SHS INA XP ArtisPortfolio

Artis
Visionary intervention
October 2023
© Siemens Healthineers, 2022

Our portfolio for Angiography System
nexaris
ARTIS icono
Angio-CT
ARTIS pheno
Artis Q
Artis zee
Artis One
2
Unrestricted (international version) © Siemens Healthineers, 2022
Tackle every challenge
Artis zee with PURE®
Hendya Perbangkara 3
June 2021
Artis zee ceiling-mounted
Easy patient access and full body coverage
Full coverage from head-to

toe w/o moving patient
“InFocus” keeps projection

during gantry rotation
Plus all angles between for

ideal patient access
4
Artis zee ceiling-mounted
Improve your workflow with InFocus
• A single press of a button

enables outstanding
functionality
• InFocus keeps the
projection during C-arm
rotation
• No need to readjust when
moving the C-arm into
another projection
6
Straight visualization for radial access
InFocus and StraightView for upright image

and optimal collimation in Radial Access

Only Siemens offers StraightView for optimal
visualization during radial access
7
Add accuracy to your workflow
with Automap
The Automap function facilitates adjustment

of C-arm position
• The Automap function automatically saves
position and angulation when taking images
of region of interest
• Go back to exact same position and angulation
of reference image at the push of a button
8
Add flexibility to your workflow with Artis zee Footswitch
The programmable Wireless Footswitch can be

adapted to your procedure workflow
• Customizable pedal to fit your workflow
• Dedicated, programmable pedal for
alternative acquisition
• Safer environment with less cables
Examples
Unbreak 1.Acquisition Alternative Roadmap

Acquisition 2. Unbreak table Acquisition
table acquisition reset
Handsfree 1.Fluoro
Handsfree Unbreak
Fluoro 2.Dim lights Fluoro
Program Program table
9
Get sharper images independent of direction
with flat emitter technology
The innovative flat emitter technology optimizes Conventional Flat emitter

focal spot area filament technology
• Small focal spot size • The almost quadratic

(0.4)1) shape improves
spatial resolution Conventional Filament Flat Emitter
in all directions Emitter
-43%
1) as20 detector. When compared to previous MEGALIX Cat and on 10

foci with flat emitter Unrestricted (international version) © Siemens Healthineers, 2022
Get sharper images
up to
70%
increases visibility
of small vessels
11
© Siemens
Unrestricted (international version) Healthcare
© Siemens GmbH, 2018
Healthineers, 2022
Artis Zee has the more powerful tube to help improve Image
Quality and is especially beneficial for obese patients.
250 mA (max fluoro current)

12
CARE + CLEAR strives to change the game
Image
quality
Image
Dose CARE CLEAR
quality
Dose
13
CAREposition
CAREposition allows patient positioning

without fluoroscopy while moving the
table or C-arm.
CAREposition provides radiation-free
patient positioning
14
Benefit from pre-acquired DSA for excellent image quality in
Roadmap easily
CLEARmap
Benefit from pre-acquired DSA for excellent image
quality in Roadmap easily
• Zoom-and-Pan during Roadmap to save time and
dose
• Get more out of your system by simplifying your
workflow, while saving dose and contrast
Advanced Therapies | AT-18-410

© Siemens Healthcare GmbH, 2018
Compensate for patient movement with next generation real-
time pixel-shift
CLEARmatch w/o CLEARmatch w/CLEARmatch

• Benefit of consistent image
quality in Roadmap during
patient movements
• Get sharper images and
enhance your treatment even
in challenging situations
Advanced Therapies | AT-18-410

© Siemens Healthcare GmbH, 2018
CLEAR allows customizing the image quality
CLEARchoice
to thecustomizing
Allows preferences of the
the image customer
quality to the preferences of customer
Image quality customized to your preference

17
CLEARStent - Enhanced stent visibility
CLEARstent
Enhanced stent visibility
ROI is registered on stent instead Image displayed on reference monitor is

of balloon markers automatically zoomed 2x
18
Case
LAD bifurcation lesion w/ radiolucent bioresorbable scaffold
RAO 2°
LIVE Monitor CAU 43°

ASSIST monitor with CLEARstent Live provides
additional confidence for scaffold positioning
© Siemens GMBH 2016. All rights reserved. HIM_AX_11/12-018.
Images courtesy of University Hospital Erlangen, Germany
Page 19 June 2015 R. Sindhu Winoyoko / HC ASP ASN INA AT
Case
LAD bifurcation lesion w/ radiolucent bioresorbable scaffold
CLEARstent Live for scaffold deployment Final acquisition
© Siemens GMBH 2016. All rights reserved. HIM_AX_11/12-018.

