UROSKOP Access

X-ray System for Urological Diagnosis and Therapy

Technical data

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www.siemens.com/medical medical
UROSKOP Access
X-ray System for Urological Diagnosis and Therapy

• UROSKOP Access is a dedicated system • The rotatable micturition seat* and the • The PC-based imaging system of
for urological X-ray diagnosis, therapy, special design of the UROSKOP Access UROSKOP Access, with its DICOM 3
endourology and minimally invasive tube support arm enable video- functions*, enables bidirectional image
surgery. urodynamic examinations with unique transfer within a PACS network similar
patient comfort. to a workstation. It also allows the
• The flexible system configuration, The movable X-ray system allows communication with a HIS/RIS system
e. g. left-hand or right-hand version, patients to be seated in an extremely for transferring patient and examination
allows the modular system design to low position, with their feet touching data.
be optimally adapted to your diagnostic the ground, during the entire
and therapeutic requirements. examination.

• UROSKOP Access offers unique

symmetrical patient access from all
sides of the table, providing optimal
conditions for percutaneous inter-
ventions without the need for
repositioning the patient.

• The unit-mounted articulated arm

with two TFT color displays allows
unrestricted, optimal positioning of
the displays for virtually all urological
interventions.

• In combination with endoscopy com-

ponents, located on the integrated
endoscopy shelf* in an ergonomical
way, you can optionally display X-ray,
endoscopy or ultrasound images with
the Endo/US interface*.

The angulated design of the tube support

arm of UROSKOP Access offers truly
symmetrical patient access from both
sides of the table. This means that all
patients are positioned in one orientation,
independent of which side of the patient
the procedure has to be performed.
This eliminates the need to reposition
the patient, leading to significant time
savings.
UROSKOP Access yields a high potential
in significantly optimizing the clinical
workflow, allowing the anesthetist to
remain in one clearly defined zone and
minimizing the complexity in the daily
routine.

2 * Option
3
UROSKOP Access
Technical Data

Basic unit / table and tabletop

Flexible use and quick positioning
Lifting/ tilting base with cantilevered table and angulated tube support arm
Tube assembly/image intensifier system with longitudinal movement
Ergonomically repositionable tableside hand control unit
Optional right- or left-handed version of the basic unit
Micturition seat height approx. 50 cm (19.7”), movable X-ray system, resting patient

Table tilt ± 90°

Table height 1) 86 cm (33.9”) to 122 cm (48”)
Tube assembly park position 32 cm (12.6”) (motorized)
Source-image distance (SID) 115 cm (45.3”)
Tabletop – film distance 6 cm (2.4”)
Tabletop – I.I. distance 13 cm (5.1”) (7 cm 1) (2.8”))

Carbon-fiber tabletop with foam mattress set

Longitudinal movement + 20 cm (7.9”) to – 50 cm (19.7”) (with standing patient)
Transverse movement ± 12.5 cm (4.9”)
Tabletop (L/W) 115 cm (45.3”) / 76 cm (29.9”)
Tabletop extensions 95 cm (37.4”) / 30 cm* (11.8”)
Table load max. 272 kg (600 lbs)

X-ray generator
Microprocessor-controlled, high-frequency X-ray generator for radiography and fluoroscopy
Automatic X-ray control system for fully automatic calculation and optimization of exposure data based on
fluoroscopy values
kV display and mAs post-display on the live image monitor
Preprogrammed or freely adjustable kV values
IONTOMAT integrated automatic exposure control

POLYDOROS SX 65
Power rating 65 kW (650 mA at 100 kV/65 kW)
Exposure voltage 40 kV to 150 kV

POLYDOROS SX 80*
Power rating 80 kW (800 mA at 100 kV/80 kW)
Exposure voltage 40 kV to 150 kV

* Optional
4 1)
Without cassette carriage
 X-ray tube assembly
OPTITOP 150/40/80 HC-100
Nominal voltage 150 kV
Nominal output 40/80 kW
Focal spot nominal value 0.6/1.0
Anode heat storage capacity 580 000 J (783 000 HU)
Anode drive 150/180 Hz

Collimator system
Multileaf collimator With square and iris diaphragms and three motor-driven
Cu prefilters (0.1 mm, 0.2 mm, 0.3 mm), configurable in the user
program and selectable at the collimator, display on the monitor
and on the multileaf collimator (LCD)
Full-field light localizer 150 W halogen lamp, time switch, laser line light localizer
(with cover)

CAREMAX* dose area product measurement unit

Measurement chamber attachment Ionization chamber integrated into the multileaf collimator
Measured value display On the live image monitor
Measured values Dose area product in cGycm2

5
UROSKOP Access
Technical Data

X-ray image intensifier (I.I.)

