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A clear advantage
PhilipsMultiDiagnostElevamultipurposeinterventionalsystem
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Content
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Aclearadvantageforyouandyourpatients
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Exceptionalclinicalresults
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Creatingapositiveexperience
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Experiencethreedimensionalinsight
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Morepatientcomfort
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Therightbalance
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Savingyouprecioustime
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Focusingonpeople
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A clear advantage for you
and your patients
For you
Ashealthcarefacilitiesstruggletoimprovethequality
ofX-rayservicestheyprovidetotheirdiversepatient
population,itisoftenimportantforthemtokeep
examinationcostsaslowaspossible.Youachieve
bothwithPhilipsuniqueMultiDiagnostElevawithFlat
Detector,aC-armbasedremotecontrolledsystem.
Itsoutstandingimagingcapabilitiesandone-of-a-kind
featuresprovideaclearadvantageinconfidenceand
speedforinterventionalfluoroscopyandradiography
examinations.Thissystemsupportsyouinproviding
thebestpossiblequalityofcare,whileimprovingyour
workflowandpatientthroughput.
painordiscomfort.Italsomakesiteasierforyouto
gettherightresult,thefirsttime.ThePhilipsDoseWise
programandothersystemfeaturesprovideahigh
levelofpatientcare.
A clear advantage in
• Confidence:leadingedge2Dand3Dimaging
technologyallowsforahighdegreeofdiagnostic
confidenceduringprocedures
• Speed:therevolutionaryElevaconceptincreases
workflowefficiencyandpatientthroughput
• Comfort and results:patient-centricdesign,
projectionflexibilityanduniqueprotectionfeatures
allowmorecomfortableproceduresand“first-
For your patients
time-right”results
PhilipsMultiDiagnostElevaoffersenhancedimagequality • Easy to use:intuitiveuserinterfacesimplifies
andpatientsatisfaction.Thesystemmovesaroundthe
systemoperation
patient,whichincreasescomfortforthoseexperiencing
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Exceptional clinical results
Thanks to its versatile design you can carry out a large spectrum of examinations, ranging from
interventional fluoroscopy to radiography. Use it as a universal Radiography/Fluoroscopy (RF)
room, vascular overflow lab, interventional suite, or dedicated room for urology, pain management,
orthopedic, gastrointestinal, and trauma procedures. That makes it a smart investment if your
facility wants to increase room utilization, reduce examination costs, or attract new referrals.
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Kidney intervention
Coronal MIP of pyelo,
high resolution exposure
ureter and bladder
Urology
Fullfluoroscopiccapabilities,includingimagegrabbing,areideal
fordynamicstudies.Dedicatedurologytoolsprovidecomfortable
accesstothepatient.Aniso-centric,splittabletopmakesiteasyfor
clinicianstoaccesstheregionofinterestduringureteroscopyand
otherexaminations.
Hip joint cement injection
Cervical spine pain management
coronal view
Pain management
Theoptimalpatientposition-standing,sitting,orprone-caneasily
beachievedduringprocedures.Thissystemmovesaroundthe
patientsotheycanremainstationaryduringspinalinjectionsand
interventions.The2Kimagingmatrixprovideshighqualityimaging
forexcellentvisualizationoffinedetails.
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Barium swallow digital exposure
ERCP 3D-RX of a complete
bile duct system
Gastrointestinal
High-resolutionimagesvisualizesmallanatomicaldetailsandsupport
bothGIdiagnosticsandinterventionsonthesamesystem.Dynamic
videofluoroscopycanshowtheesophagusfunctioninrealtime.
Aleftsuspendedtableisavailableforoptimalaccesstothepatient
duringERCPfluoroscopyprocedures.3D-RXimagingprovides
betterinsightinthecomplexanatomyofthebiliarysystem.
Aortogram in conventional digital
Aorta bifurcation
subtraction technique
with 3D-RX oblique view
Vascular
Thesystemmovesaroundthepatienttoprovideexceptional
visibilityoverthefullbodylength.TheX-rayVascularAnalysis
packageprovidesadvancedvascularprocessingandviewing
features.BolusChaseand3D-RXimagingoffersuperbvisibility
ofvasculaturewithenhancedworkflow.
