Superlight, portable Leonardo DR nano X-ray system for equine clinics and general veterinary practices

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1 Leonardo DR Systems Superlight, portable Leonardo DR nano X-ray system for equine clinics and general veterinary practices Lightweight, only 8 kg and wireless* The light weight portable DR system for X-ray examinations * Weight incl. notebook, accessories and 12 x 10 flat panel detector

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3 Leonardo DR nano Portable X-ray imaging: Superlight, only with X-ray detector and tablet PC Just sling the lightweight Leonardo bag over your shoulder and you are perfectly equipped for your next X-ray examination at your customer's premises. The Leonardo DR nano consists of two components only, a wireless X-ray detector and a tablet PC. Weighing only approx. 8 kg (complete package, bag incl. tablet PC/ notebook, accessories and 12" x 10" flat panel detektor), the system is one of the lightest portable X-ray solutions worldwide. It supports users in outpatient digital radiography. Due to its low weight and volume, the compact Leonardo DR nano system can be used almost anywhere - in veterinary practices, equine clinics or teaching hospitals. The tablet PC complies with the latest standards and is equipped with state of the art Leonardo X-ray software. The display offers a resolution of x pixels. The portable wireless X-ray detector based on amorphous silicon (a-si) with caesium iodide (CsI) scintillator, guarantees ultimate image quality, even at low radiation doses. The light weight portable DR system for X-ray examinations

4 Benefits Digital X-ray imaging with Leonardo DR nano Wireless X-ray imaging The X-ray detector is available in two sizes (10 x 12 inches and 14 x 17 inches) as a wireless version. If you use it with a battery powered HF X-ray generator, X-ray imaging will be completely wireless and portable. Your benefit: Ready for operation in no time and no more tripping over cables. The smallest and lightest DR system The very compact Leonardo DR nano is housed in a well designed sturdy carry bag. Weighing only about 6.5 kg in total (including optional carry bag) it can easily be transported anywhere. Battery operated portable X-ray generators with a total weight of as little as 6.8 kg complete the system. The X-ray solution can be assembled quickly and easily on site. Your benefit: Easy to transport, quick to set up. Perfect storage In the lightweight backpack all components are stored in their own custom-fitted compartments with separate closure. The framing robust insulation offers shock protection for the flat panel detector and notebook. Your benefit: T idiness and safe transport. Excellent image quality The wireless detector boasts unbeatable image quality, based on a high resolution of approx. 5 lp/mm (100 µm pixel resolution). Your benefit: Fantastic images as a result of the latest know-how. User friendly The professional dicompacs DX-R acquisition software features an intuitive and state of the art graphic user interface. Examinations can be performed conveniently at the monitor. Your benefit: Easy operation even if staff changes. 2

5 Fast The X-ray image is ready for viewing and diagnostic evaluation as early as 6 to 8 seconds (at flat panel detektor 10" x 12") after the shot has been taken. Your benefit: Fast workflow with optimal documentation. Remote controlled You can use a mobile terminal, such as your smartphone, via a special app as a remote control to take and view images. Attached to your arm or the X-ray generator, it also serves as a control element allowing the user to gain a first impression of the images taken without having to move to the actual console workstation (tablet PC). Your benefit: Guaranteed professional and fast workflow. Well designed An integrated X-ray positioning guide provides information on the correct adjustment technique for each examination, classified according to animal species (cat, dog and horse). Your benefit: Facilitates correct positioning and adjustment. Unique Special measuring functions such as HD measuring, MMP, TTA, TPLO and vertebral heart score, as well as macros for recurring examinations, can be used at no extra cost. Your benefit: Facilitates the evaluation of images enormously. Professional preparation of reports With the optional report module for X-ray services used for pre-purchase examinations of horses, a professional diagnostic report and the relevant documentation can be prepared in no time. Your benefit: Extensive, professional documentation for your customers. only approx. 8kg 3

6 Functionality Take X-rays wirelessly from now on Restricted freedom of movement and tangled cables are now a thing of the past. The Leonardo DR nano system leaves you enough room to work comfortably even in confined spaces. The X-ray unit and the detector communicate wirelessly with the acquisition software on the tablet PC. For safe operation, the distance between the X-ray detector and the tablet PC may be up to 10 m! After taking the X-ray, you can view the images instantly on the tablet PC or forward them to the animal owner or a specialist for an expert opinion (via Cloud or ). Wireless freedom! Wireless sync or using the detector's AED function* WiFi router with battery power Wireless image transfer up to 10 m for trouble-free connections *Automatic synchronising of detector and generator by means of AED no need to modify the X-ray system or adjust the system or the cable connections 4

