Reveal more

Philips iE33 xMATRIX echocardiography system

Extraordinary
At Philips, we believe in meaningful revelations.
Our product development decisions are based
on your insights, and respond to your needs.

Not just a revolution, a revelation

This focus is what spurred the development of
xMATRIX technology. Clinically advanced and
thoughtfully designed, the iE33 xMATRIX system
brings extraordinary clinical utility to every setting
where echocardiography is used.

While many technology companies call their innovations

revolutionary, we know that innovation means nothing
if it doesn’t help you. That’s why we won’t call the iE33
xMATRIX a revolution, despite its cutting edge technology.
Instead, we call it a revelation. It will change how you see
ultrasound. More importantly, it will change what you see
with ultrasound.

Philips xMATRIX provides the Philips iE33 xMATRIX with the

power to bring exceptional clinical utility to every setting where
echocardiography is used.
clinical utility
The iE33 xMATRIX
Edition reveals
• Tiny structures, such as ASD, VSD, and thrombus
in the left atrial appendage or the pulmonary veins
• Clear views of lateral walls and the myocardium with
the X5-1, for sensitive EF calculations on patients with
dilated cardiomyopathy
• Views of the heart previously attainable only during
surgery, with Live 3D TEE
• Real-time views of cardiac structure in a single
beat, with the X7-2, the only pediatric 2D and 3D
transducer on the market
• Advanced assessment of global, regional and local
function with QLAB quantification tools

3D proves value
In recent years, many studies have investigated the value of 3D
imaging. Industry experts have declared that it is both complementary
and supplementary to 2D imaging. In particular, 3D echocardiography
appears to improve accuracy and reproducibility over 2D echo in
LV volume and function calculation, as well as the derivation of mitral
valve area in patients with mitral stenosis.
Innovations in image quality
and workflow
You’ve come to expect image quality revelations from Philips. And with good reason.
Philips innovations contribute to nearly every aspect of cardiac imaging. Now, we bring you
a new revelation: changing imaging modes from 2D to 3D can be as easy as touching a button,
without any compromise in image quality.

3D without 3D hassles
As the evidence mounts that volume imaging can provide a wide range of patients types with fewer artifacts and
highly relevant information, more and more clinicians are better penetration. PureWave technology also enables
searching for a way to incorporate 3D imaging into their miniature crystals, which require less stimulation
exams. The iE33 xMATRIX removes the barriers to 3D to achieve high image quality, and make it possible to
imaging, giving clinicians the power to choose 2D, 3D incorporate the power of xMATRIX in ergonomically
or combination imaging without disrupting workflow. sized transducers that can perform both 2D and 3D exams.
With the highly-ergonomic new X5-1 transducer, a simple • Advanced XRES performs 350 million calculations
push of a button brings Live 3D imaging to any exam. per frame of image data at rates of up to 500 frames per
second, removing the noise from the LV cavity to make
Focused on image quality it easier to define the endocardial border.
While much of the iE33 xMATRIX system is new, we’ve • Adaptive Broadband Flow uses the entire broadband
retained all the imaging advantages that have made the frequency range within color Doppler, automatically
iE33 a best-in-class system: adapting the frequency to the ROI to enhance spatial
• PureWave Transducer Technology is the foundation resolution. This is particularly useful when imaging
for a host of imaging advances. The iE33 leverages the pulmonary vein, aortic insufficiency, or mitral
PureWave crystal’s acoustic efficiency in transducer regurgitation flow.
tuning and system optimization, facilitating imaging of

