This article is from the November 2008 issue of DOTmed Business News, now online at: https://www.dotmed.com/images/magazine/archive/112008.pdf

The RSNA (Radiological Society of North America) 94th Annual Meeting will be held November 30 - December 5, 2008, at McCormick Place in Chicago. It will bring the radiology community together to witness the latest advances in imaging research and technology.

More than 60,000 medical and science professionals are expected to attend the world's largest medical meeting to witness the best and most recent developments in radiology scientific research and education. At RSNA, specialists from more than 100 countries will convene and discuss radiologic innovations attending refresher courses and scientific sessions, listening to first-class lecturers and visiting education exhibits.

Genesis Medical Imaging - Booth 7544, Hall B
Genesis will introduce the SPARC Service Program for CT and MRI systems. The SPARC (System Performance, Availability, Reliability and Control) is designed to ensure system performance to published specifications, facilitate system availability during normal operating hours, improve the overall system reliability, minimize unexpected costs and provide control over identified service events. Phase I of SPARC will be on display - a high voltage diagnostic test for CT that can individually test the inverter, cables, H.V. tanks, X-ray tube, rotor system and system integrity.

Integrity Medical Systems, Inc. - Booth 2035, Hall D
President David Denholtz will have a pre-celebration. His company will turn 20 in 2009. "Since 1989, we have sold our equipment in 83 countries and all 50 states," says Denholtz.

Integrity Medical Systems will feature new and refurbished diagnostic imaging systems, including the Konica Nano-P CR X-ray system and UltraRad PACS. Information will be available about refurbished CT, MRI, digital mammography, C-arms, X-ray, bone densitometers and ultrasound systems that are offered with a wide range of services like complete project management, site design/planning, installation, warranty and applications training to fit customer needs. "By handling each phase of a client's purchase in-house, we are able to consistently achieve the refurbished diagnostic imaging equipment industry's highest level of quality, and we enjoy working with dealers, international clients, doctors, hospitals and imaging centers in the U.S. and worldwide," says Denholtz.

Hologic - Booth 227 Hall D
Mammography centers worldwide continue to select Hologic's flagship product, the Selenia digital mammography system, with over 1,500 U.S. sites adopting the technology. Hologic's digital mammography suites bring users an integrated breast imaging workflow solution that fully harnesses the power of digital technology, providing superior image quality so that life-saving details are revealed and radiologists find cancer earlier.

The Hologic SecurView™ line of diagnostic and technologist workstations supports more confident diagnoses, saves time and provides faster answers for patients.

The MammoPad breast cushion was developed to encourage more women to have regular screening mammograms by addressing a key barrier: discomfort or fear of discomfort. The MammoPad cushion is the only technology proven to significantly reduce the discomfort women often experience during mammography.

The Hologic family of biopsy site identifiers provides a unique dual visualization technology enabling superior visibility under ultrasound. Biopsy site identifier are comprised of two components; one component is a bio-absorbable glycoprene, or suture-like material designed like a net. The other component is a permanent bio-compatible titanium marker.

Reliant Medical - Booth 1828, Hall D
Reliant introduces new Digital X-ray series, "SMARTVIEW" to their lineup of imaging equipment. This system has been designed as a world-class direct digital imaging system for use in hospital emergency departments, traumatology and all general radiology applications.

As a growing and more recognized company in the image equipment industry, the RSNA provides Reliant with the most effective exposure to showcase to the medical community what they offer - not only in new products, but it gives Reliant the opportunity to interface personally with their customers - nationally and internationally.

Biodex Medical Systems - Booth 7809, Hall B
Biodex has redesigned their ergonomic ultrasound tables - introducing an entirely new concept. The Sound Pro Combination table that is fully equipped to accommodate the imaging needs of ultrasound and echocardiography and offers a 30-inch width, 500-lb. patient weight capacity and a height range from 23" - 39", perfect for the bariatric market. Biodex will also feature their Surgical C-arm tables for vascular imaging, cardiac imaging, pain care, urology and Brachytherapy procedures with the greatest image-free area, allowing ample C-arm imaging access. Biodex tables are easily moved from room-to-room and provide continuous revenue-generating operation.

