siemens.com/cardiology

Connected solutions for structural heart disease

1.4 millionper year worldwide

SHD procedures

= more than 4,000 per day

+18%1

= a 4-year increase of

CAGR 2017–2022

Mastering the challenges in structural heart disease togetherWhile no two procedures are the same in the fast-moving field of structural heart disease (SHD) therapy, multi-modality imaging at every stage is always a vital success factor. With state-of-the-art 3D visualizations and real-time multimodality data integration, we can help you plan and perform even the most complex procedures with confidence – from transcatheter aortic valve implantation (TAVI) or left atrial appendage closure (LAAC), to the treatment of mitral and tricuspid valve disease.

How do we increase the efficiency of workflows?

How do we improve point-of-care decision support?

How do we harness the power of multimodality integration?

1 Decision Resources Group Medtech 360 and AT procedure tool (growth rate based on transcatheter procedures only)

2

Introduction

With hearts so strongly connected,shouldn’t structural heart disease solutions be, too?

3

Introduction

and angiography and the ability to combine multimodal preprocedural images with live imaging during catheterization, we enable you to plan and perform aortic and mitral valve interventions with confidence. Choose syngo DynaCT Cardiac and the intraprocedural CT-like images it offers to guide your left atrial appendage closures. And when treating tricuspid valve disease, intracardiac echocardiography (ICE)

Our broad spectrum of cardiac biomarker assays can be implemented at the point of care as well as in the laboratory to drive early diagnosis, risk assessment, and prognosis to help you confidently determine the proper course of action.

Our imaging solutions help you plan every step before, during, and after interventions. With TrueFusion™ of TEE

Perfectly orchestrated: Our integrated solutions for structural heart disease

4

Introduction

using ACUSON AcuNav™ V – the world’s first real-time volume ICE catheter – is a real alternative for visualizing anatomies and devices. Whatever the procedure, all our angiography and CT solutions have one thing in common: They help your whole team work at the lowest reasonable radiation dose without compromising on image quality or clinical outcomes.

At the same time our point-of-care (POC) blood gas testing solutions deliver consistent, accurate blood gas values fast – whenever and wherever you need them.

To master the challenges of structural heart disease therapy, it’s essential to plan and perform these complex procedures as precisely – and efficiently – as possible. That’s where Siemens Healthineers come in – with leading-edge products and solutions that help you standardize, automate, and integrate different imaging modalities, to offer clear guidance throughout your patient’s clinical journey.

With synergies that extend all along the clinical pathway, our cardiology portfolio can help you deliver the best possible outcomes for patients with structural heart disease – and boost the quality, accuracy, and efficiency of your day-to-day workflows.

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Introduction

Keeping your POC testing consistent

POC Blood Gas Systems

With on-demand blood gas testing fast becoming a standard, consistent measurements and centralized management are the keys to workflow efficiency and improved health outcomes.

From patient bedside to on-board solutions, our Blood Gas Systems deliver the fast, lab-standard results you need for prompt diagnoses and downstream treatment planning. You can adapt the all-inclusive menus to your specific testing environment, and the performance-proven analyzers help to ensure consistent results across a wide range of scenarios. This improves your outcomes and workflow while transforming care delivery across clinical pathways.

Consistent blood gas results wherever and whenever you need them

Therapy Follow-up

Point of CareEcosystem

Enabled™

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Point of Care

No need to exclude patients

Ready beyond tomorrow with Dual Source CT

With its special 3D imaging abilities, CT imaging provides robust and reproducible assessments. By measuring annular and aortic root morphology and dimensions in their true plane, it delivers critical incremental information. CT-based sizing may also lead to better procedural results, with lower incidence of paravulvular regurgitation, because it estimates the true dimensions of the (non-circular) aortic annulus better than 2D tools, which tend to underestimate. CT imaging is the only modality that enables you to simultaneously assess iliofemoral access and angio g raphic procedural angle prediction, which may enhance the success and efficiency of your procedures. And this holds true not only for established procedures such as TAVI but also for future applications such as mitral and tricuspid minimally invasive interventions.

Be ready for the future today with Siemens unique Dual Source CT and share its benefits with all of your patients. Frail patients in particular benefit from the ultra-fast acquisition speed and low kV imaging: Dual Source CT can provide all relevant information in one single scan with one single injection of contrast agent as low as 38 mL1, thereby reducing the risk of impaired renal function.