Live 3D imaging enables clear visualization Even in technically difficult heart failure studies, Eccentric aortic insufficiency can be clearly
of thickened ventricular cardiomyopathy and the myocardium and endocardium are displayed identified with excellent color sensitivity
pericardial effusion, while also providing valve, with superb detail and contrast resolution from and resolution.
chamber and muscle detail. the apex to the atria.
 Workflow-driven exams
Advances that increase efficiency can be revelations
as well.
• SmartExam protocols, on-screen guides based
One-button solutions enhance ease of use on exam types, increase consistency from exam
Ease of use is one of the top requirements for a premium performance to exam and clinician to clinician
ultrasound system, because it impacts both workflow and diagnostic • SmartExam automation can reduce exam time
confidence. That is why the iE33 xMATRIX is designed to operate via and key strokes – by up to 300 for some exams
a small number of one-button controls that help you acquire high-quality • Clinical studies show time savings of up to 50%,
images with the least amount of effort. and fewer missed views reduce the need for
repeat scans
iSCAN one-button optimization quickly and automatically adjusts
system parameters in both 2D and Doppler modes based on patient
and exam types. It decreases keystrokes while allowing for the best
image clarity possible in each exam.

iFOCUS Intelligent Focusing Technology automatically computes beam

characteristics for a selected region of interest, and then provides the
best detail resolution and tissue uniformity.

iOPTIMIZE Intelligent Optimization instantly adjusts system performance

for different patient sizes, flow states, and clinical requirements.
Revealing new ways to speed
echo lab workflow
As the utility of echocardiography grows, echo labs are faced with increased patient
loads. The iE33 xMATRIX edition is designed to ease a demanding schedule without
compromising quality.

X5-1 transducer delivers ease of use, effortless 3D

In many ways, the X5-1 transducer is a marvel. Inside
this ergonomic, easy-to-handle tool is the technology
that delivers outstanding 2D image quality on your
most difficult-to-image patients, and then, with the
touch of a button, converts to 3D imaging for applications
such as evaluating a prolapsed mitral valve or biscuspid
leaflets in the aortic valve. With another button, you can
call on Live 3D color to assist with assessing blood flow.
You can also obtain challenging views, such as apical
two-chamber, more easily. Rather than manually rotating
the transducer and searching for a window that isn’t
obscured by ribs, you can use iRotate to electronically
get to the view within the acoustical window between
ribs. This can increase accuracy in measuring LV
volumes, because you are less likely to foreshorten
the image. With 3,000 elements and breakthrough
PureWave xMATRIX technology, the X5-1 supports
3D, 2D, color flow, M-mode, PW/CW Doppler, Tissue
Doppler imaging, and contrast-enhanced exams.

iRotate electronic rotation

Rather than manually rotating the transducer to search for
a non-obscured window, iRotate can electronically achieve
the best view within the acoustical window between ribs.
 With the iE33 xMATRIX edition, you can:
• Incorporate 3D into any exam • Image the entire heart, in 3D in real time
• Move seamlessly among imaging modes • Easily enlarge and rotate ROIs within a
• Use Live 3D Color to assess blood flow volume with iCrop
• Use iRotate to obtain challenging views, • Provide strong overall clinical decision
such as apical two-chamber, support to your colleagues in other cardiac
without manually rotating the transducer sub-specialties, such as surgeons and
• Increase accuracy in measuring LV interventionalists
volumes, as well as calculate the area and
grade the severity of aortic stenosis

Live xPlane supports improved 2D EF calculation Cardiac 3DQ Advanced provides true LV volume, helpful
With Live xPlane, you can acquire two simultaneous orthogonal display of data
views without manually rotating the transducer. Because the views The first semi-automated, on-cart and off-cart analysis of true LV
are from the same heartbeat, you can more accurately calculate volumes, Cardiac 3D Quantification Advanced (3DQ Advanced)
ejection fraction by Biplane MOD. uses all the voxels to generate a full 3D endocardial border with
greater accuracy and less dependency on LV shape assumptions
Live Volume reveals the whole heart in real time than conventional methods, which make geometric assumptions.
Live Volume images the entire heart in 3D, in real time.You can acquire 3DQ Advanced waveform display provides accurate data for
volumes in one, two, or four beats, as needed. Because Live Volume assessing global function based on LV volume, ejection fraction
eliminates the need to trigger acquisition, it is easier to image the whole and stroke volume. Additionally, 3DQ Advanced allows simultaneous
heart or left ventricle even on patients with erratic heart rates. display of 17 regional waveforms, enabling temporal comparisons
between segments.
iCrop zeros in on region of interest (ROI)
iCrop zooms in on the volume region of interest using two live MPR views.
It instantaneously changes view direction, making it possible to evaluate
the mitral valve followed by the aortic valve with just one touch.

