Philips NOCTN163 User Manual Product Brochure Allura Clarity Low Dose Interventional X Ray System With IQ Technology F1e7a48b41d6430e8bb6a77c015d3aa0

User Manual: Philips NOCTN163 Product Brochure Philips AlluraClarity Low-dose Interventional X-ray system with ClarityIQ technology Philips - AlluraClarity with ClarityIQ technologyNOCTN163

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Philips AlluraClarity family
Making the difference with
Philips Live Image Guidance
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Making the difference with Philips Live Image Guidance | Philips AlluraClarity family2
Key bene ts
• Signi cantly reduces X-ray dose for fewer
complications from radiation exposure for patients.
• Decreases scatter radiation, thereby reducing
long-term health risks for physician and staff.
• Expands treatment options – enables longer
procedures to treat obese and high-risk patients
at a fraction of the dose.
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Making the difference with Philips Live Image Guidance | Philips AlluraClarity family 3
Together we make the difference in minimally invasive treatment
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.
Intelligent and intuitive integration of live imaging, patient information,
and procedure based applications optimize real time therapy guidance.
Our AlluraClarity family with ClarityIQ technology enables physicians
to deliver fast, con dent diagnosis and treatment, simpli ed procedures
and an ef cient clinical work ow. All while delivering equivalent image
quality at a fraction of the dose. Build clinical reputation and increase
revenues by extending your procedural mix to treat a wider range
of patients while improving patient throughput. Maximize return on
investment with tailored services to increase uptime and bene t from
upgrades and innovations.
Together, we open doors to new procedures and techniques that truly
make a difference to people’s lives while driving growth and reducing
the cost of care
Table of contents:
Delivering relevant clinical value where it’s needed most 4
As our most powerful interventional X-ray system yet, AlluraClarity delivers clinical value where
it’s needed most; at the point of patient treatment.
Lower barriers for minimally invasive interventions 6
A comprehensive and powerful range of solutions to address your clinical needs and help you open doors
to new procedures and techniques.
Greater insight and con dence in  nding and treating the problem 10
Transforming minimally invasive therapy
Better user experience to promote consistency and ef ciency 18
Wearecommittedtooptimizetheuserexperiencetosupporttheclinicianineachoftheirspecicprocedures
Increased economic value 24
Working with you to keep the quality of your care as high as possible, and your costs and risks as low
as possible; that’s our commitment to you.
Table of contents:
Making the difference
with Philips Live
Image Guidance
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Making the difference with Philips Live Image Guidance | Philips AlluraClarity family4
Delivering relevant
clinical value where
it’s needed most
As our most powerful interventional X-ray system yet,
AlluraClarity delivers relevant clinical value where it’s needed
most – at the point of patient treatment. With advanced
Live Image Guidance, you bene t from high-de nition,
clear visualization of even the smallest vessels, from disease-
speci c tools, and from intelligent, intuitive integration of
patient information.
With our AlluraClarity family, you can now perform complex
procedures with accuracy and con dence.
Greater insight and confi dence in fi nding and treating
the problem
Our Live Image Guidance expands clinical capabilities through
intelligent and intuitive integration of multi-modality images
at the point of treatment. This enables con dent diagnosis
and real-time therapy monitoring.
Better user experience to promote consistency
and effi ciency
We are committed to optimize the user experience to
support the clinicians in each of their speci c procedures by
combining disease centric tools, patient data and procedural
protocols in a single suite. This simpli es clinical work ows
and promotes ef ciency.
Lower barriers for minimally invasive interventions
We have a long standing commitment and philosophy to
reduce dose and contrast through a set of techniques, programs
and practices that focus on providing excellent image quality,
while maximizing the safety of patients and clinical staff in
X-ray environments.
Increased economic value
We provide full support throughout the whole lifecycle
of your interventional suite, ensuring investment protection
by increasing uptime and giving you easy access to the latest
upgrades and innovations. Our service contracts portfolio
offers a comprehensive range of  exible coverage that
aligns with your budget and in-house capabilities.
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Lower barriers for minimally
invasive interventions
What’s the secret behind ClarityIQ?
ClarityIQ is a novel X-ray imaging technology that
combines advanced real-time image noise reduction
algorithms with state-of-the-art hardware to reduce
patient entrance dose signi cantly. This is realized by
anatomy-speci c optimization of the full acquisition
chain (grid switch, beam  ltering, pulse width, spot size,
detector and image processing engine) for every clinical
task individually. The system has been optimized for all
major disease areas using over a 1000 patients. In addition
to patient entrance dose reduction, the image quality is
improved through the use of the smaller focal spot sizes,
shorter pulses and the introduction of automatic real-time
motion compensation in subtraction imaging.
Industry-leading image quality at a fraction of the dose
TheAlluraClarityhasredenedthebalancebetweendoseandimagequalityininterventionalX-ray.
