Ultrasound

EPIQ 5

The evolution
of premium ultrasound
Philips EPIQ 5 diagnostic ultrasound system specifications

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 Contents

1 Introduction 4 4.5 Volume imaging solutions for connected

1.1 Applications 4 radiology departments 16
4.6 Anatomical Intelligence
2 System overview 5 for Breast (AI Breast) 16
2.1 System architecture 5 4.7 QuickSAVE feature 16
2.2 Imaging formats 6 4.8 Image presentation 16
2.3 Imaging modes 6 4.9 Cineloop review 17
M-mode 7 4.10 Exam management features 17
Color Doppler 7 Rapid procedure setup 17
Color Power Angio imaging (CPA) 8 4.11 Connectivity 17
MicroFlow Imaging (MFI) 8 NetLink connectivity option
Spectral Doppler 8 (standard on premium and high end) 18
Auto color and Auto Doppler 8 Report 18
Steerable continuous wave (CW) Doppler 8 Government security option 18
Tissue Doppler Imaging (TDI/TDI PW) 9 SafeGuard security option 18
3D/4D and MPR imaging (hybrid transducers) 9 Security Plus option 18
Freehand 3D volume and MPR imaging 9
Spatio-Temporal Image Correlation 5 Transducers 19
(STIC) imaging 9 5.1 Transducer selection 19
Panoramic imaging 9 Compact transducers 19
Contrast imaging – cardiovascular 9 PureWave crystal technology 19
Contrast imaging – general imaging 9 Curved array 19
Interventional imaging 10 C5-1 broadband curved array
2D imaging 10 with PureWave crystal technology 19
Tissue Harmonic Imaging (THI) 10 C8-5 broadband curved array 19
Strain-based elastography 10 C9-2 broadband curved array
Shear wave elastography (ElastPQ) 10 with PureWave crystal technology 19
Shear wave elastography (ElastQ Imaging) 10 C10-3v broadband curved array
with PureWave crystal technology 19
3 System controls 11 C10-4ec broadband curved array 19
3.1 Optimization controls 11 V6-2 broadband curved array 19
2D grayscale imaging 11 3D9-3v broadband curved array 20
Next-generation SonoCT real-time Linear array 20
compound imaging 11 eL18-4 ultra-broadband linear array
XRES adaptive image processing 12 with PureWave crystal technology 20
Live volume imaging/Live 3D ultrasound eL18-4 EM ultra-broadband linear array
(GI/WHC) 12 with PureWave crystal technology 20
Tissue aberration correction (TAC) 12 L12-3 broadband linear array 20
Coded beamforming 12 L12-5 50 broadband linear array 20
iSCAN intelligent optimization 13 L18-5 broadband linear array 20
AutoSCAN intelligent optimization 13 L15-7io broadband compact linear array 21
iOPTIMIZE intelligent optimization 13 VL13-5 broadband linear array 21
3.2 Control panel 13 Sector array 21
3.3 Touchscreen 13 S5-1 broadband sector array
with PureWave crystal technology 21
4 Workflow 14 S8-3 sector array 21
4.1 Ergonomics 14 S12-4 sector array 21
4.2 Display annotation 15 S7-3t sector array TEE 21
4.3 SmartExam protocols 15 S8-3t sector array TEE 21
4.4 Stress echo 15 X7-2 xMATRIX array TEE
with PureWave crystal technology 21

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 Non-imaging 21 8 Physical specifications 34
D2cwc CW transducer (Pedoff) 21 System dimensions 34
D5cwc CW transducer (Pedoff) 21 System cart 34
D2tcd PW transducer (Pedoff) 21 Monitor 35
5.2 EPIQ transducers, features and presets 22 Control panel 35
Physio 35
6 Image fusion and Peripherals 35
interventional navigation 26 Input/output ports 35
6.1 Overview 26 Power requirements and video parameters 35
Ultrasound only 26 Electrical safety standards 35
Image fusion 26
Interventional navigation and planning 9 Maintenance and services 36
software 27 Clinical education 36
Interventional navigation tracking Philips Remote Connectivity 36
instrumentation 27 Warranty 36
Anatomical measurements 27
Connectivity 27
Adaptive Needle Tracker 27
Image fusion accessories 28

7 Measurements and analysis 29

7.1 Measurement tools and general description 29
7.2 Measurement tools and quantification 30
QLAB quantification software 30
General Imaging 3D Quantification
(GI 3DQ) plug-in 30
Intima Media Thickness (IMT) measurements 30
MicroVascular Imaging (MVI) 30
Region of Interest (ROI) Quantification 30
Strain Quantification (SQ) 31
Elastography Quantification (EQ) 31
Automated Cardiac 2D QuantificationA.I. (a2DQA.I.)
and a2DQA.I. LA 31
Automated Cardiac Motion 2D QuantificationA.I.
(aCMQA.I.) 31
Cardiac Motion/Mechanics 2D Quantification
for Stress (CMQ Stress) 32
7.3 High Q automatic Doppler analysis 33
7.4 Clinical option analysis packages 33

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 1. Introduction

Unprecedented advances in premium ultrasound performance

can help address the strains on overburdened hospitals and
healthcare systems, which are continually being challenged
to provide a higher quality of care cost-effectively. The goal
is quick and accurate diagnosis the first time and in less time.

Premium ultrasound users today demand improved clinical

information from each scan and faster and more consistent exams
that are easier to perform and allow for a high level of confidence,
even for technically difficult patients.

EPIQ 5 is the new direction for premium ultrasound, featuring an

exceptional level of clinical performance to meet the challenges
of today’s most demanding practices.

1.1 Applications
• Abdominal
• Obstetrical
• Fetal echo
• Cerebrovascular
• Vascular (peripheral, cerebrovascular,
temporal TCD, and abdominal)
• Abdominal vascular
• Gynecological and fertility
• Small parts and superficial
• Breast
• Musculoskeletal
• Pediatric general imaging
• Prostate
• Echocardiography (adult, pediatric, fetal)
• Stress echocardiography
• Transesophageal echocardiography
(adult and pediatric)
• Surgical imaging
• Interventional imaging
• Contrast imaging
• Bowel imaging
• Strain elastography
• Shear wave elastography
–– ElastPQ
–– ElastQ Imaging*
• Perioperative
• Epicardial echocardiography
• Image fusion and needle navigation

4 *Currently not approved in all countries.

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 2. System overview

2.1 System architecture

• Powerful Philips nSIGHT Imaging combines a proprietary • Optimized for high definition 21.5 inch LCD display
massive parallel processing architecture and precision • Designed to support virtually any array configuration:
beamforming for real-time coherent beam reconstruction. sector, linear, curved, tightly curved, and TEE
Capable of processing multiple data streams for structural, • Contrast echo with low MI, mid MI, and LVO modes
functional, and 3D/4D imaging –– Pulse inversion and power modulation technology
–– Supports both strain and shear wave elastography for low MI Imaging
–– Offers up to 4,718,592 total digital channels –– Pulse inversion technology
• Next-generation ultra-low noise, wide dynamic • Philips next-generation SonoCT real-time
range digital broadband acoustic beamforming with compound imaging
proprietary architecture –– High precision beam-steered image compounding
• 320 dB maximum dynamic range that acquires more tissue information and reduces
• Up to 1 TB hard drive available with xMATRIX Performance angle-generated artifacts
upgrade** –– Up to nine lines of sight, obtained by steering the
• Powerful distributed multi-core processing architecture, ultrasound beam, available on linear, curved and
includes one 500 GB hard drive plus 240 GB SSD drive tightly curved arrays, and mechanical volume arrays
–– Advanced pulse shaping, pulse coding, and multivariant –– WideSCAN capability to expand field of view during
harmonics technologies incorporated SonoCT imaging
–– Support for transducer frequencies up to 20 MHz –– SonoCT capability available during contrast imaging modes
–– Trapezoid capability

**1 TB hard drive available with xMATRIX Performance upgrade. 5

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 Variable XRES is an extension of Philips exclusive XRES
speckle noise reduction feature that allows the user to select
progressive amounts of noise reduction, edge enhancement,
and textural smoothing. Available with specific transducers
under certain tissue-specific presets, users have the
option to select the imaging characteristics of their choice
from crisp to smooth tissue textures, providing enhanced
visualization of target anatomic structures.
• Philips next-generation XRES adaptive image processing
for noise and artifact reduction that improves tissue and
border definition
–– Performs 350 million calculations per frame of image
data over 2800 frames per second
–– Operates in 2D and 2D/CFI/Doppler/TDI mixed modes
over 2800 frames per second
–– Offers XRES capability in contrast imaging modes
–– Provides user-selectable levels of XRES adaptive
processing for C5-1, C8-5, C9-2, C10-3v, L12-3, L12-5 50,
L15-7io, eL18-4, L18-5, S5-1, S8-3, S8-3t, S12-4, X7-2t*,
and V6-2
• Philips adaptive Broadband Flow imaging
2.2 Imaging formats
–– Doppler bandwidth that automatically adjusts • 2D linear: WideSCAN with SonoCT
for superb flow sensitivity and resolution • 2D linear: trapezoid with SonoCT
–– Advanced dynamic motion suppression algorithms • 2D curved: WideSCAN with SonoCT
that reduce flash artifacts • 2D sector
• Fully independent triplex multiple mode operation for • 2D virtual apex sector imaging with wide field of view
extraordinary ease of use during Doppler procedures • Dual 2D
• Auto Doppler flow optimization for carotid/arterial • Panoramic
applications using linear array transducers • MaxVue imaging format for full-screen high-definition
–– Automatically adjusts color box position and angle image display with the push of a button
–– Automatically adjusts PW sample volume placement –– 38% more viewing area
and angle –– Additional 1,179,648 more pixel image data than
–– Includes Auto Flow Tracking for automatic angle standard displays
correction with sample volume movements
• Advanced stress echo applications
–– Stress protocols with up to ten stages
2.3 Imaging modes
–– Forty views per stage by five modes • 2D grayscale imaging with advanced pulse coding,
• Multi-application SmartExam workflow protocols pulse shaping, and frequency compounding technologies
–– Stress echo, echo, abdominal, small parts, Ob/Gyn, • M-mode
and vascular applications • M-mode color Doppler
–– Step-by-step on-screen guidance during exam • M-mode tissue Doppler
–– Full user customization • Anatomical M-mode
–– Record function for creation of custom protocols • 3D imaging
–– Automatic mode switching including 3D • 3D imaging with color Doppler
• Fast system boot up: from OFF, approximately 150 seconds • 4D imaging
• Two levels of transport mode: from sleep mode to on, • Tissue Harmonic Imaging (THI) with pulse inversion
approximately 20 seconds technology
–– Standard battery – 30 minutes before recharge required • Coded beamforming
–– Extended battery – 60 minutes before recharge required • Multivariate Tissue Harmonic Imaging including pulse
inversion technology and coded harmonics
• Left ventricular opacification (LVO) with pulse inversion
and power modulation technologies
• SonoCT beam-steered real-time compound imaging

6 *Currently not approved in all countries.

