Cios Alpha

Vision that extends way beyond 30 cm

Cios Alpha
 
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"One of the best features of Cios Alpha is that we, as surgeons, can operate it by ourselves during interventions. In particular, we can easily position the C-arm by using the four control buttons on the detector. This eliminates the time-consuming and often inaccurate positioning by staff members who act on the surgeons commands. And the extended table-side control options via the remote touch user interface are, of course, very useful and convenient." 3   

Werner Lang, MD FEBVS, Professor of Surgery
Chief, Department of Vascular Surgery,
University Hospital Erlangen, Germany

 


Vascular

"The possibility of marking certain areas on the screen is a very important tool that we use very often. Especially in cases where it is of utmost importance to precisely position the device in a certain position. For instance, when we perform a vascular AAA procedure where we position the main body of the stent graft right below the renal arteries, the position must fit perfectly. The big advantage with the software is that we can now mark this anatomy and can see where the renals are and can position the device right there where we want to." 3

 

Prof. Dr. med. Sebastian Debus
Director, Clinic and Polyclinic for Vascular Medicine,
University Hospital, Eppendorf, Hamburg, Germany

 


Helping make vascular procedures quicker and simpler

  • Live graphical overlay1 – innovative support that makes positioning stent grafts even more precise
  • Recalculation and reuse of peak opaque image – reduction in contrast medium
  • Injector trigger1 – better synchronization of the injection of contrast medium
  • Stenosis quantification1 – better quality control
  • Up to 100% landmarking1 – better orientation in the subtraction image

 



Cardiac

"I am sure you can do everything with Cios Alpha. So, if your clinic is focusing on cardiac surgery and even if you are thinking about doing TAVI procedures, Cios Alpha is an ideal substitute for a

hybrid OR." 3

 

   

Bruno K. Podesser, M.D. Associate Professor of Surgery
Attending Surgeon, Department of Cardiac Surgery
Landesklinikum St. Poelten, Austria

 


Outstanding support for cardiac procedures

  • Large 25 kW1 power reserves and rotating anode – provides excellent performance
  • 30 pulses per second fluoro fast imaging rates – for excellent images of the heart
  • 20 cm x 20 cm (8" x 8") flat detector – provides optimal coverage of heart region
  • Live graphical overlay1 – innovative support that makes positioning stent grafts even more precise

 



Ortho / Spine / Trauma

"In my opinion, Cios Alpha can be used for any type of trauma and orthopedic surgery because of its features like better image quality, larger field of view, asymmetric and rotatable collimators, motorization and position storage." 3

 

   

Univ. Prof. Dr. med. Florian Gebhard
Director and Chair Department for Orthopaedic Trauma,
Vice Dean Medical Faculty Ulm University, Germany

  


Outstanding support for ortho, spine and trauma procedures

  • For complex cases such as fractures of the pelvis, as well as for complex spine surgery
  • Outstanding HD image quality – supports fine detail visualization
  • Extended free space – for flexible handling at the OR table
  • Single-touch positioning1 – for fast return to the previously stored projection
  • Up to 25% more coverage2, even during image rotation

 



Gastroenterology and urology

Wider coverage and greater versatility in gastroenterological procedures

  • 30 cm x 30 cm (12" x 12") flat detector1 – for more anatomical information and better orientation
  • Outstanding HD images – allow finest anatomical structures and instruments to be seen
  • SmartView1 - HD VideoManager allowing side-by-side display of fluoroscopic images and images from other modalities such as endoscopy and ultrasound
  • Extra power reserves – provides consistently high image quality
  • Customized program settings – optimized for contrast medium

 



Customer experiences at a glance

The flexible Cios Alpha
Dr. James Busch uses the Cios Alpha for over a month now and it has exceeded his expectations. He plans new procedures, such as digital subtraction angiography, because of the image quality. Both, from a CEO and surgeon perspective, the Cios Alpha is a win-win situation for him.

Clinical benefits of Cios Alpha in vascular surgery

Prof. Dr. med. Sebastian Debus
Director, Clinic and Polyclinic for Vascular Medicine, University Hospital, Eppendorf, Hamburg, Germany


Clinical benefits of Cios Alpha in cardiac surgery

Dr. med. Bruno Podesser, Associate Professor of Surgery,
Landesklinikum St. Poelten, Austria
 


Clinical benefits of Cios Alpha in ortho/trauma/spine surgery
Univ. Prof. Dr. med. Florian Gebhard
Director and Chair Department for Orthopaedic Trauma,
Vice Dean Medical Faculty Ulm University, Germany


Clinical benefits of Cios Alpha in gastroenterology

Prof. Dr. med. Juergen Siebler
Head of Endoscopy Unit, First Medical Clinic of University Hospital in Erlangen, Germany


Clinical benefits of Cios Alpha in urology

Michael Straub, MD
Senior Urologist and Head of the endourology and stone center, University Hospital rechts der Isar Munich, Germany


Prof. Dr. med Sebastian Debus, Hamburg

Director, Clinic and Polyclinic for Vascular Medicine,
University Hospital, Eppendorf, Hamburg, Germany

 

Application scope:
“Compared to conventional C-arms, the FD of this system significantly increases our field of view with its Full View technology. This is very important, especially in interventions where we need to see perfusion of end organs, such as the renals, for example when we perform renal artery stenosis, or the liver or spleen.”