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Radiography of a foot
Coronal image
in 2k2 acquisition mode
of a weight bearing knee
Orthopedics
Thepatientcanstandcomfortablyonthefloorforweight-bearing
X-rayexaminationsthatarevisualizedinsuperb2Dand3Dimages.
Theseimagescanhelpsupportcliniciansinseeingwherejointspaces
aremissingorwheretheabrasionofthebonesoneachotheris
occurring.Youcanzoomtheimagetorevealfinedetailsdowntothe
sub-millimeterlevel-atfullresolution.Havingafull2Kimagingchain
meansthatthesystemcanbeusedasabackupforroutineskeletal
examinations.
Volume reconstruction
Coronal MIP reformat of a proximal
of a calcaneus fracture
humerus fracture
Trauma
Thesystemoffersexceptionalprojectionflexibilitytoimagethefull
bodylengthwithoutmovingthepatientonthetable.High-quality
radiography,dynamicfluoroscopy,andcross-sectionalimagingcan
beperformedinthesameroom.
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Creating a positive
An inside look at different users’ experiences
with the innovative technology of the
MultiDiagnost Eleva that had a positive effect
on their patients’ health.
Loraine Froescul
MedicalradiographictechnologistinRoyalColumbian
Hospital,Vancouver,Canada,describesacaseofachild
thatwasX-rayedwithacastonhisankle,buttheycould
notseethefracture.A3D-RXscanwasperformedon
theMultiDiagnostEleva.
“Webroughtthechildoverhereanddidaquicksweep
andyes,therewasthefractureandtheycouldn’tsee
itwithanyotherfilms.Itwasbeneficialbecausewe
wereabletoavoidthetraumaofusingthesawto
removethecast.Instead,weusedasimple,plainX-ray
andhewaskindofexcitedwatchingthethingspin
aroundhim,butnottouchhim.Thingslikethatarevery
beneficialtothepatient.”
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experience
Dr. Jean-Baptiste Martin
Diagnosticandinterventionalradiologist,Geneva,
Switzerland.Havingthe3D-RXoptionofthe
MultiDiagnostElevaintheexaminationroomenables
Dr.Martintogetanideaabouttheeffectofthe
procedurewhilethepatientisstillpresent.Theoption
alsohelpshimduringtheintervention,especiallyfor
cementimplantationandnucleoplasty.
Professor Josef Menzel
HeadofMedicalClinicII,KlinikumIngolstadt,Germany,
saysthatthepatientbenefitsfromtheenhanced
diagnosticpossibilitiesoftheMultiDiagnostEleva.
A45year-oldfemalepatientpresentedwithpainin
therightabdomen.Numerousexaminationswith
ultrasound,CTandMRCPindifferentinstitutionsfailed
tohelpdetectabileductstoneorotherpathology.
Dr.Martinsays,“ThisweekIdidavertebroplastycaseof Intheabsenceofpathologicallaboratoryfindings,
thepelvicringandIwasintroublebecauseoftheneedle conventionalERCPwasperformedintheKlinikum
positionandinjection.The3D-RXconfirmedtheneedle Ingolstadt,butalsofailedtoshowanystone.
positioninsidesacralala,permittinginjectionofPMMA
(Polymethylmethacrylate)andcontrol.”
TheMultiDiagnostElevaperformedrotationalscanning
inseveralregions,with3Dreconstruction.The3D
Dr.Martinisimpressedbytheimagequalityofthe
reconstructionsshowedsmallstonesinthecommonbile
3D-RXoption.Apatientwithpaininherrighthipjoint
ductandthegallbladder.Inall,therewerethreesmall
wasexaminedusing3D-RXonthePhilipsMultiDiagnost stoneswithadiameterofabout5mm.Thestoneswere
Eleva.Althoughthelefthipalreadyhadaprosthesis,the extractedandthepainwasimmediatelyrelieved.
coronalsliceimagesclearlyshowedthecauseofthepain
inherrighthipwithhardlyanyartifactsintheimage.
