C506-E062B

Remote Controlled R/F System

Hybrid (SFD & Digital) System

 Remote Controlled R/F System

Hybrid (SFD & Digital) System

Striving for Exceptional Ease of Use

A Wide Variety of Examinations
Highest Image Quality in Its Class
Full-Digital Images
Designed Considering Patients
Low X-ray Dose
Supporting Hospital IT System Development
Digital Design Supports Improved Work Efficiency
FLEXAVISION is a hybrid R/F system equipped with an extensive range of
functions.
It was designed to respond easily and flexibly to a wide range of examination
requirements, such as examinations of the gastrointestinal tract, chest, and
abdomen, as well as specialized examinations required during urology and
rehabilitation.
This new offering from Shimadzu incorporates the user-friendliness and
flexibility needed for our world's ageing societies.

A Wide Range of Features

and Options Accommodate Numerous
Examination Scenarios
Table Elevation:
a Unique function in its class
Previously available only in high-end systems,
FLEXAVISION can be equipped with a table
elevation function.
In addition to allowing safe patient transfer onto
the table from a wheelchair or stretcher, this
function makes it easy for the operator to perform
approaches during a wide variety of procedures,
including digestive tract examinations, IVR, and
urological examinations, and also helps to reduce
both patient and operator stress. (Systems
without this function are also available.)

95cm

69cm
 FLEXAVISION Mechanisms That Enhance Ease of Use

Bedside Switches Shimadzu’s Unique Imaging X-ray Tube 180˚ Swing Unit
Chain Extension Function OPTION

Tabletop and imaging chain operation switches
are provided on the bedside to allow
examinations and positioning while caring for
the patient.
Our imaging chain extension function allows you 180˚ rotation of the X-ray tube/collimator easily
to easily secure the area required for a variety of and effectively accomodates chest examinations
examinations. For example, with VF examinations using a bucky stand.
of patients in wheelchairs, this function eliminates
the need to transfer the patient to the table and
then raise the table to perform imaging, reducing
the operator's work and patient's anxiety.
This function is also effective for low-magnification
standard radiography of the chest and abdomen.

Bedside switches 150cm *

Imaging chain
extension
function*

(* This function cannot be incorporated with the

imaging chain extension unit (1.8/2.0 m). )

Allows a Variety
of Examination Approaches

FLEXAVISION incorporates a compact, fast- 133cm 90°

moving table that allows the operator to rapidly
perform a variety of examinations, with a large
coverage area that accommodates each type of
examination range. -30°
Vertical, lateral, and oblique imaging chain
movement, combined with table inclination and
elevation let the operator easily perform
approaches in a variety of procedures with a Allows control of contrast media flow
Wide coverage ensures a large
minimum of patient movement, ranging from examination area and performance of orthopedic
gastrointestinal tract, urinary organ and examinations
orthopedic examinations to specialized Examination range: 133 cm Table tilting
procedures such as nonvascular IVR. (when using 35 × 43 cm cassettes) range: -30°to 90°
(trendelenburg position) (vertical position)

Longitudinal and oblique movement

of imaging chain

Table tilt, elevation -30° +30°

and lateral movement 22cm

Gastrointestinal tract
Urinary organs
Orthopedics
Allows capturing the center of Ensures suitability for general
Nonvascular IVR the shoulder joint in in orthopedic radiography, orthopedic and enema
examination examinations. OPTION

Lateral table movement: 22cm Oblique projection range: -30°

to +30°
 Highest Image Quality in Its Class

High-definition, full-digital images from the 1-megapixel CCD camera allow monitoring in both radiography and
fluoroscopy modes. The multi-cassette spot filming function ensures this system can flexibly accommodate a range
of examinations requiring a large field of view, such as those of the urinary tract and abdomen.

