Philips 722024CA Object Moved User Manual Product Brochure Allura Xper X Ray System FD10 10 Fdee1fe9885c4a7d89f6a77c01514f63

User Manual: Philips 722024CA Product Brochure Philips Allura Xper X-ray system FD10-10 Philips - Allura Xper FD10-10 Biplane X-ray system722024CA

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Making the difference with
Philips Live Image Guidance
in treating congenital heart disease
Key bene ts
• Confi dently reduce X-ray dose by 50% without
changing your way of working
• Provide more effective, reproducible treatment with
Philips Live Image Guidance
• Enhance precision, predictability, and confi dence with
advanced pediatric specifi c tools
452299102481.indd 2 19/06/14 11:16
Making the difference with
Philips Live Image Guidance
Asapediatriccardiologist,yourlifeiscommittedto
bringingnewhopetochildren.Asyoustruggleto
understandthecomplexitiesofacongenitalheart
disorder,youneedpediatrictoolsthathelpyouwork
preciselyandeffectively,togiveyourkidsabetterchance
ofalongandhealthylife.
Togetherwemakethedifferenceinthetreatmentof
congenitalheartdiseasetoimprovepatientoutcomes
andsavelives.WithourLiveImageGuidanceweaim
toremovebarrierstosafer,effectiveandreproducible
treatments,deliveringrelevantclinicalvaluewhereit’s
neededmost-atthepointofpatienttreatment.
Intuitive,pediatricspecictools,integratedmulti-
modalityimaging,andpatientinformationarecombined
inaninterventionallaborsurgicalsuite.Withaccess
toenhancedlivevisualizationandnavigationyoucan
condentlydeterminetheoptimalcourseoftreatment
withgreaterprecisionandpredictabilitytohelpimprove
patientoutcomes.WithAlluraClaritywithClarityIQ
youcancondentlyreduceX-raydoseby50%without
changingyourwayofworking,whileotherLiveImage
Guidancetoolshelpminimizecontrast-induced
complicationstopediatricpatients.
Crisp visualizations and fewer contrast-induced
complications
Atthesametime,youcannotsacricecriticalimage
qualityoranatomicinformationthatwouldaffectthe
optimalcourseoftreatment.OurX-rayimages,3D
andmultimodalityLiveImageGuidancedeliverscrisp
visualizationsofthedelicatevasculatureofbabiesand
youngchildren.Italsoprovidesliveimagenavigation
throughsofttissueanatomy,whilereducingtheneed
forcontrastagent.Combined,thesepediatricspecic
toolsofferenhancedprecision,predictability,
andcondence.
Together,weopendoorstonewproceduresand
techniquesthattrulymakeadifferencetothelivesof
childrenandtheirfamilies.
Contents
Arelentlessdrivetowardsmoreeffectiveandsafertechnologiesforchildren 4
Lowerbarriersforminimallyinvasiveinterventions 6
X-ray dose reduction and management solutions lower exposure and extend procedural options
Greaterinsightandcondenceinndingandtreatingtheproblem 10
Advanced interventional tools deliver clinical value where it’s needed most: at the point of patient treatment
Betteruserexperiencetopromoteconsistencyandefciency 16
Unique Ambient Experience concepts reduce anxiety for children and improve clinical workow
Increasedeconomicvalue 22
Service support and education provide a strong return on investment and enhance operational performance
Making the difference with Philips Live Image Guidance | in treating congenital heart disease 3
A relentless drive towards
more effective and safer
technologies for children
Congenitalheartproceduresareperformedonarelatively
smallpatientpopulation,buttheycanhaveahugeimpact
onthelivesofchildrenandtheirfamilies.Asamedical
practitionerinthisarea,youdevotemanyyearstotraining
anddevelopingyourskills.AtPhilips,wehavealsodevoted
manydecadesdevelopinginnovationsthatwillmakea
meaningfuldifferenceforcongenitalcardiologyprocedures.
Ourtechnologiesaredesignedtoprovidechildrenwith
effective,age-appropriatecarethathelpsprotectthem
fromunnecessarycontrastmediumanddose.
AlluraClarity
TheAlluraClarityfamilyofX-raysystemswithClarityIQ
technologysetsanewstandardbypushingthe
boundariesofALARA(AsLowAsReasonably
Achievable)imaging.WithAlluraClaritywithClarityIQ
youcancondentlyreduceX-raydoseby50%without
changingyourwayofworking.
Dedicate pediatric solutions
Interventional X-ray
MRI
1989
MRCX-ray
tubeand
SpectraBeam
copperltration
system
1988
Dedicated
Pediatric
protocols
onMR
Dedicated pediatric solutions
Ourpediatricsteamismadeupofprofessionalswhoare
profoundlycommittedtomakingadifferenceinthelivesof
children.TheydrawuponPhilipsrichandvariedexpertise
acrossthecarespectrum–fromadultcardiologyand
neurologytoCT,MR,criticalcareinformatics,ultrasound,
andotherclinicalelds–todevelopnewinnovationsfor
congenitalcardiology.Manyofthesebreakthroughsare
basedonfundamentaltechnologieswehavedevelopedfor
otherareas.Thedramaticdosereductionwehaveachieved
withourClarityIQtechnologyisinpartpossibledueto
theuniquecapabilitiesofourMRCX-raytube.
1900
Introduction
ofthe
world’s1st
commercial
X-raytube
1952
First
commercial
X-rayimage
intensier
1972
Firstdedicated
neonatal
monitorwith
specialized
neonatalECG
andRESP
algorithms
1979
FirstCompact
Multiparameter
Neonatal
Monitor
1980
DoseWise-
rstintegrated
approachto
radiationdose
management
forpediatrics
Patient critical care informatics
2000
Microstream
CO2for
trueairway
respirationon
non-intubated
neonatal
patients
2001
SofToneMR
1st6channelcoil
–combination
ofQuadHead
coiland5
channelPediatric
mattress
Making the difference with Philips Live Image Guidance | in treating congenital heart disease4
Interventional X-ray
MRI
2012
AlluraClarity
X-ray
systemwith
ClarityIQ
technology
reducesdose
by50%for
pediatrics
2010
DoseAware-
realtime
dose
feedbackfor
physicians
andstaff
2007
Introduction
of3DRA
pediatric
3DRA
2006
DedicatedEPX
settingsfor
pediatricson
AlluraXper
X-raysystem
1sttransthoracic
2Dand3D
probe(X7-3)
2002
1stdedicated
TEEpediatric
probe(S7-3t)
2004
Introduction
ofAllura
Xperbiplane
atdetector
system
Ultrasound
2005
FirstAmbient
Experience
installedina
pediatricshospital
atAdvocate
LutheranGeneral
Hospital,Illinois,
USA
Ambient Experience
2007
Dedicated
8channel
Pediatric
Cardiaccoil
2009
Acoustic
Hoodfor
noisedamping
forAchieva
2013
Introduction
ofEPIQ7
ultrasound
system.
