Nuance specs - Nova
Contents
1. standard Analog stereotactics Digital stereotactics O optional v v S v amp EU Ke E i E G Sg og oS O9 v5 v3 vs vs g dE oA Eg zu cu E gc Sec cc Suo 3 AO zo na za z SID 60 65 60 65 65 Biopsy unit weight 6 kg 4 kg 6 kg 4 kg 4 kg Image size cm 9 5 x 5 5 10 3x 5 5 5X9 5x5 15x6 Biopsy area cm 5 2 x 4 2 5 2x4 2 5 2x4 2 5 2x4 2 5 2x4 2 Range of projection angle for biopsy i a us m nee freely selectable 165 4165 4165 4165 4165 a Se based Detector type Film Film END CD based FFDM cassette cassette detector AEC L e o e o Motorized cassette movement e o Automatic collimation e e e e Lateral holder for Mammotome ST O O O O Lateral arm for Bard Vacora O O O O O Lateral arm for core biopsy O O O O Compression paddle for lateral arm D O O O O Spot imaging capability e e e Motorized compression e e Internal cabling connectors e e e e Interactive user interface e e e DICOM communication O O One Button Stereo Workflow e e Planmed 372. Motorized compression with selectable speed levels Patient friendly degressive compression paddle movement Digital display of compression force and breast thickness Adjustable compression force limit and digital display Fine tuned compression adjustment either manually or with foot controls Automatic or manual release of the compression after the exposure Quickand safety release Bucky Easily attachable ultra light weight Buckys Gently heated Bucky surface provides unique positioning comfort Rounded corners for improved patient comfort and hygiene Tailor made special grid to further enhance contrast and resolution Microprocessor controlled precise movement 36l cm 5 1 grid ratio Active detector area 23 9 x 30 5 cm MaxView Breast Positioning System Integrated feature and design Integrated MaxView lower module with in out control buttons for both sheets Digital display of traction distance Pulling velocity 3 5 mm s Max pulling distance 50 mm Dedicated radiolucent clear plastic uppper and lower sheets MaxView foot controls for driving both sheets Safety release Equipment Base Either bolted or optional turnable base Integrated third display for projection angle compression force breast thickness and traction distance Dualtrailing MaxView foot controls to operate compression traction and vertical drive of the C arm General Compact size and light weight
3. Modality support MG CT MR CR SC NM US Softview Plus multi modality support General features Customization of user privileges preferences e O eocce e eooc0e Image acquisition control with patient information input Display studies General viewing controls e g layout and navigation Basic image manipulation and analysis e g magnify zoom invert line measurement window level Mammography specific review tools amp protocols Postscript or GDI print Basic image post processing e g edge enhancement Local database storage with study list management Advanced features Advanced image manipulation tools e g ROI w l High resolution amp multi monitor display support Image optimization package Automatic image sending to CAD server O e e o 0 0 06 O e o e 0 006 Integrated CAD markers display DigiPad short cut panel for softcopy reading Automated workflow JPEG2000 decompression Multi modality presentation feature package Qleeoo eeoeoco DigiGuide features StepWise biopsy procedure assistant Needle guide unit software for stereotactic targeting 18 Planmed Nuance standard v a i z O optional 5 E S E o o lt zw A a w qp v oO z 2g z z E So S 53 za ZZ ZO Storage e Oo e Query Retrieve e e e e Storage
4. Yes No 4 31 CAD Is there need requirement for CAD Yes No 4 12 Other site specific software issues 5 Training 5 1 What type of on site training is Training required Yes No Specify C required 6 Delivery and Installation 6 1 Access Check door dimensions 6 2 Storage room Enough storage room available for delivery 6 3 Detector is delivered separately with Delivery and storage condition requirements are met specific storage conditions 6 4 Is there existing floor plan Plan cable runs and ducting 7 Service and lisencing 7 1 Service contract Is there need requirement for service contract Yes No 7 2 Licence program for AWS RWS Yearly licence renewal or advance licence for multiple years Yes No 8 Additional information 9 Status Form completed date Expected delivery installation Case closed date Planmed 21 Nuance Key Facts Stereotactic system for FFDM Available for both Nuance and Nuance Excel units Includes Nuance biopsy unit and integrated Nuance AWS DigiGuide software module The system can change from screening to diagnostic mode by a simple click of a button Full DICOM compatibility with optional software modules Digital detector Direct digital acquisition with Amorphous Selenium amp Se detector 85 um pixel size Available for both standard Nuance or optional large Nuance Excel detector
5. historical studies Protocols may be configured across multiple monitors Define common protocols for users on same network Roaming profiles enable user to login at any workstation Users can define positioning on current and prior studies for comparison Users can define which prior study to be displayed Most recent prior or Baseline User can select customizable layout for setup of viewing protocols Multi step protocols can be created allowing users to step through different views within a study with a single click of a button Extra views are displayed after all steps in the multi step protocols have been displayed Automatic panning of images together applicable to images that are facing to the same direction Enhanced automatic fit to viewport For MG images the application zooms to the image to fit the anatomy to the viewport Option to automatically omit non screening diagnostic images from prior studies Advanced Workflow Dynamic worklist update Background loading of next study Software Tools Image Manipulation Includes zoom pan invert orientation and magnify Interactive and pre set window level Pan Zoom Scroll Window all on the mouse buttons Automatic window level based on user defined ROI Manual background shutter Step through image display to ensure that the whole breast is viewable Mammography Specific Tools Tools that replicate those used with film mammography including BrightLight tool to bright
