36a79719q0008 046

REQUISITION: 512-B71018
SHIP TO:
WAREHOUSE
V.A. Medical Center
VA MEDICAL CENTER
3900 LOCH RAVEN BLVD
BALTIMORE, MD 21218
Line # Part # Description Qty
1 Azurion 7 C20 1
Advanced solution for vascular, non-vascular, embolization to interventional oncology procedures
Key benefits
• Optimized utilization of your lab by procedure based workflow

• Superb image quality to evaluate small details and vessels with clarity.
• Intuitive user interaction delivering an easy to use, easy to learn system
Changing interventions
With our Live Image Guidance we aim to remove barriers to safer, effective and reproducible
treatments, delivering clinical value where it’s needed most - at the point of patient treatment.
Intelligent and intuitive integration of live imaging, patient information, and procedure-based
applications optimize real time therapy guidance.
The 7 series C20 ceiling system is designed to enhance all the different procedures your
interventional lab faces, from vascular, non-vascular and embolization to interventional oncology
procedures. This future proof solution is designed around a single, standardized hardware and
software platform that can be upgraded and expanded as new needs arise or requirements
change. Its architecture is made to easily integrate with third party applications and devices. A new
workflow approach aims to support interventional teams in carrying out procedures for their
patients, consistently and efficiently with great ease of use.
The Philips Azurion 7 C20 uses a range of Procedure Cards to help optimize and standardize
system set-up for your cases, from routine to mixed procedures.
Procedure Cards can increase the consistency of exams by offering presets (e.g. most-frequently
used, default protocols and user-specified settings) on procedure-, physician- or departmental
level. In addition, hospital checklists and/or protocols can be uploaded into the Procedure Cards to
help safeguard the consistency of interventional procedures and help to minimize preparation
errors.
The Philips Azurion 7 C20 interventional X-ray suite has been specifically designed to save time
by enabling the interventional team to work on all activities in the exam room - and at one or more
work spots in the control room at the same time - without interrupting each other. This leads to
higher throughput and faster exam turnover and contributes to quality of care.
To improve dose management, Philips Zero dose positioning enables you to move the stand and
table to the region of interest shown on the last clinical image hold before a new acquisition is
started, without any radiation.
Specifications
The Philips Azurion series contain a number of features to support a flexible and patient centric
procedural workflow.
The Philips Azurion series (within the limits of the used Operating Room table) are intended for
use to perform:
• Image guidance in diagnostic, interventional and minimally invasive surgery procedures for
the following clinical application areas: vascular, non-vascular, cardiovascular and neuro
procedures.
Line # Description Qty
• Cardiac imaging applications including diagnostics, interventional and minimally invasive
surgery procedures.
The Philips Azurion 7 C20 system comprises five functional building blocks:
1. Geometry
2. X-ray Generation
3. Image Detection
4. User Interface
5. Viewing
Each functional building block is explained in further detail including accessories.
1. Geometry
A. 7 C20 stand
The Philips Azurion 7 C20 stand is a stable assembly of a C-arm and a ceiling suspended L-arm.
The X-ray tube and the flat detector are integrated into the C-arm. This provides a compact
assembly completely free from the floor, with maximal positioning flexibility and unrestricted
access to the patient. The robust design ensures excellent reproducibility of projections, needed in
for example subtracted imaging procedures and advanced 3D imaging. The L-arm can be rotated
and moved in longitudinal direction allowing a three-sided patient approach and total body
coverage.
- L-arm rotation around the patient table: +90, 0, -90 degrees.
- L-arm longitudinal movement: 300 cm
This movement features auto-stops at the parking position, cardio/neuro position and lower
peripheral position.
B. Patient Support
The patient support provides very light manual float movement, even for heavy patients, thanks to
the mono-bearing technology. The long flat carbon fiber tabletop provides ample space to place
e.g. catheters and endovascular tools. On customer request, the standard table top can be
replaced by a table top for neuro procedures. This table top has a smaller width at the head end
for better imaging results in neuro procedures.
• Table top length of 319 cm, width 50 cm (neuro table top is 45cm at head end)
• Metal-free cantilever 125 cm
• Floating table-top movement of 120 cm longitudinal and +/- 18 cm transversal
• Motorized height adjustment range is 74 -102 cm cm for a table without swivel nor
cradle/tilt.
• Maximum cantilever of 223 cm , for full patient coverage
• Table tilt +17 /-17 degrees (optional)
• Table cradle +15 / -15 degrees (optional)
• Pivot range 270 degrees ( -90 to +180 or +90 to -180 degrees), table can be locked at any
position and has stops at 0, +/-13, +/- 90 and +/- 180 (optional)
• Table swivel, 78.2 cm longitudinal displacement, motorized (optional).
• Maximum load: 275 kg (up to 250 kg patient weight plus 25kg accessories or 225kg patient
weight plus 50kg accessories) plus 500 N for CPR in any longitudinal position of the table
top
The UIM modules are not accessories; make consistent with "AD7 accessories Cardiac"
The Philips Azurion system can be fitted with a comprehensive set of accessories to help you
perform your procedures as conveniently as possible. Included are
• 1 cerebral filter
• 3 rail accessory clamps
• 1 drip stand
• 1 Set of Elbow Supports
• 1 Set of patient Straps
• 1 Arm Support Board
• 1 Head Support
• 1 Mattress
The mattress is a slow recovery foam mattress with a density of 58 kg/m3. The mattress
has a thickness of 7 cm and adapts to the body shape of the patient. It makes the pressure
being divided equally and it recovers when the patient is taken off the mattress. The light
yellow cover is easy to clean. Patients are more relaxed due to the comfort of this mattress.
2. X-ray Generation
A. Generator
The 7 C20 system comprises an integrated, micro-processor controlled Certeray generator based
on high frequency converter technique. The user interface control of this X-ray Generator is
incorporated in the touch screen module, review module, and the on-screen displays. The
Certeray generator comprises:
• X-ray generator 100 kW

• Voltage range is 40 - 125 kV
• Maximum current 1000 mA at 100 kV
• Maximum continuous power for fluoroscopy: 1.5 kW
Program selection:
• Pulsed X-ray up to 3.75 , 7.5 , 15 , 30, 60(optional) frames/s for digital dynamic exposures
• Frame rate extension to 30 frames per second.
Designed to enhance visualization of complex and pediatric interventions

Frame rate extension to 30Fr/sec increases the system acquisition speed up to 30 frames per
second for cardio studies requiring high speed imaging.
Specifications
The frame rate extension increases the acquisition speed to 15fps and 30fps with a 1024x1024
matrix.
• Pulsed X-ray for pulsed fluoroscopy (3.75 , 7.5 , 15 , 25, 30 frames/s).

• Minimum exposure time of 1 ms
• ECG triggered acquisition: allows acquiring one exposure for each QRS peak with
selectable delay time
• Automatic kV and mA control for excellent image quality prior to run to save dose
• X-ray tube load incorporated in the Certeray generator
• Pulsed X-ray for (subtracted) acquisition up to 12 frames/s for vascular applications
B. X-ray tube
The 7 C20 system has the Maximus ROTALIX Ceramic grid switch tube assembly MRC200+ GS
0407 integrated.
The MRC 200+ GS 04 07 tube assembly and cooling unit CU 3101 for cardiovascular systems
comprises:
• 0.4/0.7 mm nominal focal spot values maximal 30 and 65 kW short time load
• Grid switching at pulsed fluoroscopy and low load exposure (to eliminate soft radiation and
improve image quality)
• Continuous loadability: 3400 W (at 21 degrees C room temperature) / 4000 W (= Max
assembly continuous heat dissipation)
• Application of SpectraBeam dose management
• Tube housing is oil cooled with thermal safety switch
• Maximum anode cooling rate of 1820 kHU/min
• Anode heat storage capacity of 6.4 [MHUeff]
C. System intrinsic
• Fully digital imaging chain in maximizing the utilization and technology of the x-ray
generator, x-ray tube, flat detector and image processing.
• Customizable EPX protocols to each application according to user preferences for different
composition of dose rate, pulse speed, filter setting, and image processing (noise reduction,
adaptive contour enhancement, adaptive harmonization)
• Built-in SpectraBeam filtering of low energy radiation to improve image quality and dose
efficiency with MRC200+ X-ray tubes.
• Pre-filters of 0.2, 0.5 and 1.0 mm CU equivalent
• Automatic cardiac wedge positioning
• X-ray depth collimator with single semi-transparent wedge filter with manual and automatic
positioning.
• Xper Beam Shaping, which means that both shutters and wedges can be positioned on the
Last image Hold without the need for X-ray radiation.
• Xper Fluoro Storage, a grab function allows storage and archiving of both a fluoro image or
the last 20 seconds of fluoroscopy run. These images or runs can be archived and reviewed
as a regular run.
D. User selections
• removable anti-scatter grid to lower x-ray dose for pediatrics (grid ratio 13:1)
• ECG triggered acquisition, offering the possibility to acquire images at the same phase of
the heart cycle. This applies to the low dose fluoro and exposure program for EP
applications. This allows patient dose reduction by lowering the pulse rate to 1 pulse per
heart and let the physician still focus on relevant items
• three programmable fluoroscopy modes can be selected from the control module. Each
mode has a different composition of dose rate, pulse speed, filter setting, and image
processing (noise reduction, adaptive contour enhancement, and adaptive harmonization)
Roadmap Pro can be selected from the control module.

In the first Roadmap phase a vessel map is created by live fluoroscopy or by selecting an
exposure image (SmartMask) with a vessel map which, in the second Roadmap phase, is
superimposed with subtracted live fluoroscopy.
Roadmap Pro features Smart Settings in special clinical modes that are optimized to visualize
special materials such as coils and glue.
• Acquisition runs can be done without losing the vessel map of Roadmap Pro.
• Live processing of the vessel map, the device map and the landmark map can be done on
the touch screen module.
• Field of View (FoV) can be altered during the second phase.
• Xres for vascular procedures is standard part of Roadmap Pro.
In Roadmap Pro "Automatic Motion Compensation" (AMC) is added to the roadmap functionality.
During roadmap, small movements of the patient can lead to subtraction artifacts. These artifacts
might conceal important clinical information. "Automatic Motion Compensation" compensates for
rigid, uniform (skeletal/table) translations and is therefore very effective in interventional
(neurology) applications where subtraction imaging is applied. Disclaimer: AMC only corrects
movement artifacts in 2 dimensions. 3 dimensional movements like swallowing or rotation of the
head cannot be corrected.
E. User dose awareness
DoseWise program: Philips DoseWise program is a set of techniques, programs and practices
built into the X-ray system that ensures excellent image quality during each interventional
application, while at the same time reducing x-ray dose at every opportunity. The DoseWise
comprises of three building blocks to help reduce x-ray dose without compromising diagnostic
quality: system intrinsic, user selection and awareness.
On-system monitor display provides and displays body zone specific Air Kerma data (10 zones for
cardiac applications) in numeric and graphical bars.
• Graph displays the accumulated Air Kerma dose for the particular body zone of the actual
projection
• When the accumulated Air Kerma dose of the particular body zone reaches the critical skin
dose level of 2 Gy, it will be indicated on the display and made visible to the x-ray operator.
Radiation Dose Structured Report