Making the difference with Philips Live Image Guidance | in treating congenital heart disease 5
Lower barriers for minimally
invasive interventions
AlluraClarity – What would you choose for
your kids?
PerhapsnowherearethelowdosebenetsofAlluraClarity
moreapplicablethaninpediatrics.Youngpatientsoftenneed
toundergorepeatedcomplexinterventionalprocedures
withanaccumulationofdosage.Therefore,itisextremely
importanttoworkwiththelowestdoseobtainable.
TwocasesfromtheUniversityChildren’sHospitalinZürich,
SwitzerlanddemonstratetheAlluraClarityadvantage.
Reduced dose balloon angioplasty – case 1
Inthecaseofan11-month-oldfemale,sufferingfrom
univentricularheartsyndrome,interventionalballoon-
dilationofaresidualaorticcoarctationafterNorwood
stageIIprocedurewasindicated.Retrogradeballoon
angioplastyofthecoarctationwasperformedandthe
gradienteliminated.
Asthischildmayrequirefurtherinterventioninthefuture,
reducingradiationisofcriticalimportance.Thetotal
cumulativedoseareaproduct(DAP)achievedinthisclinical
situationwasonly1074mGycm2withaframerateof15fps.
Thewholeprocedurelastedjust60minutes.
Low dose valve replacement – case 2
Inasecondcase,a10-year-oldboywassufferingfrom
severepulmonarygraftstenosisandmoderateinsufciency.
Duringtheproceduretimeof85minutesaMelody™
valvewasplacedintothisfailinggraftwhileexposingthe
patienttoonly8311mGycm2with15fps.Thisintervention
replacedasurgicalvalvereplacementtohopefullyprovide
thepatientwithenoughcapacitytostayoutoftheORfor
therestofhischildhood.
Conclusion and nal results
ThenewAlluraClaritywithClarityIQtechnologyprovides
equivalentimagequalityat50%lessdose.Thisprovidesthe
exibilitytousethesysteminapersonalizedwayforeach
procedureandpatient.
LAO91Cranial1,15fps
Field of view: 15 cm
Angiographyimagedemonstrating
thecoarctationintheaorta(arrow)
LAO 91 Cranial 1, 15 fps,
Field of view: 15 cm
Resultafterdilationofthe
coarctation.Theresultwas
satisfyingwithanaortic
diameteratthelevelofthe
coarctationofalmost7mmand
insignicantresidualsystolic
pressuregradient(2mmHg).
Case 1: Coarctation of aorta
Making the difference with Philips Live Image Guidance | in treating congenital heart disease6
Dose report Case 1 Case 2
Fluoro time [mm:ss] 14:41 12:46
Acquired exposure runs [N] 18 10
Exposure images [N] 3150 1034
Cumulative Frontal Air Kerma [mGy] 36 13
Cumulative Lateral Air Kerma [mGy] 36 8
Cumulative DAP (uoro) [mGycm2] 2924 780
Cumulative DAP (exposure) [mGycm2] 5387 294
TotalCumulativeDAP[mGycm2]8311 1074
“ Especially for pediatric patients it’s extremely important to
achieve the lowest radiation dosage, conserving at the same
time the best required imaging quality, which is necessary to
perform safe and successful interventional procedures in this
specic patient population.”
Prof. Dr. Oliver Kretschmar, University Children’s Hospital, Zürich, Switzerland
LAO 91 Cranial 0, 15 fps
Field of view: 25 cm
Analexposurerunwasmadeto
excludeanycompressionoftheleft
coronaryarteryusingaselective
injection.Theimagesdemonstrate
patentleftcoronaryartery.
Patient entrance dose rate (mGy/s)
Patient entrance dose (mGy/fr)
Equivalent patient thickness (cm)
Allura Xper
AlluraClarity
0.25
0.2
0.15
0.10
0.05
0
7.55 10 15 17.5 20 22.5 2512.5
Paediatric cardio fluoro default
15 fr/s
Paediatric cardio cine default
15 fr/s
7.55
0.01
0.02
0.03
0.04
0.05
0.06
0.07
0.08
0.09
0.1
0
10 15 17.5 20 22.5 2512.5
Allura Xper
AlluraClarity
Patient entrance dose rate (mGy/s)
Patient entrance dose (mGy/fr)
Equivalent patient thickness (cm)
Equivalent patient thickness (cm)
Allura Xper
AlluraClarity
0.2
0.15
0.10
0.5
0
7.55 10 15 17.5 20 22.5 2512.5
15 fr/s
Paediatric cardio cine default
15 fr/s
7.55
0.01
0.02
0.03
0.04
0.05
0.06
0.07
0.08
0.09
0.1
0
10 15 17.5 20 22.5 2512.5
Allura Xper
AlluraClarity
LAO 91 Cranial 0, 15 fps
Field of view: 25 cm
Angiogramdemonstratingthe
stenosiswithinthepulmonary
valve.Measurementsrevealed
aminimaldiameterof12-13mm
measuredinthemid1/3ofthe
graft,andadistaldiameterof
18-20mmjustbeforethe
pulmonarybifurcation.
Case 2: Melody™ valve implantation
Making the difference with Philips Live Image Guidance | in treating congenital heart disease 7
Take advantage of industry-leading image
quality at a fraction of the X-ray dose,
with ClarityIQ technology
AlluraClarity with ClarityIQ technology
AsPhilipsmostpowerfulinterventionalX-raysystemto-
date,AlluraClaritydeliversrelevantclinicalvaluewhereit’s
neededmost–atthepointofpatienttreatment.Clinicians
benetfromhigh-denition,clearvisualizationofeventhe
smallestvessels.
Complexprocedurescanbeperformedwithaccuracy
andcondenceusingthenewAlluraClarityfamilyof
X-raysystems.
Dramatic results
Inalandmarkcomparativestudy*conductedatRadboud
UniversityHospital,Nijmegen,theNetherlands,ClarityIQ
imagesacquiredusing50%lessdosewereofexcellent
diagnosticqualityforallpatients.
1. Powerful image processing technology
ClarityIQ technology incorporates powerful state-of-the-art image processing technology, developed by Philips Research,
all working in real-time enabled by the latest computing technology:
• Noise and artefact reduction, also on moving structures and objects;
• Image enhancement and edge sharpening;
• Automatic real-time patient and accidental table motion correction on live images.
3. Clinically ne-tuned parameters across the entire imaging chain
With ClarityIQ technology over 500 system parameters are ne-tuned for each
application area; the result of years of Philips clinical leadership. It is now possible to
lter out more X-ray radiation, use smaller focal spot sizes, shorter pulses, thereby
fully utilising the unique capabilities of the Philips MRC X-ray tube.
