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  6. ARTIS pheno

ARTIS phenoCutting-edge robotic imaging system for multiple surgical and interventional procedures

ARTIS pheno robotic C-arm meets the diverse challenges of today's interventional and surgical procedures:

  • Benefit from our experience with over 1,350 Hybrid OR and interventional radiology suite installations worldwide
  • Profit from a versatile system that is ready for current and future demands
  • Advance your case mix in your hybrid operating room or interventional radiology suite
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ARTIS pheno Robotic C-Arm

Benefits

Artis pheno - Ready for current and future demands

ARTIS pheno is a versatile system for your Hybrid OR and interventional suite

  • Robotic technology with 9 degrees of freedom
  • Wide-space C-arm offering sufficient room
  • Flexible isocenter for adjustable working height in 2D imaging
  • 3rd party surgical integration enables procedure specific patient positioning
Artis pheno - Advance your case mix

Discover the range of possibilities supported by ARTIS pheno – whether performing standard or complex surgical or interventional procedures, like:

  • EVAR, TAVI, iVATS, Deep Brain Stimulation (DBS)

  • Iliosacral Screw Fixation, Spinal Fusion

  • Aneurysm Treatments

  • TACE, PAE, and Laparoscopic Liver Surgery

  • Needle Procedures, Radiofrequency Ablation

Artis pheno - Optimize clinical operations

 Procedural intelligence for image-guided surgery and interventional radiology:

  • Case Flows allow surgical and interventional imaging with fewer manual steps
  • Intelligent analysis of preoperative datasets
  • Constant image quality (CNR based) supporting ALARA dose with OPTIQ and Structure Scout
Learn more about OPTIQ
Artis pheno - Maintain infection control

With a system designed with infection control in mind:

  • Comprehensive cleaning concept
  • Smooth and spill-sealed surfaces
  • Quick and easy draping
Artis pheno wide space C-arm

Sufficient space to navigate complex setups

  • Free space of 95.5 cm1 
  • Facilitates imaging in steep angulations
  • Suitable for procedures requiring large instruments and devices
  • Good access to for the surgical or interventional team
See technical specifications
syngo DynaCT Large Volume and syngo DynaCT 360 can visualize large anatomical areas

syngo DynaCT Large Volume and syngo DynaCT 360 can visualize large anatomical areas

  • Spine: Height of up to 23.5 cm (9.3”)
  • Thorax, abdomen: Diameter of up to 43 cm (16.9”)2
See technical specifications
Artis pheno - Ready for current and future demands

ARTIS pheno is a versatile system for your Hybrid OR and interventional suite

  • Robotic technology with 9 degrees of freedom
  • Wide-space C-arm offering sufficient room
  • Flexible isocenter for adjustable working height in 2D imaging
  • 3rd party surgical integration enables procedure specific patient positioning

Evidence

Imaging for multiple surgical disciplines 

Discover the range of different procedures supported by ARTIS pheno. 

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EVAR01

TACE & PAE 

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iVATS01
Deep Brain Stimulation01

Needle procedures

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Iliosacral screw fixation01
Spinal Fusion01

Radiofrequency ablation 

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Stent deployment with fusion imaging

Ready for Endovascular aneurysm repair (EVAR)

ARTIS pheno with procedural intelligence helps standardize – and potentially speed up – EVAR procedures. This is possible thanks to assisted preparation of the CT dataset, simplified image acquisition, guided stent deployment with 3D imaging, and immediate assessment of results.

