Cios Alpha

See the power with Full View FD

www.siemens.com/cios-alpha

Retina
Imaging
Chain for
lower dose

Answers for life.

Cios Alpha lets you see
more and gives you the
power to do more.

2
Outstanding image quality
coupled with powerful
performance and simple
operation: welcome to a
new era in surgical imaging.
Whether you’re repairing an abdominal aortic aneurysm More power, more vision
or checking the placement of pedicle screws in spine Capable of generating the power you need for even very
surgery, the more you can see, the more confidently you challenging situations and long-lasting procedures, Cios
can perform the procedure. Well suited to advanced oper- Alpha’s active cooling system* combined with intelligent
ating rooms, Cios Alpha covers the needs of all relevant power management provides excellent penetration at
clinical disciplines, opening up new possibilities in surgical very low dose. So you get consistently clear, sharp images
imaging. without having to worry about overheating or image
quality degradation.
Outstanding images, optimized dose
The first mobile C-arm to use Full View flat detector (FD) Exceptional precision, effortless control
technology, Cios Alpha delivers outstandingly detailed Fast, intuitive and convenient: Cios Alpha’s intelligent
and distortion-free images at very low dose. Full View FD features are designed for flexible, efficient operation
technology enables the collimators to uniquely track the and seamless integration into your workflow. Engineered
image rotation, providing the maximum field of view all to let you see and do more, its compact detector design
the time. For up to 25% more image coverage** even provides extended free space for excellent patient access
when rotated. The Retina Imaging Chain with IDEAL dose while the remote user interface* and single-touch
reduction (Intelligent Dose Efficiency Algorithm) con- positioning* give you direct control from the sterile field.
stantly optimizes the dose, giving you excellent image For complete versatility, time-savings, and less effort.
quality at very low dose regardless of clinical application
and patient size. Innovative features for clinical applications
Multipurpose and efficient: in a single system, Cios Alpha
covers the surgical imaging needs of all the most relevant
clinical interventions. From vascular and cardiac surgery
to gastroenterology, urology, trauma and spine surgery –
whatever your surgical discipline, Cios Alpha integrates
seamlessly into your workflow.

* Option
** Compared to today‘s conventional image intensifiers 3
Standard FD image Field of view with conventional FD systems Cios Alpha’s field of view provides up to
once the image has been rotated even by 25% more coverage**, even when rotated.
as little as 1°.

4
 Cios Alpha’s unique Full View FD
technology gives you
outstanding image quality
at very low dose.

Outstanding images, optimized dose

The vision you need with

Full View FD: from the big
picture to the tiniest detail.
From image acquisition to viewing and archiving, Cios Alpha …clearly and precisely
fully leverages the potential of flat detectors. Its unique Full With its 30 cm x 30 cm (12” x 12”)* flat detector, Cios Alpha
View FD technology and Retina Imaging Chain with IDEAL delivers a larger field of view with exceptionally high levels
dose reduction help you see every detail – at very low dose. of spatial resolution and dynamic range to help you clearly
Whether you’re identifying micro-fractures or precisely differentiate tissue and surrounding structures. And
positioning fine catheters and implants, Cios Alpha allows because they are distortion free, images are geometrically
you to perform complex procedures with confidence and optimized for accurate measurement and ultra-precise
control. positioning.

See the full picture…

Cios Alpha’s smart collimation system enables the collima-
tors to synchronize with the image rotation, providing
optimal visibility with up to 25% more anatomical cover-
age** and better orientation at any time during and after
image rotation. So whatever you’re viewing, you always
get the full view.

* Option
** Compared to today‘s conventional image intensifiers 5
Outstanding images, optimized dose