2. Flexible digital imaging pipeline
ClarityIQ technology utilizes a exible digital imaging pipeline from
tube to display that is tailored for each and every application area
such as Cardio or Neuro. This gives the exibility to select virtually
unlimited application-specic congurations and obtain superb
images at a fraction of the X-ray dose for every intervention.
Fraction of the dose
Industry leading
image quality
*XCY607-130009ClinicalstudyendreportClaritylQ
NijmegenV1.pdf
Making the difference with Philips Live Image Guidance | in treating congenital heart disease8
“ The images are of the same high
quality as we were used to before.
We are so enthusiastic about the
results that we are now acquiring
images with reduced dose.”
Drs. H. Gehlman, Interventional Cardiologist,
Radboud University Hospital
“ With ClarityIQ we are able to get
images at corresponding quality but
with at least a 50% reduction of
radiation dose.”
T.J.F. ten Cate, MD, PhD, UMC Radboud, Nijmegen,
The Netherlands
Inthestudy,conductedbetweenSeptemberand
November2012,diagnosticangiographyimagesoftheleft
coronaryarteryof40patientsweremonitored.Thedose
reductionrecordeddecreasedthelikelihoodofsporadic
effectsofradiationforthecathlabpersonnel,while
exposingthepatienttoconsiderablelowerlevelsaswell.
Allura Xper system AlluraClarity system
3D-RAreconstructionofthe
pulmonaryarteries.
Enhanced3Dvisualizationandnavigationtechniqueshelp
determinetheoptimalcourseoftreatmentwithgreater
precision.Thisiscriticalinpediatrics,asthevarietyin
patientanatomyandcongenitalheartdefectscanbe
signicant.Theabilitytocaptureandreuse3Ddataas
ameanstoreducetheneedforadditionalcontrastand
X-rayduringaprocedureisimportant.
ThreeinnovativeinterventionaltoolsintheAllurafamily
ofX-raysystemscanhelp.Theymaybeusedalone,orin
acombinedmultimodalitysolution.Intheskilledhandsof
aninterventionalist,thesetoolsmayassistin:
•Improvecondence/efcacyoftheintervention
•Reduceoverallradiationexposure
•Reducecontrastdose
•Reduceproceduretime
Three-dimensional rotational angiography (3D-RA)
3DRAprovidesfast,high-resolution3Dimagesofthe
cardiacanatomyfromanyangulationandrotation.Ithelps
visualizecomplexvascularanomaliestofacilitatedecision
makingfortreatmentstrategies.Ratherthanmultiple2D
views,whichrequiremultiplecontrastinjections,a3DRA
providesacomplete3Doverviewoftheanatomywitha
singleinjection.The3Dimagecanbeinspectedinanyview,
eventhosethatcannotbereachedwithregular
2Dprojections.
Examplesofcongenitalcardiologyapplicationswhere
3D-RAcanbeuseful:
•Diagnosisofthebranchpulmonaryartery–3D-RA
facilitatesadetailedvisualizationofthepulmonary
vasculatureandtheanastomosisthatmayreveala
narrowingnotseenin2D
•PlanningofMelodyvalveimplantation–3DRAgivesa
bettervisualizationofpotentialcompressionofcoronary
arteriesandthelocation/distancebetweentheMelody
valveandthecoronaryarteries
•Treatmentdecisionofaorticcoarctation–3DRAprovides
insightintothecomplexspatialrelationshipbetweenthe
aorticarcanditsbranchingvessels,assistinginthedecision
betweensurgicalrepairorintervention
3D Roadmap
Thistoolfacilitatescomplexinterventionsbyproviding
live3Dimageguidancefornavigatingvascularstructures
anywhereinthebody.
Dynamic3Droadmapoverlaysreal-time2Duoroscopy
imagesanda3Dreconstructionofthevesseltreeacquired
withthe3D-RAfeatureoftheAlluraClarityfamilyofX-ray
systems.Itimprovesvisualizationofanatomicalstructures
anddevicenavigationandreducestheneedforadditional
contrastagentduringnavigationofdevices.
MR/CT Roadmap
ImagingfromapreviouslyacquiredMRorCTscancanbe
reusedandoverlaidbyuoroscopytoguideprocedures.
MR/CTRoadmapletscliniciansfollowtheadvanceofguide
wiresandcathetersreal-time,therebyreducingX-ray
doseandcontrastmediumduringinterventions.Both3D
RoadmapandMR/CTRoadmapautomaticallyadjuststhe3D
imagestogantrychangesandanylateralorlongitudinaltable
movements.Forevenbettervisualization,itoffersenlarged
full-screenmodeand4xdigitalzoom.
3D-RA
Greater insight and
condence in nding and
treating the problem
Making the difference with Philips Live Image Guidance | in treating congenital heart disease12Making the difference with Philips Live Image Guidance | in treating congenital heart disease 9
NexttoAlluraClarityIQtechnology,otherdosereduction
technologiesassistinthemanagementofradiation
exposure.Theyinclude:
DoseWise
DoseWiseisattheheartofourdosereductionefforts.
It'sasetoftechniques,programs,andpracticesthat
ensuresoptimalmagequalitywhileprotectingpeoplein
X-rayenvironments.ItisbasedontheALARÁ(AsLowAs
ReasonablyAchievable)principIe.Witheverynewsystem.
welookathowwecanincorpocatebettershielding
andimproveourX-rayexposureparameterstofurther
reducedose.Thatmeansbeforeyouevenputonalead
æron,Philipshasdonetheirutmosttoprotectyouand
yourpatientsfromunnecessarydose.
Philips DoseAware* family
PhilipsDoseAwarefamilyoffersimmediatefeedbackon
dosetoincreaseradiationawarenessandhelpmanage
occupationalmedicalradiationexposuretophysicians
andstaff.Itprovidesreal-timedosefeedbackinthe
examinationroomtotrackanindividual’sradiation
exposureduringeachshift,aswellasprocedure-baseddata
fordeeperinsightintostaffexposuretrendsandbehavior.
DoseAware Xtend – dedicated room solution
DoseAwareXtendisadedicatedsolutionforroomswith
PhilipsFlexVisionXLdisplay.ItsintegrationwiththeAllura
X-raysystemallowsittoprovidedetailedfeedbackon
scatteredX-raydoselevelsperprocedure.
Pushing the Boundaries of ALARA
Increases radiation awareness
•IdentiesthecumulativeamountofX-raydosereceived
rightaftereachprocedure
•Remindsclinicianstotakesecondaryleadprecautions
•Sendsweeklyormonthlyreportsautomaticallyon
procedure-basedstaffdosetohelpidentifyindividual
exposuretrends
•SendsproceduraldataonX-raydoseinDICOMRDSR
formattoPACSorRIStosimplifydataanalysis
DoseAware – exible solution for different rooms
DoseAwarecanbeusedinanyX-rayroomtoprovide
real-timefeedbackonscatteredX-rayexposuresostaff
canimmediatelyadjusttheirworkinghabitstomanage
radiationexposure.