Stent deployment with fusion imaging
Artis pheno TACE PACE
Image-guided needle path planning
Intraoperative 3D verification of electrode placement during deep brain stimulation procedure
my Needle Companion
Intraoperative 3D verification of screw positioning
Intraoperative 3D verification of implant positioning during minimally invasive spinal fusion procedure
artis pheno ablation
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What your peers are saying 

“ARTIS pheno offers consistent, excellent DynaCT image quality from head side, left or right patient side for imaging in thorax, abdomen and pelvis. This provides important information during technically challenging procedures, helps us to avoid major complications and ensures complete treatment and documents outcomes."
<p>Prof. Frank Wacker, MD</p>

Prof. Frank Wacker, MD

Director of the Institute for Diagnostic and Interventional Radiology at Hannover Medical School, Hannover, Germany

Product and Customer Videos  

Procedural intelligence for the 
Hybrid OR 

Explore the features that help you standardize surgical workflows using ARTIS pheno with procedural intelligence.

Image-guided surgery at Oslo University Hospital in Norway

See the benefits of interdisciplinary collaboration and what is necessary for a widely utilization of hybrid operating theatres.

Ultra-low dose EVAR at Lucerne Kantonsspital in Switzerland

Learn more about dose saving measurements during an infrarenal aortic aneurysm repair.

Redefining the possibilities of cardiac care at London Health Sciences Center in Canada

Explore the customized hybrid operating room that features the floor-mounted robotic C-arm system ARTIS pheno with an integrated surgical table.

High-quality care for lung cancer patients at Chi Mei Medical Center in Taiwan 

Watch how a patient with a small pulmonary lung nodules was treated using iVATS in a hybrid operating room, equipped with imaging system ARTIS pheno.

National Taiwan University Hospital introduces its multi-modality hybrid operating room 

Meet the medical professionals at NTHU and learn how they decided to install the state-of-the-art hybrid operating room.

Case Studies & Publications

Thoracic Surgery
Image-guided video-assisted thoracoscopic surgery with Artis Pheno for pulmonary nodule resection J. Thoracic Surgery, 2020 
Ya-Fu Cheng, Heng-Chung Chen, Pei-Cing Ke, Wei-Heng Hung, Ching-Yuan Cheng, Ching-Hsiung Lin, Bing-Yen Wang 
See more

Neurosurgery
Diagnostic performance of intraoperative cone beam computed tomography compared with postoperative magnetic resonance imaging for detecting hemorrhagic transformation after endovascular treatment following large vessel occlusion Journal of Stroke, 2022
Naoki Kato, Katharina Otani, Yukiko Abe, Tomonobu Kodama, Toshihiro Ishibashi, Yuichi Murayama 
See more

Intraoperative cone-beam CT with metal artifact reduction for assessment of the electrode position and the intracranial structures during deep brain stimulation procedure Acta Neurochirurgica, 2022
Toshinari Kawasaki, Takayuki Kikuchi, Katharina Otani, Yuto Mitsuno, Yukihiro Yamao, Nobukatsu Sawamoto, Ryosuke Takahashi, Susumu Miyamoto
See more

Spine Surgery
Generating patient‐matched 3D‐printed pedicle screw and laminectomy drill guides from Cone Beam CT images: Studies in ovine and porcine cadavers Medical Physics, 2022
Andrew Kanawati, Alex Constantinidis, Zoe Williams, Ricky O'Brien, Tess Reynolds
See more 

TIPS Procedure
syngo DynaCT 360 with intravenous injection to evaluate portal vein patency in TIPS procedure: A study protocol 
Ulf Teichgräber, MD, Renè Aschenbach, MD, Jena University Hospital, Germany
See more (pdf)

TIPS Procedure with syngo DynaCT High Speed
syngo DynaCT High Speed: Targeting portal vein with reduced radiation exposure. Use of Cone-Beam Computed Tomography (CBCT) for Targeting the Portal Vein in Transjugular Intrahepatic Portosystemic Shunt (TIPS) Procedures: Comparison of Low-Dose with Standard-Dose CBCT 
University Hospital Tuebingen, Germany. Estler A, Nikolaou K, Hoffmann R, Herrmann J, Grosse U, Ketelsen D, Seith F, Artzner C, Grözinger G. Iran J Radiol. 2021 July; 18(3):e111704.
See more