6. Commitment oO e e e JPEG Lossless Compression e e e e DICOM print O O O O Single Media Archive Media Storage O O O Consult File Creation e e e e RIS client Integration O O Modality Worklist O O Modality Performed Procedure Step MPPS O O See DICOM conformance statements for details Planmed 19 Nuance Pre installation checklist for Planmed Nuance FFDM installations NOTE LOCAL RADIATION SAFETY AND OTHER APPLICABLE REQUIREMENTS HAVE TO BE FOLLOWED Customer contact information Sales rep contact person Requirements Check before installation 1 General 1 1 Operating conditions Altitude requirement is met 12 Temperature and humidity requirements are met 1 3 Does the air conditioning exist and function as required 1 4 Radiation protection Consult the radiation physicist for advice on radiation protection 1 5 Softcopy review Suitable environment for softcopy reading 1 6 Special environmental requirements Seismicity mobile installation etc Yes No Specify apply 1 7 Other site specific general requirements 2 Electrical 2 1 Power supply Suitable power supply available 22 UPS recommended Is suitable UPS available Yes No 23 Other site specific electrical requirements 3 Mechanical 3 1 The unit has to be bolted to the floor The floor structure has to support bolting The floor has to fulfil the flatness requirement 3 2 Room dimensio
7. Designed for digital imaging with the Planmed FFDM Systems Optional housing for the AWS components see pages 8 9 Constitutes a high performance FFDM technologist center together with the Planmed Nuance AWS Provides easy access to AWS features Extra confidence and better performance Designed for High Throughput Screening and Precise Diagnostic Procedures Swift operation allows the technologist to concentrate on working with the patients and to maintain good working pace Optimized for multi use facility with both screening and diagnostic mammography procedures Optimal Ergonomics for All Users Motorized vertical movement with 33 cm travel Extra large tabletop with plenty of working space Large enough for two displays Foreven larger space both displays can be installed on the optional swivel display arms Comfort and Hygiene Silent movement and smoothly closing compartments minimize potential patient distraction and anxiety Station covers and special table top material are easy to clean Housing for AWS components High performance workstation computer Keyboard and mouse High resolution display Optional Uniterruptible Power Supply e Isolation transformer Safety Strong covers and sturdy structure protects sensitive electronic equipment and digital data Extra durable materials ensure prolonged use Quality Control Center QC phantoms display calibration sensor etc can be stored i
8. PC with Nuance Acquire software FED00631 Acquisition workstation display 3 MP FED00137 Exposure switch assembly with cable Exposure FED00214 switch assembly without cable FED00215 Packing for Nuance Nuance Excel Nuance Classic FED00149 Packing for acquisition workstation AWS FED00320 Packing for digital detector FED00151 User s Manuals Installation Manual Technical Manual Spare Parts Manual Spare Parts Manual Planmed 9 Nuance Key Facts Acquisition workstation for Planmed Nuance Nuance Excel Fastimage acquisition and automatic image optimization with Planmed Nuance Acquire software Optimized for high throughput screening and diagnostic mammography Reader ready images at AWS High resolution 3 megapixel display Nuance Manager for system maintenance and quality control AWS Computer Multi core CPU Minimum 4 0 GB RAM Dual fast 15 000 rpm 146 GB SAS hard drives in RAID1 mirrored DVD recorder Keyboard mouse Microsoft Windows XP Pro SP2 e 10 100 1000 Base T Ethernet Isolation transformer Monitor Onehigh resolution 21 greyscale flat panel display 3MP medical imaging board display resolution 2048 x 1536 Image conformance and consistency software with optional external calibration sensor Optional 2 d LCD monitor 19 Nuance Acquire Software Versatile image acquisition software for Planmed Nuance Dedicated softwar
9. of cancers CAD finds an additional 15 to 25 CAD helps the radiologist to detect cancer earlier One CAD for All Oneserver can process data from maximum of 4 Planmed Nuance or Planmed Nuance Excel FFDM units optional connections 2 4 CAD markers can be distributed to unlimited number of review workstations Markers Draws boxes around calcifications and circles masses Marker size dependent on the finding Indicate the edge of the region DICOM Structured Report SR DigiPad CAD Display Feature CAD access button in DigiPad short cut panel Allows easy swithing CAD markers on and off Hardware and Software Server PC CAD marker display option in Planmed Softview RWS e 10 100 1000 Base T Ethernet CAD PACS and Third Party RWS Tested compatibility with multiple PACS systems Suitable also for specified third party RWS s with different CAD marker presentation protocols Planmed 17 For details see workstation specifications standard O optional Nuance AWS with DigiGuide Nuance Softview RWS Nuance Softview Plus RWS Workstation High performance workstation computer Medical grade grey scale monitor s 3MP 5 MP Additional LCD monitor O ee O ee Nuance Acquire Station NAS Monitor quality control software Display calibration sensor Nuance Manager software Modality support MG e O O O 6 Nuance Aws eeoeocoee