1024 × 1024-Matrix, 12-bit (4096-Gradation), Serial Radiography

Full-Digital Images

Equipped with a high-definition 1-megapixel CCD camera, the 12-inch (30 Digital serial radiography at up to 3 fps(7.5 fps option) ensures precise
cm) image intensifier provides a large field of view. image timing in regions such as the esophagus, where contrast medium
In fluoroscopy and radiography, real-time acquisition of high-definition, full- flow is difficult to capture.
digital images allows immediate viewing on a monitor.

High-definition 1-megapixel CCD camera

1024 × 1024 matrix, 12 bits

4096 gradations

High-definition, full-digital images

Real-time image acquisition

Cassette Spot Wide Selection of Cassette Sizes

Filming Function

Advanced technology in the Spot Film Device
gives precise radiography timing. Cassette
movement from the "park" position to the
"exposure" position is almost instantaneous,
allowing perfect capture of the region of interest.
A selection of cassette sizes, from 18 X 24 cm to 35 X 43 cm, can be used to perform a wide range of
examinations, from thoracic to orthopedic.
Also, a xenon-filled phototimer (option) with 4 spot fields and minimal radiation scattering ensure that
X-ray efficiency is high and radiography is stable.

“Memory Shot” Function Ensures Optimal Radiography Conditions

Cassette Park position
For spot film radiography performed during a fluoroscopy examination, the optimum radiography
Exposure position conditions for radiography of the region of interest, is instantly and automatically set from the required
fluoroscopic exposure condition.
Additionally, the systems APR function allows the presetting of up to 12 exposure conditions.
This allows for quick and optimal imaging of common procedures.

APR Function
(Sample program)
Cassette Mounting
1 Chest, high voltage

2 Chest, low voltage

Wide range of cassette sizes
User programming
18 × 24 cm of radiography conditions
Tube voltage, tube
current, exposure time,
phototimer settings, etc.
Abdomen, low voltage,
3 contrast priority
Abdomen, low voltage,
4 time priority
Users can create
programs for any
procedure, based on
12 types of radiography
technique.

35 × 43 cm 5 Gastrointestinal tract

Phototimer for stable

12 Additional
Cassette accommodates
a variety of examinations,
from thoracic to orthopedic.
 Your Clinical Partner For Accommodating varied Examinations

Gastrointestinal Examinations

Easily Control Contrast Medium Flow Sub-divisional Digital Radiography

in Upper Gastrointestinal Tract Examinations
Supports radiographic esophageal examinations in the vertical position 2-frame and 4-frame Digital radiography is efficient for screening.
and Trendelenburg position up to -30˚

Radiography of upper gastrointestinal

tract performed using reverse
inclination
4-frame imaging

Accurate Timing of Esophagus Radiography Large Field of View in Digital Radiography

Digital serial radiography at 3 fps (up to 7.5 fps with option) allows precise The 12 inch (30 cm) Image Intensifier provides a large examination area
timing of esophageal examinations. which is required in enema examinations.

Serial images of the esophagus Enema radiography

With Rehabilitation Patients Endoscopic Examinations

For patients in wheelchairs, esophageal Easy Access from Tableside

examinations no longer require transferring the
patient to the table and raising it to the desired
The simple space-saving design of this system
position for imaging, reducing both operator-
makes it easy to perform endoscopic
related work and patient anxiety.
procedures from the tableside. Distance from
the bottom of the table to the observation field is
55 cm (using a 12-inch image intensifier),
ensuring endoscope positions in fluoroscopic
images are captured precisely

• Utilize large peripheral workspace around the table. Nonvascular examinations,

• The stroke of the imaging chain ensures an easy approach
from the table edge. IVR rehabilitation, pediatrics, internal
• Raise/lower tabletop to a convenient height for procedures medicine, surgery/trauma
Orthopedic Examinations
Single Image Captures Wide-Range Coverage Optimum Images
a Large Field of View
The multi-cassette spot filming function, which Adding a auxiliary tabletop* enables radiography High-density resolution and multiple digital
can be used with cassette sizes of up to 35 × over a large range, from the ankles to the image-processing technologies produce
43 cm, allows precisely timed radiography over shoulder joints. (*Option) optimum-quality images.
a large view field.