How was this achieved? By drawing upon our unique imaging expertise and collaborating closely with
highly critical interventional physicians around the world. At the heart of it all is our breakthrough
ClarityIQ technology. It has the potential to make a difference in millions of people’s lives.
Fraction of the dose
Unique ClarityIQ technology touches every part of the AlluraClarity system from tube to display
Industry leading
image quality
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“ We also have a quality assurance system
that compares our radiation exposure to
the patients with those of 60 other hospitals.
And we are quite proud to witness also that
we have the lowest range.”
Prof. Dr. med. N. Reifart, co-author of the study and
Director of the Main-Taunus Cardiac Center, Private Clinic Bad Soden
Helping everyone benefi t from AlluraClarity
To re ect the cost pressures that modern hospitals and
health systems face, we have taken steps to make this
technology widely available. So as many people as possible
can bene t from it. Philips customers who have an Allura
Xper interventional X-ray system can upgrade to the
AlluraClarity system via our SmartPath program. This
paves the way to a wealth of potential bene ts.
Bene ts
• Healthcare facilities can attract new patients, medical
staff, and referrals by having the interventional X-ray
system that sets a new benchmark for patient and staff
• Interventional departments can expand into longer,
more complex procedures
• Interventionalists can con dently perform minimally
invasive procedures on obese patients and high-risk
patients, who might not otherwise be eligible for
these procedures
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Our AlluraClarity family with ClarityIQ technology is
the latest breakthrough in our commitment to minimize
radiation exposure for patients and clinical staff. It sets
a new standard by pushing the boundaries of ALARA
(As Low As Reasonably Achievable). ClarityIQ maintains
equivalent image quality at a fraction of the dose. This
helps improve outcomes and removes dose as a barrier
to new procedures and techniques.
Additional AlluraClarity dose reduction technologies
include:
Pushing the boundaries of ALARA
Philips DoseAware family
Real-time dose feedback to increase radiation awareness
and promote less harmful working practices.
Philips DoseAware* family of real-time dose feedback
tools is designed to make it easy for people working in
X-ray environments to monitor their radiation exposure
in daily work and adopt less harmful working practices.
“ DoseAware is one of the most
important tools available to help manage
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
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Our long-standing commitment to reduce dose and contrast
is founded in DoseWise; a set of techniques, programs and
practices that focus on providing excellent image quality while
maximizing the safety of patients and clinical staff in X-ray
environments. DoseWise has the three pillars – Smart Beam,
less time and more awareness – and is integrated into every
level of our new product development.
* DoseAware does not replace the thermo luminescent
dosimeter (TLD) as a legal dosimeter.
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.
Increases radiation awareness
• Gives you the cumulative amount of X-ray dose received
right after each procedure
• Reminds you to take secondary lead precautions
• Sends you weekly or monthly reports automatically on
your procedure-based staff dose to help you identify
your individual exposure trends
• Sends procedural data on X-ray dose in DICOM RDSR
format to PACS or RIS to simplify data analysis
DoseAware – fl 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 dose meter
• Gives you the information you need to manage your
own X-ray dose exposure
• You see when and where X-ray dose was acquired so
you can act appropriately
• You can easily check your exposure level on the colored
display in the examination room
• Facilities can archive, report, and analyze radiation data
to maintain high levels of occupational safety
Together we can make a difference to the health
of medical professionals who work in the
interventional environment.
DoseWise
Our long standing commitment to reducing dose is
founded in our DoseWise philosophy. DoseWise is a
set of techniques, programs, and practices that supports
excellent image quality, while protecting people in X-ray
environments. It’s a philosophy that drives Philips to
develop innovative new strategies in dose management.
DoseWise
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Making the difference with Philips Live Image Guidance | Philips AlluraClarity family10
Transforming minimally invasive therapy
The AlluraClarity family is based-on our industry-
leading Live Image Guidance. Enabling fast and effective
treatments, this advanced technology helps you to
transform minimally-invasive therapies. With specic
solutions for the treatment of cardiac and vascular
diseases, you can expand your treatment options, while
optimizing your interventional lab.
Our Live Image Guidance is complemented by advanced
interventional tools, seamlessly integrated into the
AlluraClarity family, to support your clinical workow.
Further support is provided by our comprehensive clinical,
technical and education programs. Strong partnerships
with a worldwide network of clinical experts and
customers have driven development of our Live Image
Guidance. This has given us the opportunity to quickly
address your changing needs and deliver truly meaningful
innovation where it really matters – at the point of
patient treatment.
Together, we drive growth and open doors to new
procedures and techniques that truly make a difference
in people’s lives.
