ARTIS pheno
Cutting-edge robotic imaging for multiple surgical disciplines

ARTIS pheno with surgical table
ARTIS pheno
 
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Today’s surgery departments face complex challenges. Health economic demands, advances in medicine and research, and intense competition often prompt investments in minimally invasive operating techniques and a supporting Hybrid OR. Over a thousand installations worldwide show that ARTIS pheno can be a critical success factor in this endeavor.

As a unique robotic C-arm, ARTIS pheno helps you transform care delivery by adding great versatility to the Hybrid OR. Ready to help you perform both standard and the most difficult approaches, ARTIS pheno accommodates highly diverse procedures, disciplines, or patient positions.

Advance your case mix

A Hybrid OR must deliver

Between the poles of market demands and given budgets, effective resource management is key. A Hybrid OR must accommodate a multitude of procedures and individual patient conditions. At the same time, it must support the needs of surgeons performing in various disciplines and fulfill the hospital’s current and future requirements.
 


Great versatility for the Hybrid OR

ARTIS pheno offers robotic technology that supports a broad range of procedural needs and patient conditions. Its multidisciplinary surgical capabilities allow minimally invasive treatment across specialties – on one system, in one room. Healthcare institutions can use it for optimizing their case mix, maximum room utilization, and support for upcoming tasks.
 

Watch the video to find out how ARTIS pheno helps you perform both standard and complex approaches in the Hybrid OR.
 


Ready for current and future demands

Discover the range of different procedures supported by ARTIS pheno – from performing standard surgical procedures to reproducing or inventing leading-edge ones. ARTIS pheno supports your requirements now and in the future.
 

Neurosurgery
Orthopedic and trauma surgery
Spine surgery
Liver surgery
Vascular surgery
Cardiac surgery
Thoracic surgery
Intraoperative 3D verification of electrode placement during deep brain stimulation procedure

Ready for deep brain stimulation

ARTIS pheno allows surgeons to focus on optimal electrode placement. The system delivers intra-operative imaging to support targeting of the brain structures, stereotactic navigation, as well as assessment of electrode placement – eliminating the need for transporting the patient to the radiology department for a postoperative CT scan.
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Intraoperative 3D verification of screw positioning

Ready for iliosacral screw fixation

ARTIS pheno supports surgeons to perform precise iliosacral joint fixation. The system permits planning of the screw pathway using intra-operative 3D images and provides live 2D fluoroscopy guidance. The final control of the results with syngo DynaCT takes only a few seconds.
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Intraoperative 3D verification of implant positioning during minimally invasive spinal fusion procedure

Ready for spinal fusion

ARTIS pheno supports optimal pedicle screw placement. The system provides support throughout the spinal fusion procedure, from fast large volume 3D scans (approximately 10 vertebrae) up to individualized screw path planning, guidance, and immediate assessment of implant positioning.
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Stereotactic radiofrequency ablation

Ready for stereotactic radiofrequency ablation

ARTIS pheno offers 3D planning and guidance for ablation procedures. A study has shown the feasibility of multi-probe ablation of tumors larger than 3 cm1. Intraprocedural imaging permits assessment of ablation within the tumor margins.
Stent deployment with fusion imaging

Ready for 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.
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Aortic valve deployment with fusion imaging

Ready for TAVI

ARTIS pheno with procedural intelligence helps standardize TAVI procedures by simplifying image acquisition, automating planning, guiding valve deployment, and enabling prompt verification. Studies2 show that TAVI with syngo DynaCT and syngo Aortic Valve Guidance could potentially improve the implantation quality and reduce the paravalvular regurgitation compared to procedures without intraoperative 3D guidance. Other studies3 show that implantation quality is related to survival of patients.
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Image-guided needle path planning

Ready for iVATS

ARTIS pheno helps standardize iVATS procedures by simplifying acquisition and improving needle path planning and localization. Patients can remain in the Hybrid OR throughout the procedure, so you can potentially reduce their time-at-risk by up to 94%4 compared to a two session, two room approach for lesion marking and resection.
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What our customers are saying5,6

Yao Fong, MD
I think that such advanced technology allows us to expand its usage to further fields, so we can offer more and better options for our patients. Yao Fong, MD
Chi Mei Medical Center, Tainan, Taiwan
Prof. Bernhard Schieffer, MD
This system should be used as a true multidisciplinary system for any patient with a multitude of diseases. This approach is trendsetting, especially with regard to economic efficiency. Prof. Bernhard Schieffer, MD
University Hospital Marburg, Marburg, Germany

Optimize clinical operations

Inefficiencies can be costly

Time-consuming manual workflows, heterogeneous image quality, unwanted variations in procedural outcomes, and staff training needs are obstacles to treatment in the Hybrid OR. From a resource management perspective, unnecessary tasks or workflow steps can lead to unnecessary expenditures and lost productivity.


