Quick Guide CX50 XMATRIX - Live 3D TEE Imaging - Philips
Quick Guide CX50 xMATRIX – Live 3D TEE imaging 1
Table of contents Perform an exam Image manipulation Getting started. 3 3D Controls . 3 Elevation and Rotation controls. 7 3D cropping tools. 7 Imaging modes . 4 Save/Restore features. 8 Basic 2D measurements. 8 Image optimization iSCAN . 6 Target Volume Rate. 6 3D orientation tools 3D Orientation Marker. 9 3D Depth Markers. 9 2
Perform an exam 3 Getting started Connect the X7-2t transducer directly into the side port of the system or the multiport adaptor on the CX50 cart. To begin an exam, press Patient on the keyboard and do one of the following: –– Select a patient name from the modality work list (if available) –– Manually enter patient data –– Select Temporary ID. Press Transducer on the top row of the keyboard, to activate the X7-2t 3D controls Quick Keys: Use the multifunction knobs located at the top of the control panel to adjust the two rows of corresponding imaging function labels displayed at the bottom of the screen. Available functions depend on the application, preset and transducer. Turn the knob to select options in the bottom row and press the knob to select options in the top row. The Next key scrolls to the 2nd page of labels. 3D and xPlane Controls: The 3D Zoom/Preview, Live 3D, and xPlane controls (lower left control panel) are multifunctional controls used to activate 3D modes and rotate the X, Y and Z planes. –– 3D Zoom/Preview: Press to toggle between Preview and 3D Zoom. Turn to rotate on Z axis. –– Live 3D: Press to activate Live 3D and turn to rotate on the Y axis. –– xPlane: Press to activate xPlane and turn to rotate on the X axis To change angles for Live 3D or xPlane, rotate the Seek Angle quick key or manipulate controls on the X7-2t transducer. The Seek Angle icon and temperature information is displayed at the top of the monitor.
Imaging modes xPlane provides simultaneous imaging of 2 orthogonal planes in grayscale and with color Doppler. Users can simultaneously tilt and rotate the right image which is helpful during interventional procedures. –– Press the xPlane dual function rotary knob to activate. –– Use the quick key controls to adjust the xPlane imaging controls displayed at the bottom of the screen. -- Press the Tilt quick key to toggle between Lateral and Elevation. -- Turn the Tilt Angle quick key or move the trackball to change the lateral or elevation tilt angle. –– Press the Color control panel key to activate color Doppler. Live 3D is optimized for evaluating small areas and specific structures (valvular and congenital evaluations, and interventional guidance). –– Press Live 3D dual function rotary knob to activate. –– Default display format is “Volume Only”. –– Use the quick keys to adjust the Live 3D imaging controls displayed at the bottom of the screen. (See the “Image Optimization” and “Image Manipulation” sections for more detailed information.) –– Measurements are available in all 3D modes and include Area, Length, and Circumference. Live 3D Color is optimized for valvular and ASD/VSD evaluations. –– Activate Live 3D and press Color. –– Target Volume Rate works well for achieving optimal volume rates when using color Doppler. (See “Image Optimization” section for more information.) –– Activating color in Live 3D reduces the region of interest (ROI). Tip: To achieve the best volume rate, optimize image in 2D and then enter 3D Perform an exam 4
Perform an exam Live 3D Zoom is optimized for valvular, congenital, and ASD/VSD evaluations. Preview allows the user to optimize the ROI box for size and position before entering Zoom. –– Press 3D Zoom/Preview to enter Preview. Adjust ROI using the trackball; and then press again to activate 3D Zoom. (3D Zoom will orient to view from top of volume.) –– Turn the Elevation Width quick key to adjust, if desired. –– Use the quick keys to adjust the 3D Zoom/Preview imaging controls displayed at the bottom of the screen. (See the “Image Optimization” and “Image Manipulation” sections for more detailed information.) Note: 3D Zoom will re-orient to view from the top of the volume Full Volume is optimized to encompass the entire heart within the volume. –– Activate Live 3D, and then press Full Volume quick key. –– Use the quick keys to adjust the Full Volume imaging controls displayed at the bottom of the screen. (See the “Image Optimization” and “Image Manipulation” sections for more detailed information.) 5
