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Intraoperative 3D imaging allows you to transform care delivery by improving surgical outcomes.

To provide 3D capabilities that can be seamlessly integrated into clinical routine, Siemens Healthineers developed the Cios Spin, a mobile 2D and 3D C-arm for intraoperative quality assurance. Easy to integrate into your surgical routine, it features dedicated 3D technologies that allow you to confirm your planned results. The Cios Spin offers optimal 3D and 2D imaging for the precise intraoperative guidance and versatility needed to advance therapy outcomes.


  • More certainty in demanding cases
  • More efficiency in intraoperative 3D
  • More cost-effectiveness in surgery

Features & Benefits

Cios Spin® provides you new insights that give you more certainty in surgical routine — and full control over your procedures. It can help you improve outcomes, reduce operational costs and risks, work efficiently and increase your institution’s reputation.

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More Certainty in Demanding Cases 

When it comes to placement of screws and implants in demanding procedures, conventional 2D imaging may not always provide enough information. 

To safeguard optimal surgical outcome and be able to perform intraoperative corrections to avoid postoperative complications, surgeons greatly benefit from intraoperative tools that let them confirm their planned results. 
 
Cios Spin enables precise intraoperative quality control based on dedicated 3D technologies. Allowing surgeons to confirm their results, Cios Spin delivers the intraoperative tools needed to help safeguard optimal surgical outcomes. 

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More Efficiency in Intraoperative 3D 

Daily routine is all about increasing efficiency. Some surgeons avoid 3D intraoperative imaging because they think it’s too cumbersome, will cause delays in their workflow or will require hard‐to‐learn know‐how. 

Cios Spin aims to solve that. It is built on a concept as smart as plug-and‐play. For efficient and uninterrupted surgical workflows, Cios Spin comes with feature packages such as Easy 3D: easy to learn, easy to use and easy to integrate into your surgical routine. 

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More Cost-Effectiveness in Surgery

The ability to perform intraoperative corrections based on 3D images acquired with Cios Spin may help you reduce subsequent costs associated with malplaced screws and implants that are not detected interoperatively. These include costs of revision surgeries, longer hospital stays, additional postoperative diagnostics and liability issues. 
 
By potentially reducing complication rates, postoperative CT scans or patients’ duration of stay, intraoperative 3D with Cios Spin can positively impact your department’s financial performance — making it an investment that pays off for your organization. 

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Technical Details

In Cios Spin, high-end 3D technology meets efficiency and precision. Learn more about what is inside.
System specification :
Detector technology CMOS flat detector
Field of view 30 cm x 30 cm (12" x 12")
Image resolution 1952 x 1952 pixels
Power output 25 kW / 12 kW1
Orbital movement +/- 100°
Immersion depth 74 cm (29.1”)
Free space 93.6 cm (36.8”)
3D imaging :
Scan sceme Iso-centric
Projections for 3D reconstruction Up to 400
3D volume size 16 cm x 16 cm x 16 cm (6,3'' x 6,3'' x 6,3'')
3D volume resolution 512 x 512 x 512 pixels
Scan speed 30 seconds
3D viewing Simultaneous display of 3 projections
(transversal, coronal and sagittal)
3D volume rendering   Volume rendering technique (VRT)
Metal artefact reduction Yes1
Clinical workflows :
Image acquisition Single Image
Fluoroscopy
Fluoroscopy High Level1
Subtraction / Roadmap1
Digital Cine Mode1
Navigation interface NaviLink 3D1
DICOM services DICOM Send / Storage Commitment1
DICOM Print1
DICOM Query / Retrieve1
DICOM Worklist / MPPS1
Data transfer  LAN / WLAN1
1 Option 
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