Environmental Product Declaration www.siemens.com/healthcare



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AXIOM Sensis XP Environmental Product Declaration www.siemens.com/healthcare s

Progress that is Impressive Ecological Advantages of AXIOM Sensis XP Sensis allows for paperless docu mentation and reporting of patient examinations in the cath lab and EP lab. Reports can be e-mailed or directly exported in electronic format to the hospital information system, safing print/paper. Stand-by mode: Sensis lets you easily switch off the examination room equipment when it is not needed for patient examinations (e.g. overnight or over the weekend), thus con siderably reducing its power con sumption. Minimum hardware requirements: Combined Hemo and EP recording system, thus avoiding the need for two separate recording systems. All substances contained in the product and its packaging are documented Plastic parts are labeled for recycling Disassembly instructions for high-quality recycling are available Complete systems and their com ponents are taken back and refurbished Product take-back according to strict EU directives More than 70 % of the materials used can be returned to the flow of recyclable materials Environmental product declaration is available for download via internet

AXIOM Sensis XP The core of your cath lab Optimizing workflow to increase efficiency and provide optimal patient care is the theme of Siemens integrated recording solution. Whether a hemodynamic or an electro physiological examination is to be per formed, AXIOM Sensis XP is a true combo system that serves both clinical fields. AXIOM Sensis XP for hemodynamic applications is designed to acquire and display 12-lead ECG, cardiac output (thermodilution, Fick method), SpO 2, non-invasive blood pressure, respiration rate/etco 2, and up to four invasive pressures. The EP application supports the most advanced EP procedures with outstanding signal quality. Up to 64 intracardiac channels via 128 electrode inputs deliver crisp and clear waveforms that can be displayed and analyzed according to the electro physiologists requirements. With its DICOM compatibility and extended HL7 engine, AXIOM Sensis XP is fully integrated into the hospital network*. Scalable from a single-lab to a multilab solution, it represents the integrated core of the department with one central database for advanced and paperless reporting. * Option 3

Environmental Management System Our environmental, health and safety management system complies with ISO 14001 and aids us in putting our policy into practice. To find further information about our management system for environmental protection, health and safety, go to www.siemens.com/healthcare-ehs Environmental Product Design Material supply: From natural resources to delivery of semi-finished products Production/delivery: From production of components to operation startup by the customer Use/maintenance: Includes daily use by our customers as well as maintenance Siemens Healthcare considers environmental aspects in all phases of the product life cycle, including material supply, production/delivery, use/maintenance and end of life. Our product design procedure fulfills the requirements of IEC60601-1-9:2007 Environmental product design for medical electrical equipment. This standard supports the effort to improve the environmental performance of our products. End of life: From disassembly at the customer through material and energy recycling Reduction of Critical Substances Siemens has made strides to reduce materials in our AXIOM Sensis XP system that are environmentally harmful and are not easily recyclable. One example of this is a recent improve ment in the use of a smaller battery in the uninterruptable power supply (UPS). Although Siemens has not completely eliminated all nonrecyclable materials, we are continually making improvements to reduce the environmental impact of Siemens products. AXIOM Sensis XP is mainly built of metals and a wood housing. This provides a high degree of recycla bility. Identification of Product Materials Selective parts circuit boards, cabling 19.3 % Ferrous alloys, steels 25.2 % Selective parts batteries 6.8 % Critical substances 0.1 % Nonferrous metals and alloys 9.2 % Other material 27.7 % Other metals and semi metals 0.1 % 4 Total weight: 161 kg Plastics 9.7 % Inorganic materials and ceramics 1.9 %