7 Safe and sound Transport bag for the Leonardo DR nano system (optional) ca. 49 cm ca. 50 cm ca. 12 cm Sufficient space for the 14" x 17" flat panel detector with or without a protective cover and tablet PC Weight: only approx. 8 kg (complete with notebook, accessories and 12 x 10 flat panel detector; with a 14 x 17 detector the total weight is approx kg) External dimensions 50 x 49 x 12 cm Padded and fitted with a sturdy protective frame Water repellant safe in rainy conditions Many additional compartments to store the detector's battery charger, power cable of the tablet PC and other accessories Including shoulder strap (can be used as handle bag the straps can be stored) 5

8 We have taken a closer look at the transport bag for you: Accessories bag for chargers The lightweight backpack storing all important components is complemented by a small accessories bag. The accessories bag contains the charger for the notebook and the batteries of the X-ray detector. This is why it usually stays in the car and is not necessary for the active use of the X-ray system. The high-resolution notebook is held securely in the backpack but can be taken out to work with it. The flat panel detector is stored securely in a separate well-padded compartment. 6

9 All important accesories have their own custom-fit compartments with separate closure. The framing robust insulation offers shock protection for the flat panel detector and notebook. The flat panel detector batteries are also stored in a padded compartment. The backpack can be turned into a handle bag --> The shoulder straps can be hidden quickly and easily. 7

10 Working comfortably with dicompacs DX-R remote control Use your smartphone as a remote control device for taking and viewing images during the X-ray procedure To allow you to work conveniently and speedily outside your practice or clinic, OR Technology has developed a remote control tool, the dicompacs DX-R remote control, for the Leonardo system. By means of our special app you can control the X-ray process and view the images on a mobile terminal like your smartphone, ipod or ipad. Attached to your arm or the X-ray generator, it also serves as a control element allowing the user to gain a first impression of the images taken without having to move to the actual console workstation (tablet PC). Due to its design, the graphic interface may also be used on units with a low resolution of 480 x 320 pixels. The dicompacs DX-R remote control software works independently from the operating system and the control panel hardware. Benefits of remote control operation easy to install on a mobile terminal unit of your choice allows X-ray images to be checked immediately after the X-ray shot extensive functionalities - worklist - image display incl. zoom etc. - retake images at the click of a button - insert images - free exposure parameters - discretionary exposure sequence - data and images for correct adjustment technique and exposure - display of the system status: Ready to take image' / Quality of Wi-Fi signal' / Battery status' no need to use the tablet PC during the entire X-ray process 8

11 Smartphone bracket for easy positioning on the portable X-ray generator - images can be viewed instantly Upper arm cuff for your mobile terminal unit for taking and viewing images 9

12 Software Benefits of the professional acquisition software & additional solutions State of the art graphic user interface, adaptable for almost any language version Safe and fast capturing of emergency patient data Allows the user to switch between examinations of a patient, for instance to avoid having to re-position the patient frequently Special functions like HD measuring, special image filters, TPLO, TTA, MMP, vertebral heart score, distraction index, multi generator operation to change between mobile and stationary X-ray systems etc. Fully integrated radiographic positioning guide for each examination incl. comprehensive notes, photos and correct X-ray images Options to extend individual workstations with features like image stitching (tool to produce one image from several separate X-ray images) and planning/working with digital prosthesis templates / surgery planning Automatic image processing for optimal quality: - Perfect images at all times - generally no adjustment required - Professional, adaptable image processing for each individual examination to obtain best possible image settings for the needs of each customer - Bones and soft tissue in one image - this enables the user to significantly improve his diagnosis - Details of bones and microstructures are very easy to recognise - Noise suppression - Black mask (automatic shutters) - Cropping of images (Crop function) Optional web based dicompacs MobileView viewer solution for almost browser independent free image viewing on mobile terminals i.e. mobile freedom for veterinarian working in animal practices and equine clinics, or in the field, since radiological image material is always accessible Entry of recurring examination procedures as macros 10

13 A single click opens the X-ray positioning guide for horses, dogs and cats Diagram for planning a specific X-ray job Switch to planning X-ray jobs for cats, horses or small animals/ exotic animals Job planning Provides numerous hints on patient positioning, central ray, tips and tricks, common mistakes etc. Shows an image of a correct X-ray examination X-ray positioning guide Full scope of functions for image processing and diagnostic Integrated viewer for professional image diagnosis 11

14 Professional viewer with a full range of functions and integrated in the acquisition software The dicompacs vet viewer for image evaluation is completely integrated. Extensive search tools allow comparing X-ray examinations, even of different patients. 12

