Divario CR Systems

Digital X-ray with familiar cassette handling

Divario CR-T2 for standard X-ray examinations and
Divario CR-Tm for examinations with a resolution of
up to 50 µm for practices and clinics

CR desktop unit Divario CR-T2 + Divario CR-Tm

Extremely
fast
desktop unit
with a maximum
throughput of
73 cassettes
per hour
 Approx

39 kg
Dimensions:
56 x 54 x 39.2 cm
 Divario CR-T2 Divario CR-Tm

Compact desktop
units with high throughput
for excellent X-ray images
The Divario CR-T2 and Divario CR-Tm are CR desktop systems with a
maximum processing capacity of 73 cassettes per hour. In this high-speed mode
(5 pixel/mm), the throughput is increased by almost 70 % compared to previous
CR systems. The Divario is easy to operate, reduces patients' waiting time and

CR desktop unit Divario CR-T2 and Divario CR-Tm

increases the efficiency of the examination process. The desktop system, available
in an unobtrusive compact design, can be placed wherever space is limited – on
a desk or a shelf. In addition the Divario CR-Tm version offers high resolution
images with a pixel size of up to 50 µm.

Together with the professional image acquisition software dicomPACS®DX-R,

the CR system offers all necessary image processing tools. The solution can be
adapted to fit specific clinical purposes. It is also ideal as a secondary or backup
system where there is already a DR or CR in place.

The dicomPACS®DX-R software in particular allows quick and easy working.

Special emphasis was placed on maximum image quality and maximum
flexibility. For example, the included professional image processing software
®
dicomPACS DX-R can be adapted very easily to the doctor's specific wishes or
requirements for each X-ray examination. The user is not limited to the selection
of „pre-set“ standards. This functionality provides the best possible image
quality in accordance with the doctor's needs.

The creation of the best possible images, however, also requires the correct
setup of the X-ray unit and the correct positioning of the patient. To help the
X-ray assistant with this task, a multimedia radiographic positioning guide for
each examination has been integrated directly into the system. It allows the user
to verify, prior to taking the X-ray how to correctly set up the X-ray image. Even
videos on the positoning of a patient etc. are included. This guide removes the
need for radiographers to consult tables, reference books or external
software programmes.
Highlights
All the benefits of the Divario CR-T at a glance

only
39 kg

39.2 cm
cm
56 cm 54

0,30 m²

Space-saving desktop unit, for shelf space and shelves (floor space 0.30 m²)
Stable high-quality images
Very high resolution of 50 µm (Divario CR-Tm version)
Maximum processing capacity of 73 cassettes (18 x 24 cm) per hour
Also for mobile use

Image plate cassettes for high image quality

For Divario CR-T2 following In addition, the following

cassette formats are available: cassette formats and types
are available for the
IP cassette type CC: Divario CR-Tm:
35 x 43 cm (14" x 17")
35 x 35 cm (14" x 14") IP cassette type CH:
24 x 30 cm (10" x 12") 24 x 30 cm (10" x 12")
18 x 24 cm (8" x 10") 18 x 24 cm (8" x 10")
15 x 30 cm (6" x 12")

2
 option
al
Fit for mammography
Divario CR-Tm:
Image plate High resolution
cassettes imagesquality
for high image with a pixel size of up to 50 µm

Extended acquisition functionality for use in mammography*:

Specialised organ tree
Mammography Hanging Protocols
Documentation of additional examination parameters such as filter,
thickness, angle, implant
Mammography tools in the console viewer:
100% magnification
Mammo inversion function
Mammo grid function (quadrant diagnosis)

Job creation with specialised

mammography organ tree

For Divario CR-Tm following cassette formats and types

are available:

IP cassette type CH:

24 x 30 cm (10" x 12")
18 x 24 cm (8" x 10")

IP cassette type CC:

35 x 43 cm (14" x 17")
35 x 35 cm (14" x 14")
24 x 30 cm (10" x 12")
18 x 24 cm (8" x 10") Fully integrated viewer for
15 x 30 cm (6" x 12") diagnosing with specialised
mammography tools

*Pending CE and FDA conformity approval for the module.