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 • Harmonic SonoCT imaging M-mode
• Up to five levels of XRES adaptive image • Available on all imaging transducers
processing technology • Selectable sweeping rates
• 2D post-processing includes gain, dynamic range, up/down • Time markers: 0.1 and 0.2 seconds
invert, right/left invert, zoom, gray map, and Chroma map • Acquisition zoom capability
• iSCAN intelligent scanning for one-button TGC • Selectable display format prospective or retrospective
and gain optimization (1/3-2/3, 1/2-1/2, 2/3-1/3, side by side, full screen)
• iSCAN with adaptive gain compensation (AGC) for • Chroma colorization with multiple color maps
real-time user-initiated frame-by-frame TGC optimization • Cineloop review for retrospective analysis of M-mode
• AutoSCAN with adaptive gain compensation (AGC) data 256 (8 bits) discrete gray levels
for real-time frame-by-frame TGC optimization
• Simultaneous 2D M-mode Color Doppler
• Color Doppler • Available on all imaging transducers
• Color Power Angio imaging (CPA) and directional CPA • Color gain
• MicroFlow Imaging (MFI) • Region of Interest (ROI)
• Strain-based elastography • Freq Opt: Fixed transmit/receive frequencies including
• Shear wave elastography point quantification imaging adaptive flow
(ElastPQ) • Seventeen selectable baseline positions for CV;
• Shear wave elastography imaging for curved array nine selectable baseline positions for GI and WHC
(ElastQ Imaging)* • Baseline invert
• High PRF pulsed wave (PW) Doppler • B/W suppress
• Duplex and simultaneous 2D/PW Doppler • Color blending
• Duplex continuous wave (CW) Doppler • Color Doppler flow algorithms provide clear vessel
• Duplex color flow and CW Doppler delineation and temporal display
• Duplex 2D, color flow, PW Doppler • MicroCPA feature for superb small vessel imaging
• Duplex 2D, CPA, PW Doppler • MicroFlow Imaging (MFI)
• Auto Doppler optimization: Auto PW Doppler, • Color compare dual display (B/W on left, color on right)
color Doppler, flow optimization for one-button • Color map
angle correction and steering • Color persistence
• Tissue Doppler Imaging (TDI) • Flow optimization: GI, WHC
• Adaptive Doppler • Output power
• Adaptive Broadband Color Flow • Magnify (range from 0.8X to 8X)
• MicroCPA imaging • Scale sector width and position on curved and phased
• Color Compare mode array transducers
• Independent triplex mode for simultaneous 2D, • Simultaneous mode during PW mode
color flow, PW Doppler • Smoothing
• Independent triplex mode for simultaneous 2D, • Ability to steer between ±3 steering angles on linear
CPA, PW Doppler array transducers
• Dual imaging with: • Variance
–– Two work flow choices; single buffer or dual buffer • Wall filter
–– Mixed mode display with one image live while other • Write priority
is frozen, for example, 2D/2D, 2D/color, color/color, • Zoom
color/CPA • Cineloop review with full playback control
• High definition zoom with pan (write zoom) –– Advanced motion suppression with intelligent
• Reconstructed zoom with pan (read zoom) algorithms; adapts to various application types to
• Panoramic imaging selectively eliminate virtually all color motion artifact
• SonoCT panoramic imaging with XRES and harmonic modes • 256 color bins
• Chroma imaging in 2D, 3D, QLAB MPR and iSlice, • Post-processing includes baseline, color invert, color map,
Panoramic, M-mode, and Doppler modes hide color, write priority, blend, variance, and zoom
• Dynamic colorization in freehand 3D on C10-3v and 3D/4D • Parallelogram steering on linear array transducers;
on V6-2 three angles on L12-5 50 and L18-5, twenty-one angles
• Live MVI on L12-3 and L15-7io
• Spatio-Temporal Image Correlation (STIC)

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 • Trackball-controlled color Region of Interest: Spectral Doppler
size and position • Display annotations including Doppler mode, scale
• Maps, filters, color sensitivity, line density, smoothing, (cm/sec) Nyquist limit, wall filter setting, gain, acoustic
echo write priority, color persistence, gain, and baseline output status, sample volume size, normal/inverted,
optimized automatically by exam type or is user-selectable angle correction, grayscale curve
• Velocity and variance displays • Ultra-high resolution millisecond spectral FFT rate
• Color invert in live and frozen imaging • Angle correction with automatic velocity scale adjustment
• Frequency optimization control for spatial resolution • Adjustable velocity display ranges
and penetration optimization • Nine position shifts (including 0)
• Color and 2D line density control • Normal/invert display around horizontal zero line
• Automatically adapts transmit and receive bandwidth • Selectable sweep speeds
processing based on the color box position, providing • Selectable low-frequency signal filtering with adjustable
excellent sensitivity and color resolution wall filter settings
• Selectable grayscale curve for excellent display
Color Power Angio imaging (CPA) • Selectable Chroma colorization maps
• Automatically adapts transmit and receive bandwidth • Selectable display format prospective or retrospective –
processing based on the color box position, providing 1/3-2/3, 1/2-1/2, 2/3-1/3, side by side, full screen
excellent sensitivity and color resolution • Doppler review for retrospective analysis of Doppler data
• MicroCPA a highly sensitive flow optimization method • 256 (8 bits) discrete gray levels
for small vessel visualization • Post-processing includes invert, baseline, angle correct,
• Available on all imaging transducers for general imaging Quick angle, display format, sweep speed, reject,
and women’s healthcare compress, and Chroma map
• Cineloop review • Available on all imaging transducers
• Multiple color maps • Adjustable sample volume size: 1.0-20 mm
• Individual controls for gain, filters, sensitivity, echo write (transducer-dependent)
priority, and color invert • Simultaneous or duplex mode of operation
• Adjustable CPA Region of Interest: size and position • Simultaneous 2D, color Doppler, pulsed Doppler
• User-selectable persistence • High PRF capability in all modes including duplex,
• User-selectable blending on/off simultaneous duplex, and triplex
• Cineloop review with full playback control • iSCAN optimization that automatically adjusts scale
• Advanced motion suppression with intelligent algorithms; and baseline
adapts to various application types to selectively reduce
virtually all color motion artifact Auto color and Auto Doppler
• 256 color bins • In live imaging provides the following capabilities:
• Post-processing includes hide CPA, write priority, invert, –– Automatically adjusts color box position and angle
DCPA map, blend, and zoom –– Automatically adjusts PW sample volume placement
• Parallelogram steering on linear array transducers; and angle
three angles on L12-5 50 and L18-5, twenty-one angles –– Includes Auto Flow Tracking for automatic angle
on L12-3 and L15-7io correction with sample volume movements
• Trackball-controlled color Region of Interest: –– Automatically adjusts PW scale and baseline
size and position • When image is frozen and Doppler is active, automatically
• Maps, filters, color sensitivity, line density, smoothing, adjusts PW scale and baseline
echo write priority, color persistence, gain, andbaseline • Auto color and Auto Doppler is available on the linear
optimized automatically by exam type or is user-selectable transducers, L12-3, L12-5 50, L18-5, VL13-5, and L15-7io
• Velocity and variance displays in carotid/arterial vascular applications
• Color invert in live and frozen imaging • Auto Doppler is available on the curvilinear transducers,
• Frequency optimization control for spatial resolution C5-1, C8-5, C9-2, C10-3v, C10-4ec, and V6-2
and penetration optimization
• Color and 2D line density control Steerable continuous wave (CW) Doppler
• Automatically adapts transmit and receive bandwidth • Available on all cardiac applications using sector
processing based on the color box position, providing transducers
excellent sensitivity and color resolution • Steerable through 90° sector
• Maximum velocity range: 19 m/sec (transducer-dependent)
MicroFlow Imaging (MFI)
• Highly sensitive imaging mode designed to detect slow
and weak blood flow anatomy in tissue

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 Tissue Doppler Imaging (TDI/TDI PW) Panoramic imaging
• Available on all cardiac imaging transducers • Real-time extended field-of-view composite imaging
(except S7-3t and S8-3t) acquired in fundamental or SonoCT mode
• Frame rate control: High frame rate acquisition of tissue • Ability to acquire composite image in XRES mode
motion (up to 240 fps) • Ability to back up and realign the image during acquisition
• TDI gain, TGC- and LGC-compatible • Full zoom, pan, cineloop review, and image rotation
• TDI Opt: Optimized transmit and receive frequencies capabilities
• Eight maps • Auto fit of composite image
• Distance, curved-linear distance, and area in review
3D/4D and MPR imaging (hybrid transducers) mode can be measured with distance marker displayed
• Volume display with surface rendering (transparency, via skin-line ruler
brightness, and lighting controls) • Ability to display or remove skin-line ruler
• Multiplanar reconstruction (MPR) view display • Cineloop review that allows measurement on
• Specialized algorithms and maps maximize individual frames
three-dimensional display to include TrueVue • Scaling information included for connectivity prints
and GlassVue maps allowing for measurements on a workstation
• Cropping tools on both volume and multiplanar • Available on linear and curved array transducers
reconstruction (MPR) views (not available on endovaginal transducers)
• Slice control on MPR and volume displays
• Supported by SonoCT and XRES modes to reduce Contrast imaging – cardiovascular
noise artifacts • System optimized for left ventricular opacification
• TrueVue Volume 3D rendering display delivers lifelike and low MI imaging
image display allowing the user to place the light source • One-touch solution (one-button access in LVO preset)
anywhere within the 3D volume with settings for bolus and infusion
• GlassVue 3D rendering goes beyond the surface • S5-1 broad bandwidth pulse inversion and power
revealing internal structures modulation technologies for high sensitivity and high
resolution visualization of contrast agent at low MI
Freehand 3D volume and MPR imaging • LVO and low MI contrast on and off, and contrast
• Qualitative grayscale volume acquisition supported optimization choices and transmit power settings that can
on all imaging transducers be saved with Gain Save feature for stress echo studies,
• Volume display with surface rendering reducing setup time for image acquisition at peak stress
(transparency, brightness, and lighting controls) • Low MI with flash
• Multiplanar view display • Low MI with triggered replenishment imaging (TRI)
• Specialized algorithms and maps increase 3D display that provides excellent 2D image quality on the
• Trim tools on both volume and multiplanar reconstructed S5-1 transducer
(MPR) views • Supported on the S5-1
• Supported by SonoCT and XRES modes to reduce
noise artifacts Contrast imaging – general imaging
• Resize control that adjusts for different sweep speeds • System optimized for detecting contrast agent signatures
• On-screen orientation markers as they are approved for use
• TrueVue Volume 3D rendering display delivers lifelike • Contrast modes available on C5-1, C9-2, C10-4ec,
image display allowing the user to place the light source C10-3v, L12-3, and L12-5 50 transducers
anywhere within the 3D volume • Live MicroVascular Imaging (MVI)
• GlassVue 3D rendering goes beyond the surface • Mid-MI contrast modes available on C5-1 and
revealing internal structures C9-2 transducers
• Pulse inversion contrast imaging available with SonoCT
Spatio-Temporal Image Correlation (STIC) imaging and XRES technologies
• Available on V6-2 transducer • Power modulation (PM), pulse inversion (PI), and flash
• Automated volume acquisition of fetal cardiac contrast imaging modes
cycle allowed • Touchscreen display timer
• Grayscale and 3D color • Advanced non-linear pulsing schemes with SonoCT
• CPA and Directional CPA (DCPA) and XRES for increased contrast sensitivity
• Default 25° elevation angle • Contrast iSCAN capability for C5-1 and C9-2
• User-configurable acquisition time • Low MI color flow contrast
• Ability to stop acquisition and return to standby • High frequency contrast capability
• Ability to accept or reject detected heart rate • Flash imaging
• Compatible with QLAB quantification software • Dual imaging mode for simultaneous fundamental
and contrast displays
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 • ECG/timed triggering • Multivariate pulsing including patented pulse inversion
• Long loop capture mode during contrast procedures phase cancellation technology for increased detail
(3-10 minutes) resolution during harmonic imaging
• QLAB ROI and MVI display • Available on all imaging transducers
• Extends high performance imaging capabilities to all
Interventional imaging patient body types
• TSI available on selected transducers for excellent • Support of SonoCT (Harmonic SonoCT) and XRES modes
performance during interventional and biopsy procedures • Coded harmonics available with C5-1 in selected modes
• Enhanced needle visualization displays
• Biopsy guide selection menus Strain-based elastography
• Contrast and interventional modes • Strain-based elastography for breast and
• Support of multiple biopsy angles on S5-1, C5-1, C9-2, gynecological imaging
and L12-3 • Available for breast imaging on the L18-5 and L12-5 50
transducers, and on the C10-3v for gynecological and
2D imaging urology imaging
• Available with all imaging transducers • One-touch entry into elastography mode
• Adjustable sector width and position during live imaging • Elastogram applied as a Region of Interest box with user
• Ability to invert image left and right, top, and bottom control of size and location through entire field of view
• Ability to electronically steer the 2D beam direction with • Indicator for compression level
3D9-3v, tilt • Display options
• Receive gain • Single-screen 2D with elastogram
• LGC (lateral gain compensation) on cardiac sector • Side-by-side display of 2D image and 2D with elastogram
transducers • Shadow duplication (size compare) and measurement
• Selection between one and eight focal zones capability in side-by-side display
• Dynamic range or echo compression, transducer and • Distance and area tools
tissue-specific preset (TSP)-dependent • Duplication from either side of the display
• Gray map • Eight selectable elastogram display maps
• Chroma imaging providing colorized luminance maps • Ability to hide or show the elastogram display
• Acquisition zoom (HD zoom): ability to position the • Blend capability to increase 2D visibility through
zoom ROI anywhere within the image, change the elastogram display
height and width of the zoom ROI and pan the position • Four smoothing selections
once zoomed • Five persistence selections
• Display zoom and magnify on live or frozen images • Two dynamic resolution system (DRS) selections to
up to 16 times alternate between elastogram resolution and penetration
• Three levels of frame rate • Four dynamic range selections for elastogram display
• Support of frame rates of over 2800 frames per second • Two elastogram optimization settings for different
• Tissue optimization tissue compositions
• Contrast resolution enhancement • Anechoic imaging (AI) for enhancing areas without
• Tissue Harmonic Imaging ultrasound signals such as cystic and complex
• SonoCT imaging cystic structures
• Live Compare imaging; side-by-side comparison
of 2D images where the current live image is compared Shear wave elastography (ElastPQ)
to a stored image from the same study or retrieved • Tissue deformation from special ultrasound push pulses
multimodality image • Detection pulses used to calculate shear wave velocity
• WideSCAN imaging • Available on C5-1 for liver imaging
• Trapezoid capability • Configurable analysis:
• Next-generation XRES technology, including up to five –– Pressure (kPa) and velocity (m/s) options available
selection levels on some transducers –– 8 options for individual stiffness sampling
• Persistence (frame averaging) –– IQR (interquartile range) calculation available
• Grayscale standard display
• AutoSCAN with adaptive gain compensation (AGC) Shear wave elastography (ElastQ Imaging)*
for real-time line-by-line TGC optimization • Real-time tissue deformation from special ultrasound
push pulses
Tissue Harmonic Imaging (THI) • Large Region of Interest (ROI) capable of supporting
• Provides second harmonic processing to reduce artifacts multiple PQ sample points
and improve image quality • Selectable confidence map provides assurance of samples
obtained in areas with adequate shear wave propagation