Collection of dose relevant parameters and settings and export to a DICOM database (e.g. PACS)
(dose information is sent in MPPS message not as Radiation Dose Structure report), according
IEC60601-2-43, 2nd Edition. The reported data can be used for, for example:
• Quality improvement: evaluating trends in X-ray dose performance per facility, system and
operator. RDSR enables analysis of average dose levels & variance for routinely performed
exams and procedures. Also, typical system usage can be extracted from the data, helping
to identify root causes behind deviations and measures to improve.
• Analysis of individual patient cases: using dose levels and system usage per procedure
• Alerting for high dose cases, timely identifying patients at risk or deterministic effects, for
proper follow-up.
Secondary Capture Dose Report

The Secondary Capture Dose Report function allows the user to save & transfer, manually or
automatically, a patient Dose Report to PACS in DICOM secondary capture format.
The dose report will be stored in the related patient image folder.
3. Image Detection
The system has a 20 inch flat panel image detector. This detector can be rotated over 90 degrees
from portrait to landscape and vice versa.
The image chain with the 20 inch flat panel image detector comprises the following:
• A 30 cm by 40 cm (20 in.) diagonal 8 mode Dynamic Flat Detector subsystem for

fluoroscopy and cine-fluorography.
• 8 modes 30*38/30*30/26*26/22*22/19*19/16*16/13.5*13.5/11*11 cm, Dynamic Flat Detector
• The outer detector physical housing is 36 x 47.2 cm
• The digital output of the Flat detector is 1904*2586 pixels at 16 bit depth.
• The pixel pitch is 154 micron by 154 micron
• The DQE(0) is >77% providing high conversion of X-ray into a digital image, while
maintaining a high MTF.
Philips Azurion offers a storage capacity of (optionally extendable) of 50,000 images at matrix size
of 1024 x 1024, in 8 or 10 bit depth. With a matrix size of 2048 x 2048 this is 12,500 images.
Maximum number of examinations is 999, with no limit to the maximum number of images per
examination.
Xres is a multi-resolution spatial temporal noise reduction and edge enhancement filter for
interventional applications. Xres exploits the full benefits of dynamic digital flat detector imaging to
enhance sharpness and contrast and has been designed to reduce noise in fluoroscopy and
exposure runs. The settings for Xres Cardio can be customized to improve image quality. Xres is a
Philips unique image processing algorithm developed at Philips Research for medical applications.
Xres is us ed with Philips MR and US scanners next to Philips Azurion systems.
4. User Interface
User Interface in Examination Room
The User Interface comprises a variety of User Interface modules in the Examination Room. There
is the On-Screen Display, the touch screen module, Viewpad and the control modules.
The On-Screen Display is positioned on the left side of the live/ref monitor. The following system
information is displayed:
• X-ray indicator
• X-ray tube temperature condition
• Gantry position in rotation and angulation
• Source Image Distance
• Table height
• Table top tilt and cradle angle, if applicable
• Detector field size display
• General System messages
• Selected Frame speed
• Fluoroscopy mode
• Integrated fluoroscopy time
• Skin Dose: dose rate during X-ray, cumulated dose when no X-ray
• Dose Area Product: dose rate during X-ray, cumulated dose when no X-ray
• Graphical bars for Body Zone specific dose-rate and accumulated skin dose levels, related
to the 2 Gy level (for cardiac applications
• Stopwatch
The pan handle is an extension of the control possibilities for floating movements of the table top
in cardio vascular and neuro systems
Key benefits
• Flexible positioning during cardio and neuro procedures

• Flexible positioning during cardio and neuro procedures
To allow more flexible positioning during cardio and neuro procedures, the pan handle option can
be used to perform floating table movements. The pan handle provides a solid grip of the tabletop
and can release and apply the tabletop brakes. It can be attached anywhere along the tabletop
and accessory rails without affecting the floating range.
Specifications
Pan handle with cable and connector

Table-top attachment clamp
Accessory-rail attachment clamp
Touch screen module
The touch screen module is provided for use at either the tableside or in the control room.
Optionally, it is possible to connect in parallel up to three touch screen modules on the system.
The touch screen module has a touch screen, which can be operated when covered with sterile
covers. The touch screen module allows control of (depending on configuration):
• 3rd party equipment (e.g. CX50, Interventional Tools, EchoNavigator, DoseAware)

• Monitor layout (FlexVision, switchable viewing)
• X-Ray settings (Collimation, Projections, Table, Series and Processing)
• Quantitative Analysis (optional) User can only start QA from the touch screen module. No
controls like coronary analysis, left ventricular and vessel analysis can be performed on the
touch screen module.
- Operation of Xcelera, XperIM and IntelliSpace Portal viewing (optional)
• Operation of CX50 Ultrasound (optional)
2nd Touch Screen Module
Key Benefits
• Control system operations with a second touch screen module
Tablet-like touch screen control

During an intervention flexible control of applications and system operations can support fast
decisions and communication with team members. The touch screen module provides fast, tablet-
like touch response to control system operations. Up to three touch screen modules can be
connected to the X-ray system: on the table, on the pedestal and in the control room.
Specifications
The second touch screen module is similar to the standard touch screen module and provides
touch screen control of displayed functionality. The following functions can be made available
providing the relevant commercial options have been selected:
• Acquisition settings
• Image processing controls
• Channel selection for MultiVision
• Automatic position control (optional)
• Quantitative Analysis controls (optional)
• Xcelera and IntelliSpace Portal viewing (optional)
• Interventional tool controls (optional)
• 3D-RA, Dynamic 3D Roadmap (optional)
• StentBoost, 3D-CA (optional)
• XperCT, XperGuide (optional)
• XIM physio monitoring controls (optional)
Connectivity:
A maximum of 3 touch screen modules can be connected to the X-ray system:
• One touch screen module on the table

• One touch screen module in the Control Room
• One touch screen module on the pedestal
Viewpad
The Viewpad contains the preprogrammed function settings. The system is provided with two
Viewpads. The following functions are provided:
• Run and image selection

• File and run cycle
• File overview
• Store to Reference image file
• Copy image to photo file
• Digital (fixed) zoom and panning
• Recall reference images, which means switching control of Viewpad function from life to
reference monitor
• Laser pointer, intended to point at regions of interest on the image monitors
• LED indication of laser pointer on/off and battery low
• Subtraction on/off
• Remasking
• Landmarking
• Access flat detector rotation
User Interface in Control Room

The control room comprises a review module, data color monitor and review monitor. The data
and review functions are controlled by a single keyboard and mouse. The review module offers
the basic functions for review. The most prominent functions can be controlled by the push of a
button. The review module comprises the following functionality:
• Power on/off
• File and run cycle
• File, Run, and Image stepping
• Run and file overview
• Reset fluoroscopy timer
• Enable/disable X-ray
• Geo disable
Acquisition monitor. A standard keyboard and mouse control the user interface. The acquisition
monitor is intended to follow live case in the ER. System information is displayed on the bottom of
the monitor:
• Stopwatch and Time

• System guidance information
• Dose Area Product (DAP) and Skin Dose, as dose rate during X-ray and cumulative dose at
no X-ray
• Frame speed settings, fluoroscopy mode, and accumulated Fluoroscopy time
• Exposure and fluoroscopy settings as Voltage (kV), Current (mA) and time (ms)
• Geometry information as rotation, angulation, and SID
The acquisition monitor is designed for standard workflow based on scheduling, preparation,
acquisition, review, report, and archive.
Scheduling
In the scheduling page it is possible to add new patients (either querying from RIS/CIS or by
creating patient locally). The patients can be listed and selected per date, physician, and
intervention type. Previous DICOM patient studies can be uploaded with the DICOM Query
Retrieve function in the Philips Azurion system. Patient management protocols are flexible and
allow
for multiple studies to be selected under one patient identification number. This means that new
studies can be appended to an earlier patient file. Furthermore, each study can contain multiple
examinations to allow for split administrative purposes. Each examination contains multiple files,
like acquisition file, reference file, and QA results file.
Procedure Cards
Procedure Cards provide the information of room and patient preparation for each individual
physician. Procedure Cards are customizable per setting and allow each physician to provide their
own room protocols. Procedure Cards is intended to make hard copies of the protocol instructions
redundant.
Acquisition
The acquisition page contains information on the currently selected patient.
Reviewing
The review page allows for reviewing of patients:
• Previous examination cases

• Review of other DICOM XA or DICOM SC studies.
Quantitative Vascular Analysis
Key benefits
• Allows quantitative assessment of different size vessels such as aortic and peripheral
• Aids confident decision making for device selection, approach angles and follow-up
• Designed for efficiency with single click functions and fast results
Easily obtain objective assessment of aortic and peripheral vasculature to support decision
making and allow quantitative assessment of vasculature during vascular interventions, the 2D
quantitative vascular analysis option supports quantification such as aortic and peripheral artery
dimensions of about 5 to 50 mm from 2D angiographic images. With one click, the relevant
segment is detected and a visualization of the obstruction, healthy vessel, reference diameter,
stenosis diameter and plaque area is created.
Specifications:
• Automated vessel segmentation

• Diameter measurement along selected segment
• Automated obstruction analysis
• Stenosis diameter, stenosis length
• % stenosis diameter, % stenosis area
• Automated and manual calibration routines
• Store result page
Analysis of the targeted vessel segment has been simplified with the single click function. Position
the mouse on or close to the stenotic area and click once to detect the relevant segment. The
visualization shows the obstruction, healthy vessel, reference diameter, stenosis diameter and
plaque area.
Archiving
Clinical studies can be archived to a CD/DVD, USB or a PACS. The archive process can be
completely automated and customized with settings. Parameters like multiple destinations, archive
formats can be selected to the individual needs and wishes for programming under the settings.
With Philips Azurion the control room comprises of an acquisition monitor

and a review monitor. The review monitor is a 24 inch color TFT-LCD medical grade monitor.
The Graphical User Interface on the Review monitor has the following features and
possibilities:
• Step through file, run, or images

• File, and run overview
• Contrast, brightness, and edge enhancement settings
• Flagging of runs or images for transfer
• Applying text annotation in images
• DICOM printing if available
• Executing Quantitative Analysis Packages if available
• Subtraction functionality if available
This system is delivered with printed instructions for use and/or electronic instructions for use, as
well as a quick start leaflet. A printed paper instructions for use can also be ordered at no
additional cost.
5. Viewing
A. Viewing in Examination room
Philips Azurion systems come with one 27 inch high brightness color medical grade LCD monitor
for clinical image display in the Examination room. This LCD monitor is intended for viewing in the
examination room and is designed for medical applications. The monitors is used for combined
viewing of live images and reference display. Selection and storing of live to reference monitor is
controlled by the infra-red remote-control viewpad or via touch screen module.
The On-Screen Display provides status information on stand rotation-angulation, table height,
display of system messages, X-ray tube load status, selected fluoroscopy mode, selected detector
Field of View, and both the rate and accumulation of the dose area product and Air Kerma dose.
The main characteristics are:
• 27 inch high brightness color TFT-LCD display