Radiography over a wide range,

from ankles to shoulder joints
Large range
captured
with
large view
field

Auxiliary tabletop*

Additional Examinations
Table Elevation* Easy Access from End of Table
Use the table elevation function to adjust the table height from 69 to 95 Distance from the far end of the table to the observation field is 29 cm,
cm, allowing operators to perform procedures using comfortable positions. allowing an easy approach when performing bronchial endoscopy.

29cm
(when using
35 × 43 cm
cassette)

95cm
to
69cm

(*This system is also available with a fixed table.)

Support for Large Area Radiography Angiography

Cassette spot filming, available with cassettes up to 35 × 43 cm, ensures radiography over a High-speed, high-definition, real-time DSA is
large field of view can be performed with precise timing. avaliable at 7.5 fps on a 1024 × 1024 matrix.

DIP (35 × 43 cm) Chest (35 × 43 cm)

 User-Friendly System Design

The design, manufacture, and assembly of all parts used in our FLEXAVISION system, including both the X-ray tube
and image intensifier as well as the R/F table, DR, and X-ray generator, are performed in-house by Shimadzu.
The system's design reflects our consideration of how to match all related aspects, such as ease of use, reduced
X-ray dose, and observation using high-quality images, with the actual examination environment.

Operation Console
FLEXAVISION's compact console controls the
R/F table and the X-ray generator, providing a
comfortable operation environment for the
operator.
The console key layout is designed with the
operator in mind, facilitating intuitive and fast
operation.

Easy-to-Use Digital System

Our digital image processing unit is based on
highly reliable hardware.

Simple operations allow processing of

highquality digital images at high speed. An
easy-tosee graphical user interface (GUI) and
mouse control provide an intuitive operating
environment.

Desktop type console with small foot print is also available.

Parallel Processing
Improves Work Efficiency Parallel Processing

Even during fluoroscopy or radiography, images

can be transferred to a viewer or laser imager.
Examination Observation Data Storage*
The ability to execute processes independently
reduces the time spent waiting for completion of
nonof non-examination processes and High-capacity disk
Real-time
improves overall work efficiency. recording

Real-time up to
display 15,000 images

Automatic Image Transfer Fast access

This system supports automatic image transfer Media

to DICOM viewers, servers and laser imagers.
This function is achieved in the background
improving examination efficiency and patient
off-line
throughput. DICOM viewer*
DICOM server*

NOTE) * isn't included in FLEXAVISION package.

70% Overall Dose Reduction
The importance of considering X-ray dose
increases as the types of examinations
performed using X-ray equipment expand.
While maintaining stable image quality, the
FLEXAVISION system makes it possible to
reduce overall X-ray dose as much as 70%.
Low-Dose Pulsed
Fluoroscopy
Three types of pulse rates can be selected of
15, 7.5 and 3.75 fps. High-quality images can
be observed with less dose to the patient, even
during interventional procedures requiring long
periods of fluoroscopy.
Beam-Hardening Filter
A beam-hardening filter precisely removes soft
X-rays that do not contribute to images.
This reduces exposures while maintaining high
image quality.

Low-dose pulsed fluoroscopy*

Pulsed Fluoroscopy Mode
Beam-hardening filter
*At 7.5 fps
3.75 fps Select
X-ray tube
pulse rate
7.5 fps in accordance BH filter
with
Total Dose examination
15 fps X-rays

-70%
“Last Image Hold” Function
Last Image Hold function (keep display of last image on the monitor afterfluoroscopy) can reduce
unnecessary exposure.
 Supporting Hospital IT System Development

●Film Workflow ●Digital Data Workflow

Digitization for Improved
Work Efficiency Reception Reception

With FLEXAVISION, image digitization

streamlines tasks involving the observation,
Setting of film number
storage and query of images, while helping to Preset
Patient information
APR
increase work efficiency.
Examination Setting of APR Examination

Real-Time Image Storage Radiography Radiography

in High-Capacity HD
Real-time display
Incorporating a high-capacity hard disk,
FLEXAVISION can directly store up to 15,000
Development
radiographic images, providing you with peace
of mind during examinations requiring large Observation
off-line
storage capacity.