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 3. System controls

Philips common user experience provides readily accessible and

logically grouped primary controls along with an easy-to-learn
graphical user interface.

3.1 Optimization controls

2D grayscale imaging
• Smart TGC: pre-defined TGC curves optimized for
consistently excellent imaging with minimal TGC
adjustment
• Lateral gain compensation (LGC) and smart LGC
for cardiac sector transducers
• Adjustable temporal resolution and spatial resolution
with DRS control
• Depth: adjustment from 1.0 to 40 cm depending
on transducer and exam
• Selection between one and eight transmit focal zones
• 16-level digital reconstructed zoom with pan capability
• High definition zoom that concentrates all image
processing power into a user-defined area of interest;
possible to combine high definition zoom with pan zoom
• Cineloop image review
• Selectable 2D compression settings
• Tissue aberration correction
• Sector size and steering control for sector and curved
array image formats
• Selectable 2D line density with DRS control
• Dual imaging with either independent cineloop buffers
or split screen imaging
• Dual imaging with color compare
• Dual imaging with fundamental and contrast optimization
• Chroma imaging with multiple color maps
• 256 (8 bits) discrete gray levels
• 2D acquisition frame rate over 2800 frames/sec
(dependent on field of view, depth, and angle)
• Live MVI

Next-generation SonoCT real-time compound imaging

• Available on all transducers except sector
• Virtually all clutter and artifacts eliminated
• Automatic selection of the number of steering angles
based on the user-selected resolution/frame rate
(Res/Speed) condition
• Up to nine lines of sight automatically adjusted via
DRS control
• Operates in conjunction with Tissue Harmonic Imaging,
volume modes, panoramic imaging, and duplex Doppler
• Operates in conjunction with XRES
• Available in contrast modes
• Available with WideSCAN format during 2D imaging
for extended field-of-view operation

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 XRES adaptive image processing • Reset orientation
Variable XRES is an extension of Philips exclusive XRES • Magnify
speckle noise reduction feature that allows the user to select • 3D vision control
progressive amounts of noise reduction, edge enhancement • TrueVue 3D Image rendering maps
and textural smoothing. Available with specific transducers • GlassVue 3D Image rendering maps
under certain tissue-specific presets, users have the • TrueVue with TouchVue interface allows direct
option to select the imaging characteristics of their choice manipulation of the light source and 3D volume
from crisp to smooth tissue textures providing enhanced on the touchscreen
visualization of target anatomic structures. • User controllable light source placement
• Available on all imaging transducers within the 3D volume for optimal viewing
• Eliminates virtually all speckle noise and enhances • Dynamic volume colorization
border definition • Chroma colorization
• Available in all imaging modes including color flow • Layout
and Doppler • Reference
• Available in contrast modes • XRES technology
• Operates in conjunction with SonoCT imaging • Zoom
• Provides user up to five levels of variable XRES on • Show/hide echo or color
C5-1, C9-2, X5-1, X7-2t, X8-2t, S8-3, S12-4, V6-2, L18-5, • Reset controls
L12-5 50 mm, and L12-3 • Pan
• Provides high resolution algorithms for advanced speckle • Sculpt
noise reduction, refined tissue pattern displays, and fine • Threshold
border definition • Brightness
• Provides high speed processing that allows over 2800 • Smoothing
frames-per-second displays • Lighting
• Transparency
Live volume imaging/Live 3D ultrasound (GI/WHC) • xHair display
• Single sweep, 4D, STIC, and panoramic 3D • Save volume in native or native loop
• 3D preview ROI size and position • Acquisition sweep save
• 3D preview ROI curve adjust • MPR sweep save
• Sector width • Generic distance and area measurements available
• Angle on rendered volumes
• Res/speed control • Distance and area measurements on MPRs
• Grayscale imaging controls • QLAB plug-ins, including GI 3DQ and FHN
• 2D optimization settings
• 2D color optimization settings Tissue aberration correction (TAC)
• 2D power optimization settings • Automatically enabled when ABD maximum penetration
• Tissue Harmonic Imaging TSI is selected on C5-1 transducer
• Rotate X, Y, Z –– Corrects for speed of sound disturbances due
• Slice to excessive adipose layer on obese patients
• ROI size and position • User selections with the L18-5, and L12-5 50 for advanced
• ROI curve adjust breast, superficial, thyroid, and testicle TSIs
• Pointer trim adjust –– Corrects for speed-of-sound disturbances in fatty tissue
• Pointer xHair move
• Pointer cine Coded beamforming
• Edit/accept • Automatically enabled when ABD, OB, or GYN maximum
• Hide volume penetration TSI is selected on C5-1 transducer
• Up/down invert • Coded excitation using chirp transmit technology that
• QuickFlip improves penetration and recovers more tissue information
• 3D rotate: 0, 180, 90, 270 for detailed resolution at extended depths
• 3D view control: up, down, left, right, front, back • Coded harmonics mode that reduces image-degrading
• aReveal A.I. for one button sculpting to enhance fetal artifacts while maintaining penetration qualities
face viewing

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 • Tissue Specific Imaging – adjusts over 7,500 parameters
during transducer/application selection
• Patient optimization – adjusts 2D performance to instantly
adapt to different patient sizes
• Flow optimization – adjusts broadband flow performance
to instantly adapt to different flow states
• Dynamic resolution system (DRS) – one control adjusts
nearly 40 parameters simultaneously for user preference
of spatial resolution or temporal resolution during
clinical procedures
• One control optimizes functions such as:
–– Line density
–– Persistence
–– Pulse inversion harmonics
–– Synthetic aperture
–– Number of lines of sight (SonoCT)
–– RF interpolation
–– Parallel beamforming

3.2 Control panel

• Easy-to-learn graphical user interface with reduced
iSCAN intelligent optimization number of hard controls
• One-touch image optimization • Primary controls concentrated in cluster around trackball
–– In 2D mode, one-button automatic adjustment of system • Tri-state control panel lighting (active, available,
gain and TGC to achieve balanced brightness of tissues and unavailable)
• Available in contrast imaging for selected transducers • Ambient lighting control for exceptional image viewing
and applications in both light and dark environments
–– Independent settings based upon whether the contrast • Full color 12 inch capacitive touchscreen, complete with
timer is active swipe technology, enables easy navigation of controls
• In Doppler mode, one-button automatic adjustment of: and system interaction
–– Doppler PRF based on detected velocity • Dual function mode switch and independent gain controls
–– Doppler baseline based on detected flow direction for 2D, CPA, M-mode, Color, PW, CW Doppler, TDI, and 3D
• Available on all imaging transducers • Eight-slide pot control adjustment of TGC curve
• Operates in conjunction with SonoCT and XRES imaging • iSCAN control for 2D/Doppler automatic optimization
• AutoSCAN continuous automatic optimization • High definition/pan zoom control
• Adaptive gain compensation (AGC) dynamically adjusts • Dual mode control
(every pixel on every scan line) low level 2D echoes to • Freeze control
reduce gain artifacts (shadows/through transmission) • Two programmable acquire controls
and improve image uniformity with 2D and 3D imaging • Pull-out alphanumeric backlit keyboard for text entry

AutoSCAN intelligent optimization

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

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 4. Workflow

The EPIQ 5 combines a complete range of premium imaging technologies

with superb sophisticated ergonomics, dynamic adaptive software,
and ease of use to help keep busy departments on schedule.