iSCAN iSCAN provides one-time optimization of imaging parameters in 2D, 3D and Doppler acquisition. –– Press iSCAN to activate. –– Turn the iSCAN Gain quick key to adjust gain brightness. –– iSCAN remains on when switching to other modes. Note: AutoSCAN is defaulted OFF for 3D TEE Target Volume Rate Target Volume Rate (Target VR quick key) allows the user to “dial in” the volume rate for greater control of image quality versus frame rate needs. Target VR determines image resolution independent of the size of the volume by increasing or decreasing the rate. –– Increased Volume Rate decreased spacial resolution and increased line spacing for better field of view during device placement –– Decreased Volume Rate increased spacial resolution and decreased line spacing for more detailed resolution. –– Target VR is available with all 3D imaging modes except xPlane. –– Activate desired imaging mode and adjust the Target VR by turning the quick key. Tip: To maximize and increase the frame rate: Adjust Target VR quick key, decrease Sector Width and reduce Depth. Image optimization 6
Image manipulation Elevation and Rotation controls Elevation Position and Elevation Width quick keys allow adjustment in both dimensions: depth and width. –– Elevation Width brings dimension “in and out” of the screen and expands the image. –– Elevation Position moves “in and out” of the image. Rotation Style quick key is located on the 2nd page. Choose Absolute or Relative setting. Rotate Z quick key is located on the 1st page. –– Absolute setting rotates the image relative to the acquisition axes of the image. –– Relative setting rotates the image relative to the display screen. –– Rotate-Z setting rotates the volume view on the Z Axis. 3D cropping tools Cropping quick key launches the traditional red, green, and blue cropping tools. Auto Crop quick key automatically crops half of the volume to expose structures of interest. Crop Side settings are Front, Back, Left, Right, Top, and Bottom. The default side for Auto Crop is Front. –– Crops the volume using the crop plane selected with Crop Side quick key. Crop Adjust quick key is adjustable by turning the quick key knob. –– Available settings are 1% to 100%. Lock View to Volume quick key prevents the volume and crop plane from rotating independently. Control is available when the Cropping quick key is activated. This is the default setting. Unlock View from Volume quick key allows the 3D volume and the crop plane to be rotated individually. 7
Undo Crop quick key is used to undo the last plane crop adjustment and move the crop plane back one step at a time. Redo Crop quick key will restore the crop plane back one step. Reset Cropping quick key is used to reset all cropping adjustments and set Crop Adjust to “0”. Save/Restore features Save View quick key is used to store the current orientation, size and position of the 3D Volume (unless 3D Home is invoked). –– Press Save View quick key to save all settings. User must rotate Save View control to enable and see Restore View quick key. Restore View quick key returns to the view selected as the preferred view for Save view. 3D Home quick key is used to reset the orientation of the image views to their original 3D orientations. This control does not affect cropping. Flip View quick key is used to rotate the 3D Volume 180 degrees about the Y axis. Swivel quick key is located on the 2nd page. –– Swivel function is available with a frozen image or cine-loop. –– Quick keys available with Swivel: Speed, Direction, Min Angle, and Max Angle. –– Swivel images can be acquired and exported. –– The Live 3D Export Volume Datasets and Swivel Loops options must be checked in Export Options. Basic 2D Measurements Basic 2D Measurements available on 3D images include: Length, Area, and Circumference. Measurements only available on the reference images when using the Format Vol Ref. Image manipulation 8
3D orientation tools 3D Orientation Marker 3D Orientation Marker or “Silver Man” displays the anatomical position and is synched with trackball rotation of the X, Y, and Z planes. –– The orientation marker also appears on the Philips Allura EchoNavigator system. –– The system display assumes the TEE transducer is in the mid esophageal position, even though in practice the transducer may be in another position. 3D Depth Markers 3D Markers help locate structures within a volume and pinpoint targets for interventions. They can be activated in Live 3D, 3D Zoom, and 3D Zoom Preview. The user can crop or rotate the volume to visualize markers. 9
