A New Class Of: Compact Ultrasound
A New Class Of: Compact Ultrasound
CX50
A new class of
compact ultrasound
Philips CX50 CompactXtreme ultrasound system
specifications
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Contents
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1. Introduction
Optional portability
• Specially designed cart
Ethernet port • Wheeled travel case
39.10 cm (15 in) • Additional AC adapter
high-resolution Video out
monitor Two USB ports
Integrated
Quick release transducer
tray holders The CX50 is fully configurable, allowing
Optional you to select imaging capabilities,
Pedoff port
B/W printer transducers, and clinical analysis to
Transducer port support your exam needs. Add supported
capabilities at any time, as well as
Multiport adapter upgrades when they become available.
Storage trays
Key advantages
• Premium performance anywhere
you need it
• Exceptional results on technically
difficult patients
Foot rest
• Support for cardiology, general
imaging, vascular, pediatrics, surgery,
Twin wheel laparoscopic, intraoperative, and
locking caster Ob/Gyn exams
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2. System overview
The CX50 system combines premium imaging technologies and advanced optimization
for exceptional image quality.
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2.1 System architecture
• Next-generation all-digital compact broadband • SonoCT real-time beam-steered compound imaging
beamformer with pulse-shaping capability • Advanced XRES adaptive image processing
• High-resolution A/D conversion with 170 dB full-time • Continuously variable steering in 2D, color Doppler,
system dynamic range and Doppler modes
• xMATRIX imaging with PureWave xMATRIX Live 3D • AutoSCAN and AutoSCAN gain yield automatic
TEE imaging optimization of images
• Up to 504,576 digitally processed channels • iSCAN one-touch intelligent optimization for 2D
• Supports PureWave technology and high-density array and Doppler
configurations • Long loop capture for pediatric and contrast imaging
• Multivariate harmonic imaging including pulse inversion up to 420 seconds
processing • Active native data manipulation
• One-touch 2D optimization with broadband frequency • Tissue-specific imaging presets
compounding • Gray shades: 256 levels (8 bit) in 2D, M-mode, and Doppler
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Live xPlane imaging
• Live xPlane imaging
• Live xPlane Color Flow imaging
• Live xPlane with Rotate and Tilt with on-screen
directional ICON
Live 3D TEE
• Available on X7-2t transducer The easy portability of the CX50 allows premium imaging
• Live full-volume imaging capabilities at any location, including screening venues.
• Target Volume rate imaging for increasing 3D frame rate
• Long live volume loop acquire
• Beat-by-beat retrospective 3D loop selection
• Live 3D color flow imaging
• Live 3D zoom and Live 3D zoom preview
• Full volume imaging with autocrop
• 3D front, back, up, down, left, right, and 3D automatic
view control
• Crop adjust with cropping
• Dynamic face cropping of Live 3D and Live 3D Anatomical M-mode
color imaging • Available for cardiac imaging transducers
• 3D Markers • Uses 2D image as a basis for M-mode analysis at a defined
• 3D Marker depth control line, independent of transducer orientation
• 3D Dynamic Anatomic ICON – tracks direction of the • Makes it easier to keep the M-mode line perpendicular
3D image view and correlates to the human icon for to the anatomy, even in abnormally shaped or positioned
a mid-esophageal view hearts
• Basic measurements on 3D image (point to point, area, • Provides data on direction, position and timing of any
circumference) single echo received from any point of the tissue for
• Basic measurements on Live xPlane M-mode analysis in any direction, for examining cardiac
• Live 3D Swivel and Swivel acquire chamber diameters, LV regional wall motion, and location
• iSCAN for Live 3D of accessory pathways
• ECG display • Anatomical M-mode trace can be generated or modified
• Enhanced Live 3D dynamic colorization for enhanced post-Freeze
3D effect
• Save 3D view and Restore 3D view (remembers cropping) Tissue Doppler imaging
• Seek angle (multiplane) is available during Live 3D imaging • Available on S5-1, S8-3, and S12-5 transducers
• Live 3D contrast for LVO with harmonics • Allows high frame rate acquisition of tissue motion
• Maximum 90° by 90° Live 3D TEE volume imaging • Color gain, TGC, and LGC
(mode-dependent) • 8 color maps
• Velocity (cm/s)
M-mode
