36A79719Q0008-050.pdf

Line # Part # Description Qty

Azurion 7 Biplane 20/15 Vascular

Advanced solution for performing interventions in the neurology domain and complex cardio-vascular interventions

Key benefits

• The unique ceiling mounted lateral double arc provides full projection flexibility

• Optimized utilization of your lab by procedure based workflow

• Superb image quality to evaluate small details and vessels with clarity

• Intuitive user interaction delivering an easy to use, easy to learn system

A vision for innovative neuro interventions With our Live Image Guidance we aim to remove barriers to safer, effective and reproducible treatments, delivering relevant clinical value where it’s needed most - at the point of patient treatment. Intelligent and intuitive integration of live imaging, patient information, and procedure-based applications optimize real time therapy guidance.

The Philips Azurion 7 B20/15 LN system is designed to enhance your treatment capabilities and support more effective device guidance and placement in neurology interventions. Additionally, can also be used in cardio/cardio-vascular interventions. This future proof solution is designed around a single, standardized hardware and software platform that can be upgraded and expanded as new needs arise or requirements change. Its architecture is made to easily integrate with third party applications and devices. A new workflow approach aims to support interventional teams in carrying out more procedures for more patients, more consistently and efficiently with great ease of use.

The Philips Azurion 7 B20/15 LN uses a range of ProcedureCards to help optimize and standardize system set-up for your cases, from routine to mixed procedures.

ProcedureCards can increase the consistency of exams by offering presets (e.g. most-frequently used, default protocols and user-specified settings) on procedure-, physician- or departmental level. In addition, hospital checklists and/or protocols can be uploaded into the Procedure Card to help safeguard the consistency of interventional procedures and help to minimize preparation errors.

The Philips Azurion 7 B20/15 LN interventional X-ray suite has been specifically designed to save time by enabling the interventional team to work on all activities in the exam room - and at one or more work spots in the control room at the same time - without interrupting each other. This leads to higher throughput and faster exam turnover and contributes to quality of care.

To improve dose management, Philips Zero Dose Positioning enables you to move the stand and table to the region of interest shown on the last clinical image hold before a new acquisition is started, without any radiation.

Specifications The Azurion 7 B20/15 biplane cardiovascular system comprises a floor-mounted C-arm stand, a ceiling suspended double C-arm stand and digital imaging X-ray system for cardiovascular diagnostic and interventional procedures.

REQUISITION: 512-B81004

SHIP TO:

WAREHOUSE

V.A. Medical Center

VA MEDICAL CENTER

3900 LOCH RAVEN BLVD

BALTIMORE, MD 21218

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Sticky Note Unmarked set by AMMHINWARDM

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Sticky Note Unmarked set by AMMHINWARDM

Line # Description Qty The Azurion 7 B20/15 system is an integrated single-host concept. The system comprises five functional building blocks:

1. Geometry

2. X-ray Generation

3. Image Detection

4. User Interface

5. Viewing

1. Geometry The geometry segment offers full cardiovascular projection possibility.

It includes:

Frontal stand A motorized frontal floor-mounted -stand.

A rotatable base plate (motorized and manually operated) enables a clear area around the patient table. All stand movements are motorized. The manual and motorized parking movement consists of floor-mounted rotation. Angulation and Rotation of the C-arm is also motorized at high speeds.

Parking of the stand can be done both manual and motorized, over the full range. With electronic autostop positions. This motorized movement makes positioning in the isocenter easy and accurate. It also features comfortable, single operator control of stand parking. The Azurion stand allows a very wide range of projections, including PA and AP imaging.

In the head position (0 degrees position, L-arm parallel to patient table):

C-arm rotation range (degrees): 120 LAO to 120 RAO C-arm angulation range (degrees): 45 CA to 45 CR (Full angulation capability determined by patient position)

In the side position (+90 / -90 degrees position, L-arm perpendicular to patient table):

The depth of the C arm is 105 cm The stand provides fully motorized fast movements with variable and configurable maximum speed. Coupled to the BodyGuard detection system, it allows a very high patient throughput, supporting the busiest schedules.

Variable C-arm rotation speed, up to: 25 degrees/s Variable C-arm angulation speed, up to: 25 degrees/s The variable source image distance between focus and Dynamic Flat Detector input screen is 89 to 123.5 cm

Lateral stand A motorized lateral ceiling suspended double C-arc stand.

It allows longitudinal manual and motorized movement on ceiling rails for convenient parking.

Operation is safe and secure due to collision protections on X-ray tube, Flat Detector and inside the double C-arc.

The double C-arc enables:

motor-driven rotation from frontal to left oblique projections of maximum 90 degrees motor-driven angulation in the cranial or caudal direction of maximum 45 degrees The double C-arc allows these angulations at any rotation manual- or motor-driven axial movement of the Flat Detector assembly for adjusting the patient/flat detector input screen distance focus/flat detector input screen distance 87.5-130.3 cm.

