Development and production of mobile X-ray imaging systems (C-arms) for intraoperative use
Ziehm Imaging GmbH
Nuremberg (DE) · Orlando, FL (US)New on Amplifa
About Ziehm Imaging
Ziehm Imaging GmbH has been developing and producing mobile X-ray imaging solutions since 1972, headquartered in Nuremberg. The portfolio ranges from compact mobile C-arms and 3D imaging systems to mobile CathLabs, complemented by mini C-arms from Orthoscan as well as planning and navigation systems from Therenva (EndoSize, EndoNaut). The systems are used in orthopedics, traumatology, spine surgery, vascular surgery, cardiology, bronchoscopy, oral and maxillofacial surgery, pediatrics and oncology. Core technologies include flat-panel detectors (CMOS, IGZO), high-frequency monoblock generators up to 30 kW, liquid cooling via Advanced Active Cooling and the SmartDose dose concept. Around 12 % of employees work in research and development. With 15 locations worldwide, a US branch in Orlando (FL) and a partner network, clinics worldwide are supplied and supported; the service offering includes service packages, Remote Service, training (Ziehm Academy) and cybersecurity.
- Site
- Nürnberg
- Processes
- Development and production of mobile C-arms (mobile X-ray-based imaging solutions), 3D imaging (cone-beam CT) with mobile C-arms, 2D fluoroscopy / DSA / MSA / RSA, CO2 imaging (DSA/MSA/RSA with CO2 as contrast agent), Endovascular case planning (preoperative planning, CT-based, AI-supported), Intraoperative image fusion and endovascular navigation (2D/3D), Maintenance, repair and service of C-arms (Global Service, Remote Service, service packages), Training and continuing education (Ziehm Academy / Americas Academy)
- Materials
- CMOS flat-panel detector technology, IGZO flat-panel detector, High-frequency monoblock generator, 3D imaging (cone-beam), Planning and navigation software
- Certificates
- ISO 27001, ISO 27001 (Remote Service)
- Founded
- 1972
- Industries
- Medical technology, Orthopedics and traumatology, Spine surgery, Vascular surgery and cardiology, Bronchoscopy, Oral and maxillofacial surgery
- 01
Research & development
- 02
Hardware and software development
- 03
Production and assembly of the C-arm systems
- 04
Software for planning and navigation (Therenva)
- 05
Sales via global locations and distributors
- 06
Service, maintenance, Remote Service and training
Technologies & Processes
CMOS flat-panel detector technology
Delivers high-resolution 2k x 2k image quality with reduced image noise in the CMOSline systems.
IGZO flat-panel detector
Flat-panel detector technology in 21x21 cm and 31x31 cm versions for orthopedic and vascular procedures.
High-frequency monoblock generator
Pulsed generators up to 30 kW with Advanced Active Cooling for lengthy procedures.
3D imaging (cone-beam)
Intraoperative 3D volume imaging with ZIR reconstruction for artifact minimization.
Planning and navigation software
EndoSize and EndoNaut for endovascular case planning and intraoperative image fusion.