4.1 Ergonomics
• Advanced control panel design with fewer, clustered • Many touchscreen controls can also be accessed from
controls and easily accessed mode keys to reduce reach the main display allowing user to maintain consistent
• Tri-state lighting that provides immediate feedback visual focus
of active, available, and unavailable controls • Independent adjustment of height, rotation, and lateral
• Widescreen touchscreen allows more controls to be movement of monitor and control panel allowing
available at a time improved user posture, increasing comfort during exams
• Touchscreen controls are grouped for quick recognition (meets industry standards recommendation for the
• Touchscreen supports easy navigation for commonly prevention of WRMSD)
manipulated controls via flyout menu selections, • Highly mobile cart with single pedal brake operation
reduces button presses facilitating portable exams and positioning in confined-
space environments

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 4.2 Display annotation 4.3 SmartExam protocols
• On-screen annotation of all pertinent imaging parameters • On-screen selection and editing of protocols
for complete documentation, including transducer type • Exam guide with on-screen display
and frequency, active clinical options and optimized • Required views based on exam type
presets, display depth, TGC curve, grayscale, color map, • SmartExam customization
frame rate, compression map value, color gain, color image –– Creates a protocol as the user performs an exam
mode, hospital name, and patient demographic data –– Saves all annotation, body markers, and labeled
• User-selectable display of patient birth date, patient measurements defined in each view
gender, institution name, system name, and user –– Records modes used to capture each view
• Fixed-position title area for consistent annotation –– Captures the acquisition method (print, capture,
• Patient name, ID, birth date gender and system date 3D dataset) in each individual view
that can be turned off (hidden) for generating still images –– Provides user ability to pause and resume recording
for publication process if needed
• Additional patient information can be displayed on demand –– Allows user to edit views before finalizing the new protocol
• Sector steering icon for endocavitary transducers • Fully customizable protocol capability for any clinical
• Scan plane orientation marker application supported on the system with flexibility
• User-selectable depth scale display to conduct the examination protocol in any sequence
• Real-time display of mechanical index (MI) • Preset protocols including but not limited to abdominal,
• Real-time display of thermal index (TIb, TIc, TIs) vascular, cardiac, and Ob/Gyn exams based on industry
• Multiple trackball-driven annotation arrows and accreditation guidelines
• Pre-defined annotations and body markers • Automatic launching of annotation and body marker
(application-specific and user-selectable), with two icon on required views
body markers supported in dual imaging format • Ability to automatically launch modes (2D, 3D, color modes,
• Doppler baseline invert in live and frozen imaging Doppler, dual, color compare) defined in a SmartExam
• Compression changes available live or scrolling loop • Ability to pause and resume SmartExam function at any time
• Post-processing of 2D gain, compression or dynamic • System analysis capabilities supported in all defined protocols
range, and zoom after acquisition on single-frame images
• TGC curve (On/Auto/Off display)
• TGC values (On/Off display) 4.4 Stress echo
• Tool Tips provides a brief description of the • Acquisition of echocardiography single frame or loops
abbreviated on-screen image parameters of the left ventricle in any imaging mode including 2D,
• Trackball icon displaying functions assigned color, and spectral Doppler.
to trackball buttons • Gain Save that adjusts automatically to different views and
• Informative trackball arbitration prompts automatically saves your preferred control settings, such
• Thumbnail display of images printed/stored as gain, depth, ROI, position, and many other parameters:
• On-screen selection and display of calculations –– For each view while acquiring resting images
• On-screen selection and editing of protocols –– At immediate post-exercise, automatic retrieval of saved
• Calculations results and analysis labels settings for each view
• Graphical tabs that allow navigation to other analysis features –– Different gain profiles for parasternal LAX and SAX
• Network and connectivity icons to allow instant views, AP4, and AP2 views allowed
feedback about network and printer conditions • Length of acquired images that is user-adjustable between
• Icons to display status of and/or allow access to the 1 and 180 seconds
following functions: print job status, media read/write • Ability to acquire routine cardiac images in timed and
status, battery level, wireless connectivity, remote R-R interval clip (varies with selected compression ratio
service, microphone, HIPAA status indicator icon, and available system memory)
iSCAN status, acquisition status, physio status • For timed acquisition, the ability to start acquisition on
• Cineloop frame number display the R-wave if the ECG is active and an R-wave is present
• Cineloop bar with trim markers • Your preferred control settings automatically saved –
• Prompt region for display of informational text and icons such as MI (mechanical index), gain and depth for each
• Trackball icon displaying functions assigned view while acquiring resting images
to trackball buttons • Live Compare
• Contrast specification • Ability to defer selection by stage
• Protocol procedure list with status

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 • Default stress protocols • MPR Export capability
–– Factory-provided non-editable default protocols include: –– Ability to export A, B, and C planes as a multiframe
–– Two-stage exercise stress loop for review on a DICOM device
–– Four-stage pharmacological stress –– Available on all transducers, but not supported
–– Three-stage exercise stress (bicycle) for any STIC files
–– Four-stage quantitative: wall motion and contrast
• Default protocols that may be used as the basis for
user-defined versions 4.6 Anatomical Intelligence
–– Support between 1 and 10 stages for Breast (AI Breast)
–– Support user-defined stage names
AI Breast is a fully integrated screening, diagnostic and
–– Support between 1 and 40 views per stage
workflow tool for whole breast ultrasound, that utilizes
–– Support user-defined view names
Philips unique Anatomical Intelligence and the new
–– Prompt for a particular stage and view
eL18-4 EM ultra-broadband linear transducer. The system
–– Assign stage and view names
provides the ability to automatically track and document the
–– Set clip length for each image or group of images
transducer position relative to the patient’s breast during
–– Set the number of cycles/beats for each image
image acquisition.
–– Define prospective, retrospective, or multi-cycle/
• Auto Annotate – automatically adds annotation indicating
full disclosure acquisition
transducer position in relation to the body mark during
–– Define the capture format of each image or group
breast scanning
of images
• Coverage Assistant: unique tracking technology maps 2D
–– Define the default replay mode for each protocol
projection of breast tissue covered in real time to enable
–– Set mode acquisition for each view
new levels of confidence during breast screening and
–– Support for up to five modes
diagnostic exams
–– Save user-defined protocols within a preset
• Bookmark key images during acquisition for quick review
–– Save user-defined protocols to removable media for
• Find Orthogonal – the system automatically finds images
import onto separate systems at the same software level
that are orthogonal from the reference point, for fast
–– Modify protocols during use
comparison and diagnosis
–– Add stages at any point after the current stage
• Reverse lookup – the system finds frames near defined
• CMQ stress
targets by clicking on the position in the corresponding
–– Pre and post data curves
breast body mark graphic
–– Pre and post bullseye maps
• Available with integrated electromagnetic tracking on the
–– Pre and post strain comparisons
eL18-4 and external electromagnetic tracking on the L12-5

4.5 Volume imaging solutions for 4.7 QuickSAVE feature

connected radiology departments • The system provides the ability to quickly save preferred
• Customizable to your workflow system settings as individual exam types
• Fast, one-button press volume acquisition and on-cart • Over 40 QuickSAVE exams can be created per transducer
review • Saved parameters include virtually all imaging parameters
• Advanced volume and MPR visualization with QLAB GI 3DQ as well as color box size
–– iSlice and thick slice on cart • QuickSAVE exams can be copied to USB/DVD and
• Capability to export freehand, electronic, and hybrid transferred to other systems of like configuration
acquired 3D grayscale data for visualization on most
PACS in a stacked “fly-through” manner (like CT/MR)
• Off-cart evaluation of volume data on a multimodality 4.8 Image presentation
clinical workstation • Up/down
• Powerful 3D manipulation tools including volume rendering, • Left/right
MPR, MIP, slab viewing (thick slice), 3D orientation graphics • Multiple duplex image formats (1/3-2/3, 1/2-1/2, 2/3-1/3,
• Advanced 3D visualization with QLAB GI 3DQ including 50/50 and full screen)
ability to handle 3D color flow • Depth from 1 cm to 40 cm (transducer-dependent)
• Orientation labels feature for spatial orientation of 3D • MaxVue image display, high-definition full-screen
data sets imaging viewing
–– Adult orientation labels for non-fetal applications
–– Fetal orientation labels for fetal applications

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 4.9 Cineloop review
• Acquisition, storage in local memory, and display in –– On-screen recall, measurement, and text editing
real-time and duplex modes of up to 2,200 frames of –– Exam directory
2D and color images or up to 64 seconds of pulsed wave –– Append exam
Doppler data and M-mode for retrospective review and –– To existing study
image selection, or up to 48 seconds CW for retrospective –– To new study using existing patient information
review and image selection • Data types
• Prospective or retrospective loop acquire “accept” –– 2D, M-mode, Doppler spectral frame acquisition
prior to store or clip store –– 2D clip acquisition up to 2,200 frames per clip
• Trackball control of image selection –– Scrolling M-mode, Doppler acquisition
• Variable playback speed –– Cartisian volume acquisition: 3D, 4D, STIC
• Trim capability of 2D data –– MPR views
• Available in all imaging modes plus: –– Q-Apps frames and clips
–– Panoramic imaging –– Image fusion frames and clips
–– 3D imaging • Printing
–– Independent control of 2D image or spectral data –– Local print to on-board or off-board video printers
in duplex mode –– Page report print
–– Simultaneous control of 2D and spectral data –– DICOM grayscale or color print
in simultaneous mode • Media storage and retrieval
• On-screen display of current 2D frame number –– Export DICOM Image and structured report export
• Many controls available in cineloop review for to removable media
post-processing such as 2D gain, dynamic range/ –– Export PC format image export to removable media
compress, XRES, magnify zoom –– Supported media
–– Read and write (single session) to CD (CD-R)
–– DVD read-only (DVD+R)
4.10 Exam management features –– DVD read + write (single session) (DVD+RW,
• Internal storage CD-R, and DVD-R)
• Data export –– USB storage (flash memory or hard drives)
• Temporary ID feature –– DICOM image import
–– One-click start of exam from patient data entry screen –– Ultrasound images
with system-provided information –– Multimodality images (CT/MRI/X-Ray/ Mammography/PET)
–– Storage of images that were created without a patient –– OB trending data
name with a temporary identification –– Export OB trending information via USB storage device
–– Import OB trending information via USB storage device
Rapid procedure setup • RS-232 serial storage
• With a single selection, choose transducer, preset, –– Export of report data to off-line analysis computer programs
study type, study description, and optionally gender • Basic networking connectivity
• Procedure definitions are built-in for built-in study types –– Wired gigabit Ethernet
• Additional procedure definitions may be added by the user –– Wireless networking 802.11n
• Procedure may be automatically selected based on –– WPA/WPA2 Personal security
modality worklist scheduled procedure information –– WPA/WPA2 Enterprise security
–– Network addressing
–– IPV4 addressing: static or DHCP for system address,
4.11 Connectivity static or hostnames (DNS lookup) for server addresses
Standard connectivity features –– IPV6 addressing: link local, router discovery, or DHCP
• Digital image acquisition and on-board patient exam storage for system address, hostnames for server addresses
–– Direct digital storage of B/W and color loops • Compatibility with OmniSphere’s data analytics and
to internal hard disk drives connectivity tools (applications sold separately)
–– Combined 500 GB storage capacity –– Scheduled export of log files for use with the Utilization
–– Storage capacity of approximately 350 patient exams Optimizer application
(assuming 40 images, 6 seconds of clips and reports –– On cart service request for use with Remote Technical
per exam) Connect applications
–– Fully integrated user interface –– In house technical support tool via the Remote Technical
–– User-configurable “auto delete” capability Connect application