3
Software
Benefits of the professional
dicomPACS®DX-R X-ray acquisition software

Modern graphical user interface (GUI) adaptable to

almost any language

Touchscreen operation - to ensure quick and efficient work

and a smooth workflow

Capture of patient data via DICOM Worklist, BDT/GDT, HL7 or other

protocols - data may also be captured manually

Use of DICOM Procedure Codes for the transfer of all relevant

examination data directly from the connected patient management system
(HIS/RIS)

Freely configurable body parts with more than 200 projections

and numerous possible adjustments already included (not suited for
mammography)

Safe and fast registration of emergency patients

Allows the user to switch between examinations of a patient, for

instance to avoid having to re-position the patient frequently

Allows the user to subsequently add images to

an examination, even after that examination has already
been completed

Integrated measurement, special image filter and various other

tools for measurement and image optimisation

Registration of recurrent examination procedures as macro, e.g.

thorax screenings or BG-examinations

Fully integrated radiographic positioning guide for each examination

incl. comprehensive notes, videos, photos and correct X-ray images

The digital X-ray system can be controlled via wireless

remote control including display of the work list, image
preview and much more

4
Benefits of flexible image acquisition

The configurable generator interface enables the user to control

X-ray generators or X-ray systems by different manufacturers, delivering
the generator settings directly from the software

Option for the parallel operation of a flat panel and a CR system included in
the standard package. The user has the choice to take the next image with either
the flat panel or the integrated CR system. This flexibility also provides an
excellent emergency concept in case of a defect flat panel.

Integration of dose area product meters (DAP) - the readings are

saved directly to the relevant image

AEC (Automatic Exposure Control) and ARP (Anatomical Programmed

Radiography) allow the user to automatically adjust all X-ray options
for each projection with an option to subsequently edit the
image manually

Electronic X-ray log

5
 Operation
of the acquisition software

The correct settings for adults

and children at a mouse click

Job creation
Marion

e
f o r th
t
Char of an
nin g
plan dual
i
indiv y job
a
X-r

Sw itc h to
th e pl an ni ng
of X - ra y jo bs
fo r ch ild re n

Radiographic positioning guide

h sound
V id e o w it p b y
s te
f o r th e
n in g
s te p p o s it io e n t
a ti
o f th e p

s an
Show of a
ple y
exam t X-ra
c
corre age
im

Presentati on of helpful hints for the positioning of the

patient, central beam, tips and tricks, frequent errors etc.

6
 Preview of the X-ray image and worklist

of
Preview
rrent
the cu
image
X-ray

Generator control

l
a to r p a n e
T h e ge n e r s
all value
d is p l a y s
gs
a n d s e tt in s
As, focu
(kVp, m
ommended
e tc . ) r e c
e c if ic
for a sp
n
e x a m in a ti o

7
Image processing
Automatic image processing for optimal quality

Perfect images at all times - generally no adjustment required

Integrated software for automatic image optimisation

Professional, adaptable image processing for each individual

examination to obtain best possible image settings for the needs of
each customer

Due to specially developed processes, the image processing allows the

user to vary the X-ray settings on a large scale while the image quality
remains virtually the same (possibility of reducing the dosage)

Bones and soft tissue in one image - this enables the user to
significantly improve his diagnosis

Details of bones and microstructures are very easy to recognise

Noise suppression

Black mask (automatic shutters)

Automatic removal of grid lines when using fixed grids

Exposure with Exposure with

®
standard image processing dicomPACS DX-R image processing

8
Image diagnostic
at the highest stage

Completely integrated dicomPACS® Viewer for image diagnosis, further

processing and storage of images in an SQL database incl. image manipulations, export
options, layout adjustments, freely configurable user interface and much more

Stepless zoom, PAN, magnifyer, ROI, crop, rotate, mirror etc.

Insertion of image annotations, e.g. free texts, arrows, ellipses etc.

Measuring of distances, angles, areas and density

Adjustment of window/level options and gamma correction, sharpening

filters, noise suppression

Many additional functions such as Chiro Tools, calculation of Cobb's angle, pelvic
obliquity measurements, integrated capturing of diagnostic reports etc.

Creation of DICOM patient CDs with free WEB viewer

Export of images to JPEG, TIFF, BMP and DICOM format

Image transmission via integrated e-mail function – no external e-mail

program required

Easily upgradable to the professional, integrated image

management system (PACS)

9
Integrated viewer

Completely integrated
®
dicomPACS viewer for
image diagnosis

An integrated prosthesis
documentation module
provides preoperative
planning (optional).

The system enables fast

and easy customisation
of the operating
interface for individual
customer preferences.

10
 Useful tools such as the
configurable measuring
magnifier make diagnosis
much easier.

The stitching module

merges a number
of separate digital X-ray
images into a single
image.

Comprehensive search
tools enable the
comparison of X-ray
examinations of one or
more patients.

11
Mobile ®
Web-based viewer dicomPACS MobileView
for mobile and stationary devices (optional)

The web-based viewer dicomPACS®MobileView counts among the many

extension modules of dicomPACS® diagnostic software. As a virtually independent
browser, it allows the viewing of image material on mobile devices also outside a clinic
or a practice. The doctor or the nursing staff can access all image material from the
dicomPACS® system worldwide via a network connection.