Greater insight and
condence in nding and
treating the problem
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Making the difference with Philips Live Image Guidance | Philips AlluraClarity family 11
Coronary angiography study
Radboud University Hospital, Nijmegen,
The Netherlands and Main-Taunus Cardiac Center,
Bad Soden, Germany
The ClarityIQ images, acquired using less dose, were of
diagnostic quality with all patients.
In this study, conducted between September and
November 2012, diagnostic angiography images of the
left coronary artery of 39 patients with a BMI range of
20 – 37 were compared. Six independent interventional
cardiologists from across Europe (Italy, France, Germany,
The Netherlands and Sweden) then evaluated the image
quality of these scans, and concluded that compared to
conventional X-ray technology, AlluraClarity provided
equivalent image quality at 50% less X-ray dose. The dose
reduction decreased the likelihood of sporadic effects of
radiation for the cath lab personnel, while exposing the
patients to considerably lower X-ray/dose levels as well.
“Suchasignicantreduction
inX-raydosebenetsboth
patients and the staff managing
their care. Now that we are
using AlluraClarity, we have
become much more conscious
about X-ray radiation dose.”
Dr. T.J.F Van Cate, UMC Radboud,
Nijmegen, The Netherlands
Cardiac diseases
Quick and easy access to enhanced visualization
and live navigation through soft tissue anatomy
ultimately helps physicians to determine the
optimal course of treatment with greater
condence. From routine coronary heart
disease to the most complex structural heart
disease, congenital heart disease, cardiac
surgery, and ablation procedures, our Live Image
Guidance solutions provide assistance.
The AlluraClarity family with ClarityIQ
technology enables clinicians to deliver fast,
effective, and simplied procedures with an
efcient clinical workow. With AlluraClarity
you can also realize equivalent image quality
with 50% less dose and as a result reduce
staff exposure.
XperSwing
Achieve all desired anatomical views in a
single X-ray run for a complete visualization
of complex coronary vasculatures. As a result,
this also helps reduce contrast dose and
radiation exposure.
StentBoost
Assists in the apposition and deployment of
a stent.
Integrated solutions
Gain immediate access to all required
information such as hemodynamics, FFR, IVUS,
OCT in an easy and direct way.
EchoNavigator
An intuitive combination of live X-ray and
3D TEE that provides greater condence in
anatomy and device targeting.
HeartNavigator
Simplies planning, device selection, and
choice of optimal X-ray viewing angle.
Provides additional live 3D imaging guidance
during device placement. Also gives greater
insight into calcied plaque distribution in the
ascending aorta and ostia of the coronaries.
CX50
The only high-performance, compact
ultrasound system that is seamlessly
integrated with the AlluraClarity platform to
enhance workow. Also available with live
3D-TEE and ICE at tableside.
AlluraClarity: Cardiac Angiography performed on
AlluraClarity system using 50% less X-ray dose
Allura Xper: Cardiac Angiography performed
using Allura Xper system
HeartNavigatorsimpliesdeviceselection
and projection angle selection
EchoNavigator intelligently integrates
live X-ray and live echo
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Congenital heart disease
In pediatric imaging, you cannot sacrice critical image
quality or anatomic information that would affect the most
advantageous course of treatment for procedures like
aortic coarctation or ventricular septal defect. In our Live
Image Guidance solutions, high quality imaging is tuned to
small patient weights in order to manage radiation dose.
Our AlluraClarity family of X-ray systems with ClarityIQ
technology delivers high image quality at low dose
levels. Pediatric specic tools offer enhanced precision,
predictability, condence, and clarity.
Patient entrance dose (mGy/fr)
Equivalent patient thickness (cm)
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)
Equivalent patient thickness (cm)
Allura Xper
AlluraClarity
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
Biplane solutions
Our unique double C-arc allows steep lateral projections
for complex anatomy without compromising accessibility.
3D-RA
3D visualization in a single rotation for assessment of
complex anatomical structures, allowing you to plan the
optimal therapeutic approach.
3D MR/CT Roadmap
Live overlay on 3D MR/CT Roadmap improves
visualization of anatomical structures and device navigation
– and helps reduce contrast-induced complications to
pediatric patients – by re-using preoperative CT or MR
angiographic images.
Our Live Image Guidance solutions alleviate
some of the concern over repeat radiation in
a particularly vulnerable population
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Electrophysiology study
Catharina Hospital, Eindhoven, The Netherlands
The Catharina Hospital in Eindhoven, The Netherlands carried out a clinical study involving the
treatment of 136 patients with complex heart rhythm disorders such as atrial brillation (AF).
Using the innovative AlluraClarity system with ClarityIQ technology, developed by Philips for use in
image-guided catheter-based interventions, electrophysiologists at the Catharina Hospital were able
to reduce patients’ exposure to X-ray radiation during the procedure by 42% while maintaining high
image quality. At the same time, the electrophysiologist’s exposure to X-ray radiation was reduced by
50% to only 3 μSv per procedure – approximately one thousandth of the average natural background
radiation dose (2 - 3 mSv) that most people in The Netherlands are exposed to each year.