Images courtesy of University Hospital Erlangen, Germany
Page 20 June 2015 R. Sindhu Winoyoko / HC ASP ASN INA AT
syngo Dyna3D
21
syngo Dyna3D
High-contrast 3D imaging
• Get clear 3D imaging of high-contrast objects like contrast-

filled vessels based on 5 second C-arm rotation
• Ideal for congenital defect repair or vascular interventions
• Automap links 3D image to C-arm and vice versa for finding
optimal projection angles
• Can save contrast and / or fluoroscopy time
Images courtesy of Deutsches Herzzentrum Berlin, Germany 22

syngo 3D Roadmap
Overlay of 3D information onto 2D images
• Overlay 3D volumes (like CT or MR) onto live fluoro images
• syngo 3D Roadmap acts as 3D roadmap for support during
LAA occlusion, TAVI or vascular procedures
• Automap links the 3D image to the C-arm, the overlay will
automatically be updated on C-arm angulation, zoom or table
changes
Images courtesy of Michael Block, Klinik Augustinum, Munich, Germany 23

Better 3D image quality in the lower abdomen
with the Artis zee Ceiling
Same phantom Same phantom

(diameter = 16cm)
reconstructed:
(diameter = 16cm)
reconstructed:
Missing data leads
Siemens Other Vendor to artefacts in the
reconstructed image
200° sufficient coverage 180° insufficient coverage

24
Complete layout example
Waiting Operator
Room Room
Angio Machine
Room
Room
Changing Preparation
Room Room
27
ARTIS one
Edition X
October 11, 2023

Advanced Therapies | AT-22-194 29
Multi-Axis floor stand
How flexibility makes the

difference?

Ceiling-like flexibility floor mounted
Additional movement axis provides ceiling-like stand positioning and enables

full head-to-toe coverage of 2.10m longitunal and 1.90m lateral

Motorized stand positioning for optimal patient access
Parking position PCI position TAVI position
Abdominal position CRT/ERCP position

Always upright images thanks
to StraightView technology
Synchronized rotation of the detector and collimator unit

supporting radial access in all angles
Courtesy of Universitätsklinikum Erlangen, Germany Advanced Therapies | AT-22-194 33

Intuitive controls
Heads-up display
How to ensure full focus

on the patient?

Keeping the focus where it‘s
needed – on the patients
Display-driven interfaces
• All needed information in front of the operator

• On-screen menu gives no reason to look away from the
display
• Intuitive interaction with the system

Keeping the focus where it‘s
needed – on the patients
Intuitive controls
• Tactile buttons for intuitive interaction

• Easy to understand and deploy
• 12 freely configurable buttons for fast access to favorite
functions

ARTIS one Edition X Display options
Pivot mount enables flexible repositioning
30“ Display + 21“ Display

ARTIS one Large Display²
• 21“ display for
hemodynamics • Up to 3 internal and 4
• Up to 3 internal and 5 external signal sources
external signal sources1
1 Includinghemodynamics Advanced Therapies | AT-22-194 37
² Large Display option is not available for every country. Futur availability cannot be guaranteed Unrestricted (international version) © Siemens Healthineers, 2022
Parallel Patient Processing
Pre- and post-processing of 3D

patient data in the control room
Share system capabilities between

exam and control rooms
• Plan a procedure without

interfering with an ongoing case
• Streamline your workflow,

maximize system productivity and
improve room utilization

MEGALIX Cat Plus
Automatic Exposure Control
CARE+CLEAR
How to balance the needs for

image quality and dose
reduction?