The speed of the motorized angulation/rotation movement is 8 degrees/sec whenever the double C-arc is out of its parking position.

Parking of the lateral C-arc stand can be done both manually and motorized, over the full range, with electronic autostop positions.

Using this motorized movement makes positioning in the isocenter easy and accurate. It also features comfortable, single operator control of stand parking.

The motorized longitudinal movement is max 12 cm/sec over max 315cm.

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Patient support The Standard Table provides feather-light manual float movement, even for heavy patients, thanks to the unique mono-bearing technology. The long flat carbon fiber tabletop provides ample space to place e.g. catheters and guidewires.

It comprises:

- Table top length of 319 cm, width of 50 cm

- Metal-free overhang 125 cm

- Floating table-top movement of 120 cm longitudinal and 2 x 18 cm transversal

- Motorized height adjustment from 74 - 102 cm

- Maximum patient weight 250 kg plus 500 N in any longitudinal position of the table top Table accessory set includes:

- 3 rail accessory clamps.

- A patient mattress. A slow recovery foam mattress with a density of 58 kg/m3. The mattress has a thickness of 5 cm and adapts to the body shape of the patient. It makes the pressure being divided equally and it recovers when the patient is taken off the mattress. The light blue cover is easy to clean. Patients are more relaxed due to the comfort of this mattress, supporting long interventional procedures.

- Drip-stand.

- Set of cable holders.

- Patient straps

-Set of elbow supports

-Head support

-Arm support board

System and Table APC

Helps to save time and manage X-ray dose with automatic positioning Positioning the X-ray system to visualize relevant anatomy from different perspectives can involve a great deal of time and many scout images during interventional procedures. To help save time and manage X-ray dose while working, the Automatic Position Controller (APC) provides an easy way for interventional team members to store and recall stand-related positions.

2. X-ray Generation The Azurion 7 B20/15 comprises an integrated dedicated X-ray system, micro-processor controlled Certeray CFD generator based on high frequency converter technique. The user interface control of this X-ray Generator is incorporated in the touch screen module, review module, and the on-screen displays.

For each plane, the Certeray CFD generator comprises:

- X-ray generator 100 kW

- Voltage range is 40 - 125 kV

- Maximum current 1000 mA at 100 kV

- Maximum continuous power for fluoroscopy: 2.5 kW for 0.25 hours, 1.5 kW for 8 hours

- Program selection

- pulsed X-ray up to 3.75 , 7.5 , 15 , 30 frames/s for digital dynamic exposures

- pulsed X-ray for pulsed fluoroscopy (3.75 , 7.5 , 15 , 30 frames/s).

- minimum exposure time of 2 ms

- automatic kV and mA control for optimal image quality prior to run to save dose

- optimal X-ray tube load incorporated in the Certeray CFD generator

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Sticky Note Unmarked set by AMMHINWARDM

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Sticky Note Unmarked set by AMMHINWARDM

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Sticky Note Unmarked set by AMMHINWARDM

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Frame rate extension to 30 frames per second.

Designed to enhance visualization in complex interventions Frame rate extension to 30Fr/sec increases the system acquisition speed up to 30 frames per second for cardio studies requiring high-speed imaging.

Specifications The frame rate extension increases the acquisition speed to 15fps and 30fps with a 1024x1024 matrix.

The Azurion 7 B20/15 includes a Maximus ROTALIX Ceramic tube assembly MRC200+ GS 0407 and cooling unit CU 3101 for cardiovascular systems for frontal plane and for the lateral plane a Maximus ROTALIX Ceramic tube assembly MRC200+ GS 05 08 and cooling unit CU 3101 for cardiovascular systems

The X-ray tube MRC200+ GS 04 07 assembly comprising:

- 0.4/0.7 mm nominal focal spot values maximal 30 and 65 kW short time load

- grid switching at pulsed fluoroscopy

- continuous loadability: 4000 W (at 21 degrees C room temp.)

- application of SpectraBeam dose management

- tube housing ROT 1001 for oil-cooled X-ray tube with thermal safety switch

- cooling unit CU 3000 heat exchanger for use in oil-cooled X-ray tube systems

- high voltage cables

The X-ray tube MRC200+ GS 05 08 assembly comprising:

- 0.5/0.8 mm nominal focal spot values maximal 45 and 85 kW short time load

- grid switching at pulsed fluoroscopy

- continuous loadability: 4000 W (at 21 degrees C room temp.)

- application of SpectraBeam dose management

- tube housing ROT 1001 for oil-cooled X-ray tube with thermal safety switch

- cooling unit CU 3000 heat exchanger for use in oil-cooled X-ray tube systems

- high voltage cables DoseWise program Philips DoseWise program is a set of techniques, programs and practices built into the Azurion 7 B20/15 system that ensures excellent image quality during each interventional application, while at the same time reducing x-ray dose at every opportunity.

