
The Ziehm Vision² Vario 3D combines excellent 2D-image quality with a highly efficient intraoperative 3D imaging module. Intraoperative 3D imaging plays a vital role especially in spine procedures as well as in orthopedic and maxillofacial surgery. This is often beneficially combined with Computer-Aided Surgery systems. The C-arm’s intelligent and compact design together with its unmatched ease of use benefit both surgeons and operation staff.
Clear View
Running in pulse mode at up to 30 frames/s, the Ziehm Vision² Vario 3D produces sharp and crystal clear images. The unique 1k² imaging system with its industry-leading high-dynamic range CCD camera enables a detail-rich visualization of even the finest anatomical structures.
Object Detected Dose Control – ODDC
The innovative ODDC (Object Detected Dose Control) software provides image optimization and motion detection in real time at the lowest possible dose. Pulse rates and frame averaging filters adjust to the amount of motion present in subject anatomy.
ODDC also allows Ziehm Vision² Vario 3D to ensure excellent image quality, even under adverse conditions. ODDC adjusts fluoro techniques to properly visualize anatomy even at the periphery of the field of view. When metal instruments and implants are introduced into the field of view, ODDC will automatically correct for any tendency a lesser imaging chain might have to over-penetrate the surrounding anatomy.
The Ziehm Vision² Vario 3D rounds out its capabilities by adding a highly efficient intraoperative 3D imaging module.
The powerful 3D functionalities of the Ziehm Vision² Vario 3D are an
invaluable help when it comes to checking the accurate placement of
implants, screws and osteosynthetic material. They also provide considerably enhanced precision in orthopedic fracture reductions and joint surface reconstructions in comparison to 2D imaging.
Intraoperative 3D imaging with the Ziehm Vision² Vario 3D provides a
previously unknown degree of interventional safety at an impressive
quality level and may reduce both the number of revision interventions
and radiological follow-up examinations through full postoperative visual
control in the OR.
Virtually IsocentricSmart virtual mechanics
On both Vision² Vario models, a region of interest (ROI) determined at the beginning of an examination will remain within the field of view during the entire isocentric image
acquisition cycle. This streamlines daily workflow while reducing dose exposure to patients and staff.
Compact design
Thanks to their sophisticated mechanical construction, our Vision² Vario
units have the compact footprint of conventional C-arms, in spite of their added
isocentric functionality. Thus you can continue to benefit from the superior
mobility that is characteristic of Ziehm’s C-arms, even if your OR
space is scarce.
Variable isocenter
The isocenter can be adjusted to different patient positions, and not vice
versa. There is no need to spend time positioning the patient to the center of the c-arm.
Freely selectable image intensifier/object distance
This feature allows the operator to position patient anatomy closer to the image intensifier, ensuring a larger field of view and lower dose to the patient during image acquisition.
Isocentric cine loop
An isocentrically acquired dynamic image series can be replayed as a cine loop. This ‘iso loop’ conveys a 3D-like image impression to the physician, providing an easy and reliable way to assist in the assessment of an intervention.

A comprehensive range of viewing options, such as isocentric dynamic cine loops from a series of 2D fluoroscopy images, 3D volume renderings as well as 3D slice views and Multiplanar Reconstructions (MPR) combine forces to make the Ziehm Vision² Vario 3D the ‘third eye’ for the surgeon. An intuitive user interface provides optimum orientation within the acquired 3D volume and quick adjustment and viewing of the desired slices in the coronal, axial and sagittal planes. |
Caring for the Patient and the OR Team
The Ziehm Vision² Vario 3D uses the most innovative technologies to
keep X-ray dose levels to a minimum without compromising image quality.
Application-oriented anatomical programs, a monoblock generator featuring pulse technology, ODDC, beam-hardening filters and a host of other carefully targeted features assist in achieving substantial
dose savings.
A freely selectable image intensifier/object distance ensures flexibility during 3D image capture. This allows patient anatomy to be positioned closer to the image intensifier, allowing imaging with a larger field of view and a lower dose to the patient.
Convenient Operation
The ‘Vision Vario Center’, employs a touchscreen control panel featuring an intuitive interface with logical user menus and clear icons. It makes the unit easy to operate while providing ergonomic access to all relevant
functions needed for isocentric image capturing and 3D image
reconstruction.
The Ziehm ‘SmartEye’ – a live reference image provided on the Vision Center – ensures accurate and clear communication between the C-arm operator and the surgeon. Users can conveniently control an entire procedure directly from the C-arm control panel using simple step-by-step menus.
With a simple keystroke, the user can switch from routine 2D fluoroscopy to isocentric 3D imaging anytime during a procedure.
An Advanced Active Cooling system is capable of discharging 400 watts of heat in clinical operation making overheating during long and demanding procedures very unlikely.
Seamless Integration - Full DICOM Functionality
An outstanding feature of the Ziehm Vision² Vario 3D is the fully integrated
Ziehm NetPort interface, which provides comprehensive support for
the DICOM 3.0 standard and includes options for wireless data transfer.
Running in ‘Primary Capture’ mode, Ziehm NetPort is capable of transferring
original images as well as patient data to and from the PACS and /
or HIS/RIS, thus ensuring lossless digital network integration
Extensive Archiving Possibilities
The Ziehm Vision² Vario 3D is equipped with a broad set of integrated
archiving devices for convenient image storage, including:
- hard disk
- USB-port
- DVD-writer
Images can be saved in DICOM or TIF formats as well as in downsized
DICOM or JPG formats.
Compatibility with the Latest Navigation Systems
Combining the Ziehm Vision² Vario 3D with a Computer-Assisted Surgery
system creates a perfect environment for navigated surgical
procedures, allowing surgeons to operate with maximum accuracy and
efficiency. With the new navigation interface ‚Ziehm NaviPort‘ it will be
possible to effortless connect any 3D navigation system to the c-arm.