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

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 5. Transducers

5.1 Transducer selection

• Electronic switching of transducers using four C8-5 broadband curved array
universal connectors • 8 to 5 MHz extended operating frequency range
• Dedicated (Pedoff) continuous wave Doppler connector • 122° field of view (wide scan-enabled)
is available • 2D, steerable pulsed wave and color Doppler, Color Power
• Automatic parameter optimization of each transducer for Angio (CPA), directional CPA, SonoCT, XRES imaging,
exam type through Tissue Specific Imaging (TSI) software and harmonic imaging
• If two transducers are connected that both support the • Pediatric abdominal and neonatal cephalic imaging
same TSI, the system supports instantaneous switching • Supports biopsy guide capabilities
between transducers while maintaining current depth
parameter if possible C9-2 broadband curved array with PureWave
• User-customizable imaging presets for each transducer crystal technology
• Automatic dynamic receive focal optimization • 9 to 2 MHz extended operating frequency range
• Transmission of focal characteristics automatically • 102° field of view (wide scan-enabled)
controlled through TSI, iFOCUS, and DRS functions • 2D, steerable pulsed wave and color Doppler, Color Power
Angio (CPA), directional CPA, SonoCT, variable XRES,
Compact transducers and harmonic imaging
• Ergonomic designs with lightweight super flexible cables • General purpose obstetrical and gynecological,
• Virtually pinless micro connectors small adult and pediatric abdominal applications
• Advanced low-loss lens technology for better penetration • Contrast applications
with less artifacts • Supports biopsy guide capabilities, including CIVCO Verza1
• Breakthrough broadband frequency response (up to 5 angles)
• Support for very high frequencies up to 20 MHz
• Advanced micro-electronics in linear, curved, tightly C10-3v broadband curved array with PureWave
curved, sector, and hybrid volume array configurations crystal technology
• High precision automated volume transducers • 10 to 3 MHz extended operating frequency range
• End-fire sector, 11.5 mm radius of curvature, 163° field
PureWave crystal technology of view (wide scan-enabled)
• Available on the X7-2t, S5-1, C5-1, C9-2, and C10-3v • 2D, steerable pulsed wave and color Doppler, Color Power
transducers Angio (CPA), directional CPA, SonoCT, variable XRES,
• Breakthrough crystal technology that allows enhanced and harmonic imaging
acoustic efficiency and bandwidth • Endovaginal applications
• Elastography – strain-based
Curved array • Contrast applications
• Supports biopsy guide capabilities
C5-1 broadband curved array with PureWave
crystal technology C10-4ec broadband curved array
• 5 to 1 MHz extended operating frequency range • 10 to 4 MHz extended operating frequency range
• 111° field of view (wide scan-enabled) • End-fire sector, 8 mm radius of curvature, 147° field
• High density curved array with 160 elements of view (wide scan-enabled)
• 2D, steerable pulsed wave, High PRF, and color Doppler; • 2D, steerable pulsed wave and color Doppler, Color
Color Power Angio (CPA), directional CPA, SonoCT, Power Angio (CPA), directional CPA, SonoCT, XRES,
variable XRES, and mulitvariate harmonic imaging and harmonic imaging
• General purpose abdominal, obstetrical, gynecological, • Endocavitary applications, including vaginal, and rectal
and interventional applications • Supports biopsy guide capabilities
• Discreet TSI for deep abdominal, obstetrical,
and gynecology penetration enables: V6-2 broadband curved array
–– Tissue aberration correction • 6 to 2 MHz extended operating frequency range
–– Coded beamforming with chirp transmit • 100° field of view (wide scan-enabled)
and coded harmonics • High-resolution 2D imaging, steerable pulsed wave,
• Interventional applications High PRF, and color Doppler; Color Power Angio (CPA),
• Elastography – shear wave directional CPA, SonoCT, variable XRES, harmonic
• Contrast applications imaging, and STIC
• Supports biopsy guide capabilities, including CIVCO Verza1 • Support of high resolution, quantitative, single sweep
(up to 5 angles) 3D volume acquisition

1. CIVCO Verza Guidance System is a trademark of CIVCO Medical Solutions. 19

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 • Support of 4D imaging up to 36 volumes per second • Tissue aberration correction selection for advanced MSK,
• General purpose obstetrical volume applications breast, and vascular venous TSP
• Supports biopsy guide capabilities • MicroFlow Imaging support
• Full solution elastography support
3D9-3v broadband curved array • Needle visualization support
• 9 to 3 MHz extended operating frequency range • Fusion and Navigation support via Philips EPIQ PercuNav
• 164° field of view (wide scan-enabled) • Anatomical Intelligence for Breast (AI Breast) support with
• High-resolution 2D imaging, steerable pulsed wave optional integrated electro-magnetic tracking
and color Doppler, Color Power Angio, SonoCT, XRES, • Auto Doppler flow optimization
and harmonic imaging • Contrast mode
• Support of high resolution, quantitative, single sweep • Panoramic Imaging
3D volume acquisitions (hybrid and freehand) • High frame rates available
• Support of 4D imaging up to 22 volumes per second • Precision biopsy support compatible with CIVCO Verza1
• Endovaginal applications biopsy guide capabilities (up to 5 angles)
• Supports biopsy guide capabilities
L12-3 broadband linear array
Linear array • 12 to 3 MHz extended operating frequency range
• Fine angle steering of color and pulsed wave Doppler
eL18-4 ultra-broadband linear array • 2D, steerable pulsed wave and color Doppler, Color Power
with PureWave crystal technology Angio (CPA), SonoCT, variable XRES, and harmonic imaging
• Ultra-broadband PureWave array generates frequencies • Vascular (carotid, surgical, arterial, and venous) and
from 2 to 22 MHz superficial imaging applications
• Multi-row array with fine elevation focusing • Cerebrovascular (carotids, vertebrals), peripheral
• Optimized diagnostic operating bandwidth: 18-4 MHz vascular (venous, arterial), internal mammary vessels,
• Fine pitch, 1920 active elements and musculoskeletal imaging
• Steerable pulsed wave and color Doppler, Color Power • Surgical applications
Angio (CPA), SonoCT, variable XRES, and harmonic imaging • Auto Doppler flow optimization
• High resolution superficial applications including small • Supports biopsy guide capabilities, including CIVCO Verza1
parts, breast, vascular, musculoskeletal, bowel, pediatric, (up to 5 angles)
and OB imaging
• Tissue aberration correction selection for advanced MSK, L12-5 50 broadband linear array
breast, and vascular venous TSP • 12 to 5 MHz extended operating frequency range
• MicroFlow Imaging support • Fine pitch, 256 element, high resolution linear array
• Full solution elastography support • 2D, steerable pulsed wave and color Doppler, Color Power
• Needle visualization support Angio (CPA), SonoCT, variable XRES, and harmonic imaging
• Auto Doppler flow optimization • High resolution superficial applications including small
• Contrast mode parts, breast, vascular, and musculoskeletal imaging
• Panoramic Imaging • Tissue aberration correction select ion for advanced
• High frame rates available MSK and breast imaging TSI
• Precision biopsy support compatible with CIVCO Verza • Auto Doppler flow optimization
Guidance System1 • Elastography – strain-based
• Panoramic imaging
eL18-4 EM ultra-broadband linear array • Pediatric applications
with PureWave crystal technology • High frame rates available
• Ultra-broadband PureWave array generates frequencies • Supports biopsy guide capabilities, including CIVCO Verza1
from 2 to 22 MHz (up to 5 angles)
• Multi-row array with fine elevation focusing
• Optimized diagnostic operating bandwidth: 18-4 MHz L18-5 broadband linear array
• Fine pitch, 1920 active elements • 18 to 5 MHz extended operating frequency range
• Steerable pulsed wave and color Doppler, Color Power • Ultra-fine pitch, 288 element, high resolution linear array
Angio (CPA), SonoCT, variable XRES, and harmonic imaging • 2D, steerable pulsed wave and color Doppler, Color
• High resolution superficial applications including small Power Angio (CPA), SonoCT, panoramic, variable XRES,
parts, breast, vascular, musculoskeletal, bowel, pediatric, and harmonic imaging
and OB imaging • High resolution superficial applications including small
parts, breast, vascular, and musculoskeletal imaging

20 1. CIVCO Verza Guidance System is a trademark of CIVCO Medical Solutions.

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 • Tissue aberration correction selection for MSK and • 2D, steerable PW Doppler, CW Doppler, High
breast imaging TSI PRF Doppler, color Doppler, tissue Doppler,
• Auto Doppler flow optimization advanced variable XRES, and harmonic imaging
• Elastography – strain-based • Pediatric and adult cardiac applications,
• Supports biopsy guide capabilities, including CIVCO Verza1 neonatal head applications
(up to 5 angles)
S7-3t sector array TEE
L15-7io broadband compact linear array • 7 to 3 MHz extended operating frequency range
• 15 to 7 MHz extended operating frequency range • Transesophageal sector array with 48 elements
• Unique lens design allowing high resolution imaging • Manually rotatable array from 0 to 180°
at transducer surface • 2D, steerable PW Doppler, CW Doppler, color Doppler,
• 2D, steerable pulsed wave and color Doppler, Color Power XRES, and harmonic imaging
Angio (CPA), panoramic, XRES, and harmonic imaging • Pediatric and adult TEE applications: patients > 3.5 kg (7.7 lb)
• High resolution intraoperative vascular and superficial • Physical dimensions:
(MSK and small parts) applications –– Tip: 10.7 x 8 x 27 mm (0.42 x 0.31 x 1.1 in)
• Auto Doppler flow optimization –– Shaft: 7.4 mm (0.29 in) diameter, 70 cm (27.6 in) L
• Fine angle steering of color and pulsed wave Doppler
S8-3t sector array TEE
VL13-5 broadband linear array • 8 to 3 MHz extended operating frequency range
• 13 to 5 MHz extended operating frequency range • Transesophageal sector array with 32 elements
• Fine pitch, 192 element, high resolution linear array • Manually rotatable array from 0 to 180°
• High-resolution 2D imaging, steerable pulsed wave • 2D, steerable PW Doppler, CW Doppler, color Doppler,
and color Doppler, Color Power Angio, SonoCT, XRES, XRES, and harmonic imaging
and harmonic imaging • Pediatric and adult TEE applications: patients > 2.5 kg (5.5 lb)
• Support of high resolution, quantitative, single sweep • Physical dimensions:
3D volume acquisition –– Tip: 7.5 x 5.5 x 18.5 mm (0.3 x 0.2 x 0.7 in), WHL
• Support of 4D imaging –– Shaft: 5.2 mm (0.2 in) diameter, 88 cm (34.6 in) L
• High resolution superficial applications including
small parts, breast, and vascular imaging X7-2 xMATRIX array TEE with PureWave
• Tissue aberration correction selection for advanced crystal technology
breast imaging TSI • 7 to 2 MHz extended operating frequency range
• Supports biopsy guide capabilities • Transesophageal xMATRIX array transducer with
2,500 elements
• Electronically rotatable array from 0 to 180 degrees
Sector array • Electrocautery suppression
S5-1 broadband sector array with PureWave • 2D, advanced XRES, harmonic imaging, M-mode,
crystal technology color M-mode,color flow, PW Doppler, CW Doppler
• 5 to 1 MHz extended operating frequency range • Adult TEE applications: patients > 30 kg (66 lb)
• Phased array, 80 elements • Physical dimensions:
• 2D, CW, steerable pulsed wave, High PRF and color –– Tip: 1.7 x 3.8 cm (0.7 x 1.5 in) WxL
Doppler, tissue Doppler, variable XRES, AutoSCAN/iSCAN, –– Shaft: 1 cm (0.4 in) diameter, 1 m (39.4 in) L
and harmonic imaging
• Adult echo, pediatric echo, and TCD applications
• Contrast applications
Non-imaging
D2cwc CW transducer (Pedoff)
S8-3 sector array • Dedicated 2 MHz continuous wave Doppler
• 8 to 3 MHz extended operating frequency range • Adult cardiology applications
• Phased array, 96 elements
• 2D, steerable PW Doppler, CW Doppler, High PRF D5cwc CW transducer (Pedoff)
Doppler, color Doppler, tissue Doppler, advanced • Dedicated 5 MHz continuous wave Doppler
variable XRES, and harmonic imaging • Deep venous and arterial applications
• Adult and pediatric cardiac applications
D2tcd PW transducer (Pedoff)
S12-4 sector array • Dedicated 2 MHz pulsed wave Doppler
• 12-4 MHz extended operating frequency range • Transcranial Doppler applications
• Phased array, 96 elements

1. CIVCO Verza Guidance System is a trademark of CIVCO Medical Solutions. 21

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5.2 EPIQ
transducers,
features
and presets

