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PoC LLI Sales Training January 15, 2010 Unrestricted Internal Use Unrestricted Internal Use Page 1 Agenda Training Objectives Why LLI? Target Customers / Market Value Proposition The Carestream Long Length Imaging System & Components Key Selling Points Catalogue Numbers / Pricing Availability Unrestricted Internal Use Page 2 Training Objectives Understand the target customers and market Understand the CSH LLI solution, the benefit to the customer, and the LLI options Ability to successfully sell the solution Unrestricted Internal Use Page 3 Why LLI? Target Customers / Market Long Length Imaging (LLI) exams include scoliosis and other leg-length exams that require a larger area to be imaged than can fit on a typical 14” x 17” screen Target: Facilities that would perform long length exams include hospitals, general imaging centers, orthopedic clinics, and chiropractic offices Unrestricted Internal Use Page 4 Target Customers Target: Customers looking for solutions enabling imaging of full spines, lower extremities with patients in an erect or supine position and a solution that can be used in multiple places: On the radiology table in the x-ray room In the x-ray room with patients in an upright position with cassette against a wall Bed side exams where the cassette would be pushed under the patient In the operating room Unrestricted Internal Use Page 5 Target Customers Target: Customers wanting to transition more of their radiography operations for digital for: Improved workflow Eliminating film and storage expense Having easy access and distribution of images Target Decision Makers: Radiology administrators / Office managers Target Influencers: Radiologists, Orthopedic surgeons, Radiology technologists Unrestricted Internal Use Page 6 Value Proposition Enjoy the benefits of digital capture and processing of long length exams with the easy to use Carestream Long Length Imaging System and your PoC 360 system Unrestricted Internal Use Page 7 The Carestream Long Length Imaging System The Carestream Long Length Imaging System will be an option for new Kodak PoC 360 Systems and the Carestream Vita CR (currently in development) The LLI System will also be available as an upgrade option to the installed base of PoC 360 Systems The LLI System will work on CRs in the tabletop configuration only– it will not work on readers on Z-Carts Accessory options include a portable caddy with grid, wall stand holder with grid and beam attenuation filters Always present this option as part of the PoC 360 sale for customers performing long length exams Unrestricted Internal Use Page 8 LLI System Components – Screen & Cassette The Carestream Long Length Imaging System uses a single Carestream GP flexible screen and double-ended 14” x 33” cassette Weight 10.8lbs / 4.9kg Size 14” x 33” / 35 x 84cm Source to Image Distance (SID) 40-72” / 102-183cm Unrestricted Internal Use Page 9 LLI System Components – Screen & Cassette Cont. The tech is able to use the solution in full daylight conditions- no need to use in subdued light or darkroom to load or process the cassette After exposure, the tech will first insert the cassette end labeled #1 in the PoC 360; When the scanning is complete the tech will then insert the end labeled #2 to scan the opposite end of the screen. The software will automatically stitch and display the resulting image for review Unrestricted Internal Use Page 10 LLI System Components - Software Software Version 3.0 SP5 is required + LLI Stitching Software License (CAT no. 8135006 or 8201212 – Page 14) The user would select the Full Spine / Full Leg exams from the Organs/Sub-Organs Buttons Unrestricted Internal Use Page 11 LLI System Components – Software Cont. As part of the Kodak QC Software, a stitching algorithm is used to automatically combine the 2 scanned images into a single image for display– this is the same algorithm used for the Kodak DirectView LLI products There is no need to manually align, order or rotate images in preparation for stitching– the software does it automatically Distribute the stitched image to softcopy workstations or hardcopy laser imagers just like any other scanned image Note: Printing true size will not fit a regular paper size Unrestricted Internal Use Page 12 LLI System Components – Support Bracket The LLI system will use a support bracket attached to the reader to support the long cassette while it is inserted in the scanner This stabilizing mechanism prevents plate movement and cassette distortion over time The support bracket slides out of the way when a long length cassette is not in use Unrestricted Internal Use Page 13 LLI System Components – Portable Caddy with Grid The portable caddy with grid allows for imaging of supine long length exams or could be hung on the wall for upright exams Easily move from location to location Grid cannot be removed Note: Can NOT be used interchangeably with the DirectView Portable Caddy, as cassettes are different sizes Weight 17lbs / 7.7 kg Size 17”W x 1.2”D x 40.2”L / 43 x 3 x 102 cm Grid Ratio 8:1 with 103 LPI Unrestricted Internal Use Page 14 LLI System Components – Vertical Cassette Holder with Grid Conveniently holds LLI cassette for upright long length exams Has a range of ½” from the floor to 74” and can be adjusted in 1” increments to accommodate the patient height and body part to be imaged Can use close to the floor to image the ankle for leg-length exams – eliminates the need of the patient climbing a step Grid cannot be removed Note: Can NOT be used interchangeably with the DirectView Vertical Cassette Holder, as cassettes are different size Grid Ratio 8:1 with 103 LPI (Same as portable caddy) Unrestricted Internal Use Page 15 LLI System Components – Beam Attenuating Filters Required for optimum image quality Beam Attenuation Filters help ensure uniform exposure by compensating for varying degrees of body thickness; This creates a more uniform density and look throughout the stitched image CSH provides these as an option for customers who do not currently own filters The attenuating filters are made of a lead-plastic material that is 30% lead by weight. Since lead is an efficient absorber of x-ray the filters attenuate the x-ray beam Unrestricted Internal Use Page 16 LLI System Components – Beam Attenuating Filters Cont. The filters are magnetically held in place by a filter holder (Cat# 1686526) that easily attaches to the collimator accessory tray 2 filters are available: Lateral thoracic spine CAT# 8515157 AP/PA CAT# 1955046 Unrestricted Internal Use Page 17 Beam Attenuating Filters – Patient Positioning AP/PA Beam Attenuation Filter CAT# 1955046 Beam Attenuation Filter Holder CAT# 1686526 Lateral Beam Attenuation Filter CAT# 8515157 Unrestricted Internal Use Page 18 Workflow Double click the Acrobat icon below to view a detailed LLI procedure for Vita Unrestricted Internal Use Page 19 Key Selling Points The Carestream Long Length Imaging System allows customers to move their scoliosis and leg-length exams to digital for improved workflow, easy access to images and easy storage The portable caddy with grid allows users to perform bedside supine exams for broader use; Gridded exams provide higher image quality to the radiologist; The caddy with wheels makes it easy for the tech to move from room to room The vertical holder with grid allows easy positioning of the patient for upright exams; The user can quickly place the cassette for the exam needed– extends from the ½” off the floor to 74” Unrestricted Internal Use Page 20 Key Selling Points – Cont. The Carestream automatic stitching software uses a proven algorithm for fast and accurate stitching; No tech interaction is required LLI cassettes are lighter than their analog alternatives (approx 2.5lbs) making it easier for the tech to move around The beam attenuation filters and holder provide a uniform image from top to bottom making it easier for the radiologist to make their diagnosis Unrestricted Internal Use Page 21 Availability Availability of the Carestream Long Length Imaging System and Components is Q1 2010 Unrestricted Internal Use Page 22 Unrestricted Internal Use Page 23