Cardiac arrhythmia
Whether performing an ablation or
implanting a CRT device, understanding and
navigating through cardiac structures can
be challenging. Long procedure times make
it crucial to reduce radiation exposure for
patients and staff. And with the need to
handle many different types of equipment,
establishing an efcient workow can be far
from trivial.
Our AlluraClarity family with ClarityIQ
technology delivers equivalent image quality at
a fraction of the dose, even in long procedures.
EP navigator
Intuitive 3D catheter guidance using precisely
registered 3D cardiac anatomy and 2D
uoroscopy images. Its utility has been
demonstrated in clinical studies.1,2,3,5
EP Cockpit
Easy operation of multi-vendor equipment in
the control room, and exible viewing in the
exam room.
Equipment rack
Clutter-free integration of 3rd party
equipment.
3D rotational scan
Advanced 3D imaging to acquire accurate
LA-PV anatomy at the precise time of the
procedure with optimized scan trajectory.4
Point tagging: EP navigator offers Point Tagging on
the 3D overlay to accurately mark ablation points
“ In the past we have struggled
with larger patients but now
the Clarity and non-Clarity
images look the same but the
Clarity images are at much
lower dose.”
Specialist radiographers Chantel Brooks
and Kelly Finley, Nottingham University
Hospitals, NHS Trust, UK
Allura Xper AlluraClarity EP navigator: the reduced angular 3D rotational scan
provides an accurate 3D image using less radiation
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Making the difference with Philips Live Image Guidance | Philips AlluraClarity family14
Treating vascular diseases
Work with condence to determine the optimal
course of treatment for vascular diseases. Leverage
multimodality Live Image Guidance and 3D data to
quickly assess the nature and location of pathology,
like vascular occlusions, and reveal hidden complexities
to initial treatment strategy.
Endo-vascular interventions
Our Live Image Guidance solutions deliver critical
information to optimize real time guidance through
complex vasculature and visualize tissue perfusion to
identify treatment end-point in peripheral vascular
interventions. This results in a correction in the initial
treatment strategy in up to 60% of the cases in patients
with critical limb ischemia and non-healing tissue lesions.1
Whether treating critical limb ischemia or embolizing a
uterine broid, our AlluraClarity family with ClarityIQ
technology enables physicians to deliver fast, effective and
simplied procedures with an efcient clinical workow.
All while delivering equivalent image quality at a fraction
of the dose.
CX50
The only high-performance, compact ultrasound system
that seamlessly integrates with the AlluraClarity platform
to enhance workow.
MR/CT Roadmap
Navigate through complex vasculature with live 3D image
guidance by re-using CT or MR angiography images.
2D Perfusion
Evaluate severity of the stenosis by analyzing perfusion
behavior pre-intervention. You can also quickly verify the
effect of revascularization post-intervention.
Peripheral vascular study
St. Antonius Hospital, Nieuwegein, The Netherlands
The interventional suite at St. Antonius Hospital uses the
Philips AlluraClarity X-ray system for vascular interventions.
This facility is a tertiary referral center for vascular diseases
and pulmonary arteriovenous malformations (PAVMs), and it
conducted a clinical trial to validate AlluraClarity for vascular
interventions.
Dr. Marco van Strijen, interventional radiologist says, “We
have performed 50 iliac cases for this trial with the ClarityIQ
technology and the images look the same as what we were used
to. The best part is that we use ClarityIQ and it works just like
our normal interventional system. We don’t necessarily realize
we are even using it.”
Radiation levels are a major concern during these procedures
because the center tends to treat patients that have quite
extensive diseases. These are in general quite complicated cases
that necessitate long uoroscopy time as well as a fair number
of DSA runs. Because of the high volume of procedures that the
interventional radiologists perform, they tend to be at the upper
limit of what is legally allowed for radiation exposure.
AlluraClarityAllura Xper
“ Results show that ClarityIQ offers major
advantages for these interventions because
we can perform our procedure exactly
as we normally would, but with 83% less
radiation exposure.”
Dr. Marco van Strijen, interventional radiologist
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Making the difference with Philips Live Image Guidance | Philips AlluraClarity family 15
Oncology interventions
In interventional oncology, the challenge
is to treat the entire tumor and its feeder
vessels without affecting healthy tissue or
organs. Our Live Image Guidance solutions
help optimize intra-arterial interventions
by delivering enhanced lesion detection as
compared to standard DSA2 and comparable
to MR3 and conventional CT with less dose4.