Low kV imaging with minimum contrast media

1 Bittner et al. Eur Radiol. 2016 Dec;26(12):4497-4504.

Visualize and assess aortic and illiofemoral morphology.

Courtesy of Cardioangiologisches Centrum Bethanien (CCB), Frankfurt am Main, Germany

Measure annular and aortic root dimensions in their true plane.

Courtesy of Kerckhoff Hospital, Bad Nauheim, Germany

Diagnosis Follow-up

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Cardiac CT

1 Role of CMR in TAVR, Tobi Rogers, Ron Walksman; JACC 20162 Sudarski et al. Radiology. 2016 Jul 11:151002 Courtesy of Lille University Hospital Lille, France

Focus on what you need to see

Although MRI imaging is still under-represented in structural heart disease therapy, there is growing evidence to suggest it can be equivalent – or even superior to – echocardiography and CT imaging for specific elements of the TAVR patient workup, as well as for post-implantation evaluation1. And thanks to new technology, even arrhythmic and dyspneic patients can now benefit from MRI.

Free-breathing, high resolution Cardiac MRI

Compressed Sensing Cardiac Cine is the first clinical application based on our disruptive speed technology, which makes MRI acquisition up to ten times faster, with no loss in image quality. Instead of almost six minutes, you can now perform a high-resolution Cardiac Cine scan in just 25 seconds2 – without breath-hold. How does it work? We acquire just a fraction of the image data, then use iterative reconstruction to generate high-resolution images based on our award-winning algorithm.

• Acquire free-breathing, high-resolution Cardiac Cine images

• Capture the whole cardiac cycle for precise quantification

• Expand your eligible patient population for cardiac MRI

Open up Cardiac MRI to arrhythmic and dyspneic patients

Cardiac Dot Engine standardizes cardiovascular MR examinations with workflow guidance and automation powered by artificial intelligence.

PSIR HeartFreeze – acquire free-breathing images with motion correction.

Compressed Sensing Cardiac Cine shows severe DCM and mitral regurgitation in patient with dyspnea.

Diagnosis Follow-up

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Cardiac MR

The outcomes achieved by the Siemens customers described herein were achieved in their customer's unique setting. Since there is no “typical” hospital and many variables exist (e.g., hospital size, case mix, level of IT adoption) there can be no guarantee that others will achieve the same results.

“We switched all our standard CMR imaging protocols to Compressed Sensing Cardiac Cine with retrogating. Now we are able to scan around 15 more patients per week.” Jérôme Garot, MD, Ph.D, Institut Cardiovasculaire Paris Sud, Massy, France

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Cardiac MR

Ultra-versatile ultrasound

ACUSON SC2000

Accurate, real-time assessments of valve morphology and function can help you plan SHD interventions even more accurately. With automated protocols, powerful navigation tools and a full set of reproducible 2D and 3D quantification tools, our AI-powered ACUSON SC2000 ultrasound system provides one-click support from start to finish, linking optimal diagnosis and planning to better outcomes for your SHD patients.

The highly versatile platform of the ACUSON SC2000 offers both volume B-mode and volume color Doppler imaging in real time – 2D and 3D transthoracic, transesophageal, and intracardiac echocardiography (TTE, TEE, and ICE), as well as TrueFusion imaging.

Additional automated tools help reduce unwanted variability in 2D and 3D quantification.

Assess valve morphology and function in real time

Improve quality and repro ducibility: Integrate one-click automated measurements – for complete and con sistent exams in less time.

Achieve one-click fast and reproducible ejection fraction (EF) measurements for both the left ventricle (LV) and left atrium (LA) without simultaneous manual tracing for systole and diastole.

Reduce measurement times

eSie Left – fast and reproducible

2D quantification applications

eSie Measure Workflow Acceleration Package

eSie Left Heart Measure ment Package

Diagnosis Therapy Follow-up

Courtesy of Yale-New Haven Hospital, New Haven, USA; Heart Center University Bonn, Germany; Ludwig-Maximilians-Universität (LMU) Munich, Germany

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Echocardiography

Improve EF reproducibility and accuracy with auto - mated one-click quantifi cation of 3D transthoracic or transeso phageal echo cardiogram.