15 Useful tools such as configurable measuring magnifiers greatly facilitate diagnostic evaluation. The integrated prosthesis module facilitates preoperative surgery planning (optional). 13

16 Software Report module for X-ray services relating to equine prepurchase examinations (optional) [currently only available for Germany] Presale and prepurchase examinations for horses are always particularly challenging for veterinarians. Such specialised examinations must be carried out swiftly yet very meticulously documented very well, in great details and extremely consistently. After all, the owner of the animal justifiably expects optimal service when it comes to undertaking the examination and presenting the results in a professional and comprehensible fashion. Since administrative work is bothersome yet vital for veterinarians too, we have developed a report module specifically for X-ray services relating to prepurchase examinations in cooperation with renowned specialists. This module enables the quick compilation of reports by automatically assembling X-ray images. It follows the X-ray guideline by the German organisations Gesellschaft für Pferdemedizin e.v. (non-profit organisation for equine medicine) and Bundestierärztekammer e.v. (Federal association of veterinarians). Benefits of equine prepurchase examinations: Time-saving: The dicompacs vet prepurchase examination report module allows very fast and professional preparation of reports on the prepurchase examination, including perfect layout and documentation in dicompacs vet. Easy to follow: dicompacs vet guarantees complete implementation of the wording and the structure of diagnostic reports in accordance with the Guideline for prepurchase X-ray examinations by the German Gesellschaft für Pferdemedizin e.v. and Bundestierärztekammer e.v.. The texts can be easily edited and included in the report to be compiled. Reports with images: The required X-ray images, including all modifications such as zoom, measurements and annotations, and are automatically added to the respective diagnosis (e.g. fetlock joint) for documentation in the prepurchase report. The layout is automatically compiled (page breaks, image positioning etc.). Safe: The complete report (WYSIWYG principle) is automatically stored with the X-ray images. Of course, these reports are also available for patient CDs. This guarantees that images and reports are always kept together. Presentation: dicompacs vet is a professional marketing tool for referring doctors. 14

17 Workflow for a prepurchase horse examination 1. Start report module 2. Allocate the projection Current image assign left front Foot 3. Diagnostic report/ evaluation 4. Report preparation 5. Finished X-ray protocol 15

18 Software Cloud-based telecommunication solution and data archiving for images, documents and diagnostic evaluations for stationary and mobile applications Even for state-of-the-art practices and hospitals, the rapidly rising data flood of digital images, diagnostic reports and other documents is becoming increasingly challenging. Current legislation demands safe and long-term storage of patient data which generally requires investing in expensive hardware infrastructure as well as maintenance and corresponding staff costs. To this end, we developed the ORCA Cloud archiving solution, thus paving the way for cost-effective and safe Cloud-based data archiving in veterinary practices and veterinary clinics. ORCA offers two application options: Archive function: Safe, long-term archiving of patient data with intelligent usage of internal databases Share function: Communication platform (exchange of images and diagnostic reports) with experts and colleagues or as an easy way to forward image data to animal owner/customer (an alternative to creating patient CDs) Data is exclusively archived on European servers with the relevant safety certificates. Benefits of Cloud archiving through ORCA ORCA Minimal expenditure: ORCA does not require investing in expensive infrastructure such as server and data cables. Scalability: The amount of memory required when using ORCA is determined by the demand. Long-term security: ORCA archives data on many individual European servers in professional and air-conditioned data centres. Server technology is continuously updated. Accessibility: ORCA stands out by being highly accessible. Since data is saved with multiple redundancy, ORCA guarantees more continuity than a mere server solution. Environmentally friendly: ORCA is sustainable through the optimised use of resources and their distribution. Location-independent: ORCA guarantees access to archived patient data - worldwide. Simplicity: ORCA allows easy access to data from any computer from your place of work, from the comfort of your home or from any other computer or tablet PC. Stress-free: ORCA deals with everything no need to struggle with loose network cables, removed hard drives or software problems. 16

19 Logout ORCA online viewer's scope of functions: The web based viewer offers many important functionalities of a professional PACS viewer: Draw annotations Measurements Registration of diagnostic findings Attach documents Draw lines and arrows (multi-coloured) Compare images in different grids Flip and rotate images Adjust brightness / contrast Invert, zoom in / out Full screen, fit image PAN Scroll through image series Cine loop for multi frame series and CT/ MRI Export images and documents Print images and documents 17