The high contrast and excellent modulation transfer characteristics allow the display of finest details
Cesium iodide X-ray screen for high quantum absorption with minimal quantum noise
Precision electron optics with minimal image distortion and consistent high resolution across the entire image field
Anti-reflective coating at I.I. input and scattered light trap at I.I. output
Four freely selectable semiconductor measurement fields for dose control (SDM);
automatic size detection for format changes
Collision protection at the I.I. housing
DQE ≥ 65%

SIRECON 40-4 HDR

I.I. formats 40 cm (16”) 30 cm (12”) 22 cm (8.5”) 17 cm (6.5”)
Visual resolution
Mean value (lp/mm) 4.2 4.8 5.6 6.6
Conversion factor ≥ 29 (cd/m2) · (s/�Gy)
Contrast ratio 38 : 1 at 10% area
Grid PB 17/70, f0 115

Cassette exposure*
Motor-driven cassette carriage for automatic spotfilming with a high-line grid and Iontomat automatic exposure
control
Cassette format 35 cm x 43 cm (14” x 17”) portrait

6
 VIDEOMED DHC TV system
VIDEOMED DHC High-resolution television camera with maintenance-free
1K CCD sensor for digital fluoroscopy and radiography
Dynamics Max. 66 dB signal-to-noise ratio
TV matrix 1024 x 1024 matrix
TV frame rate Max. 25 f/s2); with CAREVISION 12.5; 8; 3 pulses/s

CARE program
CAREMATIC Automatic X-ray control system for fully automatic calculation
and optimization of the exposure data based on fluoroscopic
values
CAREFILTER Three-level adaptive Cu prefiltration for reducing the skin dose
Selection controlled automatically according to the absorption of
the patient
Filter levels: 0.1; 0.2; 0.3 mm Cu
CAREVISION Pulsed fluoroscopy with additional, reduced pulse frequencies
of 3; 8; 12.5 p/s
Adjustment of the pulse frequency to the respective requirements
of the application for a significant reduction of radiation exposure,
especially with interventional procedures
CAREPROFILE* Radiation-free positioning of primary collimators through
graphical display in the LIH image on the image monitor
CAREMAX* Measurement chamber integrated into the collimator housing
for measuring the dose area product and/or normalized skin
entrance dose of the patient
The dose area product is displayed on the imaging system monitor
(Mandatory in some countries)

* Option
2)
Matrix 1024 x 512 7
UROSKOP Access
Technical Data

Display ceiling suspension (DCS) in the examination room

Spring-counterbalanced articulated arm mounted on the unit column with 2 x 17“ TFT color displays
Suitable for full-frame display of endo/US/X-ray images on the reference image monitor (endo/US interface*
required)

17” (43 cm) TFT color display

Image display 1280 x 1024
Maximum brightness, typical 280 cd/m2

Displays in the control room

19” (48 cm) TFT color display (standard)
18” (46 cm) TFT monochrome display (alternatively)
Second TFT display for reference image display*

19” (48 cm) TFT color display

Image display 1280 x 1024
Maximum brightness, typical 280 cd/m2

18” (46 cm) TFT monochrome display

Image display 1280 x 1024
Maximum brightness, typical 600 cd/m2

8 * Option
 FLUOROSPOT Compact (FLC) digital fluoro radiography system
Remote service function (integrated service software, Magic Watch)
Storage of all examination data in a patient folder in the FLC
Integrated help function
Display of X-ray, endoscopic and ultrasound images* on the reference monitor
Integrated Urodynamics interface* for exporting live X-ray images to a urodynamic measurement system or
for connecting a video printer/recorder
Integrated image quality tool
Image acquisition system Intel-compatible microprocessor with PCI bus architecture,
min. 2 GHz, 768 MB RAM, SCSI drive and interface cards for the
camera/X-ray system, based on Windows XP® operating system
Digital fluoroscopy Continuous with 25 f/s (VIDEOMED DHC)
1024 x 512/10 bit matrix and digital filtration
CAREVISION
Pulsed fluoroscopy (1024 x 1024/10 bit matrix)
Dose saving of up to 90%
Pulse rates 12.5; 8 or 3 p/s