The DoseWise comprises of three building blocks to help reduce x-ray dose without compromising diagnostic quality: system intrinsic, user selection and awareness.

System intrinsic

- optimized fully digital imaging chain in maximizing the utilization and technology of the x-ray generator, x-ray tube, flat detector and image processing.

- customizable EPX protocols to each application according to user preferences for different composition of dose rate, pulse speed, filter setting, and image processing (noise reduction, adaptive contour enhancement, adaptive harmonization)

- built-in SpectraBeam filtering of low energy radiation to optimize image quality and dose efficiency with MRC-GS 0508 X-ray tubes

- pre-filters of 0.2, 0.5 and 1.0 mm CU equivalent can be applied for each plane

- automatic cardiac wedge positioning

- anti-scatter grid, ratio 13:1 in each plane User selections

- three programmable fluoroscopy modes can be selected from the Imaging UI Each mode has a different composition of dose rate, pulse speed, filter setting, and image processing (noise reduction, adaptive contour enhancement, adaptive harmonization)

- X-ray depth collimator with single semi-transparent wedge filter with manual and automatic positioning.

- Beam Shaping, which means that both shutters and wedges can be positioned on the Last

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Sticky Note Unmarked set by AMMHINWARDM

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Sticky Note Unmarked set by AMMHINWARDM

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Sticky Note Unmarked set by AMMHINWARDM

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

image Hold without the need for X-ray radiation.

- Fluoro Storage, a grab function allows storage and archiving of both a fluoro image or the last 20 seconds (service configurable time) of fluoroscopy run. These images or runs can be archived and reviewed as a regular run.

- removable anti-scatter grids to lower x-ray dose for pediatrics.

User awareness Radiation Dose Structured Report for collection of dose relevant parameters and settings and export to a DICOM database (e.g. PACS, RIS), according IEC60601-2-43, 2nd Edition.

The reported data can be used for analysis, to further reduce X-ray dose.

On-system monitor display provides and displays body zone specific Air Kerma data (10 zones for cardiac applications) in numeric and graphical bars.

- A graphical bar and numeric displays the actual dose rate (during x-ray) or predictive dose rate (at no radiation)

- Second graphical bar and numeric displays the accumulated Air Kerma dose for the particular body zone of the actual projection

- When the accumulated Air Kerma dose of the particular body zone reaches the critical skin dose level of 2 Gy, it will be indicated on the display and made visible to the x-ray operator.

3. Image Detection The Azurion 7 B20/15 comprises the following image detection chain for frontal plane and Frontal imaging chain:

- 30 x 40 cm (11.6 x 16 inch) (48 cm / 18.9 inch diagonal) 8- mode 20” Dynamic Flat Detector subsystem for fluoroscopy and fluorography procedures

- 8 imaging modes are available, 6”/7”/8”/10.5”/13”/14.4”/17”/19”

- The flat detector subsystem features Access, the detector can be rotated over 90 degrees, it moves from portrait to landscape back and forth

- The digital output of the 20” flat detector is 2k*2k image matrix at 16 bits depth for the largest mode

- DQE (Detective Quantum Efficiency) >77 % providing high conversion of X-ray into a digital image, while maintaining a high MTF

- The pixel pitch is 154 x 154 microns

Lateral plane:

- A 26 x 33 cm (10 x 13 in.) diagonal 7 mode Dynamic Flat Detector subsystem for fluoroscopy and cine-fluorography.

- A 6”/7”/8”/10.5”/13”/14.4”/15.2” mode Dynamic Flat Detector

- The digital output of the Flat detector is max 2000 x 1688 matrix at 16 bit depth.

- The pixel pitch is 184 micron by 184 micron

- The DQE(0) is 70%, providing high conversion of X-ray into a digital image, while maintaining a high MTF.

Top performance is achieved by a Dedicated Image Pipeline Processor that has an equivalent capability of more than 8000 MIPS and is designed for video speed image processing.

It includes:

- adaptive contour enhancement at 9 x 9 kernel

- adaptive harmonization enhancement at 192 x 192 kernel

- Xres is an award-winning image processing algorithm. Xres is a multiresolution spatial temporal noise reduction and edge enhancement filter. It exploits the full benefits of the digital detector to enhance sharpness and contrast and to reduce noise in the clinical images.

The Azurion 7 B20/15 has a storage capacity of 100,000 images at matrix size of 1024 x 1024, 10 bit for each plane. A maximum number of examinations is 999, with no limit to the maximum number of images per examination.

4. User Interface User Interface in Examination Room

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Sticky Note Unmarked set by AMMHINWARDM

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Sticky Note Unmarked set by AMMHINWARDM

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Sticky Note Unmarked set by AMMHINWARDM

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

The User Interface comprises a variety of User Interface modules in the Examination Room. There is the On-Screen Display, the touch screen module, Viewpad and the control modules.