ETS-Lindgren - Booth 6016, Hall A
ETS-Lindgren will highlight its medical shielding capability - the new MRI Room Cutaway, displaying how ETS-Lindgren's products fit into an actual MRI room. The booth will feature two AutoSeal™ II RF doors, - one will have an automatic open/closer unit, and a Magnetic Active Compensation System. Safety solutions will be showcased via working demonstrations of a wall-mounted and portable ferromagnetic detection system. The booth will also display a patient monitoring system and an RF coil.

Metropolis International - Booth 9554, Hall B
Metropolis International will be exhibiting a C-arm and illustrations of a new mammography system. "What makes us different?" asks Metropolis President, Leon Gugel. "The simple answer is we do." By this, Gugel means that when he or one of his staff talks to a customer - it is a conversation that leaves that customer with not just a positive feeling, but also the knowledge that the customer will be getting the right system for his or her needs. This is because Gugel and his staff always put forth a positive attitude. And, customers know they will be taken care of because no one in the company will make a promise that can't be kept. That is one of the reasons why Metropolis International is such a successful business - a leader in the industry providing the right systems to their customers.

C&G Technologies, Inc. - Booth 4476, Hall A
C&G Technologies, Inc., will be displaying a new line of highend CT scanners including the GE LightSpeed VCT and the Toshiba Aquilion 64. C&G Technologies, Inc. offers a total spectrum of worldwide services for GE and Toshiba systems, including complete refurbished and as-is equipment, custom painting, installations, de-installations, technical support, service, parts support (everything from boards to consumables to new and used x-ray tubes, and everything in-between), mobile rentals, and 24/7/365 emergency on-call availability.

Amber Diagnostics, Inc. - Booth 3675, Hall A
Creative Director, Michael Kingery says Amber is keeping with the theme of 'sharing in innovative ways' and its focus at RSNA will be to introduce information about the new offices that Amber Diagnostics has opened in Africa. "Amber Diagnostic Africa is a company project that has opened new offices and distribution centers in Cameroon and Niger, providing much needed quality refurbished and new radiology equipment and service to the region," says Kingery. Amber Diagnostics is also an authorized distributor for GE Healthcare in eight countries throughout West and Central Africa.

Barrington Medical Imaging, LCC - Booth 3872, Hall A
Barrington Medical Imaging, LCC features PULSE TECHNOLOGIES® - a new state-of-the-art diagnostic tool that maintains the "PULSE" of a CT, MRI or PET-CT remotely. PULSE TECHNOLOGIES® features include trouble-shooting, analysis, parts identification, quotes and repairs - all within two hours.

BMI is introducing ESP Technology® - state-of-the-art
"Environmental System Protection," that continuously monitors environmental conditions of CT, MRI and CT/PET equipment for premature failures. With 24/7 monitoring, potential issues are identified and resolved before they result in down time and lost revenue. BMI represents the finest in refurbished MRI and CT systems, parts and service support for imaging customers across North America.

Broadwest Vision - Booth 4607, Hall A
The InsightMRI Breast Package consists of a breast coil, patient comfort aids, and a diagnostic software package. The diagnostic software provides complete kinetic and morphology tools along with intuitive navigation platforms for analyzing breast MR images.

The MRI coil is capable of comfortably imaging a subject up to 350 lbs.

A patient headrest allows the patient to view outside of the magnet bore, reducing any claustrophobic feelings.

The package is FDA approved for compatibility with Siemens 1.5T scanners.

Med Exchange International, Inc. - Booth 7019 Hall B
"Med Exchange International, Inc. is excited to participate in RSNA 2008. For us it is not what we are exhibiting but why we are exhibiting. Med Exchange is committed to delivering the finest preowned imaging equipment and customer service and RSNA provides a great opportunity to show this to our many customers and potential customers," says Davyn McGuire, Sales Manager for Med Exchange.

"RSNA also provides a great way for us to meet new vendors and manufactures such as GE, Toshiba, Siemens, Philips and Hitachi and to expand our trusted partnerships. We are always looking for new partners to help us provide the most efficient and cost-effective products to our customers," says McGuire.

Med Exchange will have a complete list of available imaging equipment including MRIs, CT Scanners, X-rays, Ultrasounds, Bone Densitometers, Mammography, C-arms and contrast injectors as well as equipment we are actively looking to purchase.