10. quality control Independent test image acquisition and archiving The system indicates if some of the tests have not been regularly performed or if the results are outside the limits Long term follow up is included with graphical results display The quality assurance protocol can be easily customized according to local requirements System Maintenance Nuance Manager includes tools for the Planmed Nuance FFDM System calibration and general maintenance 12 Planmed Nuance Manager Technical Support Solutions Flex AEC calibration tool for signal measurement from the calibration phantom image Nuance Manager log collection utility is an invaluable tool for technical support With one mouse click the system creates a compact archive of all relevant system information that can be sent by email to service provider for additional support Optional Features Mammography Workflow Programming Interface In Nuance Manager the user can design an automatic C arm driving sequence by simply dragging and dropping The sequence can then be activated from the Planmed Nuance unit by pressing a single workflow key Key Facts Optional acquisition station for Planmed Nuance and Nuance Excel Housing for the acquisition workstation isolation transformer and optional UPS Motorized vertical movement for excellent ergonomics Optional swivel display arm for diagnostic purposes Technologist Center for Planmed FFDM
11. DICOM communication user interface DICOM 3 0 SCU Query retrieve SCP DICOM JPEG Lossless Compression Supports JPEG lossless compression as specified by the DICOM standard User Administration and Customization Customization of user privileges preferences Database capacity gauge auto deletion criteria e Creation of user defined worklist Study list filter and sorting tools Edit merge patient data with appropriate access rights Change of status in local database read not read plus configurable states Protect studies from deletion HIPAA Security and Privacy Features Unique user name and password authenticates user access e Audit trail tracks user actions Username patient study date time status changes Actions viewing annotations printing transfer consult mark study as read without viewing all images Integrating Healthcare Enterprise IHE compliant e IHE Integration Statement available for additional information Optional Features Planmed DigiPad Dedicated short cut panel for the Planmed Nuance Softview Ergonomically designed short cut panel for softcopy reading Large buttons for easy navigation in Nuance Softview software Adjustable green background light enables efficient working in the softcopy reading room e Easy to configure for optimal review process Nuance Softview Plus for Multi Modality Support e Supports DICOM data types CT MR CR SC NM US XA DX RF PT Mod
12. Dual control panels one on each side of the unit Enhanced C arm driving circuit kit for faster and softer movements Motorized isocentric C arm rotation with selectable reference projections for quick easy and light operation e C arm angulation from 135 to 180 Carm vertical travel from 80 to 140 cm Digital display of projection angle Motorized telescopic column with two adjustable speeds Unique Side Access patient positioning provides extra space for patient access and improved patient positioning ergonomics Motorized beam collimation continuously adjustable radiation field with imaging field illumination Specially coated ergonomic handles provide excellent touch and feel Chin guard with magnetic locking Compression Motorized compression with selectable speed levels Patient friendly degressive compression paddle movement Digital display of compression force and breast thickness Adjustable compression force limit and digital display Fine tuned compression adjustment either manually or with foot controls Automatic or manual release of the compression after the exposure Quickand safety release Bucky Easily attachable ultra light weight Buckys Gently heated Bucky surface provides unique positioning comfort Rounded corners for improved patient comfort and hygiene Tailor made special grid to further enhance contrast and resolution Microprocessor controlled precise movement
13. Ergonomic and patient friendly design Nuance DigiGuide can be retrofitted Standard colour off white RAL 9016 Optional Features Low dose TriFilter technology e Tungsten anode with special filtration Nuance Acquire Station See NAS specifications for details Turnable Base e Excellent maintenance access Geometric Magnification Light weight magnification platform with integrated abdomen shield 1 6x or 1 8x magnification factors Large positioning area with rounded corners for increased patient comfort e Digital display of magnification factor Shielding e Planmed radiation shield Nuance DigiGuide Digital Stereotactics The most light weight biopsy unit on the market Compact and easy to attach to the mammography unit Integrated control electronics and cabling Ultra light carbon fibre detector housing without grid and with rounded edges e Multifunctional DigiGuide software for efficient stereotactic imaging Integrated software module for Nuance Acquire AWS with 3MP high resolution display Lateral biopsy assembly for Mammotome ST Lateral arm for Bard Vacora Planmed Accessory Storage With shelves or drawers stockable CONFIGURATION Planmed Nuance Excel includes Planmed Nuance Excel digital mammography X ray unit FED00590 X ray tube Varian FED00484 X ray tube Toshiba FED00586 Tungsten X ray tube for Excel Varian FED00499 Digital detector Nuance