Non-stitched, real-time True Volume and volume color Doppler offer clinically relevant volume size and volume rates not available with conventional technology.

Quantify regurgitant volume and effective regur gitant orifice area (EROA) in 3D without geometric as sump tions for accurate assessment of any valvular regurgitation.

Assess cardiac anatomy in real time with improved structural detail. Image catheters and devices within the heart and great vessels, and anticipate complications such as thrombus and pericardial effusion without the need for general anesthesia.

One-click TTE and TEE Quantification True Volume Color Doppler

Quantify regurgitation without assumption Intracardiac Echo – 2D and 4D ICE

3D Applications

*eSie PISA not available with TEE on the ACUSON SC2000 PRIME 5.0 release.

Improve workflow with 3D modeling of the mitral and aortic valves within seconds, covering over 100 measure-ments for diagnosis, intervention, and surgery.

Facilitate orientation and device navigation by fusing TEE landmarks and eSie Valves models with live fluoroscopy from Artis angiography systems.

3D valve modeling in seconds Fusion of eSie Valves model

eSie LVA Volume LV Analysis

Z6Ms True Volume TEE

eSie Valves Advanced Analysis

TrueFusion Echo-Fluoro Guidance

eSie PISA Volume Analysis*

ACUSON AcuNav V ICE Catheter

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Echocardiography

For a PURE® experience in angiography

For diagnosis and treatment of cardiovascular disease, you demand crystal-clear images of the moving heart and of challenging cardiac anatomies in any angulation. To spice up the challenge, dose has to be kept to a minimum even during complex procedures. Our Artis systems deliver images in excellent quality at the lowest reasonable dose – without compromising on image quality or clinical outcomes. And this is valid for our complete portfolio – in all detector sizes and also ranging from floor, ceiling mounted, or biplane systems to highly flexible multi-axis systems with robotic technology.

Tailored to your needs

Heads-up display: Stay focused with context-sensitive onscreen menu.

Diagnosis Therapy

The more complex angiography procedures and system interaction become, the harder it can be to use interven-tional systems to the full. On Artis zee, Artis Q, and Artis Q.zen systems, our PURE® platform makes Siemens Healthineers smart technology supremely easy to use. As with the 3D Wizard, choose the desired image result from a pool of possible cases and let the system guide you through the acquisition. All required parameters for a 3D scan inclu ding protocol recommendation are provided. This supports definition and establishment of clinical as well as depart mental standards for clinical studies, quality assurance, etc. The result? Higher process efficiency, better diagnostic information – and enhanced patient treatment outcomes.

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Angiography

Reducing radiation exposure during therapy

Dose saving

CAREvision provides variable fluoroscopy frame rates ; pulse frequencies can be adapted to clinical needs.

CAREfilter is a specially designed copper pre filtration system that automatically adjusts the filter to the patient’s anatomy.

CAREprofile allows radiation-free collimator and semitransparent filter adjustment using the last image hold (LIH) position as reference.

CAREposition enables radiation-free object positioning, i.e., allows the table or C-arm position to pan without using fluoroscopy.

Low-Dose Acquisition, a dedicated acquisition protocol that helps to achieve dose reductions.

Dose reporting

CAREreport is a DICOM-structured radiation report containing all patient demographic, procedure, and dose information.

CARE Analytics is a stand-alone tool for installation on any PC in the hospital network, allowing evaluation of DICOM dose structured reports.

Dose monitoring

CAREguard allows three threshold values to be defined for the accumulated skin dose and signals when a skin dose level is exceeded.

CAREwatch displays the dose area product and dose rate at the interven-tional reference point on the live display in the examination and control rooms.

CAREmonitor shows in real time the accumulated peak skin dose according to the current projection in the form of a fill indicator on the live monitor.

12 34

0° 30°

Minimizing radiation dose during interventional procedures is important for clinical staff and patients alike. Introduced in 1994, our growing CARE portfolio continues to help reduce, monitor, and report radiation dose in angiography.

CARE – Combined Applications to Reduce Exposure

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CARE

syngo.CT Cardiac Planning – Valve Pilot• Reduce unwarranted variations through zero-

delay quantitative assessment of the aortic annulus

• Save time through zero-click annulus display and ostium views for quick distance measurement

• Save fluoro time with automated transfer of optimal angulations to the C-arm

At your side before, during, and after TAVI

Transcatheter aortic valve implantation (TAVI) procedures are now standard care for high-risk patients with aortic stenosis. From effective preprocedural planning through to efficient guidance and to immediate control after valve deployment, we support you all the way.

