PVMS OF MEDICAL EQUIPMENT

Clinical Specialty
Generic Name
Clinical Purpose

TECHNICAL SPECIFICATIONS
Positioning ARM:
The system should be ceiling / floor mounted
Real time display of rotation angulations.
Geometry : C-arm/ G-arm
ROA/LAO +/- 130° or More
Cranial / Caudal : min. +/- 45°
Rotation speed : 25° /Sec or more in LAO/RAO
Isocentric Height: Variable /Fixed.
Auto positioning: Programmable auto positioning of selected.
Angulations, (50 or more) Programmable Positions.)
The control panel can be mounted at any side of the patent table.

All the rotational / Angles should be digital displayed. Allow patient positioning
without fluoroscopy while moving the table or C Arm i.e zero dose patient positioning

Variable source-to-detector distance

Motorized gantry rotation for free positioning of system and table», for optimum
patient access.
PATIENT SUPPORT / TABLE:
Catherization table with maximum radiolucent unobstructed overhang
Floor mounted with up down/vertical longitudinal and transverse
Rotational movements
Longitudinal stroke : 1000-1500 mm
Lateral stoke 100-300 mm
CPR in any table position
All Table side movement controls.
Catherization table
Table top should be of such construction in material and durability to accept patents
weight of not less than 200Kg plus 100 kg for resuscitation
Table dimensions should be able to accommodate patients of all ages.
Table top should have large metal free over hand for unobstructed image coverage.
complete accessories should be provided including arm holder, hand grip, arm
support and arm rest and positioning aids.
Left / right table pivoting: +/- 120 degree with 5Deg increments
Tilt Angle Head up / down: +/- 15 Deg
Table should be suitable for neuro applications with the possibility to attach head
clamps
Maintaining image upright during table rotation.

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Wireless foot switch for Fluoro and Acquisition.
In-room control for table-side operation of advanced 3D applications
X-Ray Generator
Microprocessor based high frequency X-ray generator
Output Power 100 KW. Radiographic rating minimum 1000 mA at 100 KV
The system should have capability of digital radiography and fluoroscopy
Continuous fluoro output power of 3 KW or more to ensure good image quality during
fluoro at oblique angles.
Shortest Exposure time of 1msec with automatic exposure control
X-RAY Tube:
Dual/Triple focus X-ray tube with anode heat storage capacity of at least 3.2 MHU or
better.

Procuring agency to select Anode heat storage capacity of 5MHU or more if required
Liquid bearing technology for longer durability and quiet operation
Focus 0.3mm, 0.6mm and 1.0 mm or better for triple focus & 0.4 & 0.8 mm or better
for dual focus tube.
Continuous heat dissipation of 2500 W or more.
Anode Fluro Current of 220mA or more and 700 mA or more in acquisition mode
FLAT DETECTOR:
The high resolution dynamic flat panel detector with integrated detachable grid
especially designed to fulfill the requirements for diagnostic and interventional
radiology.
Large Flat Panel Detector: size 30 x 40cms or more
Pixel size: 200 um or less.
Spatial resolution: 3.1 LP/mm or more.
DQE 75% or more
image acquisition to be done in 16 bit digitization depth.
Touch buttons on the FD housing to control SID, C-arm.
Laser crosshairs integrated into the flat detector housing with tableside operation for
simplified patient positioning and facilitated puncture planning in needle guided
procedure
Liquid based cooling system
IMAGING SYSTEM:
Digital imaging system (Acquisition / Fluoroscopy)
High resolution digital imaging system.
Acquisition, storage and display in 1024 x 1024 x 12 bits.
Dynamic real time Pan/Zoom
Hard Disk/Magnetic Disk Capacity for storage of 25,000 images with 1024 x 1024 x 12-
bits matrix
DICOM 3.0 with standard exchange media
The system must have Dicom send, Dicom print and Dicom Query / Retrieve facility.
Digital pulsed fluoroscopy / radiography with 7.5/10 and 15/30 frames per second in
1024 x 1024 x 12-bits or more for single plane

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Display of scene directory for easy selection of any image or scene from the
examination room of control room
Variable copper filtration during fluoroscopy and acquisition for radiation protection
(0.1mm - 0.9mm) or better (at least 4 filters)
The selection of the Cu filters must be automatic by the system based on patient
weight / absorption without any user interaction. Automatically set according to the
absorption of the X-ray beam by the patient. No user interaction is required.
Automatic detection of vessel edge. Enhanced contrast and visiblity of vesels edges
without increasing noise
Real time patient entrance dose monitoring
Motion Artifact compensation
Noise and artefact reduction, also on moving structures and objects
- Image enhancement and edge sharpening
Automatic real-time patient motion correction on live images
DSA imgaes to be burn on DICOM CD for subtracted images
The system must have online image density (gray scale) correction i.e. Automatic
online image density correction of dynamic scenes and single images for clear view
in the bright and dark areas of the image.

Facility to review previous studies in the examination room from the patients old CD.