Transducer – Curved C5-1 C8-5 C9-2 C10-3v C10-4ec V6-2 3D9-3v

Type of array Curved Tightly curved Curved Tightly curved Tightly curved Curved Tightly curved
Number of elements 160 128 192 128 128 192 128
Scanplane aperture 55.5 mm 22.4 mm 53.76 mm 26.1 mm 24.3 mm 63.36 mm
Field of view 111° 122° 102° 163° 147° 100° 164°
Volume field of view 100° x 85° 156° x 85°
Broadband frequency range 5-1 MHz 8-5 MHz 9-2 MHz 10-3 MHz 10-4 MHz 6-2 MHz 9-3 MHz
Features
PureWave   

Number of BX angles 4 1 4 1 1 2 1
HPRF   

Variable XRES     

MicroCPA     

2D Opt Inheritance    

Pan zoom       

Contrast   

Elastography SW ST
Image fusion   

Compatible Affiniti 50    

Compatible Affiniti 70       

Compatible CX50   

Preset
Abdominal Bowel  

General  

Resolution  

Penetration  

Renal  

User (China only)  

Vascular 

Intervention  

General (1.2) 

Obstetrics General      

Penetration 

Early OB      

NT  

Early fetal echo 

OB fetal echo      

OB fetal heart  

GYN pelvis     

GYN fertility   

GYN penetration  

Pediatrics Abdomen   

Hip
Neonatal head 

Small parts General

Superficial
Breast
Testicular
Thyroid
Urology Bladder   

Prostate 

Musculoskeletal General
Superficial
Vascular Arterial 

Carotid 

Superficial
Surgical
Venous  

Intraoperative
TCD
Cardiac Adult echo
Echo penetration
Adult general
China only)
Pediatric echo
Cardiac epiaortic
Epicardiac

INF = Infinite Angles ST = Strain Elastography SW = Shear Wave Elastography

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Transducer – Linear eL18-4 eL18-4 EM L12-3 L12-5 50 L18-5 L15-7io VL13-5
Type of array Linear Linear Linear Linear Linear Linear Linear
Number of elements 1920 1920 160 256 288 128 192
Scanplane aperture 50 mm 50 mm 38 mm 50 mm 38.9 mm 23 mm 38 mm
Field of view NA NA NA NA
Volume field of view 38 mm x 30°
Broadband frequency range 22-2 MHz 22-2 MHz 12-3 MHz 12-5 MHz 18-5 MHz 15-7 MHz 13-5 MHz
Features
PureWave  

Number of BX angles 4 4 3 INF INF 2

HPRF  

Variable XRES     

MicroCPA     

2D Opt Inheritance   

Pan zoom       

Contrast    

Elastography   ST ST
Image fusion   

Compatible Affiniti 50    

Compatible Affiniti 70       

Compatible CX50   

Preset
Abdominal Bowel    

General  

Resolution
Penetration
Renal
User (China only)
Vascular
Intervention 

General (1.2)
Obstetrics General   

Penetration
Early OB
NT
Early fetal echo
OB fetal echo
OB fetal heart
GYN pelvis
GYN fertility
GYN penetration
Pediatrics Abdomen     

Hip    

Neonatal head
Small parts General 

Superficial    

Breast      

Testicular    

Thyroid     

Urology Bladder
Prostate
Musculoskeletal General     

Superficial      

Vascular Arterial      

Carotid       

Superficial   

Surgical 

Venous      

Intraoperative 

TCD
Cardiac Adult echo
Echo penetration
Adult general
China only)
Pediatric echo
Cardiac epiaortic 

Epicardiac 

INF = Infinite Angles ST = Strain Elastography SW = Shear Wave Elastography

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Transducer – Sector S5-1 S8-3 S12-4 S7-3t S8-3t X7-2t
Type of array Sector Sector Sector Sector Sector xMATRIX
Number of elements 80 96 96 48 32 2500
Scanplane aperture 20.3 mm 15.4 mm 9.78 mm 5 mm 4.76 mm Proprietary
Field of view 90° 90° 90° 90° 90° 90°
Volume field of view 98˚ x 98˚
Broadband frequency range 5-1 MHz 8-3 MHz 12-4 MHz 7-3 MHz 8-3 MHz 7-2 MHz
Features
PureWave  

xMATRIX 

Number of BX angles 3
HPRF   

Variable XRES      

MicroCPA    

2D Opt Inheritance      

Pan zoom      

Contrast 

Elastography
Image fusion 

Compatible Affiniti 50    

Compatible Affiniti 70      

Compatible CX50    

Preset
Abdominal Bowel
General 

Resolution
Penetration
Renal
User (China only)
Vascular
Intervention
General (1.2)
Obstetrics General
Penetration
Early OB
NT
Early fetal echo
OB fetal echo
OB fetal heart
GYN pelvis
GYN fertility
GYN penetration
Pediatrics Abdomen
Hip
Neonatal head 

Small parts General

Superficial
Breast
Testicular
Thyroid
Urology Bladder
Prostate
Musculoskeletal General
Superficial
Vascular Arterial
Carotid
Superficial
Surgical
Venous
Intraoperative
TCD 

Cardiac Adult echo      

Echo penetration 

Adult general 
(China only)
Pediatric (echo)     

Cardiac epiaortic
Epicardiac

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Transducer – Non-imaging D2cwc D5cwc D2tcd
Type of array
Number of elements
Scanplane aperture
Field of view
Volume field of view
Broadband frequency range
Features
PureWave
Number of BX angles
HPRF
Variable XRES
MicroCPA
2D Opt Inheritance
Pan zoom
Contrast
Elastography
Image fusion
Compatible Affiniti 50   

Compatible Affiniti 70   

Compatible CX50  

Preset
Abdominal Bowel
General
Resolution
Penetration
Renal
User (China only)
Vascular
Intervention
General (1.2)
Obstetrics General
Penetration
Early OB
NT
Early fetal echo
OB fetal echo
OB fetal heart
GYN pelvis
GYN fertility
GYN penetration
Pediatrics Abdomen
Hip
Neonatal head
Small parts General
Superficial
Breast
Testicular
Thyroid
Urology Bladder
Prostate
Musculoskeletal General
Superficial
Vascular Arterial 

Carotid
Superficial
Surgical
Venous 

Intraoperative
TCD 

Cardiac Adult echo 

Echo penetration
Adult general (China only)
Pediatric echo 

Cardiac epiaortic
Epicardiac

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 6. Image fusion and
interventional navigation

6.1 Overview
The image fusion and interventional navigation system • Fuse up to three advanced modality images (CT, MRI,
provides the operator with the following capabilities: or PET) to one another to find Regions of Interest that
are easier to see when combining imaging modalities
Ultrasound only • Fuse previously acquired (historic) advanced images
• Utilize electromagnetic tracking to define and track (CT, MRI, or PET/CT) with live ultrasound
a specific target area during live ultrasound-guided • Supports fusion of axial, sagittal and coronal data sets
interventions • Perform fusion and navigation procedures using
• Fuse an ultrasound sweep (US or CEUS) with live integrated color Doppler controls
ultrasound, to enhance workflow and visualization • Perform fast, automated fusion setup (image registration)
before, during, and after ablation procedures using reusable patient trackers attached to the patient
• Needle Navigation via Adaptive Needle Tracker (ANT): –– Image fusion patient trackers ensure that fusion accuracy
plan entry point and trajectory, and track a needle/device is maintained during unexpected patient motion without
during live approach towards multiple targets the need to perform fusion setup again during a procedure
–– Image fusion patient trackers are used to monitor respiratory
Image fusion motion to ensure consistent interventional access
• Track a variety of ultrasound transducers to fuse • Perform fusion and navigation procedures using
ultrasound (US) with CT, MRI, or PET/CT to find Regions integrated color Doppler controls
of Interest that are easier to see when combining • Perform fusion setup (image registration) using internal
imaging modalities landmarks with fast internal plane matching or by selecting
corresponding internal landmarks in each imaging modality

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 • Perform fusion setup (image registration) using external • On-screen help instructions for guidance through various
landmarks by manually selecting corresponding external fusion or navigation workflows
landmarks using an image fusion tracked instrument • Select layouts or save a customized layout with
• Anatomical Intelligence Ultrasound (AIUS) Auto Registration configurable views from the touchscreen
–– Perform automatic fusion setup (image registration)
to contrast and non-contrast liver CT or liver MRI Interventional navigation tracking instrumentation
by performing an ultrasound sweep of the liver • Track instruments within a large dome-shaped tracking
–– Co-registration of three data sets is possible with volume generated by the image fusion field generator (FG)
Auto Registration in the liver • Connect up to six instruments to the tool connection unit
• Acquire a 3D ultrasound sweep and fuse to live 2D (TCU) for attachment of multiple instruments including
ultrasound for pre-/intra-/post-procedural imaging image fusion patient trackers, ultrasound trackers,
comparison (US-to-US fusion) coaxial needle trackers, and the adaptive needle tracker
• Use the transducer or the control panel trackball for fast • Carry and attach the portable TCU with its handle and
fusion adjustment in 3D and 2D, respectively flexible clip, respectively
• Adjust image registration landmarks to achieve optimum • Easily store TCU on the back of the ultrasound system cart
fusion accuracy using the control panel trackball and set keys • Two options for tracking interventional devices: the versatile
• Manually adjust the fusion overlay opacity (blend) image fusion adaptive needle tracker or the image fusion
using the control panel scroll knob or have image fusion coaxial needle tracker
automatically scroll through the opacity to verify • Turn any interventional device (10G-18G) into a tracked
fusion accuracy instrument by attaching the reusable image fusion
• Adjust image fusion by adding an additional internal adaptive needle tracker
landmark point around an area of interest • Use the image fusion adaptive needle tracker and
• Insert annotations or measurements in the fusion mode accompanying stylus to locate and match external
using the touch panel and/or keyboard/virtual keyboard landmarks during fusion setup (image registration),
• Visualize live Bmode fundamental ultrasound, CEUS, and to plan interventional trajectories
and fusion of CT/MR/PET in quad-screen view • Track the exact tip location and orientation using miniature
electromagnetic sensors implanted at the tip of the image
Interventional navigation and planning software fusion coaxial needle tracker
• Use the trackball and set key to scroll throneedugh images • Use the image fusion coaxial needle tracker to guide
and annotate and update targets and points of needle a wide range of ablation, biopsy or other instruments
entry to pre-plan procedures and guide to a pre-defined with gauge compatibility from 13G-20G and length
trajectory compatibility from 9 cm to more than 20 cm
• Navigate instruments for diagnostic and therapeutic • Compatible with CIVCO eTRAX TM needle-tip tracking system
procedures such as biopsy, ablation, drainages, • Reusable non-sterile needle handle available in 12G,
and injections 14G, 16G, 18G; compatible with CIVCO needle available
• Perform out-of-plane navigation using the image fusion separately
Ultrasound Tracker and image fusion navigation-tracked
instrumentation Anatomical measurements
• Display a tracked instrument position graphic on CT, • 2D and 3D distance and angle measurements for
MRI, or PET/CT images without the use of ultrasound measurement of skin-to-target, target size, interventional
• Display a tracked instrument position graphic on window, distance between multiple trajectories,
ultrasound with and without fusion to CT, MRI, or PET/CT. and other distances
• Display an ultrasound guidance bar representing the
distance between the ultrasound scan plane and Connectivity
the operator-selected target • Support for network DICOM image transfer from advanced
• Perform live multi-planar (coronal/sagittal/axial) imaging scanners or PACS on a hospital network
reconstructions on CT, MRI, or PET/CT images • Support for DICOM image import from USB or
• Live reformatting of CT, MRI, or PET/CT images around CD/DVD media
the tracked needle to visualize structures • Support for DICOM image export to external media
• Use color Doppler or contrast enhanced ultrasound (USB, CD/DVD) or PACS
functional imaging to identify areas of interest and
guide interventions Adaptive Needle Tracker
• Monitor the status of, and configure, connected image • Coaxial needle trackers: 13Gx11 cm, 13Gx16 cm, 16Gx11 cm,
fusion instruments directly from the primary monitor 17Gx16 cm, 18Gx8 cm, 18Gx13 cm, 20Gx8 cm, 20Gx13 cm,
• Manual ablation parameter entry for treatment planning, 20Gx17cm
and intra-procedural ablation monitoring and navigation • eTRAX

