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Philips Affiniti 70

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Ultrasound

Affiniti 70

It understands
your everyday
Philips Affiniti 70 ultrasound system specifications
Contents

1 Introduction 4 4 Workflow 14
1.1 Applications 4 4.1 Ergonomics 14
4.2 Display annotation 14
2 System overview 5 4.3 SmartExam protocols 14
2.1 System architecture 5 4.4 Stress echo 15
2.2 Imaging formats 6 4.5 Volume imaging solutions
2.3 Imaging modes 6 for connected radiology departments 15
M-mode 7 4.6 QuickSAVE feature 15
Spectral Doppler 7 4.7 Image presentation 15
Auto color and Auto Doppler 7 4.8 Cineloop review 16
Steerable continuous wave (CW) 4.9 Exam management features 16
Doppler 7 Rapid Procedure Setup 16
Tissue Doppler Imaging (TDI/TDI PW) 7 4.10 Connectivity 16
3D/4D and MPR imaging Standard connectivity features 16
(hybrid transducers) 7 NetLink connectivity option 17
Freehand 3D volume and MPR imaging 8 Report 17
Spatio-Temporal Image Correlation Government security option 17
(STIC) imaging 8 SafeGuard security option 17
Panoramic imaging 8 Security Plus option 17
Contrast imaging – cardiovascular 8
Contrast imaging – general imaging 8 5 Transducers 18
Interventional imaging 8 5.1 Transducer selection 18
2D imaging 9 Compact transducers 18
Tissue Harmonic Imaging (THI) 9 PureWave crystal technology 18
Color Doppler 9 Curved array 18
Color Power Angio imaging (CPA) 10 C10-3v broadband curved array
Strain-based elastography 10 with PureWave crystal technology 18
Shear wave elastography 10 C9-4v broadband curved array 18
C10-4ec broadband curved array 18
3 System controls 11 BP10-5ec broadband curved array 18
3.1 Optimization controls 11 C9-2 broadband curved array
2D grayscale imaging 11 with PureWave crystal technology 19
Next-generation SonoCT real-time C8-5 broadband curved array 19
compound imaging 12 C5-1 broadband curved array
XRES adaptive image processing 12 with PureWave crystal technology 19
Live volume imaging (GI/WHC) 12 C6-2 broadband curved array 19
Tissue aberration correction (TAC) 13 Volume array 19
iSCAN intelligent optimization 13 V6-2 broadband curved array 19
AutoSCAN intelligent optimization 13 3D9-3v broadband curved array 19
iOPTIMIZE intelligent optimization 13 VL13-5 broadband linear array 19
3.2 Control panel 13
3.3 Touch screen 13

2
Linear array 20 7 Measurements and analysis 30
L18-5 broadband linear array 20 7.1 Measurement tools and general
L15-7io broadband compact linear array 20 description 30
L12-5 50 broadband linear array 20 7.2 Measurement tools and quantification 30
L12-3 broadband linear array 20 QLAB quantification software 30
L12-4 broadband linear array 20 General Imaging 3D Quantification
Sector array 21 (GI 3DQ) plug-in 30
S4-2 broadband sector array 21 Intima Media Thickness (IMT)
S5-1 broadband sector array Quantification plug-in 31
with PureWave crystal technology 21 MicroVascular Imaging (MVI) plug-in 31
S8-3 sector array 21 Region of Interest (ROI) Quantification
S12-4 sector array 21 plug-in 31
S7-3t sector array TEE 21 Vascular Plaque Quantification (VPQ)
X7-2t xMATRIX array TEE plug-in 31
with PureWave technology 21 Strain Quantification (SQ) plug-in 31
Non-imaging 21 Automated Cardiac 2DQ QuantificationA.I.
D5cwc CW transducer (Pedoff) 21 (a2DQA.I.) plug-in 31
D2cwc CW transducer (Pedoff) 21 Automated Cardiac Motion 2D
D2tcd PW transducer (Pedoff) 21 QuantificationA.I. (aCMQA.I.) plug-in 32
5.2 Transducer application guide 22 Elastography Quantification (EQ) 32
7.3 High Q automatic Doppler analysis 33
6 PercuNav image fusion and 7.4 Clinical option analysis packages 33
interventional navigation 27
6.1 Overview 27 8 Physical specifications 34
Image fusion 27 Physical dimensions 34
Interventional navigation System cart 34
and planning software 28 Monitor 35
Interventional navigation tracking Control panel 35
instrumentation 28 Physio 35
Anatomical measurements 28 Peripherals 35
Connectivity 28 Input/output ports 35
PercuNav accessories 29 Power requirements and video
PercuNav adaptive needle tracker 29 parameters 35
PercuNav ultrasound tracker 29 Electrical safety standards 35
PercuNav endocavity tracker 29
PercuNav patient tracker 29 9 Maintenance and services 36
Maintenance 36
Services 36
Clinical education 36
Philips Remote Connectivity 36
Warranty 36

3
1. Introduction

You always go above and beyond to provide the best care to your patients.
But you are expected to do so with less time, fewer resources, and higher
patient volume. The care you want to provide deserves tools that can set
you ahead and help you stay ahead.

We designed Philips Affiniti 70 to give you the confident results you need,
in the time you have. Engineered for efficiency and reliability and powered by
Philips superb performance, it gets you diagnostic images you need, quickly –
even on the most technically difficult patients. Its intuitive design and walk-up
usability help you provide elegant, efficient care – every day.

54.6 cm (21.5 in)


monitor articulates
1.1 Applications for easy viewing
and folds down for
• Abdominal transport
• Obstetrical
• Fetal echo
• Cerebrovascular
• Vascular (peripheral, cerebrovascular, Goes to sleep in two
seconds; back to full
temporal TCD, and abdominal) Tablet-like
functionality in seconds
• Abdominal vascular touchscreen
• Gynecological and fertility
• Small parts and superficial Service Request
• Musculoskeletal button for
• Pediatric general imaging immediate
access to
• Prostate
Elegant control Philips support
• Echocardiography
panel, simplified
(adult, pediatric, fetal)
for ease of use
• Stress echocardiography
• Transesophageal echocardiography
(adult and pediatric)
• Surgical imaging
Four transducer
• Interventional imaging
ports and
• Contrast imaging* one-handed
• Bowel imaging transducer access
• Strain elastography, shear wave
elastography (ElastPQ)
• Perioperative
• Epicardial echocardiography
• Image fusion and needle navigation

*In the U.S. contrast is only approved for cardiac use.

4
2. System overview

2.1 System architecture


• Supports both strain and shear wave elastography • High precision beam-steered image compounding that
(Elast PQ) acquires more tissue information and reduces angle-
• Offers up to 4,718,592 total digital channels generated artifacts
–– Next-generation ultra-low noise, wide dynamic range, • Up to nine lines of sight, obtained by steering the
280 dB, digital broadband acoustic beamforming with ultrasound beam, available on linear, curved and tightly
proprietary architecture curved arrays, and mechanical volume arrays
–– Powerful distributed multi-core processing architecture • WideSCAN capability to expand field of view during
capable of achieving 225 x 109 40-bit Multiply- SonoCT imaging
Accumulates/second. Includes 512 GB hard drive support • SonoCT capability available during contrast imaging*
for transducer frequencies up to 20 MHz modes
–– Optimized for high definition 54.6 cm (21.5 in) –– Philips next-generation XRES adaptive image processing
LCD display for noise and artifact reduction that enhances tissue and
–– Designed to support virtually any array configuration: border definition
sector, linear, curved, tightly curved, and TEE • Performs 350 million calculations per frame of image data
–– Contrast imaging* uses both Pulse Inversion and power up to 1900 frames per second
modulation technologies • Provides XRES capability when in contrast imaging* modes
–– Supports depths from skin line (using zoom function) • Operates in 2D and 2D/CFI/Doppler/TDI mixed modes up
to 30 cm to 1900 frames per second

*In the U.S. contrast is only approved for cardiac use.

5
• Offers XRES capability in contrast imaging* modes • Coded beamforming
–– Philips adaptive broadband flow imaging • Multivariate Tissue Harmonic Imaging including pulse
• Doppler bandwidth that automatically adjusts inversion technology and coded harmonics
for outstanding flow sensitivity and resolution • Left ventricular opacification (LVO) with pulse inversion
• Advanced dynamic motion suppression algorithms and power modulation technologies
that reduce flash artifacts • SonoCT beam-steered real-time compound imaging
–– Fully independent triplex multiple mode operation • Harmonic SonoCT imaging
for ease of use during Doppler procedures • Up to five levels of XRES adaptive image processing
–– Auto Doppler flow optimization for carotid/arterial technology
applications using linear array transducers –– Variable settings available to the user
• Automatically adjusts color box position and angle • iSCAN intelligent scanning for one-button TGC and gain
• Automatically adjusts PW sample volume placement optimization (i.e., adaptive gain compensation – AGC)
and angle • AutoSCAN with adaptive gain compensation (AGC)
• Includes Auto Flow Tracking for automatic angle for real-time frame-by-frame TGC optimization
correction with sample volume movements • Simultaneous 2D M-mode
–– Advanced stress echo applications • Color Doppler
• Stress protocols with up to ten stages • Color Power Angio imaging (CPA) and directional CPA
• Forty views per stage by five modes –– High resolution option available in relevant clinical
–– Multi-application SmartExam workflow protocols applications
• Stress echo, echo, abdominal, small parts, Ob/Gyn, • Strain-based elastography
and vascular applications • Shear wave elastography point quantification imaging
• Step-by-step on-screen guidance during exam (ElastPQ)
• Full user customization • High-PRF pulsed wave (PW) Doppler
• Record function for creation of custom protocols • Duplex and simultaneous 2D/PW Doppler
• Automatic mode switching including 3D • Duplex continuous wave (CW) Doppler
–– Fast system boot up: from off, approximately • Duplex, color flow, CW Doppler
110 seconds • Duplex 2D, color flow, PW Doppler
–– Transport mode: from sleep mode to on, approximately • Duplex 2D, CPA, PW Doppler
20 seconds • Auto Doppler optimization: Auto PW Doppler, color
• Transport mode lasts 40 minutes before recharge Doppler, flow optimization for one-button angle correction
is needed and steering
• Tissue Doppler Imaging (TDI)
2.2 Imaging formats • Adaptive Doppler
• Adaptive Broadband Color Flow
• 2D linear: WideSCAN with SonoCT
• Color compare mode
• 2D curved: WideSCAN with SonoCT
• Independent triplex mode for simultaneous 2D, color flow,
• 2D sector
PW Doppler
• 2D virtual apex sector imaging with wide field of view
• Independent triplex mode for simultaneous 2D, CPA,
• 2D trapezoid
PW Doppler
• Dual 2D
• Dual imaging with:
• Panoramic
–– Two work flow choices; single buffer or dual buffer
–– Mixed mode display with one image live while other
2.3 Imaging modes is frozen, for example, 2D/2D, 2D/color, color/color,
• 2D grayscale imaging with advanced pulse coding, pulse color/CPA
shaping, and frequency compounding technologies • High definition zoom (write zoom)
• M-mode • Reconstructed zoom with pan (read zoom)
• M-mode color Doppler • Panoramic imaging
• M-mode tissue Doppler • SonoCT panoramic imaging with XRES and harmonic
• Anatomical M-mode modes
• TDI M-Mode • Chroma imaging in 2D, 3D, QLAB MPR and iSlice,
• 3D imaging Panoramic, M-mode and Doppler modes
• 3D imaging with Color Doppler/CPA/DCPA • Dynamic colorization in freehand 3D on C9-4v, C10-3v
• 4D imaging and 3D/4D on V6-2, 3D9-3v, VL13-5
• Tissue Harmonic Imaging (THI) with pulse inversion • Live MVI
technology • Spatio-Temporal Image Correlation (STIC)