Storage of fluoroscopic images

Sliding weighted averaging
Digital radiography 1024 x 1024/10 bit matrix, digital filtration, single image and
series exposures with 0.5 to 8 f/s
Automatic measuring field display Predisplay of the selected measuring fields on the last
fluoroscopic image
Image storage 15,000 images on hard disk in 1024 x 1024 matrix
Image display Aspect ratio 5:4, corresponding to 1280 x 1024 matrix,
1024 x 1024 image content, flicker-free freeze frame with
progressive scanning 72 Hz (TFT)
Image processing Application-specific windowing for contrast/brightness,
edge enhancement, 2-fold zoom (full size), 2-fold electronic
magnifying glass (EMG), split screen (4/9/16/25/36-on-1),
angle/distance measurement incl. calibration, black/white image
inversion (grayscale inversion), electronic shuttering incl. 3 pre-
defined window/filter values, roaming, vertical and horizontal
image reversal, R/L marking, harmonization (DDO)*
Text/graphic functions Text: Marking, annotation, image comment, R/L marking
Graphic: Quantification with angle/distance measurement

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UROSKOP Access
Technical Data

FLUOROSPOT Compact (FLC) digital fluoro radiography system

Organ programs The following can be configured:
X-ray parameters
kV automatic or fixed, dose, frame rate, frame rate reduction,
tube focus, automatic prefiltration, fluoro program, ADC field
position (SDM)
Image processing parameters
Window values, edge enhancement, black/white image inversion,
harmonization factor*
Automatic functions
Auto window, auto shutter, auto Cu-filter
Background functionality Image processing functions such as DICOM Send, DICOM Print,
CD ROM writing etc. are performed in background mode
Integrated system operation User programs with predefined parameter sets for fluoroscopy
and radiography
Integrated X-ray generator operation
Monitor display for live and reference images
Endo/ultrasound* interface for displaying endoscopy
or ultrasound images on the reference color display
Urodynamics interface* for exporting X-ray images to a
urodynamic measurement system or for connecting a
video printer/recorder
Patient directory Input of patient data (e.g. patient name, patient ID, date of birth,
study ID, accession number, physician, organ)
Patient search Input via keyboard, directly via DICOM Worklist*, with barcode
reader* or from the local patient data archive
Reference image display In 1024 x 1024 matrix: storage and direct access to up to
16 reference images on the second monitor
Multimodality Viewing* System-related display of multimodal images from pre-
examinations in the control room
Fluoro loop* Storage and display of dynamic fluoro sequences
The maximum storable fluoro time depends on the pulse rate
selected, e.g. 25 and 12.5 f/s approx. 20 s and 3 f/s approx. 85 s
Harmonization* Digital Density Optimization (DDO) preprogrammed and/or post-
processed to compensate for undesirable density differences in
the exposure, degree of harmonization configurable in the organ
program, also including online DDO for fluoroscopy
Security package* (HIPAA) Advanced safety functions including user management and data
access protection

10 * Option
 DICOM 3 network interfaces for FLUOROSPOT Compact
DICOM Send/St C (basic configuration) Network interface in DICOM 3 standard for DICOM 3 compatible
image transfer
Feedback from the image archive (St C = Storage Commitment)
DICOM Query/Retrieve* For retrieving images from a patient image archive (PACS)
DICOM Worklist/MPPS* Get Worklist function for importing patient data from a data
management system (RIS/HIS)
Modality Performed Procedure Step (MPPS) for input of data
relevant to the examination, e.g. sending examination statuses
and dose information to a patient data management system
DICOM Print* For connection to a laser camera or network printer

