Ziehm Vision RFD Hybrid Edition 2121

Powerful motorised mobile C-arm with rotating anode and CMOS flat panel technology

An angiographic suite on wheels

Making mobile hybrid OR imaging the cost-effective way forward

Stunning Ziehm 20.5 x 20.5 cm CMOSline flat panel for fixed system-like image quality in a compact yet powerful mobile C-arm

Immediate availability, no installation time and high costs; mobile versatility

Ziehm CMOS Flat Panel. C-arm motorised in all 4 axes

Ziehm’s sparkling new CMOS Flat Panel Detector (FPD) takes centre stage in the design of the all-new Ziehm Vision RFD Hybrid Edition 2121. The 2k x 2k image matrix doubles the benchmark of 1k x 1k for mobile C-arms and the 20.5 x 20.5 cm imaging area provides square images with 21% more coverage of anatomy, as well as higher resolution imaging and lower radiation dose capabilities, when compared with a typical 23 cm image intensifier. It is ideal for cardiovascular and cerebrovascular and interventional procedures with image quality similar to fixed angiographic systems thanks to it's powerful 25 kW X-ray generator and advanced Ziehm imaging algorithms.

The auto-calibrating CMOS detector’s 100 µm pixel pitch enables approximately double the image quality with a similar dose compared to an image intensifier or similar image quality with approximately half the radiation dose. This provides the versatility to adapt instantly to the procedural demands and patient consideration, and makes the Ziehm Vision RFD Hybrid Edition 2121 especially child-friendly where minimum dose and ultimate image detail in small anatomy are priority considerations.

The CMOS flat panel detector’s greater dynamic range enables the user to view more than 65,500 shades of grey in the image compared to a little over 4,000 with an image intensifier. This allows a much greater range of tissue information to be visualised on the same image.

Rotating Anode X-ray Tube. Active Liquid Cooling. The POWER to take on anything

Equipped with a rotating anode X-ray tube and, crucially for long and complex procedures, Ziehm's unique active liquid cooling, the Ziehm Vision RFD Hybrid Edition 2121 is provided with a 25 kW X-ray generator, providing you with the confidence to take on the most challenging procedures with all the power you need but without overheating concerns.

Create a hybrid OR at a fraction of the cost and in a fraction of the time

Wheel in the Ziehm Vision RFD Hybrid Edition, connect to a mains electric power outlet and you're ready to go. No major room preparation costs or excessive room size requirements. No issues with conventional or laminar flow ventilation caused by a large static X-ray installation within the operating room.

And being mobile, the Ziehm Vision RFD Hybrid Edition can be wheeled out of the OR so freeing up space or used in other operating rooms as required - and all at a fraction of the cost of a static X-ray installation.

An optional mobile interventional imaging table can also be specified

Ziehm Vision RFD Hybrid Edition 2121; best for...

The Ziehm Vision RFD Hybrid Edition 2121 can take on anything is encounters with consummate ease. Having a 20.5 x 20.5 cm imaging area the Ziehm Vision RFD Hybrid Edition 2020 would be ideal for, but not limited to the following applications:

· Vascular and Interventional procedures (abdominal procedures will benefit from the Ziehm Vision RFD Hybrid Edition 3030 with larger flat panel detector)
· Cardiac procedures including cardiac pacemaker procedures
· Spine Imaging (2D)
· Speech & Language (SALT)
· Paediatrics

Cine record and replay ('loop') is included as standard and Ziehm's advanced and workflow-optimised SmartVascular' software package can also be specified.

Great Features. Real Clinical Benefits

In line with Ziehm Imaging's company philosophy, only features that
bring real clinical benefits for users, clinicians & patients are included.

The Ziehm Vision RFD Hybrid Edition 2121 is truly feature packed.

Ziehm Advanced Active Cooling

Unlimited fluoroscopy time for lengthy procedures.10 million Heat units capacity. No overheating. No delays

Extended Motorised Orbital Rotation

Achieve those positions normally out of reach of a
traditional C-arm with motorised ease & convenience

Joystick Movement Control

Achieve any position with joystick convenience.
3 memorised positions and smart isocentric rotation

Touchscreen with Reference Image

Follow the action even when the main display monitors are facing away; smartphone-like control

Outstanding Image Quality

2k x 2k images and Ziehm know-how provides images with fixed system like quality from a mobile C-arm

Superb Image Quality with CO2

Achieve excellent results using CO2 contrast medium with Ziehm's CO2 DSA program (option)