6
M-mode Auto color and Auto Doppler
• Available on all imaging transducers • In live imaging provides the following capabilities:
• Anatomic M-mode available on all imaging transducers –– Automatically adjusts color box position and angle
• TDI M-mode available in cardiac applications –– Automatically adjusts PW sample volume placement
• Selectable sweeping rates and angle
• Time markers: 0.1 and 0.2 seconds –– Includes Auto Flow Tracking for automatic angle
• Acquisition zoom capability correction with sample volume movements
• Selectable display format prospective or retrospective –– Automatically adjusts PW scale and baseline
(1/3-2/3, 1/2-1/2, 2/3-1/3, side-by-side, full screen) • When image is frozen and Doppler is active,
• Chroma colorization with multiple color maps automatically adjusts PW scale and baseline
• Cineloop review for retrospective analysis of M-mode • Auto color and Auto Doppler is available on the linear
data 256 (8 bits) discrete gray levels transducers L12-3, L12-4, L12-5 50, VL13-5, L18-5,
and L15-7io in carotid/arterial vascular applications
• Auto Doppler is available on the curvilinear transducers
Spectral Doppler
C5-1, C6-2, C8-5, C9-2, C9-4v, C10-3v, C10-4ec,
• Display annotations including Doppler mode, scale BP10-5ec, V6-2
(cm/sec) Nyquist limit, wall filter setting, gain, acoustic
output status, sample volume size, normal/inverted,
Steerable continuous wave (CW) Doppler
angle correction, grayscale curve
• Ultra-high resolution millisecond spectral FFT rate • Available on all cardiac applications using sector
• Angle correction with automatic velocity scale transducers
adjustment • Steerable through 90° sector
• Adjustable velocity display ranges • Maximum velocity range: 19 m/sec
• Nine position shifts (including 0) (transducer-dependent)
• Normal/invert display around horizontal zero line • iSCAN optimization that automatically adjusts scale
• Five selectable sweep speeds: Min, Slow, Medium, Fast, and baseline
and Max
• Selectable low-frequency signal filtering with adjustable
Tissue Doppler Imaging (TDI/TDI PW)
wall filter settings
• Selectable grayscale curve for optimal display • Available on all cardiac imaging transducers
• Selectable Chroma colorization maps (except S7-3t)
• Selectable display format prospective or retrospective – • Frame rate control: high frame rate acquisition of tissue
1/3-2/3, 1/2-1/2, 2/3-1/3, side-by-side, full screen motion (up to 240 fps)
• Steering available to up to 90° (+/- 45°), dependent • TDI gain, TGC and LGC compatible
on transducer and clinical application • TDI Opt: optimized transmit and receive frequencies
• Doppler review for retrospective analysis • Eight maps
of Doppler data • TDI M-mode and TDI-PW available, dependent
• 256 (8 bits) discrete gray levels on transducer and clinical application
• Post-processing in PW frozen mode includes map,
baseline, invert, and Chroma
3D/4D and MPR imaging (hybrid transducers)
• Available on all imaging transducers
• Adjustable sample volume size: 1.0-20 mm • Volume display with surface rendering (transparency,
(transducer-dependent) brightness, and lighting controls)
• Simultaneous or duplex mode of operation • Multiplanar reconstruction (MPR) view display
• Simultaneous 2D, color Doppler, pulsed Doppler • Specialized algorithms and maps increase
• High-PRF capability in all modes including duplex, three-dimensional display
simultaneous duplex, and triplex • Cropping tools on both volume and multiplanar
• PRF range between 200 Hz-34 KHz, depending on reconstruction (MPR) views
transducer and clinical application • Slice control on MPR and volume displays
• 50 dB or more gain available to the user, depending • Supported by SonoCT and XRES modes to reduce
on clinical application noise artifacts
• iSCAN optimization that automatically adjusts scale
and baseline

7
Freehand 3D volume and MPR imaging Contrast imaging – cardiovascular
• Qualitative grayscale volume acquisition supported on • System optimized for left ventricular opacification
all imaging transducers • One-touch solution (one-button access in Adult Echo
• Volume display with surface rendering preset) with settings for bolus and infusion
(transparency, brightness, and lighting controls) • S5-1 broad bandwidth pulse inversion and power
• Multiplanar view display modulation technologies for high sensitivity
• Specialized algorithms and maps increase 3D display • LVO on and off, and contrast optimization choices and
• Trim tools on both volume and multiplanar reconstructed transmit power settings that can be saved with Gain
(MPR) views Save feature for stress echo studies, reducing setup time
• Supported by SonoCT and XRES modes to help reduce for image acquisition at peak stress
noise artifacts • Supported on the S4-2 and S5-1
• Resize control that adjusts for different sweep speeds
• On-screen orientation markers
Contrast imaging* – general imaging
• System optimized for detecting contrast agent signatures
Spatio-Temporal Image Correlation (STIC) imaging
as they are approved for use
• Available on V6-2 transducer • Contrast modes available on C5-1, C6-2, C9-2, C9-4v,
• Automated volume acquisition of fetal cardiac cycle C10-4ec, C10-3v, L12-3, L12-4, and L12-5 transducers
allowed • Live MicroVascular Imaging (MVI)
• Grayscale and 3D Color • Mid-MI contrast modes available on C5-1, C9-2
• CPA and Directional CPA (DCPA) transducers
• Default 25° elevation angle • Pulse modulation contrast imaging available with
• User-configurable acquisition time SonoCT and XRES technologies
• Ability to stop acquisition and return to standby • Touch screen display timer
• Ability to accept or reject detected heart rate • Advanced non-linear pulsing schemes with XRES
• Compatible with QLAB quantification software for increased contrast sensitivity
• High frequency contrast capability
• Flash imaging
Panoramic imaging
• Dual imaging mode for simultaneous fundamental
• Real-time extended field-of-view composite imaging, and contrast displays
acquired in fundamental or SonoCT mode • ECG/timed triggering
• Ability to acquire composite image in XRES mode • Long loop capture mode during contrast procedures
• Ability to back up and realign the image during (3-10 minutes)
acquisition • QLAB ROI and MVI display
• Full zoom, pan, cineloop review, and image rotation
capabilities
Interventional imaging
• Auto fit of composite image
• Distance, curved-linear distance and area in review • TSP available on selected transducers for excellent
mode can be measured with distance marker displayed performance during interventional and biopsy
via skin-line ruler procedures
• Ability to display or remove skin-line ruler • Enhanced needle visualization displays
• Cineloop review that allows measurement on individual • Biopsy guide selection menus
frames • Contrast and interventional modes
• Scaling information included for connectivity prints • Support of multiple biopsy angles on S5-1, C5-1, C6-2,
allowing for measurements on a workstation C9-2, V6-2, and L12-3
• Available on linear and curved array transducers
(not available on endovaginal transducers)

*In the U.S. contrast is only approved for cardiac use.

8
2D imaging Color Doppler
• Available with all imaging transducers • Available on all imaging transducers
• Adjustable sector width and position during live imaging • Color gain
• Ability to invert image left and right, top and bottom • Region of Interest (ROI)
• Receive gain • Freq Opt: fixed transmit/receive frequencies including
• LGC (lateral gain compensation) on cardiac sector adaptive flow
transducers • Seventeen selectable baseline positions for CV,
• Selection between one and eight focal zones nine selectable baseline positions for GI, WHC
• Dynamic range or echo compression, transducer • Baseline invert
and Tissue Specific Presets (TSP)-dependent • B/W suppress
• Gray map • Color blending
• Chroma imaging providing colorized luminance maps • Color compare dual display (B/W on left, color on right)
• Acquisition zoom (HD zoom): ability to position the zoom • Color map
ROI anywhere within the image, and change the height • Color persistence
and width of the zoom ROI • Flow optimization: GI, WHC
• Display zoom and magnify on live or frozen images • Output power
up to 16 times • Magnify (range from 0.8X to 8X)
• Three levels of frame rate • Scale sector width and position on curved and phased
• Support of frame rates of up to 1900 frames per second array transducers
• Tissue optimization • Simultaneous mode during PW mode
• Contrast resolution enhancement • Smoothing
• Tissue Harmonic Imaging • Ability to steer between ±3° steer angle on linear
• SonoCT imaging array transducers
• Live Compare imaging; side-by-side comparison of • Variance
2D images where the current live image is compared • Wall filter
to a stored image from the same study or retrieved • Write priority
multimodality image • Zoom
• WideSCAN imaging • Cineloop review with full playback control
• Next-generation XRES technology • Advanced motion suppression with intelligent
• Persistence (frame averaging) algorithms; adapts to various application types
• Grayscale standard display to selectively reduce color motion artifacts
• AutoSCAN with adaptive gain compensation (AGC) • 256 color bins
for real-time line-by-line TGC optimization • Parallelogram steering on linear array transducers;
three angles on L12-5 50 and L18-5, thirty-one angles
on L12-3, L12-4, and L15-7io
Tissue Harmonic Imaging (THI)
• Trackball-controlled color Region of Interest:
• Provides second harmonic processing to reduce artifacts size and position
and provides high quality images • Maps, filters, color sensitivity, line density,
• Multivariate pulsing including patented pulse inversion smoothing, echo write priority, color persistence,
phase cancellation technology for increased detail gain, and baseline optimized automatically by exam
resolution during harmonic imaging type or is user-selectable
• Available in all clinical applications • Velocity and variance displays
• Extends high performance imaging capabilities to all • Color invert in live and frozen imaging
patient body types • Frequency optimization control for spatial resolution
• Support of SonoCT (Harmonic SonoCT) and XRES modes and penetration optimization
• Color and 2D line density control
• Automatically adapts transmit and receive bandwidth
processing based on the color box position, providing
exceptional sensitivity and color resolution
• Color Doppler PRF maximum 34 KHz, dependent
on transducer and clinical application