Advantages of a real-time dosimeter
•Providetheinformationnecessarytomanageindividual
X-raydoseexposure
•ShowwhenandwhereX-raydosewasacquiredtoallow
forappropriateaction
•Checkexposurelevelonthecoloreddisplayinthe
examinationroom
•Archive,report,andanalyzeradiationdatatomaintain
highlevelsofoccupationalsafety
Smart Beam
WithSmartBeam,asthenamesuggests,thedoseis
reducedbytakingamoreintelligentapproachtothe
useofX-rays.Tothisend,theAllurafamilyusesspecial
SpectraBeamltersinuoroandexposurestoremove
unwanted‘soft’radiation,i.e.thoseX-raysthathitthe
patientbutdonothaveenoughenergytoreachthe
imagedetector.
Thesoftradiationisreplacedbyhigherenergyradiation,
whichsignicantlyimprovesimagequality.Alternatively,
itispossibleto‘tradeoff’someofthisimprovedquality
tofurtherreducedose.
*DoseAwaredoesnotreplacethethermo-luminescentdosimeter
(TLD)asalegaldosimeter.
“ DoseAware is one of the most important
new tools available to help reduce
occupational medical radiation exposure
to physicians and staff. It’s a much easier
and practical way to monitor levels than
conventional methods. Creating a better
work environment is not only the right
thing to do but our obligation.”
J. Kiah, MS, RN Lab Manager, Director Cardiac and Vascular
Services, Baptist Cardiac & Vascular Institute, Miami, USA
NexttoAlluraClarityIQtechnology,otherdosereduction
technologiesassistinthemanagementofradiation
exposure.Theyinclude:
DoseWise
DoseWiseisattheheartofourdosereductionefforts.
It'sasetoftechniques,programs,andpracticesthat
ensuresoptimalmagequalitywhileprotectingpeoplein
X-rayenvironments.ItisbasedontheALARÁ(AsLowAs
welookathowwecanincorporatebettershielding
andimproveourX-rayexposureparameterstofurther
reducedose.Thatmeansbeforeyouevenputonalead
æron,Philipshasdonetheirutmosttoprotectyouand
yourpatientsfromunnecessarydose.
Philips DoseAware* family
PhilipsDoseAwarefamilyoffersimmediatefeedbackon
dosetoincreaseradiationawarenessandhelpmanage
occupationalmedicalradiationexposuretophysicians
andstaff.Itprovidesreal-timedosefeedbackinthe
examinationroomtotrackanindividual’sradiation
exposureduringeachshift,aswellasprocedure-baseddata
fordeeperinsightintostaffexposuretrendsandbehavior.
DoseAware Xtend – dedicated room solution
DoseAwareXtendisadedicatedsolutionforroomswith
PhilipsFlexVisionXLdisplay.ItsintegrationwiththeAllura
X-raysystemallowsittoprovidedetailedfeedbackon
scatteredX-raydoselevelsperprocedure.
Pushing the Boundaries of ALARA
Increases radiation awareness
•IdentiesthecumulativeamountofX-raydosereceived
rightaftereachprocedure
•Remindsclinicianstotakesecondaryleadprecautions
•Sendsweeklyormonthlyreportsautomaticallyon
procedure-basedstaffdosetohelpidentifyindividual
exposuretrends
•SendsproceduraldataonX-raydoseinDICOMRDSR
formattoPACSorRIStosimplifydataanalysis
DoseAware – exible solution for different rooms
DoseAwarecanbeusedinanyX-rayroomtoprovide
real-timefeedbackonscatteredX-rayexposuresostaff
canimmediatelyadjusttheirworkinghabitstomanage
radiationexposure.
Advantages of a real-time dosimeter
•Providetheinformationnecessarytomanageindividual
X-raydoseexposure
•ShowwhenandwhereX-raydosewasacquiredtoallow
forappropriateaction
•Checkexposurelevelonthecoloreddisplayinthe
examinationroom
•Archive,report,andanalyzeradiationdatatomaintain
highlevelsofoccupationalsafety
Smart Beam
WithSmartBeam,asthenamesuggests,thedoseis
reducedbytakingamoreintelligentapproachtothe
useofX-rays.Tothisend,theAllurafamilyusesspecial
SpectraBeamltersinuoroandexposurestoremove
unwanted‘soft’radiation,i.e.thoseX-raysthathitthe
patientbutdonothaveenoughenergytoreachthe
imagedetector.
Thesoftradiationisreplacedbyhigherenergyradiation,
whichsignicantlyimprovesimagequality.Alternatively,
itispossibleto‘tradeoff’someofthisimprovedquality
tofurtherreducedose.
*DoseAwaredoesnotreplacethethermo-luminescentdosimeter
(TLD)asalegaldosimeter.
“ DoseAware is one of the most important
new tools available to help reduce
occupational medical radiation exposure
to physicians and staff. It’s a much easier
and practical way to monitor levels than
conventional methods. Creating a better
work environment is not only the right
thing to do but our obligation.”
J. Kiah, MS, RN Lab Manager, Director Cardiac and Vascular
Services, Baptist Cardiac & Vascular Institute, Miami, USA
Reasonably Achievable) principIe. With every new system,
“ The images are of the same high
quality as we were used to before.
We are so enthusiastic about the
results that we are now acquiring
images with reduced dose.”
Drs. H. Gehlman, Interventional Cardiologist,
Radboud University Hospital
“ With ClarityIQ we are able to get
images at corresponding quality but
with at least a 50% reduction of
radiation dose.”
T.J.F. ten Cate, MD, PhD, UMC Radboud, Nijmegen,
The Netherlands
Inthestudy,conductedbetweenSeptemberand
November2012,diagnosticangiographyimagesoftheleft
coronaryarteryof40patientsweremonitored.Thedose
reductionrecordeddecreasedthelikelihoodofsporadic
effectsofradiationforthecathlabpersonnel,while
exposingthepatienttoconsiderablelowerlevelsaswell.
Allura Xper system AlluraClarity system
3D-RAreconstructionofthe
pulmonaryarteries.
Enhanced3Dvisualizationandnavigationtechniqueshelp
determinetheoptimalcourseoftreatmentwithgreater
precision.Thisiscriticalinpediatrics,asthevarietyin
patientanatomyandcongenitalheartdefectscanbe
signicant.Theabilitytocaptureandreuse3Ddataas
ameanstoreducetheneedforadditionalcontrastand
X-rayduringaprocedureisimportant.