Documentation
CD writer* CD drive for automatic, digital image storage on a CD-ROM for
offline data exchange in DICOM 3, TIFF and AVI formats, incl.
DICOM Viewer
DICOM Print* See DICOM 3 functions
Paper printer interface* Suitable for image documentation on paper
Prerequisite: PostScript Level 2
Formats: DIN A4, US Letter
(For connection within network: network capability necessary)
Note:
Paper printer is not suitable for diagnostic purposes
Only in connection with further documentation device

Operating data
Power requirements 3/PE ~ 400 V (± 10%) at 50 or 60 Hz; 440/480 V (± 10%)
possible using an optional line matching transformer
Internal line resistance according to Planning Guide

Environmental conditions (operation)

Temperature range + 15°C to + 35°C
Relative humidity 15% to 75%, non-condensing
Barometric pressure 700 hPa to 1060 hPa

11
UROSKOP Access
Technical Data

Options
Imaging system and display CAREPROFILE (radiation-free collimation)
Multimodality Viewing
Fluoro loop
Harmonization
HIPAA Security package (Health Insurance Portability
and Accountability Act)
Data transfer and documentation DICOM 3 functions:
– DICOM Query/Retrieve
– DICOM Worklist/MPPS
– DICOM Print
CD writer
Printer (paper)
Printer (film)
Barcode reader
Dose measurement CAREMAX integrated measurement chamber
Generator/unit POLYDOROS SX 80
Accessories Data printer (generator data)
Remote control (control room)
Foot switch (fluoroscopy / radiography)
Multifunctional foot switch
Multifunctional foot switch Advanced
Endoscopy shelf
Endoscopy / ultrasound / urodynamics interface
Endoscopy / ultrasound interface
Urodynamics interface
Footboard
Coxafix leg supports
Pediatric leg supports (Coxafix)
Amatech foot supports
Amatech knee crutch stirrups
Patient arm rest
Shoulder supports
Wrist restraints
Infusion bottle holder
Anesthesia screen holder
Accessories cart
Holder for tableside control unit
Endo cable holder
Holder for plastic drain bag
Drain pan
Micturition seat
Tabletop extension 30 cm (11.8”)
Radiation protection
Monitor desk

12
UROSKOP Access
Accessories

Standard accessories

Tabletop extension 95 cm (37.4“)

Extremely light-weight carbon-fiber tabletop extension with foam mattress,

allowing flexible and comfortable positioning of the patient’s extremities
(attaches to head and foot end, max. load 40 kg [90 lbs]).

Standard mattress set with head wedge

Heat-insulating foam mattress made of non-irritant, cleaning and spray-water

resistant material with covered Velcro fastening and head wedge (supplied
loose) for comfortable positioning of the patient.

Elbow supports

Swiveling elbow supports at the perineal end of the tabletop, supporting the
examiner’s elbows during transuretheral procedures.

13
UROSKOP Access
Accessories

Standard accessories

Handgrip strip, lateral

Grip strip that attaches anywhere along the OR rails, allowing the patient to
feel more secure.

Tableside control unit

Magnetically attachable tableside control for storing fluoroscopic images,

calling up single images, scrolling forward and backward in the loaded image
folders, for monitor split display on the reference monitor, unit movements,
zoom stage selection, movement of the X-ray system and park position of
the tube as well as activation of memory functions for the table position and
multileaf collimator setting.

Control panel

Control panel in the control room with On/Off switch, Emergency Stop button
and remote control of fluoroscopy/radiography. Prepared for magnetic attach-
ment of the optional remote control and positioning on the wall with the
optional wall holder (44 59 801).

Arm shield

Arm shield for patient safety that attaches anywhere along the accessory rails
on the column side.

14
 Accessories (optional)

Data printer (generator data) # 44 59 306

Fast and easy documentation for recordable fluoroscopic and radiographic

data. If the CAREMAX dose measurement chamber is installed, the
dose area product and the normalized skin entrance dose can also
be printed out.