9
Color Power Angio imaging (CPA) Strain-based elastography
• Automatically adapts transmit and receive bandwidth • Strain-based elastography for breast and
processing based on the color box position providing gynecological imaging
excellent sensitivity and color resolution • Available for breast imaging on the L12-5 50 transducer,
• Highly sensitive mode for small vessel visualization and on the C10-3v and C9-4v for gynecological and
• Available on all imaging transducers for general imaging pelvic imaging
and women’s healthcare • One-touch entry into elastography mode
• Cineloop review • Elastogram applied as a Region of Interest box with user
• Multiple color maps control of size and location through entire field of view
• Individual controls for gain, filters, sensitivity, echo write • Indicator for compression level
priority, and color invert • Display options
• Adjustable CPA Region of Interest: size and position • Single-screen 2D with elastogram
• User-selectable persistence • Side-by-side display of 2D image and 2D with
• User-selectable blending on/off elastogram
• Cineloop review with full playback control • Shadow duplication (size compare) and measurement
• Advanced motion suppression with intelligent capability in side-by-side display
algorithms; adapts to various application types to • Distance and area tools
selectively eliminate virtually all color motion artifact • Duplication from either side of the display
• 256 color bins • Eight selectable elastogram display maps
• Parallelogram steering on linear array transducers; • Ability to hide or show the elastogram display
three angles on L12-5 50 and L18-5, thirty-one angles • Blend capability to increase 2D visibility through
on L12-3, L12-4, and L15-7io elastogram display
• Trackball-controlled color Region of Interest: • Four smoothing selections
size and position • Five persistence selections
• Maps, filters, color sensitivity, line density, • Two dynamic resolution system (DRS) selections
smoothing, echo write priority, color persistence, to alternate between elastogram resolution
gain, and baseline optimized automatically by exam and penetration
type or is user-selectable • Four dynamic range selections for elastogram display
• Velocity and variance displays • Two elastogram optimization settings for different
• Color invert in live and frozen imaging tissue compositions
• Frequency optimization control for spatial resolution • AI – anechoic imaging for enhancing areas without
and penetration optimization ultrasound signals such as cystic and complex
• Color and 2D line density control cystic structures
• Automatically adapts transmit and receive bandwidth • Stiffness measurement available
processing based on the color box position, providing
optimal sensitivity and color resolution
Shear wave elastography
• CPA PRF maximum 34 KHz, dependent on transducer
and clinical application • Tissue deformation from special ultrasound push pulses
• Detection pulses used to calculate shear wave velocity
• Available on C5-1 for liver imaging
Transducers with compact connectors.
Ergonomic designs with lightweight super-flexible cables

Specifically for cardiovascular Full range for general imaging applications. Designed for women’s
applications. healthcare applications.

10
3. System controls

Philips common user experience provides readily accessible and logically grouped
primary controls along with an easy-to-learn graphical user interface.

3.1 Optimization controls


2D grayscale imaging
• Smart TGC: pre-defined TGC curves optimized
for consistently excellent imaging with minimal
TGC adjustment
• Lateral gain compensation (LGC) and Smart LGC
for cardiac sector transducers
• Adjustable temporal resolution and spatial resolution
with DRS control
• Depth: adjustment from 2.0 to 30 cm depending
on transducer and exam
• Selection between one and eight transmit focal zones
• 16-level digital reconstructed zoom with pan capability
• High definition zoom that concentrates all image
processing power into a user-defined area of interest;
including HD Zoom Pan, and possible to combine high
definition zoom with pan zoom
• Cineloop image review
• Selectable 2D compression settings
• Tissue aberration correction
• Sector size and steering control for sector and curved
array image formats
• Selectable 2D line density with DRS control
• Dual imaging with either independent cineloop buffers
or split screen imaging
• Dual imaging with color compare
• Dual imaging with fundamental and contrast optimization
• Chroma imaging with multiple color maps
• 256 (8 bits) discrete gray levels
• 2D acquisition frame rate up to 1900 frames/sec
(dependent on field of view, depth and angle)
• Live MVI

11
Next-generation SonoCT real-time compound imaging • Angle
• Available on all transducers except sector • Res/speed control
• Reduced clutter and artifacts • Grayscale imaging controls
• Automatic selection of the number of steering angles • 2D optimization settings
based on the user-selected resolution/frame rate • 2D color optimization settings
(Res/Speed) condition • 2D power optimization settings
• Up to nine lines of sight automatically adjusted via • Tissue Harmonic Imaging
DRS control • Rotate X, Y, Z
• Operates in conjunction with Tissue Harmonic Imaging, • Slice
volume modes, panoramic imaging, and duplex Doppler • ROI size and position
• Operates in conjunction with XRES • ROI curve adjust
• Available in contrast modes • Pointer trim adjust
• Available with WideSCAN format during 2D imaging • Pointer xHair move
for extended field-of-view operation • Pointer cine
• Edit/accept
XRES adaptive image processing • Hide volume
• Available on all imaging transducers • Up/down invert
• Reduces speckle noise and enhances border definition • QuickFlip
• Available in all imaging modes including color flow • 3D rotate: 0°, 180°, 90°, 270°
and Doppler • 3D view control: up, down, left, right, front, back
• Available in contrast modes • Reset orientation
• Operates in conjunction with SonoCT imaging • Magnify
• Provides high resolution algorithms for advanced • 3D vision control
speckle noise reduction, refined tissue pattern displays, • Dynamic volume colorization
and fine border definition • Chroma colorization
• Provides high speed processing that allows up to 1900 • Layout
frames-per-second displays • Reference
• Five different levels available, dependent • XRES technology
on transducer and clinical application • Zoom
• Show/hide echo or color
Live volume imaging (GI/WHC) • Reset controls
• Single sweep 3D, 4D, STIC • Pan
• 3D preview ROI size and position • Sculpt
• 3D preview ROI curve adjust • Threshold
• Sector width • Brightness

12
• Smoothing • Tissue Specific Presets – adjusts over 7,500
• Lighting parameters during transducer/application selection
• Transparency • Patient optimization – adjusts 2D performance
• xHair display to immediately adapt to different patient sizes
• Save volume in native or native loop • Flow optimization – adjusts broadband flow performance
• Acquisition sweep save to immediately adapt to different flow states
• MPR sweep save • Dynamic resolution system (DRS) – one control adjusts
• Generic distance and area measurements available nearly 40 parameters simultaneously for user preference
on rendered volumes of spatial resolution or temporal resolution during clinical
• Distance and area measurements on MPRs procedures
• QLAB plugins, including GI 3DQ and FHN • One control optimizes functions such as:
–– Line density
Tissue aberration correction (TAC) –– Persistence
• Automatically enabled when ABD maximum penetration –– Pulse inversion harmonics
TSP is selected on C5-1 transducer –– Synthetic aperture
–– Corrects for speed of sound disturbances due –– Number of lines of sight (SonoCT)
to excessive adipose layer on obese patients –– RF interpolation
• User selections with the L12-5 50, L18-5 for breast and –– Parallel beamforming
MSK TSPs
–– Corrects for speed of sound disturbances in fatty tissue 3.2 Control panel
• Easy-to-learn graphical user interface with reduced
iSCAN intelligent optimization
number of hard controls
• One-touch image optimization
• Primary controls concentrated in cluster around trackball
–– In 2D mode, one-button automatic adjustment of system
• Tri-state control panel lighting (active, available,
gain and TGC to achieve balanced brightness of tissues
and unavailable)
• Available in contrast imaging for selected transducers
• Ambient lighting control for exceptional image viewing
and applications
in both light and dark environments
–– Independent settings based upon whether the contrast
• Full-color 12-inch capacitive touch screen, complete with
timer is active
swipe technology, enables easy navigation of controls and
• In Doppler mode, one-button automatic adjustment of:
system interaction
–– Doppler PRF based on detected velocity
• Dual function mode switch and independent gain controls
–– Doppler baseline based on detected flow direction
for 2D, CPA, M-mode, Color, PW, CW Doppler, TDI, and 3D
• Available on all imaging transducers
• Eight-slide pot control adjustment of TGC curve
• Operates in conjunction with SonoCT and XRES imaging
• iSCAN control for 2D/Doppler automatic optimization
• AutoSCAN continuous automatic optimization
• High definition/pan zoom control
• Adaptive gain compensation (AGC) dynamically adjusts
• Dual mode control
(every pixel on every scan line) low level 2D echoes to
• Freeze control
reduce gain artifacts (shadows/through transmission)
• Three programmable acquire controls
and enhance image uniformity with 2D and 3D imaging

AutoSCAN intelligent optimization


3.3 Touch screen
• Continuous, real-time adjustment of system gain • Widescreen touch screen for dynamic presentation
and TGC to achieve balanced brightness of tissues of controls
–– When activated, applies gain balancing to all • Workflow-related controls (Patient, Review, Report,
grayscale image data including 2D, 3D, and M-mode End Exam, Help) always present on touch screen
grayscale data • Direct selection of any attached transducer
–– Every image frame has individually adjusted • Automatic or manual selection of Tissue Specific
image brightness Presets parameters
–– Available from 2D touch screen controls • Tabbed layout and swipe capability for quick access
to hidden controls
iOPTIMIZE intelligent optimization • Touch screen control adjustment of LGC and TGC curve
Multiple technologies for one-button approach with simultaneous display of image on touch screen
to automatically and immediately adjust system to enhance ergonomics and reduce user steps
performance for different patient sizes, flow states, • Touch screen alphanumeric keyboard for text entry
and clinical requirements.

13
4. Workflow

The Affiniti 70 ultrasound system features innovative Philips technologies that combine
for outstanding performance and efficient workflow.

4.1 Ergonomics
• Advanced control panel design with fewer, clustered • Trackball icon displaying functions assigned
controls and easily accessed mode keys to reduce reach to trackball buttons
• Tri-state lighting that provides immediate feedback of • Informative trackball arbitration prompts
active, available, and unavailable controls • Thumbnail display of images printed/stored
• Widescreen touch screen allows more controls to be • On-screen selection and display of calculations
available at a time • On-screen selection and editing of protocols
• Touch screen controls are grouped for quick recognition • Calculations results and analysis labels
• Many touch screen controls can also be accessed from • Graphical tabs that allow navigation to other analysis features
the main display, allowing user to maintain consistent • Network and connectivity icons to allow immediate
visual focus feedback about network and printer conditions
• Independent adjustment of height, rotation, and lateral • Icons to display status of and/or allow access to the
movement of monitor and control panel allowing enhanced following functions: Print Job status, media read/write
user posture, increasing comfort during exams (meets status, battery level, wireless connectivity, remote service,
industry standards recommendation for the prevention microphone, HIPAA status indicator icon, iSCAN status,
of WRMSD) acquisition status, physio status
• Highly mobile cart that facilitates portable exams and • Cineloop frame number display
positioning in confined space environments • Cineloop bar with trim markers
• Prompt region for display of informational text and icons
4.2 Display annotation • Trackball icon displaying functions assigned to trackball
buttons
• On-screen annotation of all pertinent imaging parameters
• Contrast specification
for complete documentation, including transducer type
• Protocol procedure list with status
and frequency, active clinical options and optimized
presets, display depth, TGC curve, grayscale, color map,
frame rate, compression map value, color gain, color image 4.3 SmartExam protocols
mode, hospital name, and patient demographic data • On-screen selection and editing of protocols
• User-selectable display of patient birth date, patient • Exam guide with on-screen display
gender, institution name, system name, and user • Required views based on exam type
• Fixed position title area for consistent annotation • SmartExam customization
• Patient name, ID, birth date, gender, and system date that –– Creates a protocol as the user performs an exam
can be turned off (hidden) for generating still images for –– Saves all annotation, body markers, and labeled
publication measurements defined in each view
• Additional patient information can be displayed –– Records modes used to capture each view
on demand –– Captures the acquisition method (print, capture,
• Sector steering icon for endocavitary transducers 3D data set) in each individual view
• Scan plane orientation marker –– Provides user ability to pause and resume recording
• User-selectable depth scale display process if needed
• Real-time display of mechanical index (MI) –– Allows user to edit views before finalizing the
• Real-time display of thermal index (TIb, TIc, TIs) new protocol
• Multiple trackball-driven annotation arrows • Fully customizable protocol capability for any clinical
• Pre-defined annotations and body markers (application- application supported on the system with flexibility
specific and user-selectable), with two body markers to conduct the examination protocol in any sequence
supported in dual imaging format • Preset protocols including but not limited to abdominal,
• Doppler baseline invert in live and frozen imaging vascular, cardiac, and Ob/Gyn exams based on industry
• Compression changes available live or scrolling loop and accreditation guidelines
• TGC curve (On/Auto/Off display) • Automatic launching of annotation and body marker
• TGC values (On/Off display) icon on required views
• Tool Tips provides a brief description of
the abbreviated on-screen image parameters

