alien x 2020 ddmedicalit spa

DATA SHEET alien X The latest version of C arm introduced in the market in January 2019 the system designed to have a working capacity similar to an angiographic device or for stationary haemodynamics therefore it will no block due to high temperatures of the X-ray unit or other components .The movement of the C are motorized and manual Geometry isocentric active anti-collision systems on the FPD and X-ray sides A compact and stable system with a perfectly balanced C-arm that is safe for all movements Excellent manoeuvrability thanks to two large antistatic steering wheels. Latest generation start & stop system with excellent ergonomics and commands that are easily recognized (colour coded) Robust cable connections between the C-arm and trolley that will not traumatically break. special paint for quick cleaning and disinfection Depth from the centre of the C to the centre of the detector mm/degree SID 730 Distance of the working area between the flat panel detector and the X-ray unit 1050 Manual horizontal movement 850 Motorized vertical movement with start and stop of movement with ramp 280 Manual & motorized CRA CAU 500 WIG WAG manual Manual & motorized RAO LAO +/-225° Colour coding for easier recognition of the movements + /-12° Wheels equipped with parking brake and cable guards 150° EPD Volumetric anti-collision safety devices that can also be set based on the presence of sterile drapes positioned either on the flat panel detector side and on Yes the X-ray tube side, with the possibility of disabling it , possibility to set the Yes working distance Yes Storing up to 4 memories (slots) with storage of all motorized movements ( vertical, horizontal, rao lao , cranio caudal )with synchronized movements of the Yes various axes that can be recalled with a single button Possibility of moving the C-arm assembly parallel to the patient table Yes C-arm assembly ergonomic and easy to handle on narrow corridors and doors, Yes View the current and memorised position of the C-port with the ability to call a Yes memorised position at any time PAGE 1

ETS15 orientable touch screen 15.6” user interface located on the C-arm and trolley It manages the entire machine, Video preview , live and reference image in the same screen All the ETS15 of the system are synchronized Fully microprocessor controlled Yes Visualization and management of fluoroscopic and radiographic exposure Yes parameters Image display and management Yes Management of the entire C-arm and all of its functions Yes Management of the workflow and the interfaces with the external RIS PACS Yes Intuitive symbols and icons Yes Digital display Yes Possibility to store up to 4 positions and limits which can be recalled at any time in Yes an intuitive way Possibility to manually set the parameters Yes Yes Possibility to set the C-arm position with respect to the table and the patient Yes Possibility to set the C-arm position with respect to the table and the patient memorize DICOM field Yes Touch buttons for movement Yes Touch buttons for collimator position and images Yes Alarm display/emergency safety button The dose measurement can be displayed on the monitor and the dose structured report can be stored and printed Real-time dose measurement thanks to our software that control in rela time Yes emission and position of the blades of collimator we have an error <10% DAP displayed on the monitor Yes The radiation dose rate displayed on the monitor Yes The cumulative radiation displayed on the monitor Yes Radiation emission time displayed on the monitor Yes Ability to print the radiation dose structured report in pdf or send to the pacs ris Yes Dose data in DICOM fields Yes DICOM structured DSDR Yes RDW system of automatic dose reduction Yes PAGE 2

High frequency generator with power rating of 25 KW Frequency inverter 40 kHz 25KW 100 Kv 250 mA 100ms 250 mA 125Kv Maximum deliverable current at 100 Kv Yes Maximum voltage Yes 3-250 Possibility of continuous fluoroscopy 40-125 3-250 Pulsed fluoroscopy 40-125 Pulsed fluoroscopy mA Up to 250 Up to 125 Pulsed fluoroscopy KV range Yes Fluorography/Fluoroscopy pulsed high dose/Cinefluoroscopy mA Yes Fluorography/Fluoroscopy pulsed high dose/Cinefluoroscopy KV 1.2.3.4.5.6.7.8.9.10.11.12.15.20.25.30 Analog radiography mA Up to 30 fr sec Yes Analog radiography KV from 8 to 50 ms May have different ms of exposure and variable rates (frames/sec) in automatic 250 mA Yes and manual mode Yes Yes Variable rates in frames/sec and pulses/sec in both pulsed and cinefluoroscopy Yes Yes Fluoroscopy pulsed frequency Yes Variable pulsed synchronized with frame rate Yes Yes Cine loop Possibility to set width of pulse At 100 KV max mA with 100 ms of exposure Digital display of parameters Possibility to program parameters by user, following predefined protocols Ability to select low dose mode Auto dose to have lowest dose possible with the best images Auto dose in X-ray fluoroscopy and fluorography Automatic exposure meter with automatic recognition of the position of the object being examined and automatic adjustment of all the exposure parameters with relative real-time optimization Multiple fluoro modeslow dose, standard, high ,snap shot ( 4) Filter for noise reduction PAGE 3