®
In addition to mere diagnostic evaluation of images, the dicomPACS MobileView
viewer allows diagnostic reports to be captured and exported. Documents may be
attached and exchanged. All diagnostic reports of a patient are always displayed.
Individual diagnostic reports of a patient may be selected for exporting and formatted.

There are many applications. On-call hospital doctors can promptly make a first
®
diagnostic thanks to dicomPACS MobileView. This saves the patient a lot of time
and additional visits. But also during a ward round, further treatment can be discussed
together with the patient or colleagues directly at the bedside using a mobile device.

® ®
dicomPACS MobileView can be installed in addition to existing dicomPACS
diagnostic modules (diagnostic workstations). It is irrelevant whether the
®
dicomPACS MobileView software is used on a network PC (pure viewing
workstation) or/ and on a mobile device.
Worldwide access to all image material is available via a network connection,
e.g. VPN access via the internet, of the used mobile device to the central
®
dicomPACS system in the office or clinic.

The main advantages at a glance:

High flexibility through the use within various internet browsers, including
Microsoft Internet Explorer, Mozilla Firefox, Google Chrome, Safari 5, Safari
for iPad and Android browser
Intuitive operation
Supports the multi-touch operating technology (e.g. zoom in and out with two-fingers)
Supports full screen mode
® ®
Allows accessing the dicomPACS DX-R or dicomPACS database without any
additional modules
Allows playing series (e.g. ultrasound)
High loading speed with modern streaming technology

12
 Features of
dicomPACS®MobileView
The web-based viewer offers an
important range of functions of a
professional PACS viewer:

Draw annotations

Measurements

Registration of diagnostic
findings

Attach documents

Draw lines and arrows (multi-

coloured)

Compare images in
different grids

Adjust brightness/ contrast

Flip and rotate images

Adjust brightness / contrast

Invert, zoom in / out

Full screen, fit image

PAN

Scroll through image series

Cine loop for multi frame series

and CT/ MRI

Export images and documents

Print images and documents

13
Cloud-based
Cloud-based telecommunication solution and
data archiving for images, documents and diagnostic
evaluations for stationary and mobile applications

Even for state-of-the-art practices and hospitals, the rapidly rising data flood of digital
images, diagnostic reports and other documents is becoming increasingly challenging.
Current legislation demands safe and long-term storage of patient data which generally
requires investing in expensive hardware infrastructure as well as maintenance and
corresponding staff costs.

To this end, we developed the ORCA Cloud archiving solution, thus paving the way for
cost-effective and safe Cloud-based data archiving in practices and clinics. ORCA offers
two application options:

Archive function: Safe, long-term archiving of patient data with intelligent

usage of internal databases
Share function: Communication platform (exchange of images and diagnostic
reports) with colleagues and specialists or as an easy way to forward image data
to patients (an alternative to creating patient CDs)

Data is exclusively archived on European servers with the relevant safety certificates.

Benefits of Cloud archiving through ORCA

ORCA
Minimal expenditure: ORCA does not require investing in expensive infrastructure such as server and data cables.

Scalability: The amount of memory required when using ORCA is determined by the demand.

Long-term security: ORCA archives data on many individual European servers in professional and air-conditioned
data centres. Server technology is continuously updated.

Accessibility: ORCA stands out by being highly accessible. Since data is saved with multiple redundancy,
ORCA guarantees more continuity than a mere server solution.

Environmentally friendly: ORCA is sustainable – through the optimised use of resources and their distribution.

Location-independent: ORCA guarantees access to archived patient data – worldwide.

Simplicity: ORCA allows easy access to data from any computer – from your place of work, from the comfort
of your home or from any other computer or tablet PC.

Stress-free: ORCA deals with everything – no need to struggle with loose network cables, removed hard
drives or software problems.

14
 ORCA
Archive Share
Image,
documents
and
diagnostics

Safe long term archiving of patient Communication platform for

data with intelligent use of professional colleagues and specialists as well as
„Archive“ data storage an easy way to forward image „Share“
data to patients
function function

Big and small hospital,

doctor's practice, ®
dicomPACS viewer
medical centre and Colleagues
Tablet-PC/Laptop
medical facilities on
ships, oil platforms etc.