Make and assess all necessary measurements with confidence in your CT Planning workflow: with syngo.CT Cardiac Planning and the Valve Pilot. This enables zero-click segmentation and zero-delay quantitative assessment of the valvular anatomy for accurate device sizing, and automatically transfers optimal angulations

Powered byRapid Results

Find the smallest iliac diameter with a single click

Display C-arm

angulation

Zero-delay quantifi cation of

the area, short, and long axes

of the aortic annulus

Automated completion of individual measurement templates with Rapid Results

Courtesy of Cardioangiologisches Centrum Bethanien Frankfurt (CCB), Frankfurt am Main, Germany

Diagnosis Follow-up

to the C-arm. Additionally, peripheral arteries are directly assessable to help find the best access path within a single click. The guided workflow of Rapid Results Technology prompts users to perform all necessary measurements for standardized and reproducible results and automatically completes your individual measurement template. The cross-sections visualize calcification and tortuosity, and help users calculate vessel diameters reliably.

Streamlined CT assessment for optimal device sizing and access route planning

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Aortic Valve – CT

eSie Valves Advanced Analysis Package• Advanced machine learning technology for

highly standardized assessment

• Comprehensive static modeling of the mitral valve in less than five seconds

• Dynamic analysis by calculation of a moving valve model throughout the cardiac cycle

Ultrasound can be a powerful alternative to CT imaging during preprocedural planning. With advanced tools such as True Volume TEE and eSie Valves advanced analysis, our ACUSON SC2000 system analyzes aortic valve anatomy and function accurately for fast, analysis-based decisions.

True Volume TEE visualizes real-time volume and volume color Doppler in a 90° x 90° sector. This means no risk of stitching artifacts in patients with arrhythmia, eliminating the need for ECG control and waiting time.

eSie Valves modeling software helps you size TAVI devices more accurately, even for patients with renal insufficiency. Based on the valve model it creates, this machine-learning-based program takes about 50 measurements automatically – for efficient, reproducible assessment of the aortic valve.

Automated aortic valve modeling and reproducible measurements

1 Ngernsritraku T, et al.: Aortic Annulus Sizing Using A Novel Automated Method: Can Echo Select the Correct Valve Size? American Society of Echocardiography. 2015

eSie Valves automated measurements demonstrate excellent correlation with CT scan, as well as excellent agreement between the two methods in selecting the prosthetic aortic valve size.1

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Aortic Valve – TEE

See what lies ahead

Aligning the valve prosthesis accurately in the aortic root is essential during TAVI. In less than 30 seconds, syngo Aortic Valve Guidance recon structs and segments the aortic root automatically – and indicates anatomical landmarks – based on preprocedural CT scans or DynaCT cardiac images. To adjust the C-arm projection for the best view, you simply press a button.

By overlaying segmentation results and landmarks on live fluoroscopy, you can then guide the valve prosthesis more accurately, reducing the risk of paravalvular regurgitation.

Fusion imaging provides continuous guidance throughout the deployment phase of the valve without additional contrast media usage1. A preoperative CT image can be co-registered to angiography with only two fluoro shots from different angles.

Confident valve deployment in TAVI

1 Krishnaswamy et al., Cath Cardiovasc Interv, 2015

The three lowest cusp points define a circle as the projection plane. Its distance from the annulus can be changed to display the desired implanta tion height.

Courtesy of University Hospital Basel, Switzerland

syngo Aortic Valve Guidance • Save time through automated segmentation of aortic

root with indication of anatomical landmarks

• Optimize clinical operation through automated selection of perpendicular view plane and transfer of angulation data

• Improve device navigation through overlay onto live fluoroscopy with potential to save contrast media

Diagnosis Therapy

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Aortic Valve – Angiography, CT and TEE

syngo TrueFusion• eSie Sync artificial intelligence enables continuous

co-registration of TEE and angiography with every fluoro shot

• Straightforward workflow with direct export of fusion landmarks from the ACUSON SC2000

• Scope to save time and fluoro due to improved orientation

syngo 2D/3D Fusion • Advance therapy outcomes by fusing preoperative CT,

MR, or PET data with angiography for live image guidance

• Co-registration requires just 2 x 2D fluoro images

• Updates C-arm angulation, zoom factor or table movement automatically

Your guide to the paravalvular leakage

Although new valve technology is reducing the incidence of paravalvular leaks (PVL), they still pose a significant risk during and after TAVI. To help you treat them effectively, our syngo 2D/3D Fusion Package fuses preoperative CT, MR or PET images of an identified leak with live fluoroscopy for precise guidewire navigation. Two single fluoro shots are all it takes for co-registration.