Get sharper images
independent of direction
The innovative flat emitter technology optimizes Conventional Flat emitter
focal spot area filament technology
• Small focal spot size • The almost quadratic

(0.4) shape improves
spatial resolution
Conventional Filament Flat Emitter
in all directions Emitter
-43%
Sharp
Sharp
smaller focal spot size 1)
Unsharp
Sharp
1) When compared to previous MEGALIX Cat and on foci with flat emitter Unrestricted (international version) © Siemens Healthineers, 2022
The key to excellent image quality and
lowest reasonable achievable dose
Siemens Healthineers Automatic Exposure Control
automatically adjustment of five parameter influencing
IQ and dose to find the best balance.
Best possible
AEC
Lowest possible

Siemens Healthineers
Automatic Exposure Control
Situation depended adjustment of five variable parameters

enables dose reduction in fluoroscopy of up to 65%1.
5 variable parameters automatically adjustable
Tube voltage (kV)

- +
Parameter
Tube current (mA) adaption
Exposure time (ms)
Focal spot
variable
Filtration
Dose
Effect
on dose

1 compared to exposure control with 3 parameters Unrestricted (international version) © Siemens Healthineers, 2022
CARE+CLEAR
A game changer
Because the general rule of X-ray says:

The higher the dose = The better the image quality
→ Reducing radiation dose compromises image quality
→ Improving image quality requires more powerful X-ray
CARE+CLEAR strives to change the game

CARE
Combined Applications to Reduce Exposure
Dose
saving
Dose
monitoring
Our philosophy to deliver better care

at the lowest reasonable dose.
Dose
reporting

CLEAR – A standard in all Artis systems since 1994
Image
Acquisition
Optimizing
image
quality
Image
Processing
Customizing Provides optimal image quality to help

image quality increase certainty during interventions.

Clear images and excellent device visibility
Patient height: 154 cm

Patient weight: 52 kg
BMI: 21.9
Angulation: LAO 6 / CAU 30
Tube voltage: 81 kV
Pulse width: 5.0 ms
Pre-filtration: 0.1 mm CU
Focal spot: small
FOV: 20 cm
Framerate: 10 f/s
DAP: 0,64 µGym2/f
Typical values for PCI

DAP: 1 ‒ 3 µGym2/f

Courtesy of CardioCenter Ansbach, Germany Unrestricted (international version) © Siemens Healthineers, 2022
Clear images and excellent device visibility
Patient height: 154 cm

Patient weight: 52 kg
BMI: 21.9
Angulation: LAO 48/ CAU 30
Tube voltage: 93 kV
Pulse width: 7.1 ms
Pre-filtration: 0.1 mm CU
Focal spot: small
FOV: 20 cm
Framerate: 10 f/s
DAP: 1,08 µGym2/f
Typical values for spider view

DAP: 6 – 18 µGym2/f

ARTIS one in
Coronary Artery Disease

Dual-axis rotational angiography with
Heartsweep
• Heartsweep covers all standard

coronary diagnostic projections in
one run and with one contrast
injection
• Up to 10 different trajectories with

configurable movement speeds and
simple one-button operation
• Operators have the option to

minimize their radiation exposure by
leaving the room during acquisition

Courtesy of Secomedic Hospital, Funabashi, Japan Unrestricted (international version) © Siemens Healthineers, 2022
Heartsweep of left coronary artery
showing stenosis in LAD bifurcation

Courtesy of Secomedic Hospital, Funabashi, Japan Unrestricted (international version) © Siemens Healthineers, 2022
ClearStent
Taking stent enhancement to the next level
ClearStent allows an enhanced image

of the deployed stent or a looped
display of stent and vessel (contrast
flow) with ClearStent Dynamic.
• Automated 5-second acquisition or

use of pre-acquired images
• Stent ROI to avoid cut-off images
• PACS compatibility for review of
scenes using any DICOM viewer

Courtesy of Sunshine Coast University Private Hospital, Australia Unrestricted (international version) © Siemens Healthineers, 2022
Clinical example
Ostial Bifurcation Lesion
Ostial bifurcation lesion ClearStent after first stent Progress after first Final ClearStent showing
of RIVA deployment showing balloon properly deployed
underdeployment post dilatation stents in the bifurcation

Images Courtesy of I.R.C.C.S. Policlinico San Donato, Milan, Italy Unrestricted (international version) © Siemens Healthineers, 2022
ClearStent Live
Real-time stent enhancement
See this … … like this! ClearStent Live allows a real-time

verification of the stent positioning
while moving the device, eliminating
cardiac movement.
• Stent enhancement during

acquisition with up to 15 fps
• Potential to speed up procedures

and to save contrast agent 1)
• PACS compatibility for review of

scenes using any DICOM viewer
Courtesy of AZ Maria Middelares, Belgium Advanced Therapies | AT-22-194 53