Cumulative Energy Demand Energy consumption is the most important environmental characteristic of medical devices. This is why we use Cumulative Energy Demand to assess environ mental per formance. Cumulative Energy Demand is the total primary energy* that is necessary to produce, use and dispose of a device including all transportation. Our medical devices can be recycled almost completely for materials or energy. With appropriate handling at the end of a product s service life, it is possible to return up to 2 MWh in the form of secondary raw materials or thermal energy to the economic cycle. Primary Energy in MWh 25 15 5 3 5 Material Supply Usage (per 6 years) 7 26 2 Production and Transportation End of Life Packaging Our recording solutions are shipped in open packaging within Europe and to the USA. We use open packaging for more than 67 % of our ship ments. The individual parts of a delivery need only be wrapped in dust-protective covers. In turn, they are loaded in a special trans port frame, which travels from the supplier to the endcustomer and is then returned for reuse. We use closed packaging only for tropical countries or countries where the law so requires. The wooden crates or sealed packaging can then be used for material, or to some extent, thermal recycling. Values listed on the right represent average values from these two types of packaging. Paperboard 9 % Ferrous alloys, steels 15 % Plastics 2 % Total Weight Open packaging approx. 46 kg Closed packaging approx. 81 kg Wood 74 % Product Take-Back Most of the materials used to produce AXIOM Sensis XP products are recyclable. 70 % of material (by weight) and 5 % of the energy value can be recycled. Our product disposal program ensures that we address the environmental aspects of our products even the end of the product life cycle. As part of this program, we refurbish systems and reuse components and replacement parts whenever possible through our Refurbished Systems business. We reuse components and subsystems for non-medical products. We also recycle for material or energy value. Disassembly instructions for disposal and recycling are available for our products. * Primary energy is the energy contained in natural resources prior to undergoing any man-made conversions (e.g. oil, solar). 5

Operating Data Operating conditions Allowed ambient temperature + 10 C to + 35 C Allowed relative humidity non-condensing, 20 75 % Power Consumption Standby Full load 500 W (with examination room equipment switched off) Max 1 kw Power-on time ca. 4 min Power-off time ca 1.5 min Technical Specifications Interface for heat recovery Complete switch-off is possible Uniform operating symbols for device families No Replacement Parts and Consumables Item Life cycle UPS battery At least 3 years UPS monitors battery status and reports when battery needs to be replaced Disposal / Substance Information End-of-life concept Recycling information List of hazardous substances 6

Cleaning Incompatible cleaning processes total device No restrictions for particular device components List of incompatible substance classes total device For cleaning use only water or lukewarm diluted household cleaning solution restrictions for particular device components Suitability of the device for sterile areas Size of the surface to be cleaned (Sensis Signal Input Box, patient cabling) < 1m² More information available in the AXIOM Sensis Operating Manual Further Ecologically Relevant Information Elements of instruction are: recommendations for saving energy recommendations for efficient cleaning recommendations for appropriate use of consumables More information available in the AXIOM Sensis Operating Manual 7

On account of certain regional limitations of sales rights and service availability, we cannot guarantee that all products included in this brochure are available through the Siemens sales organization worldwide. Availability and packaging may vary by country and are subject to change without prior notice. Some/All of the features and products described herein may not be available in the United States or other countries. The information in this document contains general technical descriptions of specifications and options as well as standard and optional features that do not always have to be present in individual cases. Siemens reserves the right to modify the design, packaging, specifications and options described herein without prior notice. Please contact your local Siemens sales representative for the most current information. In the interest of complying with legal requirements concerning the environmental compatibility of our products (protection of natural resources and waste conservation), we recycle certain components. Using the same extensive quality assurance measures as for factory-new components, we guarantee the quality of these recycled com ponents. Note: Any technical data contained in this document may vary within defined tolerances. Original images always lose a certain amount of detail when reproduced. Global Business Unit Address Siemens AG Medical Solutions Angiography & Interventional X-Ray Systems Siemensstrasse 1 DE-91301 Forchheim Germany Telephone +49 9191 18-0 www.siemens.com/healthcare Global Siemens Headquarters Siemens AG Wittelsbacherplatz 2 80333 Muenchen Germany Global Siemens Healthcare Headquarters Siemens AG Healthcare Sector Henkestrasse 127 91052 Erlangen Germany Telephone +49 9131 84-0 www.siemens.com/healthcare Legal Manufacturer Siemens AG Wittelsbacherplatz 2 DE-80333 Muenchen Germany www.siemens.com/healthcare Order No. A91AX-11008-11T1-7600 Printed in Germany PDF version only 05.2012 Siemens AG