Cardiology System – Trinias B8s/C8s/F8s with SCORE Opera

LITERATURE

SCORE Opera

An AI filter elevates the image processing engine to the next level

“SCORE Opera” applies AI (deep learning technology) filter technology to enable efficient noise suppression and contrast enhancement, and improve the visibility of devices that are generally difficult to achieve under low dose conditions. In addition to reducing radiation exposure, the burden of image diagnosis by physicians will be reduced, shortening treatment time.

SMART Control

Fine-control of device visibility at low-dose range

SCORE Opera has succeeded in reducing the fluoroscopic dose by up to 40% or more*.
In order to further promote accurate treatment in the low dose range, it is equipped with “SMART Control” which provides two user interfaces that control the balance between visibility and dose level in real-time, while supporting fine-control of device visibility according to the treatment scene.

(*Comparison with our conventional system under standard dose ratio [Air Kerma] at 7.5pps and 10pps. )

SCORE StentView OPTION

Supports safe and accurate
stent placement

Advanced PCI support application that makes full use of real-time image processing. By enhancing and fixing the stent in real-time from the dynamic image with heartbeat, it provides more reliable and accurate placement of the stent.
In situations where it is difficult to identify the stent, SCORE StentView offers a unique function that increases stent detection, reducing unnecessary exposure due to re-acquisition.

SCORE StentShot OPTION

For accurate evaluation of
stent condition after placement

Based on the real-time image processing technology cultivated in SCORE Stent View, noise on the image is greatly reduced by performing sequential processing. It can be used to evaluate the stent condition after placement.
The enhancement process is viewed on the live monitor during processing, and the user can stop image acquisition when the desired enhancement level has been reached.

Flex-APS OPTION

New auto pixel shifting
by pixel tracking technology

It automatically corrects misregistration in real-time. In addition to traditional linear corrections in the x and y axis, it also supports non-linear corrections in the z plane to correct for more complex patient movements. Better visibility of the blood vessels can be acquired in real-time, eliminating the additional manual pixel shifting and shortening the procedure time.

SCORE RSM OPTION

Shimadzu’s unique DSA feature
powerful solution for patient movement

SCORE RSM is a mask-free DSA that Shimadzu succeeded in developing first in the market. It is most beneficial for patients who have difficulty holding their breath.
The power of SCORE RSM can be combined with new applications such as bolus tracking of the entire lower limbs or interlocking with C-arm movement, to increase the performance of other features.

SCORE Chase OPTION

Long view image with automatic stitching

SCORE Chase automatically generates a long view image of the leg by tracking contrast media while the user is freely panning the table in either the longitudinal or transverse directions. The long view image is displayed on the monitor instantly after acquisition, allowing the entire blood vessel to be evaluated quickly and easily. Used together with SCORE RSM, it enables the user to collect long view images with high blood vessel visibility even with patient movement.

SCORE Stream OPTION

Color flow map images allow
evaluation of treatment

The condition of blood flow is displayed as a color map from the acquired DSA image. By specifying the region of interest that includes the treated blood vessel, it is possible to calculate and compare parameters related to blood flow before and after treatment in that region.
Intuitive color maps and graphs, as well as numerical values, provide a visual and easy-to-understand therapeutic evaluation.

SMILE Dose eye

Providing a safe treatment environment
with alert function

For complex treatments, procedures can be longer, producing higher total dose.
An alert function will notify you when the dose threshold is reached so that the target dose will not be exceeded. Having a notification alert, allows the user to concentrate on treatment without routinely watching the cumulative dose.

Dose-eye Live OPTION

Dynamic dose map helps to prevent
zones of high dose concentration

Dose eye Live is a dose map application that displays the maximum local entrance surface dose in real time during the procedure. The maximum dose is displayed in a color map, making it easy to see if there are dose hotspots during the procedure.
The dose map considers the C-arm angle, so it is possible to intuitively select a working angle that avoids the high concentration dose area.

SMART Report OPTION

Comprehensive dose reports lead to
more advanced dose reduction

Dose reports can be output in CSV format. This allows for detailed analysis and dose management such as dose per protocol and C-arm angle.
A dose ratio pie chart by protocol that was frequently used in the past procedure is displayed. Furthermore, total dose simulations using the recommended pulse rate are also calculated, which leads to awareness of total dose reduction

SMART Record OPTION

Video recording function makes
education SMART

This is a recording application that saves and outputs live images as video files.
Since all fluoroscopy and exposure images can be reviewed along with the flow of treatment, recording data can be used as educational materials to learn the minimally invasive procedure.

