MEDICALDELTA

Cabinet medical Mercado la Tulcea

viziteaza www.medicaldelta.ro

Farmacie Senfarm la Tulcea

viziteaza www.medicaldelta.ro

o echipa de prestigiu

vezi galeria foto

vezi aparatura medicala din dotare

vezi preturi
SOMATOM Definition
Environmental Product Declaration

www.siemens.com/medical
Progress that is Impressive –
Ecological Advantages of
SOMATOM Definition
• Dose reduction for heart examinations up to 50%
• Energy savings of up to 30% for standard examinations
• Reduction of lead content over 80% (from 110 kg to 19 kg)
• All substances contained in the product and its packaging are documented
• Plastic parts are labeled for recycling
• Disassembly instructions for high-quality recycling are available
• Complete CT systems and their components are taken back and refurbished
• Product take-back according to strict EU directives
• More than 95% of the materials used can be returned to the flow of recyclable materials
• Environmental product declaration is available for download via internet

Validated information
according to EMAS is marked
by a grey background and
the statement EMAS: validated
information.
SOMATOM Definition:
Reduction of Lead Content

Rotating components of CT-systems have to be balanced for a

quiet running. The easiest way is the use of lead as counter
balance. But lead is a toxic element. Therefore we abandoned
the usage of lead as counter balance at SOMATOM Definition
completely. But lead is also necessary for shielding and shaping
of radiation. There is no technically and economically feasible
alternative at present. Nevertheless it was possible to optimize
this lead content.
Altogether the lead content was reduced from 110 kg to
19 kg, this means a reduction of more than 80% compared to
SOMATOM Sensation 16.
EMAS: validated information – Environmental declaration 2006

Reduction of Dose and Energy Consumption
It was a challenge to reduce energy consumption
and dose in spite of two X-ray tubes. The following
three actions led to success:
• Modulation of X-rays to different heart phases
• Patient table travelling speed adapted to pulse
rate
• Bowtie-filter protects surrounding tissue
Reduction of energy consumption during examina-
tions leads mostly to a reduction of absorbed radia-
tion dose.
For heart examinations the reduction of dose
amounts up to 50% compared to systems without
any dose modulation.
Dual Source CT.
As the first CT-system worldwide
SOMATOM Definition offers two x-ray
tubes and two detector systems.
This allows cardiac imaging twice
as fast as with the fastest single
source CT.* Not only independent of
the heart rate, but also without
the compromises of beta-blockers or
multisegment reconstruction.
Besides, SOMATOM Definition opens
the door to Spiral Dual Energy
imaging, enabling material characteri-
zation in a single scan.
* Competitive information provided is based on
interpretation of available data and may require
independent verification.
Detectors of modern CT-systems consist of many
rows. So X-rays can be utilized better and absorbed
radiation doses can be reduced. Radiation dose is
adapted to the density profile of respective body
regions via the new CARE Dose4D™-technology.
Adoption of dose modulation as well as increasing
of detector rows generates energy savings of 30%
during a normal thorax examination in comparison
to SOMATOM Sensation 16-slice configuration.
EMAS: validated information
Environmental declaration 2006
3
Environmental Management System
Our environmental, health and safety management system
conforms to ISO 14001 and helps us put our policy into practice.
Our German manufacturing facilities were among the first to be
validated to EMAS (Environmental Management
and Audit Scheme).
You find further information about our environmental, health and
safety management system at www.siemens.com/medical-ehs.

Environmental Product Design

Material supply: Siemens Medical Solutions considers environmental aspects

From natural resources to delivery in all phases of the product life cycle, including material supply,
of semi-finished products production/delivery, use/maintenance and end of life.

Production/delivery: Our product design procedure fulfills the requirements of

From production of components to IEC60601-1-9:2007 “Environmental product design for medical
operation startup by the customer electrical equipment”.

Use/maintenance: This standard supports the effort to improve the environmental

Includes daily use by our customers performance of our products.
as well as maintenance

End of life:
From disassembly at the customer
through material and energy
recycling
 Identification of Product Ingredients

SOMATOM Definition is mainly build

out of metals. This ensures a high degree Other Materials 1,1 %
Plastics 10% Organic substances 1,6 %
of recyclability.