 

Ease of use:
“One of the major benefits of the C-arm is its easy handling. The possibility for surgeons to actually perform every movement by themselves by using the brake control buttons on the detector is just great. The problem for us surgeons is that our staff cannot always read our minds. So it is very important to have the full control of the C-arm during interventions. Allowing this is, in my eyes, one of the major advances of Cios Alpha.”

 

Live graphical overlay:
“The possibility of marking certain areas on the screen is a very important tool that we use very often. Especially in cases where it is of utmost importance to precisely position the device in a certain position. For instance, when we perform a vascular AAA procedure where we position the main body of the stent graft right below the renal arteries, the position must fit perfectly. The big advantage with the software is that we can now mark this anatomy and can see where the renals are and can position the device right there where we want to.”

 


Werner Lang, MD FEBVS, Professor of Surgery

Chief, Department of Vascular Surgery,
University Hospital Erlangen, Germany

  

Image quality:
"Because of its superior image quality and usability, the vast majority of vascular interventions can be performed with Cios Alpha."

 

Application scope:
“We could certainly perform fenestrated stent grafts with Cios Alpha. Not just because of its image quality, but even more due to its tube performance and active cooling system. One of the first AAAs we performed with it was on an obese patient and lasted well over 3 hours. Even at the end of that operation, the tube was not getting hot at all. A conventional C-arm would have overheated long before.”

 

Ease of use:
"One of the best features of Cios Alpha is that we, as surgeons, can operate it by ourselves during interventions. In particular, we can easily position the C-arm by using the four control buttons on the detector. This eliminates the time-consuming and often inaccurate positioning by staff members who act on the surgeons commands. And the extended table-side control options via the remote touch user interface are, of course, very useful and convenient."
 


Univ. Prof. Dr. med. Florian Gebhard

Director and Chair Department for
Orthopaedic Trauma, Vice Dean,
Medical Faculty Ulm University, Germany

 

Image quality:
“The image quality of Cios Alpha is so brilliant because of its asymmetric collimator system. It allows me to focus my field of view exactly on my anatomical area. For example, I can collimate the lumber spine to remove all soft tissue around it or do the same for the thoracic spine to remove lung tissues. That is the best way to get an intraoperative brilliant image.”

 

Application scope:
”In my opinion, Cios Alpha can be used for any type of trauma and orthopedic surgery because of its features like better image quality, larger field of view, asymmetric and rotatable collimators, motorization and position storage."

 


Bruno K. Podesser, M.D. Associate Professor of Surgery

Attending Surgeon, Department of Cardiac Surgery,
Landesklinikum St. Poelten, Austria

 

Image quality:
“I think that the great thing about the subtraction angiography on Cios Alpha is that it gives you a nice visualization of very small and tiny structures like the coronary arteries. This is not the case with conventional C-arms were you don’t get the resolution your need. With Cios Alpha, you get the resolution you need to work with accuracy.”

 

Application scope:
“I'm sure you can do everything with Cios Alpha. If your clinic focuses on cardiac surgery and if you're even thinking about doing TAVI procedures, Cios Alpha is an ideal substitute for a hybrid OR.”

 


Prof. Dr. med. Juergen Siebler
Head of Endoscopy Unit,
First Medical Clinic of University Hospital in Erlangen, Germany


Image quality and field of view:

“Especially during treatment of ERCPs, the excellent image quality of Cios Alpha provides me with a clear view of all relevant anatomical details such as the biliary system and small distal stenoses, as well as my instruments.”


Smart View:

“The side-by-side display of fluoroscopic and endoscopic images simplifies my workflow and enables me to be more focused and relaxed, especially during very difficult ERCPs.”


Remote control panel and motorization:
“The touch remote control, the motorization, and the brake release buttons on the FD housing give me full control over the C-arm during examinations and help me to work faster and better.”



 


Michael Straub, MD
Senior Urologist and Head of the endourology and stone center,
University Hospital rechts der Isar Munich, Germany


Remote control panel and motorization:

“The patient needed bilateral nephrostomy tube exchanges. Normally this requires repositioning of the patient during the case including additional efforts for the urologist and his team. With Cios Alpha I moved the C-arm within seconds very conveniently from the left to the right kidney without moving the patient nor leaving my sterile position.”


Smart View:

“For an endourologist it is very important to have the fluoroscopic and endoscopic images in the same view. I have to work with both imaging modalities simultaneously for stent placement. This is a big step towards efficient work in the OR.”



Conclusion:
“After 15 years of experience in endourology I worked with many different C-arms. In my opinion Cios Alpha is very comfortable with respect to image quality and flexibility in movements in the OR. It offers all possibilities that I need in modern endourology.”


 


Related Products, Services & Resources

1Option

2Compared to today's image intensifiers

The products/features shown on this webpage are not commercially available in all countries. Due to regulatory reasons their future availability cannot be guaranteed. Please contact your local Siemens Healthineers organization for further details.