• Native format 1920x1080 Full HD
• 10 bit gray-scale resolution with gray-scale correction
• Wide viewing angle (approx. 178 degrees)
• High brightness (max 650 Cd/m2, default 400 Cd/m2)
• Long term luminance stability through backlight stabilization circuit
• Automatic brightness control with backlight sensor
• Control functions on side
• User programmable and standard reference setting
• On-Screen Display
• Internal selectable lookup table for gray-scale transfer function, including DICOM
• Internal power supply (100-240 VAC)
• Integrated LCD protection screen
If applicable included is a flat monitor ceiling suspension for 2 monitors (2F MCS). MCS includes
motorized height adjustment. The ceiling suspension allows flexible monitor positioning over a
range of about 360 x 300 cm. At customer request, this 2 monitor MCS can be replaced by a 4 or
6 fold MCS or an MCS integration kit HD for non-Philips MCS. The MCS integration kit HD
contains vital parts for system operation.
B. Viewing in Control room
Philips Azurion includes two 24 inch high brightness color LCD monitors. The color monitors are
for acquisition and reviewing display.
The main characteristics for color monitor are:
• 24 inch color TFT-LCD display

• Native format 1920x1080 Full HD
• High brightness (max 400 Cd/m2, default 350 Cd/m2)
• Wide viewing angle (approx. 178 degrees)
• Long term luminance stability through backlight stabilization circuit
• Automatic brightness control with backlight sensor
• Control functions on side
• User programmable and standard reference setting
• On-Screen Display
• Internal selectable lookup table for gray-scale transfer function, including DICOM
• Internal power supply (100-240 VAC)Integrated USB hub
A Philips Azurion system includes the DICOM Image Interface which enables the export of clinical
images to a DICOM destination like a CD-Medical station or a PACS server. The export formats
are based on DICOM 3.0 protocols. The system exports clinical studies in Cardiac DICOM XA
Multi-Frame or DICOM Secondary Capture formats.
The DICOM Image Interface transfers through its fast Ethernet link, making images available on-
line within seconds. The archive process can be configured by X-ray settings. The images are
sent out either in the background, or manually upon completion of the examination. The export
format is configurable in 512x512 or 1024x1024 matrix in 8 or 12 bit depth. The examination can
be sent to multiple destinations for archiving and reviewing purposes. The DICOM Image Interface
provides DICOM Storage and DICOM Storage Commitment Services. The DICOM Query/Retrieve
function allows older DICOM XA MF and DICOM SC studies to be uploaded in the system.
Furthermore, additional information can be appended to a study while keeping the patient
identification the same.
Remote Intercom for the Azurion System. The option includes a separate intercom, which is
connected independently from the system. This allows placement of the intercom at the preferred
working position in the control room and examination room. The listen function can be separately
selected on each intercom. Activating the talk function on a selected intercom automatically
disables this function on the other intercom.
Uninterruptable Power System (UPS)

Ensures data integrity
A power failure of the hospital mains during an intervention can cause loss of data. If this occurs,
the single phase Uninterruptable Power System (UPS) enables a proper shut-down of the X-ray
system processor units.
Specifications
In case a full three phase UPS is selected, the single phase UPS is not delivered.
Remote service
Access to the system from a Remote location is possible via network or modem connection.
Remote access to a system can shorten the time needed for e.g. changing system settings or
problem diagnosis.
Environmental
At Philips Healthcare, we feel the responsibility towards society and the environment. The latest 7
C20 system is a perfect example of our EcoVision program. Bye xamining every aspect of the 7
C20 design and development through a green eye, we drastically reduced the products
environmental impact.
System & table APC
Helps to save time and manage X-ray dose with automatic positioning
Positioning the X-ray system to visualize relevant anatomy from different perspectives can involve
a great deal of time and many scout images during interventional procedures. To help save time
and manage X-ray dose while working, the Automatic Position Controller (APC) provides an easy
way for interventional team members to store and recall stand-related positions.
Specifications
The system APC stand and table positions need to be stored and recalled separately.
Clinical Education Program for Azurion System:

The purchase of the Azurion System includes a StartRight entitlement pool that allows for the
customized delivery of educational events to improve staff time to proficiency, knowledge on
system features, and improve overall lab efficiency. For new users, the recommended series of
educational events includes:
Essentials OffSite Education: Philips will provide up to two (2) Cardiovascular Technologists,
Registered Technologists, Registered Nurses, or other system operator as selected by customer,
with in-depth didactic, tutorial, and hands-on training covering basic functionality and work-flow of
the cardiovascular imaging system. In order to provide trainees with the ability to apply all
fundamental functioning on their system, and to achieve maximum effectiveness, this class should
be attended no earlier than two weeks prior to system installation. This twenty-eight (28) hour
class is located in Cleveland, Ohio, and is scheduled based on your equipment configuration and
availability. Due to program updates, the number of class hours is subject to change without
notice. Customer will be notified of current, total class hours at the time of registration. This class
is a prerequisite to your equipment handover OnSite Education. CEU credits may be available for
each participant that meets the guidelines provided by Philips. Please refer to guidelines for more
information. In the event that an EP Navigator workstation has also been ordered, the offsite
training course will be tailored to focus on the electrophysiology functionality of the FD system and
the EPN workstation. Travel and lodging are not included, but may be purchased through Philips.
It is highly recommended that 989801292102 (CV Full Travel Pkg OffSite) is purchased with all
OffSite courses
Initial Handover OnSite Education: The primary Philips Education Specialists will provide twenty-
eight (28) hours of education for up to four (4) students, selected by customer, including
technologists from night/weekend shifts if necessary. Students should attend all 28 hours, and
must include the two OffSite education attendees. CEU credits may be available for each
participant that meets the guidelines provided by Philips. Please refer to guidelines for more
information. Note: Site must be patient-ready. Philips personnel are not responsible for actual
patient contact or operation of equipment during education sessions except to demonstrate proper
equipment operation. It is highly recommended for systems that are fully loaded or for customers
with a large number of staff members to also purchase 989801292099 (CV Add OnSite Clin Educ
24h).
FollowUp OnSite Education: Philips Education Specialists will provide sixteen (16) hours of
education for up to four (4) students, selected by customer, including technologists from
night/weekend shifts if necessary. Students should attend all 16 hours, and must include the two
OffSite education attendees. CEU credits may be available for each participant that meets the
guidelines provided by Philips. Please refer to guidelines for more information. Note: Site must be
patient-ready. Philips personnel are not responsible for actual patient contact or operation of
equipment during education sessions except to demonstrate proper equipment operation.
Assessment OnSite Year 1: The primary Philips Education Specialist will perform a two day
onsite assessment at the customer site on or close to the first anniversary of the Initial Handover.
The Specialist will assess through various means not limited to; physical observation of procedure
workflow, tool usage data analysis and staff interviews. The Specialist will then review findings
with department head and make recommendations thereof. The Specialist may perform refresher
training if required.
Education expires one (1) year from installation date (or purchase date if sold separately).
Ref#296339296340296341296342-20170209
2 Azurion FlexVision11 Input 1

Nine Isolated Wall Connection box to support the display of an external video source on a monitor
in the examination room.
Key benefits
• Stream video from other modalities on the interventional X-ray suite:
• Connect external video in the exam room
Easily stream video to other locations

Many interventional facilities use video to record and stream images from other modalities on the
interventional X-ray suite for training or presentation purposes. The Video Wall Connection Box
facilitates connection of the video source via a standard DVI cable/connector and lossless transfer
of the video signal over the approximate 30 meter long cable. It can be mounted in the
examination room or in the control room, depending on the location of the video source.
Specifications
The quantity of the VWCB's has to be calculated as follows:
For each video signal via MultiVision: 1 VWCB (max = 4)
For each video signal to FlexVision XL on Cardio System: 1 VWCB (max = 9)
For each video signal to FlexVision XL on Vascular System: 1 VWCB (max = 8)
For each 3rd party video signal directly connected to an LCD in the MCS: 1x VWCB
Note:
No VWCB is required in case a video signal is connected directly to a dedicated LCD from the
following sources:
1. Live/ref Slaving
2. Interventional HW (XtraVision), IntelliSpace Portal, Philips Xcelera (only if workstations are
powered by Philips X-ray system)
3. XperIM
Two Isolated Wall Connection box on the rear side of the monitor ceiling suspension to support the
display of an external video source on a monitor in the examination room.
Key benefits
• Easily connect external video in the exam room
Specifications
A wall connection box to connect external video (input only), USB and Ethernet. One or two
WCB’s (option) can be attached on the rear side of the 1st MCS with a bracket. A cable box (also
attached to rear side of 1st MCS) can be used to store connected equipment cables. A maximum
of two WCBs/cable boxes can be attached.
3 ClarityIQ. 1
Significantly lower dose- across clinical areas, patients and operators.
Key benefits
• High-quality imaging at low dose levels
• Enhanced work environment for staff through active management of scatter radiation
• Expands treatment options – enables longer procedures to treat obese and high-risk patients
with confidence
See with confidence every time

Interventions are becoming increasingly complex, which lengthens fluoroscopy time and increases
the need for high resolution imaging. New devices can be more difficult to visualize, making it
harder to position them precisely. The prevalence of patients with a high BMI can also require
increased dose levels to visualize anatomy. All of these factors inspired us to completely redefine
the balance in interventional X-ray with AlluraClarity.
AlluraClarity with its unique ClarityIQ technology gives you exceptional live image guidance during
treatment. What's more, you can confidently manage low X-ray dose levels without changing your
way of working. In short, you can see what you have to regardless of patient size.
Specifications
ClarityIQ technology is the foundation of Philips X-ray systems with AlluraClarity. It offers:
- Noise and artefact reduction, also on moving structures and objects
- Image enhancement and edge sharpening
- Automatic real-time patient and table motion correction on live images
- A flexible digital imaging pipeline from tube to display that is tailored for each application area
- Over 500 clinically fine-tuned system parameters making it possible to filter out more X-ray
radiation and use smaller focal spot sizes and shorter pulses with the grid switching technology of
Philips MRC tube and accompanying generator
4 live/ref slaving for ER 1

Live/ref slaving for Exam Room.
Key benefits
• Easily display any data or clinical information needed to work efficiently
Simplify workflow with flexible viewing control
Having patient data and clinical information easily available on screen can enhance decision
making and efficiency during interventions. The live/ref slaving will enable the option to slave the
Live and Ref video source from the X-ray system. The total amount of live/ref slaving that can be
selected is max 5, minus the number of FCV0807 Live/ref slaving for CR.
Specifications
Live/ref slaving for ER is possible:
- On Philips MCS (additional monitor excluded from this option)
- In combination with FCV0519 1 or 2 MCS from Skytron/Steris
5 CABLE CARRIER CS 2
Additional carrier for suspension of cable hose from X-ray tube assembly or TV monitor.
6 Addl sets of documentation 1

Set of black and white copies of all documents, comprising (if applicable):
• User manuals
• Service manuals
• System manuals
• Test results
7 addl 27'' LCD Exam Room 1

Additional 27 inch high brightness color medical grade LCD monitor.
Key benefits
• Enhance visibility for a variety of procedures
Get a wider view of the situation