Fusion of paravalvular leak identified on CT scan.

Courtesy of Lenox Hill Hospital/Northwell Health, New York, USA

Fusion of paravalvular leak identified with TEE.

Courtesy of New York University Hospital, New York, USA

TrueFusion provides easy access to the fusion of TEE information and live fluoroscopy, leaving you free to focus on device navigation. It builds on the true integration of two systems: ACUSON SC2000 and Artis with PURE.

Efficient, targeted navigation through fusion imaging

True Volume Color Doppler TEE adds the functional information in real time; the leakage identified TEE can be fused with live fluoroscopy.

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Aortic Valve – Angiography, CT, and TEE

One rotation to the LAA

Left atrial appendage closures (LAACs) are now an established method of reducing stroke risk in patients with non-valvular atrial fibrillation (nvAF) as an alternative to long-term anticoagulation drug therapy. Since no two LAAs or surrounding structures are the same, our advanced imaging tools can help you plan and effectively perform occlusions with reduced risk of complications. In addition to echo-based 3D imaging support as ICE, TEE, and the fusion of TEE with live fluoroscopy we also offer guidance solutions based purely on angiography.

syngo DynaCT Cardiac creates 3D visualizations of the LAA with its current blood-fill status during the procedure. With rotational angiography, you can obtain high quality CT-like images in just 5 seconds.

CT-like imaging in the cath lab

1 Guidelines for the management of atrial fibrillation. The task force for the management of AFib of the ESC Euro Heart J 2010; 31:2369-2449.

20 millionpeople worldwide suffer from

atrial fibrillation. They have a

5-fold risk of developing ischemic stroke.1

syngo DynaCT Cardiac 3D volume overlaid on live fluoroscopy.

Courtesy of University Hospital Erlangen, Erlangen, Germany

Therapy

syngo DynaCT Cardiac • Improve access to care through intraprocedural CT-like

imaging in your cath lab

• High-quality 3D volumes for cardiac anatomy assessment even at virtually impossible angulations

• Optimize clinical operations with 3D Wizard guidance for fast, easy, and intuitive acquisition

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Left Atrial Appendage – Angiography

The outcomes achieved by the Siemens customers described herein were achieved in their customer's unique setting. Since there is no "typical" hospital and many variables exist (e.g., hospital size, case mix, level of IT adoption) there can be no guarantee that others will achieve the same results.

“The standard of care is changing as the outcomes for these pro ce dures improve. The better our ability to visualize the lesion and plan a treatment strategy in advance, the better our outcomes are likely to be.”Christian Schlundt, MD, University Hospital Erlangen, Germany

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Angiography

Mitral valve replacement – a new frontier

While transcatheter repairs of degenerative mitral valve regurgitation are an established alternative for patients with increased risk related to comorbidities, transcatheter valve replacement (TVR) is a new and highly challenging field.

Due to the complexity of the mitral valve anatomy, integrated multimodal imaging will be key to support successful implantation of future devices.

From CT assessment to fusionAdvanced 3D CT imaging helps you assess valvular anatomy and calcification, select and size your device, and plan the best access route. Our unique Dual Source CT technology helps to ensure robust data acquisition even at high heart rates, reducing the need for beta-blockers. It scans fast, providing clear images even when patients cannot hold their breath.

Fusion with preprocedural CT images, annotation of Neo-LVOT, and 3mensio planning results to guide valve-in-valve implantation.

