fuji X posurefujiXposure newsletter – summer 2009

> FUJIFILM Australia – the new distributor for ProSolvTM

cardiology products 2

> BreastScreen Queensland completes largest digital mammography rollout project in the Southern Hemisphere 3

> PACS and CR equipment to be rolled out across five Northern Territory hospitals 4

> A RIS like no other! 5

> Mammography Quality Assurance Program improves Mammography Service standards in Australia and New Zealand 6

> Fujinon endoscopy business set to grow 7

> FUJIFILM announces release of the groundbreaking FDR AcSelerate® DR system 8

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“...the rollout process has been relatively smooth despite the complex logistics associated with undertaking a project of this size in remote locations...”Fourteen hospitals located in regional areas of Western Australia are now equipped with state-of-the-art Computed Radiography (CR) technology as part of the transition to a digital environment by WA Country Health Services.

The WA Country Health Service (WACHS) is the biggest Area Health Service in Western Australia and the largest country health system in Australia.

Currently, there are 24 FCR Capsula X, FCR Capsula XL and FCR Capsula XLII CR systems as well as single and multi-plate Fujifilm FCR Profect systems installed in regional locations throughout WA.

The new digital technology has been installed in Albany, Broome, Derby, Esperance, Exmouth, Kalgoorlie, Nickol Bay, Kununurra, Merredin, Notham, Port Headland, Newman, Tom Price and Narrogin.

A further three regional hospitals located in Busselton, Margaret River and Katanning are also due to commence their CR rollout shortly.

FUJIFILM Medical Systems was awarded the tender in mid-2008 to supply WACHS with the CR equipment.

WA Country Health Services PACS Project Manager, Brendan Beeson, said the rollout process – which started in November 2008 – has been relatively smooth despite the complex logistics associated with undertaking a project of this size in remote locations.

“While the PACS / RIS solution is yet to be rolled out over the next 12 months, the CR implementation process has already resulted in significant changes in workplace practices,” Mr Beeson said.

“The staff no longer work in a wet film environment, there are less repeat images and the radiograph quality has improved as a result of being able to manipulate the digital images.

“Once the PACS / RIS solution is implemented over the next 12 months hospitals State-wide will have the ability to share medical details, and information will also be available to transmit electronically for reporting.

“Dark rooms will no longer be required as the images will be dry laser printed and will be archived online at a central location in Perth,” he said.

Mr Beeson said the digital transition will ultimately allow all health practitioners to share medical information throughout WA.

“We have been very happy with the rollout to date and are looking forward to maximising the full digital transition benefits once the PACS / RIS solution has also been implemented,” Mr Beeson said.

The WA Country Health Service services an area approximately two and a half million square kilometres with a regional population of half a million people, almost a third of the State’s population.

WA Country Health Service implements extensive Computed Radiography rollout in regional areas

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In our last edition of FujiXposure, we provided some insight into the extensive logistics involved in the transition to a digital mammography environment by BreastScreen NSW.

Now in this Summer edition we are delighted to tell you about BreastScreen Queensland which has completed the first stage of the largest digital mammography rollout project in the Southern Hemisphere.

BreastScreen Queensland has now transitioned all of its services to digital imaging equipment. In fact, since the technology was first introduced at the BSQ Ipswich Service in April 2008, FUJIFILM has implemented 29 Profect

CS Computed Radiography (CR) Readers, 40 CR consoles, seven Fujifilm DryPix 7000 laser printers and six Fujifilm DryPix 4000 laser printers.

A state-of-the-art Computed Radiography (CR) technology project has also been undertaken by WA Country Health Service (WACHS) - the biggest Area Health Service in Western Australia and the largest country health system in Australia.

Fourteen hospitals located in regional areas of Western Australia are now equipped with CR technology as part of the WACHS transition to a digital environment.

Despite the complex logistics associated with undertaking a project of this size in remote locations, the rollout process progressed well and there are now 24 FCR Capsula X, FCR Capsula XL and FCR Capsula XLII CR systems as well as single and multi-plate FCR Profect CR systems installed in regional locations throughout WA.

