Cios SpinA mobile C-arm for 2D and 3D intraoperative imaging

New perspectives, full control: Cios Spin is a mobile 2D and 3D C-arm for intraoperative quality control. Easy to integrate into your surgical routine, it features dedicated 3D technology that allows you to confirm your planned results.

Benefits

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

Intraoperative quality control with Cios Spin, a 3D C-arm for surgery

Cios Spin enables precise intraoperative quality control based on dedicated 3D technology. The system allows you to confirm your results with intraoperative tools that can detect malreductions and malplacements at a higher rate compared to 2D mobile imaging.¹

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

Optimized visibility of important anatomical structures
Metal artifact reduction (MAR) can reduce artifacts such as blind spots and streaks in 3D images.

Excellent 3D image quality for obese patients and dense tissue
Cios Spin comes with 25 kW of power² and Energy Storage Unit (ESU)² that triples the power when needed.

Simplify intraoperative screw assessment
Screw Scout² automatically localizes screws, offering a dedicated view in the right 3D planes. You can instantly start screw assessment and save time in your 3D workflow.

Fewer attempts for K-wire placement³
Our Target Pointer² displays a trajectory that helps you navigate K-wires or other devices to the target anatomy.

Space for demanding setups
Large anatomy requires space, and safe maneuvering is key for efficient 3D. Featuring 94 cm (36.9”) between tube and detector, Cios Spin offers plenty of room for any setup.

Quick and easy 3D
With step-by-step guidance, quick scan times, and self-explanatory 3D visualization functions, Cios Spin improves 3D workflow efficiency.

Easier positioning with green laser light
The green laser light is more visible on skin or blood than conventional red laser lights.

Fast, precise positioning
The electromagnetic brakes and laser-light localizer are accessible from the sterile field and enable fast adaptation of the C-arm position.

Combining image guidance and navigation with Cios Spin, a 3D C-arm for surgery

Seamless integration with navigation
NaviLink 3D², a digital interface, automatically transfers 3D datasets to navigation systems. This enables combined use of image guidance and navigation in surgery.

More capabilities with Cios OpenApps
Find compatible, certified apps in the Digital Marketplace from Siemens Healthineers that empower you and your C-arm during procedures.

OpenApps

Intraoperative 3D imaging with Cios Spin, a C-arm for surgery, can enhance cost-effectiveness.

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

Profit from intraoperative 3D: Enhance cost-effectiveness

Intraoperative 3D pays off.
It may help reduce the need for revision surgery.
It is intended to avoid postoperative diagnostics, shorten hospital stays, and reduce liability risks.

Evidence

Imaging for multiple surgical disciplines

Cios Spin supports a range of surgical procedures with intraoperative 2D and 3D imaging.

Placing screws in the proximal tibia with Cios Spin, a 3D C-arm for surgery

Proximal tibia surgery

Courtesy of BG Klinik Ludwigshafen, Germany

Discover orthopedic and trauma surgery

Testimonials from clinical use

Read what clinical users have to say about the 2D/3D intraoperative mobile C-arm, Cios Spin.

“I can’t say it clearly enough: Experience is no substitute for a 3D scan. If anything, it is the experienced surgeons, in particular, who do not want to do without this intraoperative process control. They know very well that by using this method, they achieve better clinical outcomes and prevent postoperative revisions.”⁵

Professor Paul A. Grützner, MD

Head of the Department of Orthopedics and Trauma Surgery,
BG Klinik Ludwigshafen, Germany

“[The] initial needle deployment [before the first correction] into the target as defined by 3D fluoroscopy spin was successful in 8 out of 10 lesions. 3D fluoroscopy [Cios Spin]-guided repositioning of the robotic catheter [Ion] allowed optimization of three needle deployments: two from off-center to center, and one from miss to off-center.”

^{Kalchiem-Dekel O, Fuentes P, Bott MJ, Beattie JA, Lee RP, Chawla M, et al.}
^{Multiplanar 3D Fluoroscopy redefines tool-lesion relationship during robotic assisted bronchoscopy. Respirology. 2021; 26(1):120-123.}

Studies and white papers

Technical Details

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

System specification

Detector technology: CMOS flat detector
Field of view: 30 cm x 30 cm (12" x 12")
Peak power: 25 kW / 15 kW²
Orbital movement: +/- 100°
Free space: 93.6 cm (36.8”)

Retina 3D imaging

Scan scheme: Isocentric
Projections for 3D reconstruction: Up to 400
Scan speed: 30 seconds

Clinical workflow support

Image acquisition: Single Image
Fluoroscopy
Fluoroscopy High Level²
Subtraction / Roadmap²
Digital Cine Mode²
Navigation interface: NaviLink 3D²
DICOM 3.0 services: Yes²
Data transfer: LAN / WLAN²

System control

Brake control: Electromagnetic brakes
Table-side control: Yes²
Laser-light localizer: Yes²
Wireless footswitch: Yes²

Learn about the benefits of Cios Spin

Our mobile C-arm machine with 3D imaging for intraoperative quality control allows you to confirm your planned results.

The products mentioned here are not available in all countries. Their future availability cannot be guaranteed.

Kendoff D, et al. (2009): Intraoperative 3D imaging: value and consequences in 248 cases. von Recum J, et al. (2012): Die Intraoperative 3D-C-Bogen-Anwendung. Beck M, et al. (2009): Benefit and accuracy of intraoperative 3D-imaging after pedicle screw placement: a prospective study in stabilizing thoracolumbar fractures. Atesok K, et al. (2007): The use of intraoperative three-dimensional imaging (ISO-C-3D) in fixation of intraarticular fractures. Wendl K, et al. (2009): 8 Jahre Erfahrung mit intraoperativer 3D Bildgebung. Richter M, et al. (2005): Intraoperative three-dimensional imaging with a motorized mobile C-arm (SIREMOBIL ISO-C-3D) in foot and ankle trauma care: a preliminary report. Geerling, J, et al. (2016): Intraoperative three-dimensional imaging of syndesmosis injuries – a multicenter study from the AG Fuß der DGU. Hepp P, et al. (2014): [Multiplanar reconstruction with mobile 3D image intensifier. Surgical treatment of proximal humerus fractures]. Keil H, et al. (2019): Intraoperative Imaging in Pelvic Surgery.

Option.

For inexperienced surgeons, see Swartman B, Frere D, Wei W, Schnetzke M, Grechenig S, Matityahu A, et al.: Wire Placement in the Sustentaculum Tali Using a 2D Projection-Based Software Application for Mobile C-Arms: Cadaveric Study. Foot Ankle Int. 2018;39(4):485-492.

Cone beam CT (Siemens Healthineers brand name Retina 3D) is a method to acquire volumetric (3D) images by rotation of a C-arm around an object. 2D X-ray images are taken at equidistant angles and reconstructed to a volume.

The statements by Siemens Healthineers’ customers described herein are based on results that were achieved in the customer's unique setting. Because there is no “typical” hospital or laboratory and many variables exist (e.g., hospital size, samples mix, case mix, level of IT and/or automation adoption) there can be no guarantee that other customers will achieve the same results.

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Cios SpinA mobile C-arm for 2D and 3D intraoperative imaging

Benefits

Evidence