14. Excel FED00288 Nuance Excel Bucky 24x30 cm FED00121 Mo Rhodium filter or FED00117 Rh Ag filter FED00500 Adjustable compression paddle assembly 24x30 cm FED00169 with lock Adjustable compression paddle assembly 18x24 cm FED00170 with lock MaxView Breast Positioning System FEDO00130 Side Access with readiness for stereotactics FED00134 Turnable base including delivery support Short fixed FED00185 base including delivery support Free standing base FED00216 FED00184 Transportation barrow handle with wheels FED00189 Transportation barrow handle without wheels FED00585 Acquisition workstation PC with FED00631 Nuance Acquire software Acquisition workstation display 3 MP FED00137 Exposure switch assembly with cable Exposure switch FED00214 assembly without cable FED00215 Packing for Nuance Nuance Excel Nuance Classic FED00149 Packing for acquisition workstation AWS FED00320 Packing for digital detector FED00151 User s Manuals Installation Manual Technical Manual Spare Parts Manual Planmed 7 Nuance Excel Key Facts Direct digital mammography unit with optional low dose tube and filtration 17x24 cm detector size MaxView Breast Positioning System Excellent ergonomics with Side Access Patient Positioning Fully automatic Flex AEC Optional Nuance DigiGuide digital stereotactics Full Field Digital Detector Direct digital acquisition with Amor
15. High quality digital images for stereotactic needle biopsy Efficient digital image acquisition Optimized image displayed within seconds on the computer Screen Automatically saved image and patient information in the Nuance Acquire database Multifunctional Nuance Acquire DigiGuide software Integrated optional software package for Planmed Nuance acquisition workstation With a single mouse click Nuance AWS transforms to fully equipped workstation for diagnostic mammography procedures Designed to assist lesion identification and diagnosis and to guide perform biopsies Patient information input either manually or automatically from optional DICOM modality worklist Nuance DigiGuide includes specified tools for lesion marking and stereotactic targeting In addition most of the Nuance Acquire image optimization tools are readily available Full compatibility with Planmed stereotactic biopsy unit Removable biopsy needle unit weighs only 4 kg Motorized compression feature with manual fine tuning possibility Accurate positioning of the biopsy needle with digital stereo images Reference point lesion marking and needle length selection on the computer screen Digital image storage and retrieval 36 Easy access to records in Nuance Acquire DigiGuide database Tools to edit archive backup review and maintain patient records Comparison of recent and prior images Optional DICOM modules see Nuance Acquire software specifications Plan
16. Summary Planmed Nuance FFDM system is ideal for both high throughput screening and diagnostic mammography facilities The system offers ultimate digital imaging performance combined with exquisite design and user ergonomics Open interface through DICOM enables Planmed Nuance FFDM System to be seamlessly integrated to medical imaging and information environment Nuance Nuance Excel FFDM Unit Direct digital mammography unit Either standard size Nuance or large detector Nuance Excel e MaxView Breast Positioning System Excellent ergonomics with Side Access Patient Positioning e Fully automatic Flex AEC Optional Nuance DigiGuide digital stereotactics Pages 4 5 and 6 7 Acquisition Workstation AWS Included in Nuance delivery Fastimage acquisition and automatic image optimization with Nuance Acquire software Optimized for high throughput screening and diagnostic mammography Reader ready images at AWS High resolution 3 megapixel display Nuance Manager for system maintenance and quality control page 10 Pages 8 9 Nuance Acquire Station NAS Optional acquisition station for Planmed Nuance Housing for the acquisition workstation isolation transformer and optional UPS Motorized vertical movement for optimal ergonomics Optional swivel display arm for diagnostic purposes Page 11 Nuance Softview Review Workstation RWS Optional review workstation for FFDM Two high resolution 5MP di
17. ality based display automatically selects correct tool bar layouts and window level presets according to modality type Multi Modality Presentation Feature Package Multiple stack view with linked or unlinked viewports Multiple series loaded as a stack into multiple viewports Multiple stack control tools Images from different modalities can be viewed and manipulated at the same time using the optional 34 LCD monitor Also available as a multi modality upgrade package DICOM Print e True size print capabilities Print composer enables priority setting status updates and printer selection composition DICOM 3 0 Print 12 bit printing Images captured for printing from 2D Capture tagged images or individual frames Layout and capture controls with print queue status and control DICOM Single Media Archive Module e Enables individual or multiple studies to be burned to a CD or MOD as a single media shelf archive or for distribution CD MOD format is DICOM Part 10 file structure e Can be read from any Part 10 reader User selectable CD Viewer can be burned to the CD User interface enables sorting of the column headers for quick patient listings Search capabilities Integrated CAD Results page 15 Integration of CAD package with results presentation Planmed MIS page 14 Versatile mammography information management Planmed 15 Nuance Softview Key Facts Optionalreal time information management