In other news, we have interesting articles on:

• the Mammography Quality Assurance Program (MQAP) which aims to improve Mammography Service standards in Australia and New Zealand

• information on FUJIFILM’s new groundbreaking flat panel DR system known as the FDR AcSelerate®

• Information on FUJIFILM Synapse®

RIS – the most advanced Radiology

Information System on the market today

• the latest on the Fujinon Endoscopy business and ProSolv™ Cardiology products

As always, we hope you enjoy reading about these and other stories in our Summer edition of FujiXposure.

FDR AcSelerate is the Registered Trade Mark of

FUJIFILM Corporation.

Message from Peter Carmody, General Manager, FUJIFILM Medical Systems

FUJIFILM Australia – the new distributor for ProSolvTM cardiology products FUJIFILM Australia is now the new distributor for ProSolvTM Cardiology products in Australia and New Zealand.

ProSolv is the Trade Mark of Problem Solving Concepts, Inc. doing business as ProSolv Cardiovascular, a FUJIFILM Company in the United States of America (where Prosolv is a Registered Trade Mark).

Synapse is the Registered Trade Mark of FUJIFILM Medical Systems USA, Inc (registered in Australia).

FUJIFILM Medical Systems General Manager, Peter Carmody, said FUJIFILM Australia Pty Ltd is responsible for the distribution of ProSolvTM, as well as its sales and support.

“ProSolvTM is a cardiology software solution designed to enhance clinical workflow, help improve patient care, provide diagnostic benefits and automate the exchange of data around a network,” Mr Carmody said.

“ProSolvTM will be integrated into FUJIFILM’s sophisticated Synapse® Picture Archiving and Communications (PACS) system which provides a seamless solution for managing, storing and distributing images and information throughout medical facilities.

“Already in Australia there are 120 existing sites that incorporate ProSolvTM, while in New Zealand there are currently 16 sites,” he said.

Mr Carmody said FUJIFILM is renowned for providing solutions that assist with the transition from film-based imaging to a complete digital environment.

“There are now more than 800 FUJIFILM

CR systems installed and supported in Australia – including more than 200 that are used for digital mammography.

“FUJIFILM’s web-based PACS Synapse® has been established in more than 50 Australian sites and more than 3500 sites internationally. Synapse® RIS has been implemented in more than 100 sites worldwide,” he said.

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The BreastScreen Queensland Program (BSQ) has completed the first stage of the largest digital mammography rollout project in the Southern Hemisphere.

BreastScreen Queensland transitioned all of its services to digital imaging equipment comprising:

• screening and assessment services

• satellite sites

• mobile

• re-locatable units

A 4WD mobile digital unit is also being built to enable Aboriginal and Torres Strait Islander women access to the BSQ Program.

FUJIFILM Medical Systems, a division of FUJIFILM Australia Pty Ltd, was selected as the computed radiography (CR) vendor to provide digital mammography equipment and services for the Program.

Since the technology was first introduced at the BSQ Ipswich Service in April 2008, FUJIFILM has implemented 29 Profect CS Computed Radiography (CR) Readers, 40 CR Consoles, seven Fujifilm DryPix 7000 laser printers and six Fujifilm DryPix 4000 laser printers.

Digital BenefitsJennifer Muller, Senior Director, Cancer Screening Services Branch at Queensland Health, said digital mammography allows radiographers to immediately check the quality of images on the workstation to ensure they meet technical standards.

“As a result, there has been a reduction

in technical repeat screenings – a major benefit for women screened on mobiles in remote and rural areas,” Ms Muller said.

The switch to digital is also enabling the BSQ Program to pioneer flexible and accessible breast cancer screening services to women in remote and rural areas.

Specially constructed ‘flight boxes’ ensure that digital mammography equipment can be securely transported and set up at re-locatable sites.

“The re-locatable solution has attracted significant attention and positive remarks from other States,” Ms Muller said.

Digital mammography is also a major step forward in terms of health and safety benefits for staff and the environment due to the removal of chemical processing required for analogue mammography.

BSQ has responded positively to the new equipment which has improved workflow processes and enhanced professional satisfaction due to the quality of the images.

Rollout and implementationTo ensure staff could adapt to the new technology, the BSQ Program’s Digital Implementation Project worked closely with BSQ Services to develop a tailored training program for approximately 125 radiographers and 25 imaging operators.

The rollout of digital mammography equipment was implemented across Queensland via a staged solution approach to minimise the impact on BSQ

Services. Implementation dates were identified in advance to ensure fit-out could be factored into service schedules.