Quantum Medical Imaging - Booth 3665, Hall A
Quantum Medical Imaging, a high-tech designer and manufacturer of radiographic systems and X-ray generators will be showing the QV-9000, Di-Rex SP, Q-Rad Digital, a new series of cassette holders and a rolling stand.

The QV-9000 Digital Radiographic System offers a "one-button" automated positioning feature, and all positioning motions of this C-arm type system are fully motorized and synchronized for maximum patient throughput. The system can be easily positioned from either the operator's control monitor or from Quantum's unique "TechVision." The unit features a versatile C-arm design, which maintains constant alignment between the X-ray tube and the image receptor; regardless of C-arm tilt position or image receptor angle.

American Medical Sales, Inc. - Booth 2812, Hall A
American Medical Sales, Inc., will have several products on display. President Dan Giesberg will introduce the Catella MWL-B - a Modality Worklist Broker product. "There is a gap between practice management/EMR/RIS programs and modality where patient demographics need to be input in both systems. As you know, this can cause a disconnect between the PACS and other system databases, and is not a PACS "problem" but one that PACS companies like ours are often asked to solve," says Giesberg. AMS has developed two cost-effective solutions - the "Broker" product completely automates the connection between a HL-7 database and a DICOM modality and the "Creator" program, which is designed for clients without an HL-7 database or whom have not yet automated their practice management area. Giesberg says that both of these products, priced under $5,000, easily address AMS's target market of small hospitals, clinics and private practices.

Mobile Interim Solutions - Booth 5573 Hall A
Mobile Interim Solutions provides interim MRI and CT equipment in the U.S. and Canada. They have clean, modern, reliable mobile systems for rent during downtime, upgrades, installations and practice expansion.

Radiology Oncology Systems - Booth 113, Hall D
Radiology Oncology Systems is a comprehensive provider of radiation therapy and diagnostic imaging equipment and services, providing facilities worldwide with quality, cost-effective equipment solutions. Staff will be on hand at RSNA to give interested attendees information about the experience and resources Radiology Oncology Systems has, including a full range of services beginning with used linear accelerator deinstallations and installations, linear accelerator base frame removals and installations and maintenance and used linear accelerator refurbishment. The company also offers the latest technology upgrades to existing linear accelerator systems, including Intensity Modulated Radiation Therapy software, Multi-leaf collimator, Image Guided Radiation Therapy packages, Electronic Portal Imaging Devices, Treatment Planning Systems and treatment table couch upgrades.

Laurel Bridge Software, Inc. - Booth 645, Hall D
Laurel Bridge Software, Inc. will offer information including DICOM software, tools, utilities and applications for the medical imaging community for development and support of DICOM medical imaging and PACS migration software, devices and networks. Engineers from Laurel Bridge Software, Inc will be on hand to give insight into products like the DICOM Connectivity Framework - SDK for rapid development of high performance DICOM applications for C#.Net, Java and C++ programmers. And Switchboard ™ - the all-in-one-solution for routing, filtering, monitoring and conversion of DICOM datasets.

Foliage - Booth 4070, Hall A
Foliage provides clients with vital insight into the product development process, facilitating better-informed business decisions across the organization by creating and aligning business, product and technology strategies. Sales staff will be available to discuss how Foliage provides a detailed analysis of existing product architectures, development processes, tools and organizational structure to increase productivity, better schedule predictability and improve delivered quality by product and technology alignment; M&A technical due diligence and technology integration strategy development, product technology assessment and organizational readiness. Foliage provides a comprehensive set of product planning and development services designed to minimize a client's product development risk, while improving processes and skills within the organization. Foliage offers clients deep domain and product development expertise with a clear understanding of the software requirements necessary in both commercial and regulated environments.

Foresight Imaging - Booth 7636, Hall B
Foresight Imaging will announce version 2.2 of the TIMS DICOM System software at the RSNA exhibition. TIMS version 2.2 is being shown at the Foresight Imaging booth along with demonstrations of the TIMS Consultant. Version 2.2 includes several new features that have been requested by the installed base of TIMS customers including audio recording and annotation (especially for speech pathology), audio playback, audio recording to CD/DVD, file attachment, editing of saved studies, TIF & JPEG 2000 file import (in addition to the current BMP, AVI, JPG, & PNG), DICOM send lists, study editing improvements and other general workflow enhancements.