1) This is the experience of individual users. Results may vary
Clinical example
Treating long stenosis in RCA
Clincal case: Long stenosis in RCA

69 years old male patient, BMI: 24,5
Stent positioning Post-dillatation Final result
1,89 µGym2/f 0,37 µGym2/f 0,84 µGym2/f

The variety of our Remote Services allows us
to support you in every condition of business
Remote Assist
Remote
Diagnosis & Repair Remote Trainer
Remote Software Remote Proactive & Predictive

Updates & Upgrades Monitoring: Guardian Program
55
Service Support Distribution in Indonesia
New Upcoming
Service Hub
CSE@Palembang (Pontianak)
CSE@Bandung
CSE @ Makassar
CSE @ Medan
CSE @ Denpasar
CSE @ Jakarta
GRP (Global Remote Support)
Application Support
CSE @ Semarang
CSE @ Jogjakarta CSE @ Surabaya
Application support @surabaya
Regional Support Engineer @ Surabaya
Global Remote Support
56
30” flat detector
• Uncompromised imaging in
dedicated and combo labs
Free configurable table

site control
• 12 configurable
buttons
Slimline collimator housing
• Advantageous for steep angulations MEGALIX Cat Plus 2-focus tube
• StraightView • Flat-emitter technology
• Sharp images and high image
contrast
Fully motorized system stand
• Optimal patient access during all
procedures

Thank you
for your enthusiasm!
The product/features (mentioned herein) are not commercially available in all countries.
Siemens Healthineers Headquarters Their future availability cannot be guaranteed.
Siemens Healthcare GmbH
Henkestr. 127
91052 Erlangen
Germany
Phone: +49 9131 84-0
siemens-healthineers.com


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Artis

© Siemens Healthineers, 2022

Full coverage from head-to

“InFocus” keeps projection

Plus all angles between for

• A single press of a button

InFocus and StraightView for upright image

The Automap function facilitates adjustment

The programmable Wireless Footswitch can be

Unbreak 1.Acquisition Alternative Roadmap

The innovative flat emitter technology optimizes Conventional Flat emitter

• Small focal spot size • The almost quadratic

1) as20 detector. When compared to previous MEGALIX Cat and on 10

250 mA (max fluoro current)

CAREposition allows patient positioning

Advanced Therapies | AT-18-410

CLEARmatch w/o CLEARmatch w/CLEARmatch

Advanced Therapies | AT-18-410

Image quality customized to your preference

ROI is registered on stent instead Image displayed on reference monitor is

LIVE Monitor CAU 43°

CLEARstent Live for scaffold deployment Final acquisition

© Siemens GMBH 2016. All rights reserved. HIM_AX_11/12-018.

• Get clear 3D imaging of high-contrast objects like contrast-

Images courtesy of Deutsches Herzzentrum Berlin, Germany 22

Images courtesy of Michael Block, Klinik Augustinum, Munich, Germany 23

Same phantom Same phantom

200° sufficient coverage 180° insufficient coverage

October 11, 2023

Unrestricted (international version) © Siemens Healthineers, 2022

How flexibility makes the

Advanced Therapies | AT-22-194 30

Additional movement axis provides ceiling-like stand positioning and enables

Advanced Therapies | AT-22-194 31

Parking position PCI position TAVI position

Abdominal position CRT/ERCP position

Advanced Therapies | AT-22-194 32

Synchronized rotation of the detector and collimator unit

Courtesy of Universitätsklinikum Erlangen, Germany Advanced Therapies | AT-22-194 33

How to ensure full focus

Advanced Therapies | AT-22-194 34

• All needed information in front of the operator

Advanced Therapies | AT-22-194 35

• Tactile buttons for intuitive interaction

Advanced Therapies | AT-22-194 36

Pivot mount enables flexible repositioning

30“ Display + 21“ Display

Pre- and post-processing of 3D

Share system capabilities between

• Plan a procedure without

• Streamline your workflow,

Advanced Therapies | AT-22-194 38

How to balance the needs for

Advanced Therapies | AT-22-194 39

• Small focal spot size • The almost quadratic

Advanced Therapies | AT-22-194 41

Situation depended adjustment of five variable parameters

Tube voltage (kV)