ThreeinnovativeinterventionaltoolsintheAllurafamily
ofX-raysystemscanhelp.Theymaybeusedalone,orin
acombinedmultimodalitysolution.Intheskilledhandsof
aninterventionalist,thesetoolsmayassistin:
•Improvecondence/efcacyoftheintervention
•Reduceoverallradiationexposure
•Reducecontrastdose
•Reduceproceduretime
Three-dimensional rotational angiography (3D-RA)
3DRAprovidesfast,high-resolution3Dimagesofthe
cardiacanatomyfromanyangulationandrotation.Ithelps
visualizecomplexvascularanomaliestofacilitatedecision
makingfortreatmentstrategies.Ratherthanmultiple2D
views,whichrequiremultiplecontrastinjections,a3DRA
providesacomplete3Doverviewoftheanatomywitha
singleinjection.The3Dimagecanbeinspectedinanyview,
eventhosethatcannotbereachedwithregular
2Dprojections.
Examplesofcongenitalcardiologyapplicationswhere
3D-RAcanbeuseful:
•Diagnosisofthebranchpulmonaryartery–3D-RA
facilitatesadetailedvisualizationofthepulmonary
vasculatureandtheanastomosisthatmayreveala
narrowingnotseenin2D
•PlanningofMelodyvalveimplantation–3DRAgivesa
bettervisualizationofpotentialcompressionofcoronary
arteriesandthelocation/distancebetweentheMelody
valveandthecoronaryarteries
•Treatmentdecisionofaorticcoarctation–3DRAprovides
insightintothecomplexspatialrelationshipbetweenthe
aorticarcanditsbranchingvessels,assistinginthedecision
betweensurgicalrepairorintervention
3D Roadmap
Thistoolfacilitatescomplexinterventionsbyproviding
live3Dimageguidancefornavigatingvascularstructures
anywhereinthebody.
Dynamic3Droadmapoverlaysreal-time2Duoroscopy
imagesanda3Dreconstructionofthevesseltreeacquired
withthe3D-RAfeatureoftheAlluraClarityfamilyofX-ray
systems.Itimprovesvisualizationofanatomicalstructures
anddevicenavigationandreducestheneedforadditional
contrastagentduringnavigationofdevices.
MR/CT Roadmap
ImagingfromapreviouslyacquiredMRorCTscancanbe
reusedandoverlaidbyuoroscopytoguideprocedures.
MR/CTRoadmapletscliniciansfollowtheadvanceofguide
wiresandcathetersreal-time,therebyreducingX-ray
doseandcontrastmediumduringinterventions.Both3D
RoadmapandMR/CTRoadmapautomaticallyadjuststhe3D
imagestogantrychangesandanylateralorlongitudinaltable
movements.Forevenbettervisualization,itoffersenlarged
full-screenmodeand4xdigitalzoom.
3D-RA
Greater insight and
condence in nding and
treating the problem
Making the difference with Philips Live Image Guidance | in treating congenital heart disease12Making the difference with Philips Live Image Guidance | in treating congenital heart disease 9
Asinglerotationalscanprovides
inputforthe3D-RAreconstruction.
3D-RAreconstructionoftheaorticarc,allowing
youtoplantheoptimaltreatment.
Liveoverlayon3D/MR/CTroadmapimprovesvisualization
ofanatomicalstructuresanddevicenavigationbyre-using
preoperativeCTorMRangiographicimages.
3D-RA: Improved Procedural Planning3D / MR / CT roadmap
Making the difference with Philips Live Image Guidance | in treating congenital heart disease 13
“ I have found that the 3D-RA tool
is very benecial for my pediatric
patients to efciently manage
radiation dose, contrast dye, and
procedure time.”
Dr. Seong-Ho Kim, Chairman,
Department of Pediatrics
3D Roadmap in AP
3D Roadmap: balloon ination of sidebranch 3D RA of stent after ballooning side branch.
3D roadmap in LAO40/Caud27
3D Roadmap in AP: overlap at bifurcation, inadequate
for intervention
TheostiumofthesidebranchisnotclearlyvisibleintheAllura
3D-RAinAPpositionbecauseofoverlappingvessels.
3D Roadmap in LAO40/Caud27: clear view on bifurcation
ThebifurcationisclearlyvisibleintheAllura3D-RAin
40LAO/27Caudalposition.
3D Roadmap: balloon ination of sidebranch
The3DRoadmapimageshowstheballooninatedinthe
sidebranch.
3D RA of stent after ballooning side branch
Apost-proceduralAllura3D-RAshowsthestentstrutsopenin
thesidebranchtoenableadequatebloodow.
Making the difference with Philips Live Image Guidance | in treating congenital heart disease14
3D-RA and 3D roadmap case study:
Treatment of pulmonary artery stenosis
Catheter based treatment of a complex pulmonary
artery stenosis requires in-depth understanding of the
location and dimension of the stenosis. Using standard
angiograms, requires several X-ray acquisitions to make a
complete evaluation. Dr. Seong-Ho Kim, chairman of the
department of pediatrics at the Sejong General Hospital,
Korea used 3D-RA and 3D roadmap during treatment of
a pediatric patient with a stenotic side branch of the right
pulmonary artery.
Patient
A 13 year-old male patient weighing 43 kg was brought to
the cath lab for a pulmonary artery stenosis intervention.
A side branch of the RPA is stenosed, due to a right
pulmonary artery (RPA) stenting procedure in 2013.
This patient was born with a ventricular septal defect
(VSD) and major aorto-pulmonary collateral arteries
(MAPCA). A Rastelli procedure was performed in 2002
to reconstruct the outfl ow from the right ventricle to the
pulmonary arteries (PA). Several procedures followed in
subsequent years: a reconstruction of the RPA, dilatation
and stenting of the left pulmonary artery (LPA), and
dilatation and stenting of the RPA.
Selection of projection angle
Allura 3D-RA was used to provide a better visualization
of the bifurcation, which helped the physician to plan the
treatment strategy and therapeutic approach. This data set
was reconstructed into a 3D volume rendering. The 3D
volume provided a detailed visualization of the pulmonary
vasculature and bifurcation from any angulation and
rotation, allowing the physician to select the projection
which would allow him to precisely treat the lesion of
interest. The AP projection showed overlapping vessels at
the bifurcation which obscured visibility of the ostium of
the side branch of the RPA. The projection was changed to
40 LAO and 27 Caudal, which provided a clear view of the
bifurcation.
Balloon dilatation
The 3D volume was then overlaid on live fl uoroscopy,
providing a 3D Roadmap. This Roadmap was used to
navigate the guidewire to the correct position and deploy
the balloon, without the need to use additional contrast.
After dilatation of the side branch, a second 3D-RA was
done to check the dilatation result.