Pam Brackman, State Radiographer, BSQ Program, said due to the scope of the project -which entailed removing and upgrading all mammography equipment - it was inevitable that there would be a period where screening could not be undertaken at the relevant site.

“On average, this was approximately one week for each machine installed,” Ms Brackman said.

Tony Hallett, Principal Project Manager, Health Technology, cited the main issues encountered during the implementation as “ensuring the standardised configuration of all machines across the State, planning the technical infrastructure required to support the introduction of digital mammography and understanding the impact of the new technology on the role of the Data Manager.”

FUJIFILM was selected as the CR vendor to provide digital mammography equipment as:

• Fujifilm CR has Food and Drug Administration (FDA) approval

• Fujifilm CR equipment enabled existing analogue equipment to be converted to digital

• Fujifilm CR meets the high quality standard required for mammography images – 50 micron detail

The introduction of a Statewide Picture Archiving and Communication System (PACS) in 2010 completes the digital rollout, allowing the BSQ Program to reach its goal to capture, view and transfer digital mammography images throughout Queensland.

BreastScreen Queensland completes largest digital mammography rollout project in the Southern Hemisphere

Client feedback provided by BreastScreen Queensland includes comments such as:

“...Much easier – less discomfort during the actual mammogram.”

“Great improvement – no waiting for repeat, if necessary.”

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PACS and CR equipment is to be rolled out across the Northern Territory’s five hospitals in Darwin, Alice Springs, Katherine, Tennant Creek and Gove.

After an extensive tender process which began in August 2008, Fujifilm Medical Systems was awarded the contract earlier this year.

Royal Darwin Hospital Superintendent Radiographer, Roger Weckert, said a total of 15 CR units will be rolled out across the Northern Territory, with the Royal Darwin Hospital CR transition expected to be completed before this Christmas.

“This initiative has been in the planning process for four years due to the need for an extensive upgrade of the data link. Now that the appropriate infrastructure is in place, it is well-equipped to support the digital framework.

“We anticipate the logistics of the remote locations and expansive distances to be a significant challenge during the rollout process. However, we are expecting to learn a lot from the transition at Royal Darwin Hospital which we can then apply to the other facilities,” he said.

Tender ProcessOriginally, three project proposals required information and cost estimates from tendering applicants:

• Royal Darwin only

• Royal Darwin, Katherine and Gove

• Whole of Territory (Darwin, Gove, Katherine, Tennant Creek and Alice Springs)

The whole of Territory was selected as the preferred proposal.

Site appraisals were undertaken in Melbourne and Brisbane where the transition to digital had already been completed.

Three companies were short-listed from the tendering applicants and each was required to provide a comprehensive presentation to a specially appointed panel.

Improvements following the digital transition Mr Weckert said significant operational improvements are anticipated once the digital transition is completed. These include:

• Shorter turnaround times for images

• Electronic reporting

• Film-less operations

• No more chemical handling

• Data images available on a hospital network

• Fewer administrative processes

• Reduced repeat x-rays

• X-rays available immediately – currently x-rays are sent via road or air for reporting. The transition will mean radiologists can assist with diagnosis in minutes rather than days

• Images available on weekends for national transfer and Specialist’s opinion

• Images available for transfer to other nominated digital locations in Australia

• Image security – images will be stored on a server at Royal Darwin Hospital with daily backups

Mr Weckert said hospital activities will continue as usual during the transition process.

Royal Darwin HospitalRoyal Darwin Hospital is the largest teaching hospital in the Northern Territory and is also recognised as Australia’s National Critical Care and Trauma Response Centre. It has approximately 363 beds and more than 1700 staff and services approximately 150,000 people in the Top End. The hospital won international recognition for its role in the retrieval, treatment and transfer of victims of the 2002 Bali bombings.

Alice Springs HospitalThe Alice Springs Hospital is a 189 bed specialist teaching hospital situated in the Red Centre of Australia. The population in this area is dispersed over 1.6 million km².

Katherine District HospitalThe Katherine District Hospital is an accredited 60-bed non-specialist medical, diagnostic and treatment facility which caters for the Katherine region and remote areas, covering an area of approximately 340,000 km2.

Tennant Creek HospitalTennant Creek Hospital is a 20-bed hospital whose principal purpose is to assess, diagnose and treat short-term illnesses and injuries. Tennant Creek, with a population of 3,500 people, is the only town of any size in the Barkly Tablelands – a huge expanse of 240,000 km² between the tropical ‘Top End’ and the arid ‘Red Centre’. It is roughly the same size as the UK or New Zealand.