14
• Ability to automatically launch modes (2D, 3D, –– Support for up to five modes
color modes, Doppler, dual, color compare) defined –– Save user-defined protocols within a preset
in a SmartExam –– Save user-defined protocols to removable media for
• Ability to pause and resume SmartExam function import onto separate systems at the same software level
at any time –– Modify protocols during use
• System analysis capabilities supported in all –– Add stages at any point after the current stage
defined protocols –– Pre and post data curves
–– Pre and post bull’s-eye maps
4.4 Stress echo –– Pre and post strain comparisons
• Acquisition of echocardiography single frame or loops
of the left ventricle in any imaging mode including 2D, 4.5 V
 olume imaging solutions for connected
color, and spectral Doppler radiology departments
• Gain Save that adjusts automatically to different views and • Customizable to your workflow
automatically saves your preferred control settings, such • Fast, one-button press volume acquisition and
as gain, depth, ROI, position, and many other parameters: on-cart review
–– For each view while acquiring resting images • Advanced volume and MPR visualization with QLAB
–– At immediate post-exercise, automatic retrieval of saved GI 3DQ
settings for each view –– iSlice and thick slice on cart
–– Different gain profiles for parasternal LAX and SAX • Capability to export freehand, electronic, and hybrid
views, AP4 and AP2 views allowed acquired 3D grayscale data for visualization on most
• Length of acquired images that is user-adjustable between PACS in a stacked “fly-through” manner (like CT/MR)
1 and 180 seconds • Off-cart evaluation of volume data on a multimodality
• Ability to acquire routine cardiac images in timed and clinical workstation
R-R interval clip (varies with selected compression ratio • Powerful 3D manipulation tools including volume
and available system memory) rendering, MPR, MIP, slab viewing (thick slice), 3D
• For timed acquisition, the ability to start acquisition on orientation graphics
the R-wave if the ECG is active and an R-wave is present • Advanced 3D visualization with QLAB GI 3DQ including
• Your preferred control settings automatically saved – ability to handle 3D color flow
such as MI (mechanical index), gain and depth for each • Orientation labels feature for spatial orientation
view while acquiring resting images of 3D data sets
• Live Compare –– Adult orientation labels for non-fetal applications
• Ability to defer selection by stage –– Fetal orientation labels for fetal applications
• Default stress protocols • MPR export capability
–– Factory-provided non-editable default protocols –– Ability to export A, B, and C planes as a multiframe
include: loop for review on a DICOM device
–– Two-stage exercise stress –– Available on all transducers, but not supported for
–– Four-stage pharmacological stress any STIC files
–– Three-stage exercise stress (bicycle)
–– Four-stage quantitative: wall motion and contrast 4.6 QuickSAVE feature
• Default protocols that may be used as the basis
• The system provides the ability to quickly save preferred
for user-defined versions
system settings as individual exam types
–– Support between 1 and 10 stages
• Over 40 QuickSAVE exams can be created per transducer
–– Support user-defined stage names
• Saved parameters include virtually all imaging parameters
–– Support between 1 and 40 views per stage
as well as color box size
–– Support user-defined view names
• QuickSAVE exams can be copied to USB/DVD and
–– Prompt for a particular stage and view
transferred to other systems of like configuration
–– Assign stage and view names
–– Set clip length for each image or group of images
–– Set the number of cycles/beats for each image 4.7 Image presentation
–– Define prospective, retrospective, or multi-cycle/ • Up/down
full disclosure acquisition • Left/right
–– Define the capture format of each image or group • Multiple duplex image formats (1/3-2/3, 1/2-1/2, 2/3-1/3,
of images 50/50 and full screen)
–– Define the default replay mode for each protocol • Depth from 1 cm to 30 cm (transducer-dependent)
–– Set mode acquisition for each view

15
4.8 Cineloop review
• Acquisition, storage in local memory, and display in –– To existing study
real-time and duplex modes of up to 2,200 frames of 2D –– To new study using existing patient information
and color images, up to 64 seconds of Doppler data and • Data types
M-mode for retrospective review and image selection, –– 2D, M-mode, Doppler spectral frame acquisition
or up to 48 seconds CW for retrospective review and –– 2D clip acquisition up to 2,200 frames per clip
image selection –– Scrolling M-mode, Doppler acquisition
• Prospective or retrospective loop acquire “accept” –– Cartisian volume acquisition: 3D, 4D, STIC
prior to store or clip store –– MPR views
• Trackball control of image selection –– Q-Apps frames and clips
• Variable playback speed • Printing
• Trim capability of 2D data –– Local print to on-board or off-board video printers
• Available in all imaging modes plus: –– Printing of images in configurable N-up format to local
–– Panoramic imaging plain paper printers
–– 3D imaging –– Page report print
–– Independent control of 2D image or spectral –– DICOM grayscale or color print
data in duplex mode • Media storage and retrieval
–– Simultaneous control of 2D and spectral data –– Export DICOM Image and structured report export
in simultaneous mode to removable media
• On-screen display of current 2D frame number –– Export PC format image export to removable media
• Many controls available in cineloop review for post- –– Export PDF report to removable media
processing such as 2D gain, dynamic range/compress, –– Supported media
XRES, magnify zoom –– Read and write (single session) to CD (CD+R)
–– DVD read-only (DVD+R)
4.9 Exam management features –– DVD read + write (single session) (DVD+RW)
–– USB storage (flash memory or hard drives)
• Internal storage
–– Export PC format images and loops to network share
• Data export
–– Export PDF report to network share
• Temporary ID feature
–– DICOM image import
–– One-click start of exam from patient data entry screen
–– Ultrasound images
with system-provided information
–– Multimodality images (CT/MRI/X-Ray/Mammography/PET)
–– Storage of images that were created without a patient
–– OB trending data
name with a temporary identification
–– Export OB trending information via USB storage device
–– Patient identification via bar code reader
–– Import OB trending information via USB storage device
–– Export and import of trending data is compatible
Rapid Procedure Setup
with iU22
• With a single selection, choose transducer, preset,
• RS-232 serial storage
study type, study description, and optionally gender
–– Export of report data to off-line analysis computer programs
• Procedure definitions are built-in for built-in study types
• Basic networking connectivity
• Additional procedure definitions may be added by the user
–– Wired gigabit Ethernet
• Procedure may be automatically selected based on
–– Wireless networking 802.11n
modality Worklist scheduled procedure information
–– WPA2 Personal security
–– WPA2 Enterprise security
4.10 Connectivity –– Network addressing
Standard connectivity features –– IPV4 addressing: static or DHCP for system address,
• Digital image acquisition and on-board patient exam storage static or hostnames (DNS lookup) for server addresses
–– Direct digital storage of B/W and color loops to internal –– IPV6 addressing: link local, router discovery, or DHCP
hard disk drives for system address, hostnames for server addresses
–– Combined 512 GB storage capacity • Compatibility with OmniSphere’s data analytics and
–– Storage capacity of approximately 350 patient exams connectivity tools (applications sold separately)
(assuming 40 images, 6 seconds of clips and reports –– Scheduled export of log files for use with the Utilization
per exam) Optimizer application
–– Fully integrated user interface –– On cart service request for use with Remote Technical
–– User-configurable “auto delete” capability Connect applications
–– On-screen recall, measurement, and text editing –– In house technical support tool via the Remote Technical
–– Exam directory Connect application
–– Append exam

16
NetLink connectivity option –– Send images to PACS and media without identifying
• Supported DICOM services information burned in to the image
–– Image storage –– Images exported to media may optionally have
–– Structured Report (SR) storage includes OB/GYN, patient information removed from DICOM attributes
vascular, adult echo, pediatric echo, fetal echo, or PC format names
and congenital cardiology –– All pages sent to DICOM printer have patient
–– Modality Worklist with automatic patient identification overlay – not configurable
demographic entry • All pages sent to local printers are configurable
–– Modality Performed Procedure Step (MPPS) to include or exclude patient identification overlay
–– Storage commitment push model • DICOM mapping for user-defined measurements,
–– Query/retrieve of ultrasound images (study-root) calculations, and OB authors
• Image and structured report export to network • Support of the export of user-defined measurements,
storage servers calculations, and OB authors with standard DICOM
–– Send images after each Print/Acquire structure reporting for:
–– Send images at End of Exam (batch send) –– Adult echo
–– Send images and report on-demand during exam –– Pediatric echo
–– Send images or exams manually –– Fetal echo
–– Send to up to 5 storage SCP’s concurrently –– Ob/Gyn
(at End Exam or after each Print/Acquire) –– Vascular
–– Independently configurable destinations for –– TCD
each acquisition control (e.g., Acquire1, Acquire2, –– Abdominal
Save 3D, etc.) –– Small Parts
• DICOM compression options
–– Uncompressed (Explicit VR Little Endian, Implicit VR Report
Little Endian) • Report templates per clinical exam
–– JPEG lossy compression (loops) with configurable • User-configurable report
quality factor 60-100 • Off-cart report configuration tool available
–– RLE lossless compression • On-cart report configuration
–– JPEG lossless compression (frames)
• Other DICOM export options Government security option
–– Monochrome or true color Configurable option to provide up to date security
–– Configurable image size/loop export 640 x 480 features while fully hardening the system for patient
or 800 x 600 or 1,024 x 768 data protection. Option also fully removes the capability
–– Secure DICOM configurable for creating or configuring any VPN functionality.
–– Grayscale mapping choices • Antivirus protection
–– DICOM Grayscale Standard Display Function (GSDF) • Malware protection
–– 25 additional grayscale curves, user-selectable • In-Memory protection
–– Export optimization tool to aid user in evaluating PACS • USB/DVD protection
display monitor calibration and in selecting which • Internet firewall protection
grayscale curve to use for exported images • OS security
–– Native data attached to DICOM ultrasound images • Custom configurable password
(lossless compressed)
–– 2D native data types: tissue, flow, tissue Doppler, SafeGuard security option
spectral Doppler, M-mode, and elastography Configurable option for enabling state of the art
–– 3D volume data including crop, resize, gain, computer protection against virus or malware for
compression, colorize, color suppress, B/W suppress, maximum network protection
XRES and 3D quantification • Antivirus protection
–– Ultrasound region calibration (standard for • Malware protection
ultrasound images)
–– Pixel spacing attribute for measurement calibration Security Plus option
(optional) • Hard drive encryption
–– DICOM query/retrieve of other modality images • LDAP user authentication
(CT/MRI/X-ray/mammography/PET) • Custom-configurable password policies
–– De-identification feature