• Available on cardiac imaging transducers Pulsed wave Doppler
• Selectable sweeping rates • Available on all imaging transducers
• Time markers: 0.2 and 1.0 seconds • Adjustable sample volume size: 0.8-24.6 mm
• Acquisition zoom capability (transducer-dependent)
• Selectable display format prospective or retrospective • Simultaneous or duplex mode of operation
(1/3-2/3, 2/3-1/3, side-by-side, full-screen) • Simultaneous 2D, color Doppler or CPA, pulsed Doppler
• Chroma colorization with multiple color maps • iSCAN optimization automatically adjusts scale, baseline,
• Cineloop review for retrospective analysis and Doppler gain
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Continuous wave Doppler Contrast imaging
• Available on cardiac sector array transducers and • System optimized for detecting contrast agent signatures
non-imaging transducers • Contrast modes available on the S5-1, C5-1 and L12-3
• Steerable through 90° sector transducers
• Maximum velocity range: 20 m/sec –– Long loop captures: up to 420 seconds
(transducer-dependent) • Pulse inversion contrast imaging available with XRES
technology
Spectral Doppler • Power modulation (PM), pulse inversion (PI),
• Display annotations including Doppler mode, coded harmonic, and flash contrast imaging modes
scale (cm/sec) Nyquist limit, wall filter setting, gain, • Low MI mode
acoustic output status, sample volume size, • Display timer
normal/inverted, angle correction, grayscale curve • Low MI color flow contrast
• Angle correction with automatic velocity scale adjustment • Contrast flash mode
• Adjustable velocity display ranges • Contrast flash power mode
• Normal/invert display around horizontal zero line • S5-1 left ventricular opacification (LVO) for adult cardiology
• Selectable sweep speeds applications
• Selectable low-frequency signal filtering with adjustable • ECG/timed triggering
wall filter settings • QLAB ROI display
• Selectable grayscale curve for optimal display
• Selectable Chroma colorization maps Contrast side-by-side imaging
• Selectable display format prospective or retrospective • Simultaneous 2D contrast and tissue images displayed
(1/3-2/3, 2/3-1/3, side-by-side, full-screen) side-by-side
• Doppler review for retrospective analysis of Doppler data • Image controls, such as depth, focus, left/right sector
• 256 (8 bits) discrete gray levels width, and top/bottom, affect both the contrast image
• Post-processing in PW frozen mode includes map, baseline and the tissue image
• Controls can be set independently for the contrast
Color Doppler image and the tissue image:
• Adaptive mode adjusts Doppler frequency and sensitivity –– Gain
based on color ROI placement within image –– 2D opt
• Available on all imaging transducers –– Res/Spd
• Cineloop review with full playback control –– Gray Map
• Advanced motion suppression with intelligent algorithms; –– Compress
adapts to various application types to selectively eliminate –– Chroma
virtually all color motion artifacts –– Persistence
• 256 color bins –– 2D PRF
• Trackball-controlled color ROI: size and position –– Output power
• Maps, filters, color sensitivity, line density, smoothing, –– XRES
echo write priority, color persistence, gain, and baseline- –– Smoothing
optimized automatically by exam type or is user-selectable
• Velocity and variance displays Tissue Harmonic Imaging
• Color invert in live and frozen imaging • Second harmonic processing to reduce artifacts and
• User-selectable smoothing control improve image quality
• User-selectable persistence control • Multivariate pulsing including patented pulse inversion
• Color/2D line density control phase cancellation technology for maximum detail
resolution during harmonic imaging
• Available on most imaging transducers
• Extends high performance imaging capabilities to all
patient body types
• Supports SonoCT (harmonic SonoCT) and XRES mode
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Intelligent Doppler imaging • Trim tools on both volume and multiplanar reconstructed
• Automates critical adjustments in color/PW duplex modes (MPR) views
• Automatically determines the 60° angle once the sample • Supported by SonoCT and XRES optimization to reduce
volume is placed and maintains that 60° angle as the noise artifacts
sample volume is moved along the color flow image as • Resize control adjusts for different sweep speeds
it calculates • Sculpt/erase control of volume
• Available during shallow vascular imaging with • Advanced QLAB volume analysis tools:
high-frequency linear transducers (L12-3, L12-5 50 mm –– 3DQ Advanced : MPR, thick slice, and advanced volume
and L15-7io) using presets rendering capabilities
• Optimization of fine angle steering automatically to 60° –– iSlice precision tomographic volume imaging capability
steering when possible
Biopsy display
Color Power Angio imaging • Biopsy display guideline provides a guideline to help see
• Highly sensitive mode for small vessel visualization the biopsy needle path
• Available on all imaging transducers • Scan plane orientation marker
• Cineloop review • Biopsy quick key, biopsy needle length
• Multiple color maps
• Individual controls for gain, PRF, baseline, filters, Needle visualization
sensitivity, echo write priority, and color invert • Available on the L12-3 and L12-5 transducers
• Dynamic motion differentiation • Provides enhanced visualization of the needle
• Adjustable CPA ROI: size and position position during biopsy procedures when using
• User-selectable persistence standard biopsy needles
• User-selectable blending • Needle visualization displays a dashed line
• Directional Color Power Angio (DCPA) mode • Needle path quick key for left, right approach
• Needle path for shallow, medium, and steep approaches
Freehand 3D
• Qualitative grayscale volume acquisition supported
on all imaging transducers
• Volume display with surface rendering (transparency,
threshold, smoothing, brightness, and opacity controls)
• Multiplanar view display
• Specialized algorithms and maps maximize 3D display
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3. System controls
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4. Workflow
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• User-defined stress protocols User management policy
–– Utility for creation of user-defined protocols and editing User management local
of existing protocols for acquisition of stress and routine • Local user management
images, allows protocols to be defined to do any or all • Support for multiple unique user accounts
of the following: • Support for multiple unique administrator accounts
–– Support between 1 and 8 stages User management remote
–– Support user-defined stage names • Supports active directory authentication utilizing LDAP
–– Support between 1 and 8 views per stage (system may not be joined to the domain)
–– Support user-defined view names • Support for individual accounts or AD groups for users
–– Prompt for a particular stage and view and administrators
–– Assign stage and view names • May utilize LDAP or secure LDAP
–– Set the number of cycles/beats for each view • Customer may configure the system to perform
–– Define prospective or multi-cycle/full disclosure authenticated binding
acquisition
–– Save user-defined protocols within a preset Password policies
–– Save user-defined protocols to removable media • Provides the ability to specify password policies
for import onto other CX50 systems at the same for local accounts
software level • Password history (1-8)
–– Modify protocols during use • Minimum password length (6-14 characters)
–– Add stages at any point after the current stage • Maximum password length (6-63 characters)
–– Change the name of a stage at any point up to • Minimum password age (0-998 days)
acquisition of the first image of the stage • Maximum password age (1-999 days)
–– Save the modified protocol (it will not be • Password complexity
automatically saved)
Account lockout policies
• Lockout threshold (1-999 minutes)
4.7 Integrated intervention • Lockout duration (1-999 minutes)
• Integration capability with Philips Allura X-ray systems • Lockout counter reset (minutes)
for controls and display
• Support for radiology, vascular, and cardiology Auto logoff
interventional procedures • Automatically logs off a user after the specified
period of inactivity
• Disabled: 5, 10, 20, 30, or 60 minutes
4.8 Security
Security-related features Hard drive encryption
• Firewall policy blocks all unnecessary ports • 128 bit
• 128 bit with diffuser
OS hardening • 256 bit
• OS settings utilizing the DISA STIGS • 256 bit with diffuser
• Disable unnecessary services
• Disable auto-run for removable media Login/legal banner
• Configurable login/legal banner
Media export security • Configurable login/legal banner title
• Provides the ability to disable export of patient data
to removable media Audit log export
• Audit logs may be exported utilizing syslog
Access level • Available protocols are UDP or TLS
• No restrictions – users may perform exams and access