Method and materials used
An Allura 3D-RA acquisition was made on the
AlluraClarity FD10/10 biplane X-ray system. The
acquisition protocol was: a 4 sec, 240 degree (120
LAO/120 RAO) rotational angiogram at 30 frames/sec
using a 25 cm fi eld of view. A total contrast volume of
60 cc (2/3 contrast and 1/3 saline) was injected at 12 cc/s
with an injection delay of 1 sec before acquisition. The
contrast was diluted 2/3 contrast to 1/3 saline which
resulted in an actual contrast load of 40 cc.
Conclusion
The view of the stenosis in the bifurcation of the RPA
was obscured in the AP view. Without using Allura
3D-RA, the physician would have had to acquire several
additional 2D angiograms to get a clear view of the
lesion. The projection angle to navigate the guidewire
to the correct side branch was selected based on the
3D-RA model. Only one 3D-RA was required to get
a detailed visualization of the bifurcation and to select
the precise projection angle for treatment, thereby
saving X-ray dose, contrast medium, and time. After
balloon deployment in the side branch, a second 3D-RA
reconstruction clearly showed the stent struts open
at the side branch enabling adequate blood fl ow.
Making the difference with Philips Live Image Guidance | in treating congenital heart disease 15Making the difference with Philips Live Image Guidance | in treating congenital heart disease 15
452299102481.indd 15 19/06/14 16:14
EchoNavigator
Increasingnumbersofpatientswithstructuralheart
disease(SHD)canbetreatedwithcatheter-based
techniques.Oneofthemainchallengesisvisualization;
Live3Dtransesophagealechocardiography(TEE)imaging
providescriticalinsightsintosofttissueanatomy,and
functionandowinformation.Atthesametime,X-rayis
invaluableforvisualizingdevices.Bothimages,however,
arerepresentedseparatelyinadifferentorientationand
sovaluabletimeisspentmentallyaligningthem.
Intuitively combining live X-ray and echo
guidance for Structural Heart Disease repair
Key benets
•Intuitivelycombineslive3DTEEechocardiographyand
uoroscopicimages.BringsTEEechocardiographyand
uoroscopicimagestogether,inreal-time.
•Understandwhereyouareinthe3Dspacemorequickly.
•AnatomicallandmarksinEchoareoverlaidonX-rayfor
guidanceofdevices.
•Directlycontrollableattableside,whichfacilitates
communicationwiththeechooperator.
•Promotesteamworkwithintheheartteaminthelab.
Work with clinical condence by having access to superb quality images, unique live 3D imaging
capabilities and innovative imaging solutions. This will support you in planning, visualization
and Live Image Guidance of even the most challenging procedures.
EchoNavigatortacklesthisissuehead-onbyintuitively
bringinglive3DTEEanduoroscopicimagestogether,
inreal-time,foraquickunderstandingofthe3Dspace.
Imagesfrombothmodalitiesareautomaticallyaligned
bytrackingtheTEEtransducerpositionandorientation
intheX-rayimage.Asaresult,relevantsofttissueanatomy
canbyvisualizedintheX-ray.Markersplacedonthe
softtissuestructureswithintheechoimage,automatically
appearontheX-rayforcontextandguidance.Thisprovides
cleartargetsforcatheternavigation.Theinterventional
operatorcandirectlycontroltheEchoNavigatorattableside,
whichfacilitatescommunicationwiththeechooperator.
Allofthisisdesignedtosimplifynavigation,deviceplacement
andpromotescommunicationwithintheheartteamduring
structuralheartdiseaseprocedures.
Training
OurPeertoPeertrainingprogramsofferaninteractive
programonsitewithexperiencedusers.Thesetraining
programsprovideindepthdetailsonhowtousethe
technologyinclinicalpractice,andprovideyouwith
thecondencetoimplementtheseadvancedimaging
functionalitiesinyourdailyroutineandtotakeyourexpertise
tothenextlevel.WealsoprovideexcellenttrainingofLive3D
TEEandEchoNavigatortohelpdeveloparapidandthorough
understandingofthesebreakthroughSHDtreatments.
“ We’re integrating two separate medical
images and bringing them together in a
way that makes performance of these
interventions more straight-forward.”
Professor John Carroll, MD, Interventional Cardiologist,
University of Colorado, Denver
Making the difference with Philips Live Image Guidance | in treating congenital heart disease16
A new era in premium cardiovascular ultrasound
ThePhilipsEPIQ7ultrasoundsystemincorporatesour
mostpowerfularchitectureeverappliedtoultrasound
imaging–touchingallaspectsofacousticacquisition
andprocessing.Supportedbyourfamilyofproprietary
xMATRIXtransducersandourleading-edgeAnatomical
Intelligence,thisplatformoffersyouaccuratediagnosis,
rst-timeright,whichisfasterandeasiertoperformthan
before.Yougetimprovedclinicalinformationfromeach
scanandahigherlevelofcondence.TheEPIQ7supports
thelive3DTEEforchildrenabove20kg,aswellasthe
minimultiplaneTEEforinfantsabove3.5kg.
Philips EPIQ 7 ultrasound system Live 3D TEE of appendage
• Live3Dtransesophagealechocardiographyallowstheviewing
ofmitralvalves,aorticvalves,interatrialseptum,theleftatrial
appendageandallchambersoftheheartwithuniqueperspectives.
• PhilipsLive3DTEEprovidesreal-time3DandlivexPlaneviews.
Thesetoolsprovidemanybeating-heartviewsthatwerepreviously
seenonlyduringcardiacsurgery.
• Live3DTEEfeaturesprominentlyinrecentprofessionalsociety
recommendationsregardingechocardiographyintrans-catheter
interventions.(EAE/ASE*RecommendationsfortheUseof
EchocardiographyinNewTranscatheterInterventionsforValvular
HeartDisease.)
“ The beauty of good imaging is that
you don’t have to imagine too much”
Professor J Zamorano, Head of Cardiology,
University Hospital Ramon y Cajal, Madrid
3Dzoomedappendageand
pulmonaryvein.
* Journal of the American Society of EchocardiographyVolume 24, Issue 9,
September 2011, Pages 937–965EAE/ASE Recommendations for the Use
of Echocardiography in New Transcatheter Interventions for Valvular Heart
Disease • Jose L. Zamorano et al.
EPIQ7:Designedtoreinventtheuserexperience
Making the difference with Philips Live Image Guidance | in treating congenital heart disease 17
Better user experience
to promote consistency
and efciency
Biplane versatility helps reveal hidden pathologies
Congenitalheartdefectscanbehardtopredictand
visualize,requiringquiteextremeandexoticprojections
tovisualizeeachchild’suniqueanatomy.Achievethe
challengingprojectionviewsyourequirewithPhilips
Allura’suniquelateraldoubleC-arm.Itcanmakesteep
cranial/caudalprojectionstorevealhiddenpathologiesor
missinganatomicalstructures.Itallows,forinstance,afour
chamberviewoftheatrialseptum.Twoviewsarecreated
withasinglecontrastinjection.Bycombininga20x20cm
lateralwitha30x40cmfrontal,yougetfullexibilityfor
imaginginfants,youngchildren,andadultswithoutpanning
tosupportabroadrangeofpatients.