Total weight: approx. 4850 kg Inorganic materials, Critical substances 0,76 %

ceramics 1,7 %
EMAS: validated information Other metals and
Environmental declaration 2007 semimetals 0,24 %
Precious metals Ferrous alloys,
0,0073 % steels 61 %

Nonferrous metals
and alloys 23 %

4
 Reduction of Gadolinium Oxide
Reduction of Critical Substances for production of CT detector ceramics

Consumption of Gadolinium Oxide (kg/dm2)

0,70

The consumption of material per unit area 0,60

for CT detectors was reduced signifi-
cantly. Today we need only 40% of Gado- 0,50
liniumoxide for production of a defined
0,40
surface area of CT detector ceramics in
comparison to five years ago. 0,30

EMAS: validated information 0,20

Environmental declaration 2007
0,10

0,00
FY FY FY FY FY FY
00/01 01/02 02/03 03/04 04/05 05/06

Cumulated Energy Demand

1200

Energy consumption is the most impor- 1000

900**
tant environmental characteristic of med-
Primary Energy in MWh

ical devices. This is why we use cumula- 800

tive energy demand to assess environ-
600
mental performance. Cumulative energy
demand is the total primary energy* that 400
is necessary to produce, use and dispose
200 160
of a device – including all transportation. 100
Our medical devices can be recycled 0
almost completely for materials or energy. -40
With end of life treatment it is possible to -200
return 40 MWh in form of secondary raw ■ Material supply ■ Manufacturing/delivery
■ Use/maintenance ■ End of life
materials or thermal energy to the
economic cycle. ** based on 60 patients per day, 20 sec scan time, 10 years usage

* primary energy is the energy contained

in natural resources prior to undergoing
any human made conversions (e.g. oil,
solar).
EMAS: validated information
Environmental declaration 2007

Product Take Back

Our product take back program ensures
The materials of which SOMATOM Definition is produced we address the environmental aspects of
are mostly recyclable. 97 % (by weight) can be recycled our products – even at the end of life. As
materially and 3 % energetically. part of this program, we refurbish sy-
stems and reuse components and repla-
EMAS: validated information
Environmental declaration 2007
cement parts whenever possible through
our Refurbished Systems business. We
The high-performance X-ray tube assemblies are designed reuse components and subsystems for
the way that as much parts as possible may be reused. At the non-medical products. We also recycle for
end of life the tube assemblies are taken back and are material or energy value. Disassembly
refurbished. Quality is guaranteed by compliance to standard instructions for disposal and recycling are
IEC 62390. Under optimal conditions up to 40% of a tube available for our products.
assembly may consist of reused parts.

EMAS: validated information

Environmental declaration 2006
5
 Operating Data
Heat emissions of the device
– basic load1 3,6 kW
– full load2 15 kW

Allowed ambient temperature3 18ºC - 28º

Allowed relative humidity 20 - 75%

Noise level
– basic load1 ≤ 57 dB(A)
– full load2 ≤ 64 dB(A)
Energy consumption:
– during ramp up4 4 - 14kW
– basic load1 3,3 kW
– full load2 67,4 kW

Power-on time4 < 4 min

5
Power-off time < 2 min
1 2
device is in operation but no patient examination takes place
average value at examination of patients
3
within examination room
4
from off-mode to operating state
5
from operating state to off-mode

syngo®, the ergonomic and user-friendly Technical Specifications

user interface supports the clinical
Interface for heat recovery ₃
workflow. The intelligent automation
functions accelerate your examination Possible type of cooling Standard: water/water
and make a smooth, efficient workflow for Optional: water/air
all modalities, departments and people Complete switch-off is possible ₃
possible. With syngo your work-place is
prepared for your mode of operation Device is adjustable for the
user in terms of height ₃
perfectly.
Uniform operating symbols for
device families ₃

Radiation
Measures/technics to minimize - Ultra Fast Ceramic (UFC ) detectors
Ionizing radiation exposure - CARE Dose4D™
- Shaped Filter

Minimization compared to the limit Minimization in %

value for patients head 1,3%
sinus -65,1%
thorax -64,1%
abdomen -37,1%
pelvis -50,4%
Oberbauch -39,4%
spine -49,4%
heart -59,0%

Measures/techniques to Not applicable

minimize the exposure
to electromagnetic radiation

Minimization compared to the limit Not applicable

value for users
6
 Replacement Parts and Consumables
Item Life cycle*

x-ray tube 1 year warranty

UPS-battery 36 months

* recommended exchange interval

Disposal / Substance Information

End of life concept ₃

Recycling information ₃

List of hazardous substances ₃

(not contained in the device)

Cleaning
Incompatible cleaning
processes
– total device ₃
– restrictions for particular ₃
device components

List of incompatible
substance classes

– total device sprays

– restrictions for particular
device components
Suitability of the device for
sterile areas
chlorine releasing agents
substituted phenols based agents
scouring cleaning agents
organic solvents
ammonia releasing agents
containing silicon agents
₃
₃

Size of the surface to be approx. 3 m2

cleaned*

* gantry-tunnel (inside), patient tabel overlay, control elements, console,

keypad, intercom, mouse

Further Ecologically Relevant Information

Elements of instruction are:

– recommendations for saving energy ₃

– recommendations for efficient cleaning ₃

– recommendations for appropriate use of consumables ₃
7
On account of certain regional limitations of Contact Address Germany
sales rights and service availability, we cannot Siemens AG, Medical Solutions
guarantee that all products included in this Computed Tomography
brochure are available through the Siemens Siemensstr. 1, D-91301 Forchheim
sales organization worldwide. Availability and Germany
packaging may vary by country and is subject Telephone: +49 9191 18-0
to change without prior notice. Some/All of the
features and products described herein may not
be available in the United States.