all previously completed exams or MWL data Safeguard
• Only patient data is locked – users may perform exams • Optional malware protection utilizing the McAfee
without requiring a login, but must successfully log in prior Application Controls whitelisting solution
to accessing previously completed exams or MWL data
• Complete system is lockable – users and administrators Government security
must successfully log in prior to any system access • Configurable option to provide up-to-date security
features while fully hardening the system for patient
data protection; option also fully removes the capability
for creating or configuring any VPN functionality
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5. Transducers
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Curved array Linear array
C5-1 curved array with PureWave technology L12-3 broadband linear array
• 5 to 1 MHz extended operating frequency range • 12 to 3 MHz extended operating frequency range
• High-density curved array, 160 elements • Fine pitch, high-resolution linear array, 160 elements
• 2D, steerable PW Doppler, high PRF and color Doppler; • 2D, steerable PW, high PRF, and color Doppler, Color
and Color Power Angio, SonoCT, advanced XRES, and Power Angio, SonoCT, advanced XRES, and multivariate
multivariate harmonic imaging harmonic imaging
• General purpose abdominal, obstetrical, gynecological, • Vascular, small parts, musculoskeletal, regional anesthesia,
interventional, acute care, and regional anesthesia and acute care applications
applications • Contrast application
• Contrast application • Supports reusable, three-angle biopsy guide (14-23 gauge)
• Supports reusable, four-angle, plastic biopsy guide
(14-23 gauge) L12-5 50 mm linear array
• Fine pitch, 256 element, high-resolution linear array
C8-5 broadband curved array • 12 to 5 MHz extended operating frequency range
• 8 to 5 MHz extended operating frequency range • 10° of trapezoidal imaging
• High-density curved array, 128 elements • Steerable pulsed wave, color Doppler, and Color Power
• Field of view: 90° Angio, SonoCT, XRES, and harmonic imaging
• Steerable pulsed Doppler, color Doppler, Color Power • Intelligent Doppler flow optimization
Angio, SonoCT, and advanced XRES imaging • AutoSCAN imaging
• General purpose pediatric and vascular imaging • Cable length: 198 cm/78 in
• Supports reusable, single-angle, plastic biopsy guide • Breast, thyroid and superficial small parts; musculoskeletal
(8.5FR and 14-23 gauge needles, 19 gauge not available) tendon, abdomen bowel, and vascular applications
• Biopsy guide available
C10-3v curved array with PureWave technology
• 10 to 3 MHz extended operating frequency range L15-7io compact linear array
• High-density curved array, 128 elements • 15 to 7 MHz extended operating frequency range
• End-fire sector, 11.5 mm radius of curvature, • 8° of trapezoidal imaging
130° field-of-view • Steerable PW Doppler, color Doppler and Color Power
• Steerable pulsed wave, high PRF, and color Doppler, Color Angio imaging, and XRES processing
Power Angio, SonoCT, advanced XRES, and multivariate • Tissue aberration correction selection for MSK and
harmonic imaging small parts
• Endovaginal applications • Intelligent Doppler flow optimization
• Supports disposable plastic biopsy guide (18 gauge) • Scanplane aperture: 23 mm linear plus 8° trapezoidal
and stainless steel biopsy guide (16-18 gauge) • Trapezoidal imaging mode
• Unique lens footprint design allowing high resolution
C9-3io curved array imaging at transducer surface
• 9 to 3 MHz extended operating frequency range • Transducer length: 89 mm/3.5 in
• Biopsy guide with three angles and on-screen • Cable length: 243.84 cm/96 in
graphic display • Vascular surgical, cardiac epicardial, superficial vascular,
• 2D, contrast-enhanced, color, PW Doppler musculoskeletal, and small parts applications
• Length of transducer, cable and connector: 3.2 m/10.5 ft
• Length handle to tip: 4.66 cm/1.83 in L10-4lap linear array
• Radius of curvature: 2.5 cm/0.984 in • 10 to 4 MHz extended operating frequency range
• General abdominal surgery, general contrast, and • 2D, color, PW Doppler
abdominal intervention applications • Length of transducer, cable and connector:
360.7 cm/11.83 ft
• Length of handle to tip: 51.1 cm/12.5 in
• Radius of curvature: 15.57 mm/0.613 in
• Laparoscopic applications for general abdominal
and abdominal interventional procedures
• Contrast applications
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Sector array
