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Multitom Rax

Move beyond traditional X-ray

siemens healthineers multitom rax

With Multitom Rax, we offer a Twin Robotic X-ray system that offers unparalleled positioning flexibility.
It is particularly suited for difficult exams such as trauma or orthopedic cases. Benefit from unique insights, efficient workflows, as well as comprehensive diagnosis on a single system – and set new standards in advanced musculoskeletal and trauma imaging.​

What’s more, Multitom Rax now features True2scale Body Scan1 for full-body images that avoid distortion. Standing, seated, or even supine. All at ALADA2 dose.

Go even further with True2scale Body Scan1

Features & Benefits

Precise insights through unique automation

Multitom Rax offers unparalleled precision and flexibility in positioning, allowing projections from nearly all angles and unique automated workflows that make musculoskeletal insights feasible in clinical routine. And all that while saving dose.

  • Extended3 anatomical coverage
    Benefit from unique automation with enhanced RAXortho4 acquisition modes built on the well-known SmartOrtho tilting4 technique.
  • More precision3
    Obtain accurate MSK insights through precise system and patient positioning easily. Twin Robotic arms give you more flexibility through projections from nearly all angles.
  • Right dose
    Use the right dose for every patient: Choose proven technology with dedicated low-dose and pediatric organ programs to help reduce necessary radiation, limit unnecessary radiation and minimize the risk of over-exposure.                                         

Dr. med. Thomas Paffrath 

Chief physician of the section of trauma surgery, Krankenhaus der Augustinerinnen, Cologne, Germany

"In particular, the fact that panoramic images can be taken, where, for example, both shoulder joints can be seen in one image under stress, is of immense advantage to us and important for traumatology in deciding whether there is a surgical indication. This is a big step forward."5,7

Dr. med. Thomas Paffrath 

Chief physician of the section of trauma surgery, Krankenhaus der Augustinerinnen, Cologne, Germany

Efficient workflows around your patients

Advanced musculoskeletal imaging requires exact patient and system positioning, complex manual workflow steps. Multitom Rax precisely positions and aligns itself, reducing the need for unnatural patient positioning even in challenging situations like trauma cases. It supports staff and offers barrier-free patient access.

  • Faster3, robotic exam setup in clinical routine
    Faster setup is made possible by one-touch workflows and virtually unlimited, customizable organ programs that meet your specific requirements.
  • Refined automated alignment of tube and detector
    Thanks to RAXalign and RAXtrack, detector and tube align automatically and stay aligned when repositioning the system. The predictable and very compact virtual U-arm movement quickly shifts the system 90° around the patient ideal for emergency departments.
  • Less patient repositioning for enhanced care
    The system moves around the patient, so repositioning them is no longer necessary. And flexible workflows for wheelchairs, trolleys, and stretchers mean that patients need not be transferred onto the system's table at all.                                         
Multitom RAX

Motorized system and preconfigured positions – for ease of positioning

Significantly faster positioning performance3

Alexandra Despineux

Chief Medical Assistant, Krankenhaus der Augustinerinnen, Cologne, Germany

„With the new version of the Multitom Rax we have noticed an improvement in speed, in the positioning of the patients, the workflows are smoother and the daily routine of the MTRA is much easier.”5,7

Alexandra Despineux

Chief Medical Assistant, Krankenhaus der Augustinerinnen, Cologne, Germany

Comprehensive diagnosis with multiple procedures

Thanks to its modular design, Multitom Rax can be quickly configured to suit your and your patients' demands. Starting with precision radiography, it also allows 3D bone imaging4 as well as fluoroscopic4 and interventional imaging2 for functional assessment.

  • More informed diagnosis and treatment planning6
    Acquire diagnostically relevant 3D bone imaging with our optimized Real 3D4 for improved image quality, more stable patient positioning, fewer artefacts, and streamlined, faster exams. The new Real 3D Hi-Res4 functionality is designed to get even higher spatial resolution for images of the hand, wrist, and elbow.
  • Expanded6 orthopedic capabilities
    Perform fluoroscopy4 and minor interventions4 for functional diagnosis of joints, fracture, and luxation repositioning or needle guidance in musculoskeletal procedures such as contrast and drug injections into joint spaces, as well as catheter or tube placements.
  • Enhanced flexibility6 and independence
    By offering 2D and 3D imaging on a single system along with complementary imaging results from fluoroscopic examinations, Multitom Rax gives you more independence.                                         

Jan-Peter Grunz, MD

University Hospital Wuerzburg, Germany 

"Our trauma imaging for wrists and feet has been completely shifted to Multitom Rax. This frees up 5 to 6 slots a day on the multi-detector CT which can then be used for other types of imaging tasks."5,7

Jan-Peter Grunz, MD

University Hospital Wuerzburg, Germany 

Even more anatomical coverage

True2scale Body Scan1

Get precise, biplanar, full-body images – for high diagnostic confidence and better patient experience.