Visualize and understand the nature and
location of the lesion to effectively plan the
most appropriate treatment. Leverage 3D
information to reveal small Hepatocellular
Carcinomas (HCCs) and their feeding arterial
anatomy5 and to provide early intra-op
assessment of therapy response after trans-
arterial
chemo-embolization with drug-eluting
beads (DEB-TACE)
6
. Whether you are ablating
or embolizing a tumor, our AlluraClarity family
with ClarityIQ technology enables physicians
to deliver fast, effective and simplied
procedures with a more efcient clinical
workow
. All while delivering equivalent
image quality at a fraction of the dose.
XperGuide Ablation
Plan optimized tumor coverage by
visualizing the thermal characteristics of
the ablation device.
XperCT dual
Provides lesion information comparable
to gold standard CE-MRI6
3D Roadmap
Identify and target feeding tumor vessels
on 3D Roadmap.
XperCT Dual brings MRI-like lesion
detection to the oncology suite
XperGuideAblationvisualizesthespecicablation
zones and distance between multiple needles
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Neurovascular study
Karolinska University Hospital, Stockholm, Sweden
The results were overwhelmingly positive. Physicians
described the image quality of the ClarityIQ technology
DSA run as ‘excellent’ 90% of the time.
This independent study was conducted in the interventional
neuroradiology department at Karolinska University
Hospital during 2011. A group of patients underwent
aneurysm repair and arterio-venous malformation
treatment, as well as other interventions. These procedures
are among the most demanding in the interventional
neuroradiology world, requiring images which show
very ne anatomical details. This study demonstrated an
equivalent diagnostic image quality in digital subtraction
neuro-angiographic exams at an average of 73% lower
X-ray dose compared to the previous default settings.
Neuro interventions
Whether visualizing the smallest intracranial vessels, precisely
placing a ow diverter, treating a stroke patient, or working
slowly through a complex AVM, the goal is to see clearly and
navigate effectively, while managing safety for your patients,
staff, and yourself.
Our AlluraClarity family with ClarityIQ technology enables
physicians to work efciently, while delivering equivalent
image quality with a 73% reduction in dose.
FlexVision XL
See sub-millimeter perforators and vessels at the capillary
level in 2D and 3D. Flexible switching of video sources, as
well as easy switching of screen layouts and image sizes from
the table-side, enhances workow.
VascoCT
Visualize location, size and direction of an occlusion when
dealing with an ischemic stroke.
Roadmap Pro
Condently navigate in 2D with customized settings for each
endovascular material.
MR/CT Roadmap
Navigate accurately in 3D using real-time, motion-
compensated MR/CT images.
“ A quantum leap in reducing the dose
and thereby improving the procedure
for patients and us.”
Dr. T. Andersson, interventional neuroradiologist,
Karolinska University Hospital
Allura Xper
AlluraClarity
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Making the difference with Philips Live Image Guidance | Philips AlluraClarity family 17Making the difference with Philips Live Image Guidance | Philips AlluraClarity family 17
Hybrid suite
With the true Hybrid Suite from Philips, you can perform
a full range of procedures – from endovascular to hybrid
to minimally-invasive or open surgery – in a single room,
virtually without compromise. Move from EVAR stenting
to a TAVI case or a Neurosurgery procedure and perform
endo-vascular as well as hybrid and open surgery in a
single suite.
Our FlexMove simplies procedures and the transitions
between them to improve lab utilization while our
AlluraClarity family with ClarityIQ technology enables
physicians to deliver fast, real time therapy guidance with
equivalent image quality at a fraction of the dose.
FlexMove
With FlexMove, you can easily move the C-arm anywhere
it’s required around the table – and then conveniently park
it out of your way entirely when it’s not required during
open surgery and minimally-invasive procedures. This gives
the team more room to work around the patient and
frees up the head area so the anesthesiologist can work
here with greater ease. Features like these, combined with
the low dose levels possible with AlluraClarity, means long
and often complex procedures can be carried out with a
high degree of comfort by large teams.
3D guidance
Through innovations like 3DRA, XperCT, MR-CT
Roadmap and HeartNavigator you can work with new
condence. By having access to high-quality images, unique
3D capabilities and innovative imaging solutions, you have
invaluable support in the planning, visualization, and live
guidance of even the most challenging procedures.
Allura with MAGNUS table
The Allura/ MAGNUS combination seamlessly integrates
best-in- class interventional X-ray with a best-in-class
OR table for a truly multifunctional room suitable for
conventional surgery, hybrid surgery or interventions.
The Allura and MAGNUS table are completely synchronized,
so you benet from automatic position control (APC), bolus
chase procedures and 3D software tools.
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Making the difference with Philips Live Image Guidance | Philips AlluraClarity family18
AlluraClarity FD10/10 suite
TheAlluraClarityFD10/10allowsyoutheexibilityandqualityrequired
to treat congenital heart disease and carry out complex electrophysiology
procedures. Dedicated ClarityIQ EPX dose settings help you achieve low
radiation dose and the excellent image contrast to visualize low inherent
tissue contrast or tissue density of patients.