S5-1 sector array with PureWave technology X7-2t xMATRIX array TEE
• 5 to 1 MHz extended operating frequency range with PureWave xMATRIX technology
• Sector array, 80 elements • Live 3D Echo transesophageal xMATRIX array transducer
• 2D, steerable PW Doppler, CW Doppler, high PRF Doppler, with 2,500 elements
color Doppler, tissue Doppler, advanced XRES and • 7 to 2 MHz extended operating frequency range
multivariate harmonic imaging including contrast LVO • Physical dimensions:
• Adult cardiac, general purpose abdominal, transcranial –– Bi-directional curve on pill-shaped tip for easy
Doppler (TCD), acute care, and adult LVO applications intubation
• Supports reusable three-angle, plastic biopsy guide –– Slightly elevated imaging lens for easy contact with
(14-23 gauge) and three-angle stainless steel biopsy guide the esophagus
(14-23 gauge) –– Tip: See specification diagram adjacent
–– Shaft: 1 cm (0.4 in) diameter, 1 m (39.40 in) L
S8-3 broadband sector array • Thin flexible cable to the connector
• 8 to 3 MHz extended operating frequency range • Mechanically rotatable array from 0 to 180°
• Phased array, 96 elements • Electrocautery suppression
• Steerable PW Doppler, CW Doppler, high PRF Doppler, • 2D, advanced XRES, harmonic imaging, M-mode, color
color Doppler, tissue Doppler, harmonic imaging, and M-mode, color flow, PW Doppler, CW Doppler, Live xPlane
XRES imaging imaging, Live Color xPlane imaging, Live 3D Echo, Live 3D
• Pediatric and small adult cardiology and pediatric zoom, Live 3D color, Live 3D volume, volume rate control
abdominal applications imaging, 3D Swivel
• High frame rate 3D imaging via target volume rate control
S7-3t sector array TEE • Compact connector
• 7 to 3 MHz extended operating frequency range • Connects to iE33 via an adapter
• Transesophageal sector array with 48 elements • Adult TEE applications: patients >66 lb (30 kg)
• Physical dimensions:
–– Tip: 10.7 x 8 x 27 mm (0.42 x 0.31 x 1.1 in) X7-2t Live 3D TEE specifications
–– Shaft: 7.4 mm (0.29 in) diameter, 70 cm (27.6 in) L
Tip Bending neck Gastroscope (shaft)
• Manually rotatable array from 0 to 180° A B C
• 2D, steerable PW Doppler, CW Doppler, color Doppler,
XRES, and harmonic imaging
• Pediatric and adult TEE applications: A B C Maximum Maximum Maximum
patients > 3.5 kg (7.7 lb) 3.76 cm diameter diameter diameter
(1.48 in) 1.17 cm 1.30 cm 1.04 cm
S12-4 broadband sector array (0.46 in) (0.51 in) (0.41 in)
• 12 to 4 MHz extended operating frequency range Surface length = minimum trace length around the cross section
• Phased sector array, 96 elements at A, B, C of the tip.
• Steerable PW Doppler, CW Doppler, high PRF Doppler,
color Doppler, Color Power Angio, XRES, and Tissue
Doppler Imaging Surface length at A = Surface length at B = Surface length at A =
• Pediatric and neonatal cardiology, pediatric abdominal, 4.83 cm (1.90 in) 4.52 cm (1.80 in) 4.52 cm (1.80 in)
neonatal head applications
Non-imaging
D2cwc CW transducer (Pedoff)
• Dedicated 2 MHz CW Doppler
• Adult cardiac applications
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5.2 Transducer
application guide
Renal
Vascular
Difficult
Interventional
Arterial
Venous
Abdominal
TCD
Intervention
Vascular access
Obstetrics Early OB
General OB
Fetal echo
Gynecology Pelvis
Fertility
Thyroid
Testicle
Breast
Musculoskeletal Superficial
Deep
Acute FAST
Lung
Vascular access
Nerve Superficial
Deep
Pediatric Head
Abdomen
Renal
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Transducer L15-7io S5-1 S8-3 S7-3t X7-2t S12-4
Type of array Linear Sector Sector Sector Sector Sector
Number of elements 128 80 96 48 2500 96
Scanplane aperture 23 mm 20.3 mm 15.4 mm 7.25 mm Proprietary 9.8 mm
Field of view 22 mm 90° 90° 90°
Broadband frequency range 15-7 MHz 5-1 MHz 8-3 MHz 7-3 MHz 7-2 MHz 12-4 MHz
PureWave crystal technology
Renal
Vascular
Difficult
Interventional
Cardiac Adult transthoracic
Adult TEE
Pediatric TEE
Congenital
Pediatric
Perioperative
Intraoperative
Vascular Carotid
Arterial
Venous
Abdominal
TCD
Intervention
Vascular access
Obstetrics Early OB
General OB
Fetal echo
Gynecology Pelvis
Fertility
Small parts Superficial
Thyroid
Testicle
Breast
Musculoskeletal Superficial
Deep
Acute FAST
Lung
Vascular access
Nerve Superficial
Deep
Pediatric Head
Abdomen
Renal
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6. Measurements and analysis
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• A bull’s-eye visualization of all 17 regional segments Automated Cardiac Motion QuantificationA.I. (aCMQA.I.)