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“Getting multiplanar imaging from a multipurpose C-arm will add
another level of confidence and another level of visualization”
WilliamW.Y.Siu,MD,FRCP(C)Radiologist,RoyalColumbianHospital,Vancouver,Canada
Experience three
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The MultiDiagnost with Flat Detector provides
Calcaneous fracture repair-
Lumbar spine puncture for
you with outstanding imaging capabilities
post treatment
pain management
dimensional insight
The combination of our 2K imaging, flexible positioning
and 3D-RX offer new possibilities for enhancing patient
care. You will experience new clarity with its three
dimensional and cross-sectional imaging capabilities.
Unique weight-bearing X-ray
TheC-arcoftheMultiDiagnostElevamovesaroundthepatient
inafull180˚“iso-centric”rotatingscan.Thismakesittheonly
multipurposeX-raysystemthatcanacquirecross-sectionalimages
inone180°runofapatientinastanding,weight-bearingposition.
Theseimagesprovideacomprehensiveevaluationofmusculoskeletal
alignmentandconditionsnotpreviouslyavailableonamultipurpose
system.Itcanenableyouforinstancetoseeboneabrasionsor
jointgapsandsupportsphysiologicassessmentofthealignment
ofthespineandjoints.
Superb resolution images
Thecomplete180˚rotationrangeofMultiDiagnostElevawith
3D-RXprovidesthenecessaryreconstructiondataforsuperb,
highresolution3Dimagequality.Theseimagesgiveexcellent
insightintotortuousvasculature,complexstructures,andother
pathologicalprocesses.Headtotoecoverageenablesvolumetric
imagingofanyrelevantpartofthebody.The3Dreconstructionis
availablewithinsecondssoyoucanassesstheresultsofprocedures
whilethepatientisstillonthetable.
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The system moves instead of the patient
Thesystemmovesaroundpatientssotheycanremain
stationary,whetheranAP,lateralorobliqueprojection
isrequired.Patientscanremaincomfortablyinplace
throughouttheexamination,whichcanminimize
movementartifactsandtheneedforretakes.
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Patients can stand or sit comfortably
Thepatientcanstandonthefloorduringweight-bearing
examinations,whichfeelsmoresecureandhelpsto
improveyourimagingresults.Patientscanalsobe
imagedinawheelchairorstooltoreducestrainifthey
arefeelingunwell.
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Easy access for patient care
3D-RX weight bearing imaging of C-spine
More patient comfort
At Philips we understand that X-ray examinations can sometimes be a stressful experience
for patients. The MultiDiagnost Eleva has several unique features that make examinations as
comfortable as possible. This allows you to get excellent results and can reduce repeat examinations.
BodyGuard protects patients during system
movements
BodyGuardsensesthepositionoftheindividualpatient
andstopsmovingjustbeforetheflatdetectorwould
touchthepatient.Thisenablescliniciansto
safelytakeadvantageofthesystem’sfullprojection
capabilities.
More examinations in one room
Youcanperformafullrangeofradiographyand
fluoroscopyexaminations,aswellasinterventions,
allinthesameroom.Foronepatient,youcancarry
outdynamicstudieswithfluoroscopy,makeasingle
exposureorseriesat30framespersecond,doa3D-RX
scan,withoutmovingthepatient.
Easy access
TheheightofthetableandoftheentireC-armcan
beadjustedupordownasneeded.Itcanbemoved
toaverylowpositiontomakeitaseasyaspossible
forpatientstogetontothetable.Forstanding
examinations,nofootrestorstep-upisneeded.The
patientcanstandonthefloorwhilethesystemmoves
aroundthem.
Secure table design
Patientsfeelcomfortableandareheldsecurelyinplace
inthecurvedtabletopthatisshapedlikeacradle.Itis
madeofeasytoclean,durablematerialsandcanfirmly
supportpatients.
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Esophagus - gastroesophageal junction
Modified barium swallow examination
The right balance
Philips takes the safety of its customers and their patients very seriously and has therefore
developed DoseWise radiation management for all its X-ray systems.