Gove District HospitalThe East Arnhem region is serviced by the Gove District Hospital (GDH), a 32-bed acute care facility located in Nhulunbuy on the Gove Peninsula. There are 15 remote community clinics that refer patients to the hospital for inpatient, outpatient and specialist care. The East Arnhem Region is one of the most isolated areas located in the far north of the Northern Territory with few roads and limited road transport facilities during the dry season and impassable roads in the wet season.

PACS and CR equipment to be rolled out across five Northern Territory hospitals

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FUJIFILM Medical Systems, a division of FUJIFILM Australia Pty Ltd, delivers a higher standard in Radiology Information System technology with the Synapse® RIS.

The IT needs of today’s radiology departments are ever evolving, so investing in the latest information solutions can be vital to the survival of a business in an increasingly cost-focused marketplace.

Synapse® RIS is the most advanced Radiology Information System on the market today. It continues to evolve to support the unique imaging and information needs in today’s radiology department. This is a platform that can support acute care facilities, imaging centres and radiology practices providing distributed diagnosis - all are available with the Synapse® RIS platform.

Synapse® RIS offers a comprehensive list of features to meet the needs of an evolving radiology market, including many tools not found in competing products. FUJIFILM has gone a step further and added even more – the kind

of features you’d expect to pay extra for – features like integrated peer review, critical results notification and a real referring physician portal that includes exam requesting, scheduling, report & image access as well as outstanding critical results alerts and tracking.

Synapse® RIS also offers workflow-enhancing technologies such as instant messaging and the ability to create your

own digital forms.

The most advanced, most comprehensive web-based radiology management solution.

FUJIFILM Medical Systems offers a complete RIS with the added power and ease you would expect from the Synapse® brand. Key features include:

• Registration

• Scheduling and Order Entry

• Electronic Dashboard

• Mammography Tracking and Reporting

• Transcription

• Radiologist Tools and Electronic Signatures

• Management Reporting (Standard, Custom Builder, ODBC Methods)

• Advanced Scheduling Logic for segmented exams

• Reports and Images from Synapse PACS

• Automated Email Notifications

• Ability to save reports as PDFs

• Inventory Tracking

• Embedded Digital Dictation

• Document Scanning and Management

• Electronic Signature Pad Integration (ABN and Consent Forms)

• Configurable Billing Export

FUJIFILM Synapse® RIS seamlessly integrates with Synapse® PACS, along with other PACS on the market.

Synapse® RIS is scalable to meet the needs of both small and large facilities in private and public healthcare. It is a comprehensive and robust system regardless of whether it is located in a multi-facility enterprise or a small imaging centre.

Synapse® RIS is licensed and priced by exam volume — with unlimited users and sites – it’s both a tremendous value and a predictable expense and since Synapse® RIS is from FUJIFILM Medical Systems, you can count on continual innovation, seamless integration and, of course, comprehensive service.

Speak to your local FUJIFILM Medical Systems representative to find out how Synapse® RIS can enhance your workflow and productivity.

A RIS like no other!

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Image quality is particularly important in mammography to detect subtle abnormalities. The Mammography Quality Assurance Program (MQAP) helps to identify what you can and, perhaps more importantly, can’t see.

Participation in the program indicates that a practice is striving to provide a consistently safe and high quality mammography service. It also means that every patient can experience the same level of quality control during examinations at a practice.

The Mammography Quality Assurance Program was the first QA program to be introduced by the RANZCR for Diagnostic Radiology.

Based on the Mammography Accreditation Program of the American College of Radiology, MQAP was adapted to Australian conditions and launched in 1993.

While the program’s aim has always been to improve mammography service standards in Australia and New Zealand,

some Radiologists initially regarded the initiative as a radical step for the RANZCR. The MQAP has since become a highly regarded program that has gained extensive support.

“...MQAP provides quality assessment of mammography image production along with constructive feedback and advice...”A major review of the MQAP program was undertaken in 2002 and again in 2005. The latest review involved streamlining the program’s operations as well as guideline development for the assessment of digital mammography services. This has resulted in significantly

reduced assessment turnaround times along with a higher compliance rate in sites addressing any issues that require follow-up. During this review it was also decided that dosimetry could and should be done by a facility’s Equipment Assessor - previously dosimeters were sent to sites and then tested in the USA.