The image quality you need –

with less dose: Retina
Imaging Chain with IDEAL
dose reduction.
Achieving high-quality images while keeping the dose as Retina Calibration: Every single pixel on the flat detector of
low as possible is a challenge in the OR. Our unique solu- Cios Alpha undergoes a complex temperature calibration.
tion: the Retina Imaging Chain with IDEAL dose reduction. As a result, temperature compensation takes place in
real time during acquisition. This makes sure the system
A new breed of imaging chain provides excellent low dose imaging at all temperatures –
The Retina Imaging Chain with IDEAL dose reduction even when the detector is cold right after power on.
optimally transforms X-rays the detector receives into
Retina Board: Specifically designed for Cios Alpha, the
outstanding images – just like the retinas in our eyes
Retina Board continuously optimizes image quality during
intelligently convert light into visual signals for our brains –
acquisition by eliminating all detector related artifacts.
while it simultaneously applies IDEAL dose reduction. The
result: high-quality images at very low dose, in all relevant Retina Exam Sets: Provides a selection of optimized exam
clinical applications and for patients of almost all sizes. sets with predefined exposure parameters for a broad
range of clinical applications. Just select your application
Retina Imaging Chain in detail
and automatically achieve excellent image quality at very
The following five elements make up the Retina Imaging
low dose. Simple exam set customization lets you tailor it
Chain:
to your OR’s specific needs.
Retina FD technology: Cios Alpha is equipped with the
IDEAL dose reduction: The Intelligent Dose Efficiency
latest generation of flat detectors that is characterized
Algorithm (IDEAL) is a smart dose management system
by a higher sensitivity and lower electronic noise level
specially designed for Cios Alpha. It continuously analyzes
than conventional flat detectors. The result is optimized
each and every one of the detector’s 2.2 million pixels*
low dose performance, meaning better image quality
and constantly optimizes their dose efficiency. The result
with less dose.
is an always optimized balance of image quality and dose
as well as automatic contrast and brightness regulation.

6 * Option
View Cios Alpha’s high-quality
images, acquired using very low
dose, on two bright high-contrast
TFT screens.

7
Cios Alpha provides the power
you need for very high penetration,
e.g. with obese patients.

8
 More power, more vision

The mobile C-arm that stays

cool: so you can keep yours.
One of the most powerful mobile C-arms on the market, …when it’s needed
Cios Alpha’s 25 kW* high power generator gives you power Cios Alpha’s Energy Storage Unit (ESU)* buffers energy,
reserves for very high penetration to deliver clear, detailed tripling the mean power that can be applied. The ESU
images in almost all situations. makes the maximum power available for significantly
higher penetration capability in series acquisition when
The power to work longer… it’s needed.
With its advanced cooling system*, Cios Alpha allows you
to work uninterrupted and without image quality degrada- …so you can do more
tion up to three times longer than with conventional C-arms. With its combination of higher penetration power, uninter-
When the tube heats up, the active cooling system* coupled rupted operation and IDEAL dose reduction, Cios Alpha
with the intelligent power management system automati- opens up new opportunities in surgical imaging. It lets
cally manages heat dissipation to stay within the thermal you perform a wide variety of procedures from standard
limits. So you can perform a wide range of long-lasting to high-end hybrid OR applications that were once only
procedures, even on obese patients, without worrying possible with fixed C-arms, such as complex endovascular
about overheating. procedures.

“We could certainly perform

fenestrated stent grafts with
Cios Alpha.
Not just because of its image quality, but even more due to its
tube performance and active cooling system. One of the first
AAAs we performed with it was on an obese patient and lasted
well over three hours. Even at the end of that operation, the tube
was not getting hot at all. A conventional C-arm would have
overheated long before.”

Werner Lang, MD FEBVS, Professor of Surgery,

Chief, Department of Vascular Surgery,
University Hospital Erlangen, Germany

The speaker is employed by an institution that provides Siemens product reference

services for compensation pursuant to a written agreement.

* Option 9
Exceptional precision, effortless control

Complete flexibility.
Precisely where you need it.
Cios Alpha is designed to provide you with the informa- Time-saving positioning and operation
tion you need, simply and quickly without getting in your With its motorization package* for effortless positioning,
way. Every aspect has been carefully thought out to make and its color-coded brakes and scales for simple, intuitive
it as convenient and intuitive as possible, for optimum operation, you can save precious time during your
support of the surgical workflow. procedures.

Direct table-side control A system that remembers where it was

To give you complete flexibility, Cios Alpha can be With Cios Alpha’s single-touch positioning function*, you
controlled from the monitor cart, the C-arm or directly can record up to two specific projections and recall them
from the sterile field using the remote touch user later. All with the touch of a button. Orbital and angular
interface (UI)*. So wherever you work, you get a consis- positions are stored together with the collimator setting,
tent, intuitive interface. In addition, touch-sensitive brake allowing exact reproduction of relevant projections.
controls mounted directly on the detector housing allow
surgeons to position and control the C-arm by themselves –
quickly, conveniently and with maximal precision.