Live Volume provides the versatility to capture a Subtle valve leaflets can be visualized in 3D and 3DQ Advanced uses all the voxels to generate a full
dilated left ventricle and eliminate foreshortening, seen in the 2D MPR previews by simply applying 3D endocardial border. Additionally, 3DQ Advanced
supporting accurate volumetric analysis of dyssynchrony and sizing the iCrop region-of-interest, the allows simultaneous display of 17 regional waveforms,
and ejection fraction. zoomed volume display is automatically updated. enabling temporal comparisons between segments.
Stress echo: making the most
of that critical minute
In every stress echo exam, there comes that critical moment of peak stress when you
have a minute or less to get quality images that replicate the angle of the resting images,
and that will enable confident wall motion analysis.

The iE33 xMATRIX is designed to ensure that the moment of peak stress for the patients
isn’t one for the clinician as well. A host of thoughtful innovations work together to enhance
speed and reproducibility.

With the iE33

xMATRIX edition,
you can:
• Save time and increase consistency
• Complete an entire stress echo protocol from the
standard windows following peak exertion without
rotating the transducer
• Quantify 2D stress echo studies and communicate
global and regional LV function during each stage
• Add Live 3D Stress to your protocols with the
touch of a button
• “Slice” the volume to find the best views and
content for making diagnoses

Q-Station* software, which enables advanced

quantification on any PC, can be added to
the iE33 system. When used with Philips
StressVue Stress Testing System, Q-Station
can integrate stress echo and ECG ST
elevation maps into one report, for easier
diagnosis and communication with referring
physicians. Q-Station also includes a smart
wall motion scoring tool that is linked to
stress stages and views.

*510(k) pending
Image challenging patients with the X5-1 iSlice aids diagnosis
The X5-1 transducer delivers high image quality in both 2D and 3D iSlice is another innovation that makes 3D imaging practical. With
modes. Optimized for the most difficult-to-image patients, it features iSlice, you can “slice” the volume to find the best views and content
3 harmonic and 2 fundamental 2D settings for the highest resolution and for making diagnoses. Rotating the volume view also instantaneously
the deepest penetration. The touch of a button enables Live 3D Stress, updates the 2D view to match perspective. More than just a workflow
making it easy to add 3D imaging to your stress protocols. enhancer, iSlice can aid decision making and diagnosis. In fact, one
hospital reported using the 9-slice display because that slice thickness
Automatic rotation with iRotate Stress helped visualize the apical C planes, providing new information not
Used in combination with the X5-1, iRotate allows you to complete previously attainable.
an entire stress echo protocol, including acquisition of 4-chamber,
2-chamber and 3-chamber 2D images, from the standard windows To make stress echo less stressful, the iE33 xMATRIX edition
following peak exertion without rotating the transducer. Simply push includes several additional features that save time and increase
the enter key to automatically rotate to the next required view. consistency:
iRotate decreases wrist strain while also overcoming foreshortening • A pre-loaded 2D/3D Stress protocol that ensures that 3D
of enlarged left ventricles in heart failure patients. and 2D images are labeled and correlate with each other
• Defer Select, which provides the option of deferring selection
New quantification tools increase confidence of views until the end of the stage, saving valuable time
New QLAB “CMQ-stress” plug-in with improved speckle-tracking • Electronic steering to re-orient off-axis images
algorithm enables strain quantification of 2D images. With CMQ- • Automatic saving of angle adjustments and changes in gain
stress, you can quantify 2D stress echo studies and communicate and depth setting for the next stage of the exam to increase
global and regional LV function during each stage. The new speckle- consistency of views
tracking algorithm makes stress echo more objective, because users • Easy re-slicing of images with iSlice, iCrop and Crop Box
can apply the algorithm to images acquired in the quad screen format • Ability to utilize contrast to enhance the LV borders of technically
to measure wall motion anomalies. The comprehensive summary difficult patients
page that displays side-by-side LV 17-segment bulls’ eye plots from • Stress echo automation and quantification that provides more
each stress stage is especially helpful when communicating results objectivity to exam reports
to referring physicians.