The On-Screen Display is positioned, depending on configuration, at the bottom of the live and reference monitors or on the left side of the FlexVision monitor 58-inch monitor. The following system information is displayed:

- X-ray indicator

- X-ray tube temperature condition

- Gantry position in rotation and angulation

- Source Image Distance

- Table height

- Table top tilt and cradle angle, if applicable

- Detector field size display

- General System messages

- Selected Frame speed

- Fluoroscopy mode

- Integrated fluoroscopy time

- Skin Dose: dose rate during X-ray and cumulated dose

- Dose Area Product: cumulated dose

- Graphical bars for Body Zone specific accumulated skin dose levels, related to the 2 Gy level (for cardiac applications)

- Stopwatch

Two Touch screen modules The touch screen module is provided for use at either the tableside or in the control room.

Optionally, it is possible to connect in parallel up to three touch screen modules on the system.

The touch screen module has a touch screen, which can be operated when covered with sterile covers. The touch screen module allows control of (depending on configuration):

- 3rd party equipment (e.g. CX50, Interventional Tools, EchoNavigator, DoseAware)

- Monitor layout (FlexVision, switchable monitors)

- X-Ray settings (Collimation)

- Geometry (Projections and Table)

- Viewing (Series selection and image Processing)

- Quantitative Analysis (optional) - User can start QA from the touch screen module

Viewpad The Viewpad contains the preprogrammed function settings. The system is provided with two Viewpads. The following functions are provided:

- Series and image selection

- Study cycle

- Study overview

- Store to Reference image file

- Copy image to photo file

- Recall reference images, which means switching control of Viewpad function from life to reference monitor

- Laser pointer, intended to point at regions of interest on the image monitors

- LED indication of laser pointer on/off and battery low

Control modules.

The geometry control module can be positioned at three sides of the patient table, while keeping the button operation intuitively logical. The control module biplane provides the following functionality:

- Tabletop float

- Table height position

- Table tilt angle if function is applicable

- Source Image Distance selection

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Sticky Note Unmarked set by AMMHINWARDM

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Sticky Note Unmarked set by AMMHINWARDM

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Sticky Note Unmarked set by AMMHINWARDM

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

- Gantry positioning (both frontal and lateral)

- Gantry rotation in an axis perpendicular to the floor (both frontal and lateral)

- Geometry reset button, which resets stand and table to a factory-default starting position

- Emergency stop button

- Execute button of the Automatic Positioning Control (APC) if applicable

- Unlocking button for table pivot function (if option is installed)

- Table tilt and cradle controls (if option is installed) The imaging control module can also be positioned at three sides of the patient table. It provides the following functionality:

- Fluoroscopy Flavor selection defined per setting

- Shutters and Wedge positioning (for both frontal and lateral plane)

- Manual or automatic semi-transparent wedge filter

- Fluoro Storage

- Selection of the Detector field size

- Reset of the fluoroscopy buzzer

- Roadmap Pro activation if function is available

The control module is provided with a protection bar. This removable bar protects the buttons from unintended control.

Pan Handle

The pan handle is an optional extension of the control possibilities for floating movements of the table top in cardio vascular and neuro systems

Key benefits

• Flexible positioning during cardio and neuro procedures

Flexible positioning during cardio and neuro procedures To allow more flexible positioning during cardio and neuro procedures, the pan handle option can be used to perform floating table movements. The pan handle provides a solid grip of the tabletop and can release and apply the tabletop brakes. It can be attached anywhere along the tabletop and accessory rails without affecting the floating range.

Specifications Pan handle with cable and connector Table-top attachment clamp Accessory-rail attachment clamp

User Interface in Control Room With Philips Azurion the control room comprises of a review module, an acquisition monitor and a review monitor. The acquisition and review functions are controlled by a single keyboard and mouse.

The review module offers the basic functions for reviewing images on the acquisition monitor. The most prominent functions can be controlled by the push of a button. The review module comprises the following functionality:

- Power on/off

- File and series cycle

- File, Series, and Image stepping

- Series and file overview

- Reset fluoroscopy buzzer

- Enable/disable X-ray

- Disable Geometry movements

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Sticky Note Unmarked set by AMMHINWARDM

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Sticky Note Unmarked set by AMMHINWARDM

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Sticky Note Unmarked set by AMMHINWARDM

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

The acquisition monitor is intended to follow live case in the ER. The live images for the frontal and lateral channels are always synchronized and displayed side by side on one monitor. System information is displayed on the bottom of the monitor:

- Stopwatch and Time

- System guidance information

- Dose Area Product (DAP), Cumulative Skin Dose, Skin Dose rate as well as graphical bars for Body Zone specific accumulated skin dose levels

- Frame speed settings, fluoroscopy mode, and accumulated Fluoroscopy time

- Exposure and fluoroscopy settings as Voltage (kV), Current (mA) and time (ms)

- Geometry information as rotation, angulation, and SID

Patient Administration In the scheduling page it is possible to add new patients (either querying from RIS/CIS or by creating patient locally). The patients can be listed and selected per date, physician, and intervention type. Previous DICOM patient studies can be uploaded with the DICOM Query Retrieve function in the Philips Azurion system. Patient management protocols are flexible and allow for multiple studies to be selected under one patient identification number. This means that new studies can be appended to an earlier patient file. Furthermore, each study can contain multiple examinations to allow for split administrative purposes. Each examination contains multiple files, like acquisition file, reference file, and photo file.