Standardized image-guided surgery

ARTIS pheno with procedural intelligence eliminates repetitive input steps or manual adjustment of settings. It enables simplified image-guided surgery and consistent workflows. ARTIS pheno offers intra-operative support, intelligent optimization of image quality in support of ALARA dose, and automated C-arm positioning – so that users may focus on the patient rather than on the imaging system.

Watch the video to find out how ARTIS pheno with procedural intelligence helps you standardize surgical workflows in the Hybrid OR.

What our customers are saying5,6

Prof. Bernhard Schieffer, MD
With ARTIS pheno, we have everything in one system customized to our needs: imaging software analytics, everything is there – one system for everything. Prof. Bernhard Schieffer, MD
University Hospital Marburg, Marburg, Germany
Frank Marquardt, MD
ARTIS pheno with syngo EVAR Guidance enables us to treat our patients with less radiation exposure, faster and more efficiently. Especially complex procedures like fenestrated stent grafts or TEVAR procedures are extremely simplified. Frank Marquardt, MD
Rotes Kreuz Krankenhaus, Bremen, Germany
Prof. Veit Braun, MD
Ever since we installed ARTIS pheno in our OR, our colleagues really enjoy their work. Prof. Veit Braun, MD
Diakonie Klinikum Jung-Stilling, Siegen, Germany

Maintain infection control

Keeping hospital environments clean is crucial

Proper infection control is key for the safety of patients and staff in your hospital. It can be hard to keep up with the vast number of pathogens, however.

Comply with infection control standards

ARTIS pheno helps you be at the forefront of this important topic. The imaging system features internal cable guidance and seamless, spill-sealed covers with evenly smooth surfaces, making it easy to clean. In addition its painting has significant antimicrobial effect on non-sporulating bacteria. This way, ARTIS pheno can help you strive to maintain high infection control standards.

Watch the video to find out how ARTIS pheno simplifies cleaning and how simple it is to clean ARTIS pheno.

CleanGuide – Comprehensive cleaning concept

  • Recommendations for cleaning agents
  • Guidance for optimal cleaning procedures

Technical specifications

Key data

InstallationFloor-mounted to keep the ceiling free
Minimum room size35 m2 (377 ft2)
Recommended room size>= 68 m2 (732 ft2)
Robotic C-arm9 axes for positioning of the C-arm, SID lift, and Detector + Collimator rotation
Wide space C-arm130 cm (51") SID and 95.5 cm (37.5") usable clearance for easy patient access and C-arm positioning
Intraprocedural 3D imaging positionHead side and lateral
Working height
Flexible isocenter 104 cm (40.95")10 - 150 cm (59.1")
Max. 3D volume size11 (diameter x height)43 cm x 17.5 cm (17" x 7.9") or 32 cm x 23.5 cm (13" x 9.3")
Detector30 x 40 detector

The statements with footnotes in this document are based on a result of the quoted clinical study that evaluates the procedure. The results are not generated with the actual product version. It is expected that the actual product version has similar or improved functionality to support the evaluated procedure.

Some/All of the features and products described herein may not be available in the United States or other countries.

1Reto 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.

2Karl K. Poon et al., “Impact of Optimising Fluoroscopic Implant Angles on Paravalvular Regurgitation in Transcatheter Aortic Valve
Replacements – Utility of Three-Dimensional Rotational Angiography,” EuroIntervention 8, no. 5(2012): 538–45, http://doi.org/10.4244/EIJV8I5A84.

3Susheel K. Kodali et 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.

4Yin-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.

5The 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.

6The customers cited are employed by an institution that might provide Siemens product reference services, R&D collaboration or other relationship for compensation pursuant to a written agreement.

7Compared to Artis zeego.

8Advanced Robotic Angiography Systems for Image Guidance During Conventional Transarterial Chemoembolization Impact on Radiation Dose and Image Quality. Vogl, Thomas J., MD ; Alizadeh, Leona S., MED ; Maeder, Richard, MS ; Naguib, Nagy N., MD ; Herrmann, Eva, PhD ; Bickford, Matthew W., BS ; Burck, Iris, MD ; Albrecht, Moritz H., MD. Investigative Radiology: March 2019 - Volume 54 - Issue 3 - p 153–159; 2019.

9Provided that the system is placed on even floor (i.e. installation plates for the floor stand and the table are installed without height difference).

10Requires optional syngo DynaCT Large Volume.