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Front-edge technology and the human body
This year, a woman will be diagnosed with breast cancer every third minutes. A woman will die from breast cancer every 13 minutes. An early and proper discovery still remains the single and most important factor in long-term survival.
It's almost 3 p. m. on a January Friday after-noon in a cold and snowy Stockholm, but inside the Siemens building, at the development department for mammography it is steaming with activity.
Göran Gåsebrant, project leader, receives us and we walk almost immediately over to the demo center where he and his colleague Lennart Zetterlund, product manager, with lots of enthusiasm start to tell us about mammo-graphy and x-rays and their current project, the next generation mammography system.

Advanced technology saving lives
Mammography is an advanced technology that demands the greatest precision of all X-ray technologies. It uses a low-powered technique and is used to examine changes in the breasts that either the doctor or the patient has felt.

Mammography can also detect tumors and cysts not felt yet and help differentiate benign (noncancerous) and malignant (cancerous) disease. Any suspected changes in a breast are biopsed. (Biopsy – a small piece of tissue is removed for microscopic examination or testing).
Screening mammograms are important for early breast cancer detection, even when a woman doesn't have symptoms. In many countries, such as the USA and Sweden, there are general recommendations of mammogram screening every 1-2 years for all women age 40 and older.

Three criterion
Siemens has been working with medical technology developments and products, such as x-rays, since the 1940's and has been active in mammography developments for more than ten years.
However, this is the first time that Siemens is outsourcing the development of such a vital component in the mammography system as the generator.
The main reason is a need to focus on the company's core business, which is system technology.
But cost effectiveness alone is not the only reason for outsourcing – Siemens also wants to make sure that the latest and most modern components is used for the mammography generator.
And last but not least, the new mammography generator needs to be easy to install, which calls for new and innovative ideas of the design. Classic mammography systems have the generator as a standalone unit, but not this one.

How it all started
At the time when discussions were going on internally about outsourcing the generator development, Powerbox became aware of the new mammography project that Siemens was working on.
Since Powerbox has been active in the medical area in the past, it was natural for Kalle Strandberg and his team to start thinking about how they would like to solve the power supply in this specific application. When Powerbox approached Siemens with their proposal the timing couldn't be more perfect.

After the first meeting with Powerbox however, Siemens decided to send out a request for proposal to a number of suppliers, just to ensure that they really got the best and most cost effective solution.
Göran Gåsebrant and Lennart Zetterlund were familiar with Powerbox, but had never worked with them before. “We had heard about Powerbox, but mainly in connection to small lab units”, says Mr. Gåsebrant.
Both of them stress that the vast experience and competence that Powerbox and Kalle Strandberg have shown in the field of power supply and generators were crucial for their final decision. “We are impressed by Powerbox's proactive approach and the professionalism they show. And not least by how competent and engaged they are presenting their ideas and proposals” says Lennart Zetterlund.
Eventually, Powerbox got the order in fierce competition with quite a few well-known suppliers, and the development project got started.

A close cooperation
Since the beginning of the project, there are and have been daily contacts between Siemens and Powerbox. That is a way to catch the flow of new concepts and ideas, which is something all team members agree is important in the development process.
“I think Powerbox is quite unique to have this kind of close cooperation with its customers”, says Lennart Zetterlund.

And Kalle Strandberg from Powerbox really is part of the Siemens- Elema development department – he even has his own Siemens badge, and is literally able to walk in and out as “a kid in the house” when needed. He too, is very excited about the project, and thinks it is a great honour for Powerbox to be entrusted the responsibility of developing the mammography generator.
“The co-operation with Powerbox has been working very smoothly, I think one main reason is the close distance geographically between our offices” says Göran Gåsebrant. “If I call Kalle and ask him to come by, he's here within 15 minutes”.

Tough requirements
In medical technology, health and medical authorities such as FDA in the USA, puts lot of demanding requirements not only on the system itself but also on each included component. The new mammography system needs to undergo a number of crucial tests before it will be approved.
For this reason the generator equipment is tested constantly, both by Powerbox in their own lab as well as by Siemens, to make sure the generator will meet all test- and requirement- specifications. Lennart Zetterlund says that he in the beginning was worried about the performance in the high voltage power area; “The mammo-graphy system uses high voltage, and not many power suppliers can manage to perform in this area. However, Powerbox has done that with excellence.”

A new design
The idea of having the generator mounted as a door on the backside of the mammography unit, was not an obvious choice when it first came up. To understand the design of the new mammography system, we have to go back to some of the main reasons for outsourcing in the first place, cost effectiveness and easy installation. With the mammography system designed in one piece the system is:

  • more cost effective as it means less floor space needed to install it in a doctors practice, as well as during the transportation.
  • easier to install, since there is no need for extra cables between the classic design of two units.
  • easier to maintain in case of service, since all generator components are accessed at one place.
The new mammography system will save lives, when it will be available on the market during last quarter 2003 – and it's guaranteed to include the latest and most modern generator technology there is.
We have only positive experiences from the co-operation with Powerbox in this project, and I'm very satisfied with the result, concludes Göran Gåsebrant

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