ProcedureCards ProcedureCards provide the information of room and patient preparation for each individual physician. ProcedureCards are customizable per setting and allow each physician to provide their own room protocols. ProcedureCards with Checklists and Protocols is intended to make hard copies of the protocol instructions redundant.

Acquisition The acquisition page contains information on the currently selected patient and allows control of the acquisition settings.

Quantitative Vascular Analysis

Key benefits

• Allows quantitative assessment of different size vessels such as aortic and peripheral

• Aids confident decision making for device selection, approach angles and follow-up

• Designed for efficiency with single click functions and fast results

Easily obtain objective assessment of aortic and peripheral vasculature To support decision making and allow quantitative assessment of vasculature during vascular interventions, the 2D quantitative vascular analysis option supports quantification such as aortic and peripheral artery dimensions of about 5 to 50 mm from 2D angiographic images. With one click, the relevant segment is detected and a visualization of the obstruction, healthy vessel, reference diameter, stenosis diameter and plaque area is created.

Specifications:

• Automated vessel segmentation

• Diameter measurement along selected segment

• Automated obstruction analysis

• Stenosis diameter, stenosis length

• % stenosis diameter, % stenosis area

• Automated and manual calibration routines

• Store result page

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Sticky Note Unmarked set by AMMHINWARDM

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Sticky Note Unmarked set by AMMHINWARDM

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Sticky Note Unmarked set by AMMHINWARDM

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Analysis of the targeted vessel segment has been simplified with the single click function. Position the mouse on or close to the stenotic area and click once to detect the relevant segment. The visualization shows the obstruction, healthy vessel, reference diameter, stenosis diameter and plaque area.

Reviewing The review page allows for reviewing of patients:

- Previous examination cases

- Review of other DICOM XA or DICOM SC studies.

Archiving Clinical cases can be archived to a CD/DVD, USB or a PACS. The archive process can be completely automated and customized with settings. Parameters like multiple destinations, archive formats can be selected to the individual needs and wishes for programming under the settings.

The review monitor is a 24 inch color TFT-LCD medical grade monitor.

The Review monitor can be used while acquisition is being performed in the examination room and has the following features and possibilities:

- Step through file, series, or images

- File, and series overview

- Contrast, brightness, and edge enhancement settings

- Flagging of series or images for transfer

- Applying text annotation in images

- DICOM printing if available

- Executing Quantitative Analysis Packages if available

- Subtraction functionality if available

This system is delivered with printed instructions for use and/or electronic instructions for use, as well as a quick start leaflet. A printed paper instructions for use can also be ordered at no additional cost.

5. Viewing Viewing in the Examination room The Azurion 7 B20/15 system comes with two 27 inch color medical grade LCD monitors for clinical image display in the Examination room. These LCD monitors are intended for viewing in the examination room and are designed for medical applications.

One of the monitors is used for viewing of frontal and lateral live images. The other monitor serves as the frontal and lateral reference displays. Selection and storing of live to reference monitors is controlled by the infra-red remote-control Viewpad.

The On-Screen Display provides status information on stand rotation-angulation, table height, display of system messages, X-ray tube load status, selected fluoroscopy mode, selected detector Field of View, and both the rate and accumulation of the dose area product and Air Kerma dose.

The main characteristics are:

- 27 inch color TFT-LCD display

- Native format 2560x1440 Quad HD

- 10 bit gray-scale resolution with gray-scale correction

- Wide viewing angle (approx. 178 degrees)

- High brightness (max 500 Cd/m2, default 350 Cd/m2)

- Push buttons for control functions on front

- User programmable and standard reference setting

- On Screen Display

- Internal selectable lookup table for gray-scale transfer function

- Internal power supply (110-240 VAC)

- Integrated LCD protection screen

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Sticky Note Unmarked set by AMMHINWARDM

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Sticky Note Unmarked set by AMMHINWARDM

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Sticky Note Unmarked set by AMMHINWARDM

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Unless otherwise stated a flat monitor ceiling suspension for 2 widescreen monitors (2F MCS) is included. MCS includes motorized height adjustment. The Ceiling suspension allows flexible monitor positioning over a range of about 360 x 300 cm.

Viewing in Control room DICOM compatibility The Azurion 7 B20/15 system includes the DICOM Image Interface which enables the export of clinical images to a DICOM destination like a CD-Medical station or a PACS server.

The export formats are based on DICOM 3.0 protocols.

The system exports clinical studies in Cardiac DICOM XA Multi-Frame or DICOM Secondary Capture formats.