“One of the major benefits of

the C-arm is its easy handling.
The possibility for surgeons to actually perform every move-
ment by themselves by using the brake control buttons on the
detector is just great. The problem for us surgeons is that our
staff cannot always read our minds. So it is very important to
have the full control of the C-arm during interventions. Allow-
ing this is, in my eyes, one of the major advances of Cios Alpha.”

Prof. Dr. med. Sebastian Debus,

Director, Clinic and Polyclinic for Vascular Medicine,
University Hospital Hamburg-Eppendorf, Germany

The speaker is separately engaged and paid by Siemens to provide product

reference services.

10 * Option
Electromagnetic brake controls
mounted directly on the detector
housing make repositioning and locking
the C-arm quick and convenient.

11
Exceptional precision, effortless control

From ergonomics
to EMotion: detail that’s
music to your ears.
With ergonomic side rails and handles, a single-handed Freedom to work
steering lever, a centralized footbrake, and cable deflecting Expanding flexibility of operation, the multifunctional
wheels, Cios Alpha’s smart features and attention to detail footswitch* allows hand-free X-ray release and image
make work easier. Allowing you to concentrate on the capture, and gives direct access to all operating modes.
patient.
In tune with your workplace
Room to move, space to see EMotion*, Cios Alpha’s onboard sound system, lets you
Enjoy greater maneuverability with Cios Alpha’s lightweight connect an MP3 player so you can listen to the music of
and compact monitor cart. What’s more, two high-bright- your choice for a pleasant working environment.
ness, high-contrast TFT displays present the image infor-
mation you need ‒ before, during and after the procedure. The right connections
They are horizontally and vertically adjustable*, rotatable Cios Alpha seamlessly integrates into your hospital’s network
through 180º and with a wide 170° viewing angle so you via LAN/WLAN*. With SmartView*, the HD VideoManager,
can see the details you need. Even add additional external external video signals can be displayed on the right monitor,
ceiling or wall-mounted monitors for all-around visibility allowing side-by-side viewing of fluoroscopic and e.g.
using the monitor out function*. endoscopic images. Save up to 100,000 images directly
on the hard drive and select from CD/DVD, USB and DVD
recording* for easy patient documentation.

12 * Option
Ergonomic side rails and highly
precise orbital roller bearings
provide effortless positioning.

13
 Live graphical overlay

Live graphical overlay in subtracted image Live graphical overlay in fluoroscopic image

14
Innovative features for clinical applications

Clinical applications:
for your vascular needs.
Ideally suited for vascular interventions such as AAA, Injection trigger*
femoral artery bypass or placement of carotid stents, Cios Alpha features an interface to connect injectors,
Cios Alpha includes a range of innovative features to allowing for better synchronization of the contrast medium
improve efficiency and make your life easier. during subtractions for even greater flexibility and integra-
tion.
Live graphical overlay*
Cios Alpha’s unique live graphical overlay makes drawings Up to 100% landmarking*
on monitors a thing of the past. With this tool, you can Surgeons can add surrounding anatomical structures, such
mark anatomical structures that are well visible in sub- as bones, to a subtracted image for better orientation.
tracted images, such as arteries. This graphical overlay The ability to recalculate and reuse peak opacified images
remains in subsequent fluoro scenes, providing you better helps save time and contrast medium while reducing dose.
orientation while placing stent grafts.

Stenosis quantification*
Stenosis quantification software calculates the degree
of stenosis. The vessel is automatically analyzed and the
minimum value in relation to a reference value is evaluated.
The geometric and densitometric parameters of the ste-
nosed vessels are then displayed for simple and effective
intra-operative control.

