Chart smart: contrast media delivery systems compiled by Jill Hoffman

Company info ACIST Medical Systems Inc. E-Z-EM Inc.

Eden Prairie, MN Lake Success, NY
www.acist.com www.ezem.com
Product name ACIST CVi™ Contrast Delivery System ACIST Voyager and CMS EmpowerCTA Double Barrel CT Injector EmpowerCT Injector System EmpowerMR (510K pending)
2000 System
List price $39,995 N/A $19,500-25,000 $19,500-25,000 N/A
For use with Cardiac, vascular angio N/A CTA CT MR
Syringe capacity (ml) 100 (up to 5 cases) N/A 200 (2) 200 100 (2)

Syringe features Multiuse (up to 5 cases; same contrast Automatic syringe refill/ Disposable, Y-connector (one-way Disposable Disposable, Y-connector (one-way
bottle usable for different cases) purge during case; user- valves) valves)
initiated refill during case
Does your injector detect Tracks number of uses/cases per N/A Not at this time
used syringes? syringe; alerts user after 5 cases
performed with same syringe
Bulk contrast container Multiuse syringe enables same N/A Sequential syringe auto initialization; Empower transfer set and IV pole ac- Sequential syringe auto initialization;
management contrast bottle to be used over empower transfer set and IV pole cessory for easy syringe fill from bulk empower transfer set and IV pole
different cases accessory for auto fill of contrast/saline contrast container accessory for auto fill of contrast/saline
syringes syringes
Saline delivery capabilities Fixed-rate saline delivery KVO feature with .1 to Saline chases contrast injection; N/A Saline chases contrast; intelligent ID
10 ml/min (20-minute intelligent ID reduces syringe content reduces syringe content confusion
timeout for maximum confusion
dispensed 200 ml saline)
MR injector power source N/A N/A Hydraulic cylinders use standard electric
outlet power
Flow range (ml/sec) .8-40 in increments of .1 for N/A .1-10 in increments of .1
variable-/fixed-rate modes

Volume range (ml) .8 to 99.9 in increments of .1 (for sys- N/A 1-200 in increments of 1 1-100 in increments of 1
tem with preset range limits); dependent
on procedure type and user choice
Delivery pressure range (psi); 200 to 1,200 for system with preset N/A 40-300 in increments of 1 20-300 in increments of 1 40-300 in increments of 1
selectable pressure limits; high-pressure limit alert,
increments (psi); overpressure injection slow/stop
protection features
Injector programming features Cardiac/vascular modes Presets for flow rates, Flow rate/volume inputted into color touchscreen graphical interface; remote control; stores up to 50 8-phase protocols;
volumes and pressure auto recall
limits throughout (diag-
nostic/interventional) case
Embolism detection Air detection by sensor on side of N/A Tilt sensor minimizes air embolus by authorizing injection only when injector head tilts 20 degrees below horizontal, forcing
disposable contrast tubing attached to air to rear of syringe
patient catheter

Extravasation detection N/A Patch-based, patented extravasation detection system alerts user of possible ex- Not at this time
travasation; auto injection pauses before clinically significant problem (< 20 ml)
Describe your console controls 27 cm (10.5”) color touchscreen with Yes; touchscreen and Color touchscreen runs injector software; optional CT capability and contrast 8 filling keys on injector head; 4 contrast
flexible mounting options AngioTouch® variable- management/injector information system (with networked remote access) keys/4 (corresponding) saline keys;
rate hand controller (for 2 color-coded key sets on injector base;
preprogrammed contrast injector indicator of ram movement;
delivery) provide input redundant sets for easy control
Do you have an air detector? Yes; air-detection sensor on N/A Not at this time
disposable contrast tubing attached to
patient catheter (injection ceases if
air detected)
Key safety features Overpressure protection Air detection Extravasation detection, tilt sensor Extravasation detection, tilt sensor Tilt-sensor lockout, injector arming,
lockout, injector arming, on-the-spot lockout, injector arming, on-the-spot on-the-spot flow rate control, pressure
flow rate control, pressure limiting, flow rate control, pressure limiting, limiting, Y-connector (one-way valves),
Y-connector (one-way valves), intelligent voice prompts intelligent syringe ID, voice prompts
syringe ID, voice prompts
ANGIOGRAPHY FEATURES
Adjustable rise time? Yes; user-defined from 0 to 1 sec in N/A N/A
.1 sec increments
Adjustable volume stop .8-99.9 ml in .1 ml/sec increments (for N/A N/A
(by what increments?) system with preset range limits based
on procedure type and user choice)
Interface with an X-ray Yes, with major manufacturers N/A N/A
generator? (including Siemens, GE, Philips
and Toshiba)

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 PET/CT is the May Chart Smart focus.
Contact Jill Hoffman, associate editor,
at [email protected] for more
information.

Mallinckrodt MEDRAD Inc.