Fovia - Booth 9546, Hall B
Fovia will demonstrate Enhanced High Definition Volume Rendering® at RSNA. "The ability to accurately embed polygon objects within volumetric data requires proper interface with a volume containing transparency," says Ken Brown, Senior Software Architect for Fovia Medical. Fovia's HDVR solution overcomes the limitations of currently available imaging technologies, allowing physicians to take full advantage of 3D imaging as part of everyday patient care.

InSite One, Inc. - Booth 1815, Hall D
InSite One, Inc. will announce new features of InDex® managed storage services that enables the healthcare enterprise to access patient data through a common, vendor neutral archive allowing for cross document sharing. This robust managed feature set will include identity management services for patient reconciliation, alerts and notifications, record location, store and retrieve for clinical data, privacy and security with tracking and auditing, authentication and access control.

Emageon - Booth 8537, Hall B
Emageon will feature its new Outside Study Gateway - a solution that enables outside facilities to perform direct DICOM transmission of their PACS images to the receiving hospital's OSG server, providing for patient and exam integrity checks to be automatically performed as well as auto-forwarding into the receiving hospital's enterprise PACS.

MEDRAD - Booth 2815, Hall A
MEDRAD Multi Vendor Service provides depot-based repairs for MRI coils, ultrasound transducers and ultrasound parts from any original equipment manufacturer (OEM), in locations around the world. MVS uses a first-rate repair process to create significant cost savings over OEM offerings for its customers. MVS will feature MRI Coils and Ultrasound Probes, before and after repair, at RSNA.

Radcal - Booth 3705, Hall A
The Radcal ACCU-PRO Multi-Purpose Analyzer with basic and advanced Dose and kVp functions, mAs will be showcased. The system provides excellent Dose and kV- accuracy including scatter and leakage measurements. A wide variety of ion chambers/sensors used and trusted by professionals worldwide are available to fit the specific application needs. Ion chambers with automatic temperature and pressure compensation for critical acceptance testing and dose diodes for QA consistency tests, as well as rechargeable batteries for several hours of uninterrupted measurements make the ACU-PRO the system of choice.

Kopp Development Inc. - Booth 5504, Hall A
Kopp will sound an alarm with its Ferromagnetic Detectors that help screen patients for objects left on their person. The FerrAlert™ ferromagnetic detector, which was calibrated to sound an alarm when it detected an object is designed as a portal that patients can walk through. With a positive alarm, patients are searched for metallic objects and rescreened. The apparatus shows excellent sensitivity and specificity for detecting even small ferromagnetic articles on patients prior to MR imaging. Proper screening of patients and personnel using a ferromagnetic detector may help decrease MR imaging-related adverse effects.

Carestream - Booth 8342, Hall B
Carestream Health Inc. is unveiling a new SuperPACS™ architecture that will allow healthcare providers to efficiently connect disparate PACS at multiple sites throughout a healthcare system. This new architecture, currently a work in progress will provide an umbrella structure that communicates with existing PACS from multiple vendors to help create an efficient enterprise-wide PACS that will offer a unified, common global worklist; effectively use existing PACS systems, avoiding replacement costs; apply customer-defined rules to route specific types of exams to preferred radiologists for that specialty; and improve radiologist productivity through a single desktop with one user interface and one set of clinical application tools.

Carestream Health will also demonstrate the newest upgrades to its PACS platform (currently a work in progress) that feature advanced applications and support for the PIX (patient cross identification) standard. New applications will include: real time matching of volumetric data from CT-L MR and PET-CT cases along with synchronized views and image manipulations' native support for PET-CT fusion with PET standard uptake value, PET-CT synchronized views and volume matching of current and prior cases; and power viewer to read and compare studies using 2D/3D views with support for automatic volume matching.

GE Healthcare - Booth 4839, 5529, Hall A
GE innovations that will be highlighted include the Senographe DS that combines productivity with flexibility to become the digital mammography solution of choice for busy breast imaging departments. The narrow tube head and slow compression contributes to patient comfort, and it is the only system that integrates screening, diagnosis and interventional capabilities all in one system.

GE Healthcare IT will make a splash as it unveils its RIS-IC solution, including recent breakthroughs in precision reporting and other modules. The solution aligns with next generation trends for radiology workflow and reporting. GE will also highlight new developments deriving from the joint Centricity-IW product and related releases GE Healthcare's Dynamic Imaging business will also highlight and demonstrate its most recent release of its next generation Centricity PACS-IW version 2.7.1, with key enhancements to performance, interface navigation and ergonomic design. With recent international strides, the business will highlight language support that it has deployed in key regions globally.