DICOM viewer*
Observation X-ray film viewer
Real-time
Quick access recording
Diagnosis on Monitor
Media

When acquired images are stored in the hard

High-capacity disk
disk, they are also displayed in real time on the
monitor. This allows immediate confirmation of Film storage Data storage
Archive
images that have been captured during medical up to
examinations, improving examination efficiency. 15,000 images
DICOM server*

NOTE) * isn't included in FLEXAVISION package.

Media Storage
Data can be stored on DVD-RAM, DVD-R or
CD-R discs in DICOM-compliant format. This
allows offline observation of images without
conversion using a DICOM-compliant medical
image observation viewer or server.
Compatibility with
DICOM Network
FLEXAVISION supports DICOM 3.0, the globally
recognized standard for medical imaging and
communications, including storage, MWM and
print. MWM STORAGE

DICOM viewer
DICOM server
Support for DICOM MWM is also available as an
option. This enables the online transfer of patient HIS / RIS
information from a HIS/RIS. LI
MWM STORAGE PRINT

DICOM print CR
MWM STORAGE
With DICOM Print as a standard feature, you
can easily connect to a laser imager.

CT
Exports Image Data
in Multimedia Formats NOTE) This figure includes items not consist of FLEXAVISION package.

All image files can be written in JPEG or BMP

format to shared folders.
 SPECIFICATIONS

Responds to a Wide Variety of Needs

■R/F Table ■X-ray Tube
Elevation Function Available Not available 200, 300 or 400 kHU (selectable)
Tabletop Dimensions 65 cm × 210 cm
Transverse Movement Range of Tabletop 22 cm
Height of Tabletop Above Floor 69 cm to 95 cm 89 cm ■Metal Image Intensifier (Representative Values)
Table tilting Range -30˚ (trendelenburg position) to 90˚ (vertical position) 12/9 inch (dual), 12/9/6 inch (Triple), 12/9/7.5/6 inch (Multi)
Movement Range of Imaging Chain 90 cm Resolution 46 (12-inch) / 50 (9-inch) / 56 (6-inch)
Oblique projection +/- 30degrees (factory installed option) *Not avaliable with 1.8/2m FFD extention Contrast Ratio 30:1 (12-inch mode)
SID 110 cm

Extension in vertical position: 1.5 m (standard); 1.8/2.0 m (option)

Cassettes
Cassettes Multi-division Exposure
Inch format: 8 × 10, 10 × 12, 11 × 14, 14 × 14, 14 × 17 ■Digital Processor
Centimeter format: 18 × 24, 24 × 30, 35 × 35, 35 × 43
TV Camera 1-megapixel CCD camera
INCH and CM format cannot be used at the same time.
Acquisition SPOT, serial radiography 3fps (7.5fps, option), Sub-divisional radiography
2 exp. /sec.
Fluoroscopy 1024 × 1024 matrix, 12-bit, 30 fps
Pulsed fluoroscopy (3.75, 7.5, 15 fps)
Radiography 1024 × 1024 matrix, 12-bit

■High-Voltage X-ray Generator Patient Information Input Keyboard and mouse

Reservation list: up to 2000 items
50 kW Type 80 kW Type DICOM MWM (option)
Short-time Rating 3-phase AC : 3-phase AC : Image Processing W/L, γcorrection, edge enhancement, vertical and lateral inversion,
150 kV, 320 mA; 150 kV, 500 mA;
zoom(up to ×4), scale display, various measurement functions
125 kV, 400 mA; 125 kV, 630 mA;
100 kV, 500 mA; 100 kV, 800 mA;
80 kV, 630 mA 80 kV, 1000 mA Image Storage Real-time recording: HDD: 15,000 images
Long-time Rating 125 kV, 4 mA 125 kV, 4 mA Long-term storage: CD-R, DVD-R, DVD-RAM

Image Output DICOM Print, DICOM Storage (option),

JPEG/BMP export

■Installation Conditions Monitor Color LCD (17-inch) or B/W LCD (19-inch)

Installation Area Approx. 350 cm (width) × approx. 230 cm (depth) min.*

Ceiling Height 240 cm min.