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 Image fusion accessories

Product Description Features

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

CIVCO eTRAX TM eTRAX needle-tip tracking system tracks • The system allows physicians safe and accurate
the tip of a needle using electromagnetic placement of instruments during interventional
technology and real-time navigation. procedures by monitoring the real-time trajectory
of the needle as it advances through delicate
anatomy to the center of a target
• Supports: various gauges (12G, 14G, 16G, 18G)
and lengths
• CIVCO disposable coaxial needle sold separately

Image fusion coaxial The image fusion coaxial needle tracker • One sterile stylet and cannula pair are used for
needle tracker contains a miniature sensor embedded interventional procedures
at the tip of a stylet inserted through an • Robust tracking of the tip that provides tip
image fusion cannula. Use image fusion location regardless of needle deflection or
software to navigate the image fusion obscured tip visualization
coaxial needle tracker to the Region of • Each image fusion coaxial needle tracker pouch
Interest. Remove the stylet and insert the contains three sterile cannulas and one sterile
interventional device through the image stylet for multiple insertions
fusion cannula to perform the procedure. • Supports various gauges (13G-20G) and lengths
Example procedures include biopsy, (9 cm to greater than 20 cm)
ablation, and drainage.

Image fusion ultrasound tracker Ultrasound transducer tracking device • Easily attach and detach a single device from
is compatible with image fusion biopsy any of the compatible image fusion biopsy
C5-1 guide brackets for: guide brackets
tracking bracket • Philips C5-1 transducer • Reusable in sterile field after decontamination,
• Philips C9-2 transducer under a sterile drape
C9-2 • Philips L12-5 50 transducer • Perform 3D tracked sweep and image registration
tracking bracket • Philips S5-1 transducer • Track location of ultrasound image relative to
• Philips eL18-4 EM transducer: targets and tracked interventional devices

L12-5 50 integrated tracking technology

tracking bracket is provided in this transducer,
therefore no external tracking
bracket is required
S5-1
tracking bracket

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

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

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 7. Measurements and analysis

7.1 Measurement tools and general description

• 2D distance • Distance volume
• 2D circumference/area by ellipse, continuous trace, • Distance and ellipse volume
trace by points • Diameter percent reduction
• Auto conversion of distance to ellipse • Area percent reduction
• 2D curved-linear distance • Hip angle
• 2D angle: intersection of two lines • Ratio
• 3D: ellipse and distance on 2 MPR views • Size compare
• 3D: stacked contours on one MPR • High Q automatic Doppler analysis (general imaging only)
• M-mode distance (depth, time, slope) –– Doppler values including PI, RI, S/D indices
• Manual Doppler distance • Volume flow
• Manual Doppler trace • 2D volume (2 volume methods)
• Time/slope measurements in Doppler and M-mode • Heart rate
• Auto conversion of distance to ellipse • Trackball-controlled electronic measurement calipers:
• 2D trace by points 8 sets
• 2D distance (micro calipers) • User-defined protocols, measurements and equations
• 2D Simpsons • On-the-fly measurement labels
• Generic angle • Fully editable results data sheet

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 • Integrated patient exam report • Assisted auto-trace volume measurement tools for stacked
• Delete last measurement contours and ellipse methods
• Embed image and graphs in report • Edge detection selection for hypoechoic or high
• Doppler peak velocity contrast targets
• Doppler two calipers tool • Auto volume tool
• Doppler continue trace
• Doppler trace by points Intima Media Thickness (IMT) measurements
• Cardiac dP/dt • Automated measurements of intima media thickness
• Volume flow in carotids and other superficial vessels
• Color aliasing velocity • Automated measurement technique on user-selected frames
• Manual data entry • Selector chart to record location and side of vessel
• RA pressure from where IMT is measured
• 3D stacked ellipses • Report of the IMT values in mean millimeters and
• 3D auto stacked contours standard deviation
• Quick optimization for thin or thick intima media complexes
• User-adjustable Region of Interest
7.2 Measurement tools • User-defined measurement capability
and quantification • Persistent storage of up to ten measurements with image
files for future reference
QLAB quantification software
• Measurement data exported in Excel or DICOM SR formats
• On-cart and off-cart access
• Customize capabilities via optional plug-ins
MicroVascular Imaging (MVI)
• Review loops including side-by-side display files
General Imaging 3D Quantification (GI 3DQ) plug-in
• Motion compensation algorithm selectable
• 3D/4D viewer for Ob/Gyn and general imaging including
in Preferences menu
interventional applications
• Export of single frames as BMP, JPG, or TIF file format
• Review of 3D/4D, color 3D, and STIC files
• Export of movie files as AVI file format
• Multiplanar reconstruction (MPR)
• iSlice and curved iSlice precision volume slicing capability
Region of Interest (ROI) Quantification
–– Display of 2D/color slices from static or live volume
• Vascular, general radiology, and cardiac images
–– User-selectable slice display: 4, 9, 16 or 25
• Trending capability (available only on stand-alone PC)
–– User-selectable interval spacing
• Up to ten user-defined regions
–– User-selectable slicing depth
• Thumbnail display of frames for easy trimming
–– User-selectable slicing source (x, y or z)
• Pixel intensity index (PII) and echo histogram display,
• Free rotation of any source
supported data types: echo, velocity, or power (angio)
• Full cineloop review control
• Custom tools to auto trim relative to ECG trigger on
• 2D grayscale display adjustments
cardiac and other triggered files for quantification
• Color display adjustments
of specific parts of cardiac cycle
• Zoom control
• Region shaping tools
• Cine/pan slice control through volume
–– Polygon
• User-selectable image storage
–– Free-form polygon
• Quick launch to measurements
–– Spline
–– Auto ruler display
–– Free-form spline
• Compatible with freehand and automated volumes
–– Rectangle
• 2D and 3D measurement tool including distance, area,
–– Square 5 mm
angle, auto volume, stacked and auto contour and
• Single frame tools
ellipsoid measurements
–– Angle
–– Invert mode
–– Annotation
–– Vascularization index, flow index and vascularization
–– Curved distance
flow index results on 3D color mode data sets
–– Distance
–– Pixel intensity index
–– Ellipse
• Contrast timer marker on data sets saved with
–– Live xPlane ROI combination
contrast timer
• Auto area for semi-automated quantification
• Orientation labels display on data sets saved
of hypoechoic structures
with orientation label marker
• Adjustable ROI dynamic tool
• XRES speckle noise reduction of MPR and volume displays

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 • Motion compensation algorithm selectable Elastography Quantification (EQ)
in Preferences menu • Available in both single screen and side-by-side
• Data display selection display modes
–– Log • Ability to generate up to ten user-defined Regions
–– Linear of Interest (ROIs)
• Data display smoothing option • Thumbnail display of frames
• Mean, median, and standard deviation calculation • Measurement results
• Time-intensity curves • Strain rate
• Curve fitting tools • Total strain
–– Gamma-variate (wash-in and wash-out) • Size comparison between two ROIs
–– One minus exponential • Strain ratio
–– Linear • Calculation of maximum strain ratio
–– Log normal WI • Calculation of average strain ratio
–– Log normal WIWO • Calculation of ratio between two user-defined ROIs
–– LDRW WIWO • Graphical display
• Graphic results with dB, intensity or velocity/frequency, • Strain ratio parametric image
time to peak, “A” value, area under curve, and peak • Color-coded display of strain ratios with
intensity (when a gamma variate curve has been applied) parametric imaging
for each frame
• Calculation of the following color indices using Automated Cardiac 2D QuantificationA.I. (a2DQ A.I.)
the 2D measurement tools and a2DQ A.I. LA
–– Vascularization index (VI) • Left ventricle and left atria global volume analysis from
–– Flow index (FI) 2D and biplane images
–– Vascularization flow index (VFI) • Quantification of native and non-native images
• Quantification of non-ECG images
Strain Quantification (SQ) • Automated border detection for cardiac chambers
• Used in the evaluation of regional myocardial function and vessel cavities
• Measures the myocardial velocity from color TDI data set • Computation of LA area, volumes, and advanced
and derives the displacement, strain, and strain rate along parameters including fractional area change (FAC)
user-defined M-lines and ejection fraction (EF)
• Includes ability to overlay opening and closing of aortic • Single-plane volume measurements based on Simpson’s
and mitral valves on SQ curves to display left ventricle Single Plane Method of Disks (MOD)
mechanical events • Biplane volume measurements based on Simpson’s
• User-selectable waveform display that makes SQ curves Biplane Method of Disks (MOD)
easier to read • Automated Tissue Motion Annular Displacement (aTMAD)
• Capable of drawing up to four M-lines at a time –– Mitral valve and other valve annular motion tracking
• Point of Interest (POI) tool that obtains values from over time
any point on the M-mode display –– Computation of valve annular displacement curves
• M-mode (hide or display) control over time
• User-defined and automatic (using speckle tracking –– Color Kinesis overlay to visualize valve annular plane
algorithms) M-line motion compensation to follow motion parametrically
myocardial motion –– Measurement data exported in Excel or DICOM
• Able to present TDI results in two display formats SR formats
–– Anatomical M-mode display –– Simplified workflow with SmartExam
–– Graph display
• User-selectable waveforms for exceptional sub-region Automated Cardiac Motion 2D QuantificationA.I. (aCMQ A.I.)
visualization • Automated Region of Interest for selected anatomical views
• Curve processing modes • Objective assessment of left ventricle global function and
• Cardiac mechanical timing reference overlay regional wall motion, deformation, and timing using the
• TDI velocity, displacement, strain, and strain rate timing next generation of 2D speckle tracking technology
measurements with dedicated time calipers and labels • File compatibility
• Automatic subdivision of M-line into a customizable –– Quantification of 2D native and non-native ultrasound
number of sub-regions DICOM images
• Averages up to 20 cardiac beat cycles in both M-mode –– Quantification of non-ECG images
and graph displays • Available methods with dedicated preferences settings
• Measurement data exported in Excel format –– Global workflow

