Vita CR LLI Sales Training

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Why LLI?

Long Length Imaging (LLI) exams include

scoliosis and other leg-length

exams that require a larger area to be imaged than can fit on a typical 14” x 17” screen

Target:

Facilities that would perform long length exams include hospitals, general imaging centers, orthopedic clinics, and chiropractic offices Unrestricted Internal Use Page 2

Target Customers

Customers looking for solutions enabling imaging of full spines, lower extremities with patients in an erect or supine position and a solution that can be used in multiple places:  On the radiology table in the x-ray room  In the x-ray room with patients in an upright position with cassette against a wall  Bed side exams where the cassette would be pushed under the patient  In the operating room Unrestricted Internal Use Page 3

Target Customers

Customers wanting to transition more of their radiography operations for digital for:  Improved workflow  Eliminating film & storage expense  Easy access & image distribution

Target Decision Makers

: Radiology administrators / Office managers

Target Influencers

: Radiologists, Orthopedic surgeons, Radiology technologists Unrestricted Internal Use Page 4

Value Proposition

Enjoy the

benefits of digital capture and processing of long length exams

with the

easy to use

Carestream Long Length Imaging System and your Vita CR system.

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The Carestream Long Length Imaging System

 The Carestream Long Length Imaging System is an option for the Carestream Vita CR Family of systems.

 The LLI System is also an

upgrade

option to the installed base of PoC 360 Systems  The LLI System will work on CRs in the tabletop configuration only – it will not work on readers on Z-Carts  Accessory options include a portable caddy with grid, wall stand holder with grid and beam attenuation filters Unrestricted Internal Use Page 6

LLI System Components – Screen & Cassette

 The Carestream Long Length Imaging System uses a single Carestream GP flexible screen and double ended 14” x 33” cassette  Weight 10.8lbs / 4.9kg

 Size 14” x 33” / 35 x 84cm  Source to Image Distance (SID) 40 72” / 102-183cm Unrestricted Internal Use Page 7

LLI System Components – Screen & Cassette Cont.

 The tech is able to use the solution in full daylight conditions- no need to use in subdued light or darkroom to load or process the cassette  After exposure, the tech will first insert the cassette end labeled “#1” in the CR scanner; When the scanning is complete the tech will then insert the end labeled “#2” to scan the opposite end of the screen.  The software will automatically stitch and display the resulting image for review Unrestricted Internal Use Page 8

LLI System Components - Software

 Software Version 3.0 SP5 or higher is required + LLI Stitching Software License (CAT no. 8135006 or 8201212 – Page 14)  The user would select the Full Spine / Full Leg exams from the Organs/Sub-Organs Buttons Unrestricted Internal Use Page 9

LLI System Components – Software Cont.

 As part of the Carestream QC Software, a stitching algorithm is used to automatically combine the 2 scanned images into a single image for display – this is the same algorithm used for the Kodak DirectView LLI products  There is no need to manually align, order or rotate images in preparation for stitching – the software does it automatically  Distribute the stitched image to softcopy workstations or hardcopy laser imagers just like any other scanned image Note: Printing true size will not fit a regular paper size Unrestricted Internal Use Page 10

LLI System Components – Support Bracket

 The LLI system will use a support bracket attached to the reader to support the long cassette while it is inserted in the scanner  This stabilizing mechanism prevents plate movement and cassette distortion over time  The support bracket slides out of the way when a long length cassette is not in use Unrestricted Internal Use Page 11

LLI System Components – Portable Caddy with Grid

 The portable caddy with grid allows for imaging of

supine

long length exams or could be hung on the wall for upright exams  Easily move from location to location  Grid cannot be removed  Note: Can NOT be used interchangeably with the DirectView Classic/Elite Portable Caddy, as cassettes are different sizes  Weight  Size 17lbs / 7.7 kg 17”W x 1.2”D x 40.2”L / 43 x 3 x 102 cm  Grid Ratio 8:1 with 103 LPI Unrestricted Internal Use Page 12

LLI System Components – Vertical Cassette Holder with Grid

 Conveniently holds LLI cassette for upright long length exams  Has a range of ½” from the floor to 74” and can be adjusted in 1” increments to accommodate the patient height and body part to be imaged  Can use close to the floor to image the ankle for leg-length exams – eliminates the need of the patient climbing a step  Grid cannot be removed  Note: Can NOT be used interchangeably with the DirectView Classic/Elite Vertical Cassette Holder, as cassettes are different size  Grid Ratio 8:1 with 103 LPI (Same as portable caddy) Unrestricted Internal Use Page 13

LLI System Components – Beam Attenuating Filters

 Required for optimum image quality  Beam Attenuation Filters help ensure uniform exposure by compensating for varying degrees of body thickness; This creates a more uniform density and look throughout the stitched image  CSH provides these as an option for customers who do not currently own filters  The attenuating filters are made of a lead-plastic material that is 30% lead by weight. Since lead is an efficient absorber of x-ray the filters attenuate the x-ray beam Unrestricted Internal Use Page 14

LLI System Components – Beam Attenuating Filters Cont.

 The filters are magnetically held in place by a filter holder (Cat# 1686526) that easily attaches to the collimator accessory tray  2 filters are available:  Lateral thoracic spine CAT# 8515157  AP/PA CAT# 1955046 Unrestricted Internal Use Page 15

Beam Attenuating Filters – Patient Positioning

AP/PA Beam Attenuation Filter CAT# 1955046 Beam Attenuation Filter Holder CAT# 1686526 Lateral Beam Attenuation Filter CAT# 8515157 Unrestricted Internal Use Page 16

Workflow

Double click the Acrobat icon below to view a detailed LLI procedure for Vita Unrestricted Internal Use Page 17

Key Selling Points

 The Carestream Long Length Imaging System allows customers to move their scoliosis and leg-length exams to digital for improved workflow, easy access to images and easy storage  The portable caddy with grid allows users to perform bedside supine exams for broader use; Gridded exams provide higher image quality to the radiologist; The caddy with wheels makes it easy for the tech to move from room to room  The vertical holder with grid allows easy positioning of the patient for upright exams; The user can quickly place the cassette for the exam needed – extends from the ½” off the floor to 74” Unrestricted Internal Use Page 18

Key Selling Points – Cont.

 The Carestream automatic stitching software uses a proven algorithm for fast and accurate stitching; No tech interaction is required  LLI cassettes are lighter than their analog alternatives (approx 2.5lbs) making it easier for the tech to move around  The beam attenuation filters and holder provide a uniform image from top to bottom making it easier for the radiologist to make their diagnosis Unrestricted Internal Use Page 19

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