Mix and match the widescreen monitors to make efficient use of your lab space. Each monitor can
display input from different sources so you can see just what you need for different phases and
types of procedures. The high definition color widescreen monitors enhance the visibility of fine
details and vital signs.
Specifications
This LCD monitor is intended for viewing in the Examination Room and is designed for medical
applications.
The main characteristics are:
- 27 inch high brightness color TFT-LCD display
- Native format 1920x1080 Full HD
- Two DVI inputs to display one or two channels (dual view)
- 10 bit gray-scale resolution with gray-scale correction
- Wide viewing angle (approx. 178 degrees)
- High brightness (max 650 Cd/m2, default 400 Cd/m2)
- Long term luminance stability through backlight stabilization circuit
- Automatic brightness control with backlight sensor
- Control functions on side
- User programmable and standard reference setting
- On Screen Display
- Internal selectable lookup table for gray-scale transfer function, including DICOM
- Internal power supply (100-240 VAC)
- Integrated LCD projection screen
8 QTY of slaves outside MCS 1
9 VesselNavigation Complete 1
VesselNavigation Complete
VesselNavigation Complete provides a package solution for Live Image Guidance for
endovascular procedures allowing to plan, perform and follow-up procedures with confidence. Live
Image Guidance is based on the 3D overlay of the vasculature on the 2D fluoro images. Next to
Vessel Navigator’s functionality to overlay a previous acquired CTA or MRA volume on the live
image, this package allows you to create an overlay with a 3D contrast enhanced angiography
volume (3D Roadmap).
VesselNavigation Complete consists of VesselNavigator, 3D-RA, 3D-RA on Xper Module and 3D-
Roadmap.
VesselNavigator
Reduce your need for contrast in complex endovascular procedures
VesselNavigator allows reuse of 3D vascular anatomical information from existing CTA and MRA
datasets as a 3D roadmap overlay on live X-ray images. With its sophisticated visualization, it
provides an intuitive and continuous 3D roadmap to guide you through vasculature during the
entire procedure. This reduces the need for a contrast enhanced run to create a conventional
roadmap and potentially shortens procedure times.
The essential components of VesselNavigator are:
• 3D roadmap navigation with a personalized visualization of a CT or MR overlay of the

selected vasculature on live fluoro.
• Both 2D and 3D registration for CT or MR image fusion, allowing to choose the optimal
registration method for the user’s workflow
• Easy, intuitive four step workflow, with one click vessel segmentation
• Ring markers to easily indicate the ostia and landing zones.
VesselNavigator can be used for any type of endovascular procedure, except for coronaries and
intracranial vessels. It is especially beneficial for complex and tortuous vasculature where it is
challenging to accurately navigate and place stents or for procedures where contrast use should
be minimized.
VesselNavigator provides the following functions:
One click vessel segmentation; the user can select the relevant vessels for the overlay in the
CT or MR volume in one click
3D landmarks. In the planning step the user can place ring markers for denoting ostia or landing
zones and markers for denoting specific structures like calcifications
Plan angles; VesselNavigator provides three dimensional views of vasculature that allow you to
easily define the right projection angle. These angles can be recalled during the procedure for
optimal navigation and stent placement.
2D registration; The CT or MR volume needs to be matched with the X-ray image for continuous
live overlay. This can be performed with 2 X-ray images from different orientations. Once the 2
images are acquired, the user must manually match the bones on the preoperative scan with the
X-ray image.
3D registration; The existing CTA or MRA volume needs to be matched with the X-ray image for
continuous live overlay. This can be performed with a rotational angiogram or cone beam CT. The
user has to identify 3 identical anatomical points on the rotational scan and the CTA or MRA
volume. The software automatically matches the identified points to register the pre-operative
scan with the X-ray system.
Live image guidance; Real-time overlay of the 3D Vessel segmentation on the live 2D X-ray
images from the Allura X-ray system of the same anatomy. For optimal viewing, the user can
personalize the visualization of the overlay. The overlay can provide additional 3D image guidance
to help the user with navigating the device/catheter to the target, enhancing clinical outcomes.
Table tracking; The overlay will be aligned with the live X-ray image, irrespective of table and
system movements.
Table side control; Registration and live guidance can be controlled from table-side to provide
efficient work-flow during the interventional procedures
Image data for VesselNavigator is stored together with the VesselNavigator movies and snapshots
and can be sent to any optional DICOM compatible device (e.g. PACS/IntelliSpace
Portal/Xcelera). Supported are DICOM XA, DICOM SC, DICOM CT, DICOM MR and DICOM XA
and any PC in a standard PC compatible format (JPEG,AVI). All this data can be reviewed at any
time.
VesselNavigator movies and snapshots can be stored/archived on:
• A PACS systems as DICOM Secondary Capture images or movies.

• USB removable memory device.
• One or multiple DVD's, CD-ROM(s) for easy archiving.
• Hard copy via the (DICOM Print) protocol.
3D-RA
Allura 3D-RA assists physicians in decision making for treatment strategy in endovascular
procedures, neuro or vascular surgery or even radiotherapy.
Allura 3D-RA reduces the number of DSA acquisitions and fluoroscopy time needed to perform an
examination. This means less X-Ray dose for the patient and the medical staff and a reduced
quantity of dye, leading to reduced procedure costs.
Allura 3D-RA provides a unique assessment after treatment due to the use of non-subtracted
images that allows to shows devices stents, coils, clips and provide the optimal stand projection
for endovascular treatment.
Allura 3D-RA provides a wide range of communication facilities to export 3D images.
1 Image Acquisition
Image acquisition is performed with the Rotational Angiography feature of the Allura Xper FD
series with the flexibility to position the C-arm in either head or side position.
C-arm in Head position: the Rotational Angiography run is performed over a scan range of 240
degrees with a rotation speed up to 55 degrees/sec.
C-arm in Side position: the Rotational Angiography run is performed over a scan range of 180
degrees with a rotation speed up to 30 degrees/sec.
2 3D Vessel Reconstruction
The rotational run is automatically transferred and displayed as a 3D vessel model: with the Real-
Time digital link (option) 120 images are reconstructed into a 3 dimensional model within seconds.
Additional reconstructions, using the Reconstructive Zooming Technique, can be performed as
well.
3 Workflow:
Allura 3D-RA in combination with the Allura Xper FD series will provide an optimal workflow via the
following workflow enhancers:
Complete automated 3D-RA process from 3D acquisition to 3D Viewing: no user interaction
needed.
3D at Xper Module (option); With the Xper module the physician has all required 3D functionality
at tableside. At the touch screen module functionality like rotating, panning, zooming, AVA, virtual
stenting, 3D-APC and 3D Follow C-arc can be performed. With the mouse tablet all other functios
can e performed so that there is is no need for the Physician to leave the examination room.
3D Automatic Position Control (3D-APC); When the optimal working position has been choosen
via the Allura 3D-RA interventional tool, the C-arc will automatically steer to this position.
3D Follow C-arc; When the position of the C-arc (not using any X-ray) is changed, the 3D volume
will automatically follow the position of the C-arc. This means the position of the C-arc (and
therefore the 2D projection) and the 3D volume are always aligned. As last seen; when the user
leaves the patient in the model and later selects that patient again, the Allura 3D-RA interventional
tool will return to the image last used by the user.
Mouse over: When moving the mouse cursor over a button the mouse over text will show up to
explain the function of that specific button.
4 Calibration
Allura 3D-RA calibrations are performed by Philips Healthcare Customer Support. Allura 3D-RA
calibration data are stable over at least 6 months time.
5 Viewing
A Real Time user interface is available with 3D-RA, providing 3D object viewing in any space
direction. A graphical display of (C-arm) stand position including angulation/rotation for any
projection.
Philips' CRM (Contrast Resolution Management) Technology for a considerable increase in
contrast resolution in all volumes.
Various Image Rendering possibilities: Volume/Surface Rendering, MIP, Endoscopy, SUM (pseudo
x-ray image) Gradient rendering; the possibility to display the vessel structure transparently.
Cut-plane function to get a precise insight of the shape of the pathology
Orthoviewer providing a multi-planar visualization of objects using the different Image Rendering
possibilities.
MPR (Multi-Planar Reformatting): enables visualization of the volume in all three standard
projections (coronal, sagital and axial) Especially useful for optimal viewing of spine procedures
(e.g.Vertebroplasty)
SpineView: special acquisition protocol for optimal viewing of the spine, especially osteoporotic
vertebrae
CalciView: allows visualization of Hyper dense plaque in 3D, separately or in relation to the lumen.
5 different distance measurements calculated in the same volume, including "Quick measurement"
feature
Volume calculation
Automated Vessel Analysis (AVA), provides information on vessel segment diameter, area and
length with only three mouse-clicks. Endoscopic and cross sectional views are available.
Computer Assisted Aneurysm Analysis (CAAA), providing information on Aneurysms, like volume,
neck size etc..
Catheter tip shape simulation, providing information on how to shape the catheter tip.
Virtual stenting; Ability to simulate a stent placement in a selected vessel segment for proper stent
sizing. All relevant data of the simulated stent are displayed
Annotation: text can be added to a volume to capture comments.
Interpolative Zoom
Reconstructive Zooming Technique, 2 additional user defined reconstructions focused on the
Volume Of Interest (VOI) using different cube size and voxel resolution.
Subtraction of reconstructed volumes, allowing to visualize vessels without embolization devices
(stents, coils, clips,..) to assess the outcomes of treatment
Automatic Voxelshift: compensates for movement when rendering subtracted or superimposed
volumes
Set the grey values WW/WL
Store/Recall of user defined projections.
6 Archiving
Transfer to:
Optional Hard Copy unit (DICOM Print)
Any optional DICOM compatible device (e.g. PACS/ViewForum/Xcelera), supported are DICOM
XA, DICOM SC, DICOM CT and DICOM 3D
Any PC in a standard PC compatible format (JPEG,AVI)
One or multiple DVD's, CD-ROM(s) for easy archiving
Store a subset of exportable objects (snapshots and AVI Movies) to a USB removable memory
device.
3D-RA on Xper Module
The 3D-RA on XPER MODULE integrates the off-line 3D-RA application in the Allura Xper system.
It allows operation of 3D-RA with the Xper module in the examination room during an examination.
Display of 3D-RA imaging in the examination room has to be arranged for the monitor ceiling
suspension with an additional monitor or with MultiVision (sharing an existing monitor). Following
3D-RA functions are available on the Xper module:
• Image rotation
• •Image translation
• Start mouse mode
• Snapshot
• Segmentation (window-width/window-level control)
• 3D zoom control
• Store/recall views
• Recall Anterior-Posterior view
• Select 3D APC / Follow stand mode
3D Roadmap
3D Roadmap extends the capabilities of the integrated 3D product by providing a sustainable 3D

roadmap to support interventional procedures. The 3D Roadmap option matches the real-time 2D
fluoroscopy images with the 3D-RA reconstruction of the vessel tree. It provides a 3D real time
insight of the advancement of the guide wire, catheter and coils through complex vessel
structures. 3D roadmap has automatic motion compensation for the neuro runs. When the
automatic motion compensation function is active, this functionality will constantly correct the
motion artifacts which can be present in the 3D Roadmap image.
Image Acquisition
The 3D Roadmap is based on the visualization of the vessel tree out of 3D-RA The 3D Roadmap
is activated with one button touch at tableside (Xper Module). Select the 3D Roadmap function on
the touch screen module, activate fluoroscopy and the 3D Roadmap is activated. The “live” 2D
fluoroscopy image is overlaid with the 3D volume of the vessel tree and is automatically displayed
on the 3D roadmap monitor in both the examination and control room.
Intuitive, fully controlled from tableside:

The bidirectional link between the X-ray system and the 3D Roadmap allows the user to select the
optimal stand position for the procedure in two ways. 3D Automatic Position Control allows the
gantry to automatically move to the best interventional projection as shown on the 3D Roadmap
monitor. 3D Follow C-arc allows the 3D Roadmap to remain in sync with the 2D projection,
automatically adjusting viewpoint as the gantry is repositioned
• Landmarking to adjust the intensity of the anatomical reference surrounding the vessels;
• 3D blending to fade in/out the 3D view;
• WW/WL settings to control the contrast/brightness;
• Store and review runs for reporting and archive purposes;
• Store snapshots and movies.
3D Roadmaps can be sent to:

Any optional DICOM compatible device (e.g. PACS/ViewForum/Xcelera), supported are DICOM
XA, DICOM SC, DICOM CT and DICOM 3D
Any PC in a standard PC compatible format (JPEG,AVI)
And stored/archieved on
A PACS systems as DICOM Secondary Capture images or movies
USB removable memory device
One or multiple DVD's, CD-ROM(s) for easy archiving
Hard copy via the (DICOM Print) protocol
Clinical Education Program for Vessel Navigation:
Philips Imaging Systems Clinical Education Specialist will provide twenty-four (24) hours of
education for up to four (4) students, as selected by customer, including technologists from
weekend/night shifts as necessary. CEU credits are not available for this portion of training.
Please refer to guidelines for more information. Note: Site must be patient ready. Philips
personnel are not responsible for actual patient contact or operation of equipment during
education sessions except to demonstrate proper equipment operation.
Education expires one (1) year from equipment installation date (or purchase date if sold
separately). Ref#296276-20150820
10 * Subtracted Bolus Chase 1

For visualization of vessel structures when the blood flow is difficult to estimate, in particular in the
lower peripherals.
Bolus Chase solves the problem of cumbersome step movements, the mismatch between blood
flow and selected program, and lack of real-time image information.
During digital acquisition in non-subtracted mode with uninterrupted real-time image display, the
contrast bolus is followed (chased) interactively by a motorized table scan movement using a
hand-hold speedcontroller to adapt the speed of the table scan to the contrast flow.The
framespeed can be adapted as well.
The bolus run is followed with a mask run while using the same speedcurve and framespeed as
generated during the bolus run. Viewing is possible in the subtracted and non-subtracted mode. If
subtracted viewing is not required, the mask run can be skipped.
Subtracted Bolus Chase gives fast, accurate results for increased patient throughput and
improved patient management. Automated exposure control and precise speed control assure a
high quality images and excellent subtraction studies.
Comprising:
• automatic exposure control

• tabletop motordrive and hand-held speed controller (tableside)
• technique selection using Xper module, available both tableside and in control room (Xper
FD20, FD20/10)
11 optional ref monoplane 1

Additional Ref2 and Ref3 viewport
Key benefits
• Easily display any data or clinical information needed to work efficiently
Simplify workflow with flexible viewing control
Having patient data and clinical information easily available on screen can enhance decision
making and efficiency during interventions. Optional ref monoplane offers an additional video
output of the X-ray system offering an additional Ref2 and Ref3 viewport on one LCD monitor.
Combined with the Dual Fluoro license this enables users to zoom live images during acquisition,
while having the Dual Fluoro image visible on the Ref3 viewport.
12 Peripheral X-ray Filter 1

Set of flexible x-ray filters to provide an uniform density in angiographic examinations of the lower
peripheral area.
Comprising:
· one central filter, at the top edge provided with sizing markers at every 5 cm, length : 1 m
· two side filters, length: 1 m
13 CX50 Video and UI coupling 1

• View ultrasound images on the exam room monitors
• Control the CX50 ultrasound system via the X-ray system’s touch screen module
• Gain insight into soft tissue anatomy
View ultrasound images in the interventional suite
During interventional procedures, ultrasound imaging can provide critical insights into soft tissue
anatomy. The CX50 system can be fully integrated into the X-ray system with the CX50 video and
UI coupling. The CX50 is controlled at the table side by the touch screen module with the
ultrasound image displayed on the X-ray system’s monitors. In addition, all patient data is shared
automatically between the X-ray and ultrasound system eliminating workflow duplication.
14 Pivot for table base. 1

For angiographic- and interventional procedures of the upper peripherals.
Provides improved table access for patient transfer.
Allows pivoting of the table base around its vertical axes.
Pivot range from -90 degrees to + 180 degrees (or -180 to +90 degrees) with locked positions on
0, -13/+13 (facilitating arm-angiography) and -90/+90 and 180 degrees.
Comprising:
• pivot device with graduated scale to be mounted on the universal floor plate of the table.
Compatible with Xper Table

15 Wireless footswitch: mono- 1

plane version
One wireless footswitch in the examination room.
Key benefits
• Reduces clutter around the examination table
• Simplifies preparation and cleanup
• Streamlines workflow in the interventional suite
Reduce clutter and streamline workflow

The wireless footswitch option streamlines workflow, reduces clutter, and simplifies preparation
and cleanup in the interventional suite. Clinicians can use the footswitch to wirelessly control the
X-ray system in the examination room, from any convenient position around the table. No sterile
covers are needed with the IPX8 certified waterproof design.
Specifications
• The mono-plane wireless footswitch is a 3 pedal version; one pedal for fluoroscopy, one for
exposure and one to control the room light/single shot. The pedals can be configured according
customers preferred lay-out.
• The wireless footswitch is working via RF technology and is fully tested and released for medical
use. It has an active range up to 10 meters, depending on structures within this range.
• The wireless footswitch has a lithium battery which only needs to be recharged once per week.
During recharging the footswitch still can be used and is fully functional. In parallel, a wired
footswitch can also be used.
• The status of the battery is indicated by an LED-indication on the footswitch itself, so that the
user can decide when the footswitch needs to be recharged.
• The wireless footswitch has high water ingress protection standard (IPX8), it can easily be
cleaned in water.
The wireless footswitch has an on/off switch. It can be switched off when not in use. When the
footswitch is active, but not in use, it will go into a sleep-mode. It will be re-activated when touched
or when one of the pedals is pressed.
16 FD Rotational Angio 1
Rotational angiograpy provides real-time 3D impressions of complex vasculature and coronary
artery tree. It acquires multiple projections with just one contrast injection via a fast rotational scan
of the region of interest.
Rotational Angiograpy can be used during screening procedures to quickly determine the optimal
projection for the study as the angle (rotation/angulation) of the projection is indicated on each
image.
Compared with traditional angiography, Rotational Angiography can save considerable time, dose
and contrast, while providing image detail required for diagnostic and therapeutic decisions.
A rotational scan is possible both with the Allura Xper systems in the side position (ceiling
mounted systems) and in the head position, providing the flexibility to perform procedures virtually
from head to toe.
C-arm in side position:
• Max. rotation Speed: 30 degrees/s

• Max. rotation Angle: 180 degrees
C-arm in head position:
• Max. rotation Speed: 55 degrees/s

• Max. rotation Angle: 305 degrees
Max. Frame speeds are given by the framespeed specifications of the system configuration.
The speed and range of rotation are the highest available (see table). The very high speed allows
using less contrast, whereas the very wide rotation range provides a complete evaluation of the
anatomy.
A contrast run can be followed up with a mask run, to allow image/run subtraction.
The stand is designed for a very high mechanical stability. It offers precise positioning and high
reproducibility, assuring you of high quality images and excellent subtraction studies.
Operation of Rotational Angiograpy is extremely easy. The procedure is selected, set up and
executed virtually in a matter of seconds, supporting the highest patient throughput.
A set of dedicated acquisition programs is available on the Xper Module and can be selected at
the touch of a button. The rotation end- and start-positions are easily selected. The procedure is
controlled from the exposure hand- or footswitch.
17 extension to FlexVision Pro 1

Extension to Flexvision large 58 inch high resolution LCD for exam room, enabling flexible screen
lay outs and full control (seamless mouse) of up to 11 external sources including third party
systems.
Key benefits
- Full control at table side of all applications with seamless mouse control or via touch screen
module
- Full flexibility of screen layouts (live resize, drag and drop, unlimited number)
- To simplify and standardize system set-up for your FlexVision Pro, your personalized layout will
come up automatically with ProcedureCards.
Easy tableside control

With FlexVision Pro, user can control FlexVision and video sources on FlexVision through wireless
mouse in Examination Room as well as virtual keyboard and touchpad on the touch screen
module in the Examination Room. An operator can resize images and adjust the screen layout
during the procedure without going into configuration.
Specifications
Full control at table side of all applications in the interventional lab (view and control) with a single
wireless mouse or with a Touch Screen Module
• Integration: control of up to 11 external sources
• Possibility to configure unlimited flexible screen layouts
• Screenshots: with single click all displayed inputs can be captured
• Live resize the video window and adjust the screen layout during the procedure without going
into configuration
• Operate all the video sources displayed on the monitor using the wireless mouse at tableside
• Mouse and keyboard function on the touch screen module (TSM) to control (external) sources
18 MR/CT Roadmap 1
Philips MR-CT Roadmap tool allows re-use of the vessel tree image from previously acquired
MRA (MR angiography) or CTA (CT angiography) scans for endovascular navigation.
Key benefits
• Roadmap on previously acquired MR and CT angiography datasets, reducing the need for
additional X-ray dose and contrast medium
• Reduce treatment risks for patients with renal insufficiency or young patients who are
considered X-ray dose sensitive
• Perform procedures with a high level of precision thanks to real-time compensation for gantry
and table movement
Accurate 3D guidance for complex interventions

Patients undergoing complex vascular interventions often receive high-resolution CT or MR scans
in the diagnostic phase. To manage patients’ exposure to additional X-ray dose and contrast
medium during the intervention, Philips MR-CT Roadmap tool allows re-use of the vessel tree
image from previously acquired MRA (MR angiography) or CTA (CT angiography) scans for
endovascular navigation.
Specifications
MR/CT Roadmap extends the capabilities of the integrated 3D product by providing a sustainable
3D roadmap based on previous acquired CT or MR scans to support interventional procedures.
Image Acquisition
A previously acquired CT or MR scan can be imported into the system and matched with a low
dose 3D-RA or XperCT scan. The MR/CT Roadmap is activated with one button touch at tableside
on the touch screen module. The "live" 2D fluoroscopy image is overlaid with the MR/CT volume
presented in 2D or 3D and is automatically displayed on the roadmap monitor in both the
examination room and control room.
Intuitive, fully controlled from tableside:

The bidirectional link between the X-ray system and the MR/CT Roadmap allows the user to
select the stand position for the procedure in two ways. 3D Automatic Position Control
allows the gantry to automatically move to the best interventional projection as shown on the
MR/CT Roadmap monitor. 3D Follow C-arc allows the MR/CT Roadmap to remain in sync with the
2D projection, automatically adjusting viewpoint as the gantry is repositioned.
• Easy 2 step registration of the MR/ CT volumes

• Landmarking to adjust the intensity of the anatomical reference surrounding the vessels and
tissue
• 2D and 3D blending to fade in/out the 2D or 3D view
• WW/WL settings to control the contrast/brightness
• Store and review runs for reporting and archive purposes
• Store snapshots and movies
MR/CT Roadmap data can be exported to:

• Any optional DICOM compatible device(e.g. PACS/Printer), supported are DICOM XA, DICOM
SC, DICOM CT and DICOM 3D
• Support archive on one or multiple DVD's, CD-ROM(s)
• Image transfer to a standard PC compatible format (JPEG, AVI)
• Store a subset of exportable objects (snapshots and AVI Movies) to a USB device.
19 Table top brake kit 1

• Prevents tabletop movement when power goes off
Prevents tabletop from floating during power off situation
The tabletop brake kit prevents the tabletop from floating in case of a power off situation.
A friction brake is applied to stop the tabletop from moving longitudinally or laterally.
20 SmartMask Monoplane 1
Key benefits
• Simplifies roadmap procedures by overlaying fluoroscopy with a selected acquired image.
• Enables roadmap procedures to manage radiation dose and contrast media by selecting an
image from an acquired series as a mask image.
Supports navigation during interventions without the need of additional contrast media.
SmartMask simplifies roadmap procedures by overlaying fluoroscopy with a selected acquired
image in the Live X-ray window.
Specifications
The reference image can be faded in/out with variable intensity, controlled from tableside.
SmartMask uses the reference image displayed on the reference monitor. Any previously acquired
image can be used as reference. SmartMask facilitates pre- and post- intervention comparisons to
assess treatment results.
21 table tilt option 1

Table tilt option provides precise imaging of contrast medium, blood, or objects in the body.
Key benefits
• Tilts the table to support gravity oriented and puncture procedures
• Keeps the region of interest in the isocenter of rotation and angulation
• Allows more precise imaging of contrast medium, blood, or objects in the body
Precise imaging during gravity oriented and puncture procedures

To obtain high quality results and avoid re-takes during gravity oriented or puncture procedures,
it’s important to keep the region of interest centered at all times. The tilt option allows you to tilt the
table. As the table tilts, the X-ray beam automatically adapts to the movement to keep the region
of interest in the isocenter of rotation and angulation of the stand. As a result, your region of
interest always remains centered to allow more precise imaging of contrast medium, blood, or
objects in the body.
The table floats even when tilted, and the region of interest can be followed by panning the
tabletop. When combined with the Bolus Chase option, the table tilt option enables phlebography
to be performed with a head-up tilted patient.
Specifications
• Motorized table height from 78.5 - 103.5 cm
• Maximum tilt range: -17 degrees (head down) to +17 degrees (head up).
• Tilt speed: 2 degrees/sec
• Automatic safeguarding system with manual override
• Panning range in tilted plane: equal to the standard tabletop specifications (longitudinal 120cm,
lateral 36cm)
• Easy to use controls
22 Touch Screen Module Pro 1

Extension of Touch Screen Module for easy control of X-Ray images at table site
Key benefits
- Imaging parameters can be quickly and easily adjusted at tableside
- Clinical image are shown to support easy navigation. Collimate on the clinical image with one
finger. Pinch, zoom, pan and flag images for processing. Position shutters and wedges by simply
swiping the image on screen.
- All X-ray settings can be easily adjusted to help you effectively manage patient and staff dose
Enhance image navigation on the touch screen module

This option extends the functionality of the touch screen module, allowing live X-ray images and
source images from reference monitors to be displayed on the touch screen module. Shutters and
wedges can also be easily positioned with a fingertip by simply dragging them into position. A
pointer is also available on screen to improve communication in and between the exam room and
control room.
Specifications
- enhance image navigation on the TSM
- intuitive control of shutters and wedges by simply dragging the lines shown on top of the image
- provides intuitive zooming an panning functionality (also during fluoroscopy)
- turns the touchscreen into the pointing device in order to improve communication in ER/CR:
when activated the pointer is shown on corresponding monitor
!!! Note: Touchpad and Keyboard control from the TSM is NOT part of this option but 'FlexVision
Pro' option.
!!! Note: Images shown on the TSM are not meant for diagnostic purposes (image is downscaled,
compressed and latency during live/replay maybe higher than on the live monitor)
23 Laser Option 1
The XperGuide laser option is a positioning aid designed to simplify manual effort during
percutaneous interventional procedures.
Key benefits
• Illuminates the needle entry point on the skin
• Allows you to concentrate on the Progress View without switching back to the Entry View
• Provides a clamp to assist in holding the needle in the correction position and orientation
Simplifying positioning during needle interventions

Performing image-guided needle procedures requires the utmost concentration. The XperGuide
laser option is a positioning aid designed to simplify manual effort during percutaneous
interventional procedures. The laser tool is attached to the patient table and marks the needle
entry point on the skin. It also provides a clamp to assist in holding the needle in the correct
position and orientation. Using the laser tool with XperGuide allows you to concentrate on the
Progress View without switching back to the Entry View.
Specifications
The laser tool has an LED to indicate its status: when the LED is lit, the laser is active.
Laser tool components:
• Laser tool
• Laser tool holder and table clamp for fixation to the patient table
• Laser tool charger
24 FlexVision XL HD + 2 LCD's 1
FlexVision XL HD is an integrated viewing solution designed to give you full control over your
viewing environment which brings High Definition viewing.
This FlexVision XL HD is delivered with two 27 inch high brightness color medical grade LCD
monitors. The monitors can be mounted on top side or on rear side of the MCS.
Key benefits
• Easily access multiple, up to 8, video inputs (including third party systems) video inputs to inform
decision making during procedures
• Create custom display templates to support diverse procedures
• The screen layout of the FlexVision XL HD can also be changed from the control room
• Enlarge images to reveal more details and support comfortable working positions
Diagnostic information easily made available at table side

In today's interventional setting, as you perform more complex procedures with smaller devices in
complex anatomy, you rely on various types of diagnostic information to guide you. To inform
decision making in the exam room, Philips offers an advanced digital workspace called FlexVision
HD. You can display multiple images in a variety of custom layouts on a large, high-definition LCD
screen. Zoom in and out to enhance fine details, while maintaining an overview of all information.
Create custom display templates for specific procedures/physician preferences to easily support
diverse procedures.
Specifications
FlexVision XL HD offers:
• Native resolution of FD20 can be displayed.
• Sharp images at full size without zoom
• High Definition display at native resolution for ultimate detail
• Up to 2k*2k image display fully integrated
• Enhanced small vessel visualization
1. DVI video composition unit.

The DVI video composition unit allows the user to direct and switch the video output of all
connected medical equipment to specific sub windows of the Philips 58-inch color LCD with LED
backlight in the Examination Room.
• The DVI video composition unit is operated from the touch screen module.
• The DVI video composition unit supports a wide variety of display formats (up to 1920x1200)
• Up to 11 external inputs are connected to the DVI video composition unit via wall connection box
or boxes.
2. Medical grade, high resolution color LCD in the Examination Room
This display supports the image quality requirements for monochrome X-ray images as well as
color images and replaces all displays normally delivered with the system for the Examination
Room.
Main characteristics are:
- 58-inch, 8 Megapixel color LCD
- Native resolution: 3840x2160
- Brightness: Max: 700 Cd/m2 (typical) stabilized: 400 Cd/m2
- Contrast ratio: 1:4000 (typical)
- Wide viewing angle (approx. 176 degrees)
- Constant brightness stabilization control
- Lookup tables for gray-scale, color and DICOM transfer function
- Full protective screen Ingress Protection: IP-21
3. Large color LCD control (touch screen module)
• Enlarge information at any stage during the case via the touch screen module in the Examination
Room or Control Room.
• Select viewing lay-outs via the touch screen module in the Examination Room.
• Create new layouts by matching inputs to desired locations on preset templates.
• Adjust the screen layout during the procedure without going into configuration
• 20 layouts; each layout is customizable, size of viewports can be customized by end user X-ray
status area visible with all X-ray details
4. Monitor ceiling suspension
Monitor ceiling suspension for use in the Examination Room carries the 58-inch color LCD,
providing highly flexible viewing capabilities. The monitor ceiling suspension is height-adjustable
and moveable along ceiling rails. It can be positioned on either side of the table.
5. Snapshot
The snapshot function allows the user to store/save a screen-capture of any image on the
FlexVision HD as a photo image to the current acquisition patient study.
25 2D Perfusion 1
2D Perfusion brings functional imaging in the interventional suite and allows assessing tissue
perfusion during the intervention. 2D Perfusion is based on a digital subtraction angiography
(DSA) and calculates the transit time of the contrast trough the vessels, displaying it as a full color
image.
2D Perfusion can be used for the identification of perfusion alterations in tissue of vascular
pathologies and it allows to compare side by side pre, peri, and post-procedural perfusion images
to identify treatment end-point and to verify procedure outcome.
In addition to a visual interpretation, a quantitative analysis of the perfusion is presented. For a

user defined region of interest, a time density curve can be created, to quickly obtain
comprehensive data to quantitatively compare impact of interventions. Conventional perfusion
parameters are measured including:
1. Mean Transit Time

2. Arrival Time
3. Time to Peak
4. Wash-in Rate
5. Width
6. Area Under Curve
The color legend indicates the perfusion parameters that are represented by each color in the
displayed image. The analysis on the time density curve can also be performed while comparing
pre and post interventional images to quantify perfusion differences within a selected region of
interest.
Two different types of region of interest (ROI) can be drawn: an elliptical ROI or a freeform ROI. If
the ROI is repositioned, the curve in the analysis graph is updated automatically.
Once the ROI is selected, the time density curve is generated real time and the average value of
the selected parameter is calculated and displayed. When comparing pre and post intervention
images, it’s possible to draw a region of interest and it will be automatically drawn in the
comparative image. It will also calculate the time density curve of both images, to easily evaluate
pre and post intervention differences.
• 2D Perfusion supports subtracted X-ray exposure runs acquired with a 2D Perfusion

protocol. (While acquiring a run with the 2D Perfusion protocol, the subtracted run is shown
on the X-ray modality screen.)
• 2D Perfusion supports runs acquired on the frontal channel or on the lateral channel.
• The 2D Perfusion protocol acquires up to 173 images at 3 frames per second.
• 2D Perfusion supports runs of 5 images or more
• 2D perfusion allows to select the frames where the presence of contrast is detected, in
order to reduce the motion artifacts.
• 2D Perfusion provides different options for exploring the time-to-density curve, which
describes the presence of contrast at a certain point in time.
• It allows to draw 2 different types of ROI: an elliptical ROI or to draw a freeform ROI. If you
make changes to the ROI (elliptical ROI only), the curve in the analysis graph is updated
automatically.
• 2D Perfusion includes EPX’s for Peripheral, Neuro and Abdominal examinations.
• In procedures where it’s required to compare left and right hemispheres, you can draw a
mirror line, and analyze the perfusion behavior in the ROI between the hemisphere
suspected to have a perfusion alteration, with the normo-perfused hemisphere.
• Runs can be transferred to 2D Perfusion over the DICOM network or over the Real Time
Image Link (option).
Clinical Education Program for 2D Perfusion
IXR 2D Perfusion OnSite Education: Philips Education Specialists will provide sixteen (16) hours
of education for up to four (4) students, selected by customer, including technologists from
night/weekend shifts if necessary. CEU credits may be available for each participant that meets
the guidelines provided by Philips. Please refer to guidelines for more information. Note: Site must
be patient-ready. Philips personnel are not responsible for actual patient contact or operation of
separately). Ref # 6034-20131218
26 FD Dual Fluoro monoplane 1

