The Philips Allura angiography system FD20 is a modern angiography system with a rotatable 20 inch detector, which is suitable for universal interdisciplinary use for cardiological, peripheral, abdominal, neuroradiological, radiological and vascular surgical or oncological examinations and interventions, thus covers all examinations planned in the Rotenburg district hospital on the Fulda and can be used flexibly for future applications and disciplines. Due to the symmetrical arrangement of the tripod and monitor, access to the patient from both sides is possible for all examinations without restricting the mode of operation or the mode of operation of the examiner. The system offers a patient coverage of >190cm, so that all patients can be stored in the same position and examinations can be carried out in the lower extremities without having to rearrange the patients. • Multimodal control unit: The Philips Allura systems are equipped with a touchscreen module that serves as a central control unit. It allows not only the control of the angiography system, but also hemodynamics. This comprehensive functionality allows the user to perform all necessary tasks directly at the examination table without having to leave the room. This leads to considerable time savings and an increase in the efficiency of the examination processes. • Risk minimisation and hygiene aspects: The ability to control the entire process directly at the examination table contributes significantly to risk minimization, especially with regard to possible germ spread. By eliminating the need to switch between the control room and the examination room, the risk of contamination is significantly reduced. This is particularly important in light of current hygiene requirements and the increasing importance of infection protection measures. • Dynamic Coronary Roadmap With Dynamic Coronary Roadmap, Philips offers a feature that no other manufacturer can offer. When recording a cine run, a moving roadmap of the coronary arteries is automatically generated in the background, which is then superimposed on the live illumination during navigation in real time and with motion compensation. This means navigation with the highest accuracy while at the same time significantly saving X-ray time and contrast agent, which is indispensable especially in the treatment of patients with renal insufficiency. A clinical study on this topic has been published in the EuroIntervention Journal. Here, a reduction of contrast media by 28.8% and a reduction of angiograms by 26.3% were described (Dynamic Coronary Roadmap versus standard angiography for percutaneous coronary intervention: the randomised, multicentre DCR4Contrast trial. https://eurointervention.pcronline.com/article/dynamic-coronary-roadmap-versus-standard-angiography-for-percutaneous-coronary-intervention-the-randomised-multicentre-dcr4contrast-trial) • Clarity IQ Philips is the only manufacturer offering real-time image processing algorithms in the required performance class. As a result, radiation exposure for patients and examiners can be reduced while maintaining image quality (work safety). • Energy efficiency Philips cardangiography systems have the lowest energy consumption and the lowest heat load of any comparable system on the market. As a result, energy costs can be saved in the long term and follow-up costs for complex cooling and air conditioning can be reduced. • Hemodynamics / Patient monitoring For cardiology at the KKH Rotenburg, a new modular patient monitoring system is (was) to be procured that ensures the complete recording of the vital data of patients, as well as the associated alarming. The clinic for cardiology is equipped with the Philips monitoring system. Since the processes within the clinics are strongly interlinked, as well as the infrastructure is based on the Philips monitoring structure, a uniform operating concept, as well as the data transmission between the clinic areas, also in case of patient transfer, must be ensured. By implementing a uniform monitoring system in the clinic, the aim is to: -the transport concept with the Muliparametermodul X3 ensures seamless data transmission to the HIS or PDMS system. -improve patient and operational safety. - already existing infrastructures and interfaces are used. In view of these significant advantages and the urgent need to establish an efficient and hygienically sound cardiac catheterisation laboratory, an ex ante award will be carried out in favour of the Philips Allura system in accordance with the provisions of the Public Procurement Regulation (VgV).
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