DoseWise - outstanding image quality at a low
X-ray dose
DoseWiseisasetoftechniques,programs,andpractices
thatensuresexcellentimagequality,whileprotecting
peopleinX-rayenvironments.It’saphilosophythat
drivesPhilipstodevelopinnovativenewstrategies
indosemanagement.DoseWisefocusesonthree
highlyeffectivestrategiesfordosemanagementinthe
MultiDiagnostEleva.
Smart Beam management
OurDoseWisetechnologiesmodifytheX-raybeam’s
energyspectrum,shape,andfrequency(semi-)
automatically.Givingtheimpressionthatthebeamcan
“think”foritself,adaptingtoeachexamination.
Ourprimetechniquesusedare:
In-Pulsecontrol
•Eliminatingover-andunder-exposureineverypulse
•Providingimmediateinformationwiththefirstpulse
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•Allowingverylowfluoroscopypulsefrequencies
•Determiningexposuresettingswithoutapplying
fluoroscopy
SpectraBeam
SpectraBeamusesasmartwaytoremoveunwanted
“soft”radiation.ThesearetheX-raysthatreachthe
patientbutdonothaveenoughenergytoreachthe
imagedetector.FilteringreducespatientX-raydose
andscatteredradiationforyouandyourstaffwhile
maintaininghighimagequality.
GridControlledFluoroscopy(GCF)
GCFextendstheIn-Pulsecontrolconceptswith
speciallydesignedpediatricfluoroscopycurves.
GCFalsousesagridswitchedX-raytube.Compared
toconventional“on/off”switching,gridswitchedpulsed
fluoroscopymaximizestheefficiencyoftheX-raybeam
andreducesX-raydoseevenmore.
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Achievingoutstandingimagequality
isonlyhalfthebattle.Doingsowhile
maintainingalowX-raydose,isthe
realchallenge.DoseWise,theunique
Philipsapproachtodosemanagement,
supportsyoualltheway.
Less radiation-on time
In-Pulsecontrolensuresthatthebeamalwayshasthe
correctpowertodeliverexcellentimagequalityfor
fluoroscopyandexposures.WhenusingImageQuality
eXposure(IQX),PhilipsuniqueIn-Pulsecontrolconcept
foradaptingexposures,yougetimagesthatare“First
TimeRight”andretakesmaynotbenecessary.
Duringfluoroscopy,radiation-ontimeisminimized
bypulsingthebeam.Plus,achoiceofverylowpulse
frequenciesdeliversmajorX-raydosesavings,while
ensuringdiagnosticallyrelevantimages.
Thedecisionsyoumakeareinfluenced
bythequalityofimagesyoutake.
That’swhythePhilipsMultiDiagnost
ElevaincludesaleadingedgeFlat
Detectoranddigitalimagingchain.
Theadditionof2Kimagingevenhelps
youtovisualizefinedetailsdownto
thesub-millimeterlevel.
More Awareness
TheDoseWisephilosophyhasdriventhedevelopment
ofsimple,easytoreaddisplaysandreporting-keeping
youawareofdoselevels,andfullyincontrol.Allbased
ontheALARA(AsLowAsReasonablyAchievable)
principleforX-raydosemanagement.Philipsgoesone
stepfurtherbyprovidinganX-raydisablebuttonwhich
preventsX-rayfrombeingaccidentallyswitchedon
duringroompreparationandhelpsprotectpeople
intheexaminationroom.
Radiation-ontimecanbefurtherreducedby:
• Collimation on Last Image Hold-forradiation
freepositioningofthecollimatorshutters
• Store and Recallthepositionofyoursystem
forradiationfreepositioning
• Collimator with Light(dependingonsystem
configuration)forradiationfreepositioning,using
thecollimatorlight.
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Saving you
precious time
Designed to meet the challenges of busy healthcare facilities, the MultiDiagnost Eleva
is developed to simplify and speed up examinations, allowing you to increase efficiency
and workflow.
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SmoothfitwithITinfrastructure
Duetoitsstate-of-the-art
technologyandembeddedsecurity
standards,theMultiDiagnost
Elevacanbeintegratedsmoothly
intoexistingenvironments.The
systemofferscompleteDICOM
functionality,includingModality
PerformedProcedureSteps
Goingbeyondthestandardpre-setthatmanysystems
offer,theMultiDiagnostElevaletsyoucustomizeexam
typesandpatient-relatedparameters.Thesystem
effortlesslyswitchestoanewoperatororexamtype
intheblinkofaneyetoavoidlengthydelaysbetween
exams.