St. Louis, MO Indianola, PA
www.imaging.mallinckrodt.com www.medrad.com
OptiVantage™ DH Optistar® LE CT 9000® ADV Angiomat Illumena® OptiStat™ MEDRAD Avanta™ Fluid Management
Injection System
$33,500-39,500 $39,500 $18,800-27,000 $21,900-32,860 $8,000-9,500 $42,000-45,000
CT MRI CT Angio, cath lab, CT CT CCL, angio
200 (disposable frontload); 10, 15, 20 and 30 (prefilled compatibility) 200 (disposable frontload); 30, 150, 200 (disposable); 50, 75, 130 (disposable, Liebel Flarsheim); 150
50, 75, 100, 125 (prefilled) 50, 75, 100, 125 (prefilled) 100, 125 (prefilled); 150 (reusable) 50, 75, 100, 125 (prefilled)
Disposable, prefilled, single/ Manual loading, disposable, prefilled, Disposable, prefilled Disposable, prefilled, reusable Disposable, prefilled Disposable, multiuse (up to 5 patients),
Y-tubing (0, 1, 2 check drop-in mounting, IV line patency drip mode separate saline/high-pressure contrast
valves) lines
Yes No Yes No No; detects syringe presence

Auto fill sequence allows No Bulk contrast rack, auto syringe fill/refill,
repeated filling with user-set user-defined fill volume
volumes

Saline precedes or succeeds Saline follows contrast No Infrared sensors for saline-/
contrast contrast-level detection; stop/warning
message if level drops below sensors

N/A AC power (no batteries required) N/A N/A

.1-10 .1-9.9 .01-40 .1-6 1-10 in increments of .1 (contrast vari-

able flow); 1-45 in increments of 1 (con-
trast fixed flow); 1.25 (saline fixed flow)
1-200 1-120 1-200 .5-150 1-130 1-150 in increments of 1 (refillable
from attached bulk source to connected
contrast bottle)
25-325 20-200 25-300 75-1,200 (angio) Dependent on flow rate up to 225 300-1,200 in increments of 1,
electro-mechanical/software
overpressure protection

Powerhead touchscreen Remote console interface for quick protocol entry Flow/volume entered via handheld Up to 40 customizable protocols includ-
(at patient side) or remote unit ing variable/fixed flow mode, volume,
console entry of injection rate, pressure limit, rise time, inject/scan
protocols delay, auto/manual syringe fill
Manual Manual, used syringe indicator Built-in optional air-detection Manual, used syringe indicator 2 separate infrared sensors for saline/
warning system, used syringe contrast fluid level; saline/contrast
indicator injection stop/warning message if level
drops below sensors and ultrasound
gross air detected
N/A Patented pre-injection extravasation check N/A N/A

Color touchscreen (in control Color touchscreen Touchscreen Handheld injector with digital Color touchscreen setup memory for
room), integrated powerhead display (ml/sec and syringe volume programming, arming, filling, auto
console (at patient’s side) during injection); rate/volume priming; syringe volume remaining,
adjustment arrow buttons peak/accumulated volume, flow rate,
pressure, case number, alerts
Manual Yes; built-in optional air-detection Manual Yes; 2 separate ultrasound gross air
warning system detectors for saline/contrast lines

OptiVantage DH Powerhead Ultraject prefilled syringes minimize air Ultraject prefilled syringes Ultraject prefilled syringes minimize Ultraject prefilled syringes minimize Gross air detection, fluid-level sensor,
touchscreen enables more introduction risk during filling sequence; minimize air introduction risk air introduction risk during filling air introduction risk during fill pressure control, high-pressure tubing,
clinician time at patient side; powerhead recessed start button eliminates during filling sequence; injector sequence; patented Air Detection sequence; automatic pressure syringe backlighting, injector armed light,
preinjection extravasation inadvertent injections; technologist starts software algorithms notify Aide/Warning System, bubble adjustment based upon contamination/radiation exposure risk
check injection at patient side to check IV site users of preused syringes resistance, disposable syringes programmed flow rate reduction

No Yes; 1-10 sec No Yes; 0-9.9 sec (fixed flow)

Automatic electronic, 1 ml Automatic electronic, .5 ml Automatic electronic, 1 ml 1 ml

Yes; basic scanner trigger No Yes Yes (with major X-ray manufacturers);
and CiA 425-specified CAN anytime activation/deactivation,
interface user-selectable scan delay, 0-99.9 sec
injection delay
▲

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chart smart: contrast media delivery systems
Company info MEDRAD Inc. Nemoto Kyorindo Co Ltd.
continued Tokyo, Japan
www.nemoto-do.co.jp

