Ziehm Imaging Oy [email protected]

kumitehtaankatu 5 france
04260 kerava, finland Ziehm Imaging S.a.R.l.
phone +358.4 49 75 75 37 1, allée de londres
[email protected] 91140 Villejust, france
phone +33.1 69 07 16 65
fax +33.1 69 07 16 96
[email protected]

www.ziehm.com