The DICOM Image Interface transfers through its fast Ethernet link, making images available on-line within seconds.

The archive process can configured by Settings. The images are sent out either in the background, or manually upon completion of the examination.

The export format is configurable in 512x512 or 1024x1024 matrix in 8 or 10 bit depth. The examination can be sent to multiple destinations for archiving and reviewing purposes.

The DICOM Image Interface provides DICOM Storage and DICOM Storage Commitment Services.

The DICOM Query/Retrieve function allows older DICOM XA MF and DICOM SC studies to be uploaded in the system.

Furthermore, additional information can be appended to a study while keeping the patient identification the same.

Remote Intercom

Data Integrity UPS Uninterruptable Power System (UPS) Ensures data integrity A power failure of the hospital mains during an intervention can cause loss of data. If this occurs, the single phase Uninterruptable Power System (UPS) enables a proper shut-down of the X-ray system processor units.

Specifications In case a (local) three phase UPS is used, the single phase UPS is not delivered.

Remote service Access to the system from a Remote location is possible via network or modem connection.

Remote access to a system can shorten the time needed for e.g. changing system settings or problem diagnosis.

Clinical Education Program for Azurion System:

The purchase of the Azurion System includes a StartRight entitlement pool that allows for the customized delivery of educational events to improve staff time to proficiency, knowledge on system features, and improve overall lab efficiency. For new users, the recommended series of educational events includes:

Essentials OffSite Education: Philips will provide up to two (2) Cardiovascular Technologists, Registered Technologists, Registered Nurses, or other system operator as selected by customer, AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Sticky Note Unmarked set by AMMHINWARDM

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Sticky Note Unmarked set by AMMHINWARDM

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Sticky Note Unmarked set by AMMHINWARDM

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

with in-depth didactic, tutorial, and hands-on training covering basic functionality and work-flow of the cardiovascular imaging system. In order to provide trainees with the ability to apply all fundamental functioning on their system, and to achieve maximum effectiveness, this class should be attended no earlier than two weeks prior to system installation. This twenty-eight (28) hour class is located in Cleveland, Ohio, and is scheduled based on your equipment configuration and availability. Due to program updates, the number of class hours is subject to change without notice. Customer will be notified of current, total class hours at the time of registration. This class is a prerequisite to your equipment handover OnSite Education. CEU credits may be available for each participant that meets the guidelines provided by Philips. Please refer to guidelines for more information. In the event that an EP Navigator workstation has also been ordered, the offsite training course will be tailored to focus on the electrophysiology functionality of the FD system and the EPN workstation. Travel and lodging are not included, but may be purchased through Philips.

It is highly recommended that 989801292102 (CV Full Travel Pkg OffSite) is purchased with all OffSite courses

Initial Handover OnSite Education: The primary Philips Education Specialists will provide twenty-eight (28) hours of education for up to four (4) students, selected by customer, including technologists from night/weekend shifts if necessary. Students should attend all 28 hours, and must include the two OffSite education attendees. CEU credits may be available for each participant that meets the guidelines provided by Philips. Please refer to guidelines for more information. Note: Site must be patient-ready. Philips personnel are not responsible for actual patient contact or operation of equipment during education sessions except to demonstrate proper equipment operation. It is highly recommended for systems that are fully loaded or for customers with a large number of staff members to also purchase 989801292099 (CV Add OnSite Clin Educ 24h).

FollowUp OnSite Education: Philips Education Specialists will provide sixteen (16) hours of education for up to four (4) students, selected by customer, including technologists from night/weekend shifts if necessary. Students should attend all 16 hours, and must include the two OffSite education attendees. CEU credits may be available for each participant that meets the guidelines provided by Philips. Please refer to guidelines for more information. Note: Site must be patient-ready. Philips personnel are not responsible for actual patient contact or operation of equipment during education sessions except to demonstrate proper equipment operation.

Assessment OnSite Year 1: The primary Philips Education Specialist will perform a two day onsite assessment at the customer site on or close to the first anniversary of the Initial Handover.

The Specialist will assess through various means not limited to; physical observation of procedure workflow, tool usage data analysis and staff interviews. The Specialist will then review findings with department head and make recommendations thereof. The Specialist may perform refresher training if required.

Education expires one (1) year from installation date (or purchase date if sold separately).

Ref#296339296340296341296342-20170209

Azurion FlexVision10 Input 12 Eight Isolated Wall Connection box to support the display of an external video source on a monitor in the examination room.

Key benefits

• Stream video from other modalities on the interventional X-ray suite:

• Connect external video in the exam room

Easily stream video to other locations

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Sticky Note Unmarked set by AMMHINWARDM

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Sticky Note Unmarked set by AMMHINWARDM

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Sticky Note Unmarked set by AMMHINWARDM

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Many interventional facilities use video to record and stream images from other modalities on the interventional X-ray suite for training or presentation purposes. The Video Wall Connection Box facilitates connection of the video source via a standard DVI cable/connector and lossless transfer of the video signal over the approximate 30 meter long cable. It can be mounted in the examination room or in the control room, depending on the location of the video source.