More Great Features. Even More Clinical Benefits

Wireless Freedom

Connect to PACS, external monitors &a foot-switch all wirelessly

Child Friendly SmartDose

Ultra-low dose CMOS FPD, pulsed fluoroscopy, Ziehm ODDC, paediatric mode, virtual collimator, Ziehm PreMag, removable grid option

Integrated Laser Targeting

Bright crosshair from the FPD for radiation-free positioning. Option for a 2nd from the generator

Digital Cine

Record & replay ('loop') dynamic studies with video-like controls at up to 8, 12.5 or 25 frames/s

Very SmartVascular

Ziehm SmartVascular optimises workflow & offers tools & image quality similar to fixed systems

Contrast Injector Interface

Connect to & synchronise your Ziehm C-arm with most popular models of contrast injector
A Ziehm Mobile C-arm Grows with Your Needs

With a Ziehm mobile C-arm, system expandability is always available to you simply by adding either a software or hardware option. Ziehm are the first mobile C-arm company to bring wireless monitors (1) to the operating theatre environment. Providing the convenience of additional imaging displays that can be ceiling- or wall-mounted, the high speed transmission gives real time replication of the images displayed on the
Ziehm Mobile C-arm. The ceiling monitor support (2) is available as an option with any Ziehm mobile C-arm. Amongst the many software options that can be specified, Ziehm 'Z-Conference' (3) enables the live image to be streamed to a remote location such as a colleague's office or a lecture theatre, complete with bi-directional audio - useful for second opinion, advice in a complex case or educational commentary.

A range of mobile Imaging tables are also available to complement Ziehm mobile C-arm's.
Network Connectivity

Ziehm C-arms can be specified with all the necessary tools to ensure that they are the most connected mobile C-arms available. Connectivity options include
:· DICOM 3.0 conformance
· HIS/RIS/PACS connectivity (cabled)
· HIS/RIS/PACS connectivity (wireless)
· DAP meter dose data to RIS/PACS
· Dose Server connectivity
· Remote intraoperative audiovisual consultation / presentation in real time (''Z-Conference'')
Sterility, Hygiene and Infection Control

Most hospital disinfectant wipes can be used on Ziehm mobile C-arms and each unit is supplied with a starter pack of bespoke Ziehm sterile covers that are tailored to each model and cover the flat panel detector assembly, the X-ray generator assembly, the C-arm assembly and the foot-switch. Manufactured from a clear material, laser targeting devices are still effective and viewable. These covers maintain sterility during operating procedures and also reduce the possibility of contamination of the mobile C-arm with body fluids and thereby aid infection control and reduce the cleaning burden. Individual covers are also available just for the flat panel detector and for the optional remote Vision Centre touchscreen user-interface. Additional packs of cover sets are readily available to order when required.

First Class Service: Physical and Remote

As well as first class Xograph service support being available to our mobile C-arm users, Ziehm Imaging also now offer a secure remote service option* direct to you mobile C-arm allowing system log file interrogation, software updates and more. This in turn allows system issue diagnosis in certain cases and this information can be passed to an Xograph field service technician who will arrive on site with the appropriate recommended replacement parts where applicable.*Subject to local IT access policies.

Fit for the Future

As well as a number of valuable hardware add-ons the Ziehm Vision RFD Hybrid Edition’s Vision Centre touchscreen user-interface has an open, modular software architecture ensuring maximum versatility. This interface can be easily upgraded and expanded with additional software modules, such as the Anatomical Marking Tool, without the need for hardware changes. The USB port not only allows export in a number of image formats including DICOM, but also allows fast update and upgrade. Latest Ziehm integrated secure and professional cyber-security satisfies the demands of the most vigilant IT departments.

Routes to Ownership

As well as direct purchase, Ziehm mobile C-arms are available via most Framework Agreement Contracts including NHS Supply Chain (UK), NHS Health Scotland and HSE (Ireland). In addition, finance can be arranged through a specialist medical finance third party and for those looking for a temporary solution, rental of a Ziehm C-arm may be possible. For more information on rental possibilities please click here.
Ziehm Vision RFD Hybrid Edition Product Downloads

You can download the Ziehm Vision RFD Hybrid Edition product brochure and other related documents here.

Ziehm Vision RFD Hybrid Edition Brochure
Ziehm Vascular Applications Brochure
Whitepaper Vascular Trauma Ziehm Vision RFD Hybrid Edition
Ziehm Mobile C-arm Range Product Portfolio
Ziehm Bespoke Sterile Drapes 
Ziehm CMOS Whitepaper

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