Rx complex Dual focal spots rotating anode X-ray tube Yes 0,3x0,3-0,5x0.5 Focal spots IEC mm 400.000 HU Anode thermal capacity 3000/9000 7.000.000 HU Rpm of anode 104.000 HU/min 96.000 HU/min 1.200 watt Housing thermal capacity Yes Heat dissipation of anode Yes Oil circulation Heat dissipation of housing Yes Beam filtration > 5 mmaleq Yes Digital AEC Yes Intrinsic cooling of X-ray shield Yes Tube overload and over temperature detection and protection Yes Thermal cut off Yes Display of available anode and housing thermal capacity WAD Water Aided Dissipation system for endless fluoroscopy WAD Water Aided Dissipation system max dissipation 96.000 HU/min Advanced cooling system without external fans with EHC automatic temperature control system, the heat exchanger is installed in the lower part of the moveable base without external fans Our type of cooling system prevents any possible stoppage of the X-ray unit due to overheating. Visual warnings are also present which indicate the heat level of the tube as well as acoustic alarms in order to alert the healthcare workers of the system status. The purpose of this is to convince them to reduce the dose since there are no overheating problems. Everything is also controlled by the EHC system which automatically manages the dose, frame rate, pulses/sec, current, voltage and times to provide the best images with the lowest possible dose and avoiding any machine stoppages PAGE 4

Multi-leaf collimator Yes Yes Collimator, virtual collimator, automatic collimation, motorized digital Yes Lead leafs that can close horizontally or vertically or together Yes Motorized asymmetrical copper leaf rotatable 360 degrees Yes Filters to reduce the dose according to IEC 60601-2-43 Possibility to change motor filtrations to comply with the standard to Yes reduce the X-ray dose Rotation of the framed images, we therefore do not use the iris Yes diaphragm to obtain more visible area Up, down, left, right image rotation Amorphous Silicon 20x20 Flat Panel Detector 1416x1420 Dynamic flat panel 16 Detector material 75% Nominal area cm Detecting matrix Up to 30 f/s Bits of acquisition Yes DQE Acquisition speed 3 (2020-1515-1010) Electronic zoom ( zoom option) Carbon fiber + PAPER FOV (field) Grid material 60lp/mm Grid density Yes Automatic dark calibration/ofsett calibration Yes Automatic exposure control Yes ABS/AGC opt Laser in build in the cover of flat panel PAGE 5

Monitors BARCO 31.5” installed on a small compact sized trolley + ETS15 monitor touch screen 15.6” 31.5” Barco flat screen with high brightness, contrast and resolution Yes Orientable monitor 180 degree( rotable monitor) installed on a mobile Yes arm Monitor with motorized height adjustment Yes 30 cm Viewing angle 178 degree Resolution 3840x2160 Patient data, the operating status of the C-arm, live images and reference images also coming from other modes are displayed on the monitors. Yes The ETS15 on the monitor trolley is synchronized with the other ETS15’s. Touch screen monitor ETS15 control panel to control all C arm functions Yes Yes Imaging RDW reduction dose wide Yes Yes AGC automatic gain control Yes Yes ADC automatic dose control Yes Yes ROI region of interest Yes Yes APR automatic program radiology Yes Yes MPS media pulse system 100,000 Yes SMART to see better the small details Linux Yes LIH last image hold Automatic detect of the image Frame rate up to 30 fr/sec in fluoroscopy Image stored memory Image stored in external USB device OS High speed real time image recording PAGE 6

Automatic image storing – automatic transfer to hard disk Yes Dynamic range/ Positive/negative image inversion Yes Patients and examinations archive with searching tools Yes Recording and archiving fluoroscopy Yes Access to short and long term archives Yes Single and multiple shots exposure facility Yes Edge enhancement / BW-WB / latitude / equalization Yes Pre-settable response curves Yes Program ( APR) for orthopedic, neuro, endo uro, pediatric, cardiac Yes (hemo and electrophisiology) vascular Digital filters real time acquisition and post processing Yes Examinations / images search and review Yes Automatic Cine loop/automatic windowing Yes Image edit , image directory Yes Linear angular measurement Yes Marker on images with possibility to memorize Yes Rotation of image ( the image is square and remain square) also yes without X ray , mirror Digital zoom Yes Function of video recorder Yes Replay frame by frame for dynamic studies Yes Digital virtual collimator Yes One touch brightness/contrast/LUT control Yes Real time automatic brightness and contrast Yes LIH automatically stored software allows free positioning Yes Automatic storage or exposed images Yes Patient annotation Yes Real time motion detection ,edge enhancement Yes Hiding and displaying of graphics Yes PAGE 7

