SIREMOBIL Compact L Competition

Michael Bodky, SP CRM M3

For internal use only / Copyright © Siemens AG 2009.
2007. All rights reserved.
Siemens C-arm portfolio

ARCADIS Orbic 3D
High Level C-arm for orthopedic
use with intra-operative 3-D
imaging (orthopedics/neuro)

ARCADIS Avantic
High-end C-arm with 25kW,
13“ II, for vascular, cardiac,
orthopedic surgery, gastro,
electrophysiology

ARCADIS Varic / Orbic

Advanced Multipurpose C-arm
(Mid- to high-tier segment)

SIREMOBIL Compact L
Multipurpose C-arm
(Mid-tier segment)

MultiMobil 5C (Goa)
Multipurpose C-arm
(entry level segment for specific markets)

Page 2 2009 MED / SP CRM M

Competitive Information
Market Overview
Cost Efficiency Performance Excellence

MM 5C SIREMOBIL Compact L CX ARCADIS Avantic

SIREMOBIL Compact L CE ARCADIS Varic/Orbic ARCADIS Orbic 3D

GE EverView 7500 GE OEC 8800 GE OEC 9900 Elite

GE OEC Fluorostar GE OEC 9800

Philips Libra Philips Endura Philips Pulsera Philips Pulsera 3D

Quantum Vista Vision Vision R Vario 3D Vision FD

Page 3 2009 MED / SP CRM M

 Cost Efficiency Performance Excellence

Intraop. 3D- Surgery ARCADIS Orbic 3D

•Trauma Surgery
High-End Multipurpose Surgery Philips Pulsera 3D
•Orthopedics
•Orthopedics Ziehm Vario 3D
Performance and application requirements

•Neurosurgery
•Neurosurgery/Pain Management Breakaway O-arm
•Vascular Surgery
•Gastroenterology ARCADIS Avantic
GE OEC 9900 Elite
•Cardiac Surgery/ Electrophysiology
Ziehm Vision R
•Advanced Multipurpose Surgery
•Trauma Surgery Ziehm Vision FD
ARCADIS Varic/Orbic
•Orthopedics
GE OEC 9800
•Neurosurgery/ Pain Management
Philips Pulsera/Endura FD-based Surgery
•Vascular Surgery
•Urology Ziehm Vision •Trauma Surgery
•Orthopedics
SIREMOBIL Compact L CX •Neurosurgery
GE OEC 8800 •Mid-Tier Multipurpose Surgery
Philips Endura •General Surgery
Ziehm Vista •Trauma Surgery
•Orthopedics
SIREMOBIL Compact L CE
•Urology
MM 5C
•Entry Level Multipurpose Surgery
GE EverView 7500
•Ambulatory Care
GE Fluorostar •Emergency Room
Philips Libra •Trauma Surgery
Ziehm Quantum •Orthopedics

Page 4 2009 Segment MED / SP CRM M

 Competitive Overview
SIREMOBIL Compact L is positioned against:

GE 8800

GE 7500 Everview

GE Fluorostar

Philips BV Endura
Ziehm Vista Ziehm Quantum Philips BV Libra

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Comparisons

 Handling / Workflow / Usability

 Image Quality / Dose
 Networking / Archiving / Processing

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Comparisons

 Handling / Workflow / Usability

 Image Quality / Dose
 Networking / Archiving / Processing

Page 7 2009 MED / SP CRM M

 C-arm mechanics

Top Weaknesses: SIREMOBIL Strength:

 135° orbital rotation,  130° orbital rotation for excellent

 Good free space (79 cm) but flexibility of orbital projections
limited immersion depth (66  Best values in free space (78 cm)
cm) and immersion depth (73 cm)
GE 8800
 Extended wheel base of 85 cm  Narrow wheel base of 80 cm for
easy maneuvering through narrow
 120° orbital rotation doorways
 Smaller free space (76 cm)
and very limited immersion
depth (66 cm)
 Equivalent wheel base of 78
GE 7500 Everview
cm

 120° orbital rotation

 Smaller free space (76 cm) and
very limited immersion depth SIREMOBIL Compact has
(66 cm!!)
 Equivalent wheel base of 78
leading values in patient
GE Fluorostar cm access
Page 8 2009 MED / SP CRM M
 C-arm mechanics

Top Weaknesses: SIREMOBIL Strength:

 115° orbital movement,  130° orbital rotation for excellent

 Good free space (78 cm) but flexibility of orbital projections
very limited immersion depth  Best values in free space (78 cm)
(63 cm) and immersion depth (73 cm)
Philpis Libra  Extended wheel base of 89 cm  Narrow wheel base of 80 cm for
easy maneuvering through narrow
doorways
 115° orbital movement
 Less free space (76 cm) and
very limited immersion depth
(68 cm)
Ziehm Vista  Equivalent wheel base of 80
cm

 135° orbital movement

 Very limited immersion depth

SIREMOBIL Compact has
Equivalent wheel base
Ziehm Quantum
leading values in patient
access
Page 9 2009 MED / SP CRM M
 C-arm mechanics
Top Weaknesses:
 Need of two handles for
steering of the c-arm
 Heavier weight of the C-arm
268 kg), heavier trolley
 No color coding
GE 8800
 Need of two handles for
steering of the C-arm
 Similar C-arm weight
 Bulky trolley (76 x 93 cm)
 No color coding
GE Everview 7500
 Heavier weight of the C-arm
(298 kg)
 No color coding
 Similar steering concept
GE Fluorostar
Page 10 2009
SIREMOBIL Strength:
 Steering of the C-arm with only one
steering handle possible
 Lightweight c-arm design with 254 kg
and easy to maneuver trolley with only
138 kg
 Unique color coding design of
handles, brakes and scales supports
unambiguous positioning
SIREMOBIL Compact offers
the leading handling
characteristics and gives
extra value with color coding
MED / SP CRM M
 C-arm mechanics
Top Weaknesses:
 Need of two handles for
steering of the C-arm
 Similar C-arm weight 260 kg
 Bulky trolley (76 x 93 cm)
 No color coding
Philips Libra
 Equivalent steering of the C-
arm with one handle possible
 Equivalent C-arm weight with
250 kg, but heavier trolley
with 170 kg
 No color coding
Ziehm Vista
 Equivalent steering concept
 No color coding
Ziehm Quantum
Page 11 2009
SIREMOBIL Strength:
 Steering of the C-arm with only one
steering handle possible
 Lightweight c-arm design with 254 kg
and easy to maneuver trolley with only
138 kg
 Unique color coding design of
handles, brakes and scales supports
unambiguous positioning
SIREMOBIL Compact offers
the leading handling
characteristics and gives
extra value with color coding
MED / SP CRM M
 Workflow and Usability

Top Weaknesses: SIREMOBIL Strength:

 Different user interface  Clear differentiation between user
concepts (Keyboard, interface of the monitor trolley and the
Tochscreen) control of the C-arm, all intervention-
relevant functions can be controlled
GE 8800 from the C-arm side with dedicated
buttons

 Different user interface  Very intuitive icon-based user

concepts (Keyboard, interface with a preview bar and
Trackball) „button click guidance“ through
written dialogs and supporting icons
Philips Libra

 Two different keyboards at the

trolley necessary

Ziehm Vista
SIREMOBIL Compact L
supports improved usability
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 Workflow and Usability

Top Weaknesses: SIREMOBIL Strength:

 Only one monitor mounted at the
C-arm
 Difficult proceeding for optimal
positioning of C-arm and viewing
GE Flourostar monitor
 SIREMOBIL supports the workflow in the
OR, clear differentiation between user
interface of the monitor trollley and the
control of the c-arm, all intervention-
relevant functions can be controlled from
the c-arm side with dedicated buttons

 Very intuitive icon-based user interface

with a preview bar and „button click
guidance“ through written dialogs and
 Both viewing monitors supporting icons
mounted at the C-arm
 Difficult proceeding for optimal
positioning of C-arm and
viewing monitors

Ziehm Quantum

SIREMOBIL Compact L
supports easy usability
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 Handling / Workflow / Usability

GE will push / claim: Siemens response:

 GE 8800: Control by  Control by control panel from rear
touchscreen from both sides and side possible, we see
of the C-arm possible ergonomic problems with a control
from rear with GE 8800

GE 8800  No reference monitor with the “one

monitor solution” at Fluorostar,
independent workstation is a
reaction to the low acceptance of
the fixed mounted solution

 No workstation necessary
with Fluorostar
 Better maneuverability in ICU’s,
for GI, Chest, etc.
 In the meantime workstation
available
GE Flourostar
 Touch screen interface

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 Handling / Workflow / Usability

