ABOUT BONE DENSITOMETRY
Introduction
Different Techniques
Dexa or Ultrasound?


BONE DENSITOMETRY EQUIPMENT
Types of Equipment
New or Preowned?
Operator Requirements


BONE DENSITOMETRY PRACTICE
Why offer Bone Densitometry?
Indications for Bone Densitometry
Patient Reimbursements
Favorable Legislation


ABOUT OSTEOPOROSIS
Basic Facts
Not Just a Woman's Disease
Prevention & Treatment
Links


INTEGRITY'S B D EQUIPMENT PROGRAM
Why Bone Densitometry is Important Now
How IMS Can Help

BUY A Bone Densitometer
SELL Your Bone Densitometer


TERMS OF USE





© 2013, Integrity Medical Systems, Inc.

BONE DENSITOMETRY EQUIPMENT


Purchase Options
When purchasing bone densitometry equipment, it is important to choose a knowledgeable supplier. Integrity Medical has the best knowledge-based sales team in the industry. We have the expertise to advise practitioners and purchasing managers on the best technology for specific needs. We have access to superior quality equipment at prices tens of thousands of dollars below manufacturers’ new prices. With Integrity Medical as a purchasing resource, price will never be an obstacle to making bone densitometry a part of your practice.

But before you call us, please take the time to read the information we gathered for you on this website. An educated customer is an empowered customer. The more you know, the better we will be able to serve you. Also, see "Terms of Use".

The three largest companies producing bone densitometry equipment are GE-Lunar, Hologic, and Norland, followed by Schick Technologies, DMS, and Osteometer Meditech. The equipment ranges from smaller, less expensive peripheral diagnosis units, to larger DEXA tables that provide the gold standard in BDM. When choosing among DEXA systems, beam shape should be considered. While systems using fan-beam technology offer shorter scan times and higher patient throughput by performing a single sweep across the patient, this technology exposes the patient to higher radiation, and is thought by some authorities to be less accurate than pencil-beam systems. Scan times for fan-beam densitometers range from 10 to 30 seconds, as opposed to 5 to 10 minutes for typical pencil-beam systems. Pencil-beam systems, however, offer lower exposure to radiation and typically cost less than fan-beam systems.

Installation of a table-based DEXA system typically requires an examination room that can accommodate the scanner table as well as the operator console. Depending on the size of the table and operator console, a room measuring 244 x 244 cm (8 x 8 feet) or greater may be necessary. Peripheral units typically can be accommodated into very small spaces, with many of the models being fully portable for mobile usage. Integrity also offers fully mobile table-based configurations mounted in vans and buses. Call for more details on building a fully mobile Bone Densitometer system.

Further information regarding the logistics of shipping, installation and space requirements is available from Integrity Medical's sales, shipping and technology specialists. If you choose one of Integrity's "turn-key" sales packages, we will take care of these logistical details for you. We also offer attractive lease and financing rates through selected companies specializing in preowned medical equipment financing. We address the issue of operator requirements near the end of this section.

Here is a sampling of Integrity's best-selling refurbished and new units. It is by no means an all-inclusive list of the units available on the market. View our online catalog of "Equipment for Sale" at Integrity's homepage for our current listings, updated daily.

GE- Lunar


DPX Series : Full table based, pencil-beam DEXA system. Available in six-foot and eight-foot table sizes. Perhaps the most popular choice among our clients. Models include: DPX, DPX-a, DPX-L, DPX-MD, DPX-IQ,DPX-NT, and the current version, DPX-Pro.

Expert XL : First generation table based DEXA fan-beam system.

Prodigy : Full-size, current-generation, quality fan-beam, table based DEXA system. Uses advanced digital detector technology, and upgradable to Instant Vertebal Assessment (IVA), and DICOM connectivity. Most available of the current-generation as a refurbished system.

Pixi : A true DEXA peripheral system, offering the unique ability to measure both forearm and heel. Can be set up on a table or desk for forearm scanning, or placed on the floor for heel scanning.

Achillles Series : A lightweight ultrasound peripheral system which produces "Z" and "T" scores by measuring the heel (calcaneous). Available refurbished in several styles, including Achilles Solo, Express, and Plus. Current production models are the Achilles Express and Achilles Insight.

Hologic


QDR - 1000 Series : Table-based, pencil-beam system which includes the QDR-1000, and QDR-1000 Plus. See current model QDR-4000, which is simply a re-packaged QDR-1000 Plus. Very popular choice.

QDR - 2000 Series : First generation fan-beam, table-based technology, which offers the option of supine-lateral scanning and wholebody scanning. The budget-choice for fan-beam scanning.


QDR - 4500 Series : A full-size, high-quality fan - beam system which includes the QDR-4500C, 4500W, 4500SL, and 4500A, all current production models. The 4500SL and 4500A are both upgradable to current generation Delphi systems.