Empoweredbyahighlyintuitiveuserinterface,all
functionsarelocatedexactlywhereyouexpectthem.
WhenyouconnecttheMultiDiagnostElevatoyour
RadiologyInformationSystem(RIS),
theRISautomaticallytriggerstheappropriatepre-setto
savefurthertimeandminimizetheriskofmistakes.
Efficient room utilization and training
Performalargespectrumofdiagnosticand
interventionalexaminationsinoneroomtomakethe
mostefficientuseofyourresources.Minimizetraining
timeforsystemuserswiththesimpleonebuttonEleva
conceptwhicheliminatescomplicatedmenus
andunnecessarysteps.
(MPPS),worklistmanagement,
storagecommit,andQueryand
Retrieve.Ittakesfulladvantageof
yourITinfrastructure-enabling
completeintegrationwithyour
PACSandRIS.Providingallrelevant
data,rightatyourfingertips.
Faster procedures – every step of the way
Preparation
•PatientinfoandElevaexampre-setsareautomatically
activatedbyyourRIS
Acquisition
•In-pulsecontrolforautomaticfine-tuningof
fluoroscopyandexposureparameters
•Rapidlyswitchbetweendiversediagnosticand
interventionalexamsusingyourcustomized
preferences
Post-processing
•Paralleloperationsletyouacquireandpost-process
imagesat
thesametime
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Focusing on people
At Philips, we simplify healthcare by focusing on the people in the care cycle - patients and care
providers. By combining human insights and clinical expertise, we aim to develop innovative
solutions that improve patient care and lower overall costs.
Every aspect of the MultiDiagnost Eleva lives up
to this promise.
• Practical design.Itisdesignedbasedontheneeds
ofhealthcarepractitionersandpatients.Movingthe
systemaroundthepatientandallowinguserstocreate
theirowncustompre-setsarejusttwoexamplesof
thispracticalapproach.
• SimplicityisacoreprincipleofPhilips.
TheMultiDiagnostElevaincludesBodyGuard,
asinglebuttonuserinterfaceconcept,andabroad
rangeofautomationfeaturestoreduceeffortduring
procedures.
• Advanced technologytakesyourX-ray
procedurestothenextlevelofqualityandefficiency.
PhilipsMultiDiagnostEleva3D-RX,IQX,GCF,and
SmartBeamarejustafewoftheuniquetechnologies
offeredbythissystem.
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Services - a full lifecycle solution
Philips provides a full lifecycle solution designed around your patients, your people, and your
organization. We help you succeed in every phase of system ownership, from planning to start-up,
through peak usage and renewal.
Planning
Understandhowandwhentherightequipmentand
servicescontributetobetterpatientcareandbetter
economics.
Start-up
Makethemostofyoursystemasquicklyaspossible.
Peak Usage
Extractmaximumutilityoutofyoursystemdaytoday.
Renewal
We’llhelpyoumakesmartdecisionsonupgrading
ortransitioningtoanewsystem.
First-rate care
Philipsglobalservicenetwork,ourhighlyqualified
engineers,theindividualattentionofourservice
techniciansandtheinternalavailabilityofspareparts
combinetoprovideourseamlessservicesupport.
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Philips Healthcare is part of
Royal Philips Electronics
Howtoreachus
www.philips.com/healthcare
[email protected]
fax:+31402764887
Asia
+85228215888
Europe,MiddleEast,Africa
+4970314632254
LatinAmerica
+551121250744
NorthAmerica
+14254877000
8002855585(tollfree,USonly)
Please visit www.philips.com/multidiagnost
©2010KoninklijkePhilipsElectronicsN.V.
Allrightsarereserved.
PhilipsHealthcarereservestherighttomakechangesinspecificationsand/ortodiscontinueanyproductatanytimewithoutnoticeor
obligationandwillnotbeliableforanyconsequencesresultingfromtheuseofthispublication.
PrintedinTheNetherlands.
452296253641*APR2010
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