Should have DICOM functions (Print, Storage. Query & Retrieve, modality worklist
·       Archiving on DVD with the possibility of background archiving of a previous study during a
running study.
·       DSA images to be burnt on Dicom CD in subtraction mode.
Online Digital subtraction angiography (DSA) with frame rates from 0.5 to 6.0 f/s or
more, selectable.
Manual and Automatic pixel shift processing during Roadmap and DSA based on real
time movement detection for most accurate subtracted image display. & Six
degrees of freedom: three translative, rotational, zoom and shearing movement.
Possibility of zooming and panning during Roadmap
Digital rotational angiography with angle triggering(for dose reduction) : Rotation
Speed of upto 45Deg/Sec, Acquisition rate of 70 f/s or more
Roadmap with the possibility of changing contrast of catheter and roadmap
separately.
Subtracted Bolus Chase
Full pixel 2K resolution for acquisition and storage of single images and series (up to
7.5 f/s) with a resolution of up to 4.76 megapixel (2480 pixel x 1920 pixel)
All controls of digital imaging system must be available in the examination as well as
control room.
CD RECORDER
CD drive for automatic digital image storing on CD-ROM for off-line data exchange in
DICOM 3 format. The system must archive the images/scenes on to the CD in
background
MONITORS FOR THE SYSTEM:

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Large monitor at least 55 inch or more with 8M pixels. Display for live, reference in
addition to 3D with the possibility to connect external inputs (US, PACS,…) with
customizable layout.
Backup mechanism with separate two part video and power supply inputs for live and
refereance images on the same LCD/LED OR Two monitor for live imaging and road
mapping in the exam room room 18inches as back up
Control room: TFT monitor, Live and Reference, at least 18”
Skin dose, Fluoro time and Dose rate is showing on the exam room monitor.
Additional Workstation:
As recommended by the Manufacturer and being supplied worldwide. High
Performance Windows/LINUX based Multimodality /dedicated workplace with 2 X
Dual Core 3GHz Pentium

Processors with minimum 32GB or more (as per manufacturer recommendation). The
workstation to be equipped with graphic board to support 3D applications. High
performance windows XP based multimodality workplace with 2 x Dual core 3 GHz
Pentium processors with minimum 3 GB RAM or more and a minimum disk capacity
of 500 GB or more SSD 3D reconstruction SW for universal angiography & IR
applications for the reconstruction of 2D tomograms from the projection images.

3D APPLICATIONS
3D Reconstruction
3D Matrix size from primary reconstruction 512 or more
Focus and zoom at tableside with one click Should be available
Possibility of visualizing both vessels and other material such as coils, stents with
distinctive colors.
Ability to post-process one 3D data set in control room without interfering in exam
room 3D procedure
Planning of 3D markings (lines, circles…etc) highlighting landmarks on 3D datasets and
overlay of live fluoroscopy
3D Roadmap :
Overlay of 3D dataset on live Fluoro.
Automatic compensation of C-arm and table movement.
CT-like imaging :
Coverage at least 200 deg or more
Frame rate at least 30 f/s. The higher the better.
Overlay between 3D model and CT like image for visualization and comparison
No User Calibration required
Metal Artifact reduction
Low contrast cross-sectional imaging with 1 x 1 pixel binning for higher resolution CT-
like imaging
Fusion with imported DICOM volumes:
Fusion with MR, CT and PET imported DICOM images.
Fused image can be overlaid on live Fluoro
Co-registration of 3D imaging and preferably using 2D imaging for dose reduction
3D volumetric analysis and Virtual Stent planning:

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Automatic calculation of dome height, ostium diameter, and aneurysm volume
Virtual stent planning with overly on live fluoro
Possibility of endoscopic view of the supplying vessel and the aneurysm.
Needle Guidance software:
Planning needle path on 3D volume
Superimposing the path on live fluoro for guidance
Integrated laser crosshair with the detector to automatically indicates needle entry
point and the planned angle
Multiple needle planning or any other similar rigid objects
In-room control for table-side operation of advanced 3D applications
3D Parenchymal blood volume Imaging (Neuro Perfusion) :
Color-coded imaging of the parenchymal blood volume in the brain during an
intervention.
Color scale displayed for reference.
Distance measurement can be done on the image.
Comparative measurement of left and right hemisphere.
Accessories: ( Procuring agency to select as per its actual requirement)
Surgical shadow-less light ceiling suspended.
Ceiling suspended Lead Glass for Upper Body Radiation Protection
Lower body radiation protection flaps.
1 x Fully programmable latest model contrast medium injector.
One Postscript level Network Laser Printer for taking image printouts on paper.
This printer is to be connected with the Main Digital imaging System. Paper for 500
prints should be delivered with the printer.
1000 write-able CDs should be delivered with the system
Lead Glass Window size 2 x 1_ meter or more. Pb equivalence 2.1mm or better.
6 x Pb aprons, double sided. Pb equivalence front 0.5mm; back 0.35rnm.
6 x Thyroid shields ad 6 x Pb Glasses.
Intercom for communication between control and exam room.
DICOM Laser Camera with 14-x17 inches cassette formats.
UPS compatible for the whole system with back-up time of 10 minutes for fluoro ad
cine acquisition.
2x firm viewer for images up to 14 x 17 with variable light control and shutters.

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Radiological Equipment
Single Plane ANGIOGRAPHY SYSTEMS
For neuro and Peripheral angiography system

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