Specifications

The quantity of the VWCB's has to be calculated as follows:

For each video signal via MultiVision: 1 VWCB (max = 4)

For each video signal to FlexVision XL on Cardio System: 1 VWCB (max = 9)

For each video signal to FlexVision XL on Vascular System: 1 VWCB (max = 8)

For each 3rd party video signal directly connected to an LCD in the MCS: 1x VWCB

Note:

No VWCB is required in case a video signal is connected directly to a dedicated LCD from the following sources:

1. Live/ref Slaving

2. Interventional HW (XtraVision), IntelliSpace Portal, Philips Xcelera (only if workstations are powered by Philips X-ray system)

3. XperIM

Two Isolated Wall Connection box on the rear side of the monitor ceiling suspension to support the display of an external video source on a monitor in the examination room.

Key benefits

• Easily connect external video in the exam room

Specifications

A wall connection box to connect external video (input only), USB and Ethernet. One or two WCB’s (option) can be attached on the rear side of the 1st MCS with a bracket. A cable box (also attached to rear side of 1st MCS) can be used to store connected equipment cables. A maximum of two WCBs/cable boxes can be attached.

live/ref slaving for ER 23 Live/ref slaving for Exam Room.

Key benefits

• Easily display any data or clinical information needed to work efficiently Simplify workflow with flexible viewing control Having patient data and clinical information easily available on screen can enhance decision making and efficiency during interventions. The live/ref slaving will enable the option to slave the

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Sticky Note Unmarked set by AMMHINWARDM

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Sticky Note Unmarked set by AMMHINWARDM

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Sticky Note Unmarked set by AMMHINWARDM

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Live and Ref video source from the X-ray system. The total amount of live/ref slaving that can be selected is max 5, minus the number of FCV0807 Live/ref slaving for CR.

Specifications Live/ref slaving for ER is possible:

- On Philips MCS (additional monitor excluded from this option)

- In combination with FCV0519 1 or 2 MCS from Skytron/Steris

ClarityIQ... 14 Low dose across clinical areas, patients and operators.

Key benefits

• High-quality imaging at low dose levels

• Enhanced work environment for staff through active management of scatter radiation

• Expands treatment options – enables longer procedures to treat obese and high-risk patients with confidence

See with confidence every time Interventions are becoming increasingly complex, which lengthens fluoroscopy time and increases the need for high resolution imaging. New devices can be more difficult to visualize, making it harder to position them precisely. The prevalence of patients with a high BMI can also require increased dose levels to visualize anatomy. All of these factors inspired us to completely redefine the balance in interventional X-ray with Azurion.

Azurion with its unique ClarityIQ technology gives you exceptional live image guidance during treatment. What's more, you can confidently manage low X-ray dose levels without changing your way of working. In short, you can see what you have to regardless of patient size.

Specifications ClarityIQ technology is the foundation of Philips X-ray systems with Azurion. It offers:

- Noise and artefact reduction, also on moving structures and objects

- Image enhancement and edge sharpening

- Automatic real-time patient and table motion correction on live images

- A flexible digital imaging pipeline from tube to display that is tailored for each application area

- Over 500 clinically fine-tuned system parameters making it possible to filter out more X-ray radiation and use smaller focal spot sizes and shorter pulses with the grid switching technology of Philips MRC tube and accompanying generator

VesselNavigator 15 VesselNavigator Reduce your need for contrast in complex endovascular procedures

VesselNavigator allows reuse of 3D vascular anatomical information from existing CTA and MRA datasets as a 3D roadmap overlay on live X-ray images. With its sophisticated visualization, it provides an intuitive and continuous 3D roadmap to guide you through vasculature during the entire procedure. This reduces the need for a contrast enhanced run to create a conventional roadmap and potentially shortens procedure times.

The essential components of VesselNavigator are:

• 3D roadmap navigation with a personalized visualization of a CT or MR overlay of the selected vasculature on live fluoro.

• Both 2D and 3D registration for CT or MR image fusion, allowing to choose the optimal registration method for the user’s workflow

• Easy, intuitive four step workflow, with one click vessel segmentation

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Sticky Note Unmarked set by AMMHINWARDM

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Sticky Note Unmarked set by AMMHINWARDM

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Sticky Note Unmarked set by AMMHINWARDM

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

• Ring markers to easily indicate the ostia and landing zones.

VesselNavigator can be used for any type of endovascular procedure, except for coronaries and intracranial vessels. It is especially beneficial for complex and tortuous vasculature where it is challenging to accurately navigate and place stents or for procedures where contrast use should be minimized.