Self-adhesive labels for reordering # 44 28 558

Remote control # 144 02 264

Remote control which attaches magnetically to the control panel in the

control room, with the same functions as the standard tableside control
unit on the system, e.g. storage of fluoroscopic images, calling up single
images or monitor split display on the reference monitor, scrolling forward
and backward in the loaded image folders, unit movements, zoom stage
selection, movement of the X-ray system, park position of the tube and
activation of memory functions for the table position and multileaf collimator
setting.

Multifunctional foot switch Advanced # 144 04 737

Ergonomic foot control for 8 table control functions:

lift, tilt, table longitudinal/transverse movement, rocker switch for X-ray
system longitudinal movement, switchover between X-ray/endoscopic/
ultrasonic images, storage of the last fluoroscopic image (LIH) and rocker
switch for fluoroscopy/ radiography.

Multifunctional foot switch # 44 59 546

Ergonomic foot control for 8 table control functions:

lift, tilt, longitudinal/transverse, switchover between X-ray / endoscopic /
ultrasonic images and rocker switch for fluoroscopy / radiography.

Foot switch (fluoroscopy / radiography) # 44 59 538

Basic foot switch for releasing fluoroscopy and radiography in the

examination room.

15
UROSKOP Access
Accessories

Accessories (optional)

Endoscopy shelf # 44 59 5953) / 44 40 4544)

Compact storage rack mounted on the unit column with integrated power
supply for ergonomic positioning of endoscopy modules such as endo light
source, endo camera or HF generator, video recorder, video printer.
Max. load capacity 50 kg (110 lbs) with limited mounting height of the
modules.

Endoscopy / ultrasound / urodynamics interface # 44 40 397

Termination panel integrated in the unit with video inputs for displaying
X-ray / endoscopic / ultrasonic images on the reference TFT color display,
optional input for S-video or FBAS signal and a video signal output for
the synchronous display of X-ray images on the monitor of a urodynamic
measuring system. Connection with standard cable (BNC connector).
Included in the scope of supply: Video signal converter integrated in the
imaging system container, suitable for the connection of an optional video
printer.

Endoscopy / ultrasound interface # 44 59 777

Termination panel integrated in the unit with video inputs for displaying
X-ray / endoscopic / ultrasonic images on the reference TFT color display,
optional input for S-video or FBAS signal. Connection with standard cable
(BNC connector).

Urodynamics interface # 44 59 785

Termination panel integrated in the unit with video signal output for the
synchronous display of X-ray images on the monitor of a urodynamic
measuring system. Connection with standard cable (BNC connector).
Included in the scope of supply: Video signal converter integrated in the
imaging system container, suitable for the connection of an optional video
printer.

Footboard # 44 59 363

The footboard can be attached to the tabletop at the head end and facilitates
radiological exposures of standing patients from the bladder up to the kidney.
Max. load 180 kg (400 lbs).

3)
Left-hand version
16 4)
Right-hand version
 Accessories (optional)

Coxafix leg supports # 44 59 389

The leg supports can be attached anywhere along the lateral OR rails with
a quick-action lock. Continuous, gas spring assisted height adjustment with
self-locking spindle, padded leg rests, lockable and swivelable in 3 directions
for pressure-free positioning of the legs in the knee joint. Leg rest quick-
action lock, suitable for use of the special pediatric leg rest.

Pediatric leg supports (Coxafix) # 44 59 611

For examinations of children, the adult leg rests of the Coxafix leg supports
can be replaced by pediatric leg rests.

Amatech foot supports

Amatech adjustable gas spring loaded foot supports. Attached with low
profile siderail clamps.
Boot stirrups, Siemens customization, including clamps and boot pads.
Adjusts at side rail socket from low to high lithotomy.
The telescoping bar permits simple length adjustment while eliminating any
protrusions beyond the boot. An offset support creates unrestricted access
for the operative team. A limited motion ball socket at the base of the boot
prevents unsafe inversion or eversion when the socket is loosened.
It may be left loosened to self-align during position changes and then locked
in final position.

Amatech knee crutch stirrups

For easy attachment to the table rails.

The “Lift Assist“ neutralizes leg weight, allowing easy handling and
adjustment of the leg position.
Knee crutch stirrups, Siemens customization, including clamps and crutch
pads. Stirrups attach to the lateral OR rails.
Provides excellent patient comfort and precise surgical positioning for short
duration procedures. Doughty soft pad reduces popliteral pressure.
One easy to use handle provides vertical adjustment from 40 cm (16”)
to 52 cm (21”) and 360° horizontal rotation.
Velco strap for security.