17
5. Transducers

Curved array
C10-3v broadband curved array with PureWave
crystal technology
• 10 to 3 MHz extended operating frequency range
• End-fire sector, 11.5 mm radius of curvature, 163° field
of view (wide scan enabled)
• Steerable pulsed wave and color Doppler, Color Power
Angio (CPA), directional CPA, SonoCT, XRES, and
harmonic imaging
• Endocavitary applications, including urology
• Elastography – strain-based
• Contrast mode
The only system in its • Supports biopsy guide capabilities
class with PureWave
imaging across all major C9-4v broadband curved array
clinical segments.
• 9 to 4 MHz extended operating frequency range
• End-fire sector, 10 mm radius of curvature, 181° field
of view (wide scan enabled)
• Steerable pulsed wave and color Doppler, Color Power
Angio (CPA), directional CPA, SonoCT, XRES, and
harmonic imaging
5.1 Transducer selection • Endocavitary applications, including urology
• Electronic switching of transducers using four universal • Contrast mode
connectors • Supports biopsy guide capabilities
• Dedicated (Pedoff) continuous wave Doppler connector
is available C10-4ec broadband curved array
• Automatic parameter optimization of each transducer for • 10 to 4 MHz extended operating frequency range
exam type through Tissue Specific Presets (TSP) software • End-fire sector, 8 mm radius of curvature, 147° field
• If two transducers are connected that both support the of view (wide scan enabled)
same TSP, the system supports instantaneous switching • Steerable pulsed wave and color Doppler, Color Power
between transducers while maintaining current depth Angio (CPA), directional CPA, SonoCT, XRES, and
parameter if possible harmonic imaging
• User-customizable imaging presets for each transducer • Endocavitary applications, including vaginal and rectal
• Automatic dynamic receive focal optimization • Contrast mode
• Transmission of focal characteristics automatically • Supports biopsy guide capabilities
controlled through TSP, focal control, and DRS functions
BP10-5ec broadband curved array
Compact transducers
• 10 to 5 MHz extended operating frequency range
• Ergonomic designs with lightweight super-flexible cables
• End-fire bi-plane sector, 8.8 mm radius of curvature,
• Virtually pinless micro connectors
150° field of view (wide scan enabled)
• Advanced low-loss lens technology for penetration
• Steerable pulsed wave and color Doppler, Color Power
with less artifacts
Angio (CPA), directional CPA, SonoCT, variable XRES,
• Breakthrough broadband frequency response
and harmonic imaging
• Support for very high frequencies up to 20 MHz and
• Rectal urology applications
depths from skin line (with zoom function) to 30 cm
• Supports biopsy guide capabilities
• Advanced micro-electronics in linear, curved, tightly
curved, sector, and hybrid volume array configurations
• High-precision automated volume transducers

PureWave crystal technology


• Available on the X7-2t, S5-1, C5-1, C9-2, and C10-3v
transducers
• Breakthrough crystal technology that allows greater
acoustic efficiency and bandwidth

18
Volume array
C9-2 broadband curved array with PureWave V6-2 broadband curved array
crystal technology
• 6 to 2 MHz extended operating frequency range
• 9 to 2 MHz extended operating frequency range • Steerable pulsed wave, High-PRF, and color Doppler;
• End-fire sector, 45 mm radius of curvature, 102° field Color Power Angio (CPA), Directional CPA, SonoCT,
of view (wide scan enabled) variable XRES, harmonic imaging, and STIC
• Steerable pulsed wave and color Doppler, Color Power • End-fire sector, 55 mm radius of curvature, 89° field
Angio (CPA), directional CPA, SonoCT, variable XRES, of view (wide scan enabled)
and harmonic imaging • Support of high resolution 2D imaging
• General purpose obstetrical and gynecological, • Support of high resolution, quantitative, single sweep
small adult, and pediatric abdominal applications 3D volume acquisition
• Contrast mode • Support of 4D imaging up to 36 volumes per second
• Supports biopsy guide capabilities (4 angle) • Comprehensive obstetrical volume applications
• Supports biopsy guide capabilities
C8-5 broadband curved array
3D9-3v broadband curved array
• 8 to 5 MHz extended operating frequency range
• End-fire sector, 14 mm radius of curvature, 122° field • 9 to 3 MHz extended operating frequency range
of view (wide scan enabled) • 164° field of view (wide scan enabled)
• Steerable pulsed wave and color Doppler, Color Power • Support of high resolution 2D imaging
Angio (CPA), directional CPA, SonoCT, and XRES imaging • Support of high resolution, quantitative, single sweep
• Vascular, pediatric abdominal, and neonatal 3D volume acquisitions (hybrid and freehand)
cephalic imaging • Support of 4D imaging up to 11 volumes per second
• Supports biopsy guide capabilities • Steerable pulsed wave and color Doppler, Color Power
Angio, Directional CPA, SonoCT, XRES, and harmonic
C5-1 broadband curved array with PureWave imaging
crystal technology • Endovaginal obstetrical and GYN applications
• 5 to 1 MHz extended operating frequency range • Supports biopsy guide capabilities
• End-fire sector, 45 mm radius of curvature, 111° field
VL13-5 broadband linear array
of view (wide scan enabled)
• High density curved array with 160 elements • 13 to 5 MHz extended operating frequency range
• Steerable pulsed, High-PRF, and color Doppler; and • Fine pitch, 192 element, high resolution linear array
Color Power Angio (CPA), directional CPA, SonoCT, • Support of high resolution 2D imaging
variable XRES, and mulitvariate harmonic imaging • Support of high resolution, quantitative, single sweep
• General purpose abdominal (adult and pediatric, 3D volume acquisition
including vascular), bowel, obstetrical, gynecological, • Support of 4D imaging
prostate and interventional applications • Steerable pulsed wave and color Doppler, Color Power
• Intervention application Angio, SonoCT, XRES, and harmonic imaging
• Elastography – shear wave • High resolution superficial applications including small
• Contrast mode parts, breast, and vascular imaging
• Supports biopsy guide capabilities • Tissue aberration correction selection for advanced
breast imaging TSP
C6-2 broadband curved array • Supports biopsy guide capabilities
• 6 to 2 MHz extended operating frequency range
• End-fire sector, 50 mm radius of curvature, 72° field
of view (wide scan enabled)
• High density curved array with 128 elements
• Steerable pulsed, High-PRF, and color Doppler; and
Color Power Angio (CPA), directional CPA, SonoCT,
variable XRES, and mulitvariate harmonic imaging
• General purpose abdominal (adult and pediatric,
including vascular), bowel, obstetrical, gynecological,
prostate, and interventional applications
• Intervention application
• Contrast mode
• Supports biopsy guide capabilities

19
Linear array
L18-5 broadband linear array L12-3 broadband linear array
• 18 to 5 MHz extended operating frequency range • 12 to 3 MHz extended operating frequency range
• Ultra-fine pitch, 288 element, high resolution linear array • Fine angle steering of color and pulsed wave Doppler
• Steerable pulsed wave and color Doppler, Color Power • Steerable pulsed wave and color Doppler, Color Power
Angio (CPA), SonoCT, panoramic, variable XRES, Angio (CPA), SonoCT, panoramic, variable XRES,
and harmonic imaging and harmonic imaging
• High resolution superficial applications including small • Vascular (carotid, arterial, and venous), intervention,
parts, breast, vascular, and musculoskeletal imaging bowel, MSK and small parts, and superficial imaging
• Tissue aberration correction selection for MSK and applications
breast imaging TSP • Cerebrovascular (carotids, vertebrals), peripheral
• Auto Doppler flow optimization vascular (venous, arterial), internal mammary vessels,
• Supports biopsy guide capabilities and musculoskeletal imaging
• Surgical application
L15-7io broadband compact linear array • Auto Doppler flow optimization
• 15 to 7 MHz extended operating frequency range • Supports biopsy guide capabilities
• Unique lens design allowing high resolution imaging • Contrast mode
at transducer surface
L12-4 broadband linear array
• Steerable pulsed wave and color Doppler, Color Power
Angio (CPA), SonoCT, panoramic, and XRES imaging • 12 to 4 MHz extended operating frequency range
• High resolution intraoperative vascular, epiaortic, • Fine angle steering of color and pulsed wave Doppler
and superficial (MSK and small parts) applications • Steerable pulsed wave and color Doppler, Color Power
• Auto Doppler flow optimization Angio (CPA), SonoCT, panoramic, variable XRES,
• Fine angle steering of color and pulsed wave Doppler and harmonic imaging
• Vascular (carotid, arterial, and venous), intervention,
L12-5 50 broadband linear array bowel, MSK and small parts, and superficial imaging
• 12 to 5 MHz extended operating frequency range applications
• Fine pitch, 256 element, high resolution linear array • Cerebrovascular (carotids, vertebrals), peripheral
• Steerable pulsed wave and color Doppler, Color Power vascular (venous, arterial), internal mammary vessels,
Angio (CPA), SonoCT, variable XRES, and harmonic and musculoskeletal imaging
imaging • Surgical application
• High resolution superficial applications including • Auto Doppler flow optimization
small parts, breast, vascular, musculoskeletal, • Supports biopsy guide capabilities
and bowel imaging • Contrast mode
• Tissue aberration correction selection for advanced
MSK and breast imaging TSP
• Auto Doppler flow optimization
• Elastography – strain-based
• Contrast mode
• Panoramic imaging
• Pediatric application
• High frame rates available
• Supports biopsy guide capabilities

20
Sector array
S4-2 broadband sector array X7-2t xMATRIX array TEE with PureWave technology
• 4 to 2 MHz extended operating frequency range • 7 to 2 MHz extended operating frequency range
• Phased array, 80 elements • Transesophageal xMATRIX array transducer with
• 2D; CW, steerable pulsed wave, High-PRF and color 2,500 elements
Doppler; tissue Doppler, variable XRES, AutoSCAN/ • Physical dimensions:
iSCAN, and harmonic imaging –– Tip: 1.7 x 3.8 cm (0.7 x 1.5 in) WxL
• Adult echo, abdominal, pediatric echo, and TCD –– Shaft: 1 cm (0.4 in) diameter, 1 m (39.4 in) L
applications • Electronically rotatable array from 0° to 180°
• Contrast mode • Electrocautery suppression
• 2D, advanced variable XRES, harmonic imaging,
S5-1 broadband sector array with PureWave
M-mode, color M-mode, color flow, PW Doppler,
crystal technology
CW Doppler
• 5 to 1 MHz extended operating frequency range • Adult TEE applications: patients >30 kg (66 lb)
• Phased array, 80 elements
• 2D; CW, steerable pulsed wave, High-PRF and color
Doppler; tissue Doppler, variable XRES, AutoSCAN/ Non-imaging
iSCAN, and harmonic imaging D5cwc CW transducer (Pedoff)
• Adult echo, abdominal, pediatric echo, and TCD
applications • Dedicated 5 MHz continuous wave Doppler
• Contrast mode • Deep venous and arterial applications

