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Mobile C-Arm with Flat Detector Enhances Management of Challenging Patients, Procedures

By MedImaging International staff writers
Posted on 15 Dec 2011
Image: The Philips Veradius Neo, a mobile C-arm with flat detector (Photo courtesy of Philips Healthcare).
Image: The Philips Veradius Neo, a mobile C-arm with flat detector (Photo courtesy of Philips Healthcare).
A new mobile C-arm with flat detector has been developed to allow surgeons to handle challenging patients and procedures more easily and precisely. Designed in collaboration with surgeons worldwide, Veradius Neo features a completely new C-arc geometry. This optimized geometry is specially designed to accommodate even obese patients with increased maneuverability.

The Philips Healthcare (Best, The Netherlands) Veradius Neo also offers flexible dose management settings and sophisticated flat detector imaging technology to support surgeons in performing the latest image-guided surgical interventions to help improve patient care.

“Veradius Neo is truly the product of a collaborative process that included the input of many surgeons and technologists from around the world,” said Bert van Meurs, senior vice president and general manager, interventional X-ray, for Philips Healthcare. “With customers’ input, particularly their hands-on evaluation of early designs, we’ve developed a mobile C-arm that is easy to position, even for very large patients.”

The Veradius Neo is also Philips second generation of flat detector-based mobile C-arms, building on the considerable success of the Philips Veradius system, introduced in 2009.

Orthopedic surgery can present difficult positioning challenges. The Veradius Neo addresses these unique demands with a new, optimized C-arc geometry that provides more room for orthopedic surgeons to work and to position around patients.

Mobile C-arms are repositioned many times during most procedures in order to deliver visualization for image-guided interventions. To simplify communication between surgical team members and make it easy to move to a requested position quickly, the Veradius Neo now has a color-coded geometry. Once in the desired position, the system’s flat detector technology provides high-quality images without the distortion that is inherent in images produced by previous generation image intensifier technology. Surgeons can use these undistorted images to help position screws and other devices with precision.

Minimally invasive procedures, such as endovascular repairs, are performed by surgeons using small stents and other devices that can be difficult to visualize. To provide sufficient visualization during a procedure, a mobile C-arm must be able to generate high contrast images of dynamic anatomy. The flat detector on the Veradius Neo has a greater dynamic range than older image intensifier technology, meeting these high requirements by providing high contrast digital subtraction angiography (DSA) runs and roadmap guidance.

Veradius Neo’s cutting edge X-ray generation technology allows distortion-free visualization of dynamic anatomy in challenging procedures such as transaortic aneurysm repair. During the vascular cases, the surgeon is in full control, ensuring an efficient vascular workflow.

X-ray dose remains a concern for the surgical environment for general procedures and, in particular, long, minimally invasive procedures. Veradius Neo integrates a full range of dose management features that allow low X-ray dose for lengthy minimally invasive procedures, while providing high-quality images.
Philips beam filters enhance the quality of X-ray while the monoblock design results in sharp pulses to support excellent dose efficiency. The easily removable grid on the flat detector makes it possible to visualize small anatomy and extremities with excellent image quality.

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