Courtesy of Heart Center University Bonn, Germany

TherapyDiagnosis

syngo 2D/3D Fusion • Fuse CT-based anatomical information including

planning results to live fluoroscopy

• Integrate 3mensio planning in your intervention

• Adjust the C-arm projection to optimal implantation angles with the push of a button* 3mensio is a Pie Medical Imaging solution. Pie Medical Imaging is one of

the Siemens Healthineers Digital Ecosystem partners

Why not use your preprocedural assessment results to help you guide and position implants with confidence? By co-registering CT and the Artis fluoroscopy, you can fuse results from your syngo workstation or 3mensio* Structural Heart software with live fluoroscopy – and benefit from seeing critical landmarks such as the left ventricular outflow tract (LVOT).Mitral valve assessment with 3mensio Structural Heart software.

Courtesy of Heart Center University Bonn, Germany

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Mitral Valve – CT and Angiography

Dynamic modeling of the mitral valve for assessing form and function.

Courtesy of Yale New Haven Hospital, New Haven, USA

Synchronization of angio and TEE view to find the right C-arm angulation for treatment.

Courtesy of St.-Johannes-Hospital Dortmund, Germany

From TEE assessment to fusion

Treat complex valves efficiently – with automated measurements and comprehensive 3D visualizations using TEE. The eSie Valves advanced analysis package can help you plan your patient’s therapy by quantifying the diastolic mitral valve orifice area in advance. Having been trained on a large database of annotations covering multiple diseases, the eSie Valves algorithm can detect the leaflets automatically. After just minor editing, they provide a comprehensive 3D model of the diseased valve and more than 50 key measurements based on this modeling.

TrueFusion lets you fuse eSie Valves models with live fluoroscopy. The Artis C-arm can be adjusted auto-matically to the optimal angle, based on the visualization of the mitral valve annulus.

True Volume color Doppler on TEE lets you assess the success of your valve implantation with confidence by providing real-time imaging of the complete mitral valve apparatus and flow information.

syngo TrueFusion • eSie Sync artificial intelligence enables continuous

co-registration of TEE and angiography with every fluoro shot

• Straightforward workflow with direct export of fusion landmarks and eSie Valves structures from the ACUSON SC2000

• Synchronized view facilitates communication between interventionalist and echocardiographer

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Mitral Valve –TEE and Angiography

The outcomes achieved by the Siemens customers described herein were achieved in their customer’s unique setting. Since there is no “typical” hospital and many variables exist (e.g., hospital size, case mix, level of IT adoption) there can be no guarantee that others will achieve the same results.

“Connected solutions for me means, there is no trade-off between the time I have to invest for fusion imaging and what I gain from it: The potential to save contrast and improve clinical outcomes.”Helge Möllmann, MD, St.-Johannes Hospital Dortmund, Germany

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Angiography

Tricuspid valve imaging options

Unlike transcatheter therapy of aortic and mitral valve disease, intervention strategies for tricuspid valve (TV) disease are still in the early stages. The large dimensions and fragility of the valve, the lack of valve and annulus calcification, and the close proximity of the right coronary artery are just some of the factors that demand a unique approach.

The anatomy also presents challenges for TEE imaging. Intracardiac echocardiography in 2D – but especially in 3D – can be an alternative, and requires no general anesthesia.

Our ACUSON AcuNav V ultrasound catheter is the world’s first real-time Volume ICE catheter. It provides superior visualization of anatomies and devices at a volume size of 90° x 24° and can be guided by a single operator.

Guidance in tricuspid valve clipping through fused CT and leaflet annotations.

Courtesy of Heart Center University Bonn, Germany

Courtesy of Ludwig-Maximilians-Universität (LMU) Munich, Germany

ACUSON AcuNav V Ultrasound Catheter • Advance therapy outcomes with real-time volume

imaging at 90° x 24°

• 10F, 90 cm, PW Doppler

• 3D B-mode, up to 40 vps

• 3D color-mode, up to 20 vps

• Improve patient safety and recovery with scope to avoid general anesthesia

Additional anatomical guidance can be provided through fusion with preprocedural CT images or MR annotations as there is a particular need for complementary imaging to serve all pathologies when dealing with the tricuspid valve.

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Tricuspid Valve – ICE, CT, and AngiographyDiagnosis Therapy

Ready for reporting

Sensis Vibe – Hemodynamic recording and reporting

Cath labs and hybrid ORs are busy places where many things are happening at once. Even if a procedure is routine, all moves need to be synchronized, and the entire team has to be on the same wavelength. Documenting the procedure must blend into the overall workflow.