Embolization - TACE
syngo DynaCT for post lipiodol-embolization imaging in TACE. Value of Latest-generation Cone-beam Computed Tomography for Post Lipiodol-embolization Imaging in Hepatic Transarterial Chemoembolization in Comparison with Multi-detector Computed Tomography 
University Hospital Frankfurt. Leona S. Alizadeh, MD, Vitali Koch, MD, Thomas J. Vogl, et al. Acad Radiol 2021.
See more

Technical Details

Product Specifications 

Installation  

Floor-mounted to keep the ceiling free 

Minimum technical room size  

35m² (377 ft²)  

Robotic C-arm  

9 axes for positioning of the C-arm, SID lift and Detector + Collimator rotation  

Wide space C-arm  

130 cm (51") SID and 95.5 cm (37.5") usable clearance for easy patient access and C-arm positioning  

Intraprocedural 3D imaging position  

Head side and lateral 

Working height  

Flexible isocenter7 104 cm (40.95") - 150 cm (59.1")  

Max. 3D volume size (diameter x height)  

43 cm x 17.5 cm (17" x 7.9") or 32 cm x 23.5 cm (13" x 9.3")  

Detector 

30 x 40 detector 

Recommended room size

>= 68 m2 (732 ft2)

Downloads

Services

CSRs explaining the Guardian Program

Guardian Program with TubeGuard 

The X-ray tube is your most critical system component, so it is vital that it functions at all times. The Guardian Program with TubeGuard monitors and addresses predictable and detectable tube failures.  

Clinical employees discussing clinical outcomes on a computer

Performance Plans 

Performance Plans are covering regulatory, quality, and performance needs. They come at fixed costs, offer a wealth of service options, and can be tailored to your needs and budget.  

Virtual education solution for ARTIS systems

Virtual Education Solutions for ARTIS systems 

Active learning experience in a virtual clinical environment for interventional radiology, cardiology, and surgery.  



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Measured with standard/non-U.S. collimator cover
​2
Optional with syngo DynaCT Large Volume in "landscape mode“. 
Clinical images courtesy of University Hospital Ulm, Germany (left) and Jikei University, Tokyo, Japan (right).
3
Reto Bale et al., “Stereotactic radiofrequency ablation of hepatocellular carcinoma – A histopathological study in explanted livers,” Hepatology (2018): 1–11, https://doi.org/10.1002/hep.30406
​4
Karl K. Poon et al., “Impact of OptimisingFluoroscopic Implant Angles on Paravalvular Regurgitation in Transcatheter Aortic Valve. Replacements – Utility of Three-Dimensional Rotational Angiography,” EuroIntervention8, no. 5(2012): 538–45, http://doi.org/10.4244/EIJV8I5A84.
5
SusheelK. Kodaliet al., “Two-Year Outcomes After Transcatheter or Surgical Aortic-Valve Replacement,” New England Journal of Medicine 366, no. 18 (2012): 1686–95, https://www.ncbi.nlm.nih.gov/pubmed/22443479.
6
Yin-Kai Chao et al., “A Comparison of Efficacy and Safety of Preoperative Versus Intraoperative Computed Tomography-Guided Thoracoscopic Lung Resection,” Journal of Thoracic and Cardiovascular Surgery 156, no. 5 (2018): 1974–1983.e1, https://www.ncbi.nlm.nih.gov/pubmed/30119900.
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Requires optional syngo DynaCT Large Volume
The statements by Siemens’ customers described herein are based on results that were achieved in the customer’s unique setting. Since there is no “typical” hospital and many variables exist (e.g., hospital size, case mix, level of IT adoption) there can be no guarantee that other customers will achieve the same results. 
The products/features and/or service offerings here mentioned are not commercially available in all countries and/or for all modalities. If the services are not marketed in countries due to regulatory or other reasons, the service offering cannot be guaranteed. Please contact your local Siemens Healthineers organization for further details.
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