Product name Mark V Pro Vis® Spectris Solaris EP MR Injection System Stellant D Vistron Dual Shot Alpha
(Available exclusively through GE
Healthcare, Waukesha, Wis., www.
gehealthcare.com/accessories)
List price N/A $46,950 N/A (high-end CT injector price) N/A (low-end CT injector Inquire with distributor
price)
For use with Angio in cardiology, MR scanners (up to and including 3T magnets) CT CT CT
radiology and vascular
surgery
Syringe capacity (ml) 60, 150, 200 65 (contrast), 115 (saline) 200 200, 100 (contrast); 100 (saline)
Syringe features Disposable; FluiDots™ Disposable, FluiDots, one-time use, 96”, Dual syringe injection components; Disposable, custom kits, Disposable, plunger-style, outside
on pressure jacket for low-pressure tubing FluiDots for maximum safety (also on dual syringe injection injector filling
gross air detection Bracco prefilled syringes; compatible components (Bracco pre-
with GE prefilled syringes) filled syringes available)
Does your injector detect N/A Recognizes plunger position in new, No Not at this time
used syringes? previously loaded or empty syringes
Bulk contrast container N/A Yes Auto features for protocol-specific Compatible with MEDRAD Compatible with swabbable spike
management contrast/saline loading; virtually no SVTS transfer sets for tubing; auto fill
contrast waste bulk contrast loading
Saline delivery capabilities N/A KVO feature for .25 ml saline delivery at Exclusive dual-flow technology for No saline Inquire with distributor
selected timed intervals to maintain line triphasic injections (ideal for cardiac
patency (independent of injection profile) and “triple rule-out studies”);
contrast saline delivery in any order;
vein patency evaluation,
custom protocols
MR injector power source N/A Integrated Continuous Battery Charging system N/A N/A
for continuous battery power
Flow range (ml/sec) .3-50 .01-10 in increments of .01 (from .01-3.1); .1-10 .1-9.9 .1-10
increments of .1 (from 3.1-10)
Volume range (ml) .5-200 (Syringe A) .5 max in increments of .1 (from 1-200 (2) 1-200 1-200 (contrast), 1-100 (saline)
.5-31 and increments of 1 for 31+); (Syringe B)
1 max in increments of 1
Delivery pressure range (psi); 100-1,200 in Up to 325 (if injection system can maintain 50-325 in increments of 50; 50-300 in increments 10-300 in increments of 1; auto
selectable pressure increments of 1; flow rate of 10% of programmed rate for 3 sec, real-time pressure monitor graph for of 50 safety controls keep pressure
increments (psi); overpres- overpressure controls system disarms with stall condition) comparing pressure vs. limit at/below user-specified limit; auto
sure protection features set pressure limit stops when occlusion detected
Injector programming N/A Stores 32 protocols (up to 6 phases each); Stores 32 protocols (up to 6 Easy-to-use, multiphasic Injection protocols stored and
features protocol and user-configuration memory phases/delays) contrast injections selected based on anatomical
maintained when system power off region; up to 125 protocols can be
created/saved with each Q-SELECT
set; up to 5 Q-SELECT sets
available with each Nemoto CF card
Embolism detection N/A Operator must answer questions prior to Syringes equipped with FluiDots for Uses patented FluiDots for Manual
arming; warning label on injector head reminds easy air/fluid visualization easy air/fluid visualization
user to check for disposables air; FluiDot
indicators on Spectris storage
Extravasation detection N/A No; extravasation detection addressed at Meets ACR guidelines (including Meets ACR guidelines Not at this time
company application training saline test injection and injection (including injection site
site monitoring) monitoring)
Describe your console Easy to use Color touchscreen with few keystrokes; up to Easy-to-use color touchscreen; All programming at Color LCD touch screen with ana-
controls 6 programmable phases; pause/hold phases stopwatch for delayed sequence injector head tomical protocol selection; creation/
(programmable delay between timing and con- monitoring (pause in any order) editing capabilities
trast runs), stopwatch, storage, protocol recall
Do you have an air detector? Yes No; air-check button on injector head confirms FluiDots for air/fluid visualization No; injection stops if less than 4.3
air expulsion from filled syringes psi detected continuously while 10
ml injected at 1.5 ml/sec or higher;
caution message warns user of low
pressure while injection continues
at 1.4 ml/sec or lower
Key safety features N/A Air-check confirmation button, fiberoptic Saline test injection, real-time Syringe FluiDots and Real-time graphical pressure
communication; pressure safety limit not to pressure monitor graph, syringe start/stop injector monitoring, visual air-check
exceed 325 psi FluiDots, remote air check, remote controls from scan room reminder; injector self-test at
arm, injector head display or control room startup and during injection
ANGIOGRAPHY FEATURES
Adjustable rise time? Yes; 0-9.9 sec in .1 sec N/A Yes; can set with each protocol
increments
Adjustable volume stop .1 ml Electronic N/A N/A
(by what increments?)
Interface with an X-ray Yes N/A Multiple scanner interface options N/A N/A
generator?

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