From one Live Volume captured during a stress echo exam,

clinicians can use iSlice to derive standard 2D views, as well
as a series of C plane short axis views from, from the apex
to the base.
Clinical value for
interventional cardiology
With the iE33 xMATRIX Edition, echocardiography now has more power than ever
to eliminate surprises during and after interventional procedures. Live 3D TEE images
combined with the advanced capabilities of QLAB Mitral Valve Quantification (MVQ),
reveal information once only available after an incision was made.

With the iE33

xMATRIX edition,
you can:
• Reveal information once only available
through surgery
• Evaluate blood flow with Live 3D Color
before closing an incision, and make any
repairs necessary
• Use clear, accurate images and quantitative
data to support care planning
• Use 3D modeling to help determine if
a valve should be repaired or replaced
Real-time Live 3D TEE view of Barlow’s Mitral Valve Real-time Live 3D TEE view of P2 Prolapse Real-time Live 3D TEE view of P3 Prolapse/Flail
of Mitral Valve of Mitral Valve

Surgical view of Barlow’s Mitral Valve Surgical view of P2 Prolapse of Mitral Valve Surgical view of P3 Prolapse/Flail of Mitral Valve

More informed valvular procedures MVQ reveals new ways of assessing valvular function
Philips Live 3D TEE and MVQ brings the value of MVQ’s 3D modeling provides measurements that can aid
3D echo to transesophogeal imaging, without the valve decision-making. With MVQ, you can:
complexity often associated with volume imaging. • Build a 3D model of the mitral valve annulus, anterior
• Surgeons can use Live 3D TEE to obtain multiple and posterior leaflet, leaflet segmentation, coaptation
perspectives of the complete valve and perform line and potential coaptation defects, as well as mitral
quantification that aids decisions about valve repair valve spatial relationship with the papillary muscles and
or replacement. aortic valve
• During surgery, anesthesiologists can use Live 3D TEE • Manipulate the MVQ 3D model in the 3D space and
to perform analysis and assess procedure outcomes. overlay it on the anatomical 3D view of the mitral valve
• Surgeons can evaluate blood flow with Live 3D Color • Create and display a measurement set, and generate
before closing and make any repairs necessary. a comprehensive report
• In the cath lab, increased visualization of structures QLAB MVQ 3D model
and accurate, fast quantification enhances patient care. allows objective assessment
• When patients are ready for follow-up, cardiologists of mitral valve structural
have clear, accurate images and quantitative data from and functional defects.
procedures to help with care planning.

Operative images courtesy of Dr. David H. Adams, Mount Sinai Medical Center, New York
Capturing the pediatric heart
With pediatric echocardiography, speed rules. Inside and out, your patients are perpetual motion
machines. Philips designed the iE33 xMATRIX edition with a suite of pediatric transducers that
respond to your need to capture data for confident diagnosis.

With the iE33

xMATRIX edition,
you can:
• Obtain real-time 3D views of cardiac strcuture
in a single beat, with high frame rates
• Perform transesophogeal echo on patients
weighing below 3.5 kg
• Use analysis packages designed specifically
for the challenges of congenital heart disease
High image quality enables visualization of minute View of ventricular septal defect from a 5.4 kg neonate. Live 3D Echo with the X7-2 transducer, elucidates
structures, as evidenced in this image of mitral The S8-3t is a fully-functional multiplane TEE with color structural relationships throughout the heart,
insufficiency in a 3.2 kg patient. flow Doppler, HD zoom, and comparison capabilities, including valves, walls, and interventional devices.
making it a critical tool for the care of tiny patients.