ThefrontalandlateralC-armscanbeindependently
positioned,allowingfullpatientaccessfortheheart
team.Thereisplentyofspaceattheheadsideforthe
anesthesiologistandechocardiologistwithoutinterfering
withtherestoftheteam.TheFD10/10andFD20/10
biplanesystemshaveaverysmallfootprinttoallow
maximaloorclearance.
Biplanevisualizationscanprovideamorecompletepictureofthesituation.Forinstance,on
thefrontalplaneinthiscase,thebranchoftheleftpulmonaryartery(leftimage)appearstoll
completely.However,thelateralimage(right)showsthatonlytheposteriorsegmentislling.
Hybrid Suite
Theinterventionalandsurgicalenvironmentsarerapidly
evolvingasinterventionaltreatmentandsurgeryconverge
inhybridprocedures.Interventionsareperformedfor
increasinglycomplexdiseases,whilesurgicalprocedures
arebecominglessinvasive.Patientpopulationsarealso
becomingbroaderasmorechildrenwithcongenitalheart
diseasesurviveintoadultlife.Inaddition,theavailabilityof
newdevicesexpandsthenumberoftreatmentoptions.
WiththeHybridSuitefromPhilips,afullrangeof
procedurescanbeperformedinasingleroom,virtually
withoutcompromise.Severalkeyinnovationssupport
theheartteamincarryingoutlongandoftencomplex
congenitalheartprocedureswithahighdegreeof
comfortandcondence.UsingtheuniqueFlexMoveor
FlexMoveXL,theceilingmountedC-armcanbeeasily
movedasrequiredanywherearoundthetable–and
thenconvenientlyparkedoutofthewayduringopen
surgery.Thisgivestheteamroomtoworkclosetothe
patientandfreesuptheheadareasotheanesthesiologist/
echocardiologistcanworkwithgreaterease.
Biplane imaging
Making the difference with Philips Live Image Guidance | in treating congenital heart disease18
MAQUET MAGNUS operating table
“ In the hybrid room you feel completely relaxed.
You know every time you can switch from open
surgery to catheter-based, or from catheter-
based to open surgery. So you feel great.”
Prof. Dr. M. Lachat MD, Vascular Surgeon, Zürich University Hospital,
Zürich, Switzerland
MAQUET MAGNUS operating table
TheAllurasystemsaretheonlybiplanesthatcanbeseamlessly
integratedwiththebest-in-classMAQUETsurgicaltablefor
atrulymultifunctionalroomsuitableforconventionalsurgery,
hybridsurgery,orinterventions.Thetwoarecompletely
synchronizedandbenetfromautomaticpositioncontrol(APC),
boluschaseprocedures,and3Dsoftwaretools.Thetablecanbe
outttedwitharadiotranslucenttabletopforendovascularand
hybridprocedures,oramodulartabletopforopensurgery.
Tabletopscanbeeasilyexchangedusingthetransporter,allowing
smoothtransferofpatientsbetweenprocedures.
Making the difference with Philips Live Image Guidance | in treating congenital heart disease 19
For the patientThe Ambient Experience Interventional Suite
Personalizingtheenvironmentallowsthepatientto
becomeapartnerintheirprocedure
“ Children who are nervous when
they arrive are mesmerized by
the pleasant environment, which
often allows examinations to
be completed more quickly.”
Jojanneke de Leeuw, radiology technician,
Jeroen Bosch Hospital, ‘s-Hertogenbosch, The Netherlands
Making the difference with Philips Live Image Guidance | in treating congenital heart disease20
For the staff
CliniciansbenetfromadvancedAmbientExperiencefeatures
thatincreaseefciencyandimproveworkingcomfort
A treatment environment that puts
children at ease
Let’sfaceit,achildisgenerallyunhappyatbeingina
hospital.Theycanfeelapprehensive,nervousandinsome
casesplainscared.Especiallywhentheyhavetoundergo
severalproceduresoveralongerperiod.Youwanttomake
themfeelmoreatease,butthat’sdifculttodowhenthe
surroundingslook,soundandsmellsodifferentfromhome.
Highpatientanxietycanhaveconsequencesforthe
medicalteam.Thiscanalsohaveconsequencesforthe
medicalteam.Clinicalstaffcanbecomefrustratedbecause
examinationstakelongerandthroughputdecreases.It
alsoaffectsmotivationwheneffortstoreassureandrelax
patientsareinvain.
WithAmbientExperiencewecancreateapurposefully
designedhealthcareenvironment(includingtechnology,
spatialdesignandworkow),addressingtheseissues.You
createtheconditionsinwhichchildrenfeelmoreatease,
cliniciansareabletoworkmoreeffectivelyandwhichcan
changethecommunityperception.
For the patient
Dynamiclightingproducesasoft,pleasanteffect.
WithAmbientExperiencechildrencanselectatheme
fromthetouchscreen.ImmediatelythedynamicAmbient
Lightingproducesawarmwelcomingatmosphereinthe
room.Wallsappeartofadeaway.Thematicvideowith
soundprovideapositivedistractionthathelpsthechild
torelax.Thiscalmingatmosphereenhancesinteraction
betweenthechildandstaff.
For your staff
Architecturalenhancementsoptimizeroomdesign.
Intruecollaborativefashion,weworkwithyourin-house
teamtoeffectivelyreduceclutter,recessthecabinetry,
andimprovethelighting.Open,stress-freesurroundings
provideyourstaffwithanuniqueinterventional
environment.Withthesupportofourglobalorganization,
wehelpyoucreateawelcomingandeffectiveenvironment
thatwillrevolutionizethewaymedicalprocedures
areperformed.
Demonstrating value
TheAmbientExperienceInterventionalSuitecan
differentiateyoufromotherhealthcarefacilities.
Thisagshipservicecanenhancetheimageofyour
hospitalintheeyesofallstakeholders.Itsupportsbetter
communicationwiththepatient,andcanprovideamore
efcientworkingenvironmentwiththepotentialto
impactstaffmorale,retention,andrecruitment.Ambient
Experiencedemonstratesyourdedicationtopeople
focusedhealthcare.
AmbientExperienceisapurposelydesignedhealthcare
environment.Witharefreshinglycreativeeye,Ambient
Experienceintegratestechnology,spatialdesign,and
workowimprovementstocreateamorecomfortable,
stress-reducingenvironmentforbothpatientsandstaff.
Making the difference with Philips Live Image Guidance | in treating congenital heart disease 21
Streamlining workow for complex
congenital procedures
Whenworkingtosaveachild’slife,amedicalteam
wantstofocusfullyonwhatneedstobedone.Philips
offersmanyexiblewaystoenhanceworkowandhelp
reducedistractionsandclutterinthecathlaborhybrid
environment.Thesesolutionscontributetoawell-
organized,smoothrunningprocedure.