or the user-defined and user-selected regional segments • Available in three workflows with dedicated preferences
• Global and regional reports that provide 3D LV global settings
values and regional timing indices from all or a subset –– Global workflow
of 17 regional segments and bull’s-eye-based parametric –– User-defined workflow
imaging display –– TMAD workflow (Tissue Motion Annular Displacement)
–– 3D true volume-based EDV, ESV, stroke volume, and EF • Automated ROI for selected anatomical views
–– Standard deviation and maximal difference of time • Tracking can be initiated from any frame and beat-to-beat
to minimum systolic volume (Tmsv) based on all or • Intuitive step-by-step user interface
a subset of 17 regional segments • Multiple cardiac view/images capable
–– Tmsv values displayed in time (msec) or normalized • Quantification and display of 2D native ultrasound
to the R-R interval (%) DICOM images
–– Bull’s-eye showing the user-selected segments for • Color Kinesis (CK) overlay for color-coded visualization
Tmsv calculation and overlay transparency control
–– LV timing and radial excursion parametric images • Manual user-editable timing overrides for the onset
in bull’s-eye format using effective color-coded scales and duration of the CK parametric display
–– Parametric imaging supporting AHA/ASE 17-segment • Simplified workflow with SmartExam
overlay on the bull’s-eye for direct and rapid • Measurement data exported in Excel or DICOM SR formats
visualization • Cardiac phases display (overlay of AVO, AVC, MVO, and
–– Parametric imaging that provides a radial excursion MVC mechanical events auto-imported from ultrasound
threshold slider for selective visualization of LV cart analysis via DICOM SR or manual entry)
segments in the timing parametric display • Timing calipers for event measurement
–– Measurement data exported in Excel or DICOM • Flexible UI show-and-hide
SR formats • Global workflow
–– Latest generation of 2D speckle tracking technology
Cardiac 3D Quantification (3DQ) for 2D single-plane image
• Capable of performing 2D measurements from 3D –– Objective assessment of left ventricle global function
volume and 3D color volume multiplanar reconstruction and regional wall motion, deformation, and timing
(MPR) views –– Left ventricle global volume analysis from 2D
• Review and quantification of Live 3D, 3D zoom, 3D full single-plane images
volume, and color full volume files from the X7-2t x –– User can accept and export results, or reject them and
MATRIX transducer restart quantification
• 3D image controls: 3D vision map, 3D single or dynamic –– Volume measurements based on Simpson’s Single Plane
colorization, 3D color render, 3D color suppress control Method of Disks (MOD)
• Multiplanar reconstruction (MPR) views –– Automatic aortic valve closure time detection on AP3
–– 3D slice plane –– Smooth color transited or solid color bull’s-eye
–– Parallel plane presentation
–– Unlimited MPR manipulation –– AHA/ASE 17 left ventricle segmentation templates
–– Plane rotation, tilt, movement controls to reduce left (three apical views and three short-axis view templates)
ventricle foreshortening –– Easy-to-edit template position and shape
• 3D annotation –– Tracking quality tool – editable threshold help to display
• 3D spatial reference icon various quality tracking
• Cardiac 3D measurements, 3D quantification from MPR –– User-editable post LV segments display – consistent
views includes the following measurements display with corresponding waveform and reported
–– Distance values beat-to-beat selection
–– Area • Automatic or manual peak systolic time/value
–– Biplane LV volume (Simpson’s) measurement for longitudinal/circumferential strain
–– Biplane LV ejection fraction • Simplified global result displaying bi-plane volume/EF,
–– Biplane LV mass strain for each view, global strain, and AHA/ASE 17 LV
segment bull’s-eye plot
• 2D speckle parameters
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–– Volume/EF and area/FAC • Associated 2D, 3D, and projected measurements and
–– Longitudinal strain and strain rate calculations sorted by group
–– Circumferential strain and strain rate –– Annulus
–– Radial and transversal displacement –– Leaflet
–– Radial fractional shortening –– Aortic-Mitral
–– Radial velocity –– Coaptation
–– Global rotation (SAX) –– Papillary
• User-defined workflow for specific local strain analysis • 3D image controls
–– Up to 17 dedicated colors to help differentiate each –– 3D vision map
cord and corresponding waveform –– 3D single or dynamic colorization
–– Up to three waveform auto peak detections to report –– Auto-view
time to peak and peak values –– Absolute and relative rotation
• TMAD workflow –– Three 3D render modes: volume, slices, model