AlluraClarity FD10 suite
The AlluraClarity FD10 is designed for your complex PCI, structural heart and
electrophysiologyprocedures.Yougainvaluableinsightandefciencythrougha
wide array of advanced interventional tools. Our unique G-shaped stand increases
speed and provides excellent patient access. It allows you to reach the groin
without repositioning, facilitates a wide range of projections, and provides full body
coverage. It can also be parked out of the way to further free up patient access.
AlluraClarity FD20/15 suite
TheAlluraClarityFD20/15istheworld’srstinterventionalX-raysolutionthatoffers
a PerfectFit design to overcome the unique challenges of neuro interventions. It pairs
a 16 bit 20 inch frontal detector with a 16 bit 15 inch lateral detector. This PerfectFit
design allows the lateral detector to be positioned close to the patient’s head while
providing full brain coverage. This design enhances your treatment capabilities and
supports more effective device guidance and placement in every neuro procedure.
Hybrid suite
The AlluraClarity family is designed for your
hybrid surgery lab, combining the capabilities of
an endovascular suite with all the requirements
oftheORenvironment.You’llndoptimum
patient accessibility and full body coverage for
procedures like TAVR and EVAR, combined
withtheexibilitytoeasilyconvertfroman
endovascular to an open surgery procedure.
Better user experience
to promote consistency
andefciency
Our AlluraClarity family offers a powerful and comprehensive range of solutions to address all your
clinical needs – opening the doors to new procedures and techniques.
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Making the difference with Philips Live Image Guidance | Philips AlluraClarity family 19
wide array of advanced interventional tools. Our unique G-shaped stand increases
without repositioning, facilitates a wide range of projections, and provides full body
hybrid surgery lab, combining the capabilities of
an endovascular suite with all the requirements
AlluraClarity FD20 suite
With true full 2k (2,048 x 2,048) imaging for excellent quality, the AlluraClarity FD20
supports a full range of cardiovascular, radiology, and oncology interventions. A true
multi-purpose system, it accepts a broad range of integrated 2D and 3D software tools.
Flexibility in patient supports
OurAlluraXpertableshave‘feather-light’free-oatingtabletops.
Theycombinesingle-ngerpush-to-pivotmovementandeffective
store/recall positioning with excellent stability for CPR and easy patient
transfer thanks to the lower height adjustment. The cradle and tilt
options further enhance visualization for gravity-oriented or puncture
procedures, while keeping the region of interest centered in the X-ray
beam. Our AlluraClarity system can be seamlessly integrated with the
MAQUET MAGNUS OR table as well. (See page 19).
AlluraClarity FD20/10 suite
Get a clear view for the full spectrum of cardiac and vascular interventions with the Philips
AlluraClarity FD20/10 biplane X-ray system. It combines the proven stable geometry of the
AlluraClarityfamilywithoursuperbatdetectorimagequalitytogiveyoutheclearestpossible
view.Thissystemcanbebenecialwhentreatingelderlyandrenalinsufciencypatients.Afull
range of advanced interventional tools provide advanced image guidance to support decision
making and optimize risk management.
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Making the difference with Philips Live Image Guidance | Philips AlluraClarity family20
TheFlexVisionXL56-inchhigh-denitionmonitormakes
review of critical information more comfortable. Create
procedure-speciclayoutsaccordingtoyourpreferences.
Switchyourimagesource,position,andsizeonthey
oruseoneof24predenedscreenlayouts.SuperZoom
enlarges small details at full resolution.
Philips AlluraClarity family builds on our long experience
in personalization to put you in control and reduce
manual tasks. Your personal preferences and protocols
are pre-programmed, saving time and effort. Everything
from patient data management, exam scheduling, image
acquisition, system movement, image post-processing
and archiving can be set to match each individual
clinician’s preferred way of working.
Personalize your procedures See critical details
FlexMove: get more out
of your Hybrid suite
With the shift away from open surgical procedures towards
minimally-invasive surgery, the Hybrid OR must accommodate
the broadest range of procedures. Our solutions allow you to
perform a full range; from endovascular and hybrid to minimally-
invasive or open surgery. All in a single room, and virtually
without compromise. Your entire medical team can work
smoothly together and quickly adapt the room to the different
set-ups required for diverse procedures. All in all, our Hybrid
OR with advanced Live Image Guidance can help you break new
ground in hybrid procedures and make the difference where it
really matters – at the point of patient treatment.
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Making the difference with Philips Live Image Guidance | Philips AlluraClarity family 21
Our touchscreen tableside module is very easy
and intuitive to use. Settings can be customized per
doctor or exam so that only the required buttons
and items are displayed. You can easily control all
interventional tools and other third party devices
from the tableside. And the modules can be installed
on any side of the table, including at its foot-end.