20 Scope of delivery Components Transport backpack incl. accessories bag for chargers For 14" x 17" detectors with or without protective cover External dimensions 50x 49 x 12cm Padded and fitted with a sturdy protective frame including shoulder strap All important accesories have their own custom-fit compartments with separate closure Leonardo DRw nano 1210 mobile system with wireless flat panel Leonardo DRw nano 1417 mobile system with wireless flat panel Tablet PC CPU Intel i7, 8 GB RAM, 256 GB SSD hard drive, 1920 x 1080 resolution, 31.7 cm (12.56") non reflective multi touch display, mini HDMI, USB 3.0, wireless LAN b/g/n Direct radiography detector 24 x 30 cm (10 x 12 ) wireless Wireless X-ray imaging! fits into the existing bucky tray without any modifications (same size as X-ray film cassettes) Pixel pitch 148 µm, Pixel matrix 1,500 x 1,920 pixel Active area 23 x 28,4 cm (9,1" x 11,2") Resolution > 4.0 lp/mm, Dynamic range (DQE) >66% Direct radiography detector 35 x 43 cm (14" x 17") wireless Wireless X-ray imaging! fits into the existing bucky tray without any modifications (same size as X-ray film cassettes) pixel distance/microns: 100 µm resolution/pixels: 3556 x 4320, exposure area: 432 x 355 mm Battery charger including batteries fast charging, long life batteries, including battery charger charging time of battery: 3 hours Leonardo DR nano software package with dicompacs DX-R, professional console software with modern graphical user interface including basic software package and integrated radiographic positioning guide for each examination, inclusive: dicompacs DX-R DICOM Send SCU dicompacs DX-R DICOM Patient CD dicompacs DX-R Cognition Optimised Processing Optionale Komponenten für das Leonardo DR nano-system dicompacs DX-R Remote control App for smartphone as remote control device for taking and viewing images during the X-ray process

21 Further optional components Components Leonardo DRw nano 1210 Leonardo DRw nano 1417 Holders for smartphone (Apple) Choice of two types of holders available for taking and viewing images: Upper arm cuff Bracket for portable X-ray generator Protection case Delivery with or without grid TR90/20 battery wireless high performance Battery operated HF X-ray generator with pulse-frequency modulation Total weight: 6,800 g (incl. battery) User friendly due to centrally positioned centre of gravity Innovative impact resistant design TR90/30 small format high performance High performing high frequency X-ray generator with full bridge inverter system Only 6,500 g in the smallest size Innovative impact resistant design RHF 200ML the universal resonance high frequency X-ray system Shorter exposure times Reduced radiation Monobloc unit with resonance high-frequency inverter system Total weight: 11,200 g HF 400 ML - The power pack of our portable HF X-ray units Portable monoblock X-ray unit based on high frequency technology Inclusive 2-stage hand trigger switch Max. power requirement 6.0 kw, focus 1,2 x 1,2 mm Dimensions 430 x 320 x 260 mm, weight 21.8 kg More accessories Practical X-ray accessories for all types of flat panel detectors - please ask us. Mobile stands and cassette holders A wide range of X-ray tables and carrying systems of the latest generation enables easy and convenient working. Please ask us. 19

22 Version 002_08_2015 Vet portfolio Overview - products of OR Technology Medici DR Systems vet DR retrofits - digital upgrade set for existing X-ray systems incl. dicompacs DX-R acquisition software, also available for stationary and mobile X-ray machines Leonardo DR Systems vet DR suitcases - compact suitcase solutions for portable X-ray incl. dicompacs DX-R acquisition software Amadeo X-ray Systems vet Complete digital X-ray systems (incl. stand, Bucky, generator, flat panel etc. and incl. dicompacs DX-R acquisition software) and mobile X-ray solutions as well as portable X-ray solutions Divario CR Systemsvet CR solutions - CR systems for digital X-ray with cassettes incl. dicompacs DX-R acquisition software X-ray Accessories Accessories for X-ray (e.g. radiation protection walls, gloves) dicompacs R vet Image management (PACS) - comprises acquisition, processing, diagnosis, transfer and archiving of image material ORCA Cloud-based archive solution -safe, long-term archiving of patient data with intelligent usage of internal databases, communication platform with colleagues and specialists and transfer of image data to patients dicompacs DX-R R X-ray Acquisition Software X-ray acquisition software [only for OEMs] - acquisition and diagnostic software for X-ray images from flat panels or CR systems OR Technology Digital X-ray and Imaging Solutions Info hotline: OR Technology (Oehm und Rehbein GmbH) Rostock, Germany, Neptunallee 7c Tel , Fax info@or-technology.com [Stamp of distribution partner]

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