1. Activate Live 3D, 3D Zoom or 3D Zoom Preview, and then press the 3D Marker quick key. Use the trackball to position the marker on the image. Up to three markers can be placed on a volume and each marker has a unique shape: Circle, Square and Diamond. 2. The active marker is green and can be acquired as part of an image. Adjust the 3D Marker depth or elevation within the volume using the Marker Depth quick key. Turn clockwise to move the marker away from the screen (marker appears smaller). 3. Turn counter clockwise to move the marker towards the screen (marker appears larger). 4. Press Enter to anchor the marker and place another marker. 5. Locate the last marker placed using the Find Marker quick key. A line appears between the left side of the display and the marker. 6. Erase markers one at a time using the Erase quick key; or erase all markers using Erase All Markers quick key. 7. Select an existing marker by turning the Select Marker quick key rotary. 8. Press Next to exit the marker mode. (Next key is located in middle of rotary knobs.) 3D orientation tools 10
Philips Healthcare is part of Royal Philips Electronics How to reach us www.philips.com/healthcare healthcare@philips.com Asia 49 7031 463 2254 Europe, Middle East, Africa 49 7031 463 2254 Latin America 55 11 2125 0744 North America 1 425 487 7000 800 285 5585 (toll free, US only) Please visit www.philips.com/CX50xMATRIX 2013 Koninklijke Philips Electronics N.V. All rights are reserved. Philips Healthcare reserves the right to make changes in specifications and/or to discontinue any product at any time without notice orobligation and will not be liable for any consequences resulting from the use of this publication. MAR 2013
Perform an exam Live 3D Zoom is optimized for valvular, congenital, and ASD/VSD evaluations.Preview allows the user to optimize the ROI box for size and position before entering Zoom. - Press 3D Zoom/Preview to enter Preview. Adjust ROI using the trackball; and then press again to activate 3D Zoom. (3D Zoom will orient to view from top of volume.)
transfected with wild type Cx50 in pcDNA3.1/Hygro( ) or with Cx50N220D in pcDNA3.1/Hygro ( ) using Lipofectin (Life Technologies, Carlsbad, CA, USA). Immunoblotting and immunofluorescence. Immunoblotting to detect Cx50 and immu-nofluorescent localization of Cx50 in cultured cells we
HD11 XE HD9 HD7 XE HD7 HD6 HD5 CX50 Sparq C9-3v CX30 HD15 BP10-5ec HD11 XE Affinity 50 Affinity 70 EPIQ7 C9-4v EPIQ5 Affinity 50 Affinity 70 CX50 EPIQ7 C10-3v EPIQ5 iU22 Affinity 70 CX50 Page 11 of 18. TRISTEL FUSE FOR STELLA MATERIAL COMPATIBILITY Manufacturer Instrument Type Instrument Series Model Philips TOE probe iE33 S8-3t EPIQ7/EPIQ5 .
Combine the strength of the iU22 ultrasound system with the power of xMATRIX, and you have an ultrasound system in a category of its own. The iU22 xMATRIX is an innovation that can increase clinical confidence, reduce exam time, and bring more information to the reading room. Leading edge, redefined architecture. Exceptional resolution.
May 23, 2017 · Philips, a leader in cutting-edge ultrasound development, has integrated premium, innovative technologies into the CompactXtreme family. CX50 xMATRIX has been designed specifically for diagnostic, interventional, surgical and pediatric echocardiography applications. We’re taking premium class compact echo performance to new levels and new arenas.
The hand-carried Philips Healthcare CX50 Com-pactXtreme was released in 2008. It was particularly designed for mobile echocardiography. It can be mounted on a very flexible cart or simply be carried by a handle. The battery run time is about 30 mi-nutes. The CX50 allows for immediate echocardiog-raphy on intensive care units, in the emergency
Your Cobra CX50 JR is a close-tolerance high performance machine and break-in time is very important for maximum life and performance. The CX50 JR can be ridden hard after the first ½ hour break-in time. Cobra recommends Bel-Ray H1-R premix oil with high octane pump gas mixed at 40:1 (150 ml oil to 2 gallons of gas). Other
Philips Endocavity transducer iU22 C8-4v (p/n 4535611 7292x where x is 3 or greater and p/n 4535612 8750x where x is 2 or greater) HD15 HD11 XE HD9 HD7 XE HD7 HD6 HD5 CX50 . HD11 XE iE33 L11-3 EPIQ7 L15-7IO Intraoperative transducer EPIQ5 L15-7IO Affinity 70 Affinity 50 iE33 iU22 HD11 HD15 CX30 CX50 Page 15 of 18.
since 2012. The third and final year of the strategy provided a good opportunity for us . to take stock of what we as nurses, midwives and care staff have achieved through the strategy and how we have contributed to ensuring high quality, compassionate care. This means not only thinking about this final year, but also reflecting on the last three years as a whole. I have been privileged to .