Everything you need to see
Apediatriccardiologysuiteperformsalargevarietyof
procedures,eachrequiringtheirowntypesofimages
andinformation.TheFlexVisionXLmonitorallowsfor
easyviewingandmagnicationofanyimageinthelab–
fromX-raystopre-acquiredpatientCTandMRscans
–attableside.
Thislarge,high-denitioneight-megapixelLCDscreen
layoutcanbeadaptedontheytophysicianpreferences
andexaminationrequirements–perproceduretypeor
case.Informationfromseveralmulti-modalityimaging
sourcesisintegratedintooneview.Thisallowstheentire
teamtounderstandandshareinformationduringeach
stepoftheprocedure.
TheSuperZoomfeatureclearlybringssmallaspectsof
anatomyanddataintofocuswithoutsacricingresolution.
Withthisfeature,thescreencanbeplacedfurtherfrom
thetable,therebyfreeingupspace.
Zoom in on uoroscopy images without
increasing dose
Pediatricstructurescanbesmallanddifculttovisualize.
OurDualFluorooptionallowsyoutoalsomagnify
liveuoroscopicimagestwotimeswithoutincreasing
radiationdose.Thezoomeduoroscopyimagesare
displayedonthelivemonitor.Thisfeaturecanbeused
onbothfrontalandlateraluoroscopyimages.
Physiomonitoring
PhilipsXperFlexCardio,asmallhemodynamicsystem,
seamlesslyintegrateswiththeAlluraportfolio.Itoptimizes
workowandimprovestheproductivityinthelabthrough
easyexchangeofdata.XperFlexCardioalsoprovides
advancedECGanalysisinthecathlabwithSTmapping
andSTEMI-CA.
Relevant information at hand
Inthisexible,fullyintegratedenvironment,Philips
cardiologyinformatics,toolsandreal-timeinformation
areallwithinreach,makingiteasytocarryoutallaspects
ofprocedures.
Making the difference with Philips Live Image Guidance | in treating congenital heart disease22
Managing cardiology information throughout
the care process
PhilipsCVIS(CardiovascularInformationManagement
System)isauniquesoftwaresolutionthatenhances
theclinicalandnancialperformanceofthecardiology
department.Ituniessilosofdiscretecardiacinformation
collectedatthepointofcareintoasinglepowerful
database.Thiscardiacdatabaseissearchableand
actionabletosupportclinical,qualitative,andbusiness
analysisandreportingneeds.
Multi-modality image management
XceleracardiologyPACSortheenterprise-wide
IntelliSpacePACSsolutionscanhandleimagemanagement,
clinicalanalysis,andreporting.IntelliSpaceisapowerful
toolforadvancedimagereviewandanalysis.Itoffers
theexibilitytodiagnoseandcollaboratevirtually
anywhere.Inaddition,iSitePACSintegratesintoexisting
infrastructure,enablingalldepartmentstorealizeareturn
oninvestmentateachstageofdeployment.
Cath lab workow solution
XperIMandXperFlexCardiofeatureintuitive
innovationsthatcreateamoreefcientworkowin
thecathlabdepartment,includingdirectaccessto
acquiredimages,physiomonitoring,scheduling,inventory
managementreporting,andstatistics.
Philipsiscommittedtoworkingcloselytogetherwith
customers.Thepurchaseofanewinterventionalsuite
andinterventionaltoolsdemonstratesalong-term
commitmenttopatientsandpersonnel.Weoffera
comprehensiveportfolioofserviceoptions,training
programsforstaffanddelivernancingoptionstohelp
optimizetheeconomicvalueacrossthetotallife-cycle
ofthesystems.
RightFit Service agreements
Frompremiumserviceplanstostandardservicesupport,
thereisaRightFitServiceAgreementtosuiteveryneed.
Theperfectmixofon-demandsupport,immediateparts
andservice,andcomprehensivebusinesssolutionshelps
hospitalsdeliverqualitypatientcare.
Exceptional support is a priority
ThePhilipsglobalservicenetworkisreadytoassistwhen
necessary.Fieldengineers,remoteservicetechnicians,and
frontlinecall-agentssupportallsystemswithaworld-
classservicesnetwork.Thegoal:helpcustomerssucceed
ineveryphaseofsystemownership,fromplanningto
start-up,throughpeakusageandrenewal.
ARemoteServicesoptionprovidesadvancedsystem
troubleshootingthathelpslessendowntimeevenfurther.
Equipmentremainsreliablethroughremotesystem
diagnosesandfastrepair.
Education and training
Regulartrainingiscriticaltohelpthemedicalstaffto
bettermasterclinicalprocedures,getmoreoutofthe
equipment,andbuildprofessionalandclinicalskills.
Better-trainedstaffimprovestheoveralllevelofservice
andoperation.
Increased economic value
Asanexample,PhilipshasestablishedPeer-to-
Peertrainingprogramsforphysiciansinterestedin
learningaboutEchoNavigator.Participantsvisitpeers
inthehospital,whoareexpertintheclinicaluseof
EchoNavigator,andreceiveacomprehensivetwo-day
programcombiningclassroomtutorials,hands-on
training.Theyworkcloselywiththeseexperienced
usersduringrealcases.
Moreknowledgeablepersonnelhaveahigherchance
ofobtainingaccurateresults.
Financial options are plenty
PhilipsMedicalCapitalmakesitsurprisinglyeasyto
arrangenancingtoaddresscapitalbudgetrequirements,
manageincreasingpatientvolumeandachieveclinical
superiority.PhilipsProPluscombinesequipment,service,
andnancinginonesimpleofferingtohelp:
Enhances patient care
Making the difference with Philips Live Image Guidance | in treating congenital heart disease24
•Stretchcapitalbudgetandenhancemonthlycashow
•Lock-inequipmentandservicecostsforuptoveyears
•Avoidunexpectedequipmentormaintenancecosts
•Simplifynancialmanagementandreduceadministrativeburdens
•Gettheequipmentnecessarytodeliverahighlevelofqualitycare
•Enhanceorganization’sreputationandprotpotential
OurLiveImageGuidancesolutionsstandattheforefrontof
interventionalcare.Forplanning,diagnosis,andtherapy,theysupport
theskillsofclinicalprofessionalslikeyou.
Makingthedifferencewhereitreallymatters.
Appeals to patients and staff
Making the difference with Philips Live Image Guidance | in treating congenital heart disease 25
©2014 Koninklijke Philips Electronics N.V.
All rights reserved.
This document is not intended for use in the United States.
Document order number: 452299102481 *JUNE 2014
www.philips.com/congenitalheartdisease

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