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 • Latest generation of 2D speckle tracking technology Cardiac Motion/Mechanics 2D Quantification for Stress
• Auto ROI can be set either on ED or ES frame (CMQ Stress)
• Automated border detection for cardiac chambers and Designed to help objectify stress echo exam interpretation,
vessel cavities CMQ Stress employs a user interface specifically designed
• Auto aortic valve closure time detection for stress echo exams and around stress echo practitioners.
• Smooth color transited bullseye presentation • Automated Region of Interest for selected anatomical views
–– Multiple cardiac view/images capable • Objective assessment of left ventricle global function and
–– 18 or 17 left ventricle segmentation templates (three regional wall motion, deformation, and timing using the
apical views and three short-axis view templates) next generation of 2D speckle tracking technology
–– Easy-to-edit template position and shape • File compatibility
–– Intuitive step-by-step user interface –– Display and quantification of 2D native ultrasound
–– Tracking quality control by right clicking the segment DICOM Stress Echo images
to remove the poorly tracked segment • Global workflow
–– User-editable post LV segments display consistent –– Latest generation of 2D speckle tracking technology
display with corresponding waveform and reported –– Semi-automated border detection for cardiac
values beat-to-beat selection chambers and vessel cavities
• Display –– Auto aortic valve closure time detection
–– Border (hide or show) –– Smooth color transited bullseye presentation
–– Image ROI overlay (hide or show) –– Multiple cardiac view/images capable
–– Cardiac phases (overlay of AVO, AVC, MVO, and MVC –– 18 or 17 left ventricle segmentation templates (three
mechanical events auto-imported from ultrasound cart apical views and three short-axis view templates))
analysis via DICOM SR or manual entry) –– Easy-to-edit template position and shape
–– Four up display –– Intuitive step-by-step user interface
• 2D speckle parameters –– Tracking quality tool editable threshold helps to display
–– Volume/EF and area/FAC various quality tracking
–– Longitudinal strain and strain rate –– User-editable post LV segments display consistent
–– Circumferential strain and strain rate display with corresponding waveform and reported
–– Radial and transversal displacement values beat-to-beat selection
–– Radial fractional shortening • Display
–– Radial velocity –– Border (hide or show)
–– Speed (absolute angle independent velocity) –– Image ROI Overlay (hide or show)
–– Regional rotation and rotation velocity –– Cardiac phases (overlay of AVO, AVC, MVO, MVC
–– Global rotation (SAX) mechanical events auto-imported from ultrasound
–– Endo-Epi mural torsion and local rotation cart analysis via DICOM SR or manual entry)
• Measurement and calculations • 2D speckle parameters
–– Selectable GLS measurement points: peak, peak systolic –– Volume/EF and area/FAC
and end systolic –– Longitudinal strain and strain rate
–– Time-to-peak and peak values –– Circumferential strain and strain rate
–– Timing caliper –– Radial and transversal displacement
–– Global result display one view and global result display –– Radial fractional shortening
–– Results display in 18 or 17 LV segment bullseye plot –– Radial velocity
format and numerical table –– Speed (absolute angle independent velocity)
–– Layer specific (Endo, Mid and Epi) longitudinal strain –– Regional rotation and rotation velocity
per view and global longitudinal strain –– Global rotation (SAX)
–– Circumferential strain per view and global –– Endo-Epi mural torsion and local rotation
circumferential strain • Measurement and calculations
–– User-defined workflow for specific local strain analysis –– Waveform auto peak or systolic peak detection
• Up to 18 dedicated colors to help differentiate each cord to report time to peak and peak values
and corresponding waveform –– Timing calipers
• Up to three waveform auto peak detections to report –– Global result display one view and global result display
time-to-peak and peak values –– Results display in 18 or 17 LV segment bullseye plot
• Simplified workflow with SmartExam format and numerical table
• Measurement data exported in Excel or DICOM SR formats –– Longitudinal strain per view and global longitudinal strain
–– Circumferential strain per view and global
circumferential strain
–– User-defined workflow for specific local strain analysis

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 • Up to 18 dedicated colors to help differentiate each cord • Continuity equation
and corresponding waveform • Diastolic function
• Up to three waveform auto peak detections to report • Cardiac output
time-to-peak and peak values • Acceleration time
• Measurement data exported in Excel formats • Heart rate
• Vascular analysis
–– Right and left carotid artery protocols
7.3 High Q automatic Doppler analysis –– ICA/CCA ratio
• Automatic real-time and retrospective tracing of: –– Bilateral lower extremity arterial and venous labels
–– Instantaneous peak velocity –– Bilateral upper extremity arterial and venous labels
–– Instantaneous intensity weighted mean velocity –– Percent diameter and area reduction
• Automatic real-time display of (user-selectable up to six): –– Vascular graft measurement package
–– Volume flow –– User comments
–– Time-averaged peak velocity –– High Q automatic Doppler analysis
–– Time-averaged mean velocity • OB analysis
–– Resistive index –– Fetal echo application
–– Pulsatility index –– Fetal biometry (up to quintuplets)
–– Systolic/diastolic ratio –– Biophysical profile
–– Acceleration/deceleration times –– Amniotic fluid index
–– Illustrated High Q –– Early gestation
–– Fetal long bones
–– Fetal cranium
7.4 Clinical option analysis packages –– Other OB measurements
• Cardiac analysis –– 2D echo
–– Left atrium –– Fetal heart M-mode
–– Right atrium –– Fetal Doppler
–– Right ventricle –– Fetal echo
–– Left ventricle • Gynecology/fertility
–– TAVI (transcatheter aortic valve implantation) –– Uterine volume
–– Valve stenosis –– Right and left ovary volumes
–– Prosthetic aortic valve –– Right and left follicles (10)
–– Prosthetic mitral valve –– Endometrial thickness
–– TAPSE (tricuspid annular plane systolic excursion) –– Cervical length
–– MAPSE (mitral annular plane systolic excursion) • Abdominal vascular
–– PCWP (pulmonary capillary wedge pressure or –– Labels for all major abdominal arteries and veins
pulmonary artery occlusion pressure) –– Left and right segmentation for kidneys
–– Stress echo measurements in various stages • General imaging
–– MPI (or TEI index) –– General
• Volume by area/length method –– User-defined labels
• Volume by area/length method • Prostate
• M-mode ejection fraction (via Teichholz or cubed method) –– Prostate gland
• Novel three-point adjustable Simpson’s template • Pediatric
• Simpson’s biplane and single plane volume and –– General
ejection fraction –– d:D radio
• Area, length, volume, and ejection fraction • Small parts
• LV mass –– General
• 2D all points –– Breast with right and left protocols
• M-mode all points for up to five lesions per breast
• Peak velocity –– Testicle
• Maximum and mean pressure gradients –– Testicle volume
• Pressure half time –– EPI head, body, tail
• E/A ratio • Urology
• D/E slope –– Prostate, PSA, PSA density

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 8. Physical specifications

System dimensions
Width 60.6 cm/23.9 in • Mobility through high-quality, shock-absorbing
Height 146-171.5 cm/57.5-67.5 in casters with foot pedal controls for:
–– 4-wheel swivel
Depth 109.2 cm/43 in
–– 2-wheel swivel lock
Weight 104.3 kg/230 lb without peripheral devices –– 2-wheel brakes
• Integrated footrests
• Transducer connector and OEM bay illumination for easy
System cart visibility in scanning rooms
• State-of-the-art ergonomic design for comfort • Digitally-enhanced two-speaker high-fidelity stereo
and convenience output with rear-mounted subwoofer
• Easy maneuverability and mobility • On-board storage tray behind control panel touchscreen
–– Wheel-lock and monitor adjustments that facilitate and in rear bay left and right storage drawers
bedside exams • Universal peripheral bay that provides easy access for
• Independent height adjustment of control panel up to two on-board hardcopy or documentation devices
and display monitor • Built-in A/C line conditioner that provides isolation from
• Easily accessed transducer connector ports, USB, voltage fluctuations and electrical noise interference
and DVD media drive, if equipped • Three high-capacity fans with automatic speed adjustment
• Transducer and gel bottle holders to optimize cooling efficiency with minimal audible noise

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 Peripherals
• The system supports up to two on-board peripheral
devices (excluding report printers)
–– Video-recording peripherals, operated via system
user interface
–– DVD recorder (cart-dependent)
–– Small format digital color printer (USB)
–– Small format digital B/W printer (USB)
–– Image fusion
• AI Breast
• Support for large format external color printer
• Support for various Hewlett-Packard and Epson
brand color and monochrome report printers
(USB, externally mounted)

Input/output ports
• Export of measurement and analysis data to off-line
reporting software packages (USB)
• Display port video export available for either full screen
Monitor resolution of 1920x1080 (1080p) or display area 1024 x 768
• Flat panel LCD display monitor
–– 54.6 cm/21.5 in wide-format high-definition flat panel Power requirements
TFT/IPS display
–– High contrast ratio >1000:1 and video parameters
–– Extended viewing angle >178° (horizontal and vertical) • 100V-240 V, 50 Hz/60 Hz – PAL/NTSC
–– Response time: <14 ms • Integrated A/C line conditioning and battery
–– Virtually flicker-free technology for reduced eyestrain back-up system
–– Mounted on fully articulating extension arm • Power consumption: <600 VA depending
–– Four-way articulation with 87.6 cm/34.5 in lateral on system configuration
and 17.8 cm/7 in vertical adjustment range
–– Nearly infinite positioning adjustments:
height, swivel, and tilt Electrical safety standards
• Electromechanical Safety Standards met
–– CAN/CSA 22.2 No. 60601-1, Medical Electrical
Control panel Equipment: General requirements for basic safety
• Articulation facilitates nearly infinite positioning and essential performance
adjustments for excellent scanning ergonomics: –– IEC 60601-1, Medical Electrical Equipment: General
height, swivel, and tilt requirements for basic safety and essential performance
–– Up and down 25.4 cm/10 in –– IEC 60601-1-2, Collateral Standard, Electromagnetic
–– Rotates 180° from center compatibility – requirements and tests
–– Complete freedom for side-to-side slide movement, –– IEC 60601-2-37, Particular Requirements for the basic
infinite positions safety and essential performance of ultrasonic medical
–– Operates on battery for adjustment during mobile exams diagnostic and monitoring equipment
–– Retractable, backlit alphanumeric keyboard –– ANSI/AAMI ES60601-1, Medical Electrical Equipment:
–– Palm rest General requirements for basic safety and essential
performance
• Electromechanical Safety Standards met (EU Only)
Physio –– EN60601-2-37, Particular requirements for the basic
• One three-lead ECG input safety and essential performance of ultrasonic medical
–– Gain, sweep rate, and display position controls diagnostic and monitoring equipment
–– Automatic heart rate calculation and display • Agency approvals
–– Fault condition display –– Canadian Standards Association (CSA)
–– Cineloop locator displayed on one ECG input from –– CE Mark in accordance with the European Medical
an ECG source like stress ECG or ECG monitor Device Directive issued by British Standards
Institute (BSI)

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 9. Maintenance and services

Maintenance
• Flexible service agreements to meet varied customer
needs and budgets
• Centralized technical and clinical support
• On-site support
• Modular design for rapid repairs
• Easy customer access to trackball and air filter for cleaning
• Remote log file transfer
• On-cart software maintenance tools
–– Optimization
–– Maintenance
–– Repair
–– Configuration management
• Comprehensive diagnostics
–– Hardware
–– Software
–– Network
–– On-cart electronic transducer testing
• First responder access to diagnostics and utilities
• Spare parts availability for ten years from end Services
of production Clinical education*
• Webinars
• Symposiums
• On-site
• Classroom
• Remote

Philips Remote Connectivity*

• iSSL and encryption
• Patient de-identify
• Security
• Remote Desktop
–– Remote technical support
–– Remote clinical support
–– Remote clinical education
• On-cart remote support request
• Proactive monitoring with alerting capability
–– Monitors key system parameters
–– Voltage
–– Temp
–– Fan speeds
–– Error conditions
–– Local alert handling and response

* Service agreement required for access to Philips Remote Services.

Access to the Internet required. Not all remote features available Warranty
in all countries; contact your Philips representative for details. • Philips standard product warranty

© 2017 Koninklijke Philips N.V. All rights are reserved. www.philips.com/EPIQ

Philips reserves the right to make changes in
specifications and/or to discontinue any product Printed in The Netherlands.
at any time without notice or obligation and will not 4522 991 29841 * OCT 2017
be liable for any consequences resulting from the
use of this publication. Trademarks are the property
of Koninklijke Philips N.V. or their respective owners.

The print quality of this copy is not an accurate representation of the original.