Control exams more easily
“ We are delighted with the way the FlexMove ceiling
suspension allows you to bring the imaging system to
the table, the way you can park it away from the table,
the way you can rotate it, and the way you can bring
it to exactly the position you want.”
Prof. Mario L. Lachat M.D.
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Making the difference with Philips Live Image Guidance | Philips AlluraClarity family22
“ The XperGuide workshop completely
matched my expectations. I really
feelcondentperformingneedle-
guided interventions myself, thanks
to the hands-on training given by a
knowledgeable colleague.”
Dr. Harsh Rastogi, radiologist, India
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Making the difference with Philips Live Image Guidance | Philips AlluraClarity family 23
Helping you develop and motivate a
best-in-class staff
Our comprehensive clinical, technical and education
programs are designed to help you take full advantage of
our Live Image Guidance solutions. They make it easier for
you to learn complex topics, while contributing to your
personal development and performance.
Through our training helps you to better master clinical
procedures, get more out of the equipment and build
professional and clinical skills. This has a number of
advantages. Better-trained staff improve the overall
level of service and operation in a healthcare facility.
More knowledgeable personnel have a higher chance
of obtaining accurate results, assuring patient safety and
helping meet regulatory requirements. These are all
tangible ways of reducing your business risk.
Extend the reach of your
interventional practice
We have education programs for all kinds of healthcare
professionals, ranging from nurses and radiologists to
echographers and physicians. These can take place at
a Philips Healthcare Academy campus, on-site at your
healthcare facility by a Philips specialist, or through a
combination of the two. In addition, it’s possible to receive
training wherever and whenever it suits you through our
on-line Learning Center.
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Making the difference with Philips Live Image Guidance | Philips AlluraClarity family24
Increased economic value
Our commitment to you
We are dedicated to helping you keep the quality of
care as high as possible – and your costs and risks as
low as possible.
When your healthcare facility purchases a new
interventional suite you are making a long-term
commitment to your patients and personnel. We too have
a long-term vision for interventional imaging, supported by
an extremely comprehensive portfolio of service options.
Enjoy new control and confi dence in your
integrated environment
Whatever your needs or preferred partners, we can help
you design an interventional room that meets your critical
needs. Our comprehensive design and project teams have
designed thousands of interventional rooms and hybrid
ORs around the globe, and they can simplify the entire
process from initial idea to realization. Based on your
Enhances patient careAppeals to patients and staff
procedures, case load and clinical work ow, we work
closely with our alliance partners and other third-party
vendors to create an integrated design. It can incorporate
lights, equipment booms, monitors, radiation protection,
other imaging systems, gas, IT and any other speci c
equipment required.
Philips and Royal Hospitals share risk for
new facility
The Royal Hospitals in Northern Ireland chose Philips to
equip and manage a new £25 million Imaging Centre with
the very latest technology at a predictable and affordable
annual fee for a period of up to 15 years. Philips’ managed
service approach provides a performance-based service
that allows the hospital to treat its technology as an
operating expense. This solution frees up valuable capital
and minimizes any down time due to equipment failure,
which helps the hospital meet its challenging targets.
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Making the difference with Philips Live Image Guidance | Philips AlluraClarity family 25
Making the difference with Philips Live Image Guidance |
Philips AlluraClarity family
25
“ We have a marriage with Philips and
we will not easily change to another
partner. They trust us and I trust them,
and that works well for both of us.”
Dr. A. Borthne, director of radiology, Akershus University
Hospital, Norway
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Making the difference with Philips Live Image Guidance | Philips AlluraClarity family26
Supporting your vision
Whether you want to reduce your operational risk and
equipment downtime, leverage your in-house service
capabilities or use your system more effectively, you
simply choose the support that is the right  t for you.
Our  exible portfolio offers coverage – from premium
service plans to an à la carte solution for customers with
in-house engineering teams – that aligns with your budget
and internal resources. We can also tailor a service offer
as required. And of course, as your needs change, our
support is  exible enough to change with you.
We offer the core services listed below – and more –
individually, as part of a RightFit Service Agreement*, other
service agreements or other managed services program:
* The RightFit Service Agreements portfolio is not
yet available in all countries
• Maintenance Services – remote and on-site services,
proactive monitoring and multi-vendor services
• Education – applications education, continuing clinical
education and technical service education
• Consulting – performance improvement, project and
change management, utilization and process optimization
• Ambient Experience – room solutions and
design consulting
• Finance Solutions – custom  nancing for
technology acquisition
• Turn-Key Solutions – from room design to complete
project management and integration with all internal
and external parties
• Product Lifecycle Solutions – through updates, upgrades,
accessories, trade-in options and refurbishing programs;
you always have easy access to the latest innovations
throughout the lifecycle of your lab.