–– Mitral valve and other valve annular motion tracking • Multiplanar reconstruction (MPR) views
over time –– 3D slice plane
–– Computation of valve annular displacement curves –– Unlimited MPR manipulation
over time –– Slice thickness
–– MPR smooth
Mitral Valve Navigator A.I. (MVNA.I.) • 3D mitral labels
• 3D assessment of mitral valve anatomy and associated • 3D mitral model
structures –– Model displays: tenting surface, leaflet surface,
• Review and quantification of Live 3D and full volume minimum surface
data sets from X7-2t xMATRIX transducer (Live 3D TEE) –– Enhanced coaptation line tracing
• Task-driven workflow provides user direction and guidance –– Leaflet discontinuity traces
illustrations –– Leaflet segmentation
• Automated ES selection –– Up to 53 measurements overlay
• Automated 3D annulus segmentation and leaflet surface –– Exposed and coapted leaflet length and surfaces
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• Continuous display during loop playback Intima Media Thickness (IMT) measurements
• Mitral valve 3D measurements and 2D/3D quantification • Automated measurements of IMT in carotids and other
from model view include the following measurements superficial vessels
–– Distances • Automated measurement technique on user-
–– Curve distances selected frames
–– Areas • Selector chart to record location and side of vessel
–– Projected areas from where IMT is measured
–– Volumes • Report of the IMT values in mean millimeters and
–– Angles standard deviation
–– Ratio • Quick optimization for thin or thick intima
• Measurement and calculation definition and overlay media complexes
on 3D model • User-adjustable ROI
• Comprehensive reporting • User-defined measurement capability
• Data exported in Excel or DICOM SR formats • Persistent storage of up to ten measurements with image
• Measurement data exported in Excel or DICOM SR formats files for future reference
• Measurement data exported in Excel or DICOM SR formats
Strain Quantification (SQ)
• Tissue Doppler Imaging (TDI) velocity quantification MicroVascular Imaging (MVI)
• Used in the evaluation of regional myocardial function • Review loops from Philips CX50 systems
• Measures the myocardial velocity from color TDI data set • Motion compensation algorithm selectable in
and derives the displacement, strain, and strain rate along Preferences menu
user-defined M-lines
• Cardiac phases display (overlay of AVO, AVC, MVO, and General Imaging 3D Quantification (GI 3DQ)
MVC mechanical events auto-imported from ultrasound • Access to 3D viewing controls
cart analysis via DICOM SR or manual entry) on SQ curves • Simple annotation
for left ventricle mechanical events • Linear distance measurements
• User-selectable waveform display that makes SQ –– Polygon, free-form polygon, spline, free-form spline,
curves easier to read rectangle measurements
• User-defined M-line motion to follow myocardial motion • Curved distance measurements
• Point of Interest (POI) tool that obtains values from • Ellipse measurements
any point on the M-mode display • Area measurements
• M-mode (hide or display) control • Auto area measurements – semi-automated tool
• User-defined and automatic (using speckle tracking to simplify measurement of hypoechoic structures
algorithms) M-line motion compensation to follow • Angle measurements
myocardial motion • 3D measurement tools
• Able to present TDI results in two display formats –– Stacked contour measurements
–– Anatomical M-mode display –– Auto-stacked contour measurements – semi-automated
–– Graph display tool to simplify volume measurements of hypoechoic
• User-selectable waveforms for optimal sub-region structures
visualization –– Auto-volume tool
• Curve processing modes –– 3D distance/curved iSlice
• TDI velocity, displacement, strain and strain rate timing –– Stacked ellipsoid measurements
measurements with dedicated time calipers and labels –– Ellipsoidal measurements
• Automatic subdivision of M-line into a customizable • Calculation of the following color indices using the 2D
number of sub-regions and/or 3D measurement tools
• Averages up to 20 cardiac beat cycles in both M-mode –– Vascularization index (VI)
and graph displays –– Flow index (FI)
–– Vascularization flow index (VFI)
–– Pixel intensity index (PII) and echo histogram display
• Support of the display of 3D orientation labels
(when enabled)
–– Trending capability (available only on stand-alone PC)
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7. Physical specifications
Physical features
• High-resolution display with wide viewing angle
• Laptop style alphanumeric QWERTY keyboard
• Ergonomic, integrated carrying handle
• USB footswitch
• Multiple transducer module option multiport adapter
connects up to three transducers
Mobility cart
• Weight: 47.4 kg/104.3 lb