VesselNavigator provides the following functions:

One click vessel segmentation; the user can select the relevant vessels for the overlay in the CT or MR volume in one click

3D landmarks. In the planning step the user can place ring markers for denoting ostia or landing zones and markers for denoting specific structures like calcifications Plan angles; VesselNavigator provides three dimensional views of vasculature that allow you to easily define the right projection angle. These angles can be recalled during the procedure for optimal navigation and stent placement.

2D registration; The CT or MR volume needs to be matched with the X-ray image for continuous live overlay. This can be performed with 2 X-ray images from different orientations. Once the 2 images are acquired, the user must manually match the bones on the preoperative scan with the X-ray image.

3D registration; The existing CTA or MRA volume needs to be matched with the X-ray image for continuous live overlay. This can be performed with a rotational angiogram or cone beam CT. The user has to identify 3 identical anatomical points on the rotational scan and the CTA or MRA volume. The software automatically matches the identified points to register the pre-operative scan with the X-ray system.

Live image guidance; Real-time overlay of the 3D Vessel segmentation on the live 2D X-ray images from the Allura X-ray system of the same anatomy. For optimal viewing, the user can personalize the visualization of the overlay. The overlay can provide additional 3D image guidance to help the user with navigating the device/catheter to the target, enhancing clinical outcomes.

Table tracking; The overlay will be aligned with the live X-ray image, irrespective of table movements.

Table side control; Registration and live guidance can be controlled from table-side to provide efficient work-flow during the interventional procedures

Image data for VesselNavigator is stored together with the VesselNavigator movies and snapshots and can be sent to any optional DICOM compatible device (e.g. PACS/IntelliSpace Portal/Xcelera). Supported are DICOM XA, DICOM SC, DICOM CT and DICOM MR and any PC in a standard PC compatible format (JPEG, AVI). All this data can be reviewed at any time.

VesselNavigator movies and snapshots can be stored/archived on:

• A PACS systems as DICOM Secondary Capture images or movies.

• USB removable memory device.

• One or multiple DVD's, CD-ROM(s) for easy archiving.

• Hard copy via the (DICOM Print) protocol.

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Sticky Note Unmarked set by AMMHINWARDM

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Sticky Note Unmarked set by AMMHINWARDM

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Sticky Note Unmarked set by AMMHINWARDM

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Clinical Education Program for Vessel Navigator:

Philips Imaging Systems Clinical Education Specialist will provide sixteen (16) hours of education for up to four (4) students, as selected by customer, including technologists from weekend/night shifts as necessary. CEU credits are not available for this portion of training. Please refer to guidelines for more information. Note: Site must be patient ready. Philips personnel are not responsible for actual patient contact or operation of equipment during education sessions except to demonstrate proper equipment operation.

Education expires one (1) year from equipment installation date (or purchase date if sold separately). Ref#296273-20150805

VasoCT 16 The VasoCT interventional tool helps to visualize sub-millimeter sized vascular anatomy and endovascular material during neuroradiology interventions

Key benefits

• Enhances visualization of endovascular devices (stents, flow diverters etc.) and vessel morphology down to perforator level.

• Allows visualization beyond the clot with peri-procedural imaging of the distal vessel aspects in ischemic stroke.

Reveal hidden complexities The ability to visualize sub-millimeter sized vascular anatomy and endovascular material during neuroradiology interventions enhances the clinician’s ability to judge the chances of success and raises their treatment confidence. The VasoCT interventional tool was designed to meet these requirements and to help clinicians further enhance clinical outcomes, and reduce procedural complications and patient trauma.

This novel interventional acquisition technique provides high-resolution 3D imaging that reveals key information about cerebral vascular structures to support the spatial assessment of vessels in the soft tissue context. It is designed to increase the confidence with which clinicians plan, perform, and follow-up on various endovascular neuro procedures. Three protocols are provided to enhance visualization of different devices and pathology: high resolution VasoCT, intra-arterial enhanced VasoCT, and intra-venous enhanced VasoCT.

Specifications VasoCT is available for X-ray systems with an FD20 detector on the frontal Arc.

The VasoCT package contains everything that is needed for to perform VasoCT imaging such as:

• VasoCT software package

• Instruction video

• Instructions for Use

Subtracted Bolus Chase 17 For visualization of vessel structures when the blood flow is difficult to estimate, in particular in the lower peripherals.

Bolus Chase solves the problem of cumbersome step movements, the mismatch between blood flow and selected program, and lack of real-time image information.

During digital acquisition in non-subtracted mode with uninterrupted real-time image display, the contrast bolus is followed (chased) interactively by a motorized table scan movement using a hand-hold speedcontroller to adapt the speed of the table scan to the contrast flow.The framespeed can be adapted as well.

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Sticky Note Unmarked set by AMMHINWARDM

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by AMMHINWARDM

AMMHINWARDM

Sticky Note Unmarked set by AMMHINWARDM

AMMHINWARDM

Sticky Note None set by AMMHINWARDM

AMMHINWARDM

Sticky Note MigrationNone set by…