scholarly journals Abstract No. 481 Visualization performance of neuroangiographic systems using a novel calibrated dynamic vascular phantom: a comparison of Philips Allura and Siemens Artis Zeego

2018 ◽  
Vol 29 (4) ◽  
pp. S203
Author(s):  
J. Mason ◽  
A. Beardsley ◽  
C. Dodge ◽  
S. Hilsenbeck ◽  
G. Benndorf
Keyword(s):  
Artis Zeego

scholarly journals Standard manual reprocessing of angiographic systems in the hybrid OR

2017 ◽  
Vol 3 (2) ◽  
pp. 405-407
Author(s):  
Sebastian Buhl ◽  
Carina Werner ◽  
Clemens Bulitta
Keyword(s):  
Pilot Study ◽  
Medical Devices ◽  
Initial Assessment ◽  
Hybrid Operating Room ◽  
Medical Products ◽  
Fda Guidance ◽  
Microbiological Examination ◽  
Artis Zeego ◽  
Cleaning And Disinfection ◽  
A Current

AbstractA current FDA guidance demands the validation of cleaning and disinfecting protocols even for non-sterile medical devices. The aim of this work is to clarify whether this is already possible using the guidance itself as well as the German DIN EN ISO 17664. An angiography system (Artis Zeego / Pheno - Siemens) was selected as a test object for the validation of a cleaning and disinfection protocol for medical devices in a hybrid operating room. In pilot study prior to the trial, critical points of the system were evaluated by means of questionnaires to clinical users (OTA, surgical technicians). An initial assessment of the in-house cleaning protocols used in the hospitals was done by using a fluorescence assay. The microbiological examination took place subsequently by contact plates and swabbing to determine the amount and type of germs on the surfaces of the system. These experiments were done at three different clinical sites. It was found that there was a significant germ count on several surfaces of the product even after in-house cleaning and disinfection (C&D). After application of an enhanced C&D plan, these germs could be greatly reduced at all verified sites. In addition, it could be shown that DIN EN ISO 17664 can in principle be applied to non-sterile medical products.

Robotic Digital Subtraction Angiography Systems Within the Hybrid Operating Room

Neurosurgery ◽  
2011 ◽  
Vol 68 (5) ◽  
pp. 1427-1433 ◽  
Author(s):  
Yuichi Murayama ◽  
Koreaki Irie ◽  
Takayuki Saguchi ◽  
Toshihiro Ishibashi ◽  
Masaki Ebara ◽  
...  
Keyword(s):  
Digital Subtraction Angiography ◽  
Operating Room ◽  
Intraoperative Imaging ◽  
Neurosurgical Procedures ◽  
Digital Subtraction ◽  
Tomographic Images ◽  
Computed Tomographic ◽  
Aneurysm Clipping ◽  
Imaging Tool ◽  
Artis Zeego

Abstract BACKGROUND: Fully equipped high-end digital subtraction angiography (DSA) within the operating room (OR) environment has emerged as a new trend in the fields of neurosurgery and vascular surgery. OBJECTIVE: To describe initial clinical experience with a robotic DSA system in the hybrid OR. METHODS: A newly designed robotic DSA system (Artis zeego; Siemens AG, Forchheim, Germany) was installed in the hybrid OR. The system consists of a multiaxis robotic C arm and surgical OR table. In addition to conventional neuroendovascular procedures, the system was used as an intraoperative imaging tool for various neurosurgical procedures such as aneurysm clipping and spine instrumentation. RESULTS: Five hundred one neurosurgical procedures were successfully conducted in the hybrid OR with the robotic DSA. During surgical procedures such as aneurysm clipping and arteriovenous fistula treatment, intraoperative 2-/3-dimensional angiography and C-arm-based computed tomographic images (DynaCT) were easily performed without moving the OR table. Newly developed virtual navigation software (syngo iGuide; Siemens AG) can be used in frameless navigation and in access to deep-seated intracranial lesions or needle placement. CONCLUSION: This newly developed robotic DSA system provides safe and precise treatment in the fields of endovascular treatment and neurosurgery.