X7-2 transducer delivers versatility

The X7-2 transducer is the only pediatric 3D transducer The transducer can be used to identify residual defects in
on the market. It also provides real-time views of cardiac need of repair while patients are still in-suite. In a recent
structure in a single beat. By benefit of 2500 element study of 42 patients, the microTEE transducer was used
xMATRIX technology, the X7-2 delivers remarkable Live successfully to image 100% of the patients, with
3D Echo. PureWave crystal technology reveals the details no complications or clinically significant changes
of tiny structures, while advanced XRES imaging reduces in hemodynamic or ventilation variables. Information
artifacts. The X7-2 supports Live xPlane imaging, Live 3D, from microTEE assessment during surgery resulted
3D iCrop and 3D full volume imaging. in surgical revision for 6 of the 42 patients.*

MicroTEE transducer brings the light of imaging Dedicated pediatric analysis

to tiny patients Our pediatric analysis package contains pediatric-tissue
The benefits of transesophogeal echo are now available specific imaging (TSIs) designed for the challenges of
to the smallest patients, with the microTEE transducer. pediatric imaging. Because we understand that children
A miniaturized multiplane transducer designed specifically are not mini-adults, we’ve also designed fetal echo and
for patients weighing below 3.5 kg, the microTEE supports pediatric analysis to separately measure inflow and outflow,
2D, Doppler, color flow, harmonic imaging, M-mode, and making it easier to follow your patients’ progress.
2D analysis.

Shown actual size, the microTEE transducer brings

transesophogeal echo to your smallest patients.

* Zyblewski SC, Shirali G, Graham E, et al. Initial Experience With a

Miniaturized Multiplane Transesophageal Probe in Small Infants Undergoing
Cardiac Operations. Annals of Thoracic Surgery. 2010; 89:1990–4
Reveal more uptime
Philips support services are designed to maximize uptime. Our Remote Services connectivity allows
for many advanced service features, including virtual on-site visits for both clinical and technical
support to provide faster resolution to issues and questions, remote clinical education, and remote
log file transfer to minimize downtime by allowing faster diagnosis of problems by call center personnel.

Remote services include:

Remote desktop
“Over the shoulder” system monitoring for faster
technical and clinical troubleshooting and training options

iSSL technology
Easily and securely connect to Philips remote services
using your existing internet connection

Online support request

Enter a support request right from your ultrasound
system for faster, more convenient responses

Utilization reports
System and exam data analysis help you manage
ultrasound utilization and productivity in your practice

Pro-active monitoring
Avoid system down time with continuous performance
monitoring and alerts

Award-winning service A sound investment

Whether you encounter Philips personnel through The iE33 system’s clinical performance and versatility
remote services or at your site, you can be assured pay off in the variety of applications you can perform,
of our commitment to your satisfaction. In fact, for while its ergonomic design and workflow tools enhance
17 years IMV Limited, a prestigious independent departmental efficiency. In addition, our people will help
healthcare research company, has rated Philips number you get the education and support that you need to get
one out of thousands of customers surveyed in its the most out of your ultrasound system.
ServiceTrak Imaging-All Systems report for customer
service satisfaction. Your purchase of an iE33 system also comes with our
promise: to never stop innovating in ways that simplify
Innovative financing solutions and improve healthcare delivery.
Philips Medical Capital delivers financial solutions to help
you place a new iE33 xMATRIX system in your facility
or practice. Our financial experts understand your
unique financial needs and provide flexible solutions that
optimize asset utilization, reduce costs, and increase
financial flexibility.
The X5-1 transducer features a single computer
chip and significant size reduction over previous xMATRIX
transducers. Because it offers an environmental improvement,
it has earned the Philips Green Product designation.
Philips Healthcare is part of
Royal Philips Electronics

How to reach us
www.philips.com/healthcare
[email protected]

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/iE33 for more information

© 2010 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 or
obligation and will not be liable for any consequences resulting from the use of this publication.

Printed in The Netherlands.

4522 962 63211 * OCT 2010