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Mobile C-arm machine Cios Spin for surgery

Cios Spin ecoNew perspectives. Full control.

Conventional 2D imaging may not always provide enough information to safeguard correct placement of screws and implants. Intraoperative 3D imaging can therefore be an important factor in improving surgical outcomes.

To provide 3D capabilities that can be seamlessly integrated into clinical routine, we developed Cios Spin® eco: a mobile 2D and 3D C-arm for intraoperative quality control. Easy to integrate into your surgical routine, it features dedicated 3D technologies that allow you to confirm your planned results.

Cios Spin video - Are the screws placed correctly?
Cutting edge mobile 3D imaging for intraoperative quality control
  • More certainty in demanding cases
  • More efficiency in intraoperative 3D
  • More cost-effectiveness in surgery

 

 

Clinical Specialties Surgery Augmented Reality

AR Surgery Explorer

Experience clinical room layouts with potential OR equipment. Dive into the world of augmented reality.

Features & Benefits

Cios Spin

    Cios Spin® eco provides you with new insights that give you more certainty in surgical routine – and full control over your procedures. It can help you to reduce operational costs and risks, work efficiently, and increase your institution’s reputation.

    More certainty in demanding cases

    Cios Spin eco enables precise intraoperative quality control based on dedicated 3D technologies. Allowing surgeons to confirm their results, Cios Spin eco delivers the intraoperative tools to detect malreductions and malplacements in a higher rate compared to 2D mobile imaging.

    Mobile C-arm machine Cios Spin: More certainty in demanding cases with intraoperative quality control
    More confidence with intraoperative 3D.
    • More confidence with intraoperative 3D. Precise 3D visualization of fine details lets you confidently pinpoint anatomical structures, implants, screws, and devices.
    • Optimized visibility of important anatomical structures. Metal artefact reduction (MAR) allows to reduce artefacts such as blind spots and streaks in 3D images.
    • Outstanding 3D image quality for obese patients and dense tissue. Cios Spin eco comes with 25 kW power1 and a unique Energy Storage Unit (ESU)1 that triples the power when needed.
    • Seamless integration with navigation: NaviLink 3D1, a digital interface, automatically transfers 3D datasets to certified navigation systems – for combined use of image guidance and navigation in surgery.

     

    Dose study for spine surgery with mobile C-arm machine

    Read the dose comparison study

    Select the right dose and image quality according to ALARA (as low as reasonably achievable) and read this recently published study: “Image Quality and Dose Comparison of 3 Mobile Intraoperative Three-Dimensional Imaging Systems in Spine Surgery“


    More efficiency in intraoperative 3D

    In daily routine, it’s all about increasing efficiency. If 3D intraoperative imaging is too cumbersome, causes delays in the workflow, or requires hard‐to‐learn know‐how, it is often not considered for clinical routine.

    Cios Spin eco is built on a concept as smart as plug-and‐play. For efficient and uninterrupted surgical workflows, Cios Spin eco comes with feature packages such as Easy 3D: easy to learn, easy to use, and easy to integrate into your surgical routine.

    Mobile C-arm machine Cios Spin: More certainty in demanding cases with intraoperative quality control
    3D made quick and easy.
    • 3D made quick and easy. With step-by-step guidance, quick scan times, and selfexplanatory 3D visualization functions, Cios Spin eco improves 3D workflow efficiency.
    • Simplify intraoperative screw assessment. Screw Scout1 automatically localizes screws, offering the optimum view of screws in the right 3D planes. You can instantly start screw assessment and save time in your 3D workflow.
    • Less attempts in K-wire placement.2 Our Target Pointer1 displays a trajectory that helps you optimally place K-wires or other devices, ultimately saving time. 
    • Lots of room for demanding setups. Large anatomy requires space, and safe maneuvering is key to efficient 3D. Featuring 94 cm (36.9”) between tube and detector, Cios Spin eco offers plenty of room for any setup.

     

    Mobile C-arm machine Cios Spin: More certainty in demanding cases with intraoperative quality control

    Maintain high infection control standards.

    • Maintain high infection control standards. Specially developed hardware, and a comprehensive cleaning concept help you stay on top of this important requirement.
    • Expand your capabilities with Cios OpenApps. Find compatible, certified apps in the Siemens Healthineers Digital Marketplace that empower you and your C-arm during procedures.
    • Easier positioning with green laser light. Green laser light is better visible on skin or on blood than the conventional red laser lights.
    • Fast, precise positioning. The electromagnetic brakes and laser light localizer are accessible from the sterile field and allow for fast adaption of the C-arm position.

