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Self-Driving Mobile C-Arm Reduces Imaging Time during Surgery

By MedImaging International staff writers
Posted on 28 Mar 2024

Image: The CIARTIC Move self-driving mobile C-arm has received FDA clearance (Photo courtesy of Siemens)

Intraoperative imaging faces significant challenges due to staff shortages and the high demands placed on surgical teams in the operating room (OR). A common challenge during many OR procedures is the frequent need to reposition the C-arm to provide surgeons with precise anatomical views, a task that is often stressful, time-consuming, and susceptible to error with traditional mobile C-arms. Now, a mobile C-arm with self-driving capabilities that automates repositioning during surgery and can be moved effortlessly has the potential to address staff shortages and work overload in ORs.

Siemens Healthineers’ (Erlangen, Germany) self-driving mobile C-arm, CIARTIC Move, accelerates and standardizes 2D fluoroscopic and 3D cone-beam computed tomography (CT) imaging for surgical and OR teams in both hospital and outpatient settings. This innovation offers consistent automated workflows, thereby minimizing imaging time in surgeries. The CIARTIC Move, which is fully motorized from its C-arm to its wheels, boasts self-driving functionality that automates imaging workflows and ensures consistency. Such automation significantly diminishes the manual effort and staffing requirements traditionally associated with positioning the C-arm. It allows for the storage of up to 12 procedure-specific positions and corresponding imaging parameters. With this technology, recalling stored positions and imaging parameters is as simple as pressing a button, eliminating the need for extended communication between surgeons and OR staff. This automation ensures that surgeons and staff can effortlessly reproduce images from the desired angles or swiftly reposition the C-arm.

Designed for orthopedic, trauma, spine, thoracic, vascular, cardiovascular, general surgery, urology, and interventional pulmonology procedures, CIARTIC Move has demonstrated significant intraoperative time savings in preclinical tests —nearly cutting it by half for spine surgeries and reducing it by 55% for pelvic surgeries compared to traditional mobile C-arms. It enables single-user operation through a wireless control, even from within a sterile field, and its fully motorized chassis and touch-sensitive handles allow for smooth movement. Moreover, its active sensing technology detects obstacles in transport mode, automatically halting all motorized movement to prevent collisions. Siemens Healthineers has received clearance from the Food and Drug Administration (FDA) clearance for the CIARTIC Move self-driving mobile C-arm.

“With the FDA clearance of the CIARTIC Move, Siemens Healthineers proudly introduces our first self-driving mobile C-arm, which can provide much-needed relief for overtaxed operating room teams by automating and accelerating intraoperative imaging workflows to a previously unseen degree,” said April Grandominico, vice president for surgical therapies in the Advanced Therapies business at Siemens Healthineers North America.

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88 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (75.101852416992): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800697 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800697 AND published='1' LIMIT 1

91 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800697 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800697 AND published='1' LIMIT 1

92 (164.98565673828): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294800697 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

93 (132.08389282227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800697 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800697 AND published='1' LIMIT 1

94 (108.00361633301): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800697 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800697 AND published='1' LIMIT 1

95 (308.03680419922): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294800697 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

96 (712.15629577637): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

97 (401.02005004883): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

98 (81.062316894531): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800697 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800697 AND published='1' LIMIT 1

99 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800697 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800697 AND published='1' LIMIT 1

100 (153.0647277832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800697 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800697 AND published='1' LIMIT 1

101 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800697 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800697 AND published='1' LIMIT 1

102 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800697 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800697 AND published='1' LIMIT 1

103 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800697 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800697 AND published='1' LIMIT 1

104 (43.153762817383): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800697 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800697 AND published='1' LIMIT 1

105 (38.862228393555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800697 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800697 AND published='1' LIMIT 1

106 (388.14544677734): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294800697 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294800697 AND type='deeppockets_item' AND published='1' LIMIT 1

107 (!!!!! 1619426.0120392): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

108 (!!!!! 1145075.0827789): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

109 (512.12310791016): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

110 (313.04359436035): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

111 (725.03089904785): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

112 (300.16899108887): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

113 (!!!!! 1593.1129455566): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

114 (401.97372436523): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

115 (497.81799316406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800697 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

116 (!!!!! 1817.9416656494): SELECT name FROM jos_deeppockets WHERE id=215

117 (884.05609130859): SELECT name FROM jos_deeppockets WHERE id=215

118 (497.81799316406): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))215((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

119 (488.9965057373): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))215((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

120 (!!!!! 3530.9791564941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800697 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800697 AND published='1' LIMIT 1

121 (153.0647277832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800697 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800697 AND published='1' LIMIT 1

122 (!!!!! 3234.1480255127): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800697 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

123 (471.11511230469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800697 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

124 (159.97886657715): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800697 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800697 AND published='1' LIMIT 1

125 (!!!!! 3108.024597168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800697 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800697 AND published='1' LIMIT 1

126 (!!!!! 1352.071762085): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

127 (206.94732666016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800697 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800697 AND published='1' LIMIT 1

128 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800697 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800697 AND published='1' LIMIT 1

129 (!!!!! 4693.0313110352): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294800697 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294800697 AND type='deeppockets_item' AND published='1' LIMIT 1

130 (182.15179443359): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=215 or channel_id is null)

131 (264.88304138184): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=215 or channel_id is null)

132 (66.995620727539): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

133 (!!!!! 3680.944442749): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800697 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800697 AND published='1' LIMIT 1

134 (128.03077697754): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294800697 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294800697 AND published='1' LIMIT 1

135 (164.03198242188): select jos_twitters.link from jos_twitters where cat=10

136 (27.894973754883): select jos_facebook.link from jos_facebook where cat=10

137 (25.98762512207): select jos_google_plus.link from jos_google_plus where cat=10

138 (27.179718017578): select jos_linkedin.link from jos_linkedin where cat=10

139 (249.14741516113): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

140 (!!!!! 8337.9745483398): insert into jos_banners_delta values (14615,'2025-04-29 10:31:51','3.143.7.75','view'),(14202,'2025-04-29 10:31:51','3.143.7.75','view'),(14203,'2025-04-29 10:31:51','3.143.7.75','view')

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