In Australia, there are currently more than 200 clinics at various stages of the accreditation cycle – additional clinics are also in transition from screen film to CR or DR accreditation.

MQAP Chair, Dr Alan Porter, said MQAP provides quality assessment of mammography image production along with constructive feedback and advice that will assist mammography services in meeting the standards and improving the overall quality of breast imaging throughout Australia and New Zealand.

“The guideline objectives are to establish and implement reasonable and achievable standards that will deliver quality reproducible images at a minimal radiation dose,” Dr Porter said.

Mammography Quality Assurance Program improves Mammography Service standards in Australia and New Zealand

Year 1 – Practice undergoes Accreditation (or Re-accreditation)

Assessment of clinical and physics data by expert mammography radiologists and mammography accredited medical physicists. The clinical data comprises two sets of hard copy clinical images (one set of Fatty, one set of Dense – both must be ‘normal’). The physics data comprises a phantom image (without TLD), test image data, processor data (this varies for CR/DR sites) and an Equipment Assessor’s Report which must be completed by an ACPSEM certified mammography assessor. The clinical data is de-identified and assessed by two expert mammography radiologists.

When either or both of the reviewers

determine that there is a significant issue affecting the diagnostic quality of the images, the images are sent to a third reviewer who will decide whether a resubmission is required (usually after a recommended quality improvement activity such as positioning training or technical adjustments). The phantom films and test image data are sent to two physicists in turn.

This data, the phantom reviewers’ assessments and the Equipment Assessor’s Report are sent to a third physicist reviewer who provides feedback to the facility.

Sites are given every opportunity to achieve accreditation – many pass first go, but some need to do some tweaking to get up to the accreditation standard.

Year 2 - 1st Annual Review

Assessment of quality control data, phantom, equipment assessor’s report and processor data (varies for CR/DR) by mammography accredited physicists. The data is assessed by one of the three senior MQAP physicists and feedback is given to the site.

Year 3 - 2nd Annual Review

As per 1st Annual Review.

Year 4 – Re-accreditation

The cycle starts again.

MQAP three yearly accreditation cycle

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“...Site assessments confirm that MQAP data provides a true yardstick of the safety and quality of mammography service provided by a practice....”“They address relevant components of the mammography imaging process which influence the diagnostic quality and reproducibility of the mammograms produced by the facility.

“External peer review of a facility’s performance against the standards gives independent rigour and credibility of the process – which is crucial,” he said.

Dr Porter said the MQAP aims to continually improve standards for film screen and digital mammography, while at the same time remain mindful that the standards should be realistic and achievable.

“The Mammography Committee is looking at a web-based system for QA assessment in the future, accommodating both screen film systems and digital mammography,” he said.

MQAP Physicists Panel Chair, Dr John Heggie, said it is important to emphasise that clinics don’t ‘fail’ as such and that all sorts of factors can result in a site being asked to resubmit.

“This includes niggling issues that take a few goes to resolve through a process of elimination,” Dr Heggie said.

“Resubmissions are designed to confirm that advice provided is having the desired affect and that the site has understood and been able to correct the problem at hand.

“The RANZCR / NATA Accreditation Program – involving peer (radiologist and radiographer) assessors physically visiting a site – have been able to correlate the success of the MQAP.

“Site assessments have confirmed that MQAP data provides a true yardstick of the safety and quality of mammography service provided by a practice and is often indicative of the service quality across all modalities within the facility.

“This is important in confirming the relevance of the program and the activity it covers,” he said.

The MQAP is recognised by the Commonwealth Government and declared under Qualified Privilege. It has been very successful in improving the technical quality of mammography and may become a prerequisite for Medicare Benefits Schedule (MBS) funding.

The MQAP is able to accommodate sites that are unable to provide hard copy images. These practices should contact the RANZCR to make alternative arrangements.

MQAP application is available through the RANZCR – information and forms are available from:

www.ranzcr.edu.au/qualityprograms/accreditation/MQAP.cfm

The Fujinon endoscopy business is set to grow following the integration of the product range into the FUJIFILM Medical Systems portfolio from 1 October 2009.

FUJIFILM Medical Systems General Manager, Peter Carmody, said Fujinon is one of the leading suppliers of endoscopic equipment worldwide.