S8-3 sector array D2cwc CW transducer (Pedoff)

• 8 to 3 MHz extended operating frequency range • Dedicated 2 MHz continuous wave Doppler
• Phased array, 96 elements • Adult cardiology applications
• 2D, steerable PW Doppler, CW Doppler, High-PRF D2tcd PW transducer (Pedoff)
Doppler, color Doppler, tissue Doppler, advanced
variable XRES, and harmonic imaging • Dedicated 2 MHz pulsed wave Doppler
• Adult, fetal, and pediatric echo cardiac applications; • Transcranial Doppler applications
pediatric abdomen; neonatal head application

S12-4 sector array


• 12-4 MHz extended operating frequency range
• Phased array, 96 elements
• 2D, steerable PW Doppler, CW Doppler, High-PRF
Doppler, color Doppler, tissue Doppler, advanced
variable XRES, and harmonic imaging
• Pediatric cardiac applications, neonatal head application

S7-3t sector array TEE


• 7 to 3 MHz extended operating frequency range
• Transesophageal sector array with 48 elements
• Physical dimensions:
–– Tip: 10.7 x 8 x 27 mm (0.42 x 0.31 x 1.1 in)
–– Shaft: 7.4 mm (0.29 in) diameter, 70 cm (27.6 in) L
• Manually rotatable array from 0° to 180°
• 2D, steerable PW Doppler, CW Doppler, color Doppler,
variable XRES, and harmonic imaging
• Pediatric and adult TEE applications:
patients >3.5 kg (7.7 lb)

21
5.2 Transducer
application guide

Transducer – Sector S5-1 S4-2 S7-3t S8-3 S12-4 X7-2t


Type of array Sector Sector Sector Sector Sector xMATRIX
Number of elements 80 80 48 96 96 2500
Scanplane aperture 20.3 mm 20.3 mm 5 mm 15.4 mm 9.78 mm Proprietary
Field of view 90˚ 90˚ 90˚ 90˚ 90˚ 90˚
Volume field of view
Broadband frequency range 5-1 MHz 4-2 MHz 7-3 MHz 8-3 MHz 12-4 MHz 7-2 MHz
PureWave technology  

Application Exam type


Abdominal General
Renal
Bowel
Vascular  

Penetration
Resolution
Intervention
Obstetrics Early OB
General OB
NT
Penetration
Fetal Early fetal heart
Fetal heart 

Gynecology Pelvis
Fertility
Penetration
Cardiology Adult     

Pediatric     

Epicardial
Epiaortic
Vascular Carotid
Arterial
Venous
TCD  

Intraoperative
Intervention
Superficial
Pediatric Abdomen  

Hip
Neonatal cephalic  

Small parts Superficial


General
Thyroid
Testicle
Breast
Musculoskeletal Superficial
General
Urology Prostate
Bladder
Renal
Biopsy guide  

22
Transducer – Curved C5-1 C6-2 C8-5 C9-2 C10-3v C10-4ec
Type of array Curved Curved Tightly curved Curved Tightly curved Tightly curved
Number of elements 160 128 128 192 128 128
Scanplane aperture 55.5 mm 63.7 mm 22.4 mm 53.76 mm 26.1 mm 24.3 mm
Field of view 111˚ 72˚ 122˚ 102˚ 163˚ 147˚
Volume field of view
Broadband frequency range 5-1 MHz 6-2 MHz 8-5 MHz 9-2 MHz 10-3 MHz 10-4 MHz
PureWave technology   

Application Exam type


Abdominal General   

Renal   

Bowel   

Vascular   

Penetration   

Resolution  

Intervention  

Obstetrics Early OB     

General OB    

NT   

Penetration  

Fetal Early fetal heart 

Fetal heart     

Gynecology Pelvis    

Fertility    

Penetration 

Cardiology Adult
Pediatric
Epicardial
Epiaortic
Vascular Carotid 

Arterial 

Venous 

TCD
Intraoperative
Intervention
Superficial
Pediatric Abdomen    

Hip
Neonatal cephalic 

Small parts Superficial


General
Thyroid
Testicle
Breast
Musculoskeletal Superficial
General
Urology Prostate   

Bladder 

Renal
Biopsy guide      

23
Transducer – Curved C9-4v BP10-5ec 3D9-3v V6-2
Type of array Tightly curved Tightly curved Tightly curved Curved
Number of elements 128 96 128 192
Scanplane aperture 26.2 mm 19.6 mm 26.1 mm 63.4 mm
Field of view 181˚ 150˚ 130˚
Volume field of view 127˚ on each 156˚ x 85˚ 100˚ x 85˚
biplane array
Broadband frequency range 9-4 MHz 10-5 MHz 9-3 MHz 6-2 MHz
PureWave technology
Application Exam type
Abdominal General
Renal
Bowel
Vascular
Penetration
Resolution
Intervention
Obstetrics Early OB   

General OB  

NT 

Penetration
Fetal Early fetal heart
Fetal heart   

Gynecology Pelvis  

Fertility 

Penetration  

Cardiology Adult
Pediatric
Epicardial
Epiaortic
Vascular Carotid
Arterial
Venous
TCD
Intraoperative
Intervention
Superficial
Pediatric Abdomen
Hip
Neonatal cephalic
Small parts Superficial
General
Thyroid
Testicle
Breast
Musculoskeletal Superficial
General
Urology Prostate 

Bladder   

Renal
Biopsy guide    

24
Transducer – Linear L12-3 L12-4 L12-5 L15-7io L18-5 VL13-5
Type of array Linear Linear Linear Linear Linear Linear
Number of elements 160 128 256 128 288 192
Scanplane aperture 38 mm 34 mm 50 mm 23 mm 38.9 mm 38.4 mm
Field of view 38.4 mm
(non-wide scan)
Volume field of view 38 mm x 30˚
Broadband frequency range 12-3 MHz 12-4 MHz 12-5 MHz 15-7 MHz 18-5 MHz 13-5 MHz
PureWave technology
Application Exam type
Abdominal General
Renal
Bowel   

Vascular
Penetration
Resolution
Intervention
Obstetrics Early OB
General OB   

NT
Penetration
Fetal Early fetal heart
Fetal heart
Gynecology Pelvis
Fertility
Penetration
Cardiology Adult
Pediatric 

Epicardial 

Epiaortic
Vascular Carotid      

Arterial     

Venous     

TCD
Intraoperative 

Intervention  

Superficial    

Pediatric Abdomen     

Hip    

Neonatal cephalic  

Small parts Superficial     

General   

Thyroid   

Testicle  

Breast     

Musculoskeletal Superficial   

General    

Urology Prostate
Bladder
Renal
Biopsy guide     

25
Transducer – Non-imaging D2cwc D5cwc D2TCD
Type of array
Number of elements
Scanplane aperture
Field of view
Volume field of view
Broadband frequency range
PureWave technology
Application Exam type
Abdominal General
Renal
Bowel
Vascular
Penetration
Resolution
Intervention
Obstetrics Early OB
General OB
NT
Penetration
Fetal Early fetal heart
Fetal heart
Gynecology Pelvis
Fertility
Penetration
Cardiology Adult 

Pediatric
Epicardial
Epiaortic
Vascular Carotid 

Arterial 

Venous 

TCD 

Intraoperative
Intervention
Superficial
Pediatric Abdomen
Hip
Neonatal cephalic
Small parts Superficial
General
Thyroid
Testicle
Breast
Musculoskeletal Superficial
General
Urology Prostate
Bladder
Renal
Biopsy guide

26
6. PercuNav image fusion
and interventional navigation

6.1 Overview
The PercuNav image fusion and interventional navigation • Perform fast, automated fusion setup (image registration)
system provides the operator with the following capabilities: using reusable patient trackers attached to the patient
–– PercuNav patient trackers ensure that fusion accuracy
Image fusion is maintained during unexpected patient motion without
• Track a variety of ultrasound transducers to fuse the need to perform fusion setup again during a procedure
ultrasound (US) with CT, MRI, or PET/CT to find regions –– PercuNav patient trackers are used to monitor respiratory
of interest that are easier to see when combining motion to ensure consistent interventional access
imaging modalities • Perform fusion and navigation procedures using
• Fuse up to two advanced modality images (CT, MRI, integrated color Doppler controls
or PET) to one another to find regions of interest that • Perform fusion setup (image registration) using internal
are easier to see when combining imaging modalities landmarks with fast internal plane matching or by selecting
• Fuse previously acquired (historic) advanced images corresponding internal landmarks in each imaging modality
(CT, MRI, or PET/CT) with live ultrasound • Perform fusion setup (image registration) using external
• Perform fusion and navigation procedures using landmarks by manually selecting corresponding external
integrated color Doppler controls landmarks using a PercuNav tracked instrument

27
• Acquire a 3D ultrasound sweep and fuse to live 2D • Monitor the status of, and configure, connected
ultrasound for pre-/intra-/post-procedural imaging PercuNav instruments directly from the primary monitor
comparison (US-to-US fusion) • Manual ablation parameter entry for treatment planning,
• Use the transducer or the control panel trackball for fast and intra-procedural ablation monitoring and navigation
fusion adjustment in 3D and 2D, respectively • On-screen help instructions for guidance through various
• Adjust image registration landmarks to achieve optimum fusion or navigation workflows
fusion accuracy using the control panel trackball and set keys • Select layouts or save a customized layout with
• Manually adjust the fusion overlay opacity (blend) configurable views from the touchscreen
using the control panel scroll knob or have PercuNav
automatically scroll through the opacity to verify Interventional navigation tracking instrumentation
fusion accuracy • Track instruments within a large dome-shaped tracking
• Adjust image fusion by adding an additional internal volume generated by the PercuNav field generator (FG)
landmark point around an area of interest • Connect up to six instruments to the tool connection unit
• Insert annotations or measurements in the fusion mode (TCU) for attachment of multiple instruments including
using the touchpanel and/or keyboard/virtual keyboard PercuNav patient trackers, PercuNav ultrasound trackers,
PercuNav coaxial needle trackers, and the PercuNav
Interventional navigation and planning software adaptive needle tracker
• Use the trackball and set key to scroll through images • Carry and attach the portable TCU with its handle and
and annotate and update targets and points of needle flexible clip, respectively
entry to pre-plan procedures and guide to a pre-defined • Easily store TCU on the back of the ultrasound system cart
trajectory • Turn any interventional device (10G-18G) into a tracked
• Navigate instruments for diagnostic and therapeutic instrument by attaching the reusable PercuNav adaptive
procedures such as biopsy, ablation, drainages, needle tracker
and injections • Use the PercuNav adaptive needle tracker and
• Perform out-of-plane navigation using the PercuNav accompanying stylus to locate and match external
Ultrasound Tracker and PercuNav navigation-tracked landmarks during fusion setup (image registration),
instrumentation and to plan interventional trajectories
• Display a tracked instrument position graphic on CT, MRI,
or PET/CT images without the use of ultrasound Anatomical measurements
• Display a tracked instrument position graphic on • 2D and 3D distance and angle measurements for
ultrasound with and without fusion to CT, MRI, or PET/CT. measurement of skin-to-target, target size, interventional
• Display an ultrasound guidance bar representing the window, distance between multiple trajectories, and
distance between the ultrasound scan plane and the other distances
operator-selected target
• Perform live multi-planar (coronal/sagittal/axial) Connectivity
reconstructions on CT, MRI, or PET/CT images • Support for network DICOM image transfer from advanced
• Live reformatting of CT, MRI, or PET/CT images around imaging scanners or PACS on a hospital network
the tracked needle to visualize structures • Support for DICOM image import from USB or
• Use color Doppler or contrast enhanced ultrasound CD/DVD media
functional imaging to identify areas of interest and • Support for DICOM image export to external media
guide interventions (USB, CD/DVD) or PACS