Single-Action 100+

Time saving
single-action functions

More than 100 single-action functions are integrated for the touch panel control “SMART Touch” on the table side. Using a human-centered design, even first-time users can operate it smoothly, providing a high degree of proficiency in a short time. It also allows seamless workflow by reducing the time required for combined operations.

Femoral Approach Mode

Femoral puncture position
with a single action

In the case of femoral puncture, moving the C-arm to the oblique insertion position and moving the table to the puncture position is a daily routine workflow.
Femoral approach mode is a function that realizes the positioning of femoral puncture only by operating the table panning, and makes daily routine work easier.

Customize Freely

Realizing your ideal workflow
by customization

The customization function allows the user an abundance of single-action functions. You can customize the page of single-action functions and register the direct-memory angles according to the treatment type and the operator. We provide a stress-free operating environment that is ideal for your workflow.

Tableside Control Modules

Flexible module layout with
subdivided design

In order to realize an operating environment that suits each facility, we have adopted a modular system that can be divided into functional categories. Each module is designed based on a human-centered design, from the arrangement of levers and buttons to the shape design and responsiveness, which allows users to operate smoothly from the beginning.

Team Operation Mode

Optimization for
your “team” workspace

Team composition, member standing positions and tasks vary depending on the treatment content. You can easily rearrange the operation modules according to the procedure. In addition, the monitor and touch panel control “SMART Touch” can be displayed independently in the examination room and operation room, supporting the creation of an environment where you can concentrate on the tasks required in each workspace.

Single Operation Mode

Integrated necessary functions
on the table side

When treating with single physician or a small team, the operation contents of each physician and medical staff are diverse. In the Single operation mode, not only can you customize the functions required for the touch panel control “SMART Touch”, but you can also complete the preparation of the reference image on the table side with the touch pad operation tool and SMART Dial. It supports an efficient treatment environment without the need to enter and exit the room.

SMART Voice OPTION

Voice recognition for hands-free control

SMART Voice enables you to operate the system with your voice.

It eliminates the need to shift your gaze away from the images or to look at the modules at your hands and feet.

SMART Voice meets the following needs of the operators: "I wish to operate the Touch Panel module, but I'm unable to remove my hands from the catheter," and "I want to handle tasks that can be performed at the bedside by myself."

* Not all system operations can be controlled with SMART Voice.

SCORE Link

Continue to grow added value
during the product life cycle

Interventional treatment is an area where new technologies are developing rapidly during the lifetime of product ownership.

SCORE Link is subscription service to continue to provide new technology even after the product introduction. By selecting a package that matches the operation of your facility, you can use the latest functions efficiently while controlling your costs and adjusting your functionality over time.

SMART Access

Symmetrical flexible positioning
regardless of clinical area

As a result of pursuing versatility, the newly designed C-arm enables symmetrical positioning regardless of whether it is floor-mounted or ceiling-mounted type. By adding a wide range of coverage by the short axis and long axis movement of the C-arm to this, it is possible to support treatment in any layout. We can flexibly respond to future expansion of clinical fields and policy changes.

For Wide-range and Long-time Use

The versatile hardware design, unified platform, and simple ecofriendly design make it easy to cover various procedures and expand upgrade functions.
Minimum cables around the C-arm and cable management in the ceiling reduce the risk of interference with peripheral equipment and support better sterility. Small numbers of monitors and PC provide a wide working space in the control room.
In addition to unifying the platform, we have reduced the machine room footprint and the number of cables between rooms^*. This not only shortens the installation time and lowers the site install costs.

Compared to our conventional products.
* Single plane
Reduction of cables by 56%
Reduction of machine cabinets by 43%
* Bi plane
Reduction of cables by 60%
Reduction of machine cabinets by 39%

a),b) The cable photo in the ceiling is of the optional Flex Guide type.

SMART Support

Extensive
after-sales service

For long-term use with peace of mind, a service engineer specializing in angiography systems watches the status of the operating system at remote maintenance centers set up at service bases in each country. Detect trends before problems occur and take proactive measures to reduce downtime as much as possible.

Go Green

Plan future life cycle
with eco design

We reduced the footprint of the machine room by 43%^*, reduced the number of cables used by 56%^*, and promoted not only ecology in terms of materials but also simplification of design.
Our redesign will improve the expandability of equipment and functions, also the compatibility with the reBORN eco project^**, to upgrade from existing equipment. Go Green aims for future-oriented life cycle eco design.

*Comparison with our previous single-plane system.
**This program may not be applicable due to the regulations of each country. Please contact our sales person to clarify its availability.