18. controls Thumbnail navigation bar Navigation controls Hide toolbars and thumbnails to maximize image on screen and minimize background light Software Tools Image Manipulation and Processing Includes zoom pan invert orientation and magnify Line measurement tool Automatic window level based on DICOM IOD Interactive and pre set window level Pan Zoom Scroll Window all on the mouse buttons Edge enhancement unsharp mask Advanced Image Manipulation Module ROI auto window level Pre set image zoom including full resolution and true size Arbitrary rotate image Annotation and measurement Text number annotation Image markers Rectangular ellipse region of interest ROI Free hand ROI Angle measurement Save tagging information in images Supports cut amp paste to windows clipboard Consult File Creation Images captured for creation of a DICOM file for viewing by other workstations Capture tagged images through single mouse click DICOM JPEG Lossless Compression Supports JPEG lossless compression as specified by the DICOM standard Temporary Data Storage amp Management Local database storage 96capacity remaining high low water mark Image acquisition date exceeds preset age Lockimage tool to protect image from deletion Search criteria Patient index search series image index Single series delete each image stored as a DICOM series e Study l
19. e 361 cm 5 1 grid ratio Active detector area 17 1 x 23 9 cm Multifunctional Bucky handle for tightening the lower MaxView sheet for carrying the Bucky and for easy storage MaxView Breast Positioning System Integrated feature and design Integrated MaxView lower module with in out control buttons for both sheets Digital display of traction distance e Pulling velocity 3 5 mm s e Max pulling distance 50 mm Dedicated radiolucent clear plastic uppper and lower sheets for the small and large Bucky e MaxView foot controls for driving both sheets Safety release Equipment Base Either bolted or optional turnable base Integrated third display for projection angle compression force breast thickness and traction distance Dualtrailing MaxView foot controls to operate compression traction and vertical drive of the C arm General Compact size and light weight Ergonomic and patient friendly design Nuance DigiGuide can be retrofitted Standard colour off white RAL 9016 Optional Features Low dose TriFilter technology Tungsten anode with special filtration Nuance Acquire Station See separate NAS specifications Turnable Base e Excellent maintenance access Geometric Magnification e Telescopic magnification platform with integrated abdomen shield e Easily selectable 1 6x 1 8x and 2 0x magnification factors with a single adjustable tower Large positioning area with rounded corners for inc
20. e solution for high throughput screening and diagnostic mammography Optionally available integrated Nuance AWS DigiGuide software module 10 Planmed Nuance Procedure amp Patient Information Input Patient information input via keyboard or DICOM modality worklist optional Data fields include Patient name Patient ID gender date of birth age Study ID Accession number Referring physician radiologist operator Study description Procedure body part Additional info Department institution Application generates date and number of images Picklist can be created for ease of input Certain fields may be set to default Reader Ready Image Display Acquired images automatically presented on the display in correct orientation Automatic image optimization see Image Quality Enhancement Package Reader ready image displayed at AWS Reject image function with reject analysis interface for quality control Image Optimization Package Sophisticated analysis performed per image to determine characteristics and unique processing parameters Automatic multi step optimization applied to images Combines following parameters in unique combinations for each image Curved LUT settings Noise reduction Dynamic range compression Image enhancement filters Protocols are applied automatically to the incoming raw image in the background General Viewing Single series tile viewing Layout
21. eduling Target group invitations for screening mammography Automated scheduling cancellation and rescheduling Reminders for patients that failed to come Scheduling for additional examinations Registering Data from Screening Forms Background patient information in electronic format Scars molds and other findings can be entered into the system by simply drawing with the mouse Integrated to Planmed Softview RWS integrated MIS is optionally available Offers All At Once image and information retrival for optimal review workflow Softinterface to PACS Double Reading and Discussion Management Planmed MIS can automatically recognize and present the cases for second reader Radiologists can identify cases that require discussion Surgery Requests and Reports Planmed MIS ensures that minimal time is lost if surgery is required and that the results are easily available when needed Results Recording and Sending Examination results are recorded to the MIS database from where they can be retrived at any time Automatic result information for the patients Information Provider for the Staff Planmed MIS ensures that the staff is prepared for any additional procedures and their results Connectivity The Planmed MIS interface allows easy integration to HIS RIS and PACS Implemented optional connections include also external cancer registeries laboratory and invoicing systems and eLetter services Ke