Locations
Nuremberg
DEHeadquarters, development and production
- Ziehm Vision RFD 3D
- Ziehm Vision RFD
- Ziehm Vision FD
- Ziehm Vision RFD Hybrid Edition
- Ziehm Vision RFD Hybrid Edition Cardio
- Ziehm Solo FD
Orlando, FL
USUS branch with service and training (Americas Academy)
Industries
Processes & technical limits
| Processes | Tolerance | Max. part | Weight | Lot size | Materials |
|---|---|---|---|---|---|
| Development and production of mobile C-arms (mobile X-ray-based imaging solutions)Assembly | – | – | – | – | – |
| 3D imaging (cone-beam CT) with mobile C-armsTesting | – | – | – | – | – |
| 2D fluoroscopy / DSA / MSA / RSATesting | – | – | – | – | – |
| CO2 imaging (DSA/MSA/RSA with CO2 as contrast agent)Testing | – | – | – | – | – |
| Endovascular case planning (preoperative planning, CT-based, AI-supported)Engineering | – | – | – | – | – |
| Intraoperative image fusion and endovascular navigation (2D/3D)Engineering | – | – | – | – | – |
| Maintenance, repair and service of C-arms (Global Service, Remote Service, service packages)Assembly | – | – | – | – | – |
| Training and continuing education (Ziehm Academy / Americas Academy)Engineering | – | – | – | – | – |
| Research and development of medical imaging systemsEngineering | – | – | – | – | – |
12 Anlagen & Maschinen
| Machine | Manufacturer / model | Quantity | Working area | Year built | Site |
|---|---|---|---|---|---|
| Mobile C-arm with 3D imaging | Ziehm Imaging Ziehm Vision RFD 3D | – | – | – | Nuremberg, Germany (headquarters) |
| Mobile C-arm with CMOS flat-panel detector (30 kW generator, 21x21 or 31x31 cm detector) | Ziehm Imaging Ziehm Vision RFD | – | – | – | Nuremberg, Germany |
| Mobile C-arm with flat-panel detector (2.4 kW generator, IGZO detector 21x21/31x31 cm) | Ziehm Imaging Ziehm Vision FD | – | – | – | Nuremberg, Germany |
| Mobile hybrid OR C-arm | Ziehm Imaging Ziehm Vision RFD Hybrid Edition | – | – | – | Nuremberg, Germany |
| Mobile C-arm (cardiovascular) | Ziehm Imaging Ziehm Vision RFD Hybrid Edition Cardio | – | – | – | Nuremberg, Germany |
| Mobile C-arm (disassemblable, flat-panel detector) | Ziehm Imaging Ziehm Solo FD | – | – | – | Nuremberg, Germany |
| Mini C-arm (20x20 cm flat-panel detector, 2k x 2k, 215.5 kg, 160° orbital movement, 50.8 cm | Orthoscan TAU 2020 | – | – | – | – |
| Mini C-arm (15x15 cm flat-panel detector, 1.5k x 1.5k, 215.5 kg) | Orthoscan TAU 1515 | – | – | – | – |
| Mini C-arm (15x12 cm flat-panel detector, 1.5k x 1.2k, 215.5 kg) | Orthoscan TAU 1512 | – | – | – | – |
| Portable mini C-arm (15x15 cm flat-panel detector, 100 µm pixel, 15.9 kg) | Orthoscan Versa | – | – | – | – |
| Intraoperative navigation system / image fusion | Therenva EndoNaut | – | – | – | – |
| Planning software for endovascular procedures (software) | Therenva EndoSize | – | – | – | – |
Additional services
Reference customers
Quality & Certification
The image quality of the systems is clinically documented and used in reference clinics such as the BG Trauma Center Murnau or Hospital Egas Moniz. For Remote Service, a security server certified to ISO 27001 is used (partner PTC ThingWorx).
| Evidence | Nuremberg |
|---|---|
| ISO 27001 (Remote Service) |
Company History
- 1972
Foundation of Ziehm Imaging; development of the automatic X-ray film illuminator
- 1983
First C-arm with high-frequency monoblock generator
- 1988
First DSA on a mobile C-arm
- 1994
First mobile C-arm as a compact unit
- 2000
Introduction of the software-controlled touchscreen user interface
- 2003
3D imaging with a mobile C-arm
- 2006
First mobile C-arm with flat-panel detector worldwide
- 2010
First disassemblable C-arm: Ziehm Solo Option Portable
- 2013
First mobile C-arm with motorization of all 4 axes
- 2015
First FD-3D system (30/30) with 180° image information
- 2017
New Premium Edition CMOSline
- 2019
Articulating Monitor Arm for all Ziehm Vision systems
- 2021
First C-arm with a 30 kW generator
- 2023
Offering of a flat-panel-detector-based product line with the latest technologies