The new Discovery PET/CT 600 delivers the next evolution in PET/CT technologies bringing powerful options to physicians to discover ways to detect disease early and manage with confidence. This new platform offers the scintillator with the highest sensitivity in the industry, the next generation of MotionFree technology to capture detail and precision in areas subject to motion, plus enhanced workflow and fast reconstruction with the IBM BladeCenter®.

Toshiba - Booth 3429, Hall A
Toshiba America Medical systems, will demonstrate the Aquilion One Advances. Celebrating a successful first year for the Aquilion ONE™, Toshiba America Medical Systems, Inc. will highlight milestones from the first dynamic volume CT system. Thousands of patients' lives have been impacted by this revolutionary technology in just one year. Toshiba will showcase clinical cases from leading U.S. hospitals, as well as update the medical community on its plans to validate the clinical and financial benefits of the system.

Toshiba will also showcase automated workflow enhancements and clinical applications for the Aquilion™ CT line designed to reduce patient radiation dose, provide faster diagnosis and maximize patient comfort. Examples of two applications that will be showcased include SURECardio Prospective and Variable Helical Pitch (vHP).

Additionally, Toshiba will unveil women's imaging ultrasound techniques, including breast imaging techniques that enable physicians to better evaluate breast lesions and Spatio-Temporal Image Correlation (STIC) technology to assess the fetal heart.

Siemens - Booth 4222, Hall A, South Building & Booth 922, Hall D, East Building
With syngo Portal Transcriptionist, Siemens helps transcriptionists achieve greater efficiency and accuracy when transcribing and correcting reports.

With syngo Suite Essential, Siemens offers a comprehensive IT solution for diagnostic imaging centers, consisting of preconfigured software, hardware and services.

The new version V70 of syngo Imaging XS (PACS) combines cutting-edge features for reading, planning exams, and reporting with easy installation, easy usage, and easy expansion - even for large hospitals - at an attractive cost-benefit ratio. The newest version includes 3D visualization applications.

Siemens Acuson S2000 Ultrasound System is designed to take ultrasound to a new dimension, providing superior image quality, knowledge- based workflow, adaptive ergonomics and innovative applications for increased diagnostic confidence.

MAMMOMAT® NovationDR is Siemen's high-end, fullfield digital mammography system for screening, diagnostics and biopsy applications. It is designed to handle the mammography workup from patient registration and image acquisition to postprocessing and reading.

Philips Healthcare - Booth 7713, Hall B
Philips will demonstrate its scalable, always online, long-term Picture Archiving and Communications System (PACS) storage solution, iVault. Philips iVault provides a secure, scalable image management solution that helps reduce the costs and complexity of PACS storage. iVault protects the integrity and privacy of data while giving clinicians reliable access to images across the enterprise. With disaster recovery and retention capabilities, iVault helps meet Medicare, Medicaid, Joint Commission, and HIPAA requirements, and it is scalable to an institution's growing storage needs.

For those challenged by storage expansion or image distribution issues, Philips will present its unique PACS replacement strategy for legacy systems. For institutions with existing PACS contracts, Philips' replacement strategy offers an affordable, predictable cost and phased approach to PACS migration.

This approach enables a smooth transition to iSite PACS. It includes the same benefits that current iSite PACS customer experience: offsite disaster recovery, service and 24/7/365 support; enterprise advanced visualization functionality and unlimited licensing for iSite Enterprise as well as iSite Radiology workstations.

Philips newest iSite PACS release features enhanced mammography reading capabilities, through a specialized set of tools designed for screening and reading of mammography exams.

Philips will introduce the new MammoDiagnost VU mammography workstation (***510(k) pending; not currently available in U.S.). A unique feature of this workstation is the ability to automatically align the "left" and "right" breast images based on tissue images.

Oxford Instruments Booth 9543, Hall B
In the field of superconductivity, there are few names as famous as Oxford Instruments. Since the earliest days of the technology - more than 40 years ago - Oxford Instruments has produced and serviced the world's most sophisticated super-conducting magnets.