®
dicomPACS
image
management system
Images,
documents

and
diagnostics
Referring physicians/ patients
Password protected
remote access
via mobile or
stationary devices

®
dicomPACS viewer
Diagnostic centres
home workstation

Share functionality
2. Automatic
e-mail notifications

4. Automatic
1. Authorise access e-mail notification 3. Diagnosis by
to a report in the cloud with diagnostic referring physicians,
with the help of report transfer diagnostic centres, or
the integrated address book colleagues (second opinion)

15
Special Chiro Tools
Diagnostic tools for optimal diagnosis

The Chiro Tools have been developed in cooperation with experts

from the USA and Canada and offer great possibilities for diagnosing
accurately as well as for planning further treatment. According to the
tool used, automated center lines and points, defined curves, angle
measurements etc., are generated after the manual selection of the
points of interest.
Of course all the standard tools (like distance measurement, angle
and Cobb angle, mark spots etc.) are also included.

Axis line
The tool creates a
vertical or horizontal axis,
depending on the direction,
in which the mouse pointer is
moved.

Orthogonal line
This tool is used to mark
perpendicular lines on existing
or yet to be drawn baselines.
The divergence from the x/y-
axis (nearer axis) is displayed
by default.

12°

16
 L: 8°

17
Chiro tools

George‘s line
This tool is used to draw
vertical lines on each vertebra
along the spine in a lateral
view and to calculate their
distances (in mm or inch).

Horizontal or vertical level

This tool calculates the
horizontal or vertical level. By
default the nearer axis is used
for calculation.

Circumscale
An arc is drawn through
three defining points and
the diameter of the
corresponding circle is d=4"

displayed by default. d=4"

Spinal curve
This tool is used to draw an arc
in the lateral view of the spine.
The annotation uses a fixed
radius set by default to
220 mm. Radius or degree can
be adjusted manually.

18
 Vertebrae line
This tool generates a vertical
line of six points (2x3) along L: 8°

the spinal canal and displays

the lateral divergence and
side of laterality in degrees.

Center point
This tool calculates the
center point between two
points.

Distance comparison
This tool compares the
distances between three
set points (between point
1and point 2 and between
point 2 and point 3) and
shows the larger distance.
52.9mm

Pelvic obliquity
This tool is a measurement that
8.3mm
is calculated automatically after
two simple clicks which
generate two horizontal lines
showing the distance between
these two parallels.

19
Special Tools
dicomPACS® Diagnostic tools for Upper Cervical Chiropractic

The Upper Cervical Chiropractic tool set has been created in cooperation with
leading experts from the US and Canada. It offers a variety of ways to reach a
fast and accurate diagnosis. Templates like the Cephalometer, Grid, Circumscale,
and Relatoscope enable you to continue working as you are used to.

S-Line and Hard Palate Line

and Raw Data Box
You simply set two points each
on C1 and the hard palate to
create the S-Line and the Hard
Palate Line. We will show you
the horizontal angles. All
measured values will be shown
in the raw data box. You can also
show and hide values manually.

Atlas Plane Line and

Atlas Check Line
The horizontal angle and
the angle between Atlas
Plane Line and Atlas Check
Line will be shown in the
raw data box.

Cephalometer and
Central Skull Line
Use the Cephalometer to draw
the Central Skull Line. Laterality
and Skull Tippage will be
calculated automatically. The
Four Elements and Listing
Information will be inserted
and are completely editable.

20
21
Axial Circle
The Body Center Line will
be set automatically and the 5,6"

Axial Circle will be calculated

and shown on the side of
laterality. You can set the
calculated measurement
manually to the value you
prefer.

Condylar Circle
Choose between the three
point and four point Condylar
Circle. The middle point will
be shown. You can set the
3,5"
3,5"

calculated measurement
manually to the value you
prefer. The Relatoscope will
use the shown value.

Odontoid Center and

Vertex Square
Mark the lateral aspects of the
dens and the Odontoid Center
Line will be inserted. After
marking the C2 canal, the
Vertex Square will be inserted
and the Spinous value will be
calculated depending on the
Condylar Circle.

Odontoid, Spinous
and Relatoscope
Use the Relatoscope to
apply the Spinous value
from Vertex to Nasium View.
Mark the lateral aspects of
the dens and the (corrected)
Odontoid will be inserted
automatically.

22
 Vertex Skull Line
After marking the nasal
structures, click the Inferior
Point button. The point will be
set automatically depending
on the Listing Information
value and the Vertex Skull Line
will be inserted. Atlas Rotation
will be calcuated.

Lower Angle and

Angular Rotation
The Lower Angle and
Angular Rotation will be
calculated automatically
after setting the Inferior
Point. You can also set a
corrected Inferior Point.

Intermastoid Line
Mark the inferior tips of
the mastoid processes.
The measured value, its
orthogonal divergence from 3,5"

the Central Skull Line, will

3,5"
also appear in the raw
data box.