Vascular surgery

Subtracted angiography foot Angiography iliofemoral arteries Subtracted angiography abdominal aorta

* Option 15
Innovative features for clinical applications

Clinical applications:
specially for your specialty.
Cios Alpha’s versatile features extend its flexibility beyond Cardiac
vascular surgery to meet the needs of the most relevant Large 25 kW* power reserves and rotating anode deliver
clinical disciplines – from cardiac surgery, electrophysiology excellent performance, while the 20 cm x 20 cm (8” x 8”)
and gastroenterology to orthopedic, trauma and spine flat detector provides optimum focus and 30 pulse per
surgery, pain management and urology. The 30 cm x 30 cm second fluoro imaging rates, delivering incredibly sharp
(12” x 12”)* and 20 cm x 20 cm (8” x 8”) flat detector images for the finest catheter placement.
options coupled with 25 kW* or 12 kW generator let you
tailor Cios Alpha to your exact surgical needs.

“I think one of the most important

things with Cios Alpha is the
image quality.
It is so high that you can even interfere when you have complications.
During a TAVI procedure, for example, your valve could cover one
of the coronary artery ostia, which would produce a huge infarct
requiring immediate intervention. You can either do it in a hybrid
OR or with Cios Alpha because the image quality is that good.”

Bruno K. Podesser, M.D. Associate Professor of Surgery,

Attending Surgeon, Department of Cardiac Surgery,
Landesklinikum St. Poelten, Austria

The speaker is employed by an institution that provides Siemens product reference

services for compensation pursuant to a written agreement.

Cardiac surgery

Transcatheter Aortic Valve Implantation (TAVI)

16
Gastroenterology and urology Ortho, trauma and spine surgery
With its large field of view, Cios Alpha’s 30 cm x 30 cm Equally suited to complex ortho and trauma cases, and
(12” x 12")* flat detector provides decisively more to complex spine surgery, Cios Alpha’s excellent HD images
anatomical information and excellent images for fine allow fine detail visualization. Tube currents of up to
structures and instruments. SmartView*, the integrated 250 mA* enable superior image quality for single images.
HD VideoManager, enables you to connect external
video sources and display endoscopic or ultrasound
images side-by-side with X-ray images. Additionally, all
these images can be stored in one patient file.

“In my opinion, Cios Alpha can

be used for any type of trauma
and orthopedic surgery.
Because of its features like better image quality, larger field of
view, asymmetric and rotatable collimators, motorization and
position storage.”


Univ. Prof. Dr. med. Florian Gebhard,
Director and Chair Department for Orthopaedic Trauma, Vice Dean,
Medical Faculty Ulm University, Germany

The speaker is employed by an institution that provides Siemens product reference

services for compensation pursuant to a written agreement.

Ortho, trauma and spine surgery

Cervical spine Proximal tibia Distal tibia

* Option 17
Cios Alpha at a glance.

Full View FD technology

The 30 cm x 30 cm (12” x 12”),
1.5 k x 1.5 k* flat detector provides a large
field of view and distortion-free imaging
with higher dynamic range for greater
detail. Its smart collimation system provides
up to 25% more image coverage** even
when rotated.

Retina Imaging Chain with

IDEAL dose reduction
For outstanding image quality at very
low dose.

FD mounted brake controls

Simple, convenient control right
where you need it in the sterile field.

Compact flat detector

85 cm / 33.5” of extended free space
for excellent patient access.

25 kW high power generator*

One of the most powerful mobile C-arm
generators available, for very high
penetration and clear, detailed images.
Its Energy Storage Unit (ESU)* triples the
mean power that can be applied.

Active cooling system*

Coupled with intelligent power
management, it protects Cios Alpha
against overheating. This allows you
to perform a wide range of long-lasting
procedures conveniently and without
image quality degradation, even on
obese patients.

* Option
A 20 cm x 20 cm (8” x 8”), 1 k x 1 k detector and a 12 kW generator come standard on Cios Alpha.
18 ** Compared to today‘s conventional image intensifiers
 High-brightness, high-contrast
TFT monitors
Horizontally and vertically adjustable*
19” monitors, rotatable through 180°
Complete flexibility and control with wide 170° viewing angle allow you
Operate Cios Alpha from its touch screen to see as much detail as possible, even
user interface (UI) on the monitor cart, from a distance.
from the table-side remote UI*, or from
the C-arm UI.

SmartView*
The HD VideoManager displays external
video signals on the right monitor.
For side-by-side viewing of, for example,
fluoroscopic and endoscopic images.
All images can be stored in one patient
file.