An additional fluoro channel in parallel to the standard fluoro channel
Key benefits
• View the subtracted fluoroscopy next to the default non subtracted fluoroscopy
• View a digitally zoomed fluoroscopy image next to the default fluoroscopy image
Second fluoro image to support complex interventions

For complex interventions, it can be useful to view the subtracted fluoroscopy image next to the
normal fluoroscopy image. The Dual Fluoro option provides an additional fluoro channel in parallel
to the default fluoro channel. The dual fluoro option allows to view live digitally zoomed
fluoroscopy next to non-zoomed fluoroscopy.
Specifications
The Dual fluoroscopy mode is selected via the touch screen module.
The trace subtracted fluoro image will be displayed on the live viewport, the non-subtracted fluoro
image is displayed on the reference 3 viewport.
In Dual Fluoro mode, the live fluoroscopy image can be zoomed digitally, providing a larger view of
the region of interest for complex interventions. The zoomed live fluoroscopy image will be shown
on the live viewport, while the entire non zoomed image will be shown on the reference 3 viewport.
The fluoro zoom function is controlled via the touch screen module.
27 IW Hardware 1
Key benefits
• Facilitates the interventional tools and multimodality viewing in exam room and control room
• Supports import and viewing of DICOM compatible data from CT and MR imaging modalities
View multimodality images in exam room and control room

Images from a variety of sources are being increasingly used during interventions for a variety of
Live Image Guidance tools. The Interventional Tools Hardware option provides the hardware for
our interventional tools. It enables DICOM compatible data from other imaging modalities to be
imported and viewed in the exam room and control room. To support fast results, a real-time digital
image link is provided between the Interventional Hardware workstation and the X-ray system.
Specifications
The Interventional hardware is the hardware for the 3D interventional tools that includes Real Time
Link. It enables import and viewing of DICOM compatible data from other imaging modalities.
The Interventional Hardware comprises at least:
• Computer Workstation
• Control Room 24” display
• 16 GB memory
• 2 TB disk for the operating system, application software and application data
• Internal CD-ROM / DVD writer
• Mouse tablet to interact with all the interventional tools at the table side.
Conditionally:
FD Calibration Tool Kit for 3D-RA
28 CO2 View Trace Software 1

Software package which enables tracing (stacking) of images acquired with CO2 injections. This
function can be used during postprocessing next to view trace of images acquired with iodine
injection.
29 OncoSuite complete 1
OncoSuite provides a complete solution for Tumor Embolization and Percutaneous Ablation
procedures in Interventional Oncology. Its 3D Live Image Guidance is based on the superior
visualization with XperCT Dual, tumor embolization with EmboGuide and its percutaneous
Ablation with XperGuide with the Ablation option.
OncoSuite consists of XperCT Dual, EmboGuide and XperGuide with Ablation option.
XperCT Dual extends the capabilities of the interventional suite offering CT like imaging to
visualize bone, soft tissue and vessels in case of contrast enhanced acquisition. XperCT Dual
protocols are available covering routine procedures such as biopsies and drainages but also
advanced procedures such as abdominal oncological imaging up to neuro high resolution stenting.
All protocols can be selected at the tableside via the XperModule.
The DualPhase dual view functionality allows the simultaneous visualization of two 3D datasets
acquired at different times of the procedure such as the arterial and post-arterial contrast
enhancement in oncologic liver imaging. In this DualView, XperCT Dual allows the segmentation
of multiple lesions at the same time in the viewed datasets.
XperCT Dual acquires up to 60 frames/sec. (frame rate extension to 60frames/sec is included)

and supports fast abdominal protocols with 5 to 10 second acquisition time for Allura release prior
to 8.2 and even 5 to 8 second acquisition times for Allura release 8.2 or higher, thereby minimizing
respiratory artifacts. The XperCT volume is displayed automatically within 8 to 15 seconds after
acquisition. No user interaction is required.
XperCT Dual includes Metal Artifact Reduction to reduce the artifacts caused by metal presence in
the region of interest. In case the original XperCT shows metal artifacts, the interventional
radiologist can perform a second reconstruction and select for Metal Artifact Reduction, which will
remove the artifacts caused by the metal present. The most typical examples of metal presence
are: metal implants, coils or stents with stainless steel structures. Moreover, BMI Noise Reduction
is included to reduce the noise caused by large size patients.
Note: BMI Noise Reduction is only available when Abdominal XperCT runs are selected
The XperCT volume can be viewed in the control room and in the examination room. The viewing
package comprises:
• 3D volume viewing in any desired orientation

• Slice viewing in any desired orientation
• Slice viewing at any slice thickness with a minimum of 0.5 mm
• Five distance measurements calculated in the same volume, including "Quick
measurement" feature
• Cut-plane functionality to provide precise insight into anatomical structure
• Unique high-resolution reconstructive zoom technique
• Graphical display of stand position including rotation and angulation parameters
• Contrast and brightness control
• Contrast resolution 5-10 Hu
• Spatial resolution of the initial reconstruction: 10 lp/mm
• Contrast range -1000 to 2000 Hu
• High resolution imaging mode produces
• 512x512x512 volume rendered reconstructions
• XperCT Dual can be controlled via the Xper module and the mouse at tableside.
The XperCT volume can be matched with (when additional options are available) Allura 3D-RA
and pre acquired CT, PET/CT or MR volumes. This view allows combining multiple images from
different modalities in order to provide additional anatomical insight. This multimodality volume can
be viewed with the following functionalities:
• Registration of the two volumes from the same patient

• The resulting volume can be viewed with complete 3D-RA viewing functionality
• The XperCT slice can be overlaid onto the 3D vessel for better assessment of the region of
interest
• Three different contrast rendering options to allow optimal viewing of the 3D vessel in the
soft tissue structure
• (128x128x128, 256x256x256, 384x384x384 and 512x512x512 volumes)
• Movie clip recording functionality (AVI) to capture dynamic views
• 3D automatic position control at tableside: When an optimal working position is selected
from the XperCT volume the C-arc steers itself to the selected position
• 3D Follow C-arc at tableside: When selected, the XperCT volume automatically follows the
position of the C-arc.
• XperCT data and 3D-RA with XperCT Dual overlay is stored in the same patient file as all
other patient related data. All this data can be reviewed at any time
XperCT data can be sent to:

• Any optional DICOM compatible device (e.g. PACS/ViewForum/Xcelera), supported are
DICOM XA, DICOM SC, DICOM CT and DICOM 3D
• Any PC in a standard PC compatible format (JPEG,AVI)
XperCT datasets can be stored/achieved on:
• A PACS systems as DICOM Secondary Capture images or movies
• USB removable memory device
• One or multiple DVD's, CD-ROM(s) for easy archiving
• Hard copy via the (DICOM Print) protocol
EmboGuide provides workflow-guided Embolization support in three steps. The first step
comprises of the Identification and Segmentation of multiple lesions. Secondly, the feeders of the
segmented lesions are identified. The Automatic feeder detection function supports the user with
this. Finally, Live Image Guidance is used in order to reach each of the identified feeders for a
selective or super-selective Embolization.
The essential components of EmboGuide are:
• 3D lesion segmentation tool for 3D target(s) identification and volume measurement.

• Workflow-driven planning tool with automated feeding vessel detection and marking.
• 3D roadmap navigation with lesion and feeding paths overlay.
Depending on Allura configurations, XperCT Dual allows obtaining two manual forward scans or
two automatic rotational scans with a user-defined delay between them (automatic rotational
scans only for Allura release 8.2 or higher). In case of two automatic rotational scans, the first
scan is performed in a forward direction while the second one is performed in reverse direction
(DualPhase wiper rotation). In both configurations, the first phase can be used to show early tumor
contrast uptake and its feeding vessels, while the second scan can be used to depict the delayed
contrast uptake in lesion, determining its vascularity and perfusion. Optimal automatic high volume
reconstruction is in this respect is essential to secure appropriate feeding vessel detection in the
first phase and a good soft-tissue contrast in the second phase. The 3D lesion segmentation is an
interactive user-guided tool that allows isolating regions of interest in a 3D volume using image-
specific features. The tool can be used for user-guided segmentation of lesions from MR, CT or
XperCT volumes. A workflow-driven planning tool, building on already available vessel detection
and volume cut features, can then be used to highlight the feeding vessels to the lesion. Real-time
overlay and registration of the 3D volume on live 2D X-ray images from the Allura X-ray system of
the same anatomy can be used as additional 3D image guidance to support the navigation of the
device/catheter. Planning data, like the earlier annotated feeding vessels and/or 3D landmarks can
be displayed on 2D-3D fused images as supporting information.
EmboGuide provides the following functions:
• Automatic Feeder Detection; supports the user in analyzing the vasculature of lesions by
giving the initial suggestions of the feeding vessels of the segmented lesions. The detected
feeding vessels will be annotated and added to the planning.
• Manually add and/or remove feeding vessels; after running the automatic feeder detection
function, the user can verify and refine the planning by manually adding and/or removing
feeding vessels.
• Follow Feeder; for verification, the user may use the Follow Feeder function. This function
allows the user to trace the path of a single annotated feeding vessel to verify whether it
traces into a targeted lesion.
• 3D Landmarks; landmarks can be put on the 3D volume as additional information to support
with the navigation of the catheter.
• Live 3D Image Guidance; real-time overlay and registration of the 3D volume on the live 2D
X-ray images from the Allura X-ray system of the same anatomy, can provide additional 3D
image guidance to help the user with navigating the device/catheter to the embolization
target.
• Storage of the live 2D-3D overlay runs; the real-time overlay of the 3D volume with the live
2D X-ray images from the Allura X-ray system can be recorded and stored for reviewing at
any time.
• Table-side control; to provide efficient work-flow during the interventional procedures, the
most frequently used functions can be controlled from table-side.
Image data for EmboGuide is stored together with the EmboGuide movies and snapshots and can
be sent to any optional DICOM compatible device (e.g. PACS/IntelliSpace Portal/Xcelera).
Supported are DICOM XA, DICOM SC, DICOM CT and DICOM 3D and any PC in a standard PC
compatible format (JPEG,AVI). All this data can be reviewed at any time.
EmboGuide movies and snapshots can be stored/achieved on:
• A PACS systems as DICOM Secondary Capture images or movies.