17
UROSKOP Access
Accessories

Accessories (optional)

Patient arm rest # 44 59 397

The padded arm rest allows safe and comfortable positioning of the patient’s
left or right forearm. It can be attached and locked in place anywhere along
the lateral OR rails.

Shoulder supports # 44 59 421

The shoulder supports allow safe and comfortable positioning of the patient
in Trendelenburg positions. The padding can be adapted to the patient’s
anatomy. The shoulder supports attach anywhere along the lateral OR rails.

Wrist restraints # 44 59 512

The wrist restraints are attached to the OR rails and are used to restrain the
patient’s hands during an examination.

Infusion bottle holder # 44 59 405

The telescopic extendable infusion bottle holder can hold up to 4 infusion

bottles and attaches anywhere along the OR rails of the table.

18
 Accessories (optional)

Anesthesia screen holder # 44 59 413

The telescopic height-adjustable anesthesia screen holder allows the

attachment of a sterile cover and mounts anywhere along the OR rails.

Accessories cart # 44 59 520

Mobile accessories cart with holders allowing the space-saving

storage of standard accessory components of the
UROSKOP Access (e.g. tabletop extensions, Coxafix leg supports,
arm rest, footboard, micturition seat, infusion bottle holder, etc.).

Holder for tableside control unit # 44 59 355

Magnetic holding plate for the tableside control unit, attaches easily with one
hand anywhere along the lateral OR rails.

Endo cable holder # 44 59 561

Holder mounted on the tube assembly support arm for easy routing of
endoscopy cables during examinations.

19
UROSKOP Access
Accessories

Accessories (optional)

Holder for plastic drain bag # 44 59 488

Flexible, tiltable spring band frame for use at the perineal table end, allowing
easy attachment of a plastic drain bag with drain hose.

Urological PE drain bag (20 pcs) # 44 59 496

Pre-assembled plastic drain bags with apron, removable filter screen and
expandable drain hose.

Drain pan # 44 59 447

Stainless-steel drain pan which can be hooked in at the perineal table end
and moved laterally, with water supply and drain hose, including a park
position holder.

Micturition seat # 44 59 3713) / 44 40 4474)

Weight-reduced, two-part, 90º rotatable micturition seat for examinations

of the patient in a seated position. Optimized for a comfortable, low sitting
height with the patient’s feet on the floor during the entire examination, with
moving X-ray system. Unobstructed space under the seat for urodynamic
measuring equipment. The micturition seat attaches to the horizontal patient
table, max. load 136 kg (300 lbs).

Tabletop extension 30 cm (11.8“) # 44 40 405

Compact carbon-fiber tabletop extension with foam mattress, especially

suitable for patient positioning during urodynamic examinations
(attaches to head and foot end, max. load 136 kg [300 lbs]).

3)
Left-hand version
20 4)
Right-hand version
 Accessories (optional)

Radiation protection

Ceiling-mounted, stationary radiation protection for UROSKOP Access

Consisting of:
– Stand for fixed-point installation
– Extension spring-loaded arm combination with centrally guided
lead-acrylic glass plate, 50 x 40 cm (w x h), 0.5 mm lead equivalent

Radiation protection 46 cm
– For a room height of 250 cm to 280 cm
– Stand for fixed-point installation, 46 cm

Radiation protection 85 cm
– For a room height of more than 280 cm
– Stand for fixed-point installation, 85 cm

Monitor desk # 44 59 553

Control room desk (height 72 cm, width 120 cm, depth 80 cm) which
accommodates up to 2 monitors as well as keyboard, mouse and
control panel (pictured with imaging system container).

21
UROSKOP Access
Technical Data

Dimensions in cm (inches)

1)
Dependent on system configuration with/without
cassette carriage installation

Urodynamics position

Left-hand version Right-hand version

22
Dimensions in cm (inches)

Dimensions valid for left-/right-hand version

Illustration: left-hand version

23
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available and may not always apply in individual In the USA
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