     

    More cost-effectiveness in surgery

    If malplaced screws and implants are not detected intraoperatively, additional costs can arise. These include costs of revision surgeries, longer hospital stays, additional postoperative diagnostics, and liability issues.

    The ability to perform intraoperative corrections based on 3D images acquired with Cios Spin eco may help you to reduce subsequent costs.

    Whether it is, for example, by reducing malplacement and malreduction rates, postoperative CT scans, or patients’ duration of stay, intraoperative 3D with Cios Spin eco can positively impact your department’s financial performance – and is an investment that pays off.

    Mobile C-arm machine Cios Spin: More certainty in demanding cases with intraoperative quality control

    Profit from intraoperative 3D: Enhance cost effectiveness

    • Intraoperative 3D pays off
    • 3D technology may help you to reduce revision surgery
    • Intended to save postoperative diagnostics, shorten hospital stays, and reduce liability risks
       

     

    Clinical Use

    Ortho/Trauma & Spine Surgery

    Endobronchial Interventions

    1/6
    Clinical use of mobile C-arm machine Cios Spin: Proximal tibia

    Proximal tibia

    Courtesy of BG Klinik Ludwigshafen, Germany
    Clinical use of mobile C-arm machine Cios Spin: Proximal tibia
    Clinical use of mobile C-arm machine Cios Spin: Pelvis
    Clinical use of mobile C-arm machine Cios Spin: Distal tibia
    Clinical use of mobile C-arm machine Cios Spin: Distal radius
    Clinical use of mobile C-arm machine Cios Spin: Thoracic spine with cage
    Clinical use of mobile C-arm machine Cios Spin: Thoracic orbita with mesh
    1/6
    Mobile C-arm machine Cios Spin in endobronchial interventions
    Cios Spin with cone-beam CT offers 3D image quality sufficient to visualize airways and certain pulmonary nodules during endobronchial interventions.3,4,5

    Challenges facing endobronchial intervention:
    How a mobile CBCT system can address your clinical and cost challenges

    Is your pulmonology practice changing to meet safety and efficiency demands? If not, you may need to consider how you will handle three immediate challenges:

    • Accurate lesion targeting
    • Increase in caseload
    • Cost-effective solutions

    Technical Specifications

    In Cios Spin eco, high-end 3D technology meets efficiency and precision. Learn more about what is inside.

    System specification

     

    Detector technology

    CMOS flat detector

    Field of view

    30 cm x 30 cm (12" x 12")

    Image resolution

    1952 x 1952 pixels

    Peak power

    25 kW / 15 kW1

    Orbital movement

    +/- 100°

    Immersion depth

    74 cm (29.1”)

    Free space

    93.6 cm (36.8”)

     

     

    3D imaging

     

    Scan sceme

    Iso-centric

    Projections for 3D reconstruction

    Up to 400

    3D volume size

    16 cm x 16 cm x 16 cm (6,3'' x 6,3'' x 6,3'')

    3D volume resolution

    512 x 512 x 512 pixels

    Scan speed

    30 seconds

    3D viewing

    Simultaneous display of 3 projections
    (transversal, coronal and sagittal)

     3D volume rendering

     Volume rendering technique (VRT)

    Metal artefact reduction

    Yes1

     

    Clinical workflows

    Image acquisition

    Single Image
    Fluoroscopy
    Fluoroscopy High Level1
    Subtraction / Roadmap1
    Digital Cine Mode1

    Navigation interface

    NaviLink 3D1

     DICOM services

    DICOM Send / Storage Commitment1
    DICOM Print1
    DICOM Query / Retrieve1
    DICOM Worklist / MPPS1

    Data transfer

     LAN / WLAN1

    1
    Option
    2
    for inexperienced surgeons, see study Swatman et al. 2018
    3

    Sadoughiet al. Mobile 3D Intraprocedural Fluoroscopy in Combination with Ultrathin Bronchoscopy for Biopsy of Peripheral Lung Nodules. Journal of Bronchology & Interventional Pulmonology, November 2020

    4

    Avasaralaet al. Multidimensional Precision Hybrid Mobile 2D/3D C-Arm Assisted Biopsy of Peripheral Lung Nodules. J Bronchology IntervPulmonolApril 2020

    5

    Kalchiem-Dekelet al. Multiplanar 3D fluoroscopy redefines tool-lesion relationship during robotic-assisted bronchoscopy. Respirology, Nov 2020