Cios Flow
Get straight to work
A good workflow is half the job, since interruptions can negatively impact both patient safety and OR efficiency.1 And other, invisible disruptions are on the rise: cyber attackers are taking advantage of security gaps to access patient data and compromise vulnerable healthcare systems.2
This new mobile C-arm can help you to make your procedure more straightforward and efficient. It assists you in your daily routine while also supporting multidisciplinary utilization.
- Designed for more ease in the OR
- Versatility supports system utilization
- Cyber security to safeguard data and access
Features & Benefits

Lightweight system design - Featuring a non-compromising C-design, and weighing only 275 kg, Cios Flow is particularly easy to position and move.
Retina Imaging Chain with CMOS technology
Enables surgeons to see the details they need. Benefit from higher image quality at low dose applications.**
**Compared to previous Cios Fusion / aSi detector technology.
Touch gestures - Tablet-like touch gestures let you collimate, rotate, and flip images with just one finger.
SpotAdapt - Automatically optimizes imaging parameters to your anatomy of interest.
Target Pointer*
Supports surgeons by displaying a trajectory for optimized placement of K-wires or other devices.
*Option
Cios OpenApps*
Get access to a growing variety of applications to expand your capabilities.
*Option
Cyber Security - With Cios Flow, cutting-edge cyber security is on board to decrease your hospital’s risk of being hacked.
High-brightness green lasers* - For improved visibility on all skin types and blood – despite bright OR lighting.
*Option
Wireless footswitch* - For cableless freedom in the OR.
*Option
Infection control - Maintain the highest infection control standards thanks to anti-microbial surface and specially developed hardware.
Remote user interface *
Trigger key system functionalities, even from within the sterile field, with the touch of a finger.
*Option
In modern operating rooms, surgical teams are constantly multitasking under time pressure.1
Benefit from intuitive use and versatile applications – plus advanced cyber security. Cios Flow lets you get straight to work.
Designed for more ease in the OR
Technicians need years of experience, and surgeons must communicate very clearly. Cios Flow offers intuitive use, low weight, and easy maneuverability, helping to ensure optimum system operation independent of staff expertise.
- Retina Imaging Chain with CMOS technology: Intelligent algorithms automatically adjust brightness and contrast, detect motion, enhance edges, and optimize metal visualization for improved depiction of surrounding tissue.
- SpotAdapt and touch gestures: SpotAdapt automatically optimizes imaging parameters to the anatomy of interest. Tablet-like touch gestures let you collimate, rotate, and flip images – and take advantage of SpotAdapt – with just one finger.
- High-brightness green lasers: For improved visibility on all skin types and blood – despite bright OR lighting.
- Lightweight system design: Featuring a non-compromising C-design, and weighing only 606 lb (275 kg), Cios Flow is particularly easy to position and move.
- Wireless footswitch: For less hassle around the equipment and more freedom in the OR.
Versatility supports system utilization
Hospitals face increasing cost pressure, so they need to justify investments. Cios Flow is a multipurpose system that can be used across a variety of disciplines – orthopedic and trauma surgery, spine surgery, vascular surgery, and more – allowing you to boost utilization.
Cyber security to safeguard data and access
Unprotected digital systems can serve as entry points for cyber attacks. Today, 83% of medical imaging devices run on unsupported operating systems.1 With Cios Flow, advanced cyber security is on board. This helps decrease your hospital’s risk of being hacked, ensure that personal data is secure, and safeguard your finances and reputation.
- Access & user management: Define rights for different user groups – to prevent unauthorized access.
- Whitelisting: Restrict unauthorized applications – to protect your imaging system.
- Data encryption: Encrypt the patient data partition using BitLocker – to secure data against theft.
- Audit Trail: Track important configuration changes – for improved transparency.
Clinical Use
Retina technology
Technical Specifications
C-arm specification | |
Detector technology | CMOS flat detector |
Field of view | 12 in x 12 in (30 cm x 30 cm) 8 in x 8 in (20 cm x 20 cm)* |
Image resolution | 1952 pixels x 1952 pixels 1360 pixels x 1360 pixels* |
Generator power | 2.3 kW |
Orbital movement | 148° |
Immersion depth | 28.7 in (73 cm) |
Max. tube current | 23.7 mA |
Free space | 31.1 in (80.3 cm) |
C-arm weight | 606 lb (275 kg) |
*Option
System control | |
Brakes control | Mechanical brakes |
Table-side control | Yes* |
Position memory | Yes* |
Laser light localizer | Yes* (green/red, tube, flat detector) |
Wireless footswitch | Yes* |
*Option
Clinical workflow support | |
Operating modes |
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Interface for hosting certified partner applications | Cios OpenApps |
Navigation | NaviLink 2D* |
Software features* |
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CARE program (Combined Applications to Reduce Exposure) | Yes |
Angi-microbial coating on C-arm and housing | Yes |
Data transfer | LAN / WLAN* / USB / DVD |
Image storage | 300,000 images |
*Option
Complete the form below to request more information or schedule a demo.
Did this information help you?
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Göras C, Olin K, et al. (2019). Tasks, multitasking and interruptions among the surgical team in an operating room: A prospective observational study. BMJ Open. 9. 1-12. 10.1136/bmjopen-2018-026410.
Unit 42, Palo Alto Networks (2020). IoT Threat Report. https://unit42.
paloaltonetworks.com/iot-threat-report-2020/.
Cios Flow is pending 510(k) clearance, and not yet commercially available in the United States. It is available in other countries.