Vertex Atlas Line

After marking the transverse
foramina of the atlas with
three points each, we will
draw the Vertex Atlas Line
and show the convergence
of C1 and C2.

23
Scope of delivery
The Divario CR-T include the following components as standard:

Components

CR unit for table

Cassette sizes type CC: 35 x 43cm (14" x 17"), 35 x 35cm (14" x 14"),
24 x 30cm (10" x 12"), 18 x 24cm (8" x 10"),
15 x 30cm (6" x 12")
Processing Capacity Up to 73 IPs/hr. (18 x 24 cm)
Reading Specification: 10 Pixel/mm, 5 Pixel/mm
Dimensions (H x W x D): 560 x 540 x 392mm (22"x 21"x 15")
Weight: 39 kg (861lbs.)
Operating conditions: • Temperature: 15-30°C
· • Humidity: 15 -80%RH (No dew condensation)
• Atmospheric pressure: 750-1060 hPa
Power Supply Conditions: Single phase 50-60Hz AC120-240V ±10% 1.9A (max)

Additional specifications for Divario CR-Tm with:

Resolution: 50 µm

In addition to the standard cassettes are available for Divario CR-Tm following IP
cassettes type CH: 24 x 30 cm (10" x 12")
18 x 24 cm (8" x 10")

CR cassettes
All common cassette sizes are available:
• included for Divario CR-T2: 1 x 35 cm x 43 cm
• included for Divario CR-Tm: 1 x 35 cm x 43 cm

Other formats and quantities available optionally

Divario CR-T software package

with dicomPACS®DX-R, the professional console software with
modern graphic user interface with generator control, integrated
X-ray positioning guide and basic software modules:
®
• dicomPACS DX-R DICOM Send SCU incl. MPPS and Storage Commitment
• dicomPACS®DX-R DICOM Worklist SCU + dicomPACS® Connect
• dicomPACS®DX-R DICOM Patient CD
• dicomPACS®DX-R Cognition Optimised Processing

Optional components:

®
dicomPACS DX-R controle console
Operating console (two options available), MS Windows 8 Professional, hardware
stress test, software pre-installation, system checked and ready to use

• Option 1: Archive and diagnostic station*

• Option 2: Notebook*

24
 Investment protection
If you wish to create your X-ray images with a flat panel system (DR = direct radiography) at a later stage, you only
®
have to exchange the Divario CR system for a flat panel. dicomPACS DX-R is already designed to implement such
a connection. You will not need to purchase new software or to get used to a new user interface.
This is what we call investment protection.

Built-in flexibility!
®
The dicomPACS DX-R software already includes all functions necessary to store X-ray images and provide
them to other workstations as a standard feature. Other workstations in your practice's network may load
®
these images directly and display them. This requires just one “dicomPACS Diagnostic Module Standard”
(optional extra) per workstation. Of course, the images can also be sent to an existing PACS system.

25
Version 001_05_2017

Portfolio Overview - products of OR Technology

DR retrofits - digital upgrade set for

existing X-ray systems incl. dicomPACS®DX-R
Medici DR Systems acquisition software, also available for stationary
and mobile X-ray machines

DR suitcases - compact suitcase solutions

®
Leonardo DR Systems for portable X-ray incl. dicomPACS DX-R
acquisition software

Complete digital X-ray systems (incl. stand,

®
bucky, generator, flat panel incl. dicomPACS DX-R
Amadeo X-ray Systems acquisition software etc.) as well as mobile and
portable X-ray solutions

CR solutions - CR systems for digital

Divario CR Systems ®
X-ray with cassettes incl. dicomPACS DX-R
acquisition software

Accessories for X-ray

X-ray Accessories (e.g. radiation protection walls, gloves etc.)

Image management (PACS) - comprises

dicomPACS R
acquisition, processing, diagnosis, transfer and
archiving of image material

Cloud-based archive solution - safe, long-term

archiving of patient data with intelligent usage of internal
ORCA databases, communication platform with colleagues and
specialists and transfer of image data to patients

dicomPACS R
DX-R X-ray acquisition software [only for OEMs] -
acquisition and diagnostic software for X-ray images
X-ray Acquisition Software from flat panels or CR systems

OR Technology
Digital X-ray and
I m a gin g S olu t i o n s

Info hotline: +49 381 36 600 600

OR Technology (Oehm und Rehbein GmbH)
18057 Rostock, Germany, Neptunallee 7c
Tel. +49 381 36 600 500, Fax +49 381 36 600 555
www.or-technology.com, [email protected] [Stamp of distribution partner]