22. en small areas of the image Masking tool to show one third of the image Binocular tool allows users to block out areas of the image to focus more closely on a small area Quick view keys for current and prior MG views Cross correlation tool duplicates regions of interest over multiple MG images of the same patient Paired Viewing Tools Image comparison tools for evaluating current and prior or symmetric images simultaneously Includes paired zoom pan and magnification tools Advanced Annotation and Measurement Line angle ellipse and ROI measurement tools Annotation tools All annotations and measurements stored per DICOM grayscale softcopy presentation state Annotation layers can be turned on and off Create contours on MG images using the lesion contouring tool for dynamic quantitative measurements Image Post Processing Automatic window level based on DICOM IOD Interactive curve LUT look up table support for flexible dynamic range compression Edge enhancement unsharp mask Print Printto a GDl or Postscript printer Consult File Creation Images captured for viewing by other workstations Capture tagged images through single mouse click Useful for sending annotations to non GSPS supporting viewers Communications and Data Input DICOM 3 0 Storage SCP receives DICOM data Supports DICOM data types MG mammography Optional multi modality support Softview Plus e Easy to use
23. ent listings Search capabilities DICOM Modality Worklist MWL Query and manage patient demographics via DICOM MWL interface DICOM Modality Performed Procedure Step MPPS MPPS is used for sending procedure information to HIS RIS Planmed 11 Nuance Key Facts Central control interface in the Planmed Nuance Nuance Excel AWS System performance monitoring Environmental conditions recording Quality control tools Essential for system maintenance System maintenance Intuitive and user friendly interface Essential tool for technical support Included in the Planmed Nuance acquisition workstation AWS Optionally available for quality control at the Planmed Nuance Softview review workstation Ease of Use All essential software buttons in one window No need to look for icons at the Windows desktop Central display of system performance and messages Acquisition Start up Planmed Nuance Acquire acquisition software startup Clearly displayed messages indicate when the system is ready for imaging FFDM Unit Operation and Performance Logging Nuance Manager window displays information on system status Creates automatically logs on unit performance Environmental Conditions Recording Correct system and ambient temperature is essential for FFDM system operation Nuance Manager records environmental conditions at all times Interactive Quality Control Interactive software tools for FFDM
24. ist filter and sorting tools Communications amp Data Input DICOM storage query retrieve storage commitment Configuration of DICOM devices by authorized user via configuration menu including port and DICOM AET Applications Entity Title Images can be manually or automatically forwarded to a preset DICOM destination Nuance Manager Status information display System performance logging Operating and ambient temperature recording System maintenance tools Quality assurance and calibration tools Optional Features Nuance DigiGuide software Integrated Nuance AWS DigiGuide software module Nuance Acquire Station See NAS specifications on page 11 Planmed Mammography Information System MIS See MIS specification on page 14 Display Calibration Sensor External sensor for display calibration Uninterruptible Power Supply In the event of power failure UPS ensures that minimal data is lost DICOM Print amp Capture Module Postscript and DICOM print Images captured for printing Layout and capture controls with print queue status amp control DICOM Single Media Archive with Viewer Module Enables individual or multiple studies to be burned to a CD or MOD as a single media shelf archive or for distribution CD MOD format is DICOM Part 10 file structure Can be read from any Part 10 reader User selectable CD Viewer can be burned to the CD User interface enables sorting of the column headers for quick pati
25. med DigiGuide General FFDM stereotactic biopsy system The most light weight biopsy unit on the market Compact and easy to attach to the mammography unit Integrated control electronics and cabling Ultra light carbon fibre detector housing without grid and with rounded edges Includes multifunctional Nuance AWS DigiGuide software module for digital stereotactic procedures Optional Features DICOM Modules DICOM Print Storage and Modality Worklist Lateral Biopsy Accessories Lateral biopsy assembly for Mammotome ST Lateral arm for Bard Vacora Lateral arm for core biopsy procedures Compression paddle for lateral biopsy procedures CONFIGURATION Planmed Nuance DigiGuide System includes Needleguide for Nuance DigiGuide 20006203 Adapter for motorized compression 20004649 Stereo collimator 20006064 Hand held control box 07004080 Holder kit for hand held control box 20004838 Carbon fibre lower paddle Planmed Nuance 20002948 Carbon fibre lower paddle Planmed Nuance Excel 20006070 Needle guide bushes GA 14 20 pcs Calibration toolkit including calibration phantom calibration needle guide bushes for calibration needle plastic ruler 20cm feeler gauge 0 05 mm and Nuance DigiGuide cushion Control electronics of the needle guidance unit integrated inside the mammography X ray unit and controlled with the DigiGuide software DigiGuide software User s Manual
