Royal National Orthopaedic XR

The Royal National Orthopaedic Hospital (RNOH) in Stanmore recently acquired a Canon Ultimax-i X-ray fluoroscopy system. The new equipment, with its innovative design, provides a multi-directional interactive digital C-arm system, which makes it an ideal solution for all patients. It brings all the benefits of flat panel detector technology together with a comprehensive dose reduction programme. Effective dose management is available with a variety of fingertip controls, with three dose modes capable of reducing dose by up to sixty percent and three filters reducing hard and soft X-ray exposure.


The RNOH as a dedicated orthopaedic hospital will be performing exams mainly associated with orthopaedic injury and pathology. Antony Turner, Imaging Services Manager, says, “We chose Canon for the RNOH because it ticked all our boxes.  The equipment is easy to use, so training was easy to implement with our radiology and urology staff. The table height goes really low, which is a huge advantage for the types of patients we see on a regular basis.   We were very impressed with the enabling works and applications specialist support. The image quality is excellent and feedback from both radiographers and radiologists is very positive.  I am really pleased we went with Canon.”


With the Ultimax-i the RNOH has acquired a versatile, flexible system, designed to satisfy a wide range of clinical imaging and interventional needs. In fact the Ultimax offers ‘three systems in one’, with angiography, radiography/fluoroscopy and direct radiography all in the one unit. The C-arm system with a digital X-ray table is provided with remote and local operation, with rapid table and C-arm motion allowing virtually any position and projection whilst capturing high-resolution clinical images.


The tabletop may be lowered to only 52 cm above the floor, this height being ideal to meet the requirements of patients in wheelchairs, significantly reducing the burden on operators and assistants during patient transfer. Once the patient is initially positioned on the table, the quiet, smooth operation of the table-tilt can perform subsequent positioning without additional patient manipulation. In addition, the anatomical coverage from head to toe is in excess of two metres, taking into account the scanning range of 163 cm and the size of the 43 x 43 cm detector.



Shown here, left to right: Gordon Stewart and Anna Drozdz, Radiographers; Edmond Kinene, Superintendent Radiographer; Jenny Armstrong, Radiographer; Nina Ghodrati, Superintendent Radiographer; Ella Mukherjee, Senior Radiographer; Sujatha Herath, Radiographer; Chi Burt, Account Manager and Dan Parr, Applications Specialist, both of Canon Medical Systems, with Antony Turner, Imaging Services Manager


Canon Medical Systems has a carbon-zero project in place.   We have calculated the carbon footprint for each of our products to include manufacturing, shipping, delivery and average hospital energy useful for the standard lifetime of the equipment as follows:

X-ray equates to 13 stoves and 50,781 litres of water