LITHOSTAR MODULARIS Vario

The entry level lithotripter that benefits from all common MODULARIS features:

• Shockwave technology C_Plus
• Undertable positioning of the shockwave head
• Integrated focus phantom
• Universal C-arm coupling
• Manual C-arm angulation
• Central command

MODULARIS Variostar

The additional new features that make MODULARIS Variostar the comfort version:

• Overtable position for urologic lithotripsy
• Flexible shockwave head positioning
• Motorized C-arm angulation with ARCADIS Varic / SIREMOBIL Compact L
• New hand control with intuitive user interface
• Hidden cable management and automatic move-in
• Advanced ergonomics

MODULARIS Uro

The multifunctional table with maximum comfort

• Isocentric +/-15° Trendelenburg table-tilting at the perineal end feature for constant ergonomic working height
• Low-height adjustment for easy patient access
• Application-oriented operation modes
• Central hand control and foot switch for motor-driven table movements in any direction
• Large selection of accessories

SONOLINE G20

Predestined for urological diagnostics and therapy, but also a good choice for interdisciplinary ultrasound applications.

• Slim, lightweight design with small footprint makes the system ideally suited for use in small areas
• Excellent image quality with Tissue Harmonic Imaging (THI) and Tissue Grayscale Optimization (TGO™) technology
• Seamless integration of advanced capabilities including DICOM connectivity
• Ongoing performance enhancements, which require only simple and cost-effective software upgrades, protect your initial investment for the future

ARCADIS C-Arms

Our special C-arm recommendation in conjunction with MODULARIS

syngo speaking

• Uniform, intuitive user interface for operation, image post-processing and networking

• Ideally matched, continuous 1K² imaging chain from image acquisition through image display to image storage
• Large power reserves due to 2.3 kW generator power and additional power mode
• 18“ high-brightness, high-contrast flat panel displays

• Excellent maneuverability due to compact design and low weight
• Intelligent color coding for fast and accurate positioning and operation

SIREMOBIL Compact L

Stands for clinical versatility, excellent image quality with low dose, optimized workflow, and cost efficiency.

• Excellent maneuverability
• Compact and lightweight design
• Large orbital rotation of 130°
• Newly developed user interface for easy operation
• Virtually unlimited fluoro times (over 50 minutes)
• Dose Savings with CARE – Combined Applications to Reduce Exposure

Networking and documentation

Integration of the urology department into the hospital network is achieved with the Siemens’ ARCADIS C-arms:

• syngo®, the unique software platform for Siemens imaging systems
• Multimodality viewing
• Images to be sent to the archive or a network printer via DICOM
• Local storing capacity of up to 40,000 images
• CD writer for local long-term archiving in DICOM or BMP
• Network printing is facilitated by the virtual film sheet which allows you to preview and compile images as required before printing them

• Detailed reporting of the entire treatment (such as stone size and location, anesthesia data, energy and shockwave values, treatment duration)
• Full networking with HIS/RIS
• Intuitive user interface
• Ideal for the preparation of clinical studies and statistics

Shockwave system C_plus

An efficient shockwave technology is the key to successful stone therapy. The MODULARIS lithotripsy module uses the patented shockwave system Cplus – designed for effective and painless treatment, fast elimination of stones and low retreatment rates.

Clear advantages of the Siemens shockwave head C_plus:

Highly efficient

Due to the high stone-free rates and very low retreatment rates (less than 6%), the C_plus is particularly economical. This is made possible by the high acoustic energy of up to 101 mJ (ER = 6 mm) – incidentally the only parameter that permits actual statements on the stone disintegration performance of a lithotripter.

In vitro plaster sphere test: Energy or pressure – what is it that destroys the stone?

An in vitro test with plaster spheres demonstrates that the energy is the only parameter that allows actual statements on the disintegration performance of a lithotripter. Both plaster spheres were targeted with 1000 shock waves with a positive peak pressure of 20 MPa. The left stone was targeted with an energy of 0.3, the right stone with an energy of 5 mJ per shot. This simple experiment clearly demonstrates that it is not the pressure that is important, but the energy alone.

Tissue-sparing

C_plus delivers low pressure (57 MPa) even at the maximum energy level, allowing an even more tissue-sparing treatment. In general there is only a small, if any, correlation between the disintegration of stones and the pressure caused by a shockwave system. It is, however, assumed that the pressure is responsible, among other things, for tissue damage. Which is why we have optimized the pressure of the C_plus system.

Reliable

The focus size with typical energy levels used in stone treatment allows a statement on the reliability and safety of stone disintegration. The large shockwave focal with up to 13 mm mostly compensates for stone migration caused by respiration – nearly every shot hits the target.

Economical

C_plus is the longest-lasting electromagnetic shockwave system for lithotripsy available on the market. The shockwave head with a guaranteed 1.5 million shots is an innovation that helps you save costs.