26. n the NAS drawer from where they are always available Smooth movement of the drawer helps to ensure that the sensitive equipment is in perfect condition Versatile Installation Possibilities with Integrated Cable Management All cables are neatly installed and not hanging loose If needed cables can also be drawn up via cable conduits in the optional radiation protection screen General Compact and strong structure Ergonomic and user friendly design Standard colour off white RAL 9016 Optional Features Swivel Display Arm 290 degree turn Easier diagnostic procedures with reference mammograms e Enables the display to be viewed from the other side of the radiation protection screen Integrated display cable management The station can incorporate two swivel display arms Shielding e Integrated or free standing radiation shield with 0 3 or 0 5 mm Pb eqv Uninterruptible Power Supply Inthe event of power failure UPS ensures that minimal data is lost Planmed 13 Nuance Acquire Station Key Facts Optional review workstation for Planmed FFDM Two high resolution 5MP displays Customizable workflow for softcopy reading with prior mammograms Dedicated softcopy reading tools Optional DigiPad short cut key panel Optional Softview Plus for multi modality support Optional CAD Review Workstation Computer e Multi core CPU Minimum 4 0 GB RAM Dual fast 15 000 rpm 146 GB SAS hard d
27. ns Is there need for turnable base installation close to the wall Yes No 3 3 Is there space for the Nuance unit and the Nuance Acquire Station Yes No 3 4 Other site specific issues 4 Software 4 1 Local IT support Yes No Contact 4 2 Hospital network connection Does suitable network exist Yes No availability 43 Virus protection and OS updates How the site is prepared to keep the computer systems updated Yes No Is there requirement need for remote diagnostic system for the equipment Yes No 44 DICOM printer Yes No Specify Contact 20 Planmed Nuance Checked Pre installation checklist for Planmed Nuance FFDM installations NOTE LOCAL RADIATION SAFETY AND OTHER APPLICABLE REQUIREMENTS HAVE TO BE FOLLOWED Customer contact information Sales rep contact person Requirements Check before installation Checked 4 5 PACS Yes No Specify Contact 4 6 If the site has no PACS specify long term storage method 4 7 HIS RIS Yes No Specify Contact 4 8 Planmed MIS Is there requirement need for Planmed MIS Yes No 4 9 Softcopy review Yes No Specify RWS Is the RWS located in the same building Yes No If No specify location in additional information field 4 10 PACS viewers Are PACS viewers used Yes No Specify Does the viewer support GSPS
28. phous Selenium at Se detector 85 um pixel size 2 016 x 2 816 pixel matrix Acquisition Workstation AWS High performance digital image acquisition workstation Integrated to optional Nuance Acquire Station NAS X ray Tube High Speed Bi angular rotating anode Anode rotation speed 9700 rpm Molybdenum target or optional tungsten W target 0 1 0 3 mm focal spot 300 000 HU Adjustable Proximal collimator Beryllium window of 1 0 mm Dual motorized filters 30 um Mo 25 um Rh or optional 60 um Rh and 75 um Ag with automatic change Motorized diaphragms built in spot collimator Biascircuitry to prevent focal spot blooming effect Airandoil cooled Tube protected by microprocessor controlled continuous monitoring of the tube load X ray Generator Low dose high frequency constant potential microprocessor controlled generator Anode current Large focus maximum 110 mA Toshiba E7290 maximum 120 mA Varian M113 M113T Small focus maximum 35 mA Toshiba E7290 maximum 42 mA Varian M113 M113T Anode voltage 20 35 kV with 1 kV step 5 660 mAs Toshiba E7290 5 720 mAs Varian M113 M113T 187 264 VAC 50 60 Hz single phase Automatic line voltage compensation 15Amps 8 Planmed Nuance Exposure Control Modes Anatomically adaptable Flex AEC Automatic sensor selection Operation modes Advanced AEC with Auto kV standard AEC and manual mode C Arm SID65 cm
29. reased patient comfort e Digital display of magnification factor Shielding Planmed radiation shield Nuance DigiGuide Digital Stereotactics The most light weight biopsy unit on the market Compact and easy to attach to the mammography unit Integrated control electronics and cabling Ultra light carbon fibre detector housing without grid and with rounded edges Integrated software module for Nuance Acquire AWS with 3MP high resolution display e Multifunctional DigiGuide software for efficient stereotactic targeting Lateral biopsy assembly for Mammotome ST Lateral arm for Bard Vacora Planmed Accessory Storage With shelves or drawers stockable CONFIGURATION Planmed Nuance includes Planmed Nuance digital mammography X ray unit FED00664 X ray tube Varian FED00484 X ray tube Toshiba FED00586 Tungsten X ray tube Varian FED00638 Digital detector Nuance FED00669 Nuance Bucky 18x24 cm FED00666 Mo Rhodium filter or FED001 17 Rh Ag filter FED00500 Adjustable compression paddle assembly 18x24 cm FED00170 with lock MaxView Breast Positioning System FEDO00130 Side Access with readiness for stereotactics FED00134 Turnable base including delivery support Short fixed FED00185 base including delivery support Free standing base FED00216 FED00184 Transportation barrow handle with wheels FED00189 Transportation barrow handle without wheels FED00585 Acquisition workstation
30. rives in RAID1 mirrored DVD recorder Keyboard mouse Microsoft Windows XP Pro SP2 e 10 100 1000 Base T Ethernet Monitors Two high resolution 21 greyscale flat panel displays 5MP medical imaging board display resolution 2560 x 2048 Image conformance and consistency software Optional 3 LCD monitor 19 Nuance Softview Review Software Optimized for high through put softcopy reading Supports display resolutions up to 5MP Supports portrait format displays in addition to landscape Supports display of DICOM GSPS objects and Group 6000 overlays Supports 1 4 display monitors Viewing parameters can be preset across all displays VGA monitor support for ultrasound images 10 bit monitor support General Viewing Features Single series tile viewing Layout controls Thumbnail navigation bar Navigation controls Hide toolbars and thumbnails to maximize image on the screen and minimize background light Configuration tool for right mouse button short cuts Automated Workflow Smart multi step protocol creation wizard with point and click multi step guide Protocols defined per individual user per modality per procedure type 14 Planmed Nuance Softview All key display parameters may be pre set into a protocol that is triggered automatically based on matching criteria Protocol parameters include Window level zoom pan layout overview image order series arrange study arrange