Optimum vascular workflow

support*
Advanced applications such as stenosis
quantification, live graphical overlay,
injection trigger and advanced scene
handling enable excellent vascular
workflow support.

Advanced connectivity
Seamless integration into hospital
networks with data interfacing via LAN/
WLAN*. DVI output enables image
display on external monitors*. Storage
capacity of 100,000 images on hard disk,
documentation with CD/DVD, USB and
DVD recording*.

Less effort, more precision

Motorization package*, single-touch
positioning* and electromagnetic brakes
for precise, effortless operation.

Intuitive operation
Color-coded axes correspond to brake
controls for intuitive operation.

Compact, lightweight
monitor cart
Space saving design for easy
maneuverability.

19
20
Invest in tomorrow’s
technology today.
Cios Alpha represents an outstanding investment – for Service tailored for you
today and tomorrow. With effortless operability, technical Helping you prevent unscheduled downtime and improve
innovation and unique features that open up new oppor- workflow, Siemens comprehensive service options can
tunities in surgical imaging. All of which give surgeons be tailored to your precise needs. From preventive
the power to see and do more – with outstanding image maintenance to technical phone support, system updates
quality at very low dose. Now, surgeons can work more and fast on-site response, our proven Performance Plans
efficiently, with fewer interruptions, and carry out are designed to help improve reliability while providing
procedures that they have never previously been able predictable costs, lower risk and greater efficiency.
to perform with a mobile C-arm.
The problem’s solved. Before you know it!
Closer by design An efficient and comprehensive infrastructure offering
Closer to technology and closer to you. Siemens Healthcare device-related remote services, with Siemens Remote
Customer Services delivers extensive experience com- Services your system is monitored for parameter deviations
bined with innovative solutions to help protect and so that remedial action can be taken proactively before
maximize your investment in Cios Alpha over the entire problems arise. Plus, remote diagnosis allows defective
product lifecycle; services that help improve uptime, parts to be identified and ordered, avoiding downtime
increase performance and optimize workflow for sustain- and keeping repair times to a minimum.
able healthcare, while your staff is adequately trained to
deliver high quality results.

“Cios Alpha is a very innovative

product with many features
which bring us far forward.
It allows us to perform vascular procedures that were not
possible with conventional mobile C-arms in the pre-Cios
Alpha era.”

Prof. Dr. med. Sebastian Debus,

Director, Clinic and Polyclinic for Vascular Medicine,
University Hospital Hamburg-Eppendorf, Germany

The speaker is separately engaged and paid by Siemens to provide

product reference services.
21
Experience why
detail matters.
Whatever your needs, whatever your surgical discipline,
Cios Alpha provides you with outstanding image quality
and the power you need for extended, complex procedures.
The system’s unique Full View FD technology, the Retina
Imaging Chain with IDEAL dose reduction, and other
industry-leading innovations, together with excellent
usability, represent a significant step forward in mobile
C-arm technology, opening up new opportunities that
let surgeons see and do more.

Cios Alpha: Because detail matters.

22
23
Cios Alpha is not commercially available Siemens reserves the right to modify
in all countries. Due to regulatory the design and specifications contained
reasons its future availability cannot be herein without prior notice. Please
guaranteed. Please contact your local contact your local Siemens sales
Siemens organization for further details. representative for the most current
information.
The statements by Siemens’ customers
described herein are based on results that In the interest of complying with legal
were achieved in the customer’s unique requirements concerning the environ-
setting. Since there is no “typical” hospital mental compatibility of our products
and many variables exist (e.g., hospital (protection of natural resources and
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can be no guarantee that other customers certain components where legally
will achieve the same results. per-missible. For recycled components
we use the same extensive quality
On account of certain regional limitations
assurance measures as for factory-new
of sales rights and service availability,
components.
we cannot guarantee that all products/
services/features included in this brochure Any technical data contained in this
are available through the Siemens sales document may vary within defined
organization worldwide. Availability and tolerances. Original images always
packaging may vary by country and are lose a certain amount of detail when
subject to change without prior notice. reproduced.
The information in this document
contains general descriptions of the
technical options available and may not
always apply in individual cases.

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X-Ray Products
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