A strategic breakdown for clinical, operational, and financial decision-makers

When it’s time to invest in C-Arm imaging, one of the first questions you’ll face is whether to buy new or refurbished. And while cost is a major factor, it’s far from the only consideration.

At Pulse ISM, we help facilities evaluate both options based on how they actually work—not just how they’re marketed. Here’s what you need to know to make an informed, confident decision.

Why Some Facilities Choose New C-Arms

New C-Arm systems often make the most sense when:

• You’re planning for long-term standardization across departments
• You need advanced features, like hybrid OR support or 3D/CBCT readiness
• You’re working within a defined capital planning cycle with OEM integration goals

New system advantages:

• Latest-generation detectors and software
• Enhanced AI, workflow automation, and dose tracking tools
• Full OEM warranty support and service contract eligibility
• Stronger resale value over time

If you’re building out new procedural service lines—or replacing outdated systems with a 10+ year plan—new is often the right choice.

Why Refurbished C-Arms Are a Strategic Choice

Refurbished no longer means risky or second-tier. With the right process and support, refurbished C-Arms are a smart capital strategy for many facilities.

Pulse ISM refurbished C-Arms:

• Follow a controlled restoration and verification process
• Are ISO 13485-certified and third-party physicist verified
• Include HIPAA compliance and software reset
• Come from U.S.-based inventory to avoid tariffs and long lead times

Ideal use cases:

• Equipment replacement without full capital outlay
• Secondary/backup imaging rooms
• Expansion into new ORs or satellite procedural areas
• Budget reallocation during times of constrained funding



Savings are significant: Most Pulse ISM customers see 40–60% lower acquisition cost with no sacrifice in performance or uptime.

Comparison

Category: Capital Cost

New C Arms: Highest Investment

Refurbished C-Arms: 40-60% savings

Category: Tariff Exposure

New C Arms: Varies (import-dependent)

Refurbished C-Arms: None (U.S.-based inventory)

Category: Performance

New C Arms: Latest tech and AI

Refurbished C-Arms: Restored to OEM-level spec

Category: Delivery Timeline

New C Arms: Often delayed (6–12+ weeks)

Refurbished C-Arms: Faster (U.S. shipping)

Category: Best For

New C Arms:  Long-term, advanced planning

Refurbished C-Arms: Expansion, replacement, backup

Our Approach: Strategy, Not Just Sales

We don’t push one path over the other. Pulse ISM is built around helping facilities make imaging decisions that align with:

• Clinical need
• Room layout and workflow
• Radiation safety goals
• Capital timing and total cost of ownership

Our team will guide you through both options—side by side—so you can move forward with clarity, not pressure.

Let’s Compare the Right Way

Thinking about upgrading or adding a C-Arm in the next 6–12 months? Let’s map out the right approach based on:

• Procedure volume
• Room environment
• Staffing realities
• Imaging priorities

The right decision isn’t always new. And refurbished doesn’t mean compromise—when it’s done right.

Talk to a Pulse ISM C-Arm specialist today.