Oxford's MRI organization is the world's largest independent MRI service provider. More magnets receive professional-grade care from Oxford than from all other independent service organizations...combined. Visit Oxford's booth and find out how they can provide the great service and value that your business demands.

Varian Medical Systems - Booth 6221, Hall A
Varian Medical Systems will showcase the company's full line of PaxScan® flat-panel digital X-ray image detectors for digital radiography, fluoroscopy and cone-beam CT imaging, including the PaxScan 4336R, which replaces standard film cassettes in radiographic applications and the PaxScan 4343R, Varian's largest panel for applications requiring a large field of view. In addition to its PaxScan products, Varian will exhibit the company's full line of X-ray tubes, along with the company's cancer treatment technologies, including RapidArc radiotherapy technology, which offers all the benefits of IMRT in dramatically shorter treatment times, as well as solutions for brachytherapy, image-guided radiotherapy (GRT) and proton therapy. Varian representatives will also be on hand to demonstrate the company's software solutions, including the ARIA oncology information system and Eclipse treatment planning, as well as an architecture for a new Oncology PACS (picture archiving and communication system) for long-term image management and storage (now a {works-in-progress" in development in partnership with Xstor Medical Systems, and not yet available for sale). Varian's Oncology PACS is being designed to furnish oncology departments with a scalable, integrated image storage solution with a web-based interface that adheres to industry standard DICOM RT and HL7 communication protocols.

Dunlee - Booth 4200, Hall A
Dunlee will be showing a new "highdemand" product, and encourages everyone to come to their booth to see what the excitement is all about! As a world leader in healthcare lifestyle and lighting, Dunlee, a division of Philips Healthcare, is part of Royal Philips Electronics of the Netherlands. The medical imaging components manufacturer, Dunlee will showcase the DA 200, 6.3 MHU replacement tube for several popular GE CT systems. They will also show the new 6.3 MHU replacement for the Elite, Edge and Excel GE BrightSpeed CT Systems and the DA 135 replacement for the CT/e ai and CT /e Dual GE CT/e CT systems. The Dunlee DR1400 - radiographic over table and under table X-ray tube will be at the show, as well as the Stargate CT Tube used on Philips 6.5 MHU Philips MX800 Dual System.

Unfors - Booth 4006, Hall A
Unfors offers a new line of radiation protection meters to increase radiation awareness and decrease your dose in accordance with ALARA. These meters are used in interventional radiology and nuclear medicine where the staff is often unnecessarily exposed to radiation. A radiation protection meter for patient skin dose measurements is also available to prevent excessive dose usage and consequential lesions.

Mobile Interim Solutions - Booth 5573, Hall A
If an MRI or CT system is needed for a single week, several months, or even years, Mobile Interim Solutions will tailor a rental term that's right for you. The company provides quality equipment that meets the demands of referring physicians. Medical Interim Solutions will deliver outstanding clinical results, provide continuous patient care, and maintain help maintain revenue. They are the bottom-line solution that makes good business sense.

Innovative Medical Solutions - Booth 2226, Hall D
IMS provides specialized construction services and creative solutions for the healthcare industry. Since the companies' inception, the shared vision of the principles and a team of experts have resulted in pioneering healthcare projects, collaborative working styles and an appetite for innovation. Whether a fixed-site or mobile equipment is needed, IMS can deliver the perfect diagnostic imaging suite.

With over fifty years of combined experience, the IMS team understands the complexities of today's diagnostic equipment and the important design and construction criteria that must be met for these projects. From traditional construction projects for mobile and fixed applications to pre-engineered buildings, IMS works with each client to provide the right solution to meet their needs.

Imaging Services - Booth 4003, Hall A
Imaging Services specializes in Toshiba CT service. We are passionate about serving our Customers with high quality, proactive service approaches affordability.

Our engineers are OEM trained averaging over 15 years of experience and have expertise on all Toshiba CT's including the Aquilion 64.

We offer Toshiba CT Customers unique service coverage programs and competitive T&M rates tailored to your needs. Our Service Programs include a 12 hour or 24 hour coverage with sharply reduced program fees and overtime rates.

DOTmed.com - Booth 7802, Hall B
DOTmed.com is the world's leading, public medical equipment marketplace and leading online auction web site. DOTmed has more than 100,000 registered users and more than 150,000 listings. It is where more than 12,000 unique visitors a day come to buy and sell equipment, parts and services online.