31. splays Customizable workflow with prior mammograms Dedicated softcopy reading tools Optional DigiPad short cut key panel Optional Softview Plus for multi modality support Optional CAD Page 12 13 Planmed Nuance Key Facts Direct digital mammography unit with optional low dose tube and filtration Large 24x31 cm detector MaxView Breast Positioning System Excellent ergonomics with Side Access Patient Positioning Fully automatic Flex AEC Optional Nuance DigiGuide digital stereotactics Nuance Excel Full Field Digital Detector Direct digital acquisition with Amorphous Selenium amp Se detector 85 um pixel size 2 816x3 584 pixel matrix Acquisition Workstation AWS High performance digital image acquisition workstation Integrated to optional Nuance Acquire Station NAS X ray Tube High Speed Bi angular rotating anode Molybdenum target or optional tungsten W target Anode rotation speed 9700 rpm 0 1 0 3 mm focal spot 300 000 HU Adjustable Proximal collimator Beryllium window of 1 0 mm Dual motorized filters 30 um Mo 25 um Rh or optional 60 um Rh 75 um Ag with automatic change Motorized diaphragms built in spot collimator Biascircuitry to prevent focal spot blooming effect Airandoil cooled Tube protected by microprocessor controlled continuous monitoring of the
32. system Automatic invitation and patient scheduling Manages e g electronic screening forms and radiologist reading and reporting Records and sends results of the exams and requests for procedures Modular web based system with interfaces to HIS RIS and PACS Planmed MIS Workflow Typical MIS controlled workflow in a mammography practice 1 Data acquisition from the external registry 2 Automatic data export to the Planmed MIS 3 Automated appointment scheduling 4 Invitation sending to the patient 5 Patient registering upon arrival 6 Patient information input in Nuance Acquire software with MIS DICOM Modality Worklist Readings with Nuance Softview Radiologist 1 Radiologist 2 Discussion Additional mammography Verifying examinations Surgery 9 Letter to the patient indicating results o N Simple to Use No unnecessary information on the screen Clear patient information and status display Easyreschedules and status updates Multi language support Web based System Information available for all MIS workstations in real time Additional MIS display for Planmed workstations Configurable User Privileges Foreach step of the workflow only necessary information is available Changes and corrections are easy to make Bulk Booking and Data Handling Hundreds of reservations at once Canhandle booking at organizational level for multiple departments and rooms 16 Planmed Invitations and Sch
33. tube load X ray Generator Low dose high frequency constant potential microprocessor controlled generator Anode current Large focus maximum 110 mA Toshiba E7290 maximum 120 mA Varian M113 M113T Small focus maximum 35 mA Toshiba E7290 maximum 42 mA Varian M113 M113T Anode voltage 20 35 kV with 1 kV step 5 660 mAs Toshiba E7290 5 720 mAs Varian M113 M113T 187 264 VAC 50 60 Hz single phase Automatic line voltage compensation 15Amps Exposure Control Modes 6 Planmed Nuance Excel Anatomically adaptable Flex AEC Automatic sensor selection Operation modes Advanced AEC with Auto kV standard AEC and manual mode C Arm SID 65 cm Dual control panels one on each side of the unit Enhanced C arm driving circuit kit for faster and softer movements Motorized isocentric C arm rotation with selectable reference projections for quick easy and light operation C arm angulation from 135 to 180 Carm vertical travel from 80 to 140 cm Digital display of projection angle Motorized telescopic column with two adjustable speeds Unique Side Access patient positioning provides extra space for patient access and improved patient positioning ergonomics Motorized beam collimation continuously adjustable radiation field with imaging field illumination Specially coated ergonomichandles provide excellent touch and feel Chin guard with magnetic locking Compression
34. y Facts Optional Computer Aided Detection CAD for Planmed FFDM Separate CAD server with high processing power Raw images automatically from AWS to the CAD server CAD markers at RWS as DICOM Structured Report DigiPad CAD marker on off button Intended to be used as an additional help after the initial read Smart Mammography CAD Algorithm e Automatically identifies and marks regions commonly associated with cancer Utilizes image processing feature comparison and pattern recognition in the detection process Analyses typical mammography views plus implant rolled tiled or mosaic magnification and spot views Detected Features Suspicious clusters of calcifications Spiculated and non spiculated masses Architectural distortions Asymmetric densities Typical CAD Scenario e Typical basic automated CAD data flow is presented below 1 Images are acquired at the AWS 2 The operator closes the study and the sending of images starts automatically 3 Raw images are sent to the CAD server as one DICOM association per image 4 Processed images are sent to the RWS as one DICOM association per image Also raw images may be sent 5 After the CAD computation is finished the results are sent to RWS Also available for multi system environment with several acquisition and review systems Fast Processing 30cases 4 views case per hour Extra Help for Radiologist e Typically radiologists find 60 80
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