Mosaic and display split screen Yes Look up table for optimum contrast and brightness Yes Digital highest zooming % Interactive zoom fixed and roaming Yes Specific Look-Up Tables optimum contrast &brightness Yes Digital shutters, positive/ negative, image annotation comment, Yes marker, edge enhancement, motion detective Movie function for playback of scenes automatic cine loop Yes Digital image rotation 360 degree reversal ed invert Yes Identify the anatomy anywhere in the images and select the optimum Yes setting Measure angle distance with calibration tool Yes Yes Edge improvement,adjustment of contrast and illumination,noise reduction filter, Yes Enlarging the image in real time,notes and markings in the picture Angle measurement and length,digital real-time image rotation and LIH Yes simultaneous display of current and previous patient images on the Yes reference monitor Loading of images from the same modality and images from other Yes modalities ( dicom) Yes Zoom , positive and negative inversion, mosaic hiding display of textt Yes Hiding / display text, text annotation, image rotation, horizontal and Yes vertical flip, edge enahcement, last image hold, automatic windowing, Yes manual contrast and brightness control Yes Displaying of original and stored image Privacy protection Automatic image adjustment on every district, noise reduction Export in MP4, Tiff, PNG Filters for noise reduction Computer controlled system and up gradable software PAGE 8

Manual deletion of images Yes Disply of multi modality examination Yes Previously defined anatomic programs for fluoroscopy Yes Lock capability with a physical key Yes A mosaic display of at least 16 images Yes Dicom classes Yes SCU storage, send receive Yes Storage Commitment, worklist Yes Media interchange- image recording to CD and DVD in dicom and AVI format ( from viewer dicom) Yes Query Retrieve / mpps Yes Possibility to insert a patience manual Yes Image recording to USB in dicom Yes Loading images from other modialities Yes Loading of pre operative imag to C arm Yes Dicom DSDR PAGE 9

DSA RSA MSA angiographic package opt Real-time and post-processing DSA subtraction opt Real-time landmarking opt Pixel shifting appropriate opt Mask remask opt Trace opt Max op Showing maximum blood vessel blur opt Roadmapping also in high quality opt Measure - Angle and easy quantification stenosis measurement with calibration function opt Bolus chase software opt Vascular programs for each body area opt drawing on the images to outline vessels on the ETS15 monitors and therefore for the trolley opposite the monitors for the healthcare opt worker Yes Program for landmarks Yes Insertion of text onto images on ETS15 monitors Positioning of digital markers on ETS15 opposite the doctor's monitor on the trolley or from any ETS15 system PAGE 10

Accessories Yes Monitor trolley with X-ray warning ,equipped with 4 wheels with parking Yes brake and cable guards Yes Monitor trolley wheels , all equipped with brakes and cable guards Yes Monitor can be detachable Yes Hand control Yes Extremely manoeuvrable monitor trolley WIRELESS multifunctional pedal ( foot switches)waterproof with Yes accidental impact protection for fluoroscopy/fluorography and for the Yes functions selected or to be selected with the users Yes X-ray control pushbutton (remote X-ray pushbutton) Yes X-ray emission indicator Yes ETS15 synchronized with ETS 15 on C arm ETS15 possibility to see image both live and reference Yes USB port / CD-DVD burner to record exam images with the DICOM viewer to view them on any modern computer Yes Possibility to storage images also external on HD USB pen thanks to USB connection Yes EPD easy proximity detection / FPD side anti-collision detector that can be set to determine the intervention distance; they also function when Yes covered with sterile drapes Yes EPD easy proximity detection / X-ray tube side anti-collision detector that Yes can be set to determine the intervention distance; they also function Yes when covered with sterile drapes Multifunction wireless X-ray footswitch Export of raw images for quality checks USB port and 10/100/1000 Mbps Ethernet LAN and WLAN Dose emission indicator that is displayed on the doctor’s and touchscreen monitors and with LED lights + buzzer PAGE 11

Internal medical digital recording unit with the possibility of exporting to Yes USB/CD-DVD storage medium with viewer and online in DICOM format Yes Interface to the RIS PACS system supplied to the company (hospital) yes Interface to any PACS and RIS with and without WLAN cable Optional Remote console for movement wireless Optional ETS15 on mini trolley 230 V ac 16A Improvement +- 10% - Flat panel 3030 2048x2048 instead 3030 1536x1436 +10~+35 C° Requirements and Physical characteristics 20%~80% Power supply/Weights and dimension/Ambient conditions 800 Power line 1980 Power line stability 1710 Temperature 387 Humidity, not condensing 550x550x1600/1900 165 DIMENSIONS: Width mm Depth mm Height mm Weight kg Displays trolley dimension mm Displays trolley weight kg PAGE 12