Sensis Vibe® is the vital core where all events, decisions, measurements, and data from your procedures are

Hybrid OR integrationThe extremely compact signal input unit for hemodynamic recording also meets the hygienic standards of a surgical environment (IPX4 compliance).

Artis systemsSensis Vibe is fully integrated in all Artis interventional angiography systems via a bidirectional interface.

captured. It reduces administrative effort and standardizes documentation and reporting across interventional entities. Sensis Vibe intuitively blends into the rhythm of the interventional floor and tunes up your workflow efficiency.

Sensis Vibe’s core principle is ease of use at every step of the procedure. From the one-stop patient registration between Sensis and Artis to adaptable workflow support programs, Sensis Vibe helps you keep the focus where it truly belongs – on the patient.

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Follow-upDiagnosis TherapyAngiography and Cardiac IT

Artis integration

Cath lab integration

Enterprise-wide integration

HIS

CVIS

PACS

SIS

Sensis Vibe blends into your hospital IT ecosystemSensis Vibe flexibly communicates discrete data elements to any other hospital IT system via DICOM, ASCII flat file, XML, HL7.

Sensis Vibe – automated report generation of customizable Microsoft® Word-based reports.

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Angiography and Cardiac IT

Show time!

syngo.via Cinematic VRT

Sometimes, a picture really is worth a thousand words. With a single click, syngo.via Cinematic VRT creates photorealistic clinical images for use in education, publication, and communication – especially with your referrers and patients.

Cinematic rendering is based on a physically accurate simulation of the way light interacts with matter. From pure geometric-optical to electromagnetic modeling of ambient light, it provides realistic renderings of shapes and scattering, subsurface scattering, and depth. These images are much easier for the human brain to interpret and understand, making them virtually self-explanatory.

Clear, convincing images for referrers and patients

Diagnosis Cardiac IT

Visualization of LAA anatomy with cinematic rendering.

Courtesy of Medical University of Vienna, General Hospital AKH, Vienna, Austria

Visualize aortic anatomy in a photorealistic fashion.

Courtesy of University Hospital Marburg, Germany

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CT and Reporting

Store

Siemens Healthineers

DigitalEcosystem*

Gaining actionable insights

Siemens Healthineers applications

Partner applications

Deploymentvia the cloud or directly on your device

Data privacy

*Siemens Healthineers Digital Ecosystem is not commercially available in all countries. If the services are not marketed in countries due to regulatory or other reasons, the service offering cannot be guaranteed. Please contact your local Siemens Healthineers organization for further details.

Siemens Healthineers is neither the provider nor reseller nor legal manufacturer of the 3rd party applications in Siemens Healthineers Store. Any claims made for 3rd party applications and all warranty obligations are the sole responsibility of the legal manufacturer and not Siemens Healthineers. Additionally, the 3rd party applications mentioned may not be commercially available in all countries.

Open and secured environment for healthcare digitalization

Siemens Healthineers Digital Ecosystem

By integrating digital technologies and data, you can improve outcomes and cut healthcare costs at the same time. This process transforms data that were scattered or unrelated into information that is associated, and has potential value.

The Siemens Healthineers Digital Ecosystem will serve a wide spectrum of clinical, operational, and financial tasks

Our Siemens Healthineers Digital Ecosystem platform connects healthcare providers and partners with one another and brings together their data, applications, and services.

* Siemens Healthineers Digital Ecosystem is not commercially available in all countries. If the services are not marketed in countries due to regulatory or other reasons, the service offering cannot be guaranteed. Please contact your local Siemens Healthineers organization for further details. Siemens Healthineers is neither the provider nor reseller nor legal manufacturer of

and functions deployed via cloud or local installation. It integrates and interconnects data and knowledge from a global and diverse network of healthcare stakeholders to foster innovation and collaboration across the healthcare continuum.

Because our Ecosystem has been designed as an open and secured environment for healthcare digitalization, we are continuously expanding the spectrum of members, data, capabilities and digital offerings. This is driven within our own organization and together with a large diversity of partners.

the 3rd party applications in the Siemens Healthineers Store. Any claims made for 3rd party applications and all warranty obligations are the sole responsibility of the legal manufacturer and not Siemens Healthineers. Additionally, the 3rd party applications mentioned may not be commercially available in all countries.