  • Even more anatomical coverage
    True2scale Body Scan lets you quickly acquire images of the full body or a region of interest. With a scan range of up to 190 cm lying and up to 170 cm standing, this novel acquisition technique enables advanced insights in supine or natural weight-bearing position.
  • Even greater precision
    An ultra-small-angle tomosynthesis reconstruction is performed on the acquired slot images. No stitching or manual calibration is needed. This level of precision is clinically relevant for a range of applications, such as scoliosis progression monitoring, surgical planning, and post-operative follow-ups of spinal fusions and knee implants.
  • Even lower dose
    True2scale Body Scan is powered by slot-scanning technology adapted to orthopedic cases. You see what you need for diagnostic purposes, while scatter reduction inherent in the beam collimation helps ensure ALADA dose. Low-dose imaging is particularly important for pediatric patients and anyone needing frequent follow-up exams.

Amir Bigdeli, MD

Artemed Hospital Munich, Germany 

“Overall, there is a good spatial resolution. In particular, the relatively overlay-free representation of the thoracic spine facilitates the assessment and measurement of the curvatures of the axial skeleton in the sagittal plane.”5,7

Amir Bigdeli, MD

Artemed Hospital Munich, Germany 

Fleet Level Benefits

Fleet Level Benefits - unlock your potential and increase the efficiency of your X-ray department

High complexity in diagnostic imaging makes it challenging to run the radiology department efficiently. Siemens Healthineers helps you to reduce complexity by offering specific solutions across the entire X-ray portfolio which let you standardize, analyze and secure the imaging fleet. In this way, you can gain valuable Fleet Level Benefits: consistency, transparency and confidence. This results in improved outcomes, increased efficiency and greater staff and patient satisfaction.

  • Standardize for consistency
  • Analyze for transparency
  • Secure for confidence

Clinical Use

Clinical Images

Fluoroscopy
Real3D
Smart Ortho
Trauma/Orthopedic imaging
True2scale
Fluoroscopy and interventions for orthopedic specialists
Study ID 5aaa243
Courtesy of University Hospital Wuerzburg

Fluoroscopy4 and interventions4 for orthopedic specialists – ideal for a range of indications

Dr. Schellhammer

Chief Radiologist for diagnostic and interventional radiology, Krankenhaus der Augustinerinnen, Cologne, Germany



"I think what impresses all of us the most though is the image quality we are able to produce with the new 3D high-resolution programs."5,7


Dr. Schellhammer

Chief Radiologist for diagnostic and interventional radiology, Krankenhaus der Augustinerinnen, Cologne, Germany

Technical Specifications

True2scale Body Scan1 

Full-body scan in two planes, providing a.p. and lateral corresponding views in a single run

RAXortho4

For extended anatomical coverage

  • Cross-table SmartOrtho lateral for lying lateral spine of patient in supine position
  • Transversal SmartOrtho panorama standing for standing orthopedic examinations along the tranversal body axe

Real 3D4

For more insight improving diagnostic confidence

Fluoroscopy4

For extended MSK imaging tasks with multifunctional wireless footswitch4

Max detectors4
  • MAX wi-D detector: 35 cm x 43 cm; Weight capacity: max. 300 kg
  • MAX mini detector: 24 cm x 30 cm
RAXdetector
  • Ceiling-mounted built-in 43 cm x 43 cm detector for static, dynamic4, and 3D4 imaging

Fast, robotic exam setup

  • High speed, safe positioning with robotic precision
  • Tube and detector move around the patient on up to 10 axes simultaneously
  • Automated detector/tube alignment thanks to RAXalign, RAXtrack and Virtual U-arm

Large color touchscreen (10”)

  • User-friendly interface offers access to key image parameters with MAXtouch

Table4

  • Motorized height-adjustable table with minimum table height of 50 cm.
  • Foot kick-switches for table height adjustment.
  • Weight capacity: 240 kg

Multitom Rax and the features mentioned herein are not commercially available in all countries. Their future availability cannot be guaranteed.

1

Option. True2scale Body Scan is pending 510(k) clearance and is not yet commercially available in the United States.

2

ALADA = as low as diagnostically acceptable

3

Compared to previous software version

4

Option

5

The statements by Siemens Healthineers 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.

6

Compared to radiography only systems

7

The customer is employed by an institution that receives financial support from Siemens Healthineers for collaborations.