• Width at base: 57.4 cm/22.6 in
• Depth including handle: 63.5 cm/25.0 in
• Height: adjustable from 90 cm/35.4 in to 108 cm/42.5 in
• Rear-mounted handle
• Casters: 5" casters provide total locking (directional and
rotational) engaged by the foot pedals
• Quick-release tray
–– Simple latch system to secure CX50 system in place
–– System’s integrated handle accessible from front for
secure maneuverability
• Storage
–– Two clear plastic storage trays 24 cm x 16 cm x 6 cm with
maximum weight of 2 kg
–– One USB peripheral tray 24 cm x 16 cm x 2.5 cm
with straps to secure devices less than 2 kg
–– One handle-mounted clear plastic storage tray
–– Transducer holders accommodate four transducers
–– Multiple transducer, ECG, and power cord cable hooks
conveniently positioned to facilitate cable management
–– Rear-mounted USB and Ethernet port panel
–– Optional multiport adapter allows simultaneous
connection up to three transducers
–– Optional integrated B/W printer
The CX50 is a laptop-sized ultrasound system you can –– Input power to integrated B/W printer
hand-carry or use on a specially designed cart. • Input power to B/W printer and color printer
• USB hub with cables to:
–– B/W printer
–– Color printer
System dimensions –– CX50 USB
Length 35.6 cm/14 in
Width 41.3 cm/16.25 in
Height 8.6 cm/3.4 in
Weight 7.3 kg/16.2 lb
Display 39.1 cm/15.4 in high-resolution display
with wide viewing angle
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Travel case ECG and physio
• Dimensions: 57 cm/22.5 in x 42 cm/6.5 in x 32 cm/12.5 in • One three-lead ECG input
(H x W x D) • One external ECG input
• Weight: 7 kg/15.4 lb/ when empty • Two physio input channels (1V, p-p)
• Features: • Selectable ECG triggered skipping between 1 and 20
–– Accommodates CX50 system and AC adapter • Respiration
–– Removable transducer bag stores three transducers • ECG inputs
and one gel bottle –– Low-level ECG input
–– Wheels and retractable handle allow easy transport –– Analog output
–– Pulse/Phono/Aux 2 input
–– External ECG/Aux 1 input
Power requirements
System/AC 100-240V, 50/60 Hz, 2.65A MAX
adapter
Electrical safety standards
Optional cart 100-240V, 50/60 Hz, 10-5 A • CAN/CSA-C22.2 NO. 60601-1
• ANSI/AAMI 60601-1
• JIS T 0601-1, Japan
Power management • EN 60601-1, European Norm, Safety of Medical Electrical
Equipment
• Internal lithium-ion polymer battery • EN 60601-1-2, European Norm, Collateral Standard:
• Fully charged new battery yields approximate 45-minute Electromagnetic compatibility
battery life under continuous use without AC; actual time • EN 60601-2-37, European Norm, Particular requirements
varies with age and condition of battery for the safety of ultrasonic medical diagnostic and
• Quick-charge battery technology monitoring equipment
• Advanced battery/AC monitoring circuitry includes
on-screen graphics and low battery warning
• Suspend mode for instantaneous boot-up between exams Agency approvals
• Canadian Standards Association (CSA)
• CE Mark in accordance with the European Medical Device
Environmental Directive issued by British Standards Institute (BSI)
Heat dissipation 700-1100 BTUs/hour (fully loaded) • Japanese Ministry of Health, Labor and Welfare
Operation range 10˚C–40˚C operating in 15–80%
relative humidity
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8. Maintenance and services
Services*
• Clinical applications support available
• On-cart transducer test provides confidence in your
transducer quality
• Philips Remote Services connectivity allows for many
advanced service features, including:
–– Virtual on-site visits for both clinical and technical
support, providing fast resolution to issues and questions
–– Remote clinical education
–– Remote log file transfer decreases downtime by allowing
rapid diagnosis of problems by Call Center personnel
–– Online Support Request
–– Simplifies support engagement
–– Provides fast response to clinical questions
and technical issues
–– User can enter request directly on ultrasound system
–– Proactive monitoring
–– Helps prevent unscheduled downtime
–– Monitors key system parameters.
Maintenance –– Sends an alert to Philips Call Center so action can
• Easy customer access to air filter for cleaning be taken before system operation is affected
• System designed for easy replacement of key • Optional Utilization Report provides data to help manage
components by your facility’s biomedical engineers ultrasound assets
• Flexible RightFit service agreements to: –– Track system and transducer usage
–– Maximize uptime –– Summarize data about exam types and duration
–– Access Philips award-winning service organization –– Provide data to help with credentialing and privileging
–– Minimize risk –– Identify referrals by exam type
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