28
PercuNav accessories
Product Description Features

PercuNav adaptive needle tracker Attach the PercuNav adaptive • Easily attach and detach from
needle tracker onto a variety of devices by tightening and loosening
interventional devices for navigation locking mechanism
tracking, interventional planning, • Compatible with devices of various
and fusion setup. gauges (10G-18G) and various lengths
• All components reusable in sterile field
after reprocessing
• 7 cm stylus included for external
landmark matching and intervention
planning

PercuNav ultrasound tracker Ultrasound transducer tracking device is • Easily attach and detach a single device
compatible with PercuNav biopsy guide from any of the compatible PercuNav
brackets for: biopsy guide brackets
C5-1
tracking • Philips C5-1 transducer • Reusable in sterile field after
bracket • Philips C9-2 transducer decontamination, under a sterile drape
• Philips L12-5 50 transducer • Perform 3D tracked sweep and
C9-2 • Philips S5-1 transducer image registration
tracking
bracket • Track location of ultrasound image
relative to targets and tracked
interventional devices
L12-5 50
tracking
bracket

S5-1
tracking
bracket

PercuNav endocavity tracker Endocavity transducer tracking device is • Reusable tracking after decontamination,
compatible with PercuNav biopsy guide under sheath
brackets for Philips C10-4ec transducer. • Perform image registration to advanced
imaging (MRI, CT, PET/CT)
• Track location of ultrasound image
relative to targets and tracked
interventional devices

PercuNav patient tracker The PercuNav patient tracker contains • Rapid fusion setup for CT-guided
multiple miniature embedded sensors procedures
and CT-visible markers inside the body • Ensures fusion accuracy during
of the device. The device is attached to unexpected patient or field generator
a patient with a sterile-safe adhesive motion
on its own when used for out-of-plane • Reusable in sterile field after
ultrasound navigation, or two or more decontamination, under a sterile drape
when used for automated fusion setup.

29
7. Measurements and analysis
• Diameter percent reduction
• Area percent reduction
• Hip angle
• d:D ratio
• Size compare
• Doppler peak velocity
• Doppler two calipers tool
• Doppler continue trace
• Doppler trace by points
• Cardiac dP/dt
• Volume flow
• Color aliasing velocity
• Manual data entry
• RA pressure
• 3D stacked ellipses
• 3D auto stacked contours
• Manual Doppler trace
–– Cardiac trace tool generates Vmean, Vmax, MeanPG,
MaxPG, VTI
–– General imaging trace tool generates PSV (peak systolic
velocity), EDV (end diastolic velocity), MDV (minimum
diastolic velocity), TAPV (time averaged peak velocity),
TAMV (time averaged mean velocity), RI (resistive index),
PI (pulsatility index), S/D (systole/diastole) ratio,
7.1 Measurement tools and general description and heart rate
• Time/slope measurements in Doppler and M-mode
• 2D distance
• High Q automatic Doppler analysis (general imaging only)
• 2D circumference/area by ellipse, continuous trace,
–– Automatically calculates PSV, EDV, MDV, TAPV, TAMV,
trace by points
RI, PI, S/D ratio, and heart rate
• Auto conversion of distance to ellipse
–– Functions in live or frozen imaging
• 2D curved-linear distance
• RA (right atrium systolic) Pressure tool
• 2D angle: intersection of two lines
• Stiffness measurement available in elastography
• In 2D, three distance or distance and ellipse tools
applications
to calculate volume
• In 2D, hip angle tool and d,D ratio tool
• In 2D, percent area reduction and percent diameter 7.2 Measurement tools and quantification
reduction tools QLAB quantification software
• In 2D, Simpson tool calculate LV (left ventricle) area • On-cart and off-cart access
and volume • Customize capabilities via optional plug-ins
• In 2D, area-length tool used to calculate LA (left atrium)
area and volume General Imaging 3D Quantification (GI 3DQ) plug-in
• In 2D, biplane volume calculation • 3D/4D viewer for Ob/Gyn and general imaging including
• In 2D, comparison tool available in contrast and interventional applications
elastography applications • Review of 3D/4D, color 3D, and STIC files
• PISA calculation available in cardiac applications • Multiplanar reconstruction (MPR)
• 3D: ellipse and distance on 2 MPR views • iSlice and curved iSlice precision volume slicing capability
• 3D: stacked contours on one MPR –– Display of 2D/color slices from static or live volume
• M-mode distance (depth, time, slope) –– User-selectable slice display: 4, 9, 16 or 25
• M-mode heart rate calculation –– User-selectable interval spacing
• Manual Doppler distance –– User-selectable slicing depth
• Auto conversion of distance to ellipse –– User-selectable slicing source (x, y or z)
• 2D trace by points • Free rotation of any source
• 2D distance (micro calipers) • Full cineloop review control
• 2D Simpsons • 2D grayscale display adjustments
• Generic angle • Color display adjustments
• 3 distance volume • Zoom control
• Distance and ellipse volume • Cine/pan slice control through volume

30
• User-selectable image storage –– Plaque boundary automatically generated
• Quick launch to measurements –– Boundaries can be adjusted manually by user
–– Auto ruler display • Analysis data presented on image
• Compatible with freehand and automated volumes –– Total plaque volume calculated (mm3)
• 2D and 3D measurement tool including distance, –– Maximum percent area reduction calculated
area, angle, auto volume, stacked and auto contour, per-frame values: plaque/lumen/wall areas,
and ellipsoid measurements and plaque echo intensity
–– Invert mode • Tool tips for analysis data explanation
–– Vascularization index, flow index and vascularization • Analysis data shown on the graph
flow index results on 3D color mode data sets –– Lumen area
–– Pixel intensity index –– Plaque area
• Contrast timer marker on Affiniti 70 data sets saved –– Percent reduction over vessel length
with contrast timer • Data exported in Excel or DICOM SR formats
• Orientation labels display on Affiniti 70 data sets saved • Supports monochrome, single-volume 3D volumes
with orientation label marker acquired with the VL13-5 transducer
• XRES speckle noise reduction of MPR and volume displays • Measurement data exported in Excel or DICOM SR formats
• Assisted auto-trace volume measurement tools for stacked
contours and ellipse methods Strain Quantification (SQ) plug-in
• Edge detection selection for hypoechoic or high • Tissue Doppler Imaging (TDI) velocity quantification
contrast targets –– Used in the evaluation of regional myocardial function
• Auto volume tool • Measures the myocardial velocity from color TDI data set
and derives the displacement, strain, and strain rate along
Intima Media Thickness (IMT) Quantification plug-in user-defined M-lines
• Automated assessment of the IMT on user-selected frames • Cardiac phases display (overlay of AVO, AVC, MVO,
• For carotid and other superficial arteries and MVC mechanical events auto-imported from
ultrasound cart analysis via DICOM SR or manual entry)
MicroVascular Imaging (MVI) plug-in on SQ curves for left ventricle mechanical events
• Integration and processing of images in contrast specific • User-selectable waveform display that makes SQ
imaging mode providing detection and display of very curves easy to read
low velocity flows of very low signal amplitude –– User-defined M-line motion to follow the
• Motion compensation for multiframe objects myocardial motion
• Point of Interest (POI) tool that obtains values from
Region of Interest (ROI) Quantification plug-in any point on the M-mode display
• Pixel intensity index – pixel intensity analysis, data types: • M-mode (hide or display) control
echo, velocity • User-defined and automatic (using speckle tracking
• Pixel intensity analysis, data types: echo, velocity (color) algorithms) M-line motion compensation to follow
or power (angio) myocardial motion
• Up to 10 user-defined regions • Able to present TDI results in two display formats
• Thumbnail display of frames for easy trimming –– Anatomical M-mode display
• TDI velocity timing measurement –– Graph display
• Log/linear data display selection • User-selectable waveforms for optimal sub-region
• Smoothed data display option with various curve fitting visualization
techniques • Curve processing modes
• Vascularization index, flow index, and vascularization • TDI velocity, displacement, strain, and strain rate timing
flow index results on color mode files measurements with dedicated time calipers and labels
• Motion compensation for multiframe objects –– Automatic subdivision of M-line into a customizable
number of sub-regions
Vascular Plaque Quantification (VPQ) plug-in –– Averages up to 20 cardiac beat cycles in both M-mode
• 3D technology to visualize and quantify vascular plaque and graph displays
• Streamlined workflow through protocol-based task
guidance Automated Cardiac 2DQ QuantificationA.I. (a2DQA.I.) plug-in
–– Protocol can be turned off and on dependent upon • Two workflows with dedicated preferences settings
user experience –– aEF/FAC workflow
• Automatically calculates and displays vessel and plaque –– aTMAD workflow (Automated Tissue Motion
boundaries for each frame Annular Displacement)
–– Outer Wall and Inner Wall ROIs automatically generated • Automated Region of Interest for selected
for all frames between begin and end frames anatomical views