• USB removable memory device.
• One or multiple DVD's, CD-ROM(s) for easy archiving.
• Hard copy via the (DICOM Print) protocol.
OncoSuite Ablation allows planning of the ablation zone with a high degree of accuracy using
conventional methods. XperGuide ablation software helps to plan and guide the specific ablation
zones and distance between the ablation needles in 3D based on the manufacturer’s
specifications of each needle. OncoSuite Ablation shows the isotherm of each needle on an
XperCT overlay or on a pre-acquired MR, CT or PET/CT volume. OncoSuite Ablation assists
clinicians in planning the optimal placement of the ablation needle to cover the targeted lesion.
The needle path can be planned by drawing it or by defining entry and target locations on XperCT,
MR, CT or PET/CT slices. By allowing the precise planning of multiple needles, XperGuide's
ablation software assists clinicians in treating large tumors and thereby helping to prevent re-do.
OncoSuite Ablation consists of both XperGuide and the XperGuide Ablation option.
XperGuide enables real-time needle guidance in the angio suite. Virtual needle paths are created
by XperCT Dual data and on overlays of previous acquired MR, CT, or PET/CT datasets. In order
to visualize the actual needle path versus the virtual path that is planned upfront, XperGuide offers
the possibility to match real-time 2D fluoroscopy images with 3D volume of XperCT Dual, CT,
PET/CT or MR datasets. A wide range of gantry projections can be used to define the needle path.
This volumetric dataset can be viewed in any slice direction providing optimal sight.
Path planning in XperGuide can be done by:
• Drawing a virtual needle path on an XperCT, CT, PET/CT or MR slice

• Defining entry and target points on different XperCT Dual, MR, CT or PET/CT slices
• Defining a help line on a 3D volume XperGuide automatically calculates the optimal gantry
projections for the path and transfers them to the planning to draw the needle path. The
calculated virtual needle paths can be viewed on the XperCT Dual, MR, CT or PET/CT
slices, to verify if this path is feasible
XperGuide supports planning of multiple needle trajectories. During the needle procedure,
XperGuide is fully controlled at tableside. When XperGuide is active, guidance is automatically
active when the fluoroscopy pedal is pressed. The live 2D image is projected over the XperCT
Dual, MR, CT or PET/CT volume. The gantry can be positioned in the calculated gantry positions
or controlled manually. The XperGuide images (live 2D fluoroscopy projected over the XperCT
Dual, MR, CT or PET/CT volume) will follow the gantry projections.
At table side, XperGuide adapts in real-time to the following parameters:
• Changes in the angulation of the C-arm

• Changes in the rotation of the C-arm
• Changes in the field of view
• Changes in the source image distance
XperGuide data, like XperGuide movies and snapshots, can be exported to any optional DICOM
compatible device (e.g. PACS/ViewForum/Xcelera). Supported are DICOM XA, DICOM SC,
DICOM CT and DICOM 3D and any PC in a standard PC compatible format (JPEG,AVI).
XperGuide movies and snapshots can be stored/achieved on:
• A PACS systems as DICOM Secondary Capture images or movies

• USB removable memory device
• One or multiple DVD's, CD-ROM(s) for easy archiving
• Hard copy via the (DICOM Print) protocol
XperGuide Ablation is an extension to the XperGuide software to facilitate the planning of tumor
ablation procedures. It supports all percutaneous ablation techniques (RF, microwave and cryo-
ablation) by displaying the isotherm of the chosen ablation needle. It allows the visualization of
multiple needles by entering their thermal characteristics, and the assessment of their combined
impact in the ablation zone. A virtual ablation needle with its thermal characteristics is displayed on
a 3 dimensional XperCT volume or previously acquired CT, MR or PET/CT data to verify optimal
positioning of the needle and obtain total tumor coverage. The thermal characteristics of each
needle consist of the width, breadth and front of its ablation zones. Per needle up to three ablation
zones of different isotherms can be defined. XperGuide Ablation allows to plan and store up to 60
different types of thermal needle characteristics simultaneously.
All thermal characteristics can be stored and transferred to other Allura systems. After the needle
planning is performed, the 2D fluoroscopy overlay on the 3D volume allows real time needle
guidance along the planned trajectory on XperCT, MR, CT and PET/CT datasets. During live
needle guidance it is possible to adjust the ablation transparency and modify the previous plan.
After the needle(s) are positioned, it’s possible to control the effective ablation target with the
previous plan.
Clinical Education Package for OncoSuite Complete:
XperCT Handover OnSite Education: Philips Education Specialists will provide eight (08) hours
of education for up to four (4) students, selected by customer, including technologists from
iXR EmboGuide OnSite Education: Philips Education Specialists will provide eight (8) hours of
education for up to four (4) students, selected by customer, including technologists from
iXR XperGuide Onco Ablation OnSite Education: Philips Education Specialists will provide
eight (8) hours of education for up to four (4) students, selected by customer, including
technologists from night/weekend shifts if necessary. CEU credits may be available for each
participant that meets the guidelines provided by Philips. Please refer to guidelines for more
information. Note: Site must be patient-ready. Philips personnel are not responsible for actual
patient contact or operation of equipment during education sessions except to demonstrate proper
equipment operation.
separately). Ref#292335296250296249-20151215
30 * Rad Shield w/ Arm (Contoured) 1

61X76
Contoured Rad Shield with Arm rest. 61X76
31 Cable Spooler 1
32 M LED 3MC Light 1

MAVIG M3 MC LED - Multi Color / power Supply Included
Includes Portegra2 Ext Spring Arm 75/90cm
33 Medrad Xper Cable Rack Mnt 1
34 10 Meter DVI Cable Set 1

10 meter DVI cable set with zipper hose cover.
35 Mark 7 Arterion, Table Mount 1

The Mark 7 Arterion Injection System is the latest in MEDRAD’s “Mark” series of angiographic
injectors. Compared to earlier systems, the Mark 7 Arterion injector head is lighter and easier to
use so you can focus more on the patient.
The clear and intuitive user interface guides you through proper set-up, and highlights the
information you need to perform safe procedures.
Unique to the market, the front load system simplifies set-up and makes for a cleaner tear down.
The clear syringe provides a higher level of confidence that you are ready to inject.
Made from a clear material, the Mark 7 Arterion syringe (Catalog ART 700 SYR) allows you to
easily view the inside of the syringe for smoother purging of air. And MEDRAD’s famous fluid dots
are still there to help-round for fluid, oval for air.
The table mount injector solution ensures the contrast injector is conveniently placed and always
available when it is needed. It provides a clean workspace without occupying valuable floor space.
System includes:
• Table Mount
• display control panel
• 6 ft. coiled hand switch
• operation manual (CD)
• 10 ft. head cable
• syringe heat maintainer
• imaging system interface cable for the Allura / Allura Xper
• consumables starters kit
For the MEDRAD Mark7 Injector system Philips is only the distributor. MEDRAD provides the
service as well as the application support of both versions unless stated differently in the Philips
Service Agreement
System Specifications:
• Flow Rate 0.1-45.0 ml/s in 0.1 ml increments

• 0.1-59.9 ml/m in 0.1 ml increments
• Volume 1-150 ml in 1 ml increments
• Pressure Limit 100-1200 psi in 1 psi increments
• (150ml syringe) 689-8273 kPa in 1 kPa increments
• Rise Time 0.0-9.9 seconds in 0.1 increments
• Delay Time 0.0-99.9 seconds in 0.1 increments
• Fill Speed 1-20 ml/s
• Fill Volume 1-150 ml
• Syringe Size 150 ml
• Syringe Heat Maintainer 35 °C (95 °F) ± 5 °C (9 °F)
• Protocol Memory 40 Protocols
• Injection Memory History
36 Ceiling Track w/Column & 1

Handle Ext
Mavig 2.5m Ceiling Track with Ceiling trolley, 360 degree column, and brake handle extension.
37 DVI Supply Box 1

Enclosure box for 5v monitor power supply
38 * Single LCD Monitor Cart 1

Stand alone monitor cart for a single LCD Monitor
39 Full Load Remote UPS 1

MGE Galaxy 5000 80 kVA Full Load – 40kW UPS with remote capability. Includes top feed cabinet
and optional side panels, ISX0001369526 G5TUPSU80KPAdjacent MGE Galaxy 5000 Battery
Cabinet with one full string of batteries and standard Galaxy 5000 Adjacent battery Temp sensor.
High Voltage 6 Alarm Relays Card
MGE GALAXY 5000 Remote Alarm Status Panel
MGE SNMP/Web Communication Card
Top Feed Auxiliary Cabinet
In the event of a power loss the UPS provides emergency power to allow system function and full
X-Ray exposure and fluoroscopy for up to 15 minutes.

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REQUISITION: 512-B71018

Line # Part # Description Qty

• Optimized utilization of your lab by procedure based workflow

• X-ray generator 100 kW

Designed to enhance visualization of complex and pediatric interventions

• Pulsed X-ray for pulsed fluoroscopy (3.75 , 7.5 , 15 , 25, 30 frames/s).

Roadmap Pro can be selected from the control module.

E. User dose awareness

Radiation Dose Structured Report

Secondary Capture Dose Report

• A 30 cm by 40 cm (20 in.) diagonal 8 mode Dynamic Flat Detector subsystem for

• Flexible positioning during cardio and neuro procedures

Pan handle with cable and connector

• 3rd party equipment (e.g. CX50, Interventional Tools, EchoNavigator, DoseAware)

2nd Touch Screen Module

• Control system operations with a second touch screen module

Tablet-like touch screen control

A maximum of 3 touch screen modules can be connected to the X-ray system:

• One touch screen module on the table

• Run and image selection

User Interface in Control Room

• Stopwatch and Time

• Previous examination cases

Quantitative Vascular Analysis

• Automated vessel segmentation

With Philips Azurion the control room comprises of an acquisition monitor

• Step through file, run, or images

• 27 inch high brightness color TFT-LCD display

• 24 inch color TFT-LCD display

Uninterruptable Power System (UPS)

System & table APC

Clinical Education Program for Azurion System:

2 Azurion FlexVision11 Input 1

Easily stream video to other locations

The quantity of the VWCB's has to be calculated as follows:

For each video signal via MultiVision: 1 VWCB (max = 4)

For each video signal to FlexVision XL on Cardio System: 1 VWCB (max = 9)

For each video signal to FlexVision XL on Vascular System: 1 VWCB (max = 8)

See with confidence every time

4 live/ref slaving for ER 1

6 Addl sets of documentation 1

7 addl 27'' LCD Exam Room 1

Get a wider view of the situation

8 QTY of slaves outside MCS 1

• 3D roadmap navigation with a personalized visualization of a CT or MR overlay of the

VesselNavigator provides the following functions:

VesselNavigator movies and snapshots can be stored/archived on:

• A PACS systems as DICOM Secondary Capture images or movies.

3D-RA on Xper Module

3D Roadmap extends the capabilities of the integrated 3D product by providing a sustainable 3D

Intuitive, fully controlled from tableside:

3D Roadmaps can be sent to:

Clinical Education Program for Vessel Navigation:

10 * Subtracted Bolus Chase 1

• automatic exposure control

11 optional ref monoplane 1

12 Peripheral X-ray Filter 1

13 CX50 Video and UI coupling 1

14 Pivot for table base. 1