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Making the difference with Philips Live Image Guidance | Philips AlluraClarity family 27
Optimize
Enhance
Transform
References:
Treating Cardiac diseases (pages 11–13)
Transcatheter Aortic Valve Implantation in the Hybrid Catheterisation Laboratory – Navigating into the Future, Michael Lauterbach et al,
Interventional Cardiology Interventional Cardiology, 2012;7(1):53–8
1 KnechtS,etal.Computedtomography-uoroscopyoverlayevaluationduringcatheterablationofleftatrialarrhythmia.Europace.2008;10:931-8.
2 Knecht S, et al. Prospective randomized comparison between the conventional electroanatomical system and three-dimensional rotational
angiographyduringcatheterablationforatrialbrillation.HeartRhythm.2010;7:459-465.
3 Stevenhagen et al., Three dimensional CT overlay in comparison to CARTOMERGE for pulmonary vein antrum isolation, JCE Jan 2010.
4 Tehetal.,“Short-AngleRotationalAngiographyAllowsAccurateVisualizationofLA-PVAnatomyandImprovesWorkowforAFAblation.”
(accepted for Heart Rhythm 2013, Denver USA)
5 Stevenhagen et al., Three dimensional CT overlay in comparison to CARTOMERGE for pulmonary vein antrum isolation, JCE Jan 2010.
Treating vascular diseases (pages 14–16)
1 Three-Dimensional Rotational Angiography of the Foot in Critical Limb Ischemia: A New Dimension in Revascularization StrategyJens et al.,
CVIR 2012, (doi:10.1007/s00270-012-0541-7))
2 “The detection accuracy of XperCT for HCC lesions non-visible with standard 2D angiography is 96.7%”
Miyayama et al., CVIR 2009
3 “When compared to the gold standard bi-phasic CE-MRI, the detection accuracy of XperCT for HCC lesions is 94% when two phases are
acquired.”
Loffroy et al., CVIR 2011
4 “Thereisnosignicantdifferenceinaccuracy,sensitivity,andpositivepredictivevaluebetweenXperCTandmulti-detectorCTinthe
detection of hepatocellular carcinoma. ”
Higashihara et al., Eur Radiol 2011
5 “TACEguidancesoftwareusingCBCTtechnologyhasasufcientperformanceleveltodetectsmallHCCsandtheirfeedingbranches.”
Miyayama et al., JVIR 2013
6 Loffroy R. et al., (2012). Cardiovasc Intervent Radiol. 2012 Feb;35(1):97-104.
7 “(Thereis)astatistically-signicantrelationshipbetweenpost-DEB-TACECBCTHCCenhancementandobjectiveMRIHCC1-month
response, indicating that CBCT may be used during DEB-TACE to predict HCC 1-month response.”
Loffroy et al., Radiology 2012, published ahead of print
“ We needed a strategic partner
who could keep us up to date with
the rapidly changing technological
developments. Philips Healthcare
was the obvious choice.”
 Drs.R.E.A.Gafn,memberoftheboard,OrbisMedical
Center, Sittard Geleen, The Netherlands
Manage your investment
Philips SmartPath is our long-term promise to give you
easy access to the latest innovations throughout the
lifecycle of your imaging system.
• Optimize: software and hardware updates to help
improve your system performance.
• Enhance: new functionality, clinical innovations and
work ow ef ciencies to expand your capabilities.
• Transform: conversion or full replacement of existing
systems to next-generation solutions helps you maintain
your competitive edge and high quality of patient care.
Sustainability
Making your business more sustainable is not only about
recognizing the needs of future generations. It leads to a
safer environment, improved work ow, lower costs and
state-of-the-art patient- and people-focused solutions.
At Philips, we try to simplify healthcare by combining our
unique clinical expertise with human insights. This allows
us to develop innovations that ultimately help improve
the quality of people’s lives. At the same time, we strive to
deliver sustainable healthcare by providing solutions that help
you make the best use of your resources, from people and
buildings to  nancial and natural resources.
With our Live Image Guidance solutions, we help shorten
procedure times, which adds value from an economic,
environmental and social perspective for your patients and
organization. Our SmartPath program is another perfect
example how we focus on enhancing the lifecycle of our
products and thus reducing environmental impact and
maximizing your investment while giving you access to
excellent technology.
452299102261.indd 27 04/08/14 15:36
This material is not for distribution in the USA.
www.philips.com/AlluraClarity
© 2014 Koninklijke Philips N.V. (Royal Philips).
All rights are reserved.
Philips Healthcare reserves the right to make changes in speci cations and/or to
discontinue any product at any time without notice or obligation and will not be
liable for any consequences resulting from the use of this publication.
Printed in The Netherlands.
4522 961 02261 * JUNE 2014
How to reach us
www.philips.com/healthcare
healthcare@philips.com
Product information
www.philips.com/AlluraClarity
452299102261.indd 28 04/08/14 15:36

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