“Used as a minimally invasive diagnostic medical procedure, there is a large demand for endoscopes in day surgeries, clinics, as well as public and private hospitals,” Mr Carmody said.

“As part of our endoscopy growth strategy, FUJIFILM Medical Systems has appointed National Business Manager,

Walter Consani, who is responsible for managing the sales and distribution of Fujinon endoscopic products in Australia and New Zealand.

“A nominated service engineer has also been appointed in each State to ensure FUJIFILM Medical Systems is suitably equipped to respond immediately to any endoscopy service requests,” he said.

Mr Carmody said Fujinon is renowned for its high quality, technologically advanced endoscopes and is looking forward to providing a sophisticated medical solution that contributes to improving the diagnosis and treatment of patients.

FUJINON Endoscopy Sales enquiries - 0419 770207

FUJINON Endoscopy Service enquiries – 1800 060 209

Fujinon endoscopy business set to grow following its integration into the Fujifilm Medical Systems product portfolio

8 fujiXposure newsletter – summer 2010

FUJIFILM’s new groundbreaking flat panel DR system known as the FDR AcSelerate® is expected to revolutionise the capabilities of flat panel detectors (FPD) by using amorphous selenium direct image capture technology to produce general radiographic images with exceptional quality.

Available in Australia from January 2010, the FDR AcSelerate® provides a streamlined diagnostic imaging solution complete with dynamic speed and sharp images.

FUJIILM Medical Systems Product Specialist – DR & Women’s Health Susan Crennan said the FDR AcSelerate® is a fully integrated dual detector DR system designed as a complete radiographic room system that offers improved workflow and superior image quality.

“FDR AcSelerate® features advanced fully automated x-ray equipment, making patient positioning and exam preparation fast and easy,” Ms Crennan said.

“In three simple steps, a preview image for a chest exam can be available on the Console Advance screen within two seconds.

“By increasing the thickness of the amorphous selenium layer, the FDR

AcSelerate® detector offers both high sensitivity and high conversion efficiency.

“It allows more effective use of the x-ray energy and offers high quality images with enhanced DQE (detective quantum efficiency) and MTF (modular transfer function), but with reduced radiation dose.

“With FUJIFILM’s new direct conversion FPD, the x-rays are converted directly into electric signals and then read onto a pixel electrode for superior conversion efficiency and resolution.

“The x-ray component of the FDR AcSelerate® is a fully automated table and upright system with a lightweight ergonomic design that takes little effort to position and operate.

“The system has been ergonomically designed, not just for the radiographer, but also for the patient.

“At the touch of a button, high volume facilities are set to benefit from the enhanced productivity and flexibility of the FDR AcSelerate®.

“The system performs nearly any general radiology exam using fully automated features, thus avoiding physical stress and repetitive injury to radiographers,” she said.

Ms Crennan said the FDR AcSelerate® represents the next generation of product evolution in DR technology.

FUJIFILM has 25 years of expertise optimising images for display and FUJIFILM Medical Systems revolutionises flat panel detectors with its new groundbreaking FDR AcSelerate® DR system

FDR AcSelerate®

Standard Features:• Fujifilm’s revolutionary 43x43cm

Amorphous Selenium Flat Panel detector technology

• Auto-positioning of tube, chest stand and table for improved workflow

• Manual override of all automatic movement features

• Light weight ergonomic design of all system components

• -20 to 90º tilting wall bucky for extremities work

• Easy to use x-ray system facilitates simplified training of new employees

• Table bucky head to foot movement which automatically follows the Overhead Tube Crane

• Standard 80 kW x-ray generator

• 150 micron resolution

• 16-bit dynamic range

• 600,000 heat unit x-ray tube assembly to maximise patient throughput

• Automatic collimation and automatic filter insertion

• Tight integration between FDX console and x-ray system to provide streamlined operation

• Auto exam select, allowing exams to be set up automatically from RIS work list

• FDX workstation which offers FCR integration

FDR AcSelerate®

Optional Features:• Movable tableside hand control for

4-way float top motion & elevation

• Compressions belt

• IV infusion stand

• Elevation foot pedals and 4-way float top activation step switch

• Table and chest stand collimator hand controls

• Table side patient grip handles

FDR AcSelerate is the Registered Trade Mark of FUJIFILM Corporation.