Philips will push / claim: Siemens response:

 Philips has of course released a flexible
Philips Libra trolley design. Nevertheless they need a
larger footprint.
(Siemens: 72 cm x 83 cm)
(Philips: 76 cm x 93 cm)
 The more you can adjust the more it doesn
´t suit to all users. We believe that a fixe
trolley once beeing positioned at the table
brings most „calmness“ in the OR.
 We offer three different monitor types with
15“, 17“ and a 18“ b/w monitor with
highest brightness and contrast values
instead of only two types of color monitors
 Flexible monitor trolley  Our trolley has enough space for a full size
with adjustable printer or video recorders (different
monitors options available)

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 Handling / Workflow / Usability
Ziehm will push / claim:
 Rotatable and free adjustable
monitors, which can be folded for
transport of the C-arm
 Rotatable touchscreen control
monitor with adjustable user
interfaces
Ziehm Quantum
Page 16 2009
Siemens response:
 We offer three different monitor types with
15“, 17“ and a 18“ b/w monitor with highest
brightness and contrast values instead of
only one type of monitors
 Our trolley has enough space for a full size
printer or other options (e.g.
videorecorder)
 The touchscreen monitor of Ziehm shows
different user interfaces. We prefer a
distinction between dedicated buttons at
the C-arm with always identical icons and
the monitor user interface at the trolley
with an icon and text-based user interface.
MED / SP CRM M
Comparisons

 Handling / Workflow / Usability

 Image Quality / Dose
 Networking / Archiving / Processing

Page 17 2009 MED / SP CRM M

 Top Weaknesses:
 Limited penetration in continuous
/pulsed fluoroscopy and DR with all,
GE, Philips and Ziehm
 Limited choice of monitor types,
lack of contrast and brightness
SIREMOBIL Strength:
 Best penetration capabilities in continuous
fluoro and DR
 1k imaging processing matrix
 High luminance b/w TFT monitors 600 cd/m²
 Dose reduction through CARE

…Best
  values in red… SIEMOBIL Compact L GE 8800 GE Fluorostar Philips Libra Ziehm Vista

Generator power 1,4 kW 2,2 kW 2,2 kW 3,15 kW 2,2 kW

3 mA (CF)
8,9 mA (CF), up to 6mA (HLF) up to 8 mA in CF, PF 6 mA (CF),
Tube current 12,9 mA (DR) 10 mA (DR) and DR up to 7,2 mA (CF) 8 mA (DR)

9" (23 cm), trimode 12" (31 cm),

9" (23cm) and 7"(17cm), 9" (23cm), trimode 9" (23cm), trimode Zoom 9" (23 cm),
II-Size dualmode zoom zoom zoom 6" (15 cm) no zoom 15" (12 cm)

Acquisition and 512 x 512 (50 Hz)

processing matrix 1k (1024 x 929 (50 Hz)) 1 k (980 x 980) 752 x 582, 625 lines 1008 x 560 768 x 576,

3 types of TFT, 15, 17“ 1 type of 18"

Monitor concept and 18" high contrast 16" square CRT 1 x 18" TFT 1 type of 18" TFT TFT

high conrast
Monitor up to 600 cd/m² with the and
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luminescense 2009
18" high contrast/brightn 200-450 cd/m²   350 cd/m² MED / brightness
SP CRM M
Comparisons

 Handling / Workflow / Usability

 Image Quality / Dose
 Networking / Archiving / Processing

Page 19 2009 MED / SP CRM M

 Networking / Archiving / Processing
Top Weaknesses: SIREMOBIL Strength:
 Limited capacity of hard disk  Large memory capacity with 5.000 images
with the most competitors available
 No DSA with GE Fluorostar  Easy upgradable memory capacity and
possible options concept
 Images are stored on CD together with a
syngo DICOM Viewer

  SIEMOBIL Compact L GE 8800 GE Fluorostar Philips Libra Ziehm Vista

Basic 3 / (200 with CX), Basic 16, up to Basis 150,

Images on hard disc up to 5000 with DSA 63, up to 400 60.000, but no DSA!!! 1.000 up to 1.000 / 5000

External media CD ROM Floppy disc CD, USB CD CD

Send, Print, Send, Print,

DICOM services Send, Print, Worklist Send, Print, Worklist Send, Print, Worklist Worklist, MPPS Worklist,Query

…Best values in red…

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Thank you for your attention!

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