255 cm min. recommended.
Operating Weight Without table elevation function: 600 kg
With table elevation function: 730 kg

*420 cm × 230 cm min. with thoracic radiography option.

■System Power Supply Requirements (Power for the R/F table is provided from the high-voltage X-ray generator)
50 kW Type 80 kW Type
Usable Power Supply Three-phase 200/220/240 V * Three-phase 380/400/415/440 V  Three-phase 200/220/240 V * Three-phase 380/400/415/440 V
Capacity 50 kVA min. 50 kVA 75 kVA min. 75 kVA min.
Allowable Impedance 0.087 Ω max. 0.21 Ω max. 0.054 Ω max. 0.13 Ω max.
Ground Terminal (Grounding resistance) 100 Ω max. 10 Ω max. 100 Ω max. 10 Ω max.
Knife-switch Capacity 100 A min. 50 A min. 100 A min. 75 A min.
Molded-case Circuit-breaker Capacity 100 A max. 50 A max. 100 A max. 75 A max.

*An autotransformer (option) is required

Digital Processor Single-phase 200/220/240 V, 1 kVA

A Variety of Options for Supporting Examinations

Gastrointestinal / General Urological/Orthopedic Unit Network-Related Options Other Options

Radiography Unit
• X-ray tube swing-out unit • Drain bag • DICOM storage • Local console
• X-ray tube 180° swing unit • Leg supports • DIOCM MWM • Footswitch
• Rolling step • Endoscope support • Max. 7.5fps SERIAL acquisition • Monitor cart
• Compression band • Elbow rest • Max. 7.5fps DSA acquisition • Maximum allowable load UP kit *
• Mattress • Auxiliary tabletop • Automatic transformer, XAT-2
• Oblique projection unit * Note 1) • 2nd -tube option
• Imaging chain extension unit • Direct phototimer
(1.8m/2.0m) (with cassette holder) * • Scan converter (fluoroscopy)
Note 1) Note 2)
• Lateral cassette holder

*Indicates options installed at the factory.

Note 1)
The oblique projection unit and the imaging chain extension
unit(1.8/2.0m) cannot be installed together.
Note 2)
If the system is combined with the imaging chain extension
unit, the SID 1.5 m isn't avaliable.
Fluoroscopy cannot be performed with 1.8/2.0 m FFD.
Note 3)
Some options cannot be combined. Inquire separately for
details.

Drain bag Leg supports Auxiliary tabletop Rolling step

DIMENSIONS

Units: mm

R/F Table

500 900 700 1080 1400

FFD 1100
900

690∼950
(890)
750

(Table shape is different if table elevation function is not available.) ( ): Indicates dimensions without table elevation function.

Remote Console Control cabinet

900
400
318

755

700
435

900

370 205

LCD monitor
390∼490

1803

170 440
700

630
435

Digital processor
Founded in 1875, Shimadzu Corporation, a leader in the development of advanced
technologies, has a distinguished history of innovation built on the foundation of
contributing to society through science and technology. We maintain a global network
of sales, service, technical support and applications centers on six continents, and
have established long-term relationships with a host of highly trained distributors
located in over 100 countries. For information about Shimadzu, and to contact your
local office, please visit our Web site at www.shimadzu.com

SHIMADZU CORPORATION
International Marketing Division
3, Kanda-Nishikicho 1-chome, Chiyoda-ku, Tokyo 101-8448, Japan
Phone: 81(3)3219-5641 Fax: 81(3)3219-5710
Headquarter
1, Nishinokyo-Kuwabaracho, Nakagyo-ku, Kyoto 604-8511, Japan
http://www.shimadzu.com

Printed in Japan 6295-02104-30ANS