31
• Tracking can be initiated from any frame and beat to beat • Flexible UI show-and-hide
• Intuitive step-by-step user interface –– Global workflow
• Multiple cardiac view/images capable –– Latest generation of 2D speckle tracking technology
• Color Kinesis (CK) overlay for color-coded visualization for 2D single plane image
and overlay transparency control –– Objective assessment of left ventricle global function
• Manual user-editable timing overrides for the onset and regional wall motion, deformation, and timing
and duration of the CK parametric display –– Left ventricle global volume analysis from 2D single
• Simplified workflow with SmartExam plane images
• Cardiac phases display (overlay of AVO, AVC, MVO, –– Volume measurements based on Simpson’s Single Plane
and MVC mechanical events auto-imported from Method of Disks (MOD)
ultrasound cart analysis or manual entry) –– Automatic aortic valve closure time detection on AP3
• Measurement data export –– Smooth color transited or solid color bull’s-eye
• Available for live image presentation
• Timing calipers for event measurement –– AHA/ASE 17 left ventricle segmentation templates
• Flexible UI show-and-hide (three apical views and three short-axis view templates
• aEF/FAC workflow –– Easy-to-edit template position and shape
–– Latest generation of 2D speckle tracking technology –– Tracking quality tool – editable threshold helps
–– Left ventricle global volume and area analysis from to display various quality tracking
2D single images –– User-editable post LV segments display – consistent
–– Computation of area, LV volumes, and advanced display with corresponding waveform and reported values
parameters for LV systolic and diastolic function beat-to-beat selection
including fractional area change (FAC), ejection fraction –– Automatic or manual peak systolic time/value
(EF), peak ejection rate (PER), peak rapid filling rate measurement for longitudinal/circumferential strain
(PRFR), and atrial filling fraction (AFF) –– Simplified global result displaying bi-plane volume/EF,
–– Volume measurements based on Simpson’s Single strain for each view, global strain, and AHA/ASE 17 LV
Plane Method of Disks (MOD) segment bull’s-eye plot
• aTMAD workflow –– 2D speckle parameters
–– Mitral valve and other valve annular motion tracking –– Volume/EF and area/FAC
over time –– Longitudinal strain and strain rate
–– Computation of valve annular displacement curves –– Circumferential strain and strain rate
over time –– Radial and transversal displacement
–– Radial fractional shortening
Automated Cardiac Motion 2D QuantificationA.I. –– Radial velocity
(aCMQA.I.) plug-in –– Speed (absolute angle independent velocity)
• Three workflows with dedicated preferences settings –– Regional rotation and rotation velocity
–– Global workflow –– Global rotation (SAX)
–– User-defined workflow • User-defined workflow for specific local strain analysis
–– aTMAD workflow (Automated Tissue Motion Annular –– Up to 17 dedicated colors to help differentiate each cord
Displacement) and corresponding waveform
• Automated Region of Interest for selected anatomical –– Up to three waveform auto peak detections to report
views time to peak and peak values
• Tracking can be initiated from any frame and beat to beat • aTMAD workflow (refer to a2DQA.I.)
• Intuitive step-by-step user interface –– Mitral valve and other valve annular motion tracking
• Multiple cardiac view/images capable over time
• Color Kinesis (CK) overlay for color-coded visualization –– Computation of valve annular displacement curves
and overlay transparency control over time
• Manual user-editable timing overrides for the onset
and duration of the CK parametric display Elastography Quantification (EQ)
• Simplified workflow with SmartExam • Available in both single screen and side-by-side
• Measurement data export display modes
• Cardiac phases display (overlay of AVO, AVC, MVO, • Ability to generate up to 10 user-defined regions
and MVC mechanical events auto-imported from of interest (ROIs)
ultrasound cart analysis or manual entry) • Thumbnail display of frames
• Timing calipers for event measurement • Measurement results
• Strain rate

32
• Total strain –– D/E slope
• Size comparison between two ROIs –– Continuity equation
• Strain ratio –– Diastolic function
• Calculation of maximum strain ratio –– Cardiac output
• Calculation of average strain ratio –– Acceleration time
• Calculation of ratio between two user-defined ROIs –– Heart rate
• Graphical display • Vascular analysis
• Strain ratio parametric image –– Right and left carotid artery protocols
• Color-coded display of strain ratios with –– ICA/CCA ratio
parametric imaging –– Bilateral lower extremity arterial and venous labels
–– Bilateral upper extremity arterial and venous labels
7.3 High Q automatic Doppler analysis –– Percent diameter and area reduction
–– Vascular graft measurement package
• Automatic real-time and retrospective tracing of:
–– User comments
–– Immediate peak velocity
–– High Q automatic Doppler analysis
–– Immediate intensity-weighted mean velocity
• OB analysis
• Automatic real-time display of (user-selectable up to six):
–– Fetal echo application
–– Volume flow
–– Fetal biometry (up to quintuplets)
–– Time-averaged peak velocity
–– Biophysical profile
–– Time-averaged mean velocity
–– Amniotic fluid index
–– Resistive index
–– Early gestation
–– Pulsatility index
–– Fetal long bones
–– Systolic/diastolic ratio
–– Fetal cranium
–– Acceleration/deceleration times
–– Other OB measurements
–– Illustrated High Q
–– 2D echo
–– Fetal heart M-mode
7.4 Clinical option analysis packages –– Fetal Doppler
• Cardiac analysis –– Fetal echo
–– Left atrium • Gynecology/fertility
–– Right atrium –– Uterine volume
–– Right ventricle –– Right and left ovary volumes
–– Left ventricle –– Right and left follicles (10)
–– TAVI (transcatheter aortic valve implantation) –– Endometrial thickness
–– Valve stenosis –– Cervical length
–– Prosthetic aortic valve • Abdominal vascular
–– Prosthetic mitral valve –– Labels for all major abdominal arteries and veins
–– TAPSE (tricuspid annular plane systolic excursion) –– Left and right segmentation for kidneys
–– MAPSE (mitral annular plane systolic excursion) • General imaging
–– PCWP (pulmonary capillary wedge pressure or –– General
pulmonary artery occlusion pressure) –– User-defined labels
–– Stress echo measurements in various stages • Prostate
–– MPI (or TEI index) –– Prostate gland
–– Volume by area/length method • Pediatric
–– M-mode ejection fraction (via Teichholz or cubed method) –– General
–– Novel 3-point adjustable Simpson’s template –– d:D radio
–– Simpson’s biplane and single plane volume • Small parts
and ejection fraction –– General
–– Area, length, volume, and ejection fraction –– Breast with right and left protocols
–– LV mass for up to five lesions per breast
–– 2D all points –– Testicle
–– M-mode all points –– Testicle volume
–– Peak velocity –– EPI head, body, tail
–– Maximum and mean pressure gradients • Urology
–– Pressure half time –– Prostate, PSA, PSA density
–– E/A ratio

33
8. Physical specifications

Physical dimensions System cart


Width 57.2 cm/22.5 in • State-of-the-art ergonomic design for comfort
and convenience
Height 142.2-162.6 cm/56-64 in • Easy maneuverability and mobility
Depth 98.3 cm/38.7 in –– Wheel-lock and monitor adjustments that
facilitate bedside exams
Weight 83.6 kg/184.4 lb without peripheral devices
• Independent height adjustment of control panel
and display monitor
• Easily accessed transducer connector ports, USB,
and DVD media drive
• Transducer and gel bottle holders
• Unique easy clip cable management solution that
keeps cables tangle-free and reduces damage
while decreasing cable strain to enhance comfort
while scanning

34
Peripherals
• Mobility through high quality, shock-absorbing casters • The system supports up to two on-board peripheral
with foot pedal controls for: devices (excluding report printers)
–– 4-wheel swivel –– Video-recording peripherals, operated via system
–– 2-wheel swivel lock user interface
–– 2-wheel brakes –– DVD recorder (cart-dependent)
• Integrated footrests –– Small format digital B/W printer (USB)
• Digitally enhanced two-speaker high fidelity stereo • Support for large format external B/W or color printer
output with rear-mounted subwoofer • Support for various Hewlett-Packard, Epson, and Xerox
• On-board storage tray behind control panel touch brand color and monochrome report printers (USB,
screen and in rear bay storage drawer externally mounted)
• On-board printer bay that provides easy and ergonomic
access to your printing device Input/output ports
• Universal peripheral bay that provides easy access
• Export of measurement and analysis data to off-line
for on-board hardcopy or documentation devices
reporting software packages (USB) and RS-232
• Built-in A/C line conditioner that provides isolation from
• Display port video export available for either full screen
voltage fluctuations and electrical noise interference
resolution of 1920x1080 (1080p), display area 1024x768
• Two high-capacity fans with decreased audible noise
VGA, or S-Video in NTSC or PAL format

Monitor Power requirements and video parameters


• Flat panel LCD display monitor
• 100V-240 V, 50 Hz/60 Hz – PAL/NTSC
–– 54.6 cm (21.5 in) wide format high definition flat panel
• Integrated A/C line conditioning and battery
TFT/IPS display
back-up system
–– High contrast ratio >1000:1
• Power consumption: <289 VA depending
–– Extended viewing angle >178° (horizontal and vertical)
on system configuration
–– Response time: <14 ms
–– Virtually flicker-free technology
–– Mounted on fully articulating extension arm
Electrical safety standards
–– Four-way articulation with 87.6 cm/34.5 in lateral • Electromechanical Safety Standards met
and 17.8 cm/7 in vertical adjustment range –– CAN/CSA 22.2 No. 60601-1, Medical Electrical
–– Nearly infinite positioning adjustments: height, Equipment: General requirements for basic safety
swivel, and tilt and essential performance
–– IEC 60601-1, Medical Electrical Equipment: General
Control panel requirements for basic safety and essential performance
–– IEC 60601-1-2, Collateral Standard, Electromagnetic
• Articulation facilitates nearly infinite positioning
compatibility – requirements and tests
adjustments for optimum scanning ergonomics:
–– IEC 60601-2-37, Particular Requirements for the basic
height, swivel, and tilt
safety and essential performance of ultrasonic medical
–– Up and down 20.3 cm/8 in
diagnostic and monitoring equipment
–– Rotates 180° from center
–– ANSI/AAMI ES60601-1, Medical Electrical Equipment:
–– Palm rest
General requirements for basic safety and essential
performance
Physio • Electromechanical Safety Standards met (EU Only)
• One 3-lead ECG input –– EN60601-2-37, Particular requirements for the basic
–– Gain, sweep rate, and display position controls safety and essential performance of ultrasonic medical
–– Automatic heart rate calculation and display diagnostic and monitoring equipment
–– Fault condition display • Agency approvals
–– Cineloop locator displayed on one ECG input from –– Canadian Standards Association (CSA)
an ECG source like stress ECG or ECG monitor –– CE Mark in accordance with the European Medical
Device Directive issued by British Standards
Institute (BSI)

35
9. Maintenance and services

Maintenance Services
• Flexible Service Agreements to meet varied customer Clinical education*
needs and budgets • Webinars
• Centralized technical and clinical support • Symposiums
• On-site support • On-site
• Modular design for rapid repairs • Class room
• Easy customer access to trackball and air filter • Remote
for cleaning
• Remote log file transfer Philips Remote Connectivity*
• On-cart software maintenance tools • iSSL and encryption
–– Optimization • Patient de-identify
–– Maintenance • Security
–– Repair • Remote Desktop
–– Configuration management –– Remote technical support
• Comprehensive diagnostics –– Remote clinical support
–– Hardware –– Remote clinical education
–– Software • On-cart remote support request
–– Network • Proactive monitoring with alerting capability
–– On-cart electronic transducer testing –– Monitors key system parameters
• First responder access to diagnostics and utilities –– Voltage
• Spare parts availability for 10 years from end of production –– Temp
–– Fan speeds
–– Error conditions
–– Local alert handling and response

Warranty
• Philips standard product warranty

* Service agreement required for access to Philips Remote


Services. Access to the Internet required. Not all remote
features available in all countries; contact your Philips
representative for details.

© 2015 Koninklijke Philips N.V. All rights are reserved. Please visit www.philips.com/Affiniti
Philips reserves the right to make changes in
specifications and/or to discontinue any product Printed in The Netherlands.
at any time without notice or obligation and will not 4522 991 14391 * NOV 2015
be liable for any consequences resulting from the
use of this publication. Trademarks are the property
of Koninklijke Philips N.V. (Royal Philips) or their
respective owners.

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