Delphi



Current model fan-beam table-based DEXA system, which offers Instant Vertebal Assessment (IVA), as well as DICOM connectivity. May be purchased in Delphi-C, Delphi-W, Delphi-SL and Delphi-A configurations, which include wholebody and supine lateral options.



Sahara : Small, light-weight ultrasonic bone density system, for heel (calcaneous) scanning. An excellent choice for mobile usage due to its small size and rugged construction. Single-button operation; waterless ultrasound; test results available immediately.

Norland (Cooper Surgical)

Eclipse: A six-foot table based system that comes with capabilities to do DEXA studies of the hip, AP spine, and forearm, as well as custom software for dealing with implants and scoliosis.

Eclipse: An entry-level six-foot DEXA table in current production.


XR-36 and XR-46: The eight-foot table adds to the excellence of the Eclipse by adding body composition and body fat calculations to its whole body scanning capabilities.

Apollo: Peripheral DEXA scanner for heel scanning.

Schick Technologies Inc.

accuDEXA: Small, counter-top DEXA, for assessing the phalanx of the middle finger. Inexpensive.

Osteometer Meditech


DTX Series: The current model, DTX-200 DexaCare is a forearm DEXA scanner with a unique floor-standing, wheeled design.

DMS

Ubis 5000: A high-quality peripheral French product which uses ultrasound scanning to assess the calcaneous, and produces a real-time image of the Region of Interest (ROI).

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New or preowned?

According to MEDICAL IMAGING MAGAZINE, "generally, refurbished equipment sells for between 40 percent and 60 percent of the cost of new." Obviously the dollar-for-dollar values to be found in purchasing preowned equipment have contributed to the soaring rise in preowned sales. In an article entitled "Refurbished Equipment: Knowing When It's the Best Option," [April 2001, vol.16, no. 4], industry specialists report that "a steadily growing demand over the past 10 years has spawned an increase in the number of refurbished equipment vendors and the variety of equipment available.

The article quotes David Denholtz, President and CEO of Integrity Medical Systems, on the prime motivation behind burgeoning preowned diagnostic imaging sales:

"If you ask any customer why he bought refurbished, he will say, to save money. If I could buy new, I would buy new," declares David Denholtz, president and CEO, Integrity Medical Systems, Inc. (Ft. Myers, Fla.)."



The economic advantages of preowned equipment can make it easier for a practitioner or health care organization to introduce a new diagnostic modality, or offer a new service. Buying a preowned bone densitometer can make it feasible to offer this service to patients, or to upgrade from a peripheral unit to a table DEXA.

Integrity Medical has the most extensive inventory of preowned bone densitometers of any dealer in the US. Many of these units are fresh from manufacturer's leases. Integrity Medical has a limited number of "In the box/like new" units straight from major manufacturers Š an unparalleled opportunity to purchase top-of-the-line technology at less than 50% off of brand new prices.



Operator Requirements


Who may become qualified to operate bone densitometry equipment in your practice, and what are the requirements?

As with the purchase and operation of any kind of diagnostic imaging equipment, Integrity Medical recommends that you contact your state's Department of Health, which will refer you to their Bureau of Radiation Control. For example, in the State of Florida, all radiation machines must be registered with the radiation machine program office within thirty days of installation and will be inspected annually. Radiation Control personnel can aid you in identifying one or more qualified training candidates in your practice or organization. Once you have identified your training needs, no matter where your practice is located, Integrity Medical can arrange on-site instruction by a factory authorized trainer. Integrity Medical also offers "turn-key" bone densitometry package programs {clickable} that include factory-authorized training free of charge.

The following information pertains to State of Florida regulations. Most states have similar requirements; again, check with your State Department of Health before purchasing a bone densitometer:

Examinations must be authorized by a State of Florida licensed practitioner of the healing arts. Only examinations for healing arts purposes are allowed.

Any State of Florida licensed physician can operate the equipment. Integrity Medical recommends that the physician undergo initial on-site training by our factory authorized trainer. Any state certified RT (Radiographic Technologist) can operate the equipment after initial on-site training by our factory authorized trainer. In most states, basic x-ray machine operators, nuclear medicine technologists and general radiographers may operate bone densitometry equipment after machine-specific training. In some states, any person trained on-site by our factory authorized trainer can operate the equipment provided they are scheduled to take a State Board of Health approved sixty (60) hour limited X-ray certification course. Some states allow operators to begin running the equipment immediately even if they have not taken the course or received a limited X-ray certification.

In most states, the bone densitometer's low levels of radiation require no additional shielding, and a distance of three feet away from the edge of the operating table is a sufficient background area.

In the state of Florida, contact: Department of Health, Bureau of Radiation Control, Radiation Machine Program, P.O. Box 210, Jacksonville, Florida 32231 Phone: (904) 359-6363, Fax: (904) 359-6362. Specifically request "Information Notice Number 22 (October 1998)."


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