June 12, 2026 | Terry Smith What should you look for when replacing an ageing fluoroscopy table? If your department is still relying on an older fluoroscopy table, you may already be seeing the signs. Unreliable height control, limited imaging access, compatibility issues with newer C‑arms or increasing maintenance concerns are all common triggers for replacement. The challenge is knowing what to prioritise when looking for a modern solution, and whether you need a full imaging operating table or a more flexible alternative. This guide covers the key considerations to help you make a confident, well‑informed decision. Start with how the table is used today Before looking at specifications, focus on how the table is used in practice. Consider: What procedures are being carried out? How often is fluoroscopy used during a typical day? Are cases becoming more complex or higher volume? Are multiple departments sharing the same space? For high‑volume or imaging‑led environments such as pain management, vascular access or urology, a dedicated imaging table is often the most suitable route. For more flexible or multi‑purpose use, a hybrid approach may be more practical. Imaging performance and tabletop transparency One of the most important factors is how well the table supports imaging. Older fluoroscopy tables can struggle with: Reduced transparency Limited imaging windows Inconsistent image quality across the table surface Modern solutions are designed to improve this. For example, the FLARE Operating Table for C‑arm imaging is built around a fully radiolucent, carbon fibre tabletop that supports clear imaging across a large usable area. This helps reduce repositioning and supports more consistent image quality during procedures. When comparing options, look at: Size of the usable imaging area Tabletop material and construction Any obstructions in the imaging field Ease of positioning and workflow efficiency In many departments, workflow inefficiencies only become obvious over time. With older tables, you may find: Frequent patient repositioning Repeated movement of the C‑arm Slower procedures due to limited adjustability A newer table should make positioning simpler, not more complicated. The FLARE Imaging Table, for example, allows precise tabletop movement using a joystick. This enables operators to adjust positioning smoothly during procedures without needing to move the patient or the C‑arm as often. Alternatively, if flexibility and patient flow are more important, a solution like the ImageFlow Fluoroscopy Stretcher may be worth considering. The ImageFlow combines imaging capability with patient transport, allowing: One device for transfer and procedure Horizontal movement of the patient platform Reduced need to transfer patients between surfaces This can be particularly useful in environments where space is limited or patient throughput is high. Compatibility with your existing C‑arm Not all tables work equally well with all imaging systems. When replacing a fluoroscopy table, check: Compatibility with your existing C‑arm models Ease of access for both image intensifier and flat panel systems Whether the table design restricts certain imaging angles The FLARE Operating Table is specifically designed to integrate with C‑arm systems, with a low‑profile base and minimal obstructions that support imaging access. This becomes increasingly important if you are using newer or multiple imaging systems within the same room. Reliability and safety Ageing tables often introduce risk as well as inefficiency. Common issues include: Unexpected loss of power or function Mechanical faults Inconsistent positioning control These are not just inconveniences. They can impact both patient safety and staff confidence. When reviewing replacements, look for: Stable and predictable movement Simple, intuitive controls Proven reliability in similar clinical environments Space, layout and flexibility Not every department has the same physical constraints. A dedicated imaging operating table like the FLARE is best suited to: Fixed fluoroscopy rooms Specialist procedure suites Departments with consistent imaging demand A more flexible solution like the ImageFlow stretcher may be better suited where: Space is limited Rooms are shared between different procedures Patient transport and imaging need to be combined Choosing the right solution depends as much on your environment as it does on clinical requirements. Budget and long‑term value Cost is always part of the decision, but it is important to look beyond the initial price. Consider: How often will the equipment be used Whether it reduces procedure time Impact on staff workload Maintenance and reliability over time A higher‑spec imaging table may offer better long‑term value in high‑use environments, while a versatile stretcher may provide greater flexibility where budgets or space are tighter. Final thoughts Replacing an ageing fluoroscopy table is not just about upgrading equipment. It is about improving how your department works day to day. The right solution depends on your specific needs. If your focus is high‑quality, consistent imaging, a dedicated imaging table like the FLARE Operating Table is a strong option. If your priority is flexibility, patient flow and multi‑purpose use, the ImageFlow Fluoroscopy Stretcher may be the better fit. Taking the time to assess both your clinical workload and operational setup will help ensure you choose a solution that supports you long term. Planning to replace your fluoroscopy table? Speak to the Felgains team to discuss your current setup and explore whether the FLARE Operating Table or ImageFlow Stretcher is the best fit for your department. Get in touch Got a question or want to send us a message? Let’s talk.