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Digital Ecosystem

Xprecia Stride™ Coagulation Analyzer

Stratus CS 200 Acute Care Diagnostic System*

Sensis Vibe Recording System

Biograph mCT

syngo Dynamics

Biograph Horizon

Artis zee

Digital Ecosystem

Symbia Intevo

Artis oneArtis Q.zen

Point of Care

Cardiac IT

Nuclear Cardiography

Angiography

Our portfolio for cardiovascular care

* Not available for sale in the U.S. Product availability varies by country.28

Portfolio

SOMATOM Edge Plus

ADVIA Centaur High-Sensitivity Troponin | Assay

MAGNETOM Vida

Atellica COAG 360 System*

ACUSON Freestyle ACUSON P500 ACUSON SC2000 PRIME

Lab Test

Echocardiography

Cardiac CT

Cardiac MR

** 510(k) pending. Not available for sale in the U.S.

MAGNETOM Aera

SOMATOM ForceSOMATOM Drive

MAGNETOM Sola** Cardiovascular Edition

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Portfolio

! ?

We take care of your knowledge level beyond equipment installation

Equipment Demo

EquipmentHandover Training UpSpeed Remote

Support: Remote Assist

UpSkill Education & Training: Tailored Hands-on

UpSkill Education & Training: Classroom Training

UpSkill Education & Training: Clinical Workshop

UpSkill Education & Training: Self-Study

UpSkill Optimization & Consulting

Equipment Installation Continuous care and evolution during equipment lifecycle

Education Excellence Services

Healthcare providers have a very demanding job: The well-being of patients depends on their staff’s skills and abilities. Keeping up with the ever-evolving standards, staying on top of technology, as well as sharing know- how can make a decisive difference.

With our Siemens Healthineers Education Excellence Services, we share the latest technical and clinical knowledge enabling you to continuously and strategically build and develop your job-specific skill sets to provide best patient care.

PEPconnect

PEPconnections

New:Explore the learning activities our personalized education and performance experience PEPconnect has to offer – with step-by-step guidance videos on how to use our applications in an efficient way.

Or manage your clinical institution’s workforce education with the premium subscription PEPconnections.

siemens-healthineers.com/pepconnect

Stay on top in your profession – and make a difference in your patients’ lives

The products/features and/or service offerings (here mentioned) are not commercially available in all countries and/or for all modalities. If the services are not marketed in countries due to regulatory or other reasons, the service offering cannot be guaranteed. Please contact your local Siemens Healthineers organization for further details.

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PEPconnect

Why Siemens Healthineers?

At Siemens Healthineers, our purpose is to enable healthcare providers to increase value by empowering them on their journey toward the expanding precision medicine, transforming care delivery, and improving patient experience, all supported by digitalizing healthcare.

An estimated 5 million patients globally benefit from our innovative technologies and services every day in the areas of diagnostic and therapeutic imaging, laboratory diagnostics and molecular medicine, as well as digital health and enterprise services.

We are a leading medical technology company with over 170 years of experience and 18,000 patents globally. With more than 48,000 dedicated colleagues in 75 countries, we will continue to innovate and shape the future of healthcare.

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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 Healthineers sales organization worldwide. Availability and packaging may vary by country and is subject to change without prior notice. Some/All of the features and products described herein may not be available in the United States.

The information in this document contains general technical descriptions of specifications and options as well as standard and optional features which do not always have to be present in individual cases. Siemens Healthineers reserves the right to modify the design, packaging, specifications, and options described herein without prior notice. Please contact your local Siemens Healthineers sales represen tative for the most current information.

Not for distribution in the US.

Note: Any technical data contained in this document may vary within defined tolerances. Original images always lose a certain amount of detail when repro duced. The products/features and/or service offerings (here mentioned) are not commercially available in all countries and/or for all modalities. If the services are not marketed in countries due to regulatory or other reasons, the service offering cannot be guaranteed. Please contact your local Siemens Healthineers organization for further details.

Published by Siemens Healthcare GmbH · Order No. 11-18-12066-01-76 · Printed in Germany · 6288 10181.5 · © Siemens Healthcare GmbH, 2018

Siemens Healthineers HeadquartersSiemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Phone: +49 9131 84-0 siemens-healthineers.com