Arcadis Orbic 3D
Enhanced Precision in the OR

Arcadis Orbic 3D
 
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Arcadis® Orbic 3D is our high-end C-arm with isocentric design and 190º orbital movement.
The 3D functionality of Arcadis Orbic 3D is best suited for intraoperative use in orthopedic, trauma and spine surgery.
Arcadis Orbic 3D can be equipped with NaviLink 3D1, the direct 3D navigation interface.

  • Precise imaging and perfect visualization with integrated intraoperative 3D imaging
  • Distinctive design and easy operation
  • Easy integration into clinical workflows
  • Optimal flexibility in data handling
  • Truly digital navigation with NaviLink 3D

Features & Benefits

Precise imaging and perfect visualization with integrated intraoperative 3D imaging

  • Intraoperative 3D imaging enables intraoperative revisions and evaluation and replaces postoperative CT control
  • Arcadis® Orbic 3D requires only 30 seconds for a complete standard quality scan with 50 2D images in 1K2 resolution – or 60 seconds for a high quality scan comprising 100 2D images

 

3D Image Fusion for merging 3D data even from different modalities

VRT (Volume Rendering Technique) for volume visualization and easy orientation in the dataset

  • Optimally matched, fully digital 1K²-imaging chain from image acquisition to viewing and archiving
  • Automatic dose, contrast and brightness control with EASY (Enhanced Acquisition System)
  • Large 19” high-brightness, high contrast TFT monitors
  • Extraordinarily wide viewing angle of 170° and a highly ergonomic mounting on the trolley
  • “Monitor out”1 interface for viewing on additional monitors
  •  3D dual monitor support allows for synchronized parallel scrolling displayed on two monitors. This function can also be used to simultaneously review a scan acquired before an intervention and another one acquired during the intervention.

 


Distinctive design and easy operation

Counterbalanced, isocentric design helps saving time and dose und supersedes readjustments by virtually unlimited projection possibilities with 190° orbital rotation

  • The central beam always remains in the isocenter, which eliminates the need for repositioning and enables both time and dose savings
  • The distance between the image intensifier or x-ray tube and the body region being imaged always remains the same, thus ensuring a constant image size with varying projections
  • Large orbital rotation of up to 190° (+95°/-95°)
  • Prerequisite for 3D imaging via orbital movement
     

Each moving direction of the C-arm is represented by a color-coded measurement scale

  • Workflow-oriented Task Card concept
  • Basic/Extended Menu for faster orientation and operation
  • Large range of medical applications in the Examination Task Card
  • Intuitive selection of programs by using VPA (Virtual Patient Anatomy). Simply click on the VPA body region to be examined to select the appropriate application program
  • Up to 200 dedicated, application-specific programs are available
     

Easy integration into clinical workflows

  • Fully functional multi-modality workstation. Multi-modality viewing allows you to access images from other modalities, such as CT and MR
  • Support of virtually all DICOM1 3.0 functionalities, i.e., comprehensive connectivity with other modalities and clinical networks
  • All patient data can be loaded to your worklist directly from your HIS/RIS
  • Query the archive using the search function


 

syngo DICOM1 Viewer for platform independent viewing of images

  • The X-ray tube delivers currents of up to 23 mA in demanding interventions. It furthermore allows for over 50 minutes of fluoro time in low dose
  • Fluoro Loop1 delivers an automatic replay of acquired scenes directly after radiation stops
  • With LSH1 (Last Scene Hold) the last up to 120 acquired images are kept in a temporary memory and can optionally be stored to the local database
  • Ergonomic lightweight and compact trolley design for better maneuverability and less space requirement
  • Cable free rear side and 180° rotatable monitors for considerable reduction of the distance to the OR table
  • Vertically and horizontally adjustable monitors1 for adaption to application specific needs
  • Intelligent accessory and cable management such as integrated CD and pen box
  • Easy accessibility of all network and video interfaces for direct connections without any cable chaos
  • X-ray indicator on top of the monitors guarantees best visibility from all directions
     

Optimal flexibility in data handling

  • Support of virtually all DICOM 3.0 functionalities (including DICOM Send/Receive, Storage Commitment, Print, Worklist, Query/Retrieve and MPPS)1
  • Almost unlimited options for postprocessing, archiving and documentation (with CD, DVD in DICOM and with USB in DICOM and BMP format)
  • Overall storage capacity of 60,000 images
     

Truly digital navigation with NaviLink 3D

Integrated, digital 1 K²-navigation interface NaviLink with automatic transfer of 3D image data for surgical navigation


Dose-saving features

An integrated laser light localizer1, radiation free collimation and multi-level dose control are only a few of many dose reduction features.


Enjoyable work throughout

EMotion1 - the integrated onboard sound system - supports a positive working atmosphere

Clinical Use

The third dimension makes all the difference

 

Intraoperative 3D imaging with Arcadis Orbic 3D covers a vast range of applications. It is ideally suited to enhance precision and safety in trauma, orthopedic and spine surgery.

Intraoperative 3D imaging with Arcadis Orbic 3D leads to more precision in surgery

In trauma and orthopedic surgery, the precise identification and repositioning of fractures and the accurate placement of implants is of highest importance. In many cases, common 2D projection does not offer enough information for precise control, which may result in painful post-traumatic complications for the patient and in the need for second interventions.

With its capability of generating CT-like slices and even 3D volumes in real time, Arcadis Orbic 3D provides the ultimate answer to even most delicate placement tasks, reduces the rate of second interventions, and revolutionizes the entire workflow. All processes and results can now be checked during the intervention, and the physician can always react directly. At the same time, x-ray exposure for both patient and staff is considerably reduced.

 

 

Customer testimony

Max Heiland, MD, DMD, PhD, Director of the Oral and Maxillofacial Surgery Department at the Clinic / Bremerhaven – Reinikenheide, Germany

„The intraoperative use of 3D C-arm-based imaging, especially in the following circumstances, is of enormous value:

  • after open reduction of midfacial fractures, since not all fracture sites are exposed and controlled by direct vision;
  • after open reduction of mandibular fractures, because the lingual cortex is generally not explored due to the danger of an increased gap after osteosynthesis;
  • after complex bony reconstructions (e.g., microsurgical tissue transfer) with patients that are transferred to the ICU postoperatively and not available for conventional radiographs;
  • children with different indications for preoperative CT scans, which usually require sedation or general anesthesia in the radiology department, may now be substituted with intraoperative scans immediately before surgery;
  • handicapped or demented patients with obvious indications for surgical treatment in general anesthesia (e.g., dental surgery), with whom sufficient preoperative radiographs are not possible.”

 

Source: Article “3D C-arm based imaging opens new Potentials” in Medical Solutions Magazine 1/2007
 

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