Intraoperative stone free status using Dyna CT Artis Zeego in complex retrograde intrarenal surgeries

2017 ◽  
Vol 16 (3) ◽  
pp. e2109
Author(s):  
R. Susaeta ◽  
S. Guzman ◽  
N. Zambrano ◽  
J. Fulla ◽  
A. Mercado ◽  
...  
Keyword(s):  
Artis Zeego ◽  
Free Status

Accuracy of a new intraoperative cone beam CT imaging technique (Artis zeego II) compared to postoperative CT scan for assessment of pedicle screws placement and breaches detection

2017 ◽  
Vol 26 (11) ◽  
pp. 2906-2916 ◽  
Author(s):  
Virginie Cordemans ◽  
Ludovic Kaminski ◽  
Xavier Banse ◽  
Bernard G. Francq ◽  
Olivier Cartiaux
Keyword(s):  
Ct Scan ◽  
Imaging Technique ◽  
Cone Beam Ct ◽  
Pedicle Screws ◽  
Ct Imaging ◽  
Cone Beam ◽  
Artis Zeego

Optimized Intraoperative Imaging for Stereotactic Planning with a Multiaxial Robotic C-arm System: Technical Note and Case Series

2021 ◽  
Author(s):  
Frederik Enders ◽  
Andreas Rothfuss ◽  
Stefanie Brehmer ◽  
Jan Stallkamp ◽  
Dirk Michael Schulte ◽  
...  
Keyword(s):  
Intraoperative Imaging ◽  
Case Series ◽  
Brain Biopsy ◽  
Cranial Computed Tomography ◽  
Preoperative Imaging ◽  
Control Group ◽  
Procedure Time ◽  
Stereotactic Brain Biopsy ◽  
Artis Zeego ◽  
Total Procedure

Abstract Background The preoperative preparation of the planning dataset for frame-based stereotactic brain biopsy is often associated with logistical effort and burden on the patient. Intraoperative imaging modalities need to be investigated to overcome these limitations. Objective The objective of the study was to develop and apply a new method for the intraoperative acquisition of the planning dataset with the multiaxial robotic C-arm system Artis zeego. Methods An indication-customized dose-reduced protocol for Artis zeego was developed and implemented into the workflow. A sample of 14 patients who had undergone intraoperative imaging with Artis zeego was analyzed. A sample of 10 patients with conventional preoperative imaging by cranial computed tomography (CT) was used as a control group. Outcomes were compared with regard to target deviation, diagnostic value of the biopsies, complications, and procedure time. Results In all patients, a suitable intraoperative planning dataset could be acquired with Artis zeego. Total procedure time was shorter for the Artis zeego group (p = 0.01), whereas time in the operating room area was longer in the Artis zeego group (p = 0.04). Biopsy results were diagnostic in 12 patients (86%) in the Artis zeego group and in 8 patients (80%) in the control group. There were no significant differences in target size, trajectory length, or target deviation. Conclusion Intraoperative imaging for frame-based stereotactic brain biopsy with Artis zeego is an easy and feasible method. Accuracy is comparable to conventional CT, whereas radiation exposure could be additionally reduced. It allows a significant reduction of the total procedure length and improves the comfort for the patient and staff.

Precise Stent Placement Using the New Siemens Artis Zeego 3D Rotation Angiography in a Stenosis of a Shelhigh Pulmonary Conduit

2010 ◽  
Vol 5 (2) ◽  
pp. 128-130
Author(s):  
Anno Diegeler ◽  
Stefan Fröhner ◽  
Ingo Dähnert
Keyword(s):  
Computed Tomography ◽  
Stent Placement ◽  
Early Onset ◽  
Pulmonary Valve ◽  
Distal Segment ◽  
Ross Procedure ◽  
Pulmonary Conduit ◽  
Artis Zeego

Stenting of the Shelhigh pulmonary conduit was performed 2 years after a Ross procedure because of a stenosis of the distal segment. We used the new Siemens Artis Zeego technology. A precise placement of the stent to release the stenosis within the distal segment simultaneously retaining a competent valve was possible by using the Dyna-computed tomography technology. The early onset of a stenosis of the Shelhigh xenograft in the pulmonary position is alarming, thus, its use can not be recommended for a replacement of the pulmonary valve.

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