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November 01, 2013 _Sector Confidential 1

Hybrid Suite New Imaging technologies for SHD, CHD and TAVR


Growth in SHD, CHD &TAVR

• TAVI • LAA Closure • Mitral Valve

clipping • ASD/VSD

closure • PVL closure • RPA


BALANCE OF USE CATHLAB OR A HYBRID ROOM


THE HYBRID OPERATING ROOM

+ =

Fusion of a cathlab with an operating room:

Cathlab Operating room


Trends in Interventional Hybrid

• Multiple clinical domains – Cardiac

– Vascular/Neuro

– Ortho

• Drivers:

– Less physical impact to patient

– Shorter recovery time

High growth impact


CHALLENGE

MAGNUS

IT

WORKFLOW

LAF

PACS

PATIENT

USER

AN

GIO

-SYSTEM

TRADES

HEART

LU

NG


Flexibility in a packed room

University Zuerich, Switzerland


Room considerations Hybrid OR with FlexMove example

ROOM PLANNING 10.2 m / 33 ft

8.2

m / 2

6 f

t

4 m / 13 ft

Nurse Area

Hybrid OR

Control Room


Room considerations Hybrid OR with FlexMove example

iXR Surgery, Hybrid OR Solutions, 2010


Why ceiling mounted solution?

Ceiling Mobile Floor Fixed Floor


Why ceiling mounted solution?

Small footprint & good patient accessibility

Keep floor clear for other equipment

Full body imaging at both sides of table

Head-end free for anesthesia

Flexible setup

Flexible parking including at foot-end

Predictable movement


Setup- Open surgery

• FlexMove outside treatment area

• OT lights in place

• Full laminar down flow


TAVI – Trans-apical access


EVAR – Access on both sides

• Monitors left and right from gantry

• No need to turn patient


FlexMove meets highest sterility standards - Class 1A room FlexMove fulfills

ISO-9001 norm DIN-1946-4 norm: Raumklasse 1A


Patient support for open and endovascular • Endovascular OT angio-table:

– Tilt & cradle function

– Free float

• Integrated OT table

• Exchange table top

– Semi float

– Synchronized with gantry

– Full body coverage with long table top

– Motorized float


Examples of Hybrid Cardiovascular systems in the OR

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Mount Elisabeth Novena hospital, Singapore


Bangkok Group Hospital


Siriraj, Bangkok, Thailand


Jakarta Heart Center


RS Zainoel Abidin, Aceh


Hybrid OT installed base .

2010-2014 41

Australia 2

Indonesia 2

India 2

Japan 26

Korea 1

Mayalsia 1

New Zealand 1

Singapore 3

Thailand 3

Total globally over: • 200 systems with FlexMove • 300 hybrid systems

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