The information in this document contains

general technical descriptions of specifications
and options as well as standard and optional
features which do not always have to be present
in individual cases.

Siemens reserves the right to modify the design,

packaging, specifications and options described
herein without prior notice. Please contact your
local Siemens sales representative for the most
current information.

Note: Any technical data contained in this

document may vary within defined tolerances.
Original images always lose a certain amount
of detail when reproduced.

The statements contained herein are based on

the actual experience of Siemens customers.
Siemens maintains data on file to support these
claims. However, these statements do not
suggest or constitute a warranty that all product
experience will yield similar results. Results may
vary, based on the particular circumstances of
individual sites and users.

Please find fitting accessories:

www.siemens.com/medical-accessories

© 05.2007, Siemens AG
Order No. A91CT-00443-04C1-7600
Printed in Germany
CC CT 00443 WS 07070.5

Siemens AG Headquarters
Wittelsbacherplatz 2 Siemens AG, Medical Solutions
D-80333 München Henkestr. 127
Germany D-91052 Erlangen
Germany
Telephone: ++49 9131 84-0
www.siemens.com/medical
www.siemens.com/medical

MERCADO
Dr.Popescu Sena, medic primar boli interne,competenta ecografie
Dr.Popescu Ion, medic primar chirurg
Dr.Constantin Lucia, medic primar radiologie si imagistica medicala,competenta in
tomografie computerizata si mamografie
Dr.Ionascu Nina, medic primar radiologie si imagistica medicala,competenta tomografie
computerizata si mamografie
Dr.Cucu Amalia, medic primar radiologie si imagistica medicala,competenta in tomografie
computerizata
As.Sandu Alexandru, asistent principal radiolog
As.Iorga Emilia, asistent medical principal radiologie
As.Antonov Valentina, asistent medical principal radiologie
As.Cicarac Corina, asistent medical principal generalist

SENFARM
Farm.Valcu Vasile Teodor, farmacist primar,diriginte de farmacie
Farm.Ionescu Mina, farmacist specialist
As.Veisel Ramona, asistent farmacie
As.Sandu Mariana, asistent farmacie
As.Vancea Laura, asistent farmacie
As.Munteanu Elena, asistent farmacie

Suntem o societate cu raspundere limitata avind ca domeniu de activitate asistenta

medicala ambulatorie de specialitate cu sediul social in Tulcea, str.Isaccei nr.29, bl.I7,
sc.H ap1 si avind doua puncte de lucru in Tulcea:

-str.Isaccei nr.29, bl.I7, sc.H ap 2, unde se efectueaza consultatii si tratamente

in domeniul medicina interna si chirurgie, dar si ecografii 4D cu un ecograf de
ultima generatie ACUSON X500 produs de firma SIEMENS

-str.Grivitei nr. 33, care este un centru de tomografie computerizata in care este
amplasat un tomograf SOMATOM BALANCE produs de firma SIEMENS. Intr-o
cladire noua, la aceeasi adresa, functioneaza un centru de diagnostic imagistic
cu mamografie si radiodiagnostic classic la parter si osteodensitometrie DXA si
videoendoscopie la etaj. Aparatura folosita este de ultima generatie, astfel
MAMMOMAT 1000-SIEMENS, MULTIX SWING-SIEMENS, OSTEOCORE-MEDILINK
si VIDEOENDOSCOP PENTAX.

Din 2009 societatea este certificata ISO 9001/2001 si respecta standar-

dele in vigoare privind managementul calitatii.

Punctele de lucru sunt situate in zone centrale ale orasului asigurind accesul facil
al pacientilor la serviciile oferite. Contractul de colaborare cu farmacia Senfarm
completeaza gama serviciilor punind la dispozitia pacientilor medicamentele necesare
tratamentului recomandat
Personalul este format din cinci medici: un internist cu competenta in ecografie
generala, un chirurg si trei radiologi cu competente in ecografie generala si
tomografie computerizata, toti avind titlul de medic primar. Acestia sunt sistati de
trei asistenti cu grad principal, din care doi radiologi. Serviciile de secretariat sunt
asigurate de o angajata specializata.