Description

PHILIPS CX50 ULTRASOUND MACHINE

About Vision2013 Software
Vision2013 Version 3.01 added the following twelve options to the Philips CX50.

2D ICE
3D Fetal Echo STIC
Digital Navigation Link 2D
Digital Navigation Link 3D
Live 3D
Live xPlane
Pediatric Echo
Pediatric Radiology
Qlab 3DQ
Qlab 3DQA
Qlab CMQ replaces TQM
Qlab MVQ
The updated Vision2013 software version 3.1 added an additional two options to the CX50 ultrasound:

Abdominal Vascular
Needle Visualization
Popular Revisions of the Philips CX50
Philips CX50 (Rev A) with 1.1 to Vision 2013 software
Philips CX50 (Rev B) with Vision 2010 to Vision 2013 software

Common configurations of the CX50
Philips CX50 with 3 transducers
This is a general imaging (GI) and Women’s health configuration

C5-1 PureWave Convex

C10-3v PureWave Endovaginal

L12-3 Linear

Philips CX50 with 3 transducers
This is a Shared Service OB/GYN –Cardiac – GI configuration

S5-1 PureWave Cardiac Sector

L12-3 Linear

C5-1 PureWave Convex

Probes
Philips CX50 Probes & Transducers
PureWave Convex C5-1 [ 1 – 5 MHz ] 160 elements, 70° field of view
Microconvex C8-5 [ 5 – 8 MHz ] 128 elements, 90° field of view, 22.4mm

PureWave Endovaginal C10-3v [ 5 – 8 MHz ] 128 elements, 11.5mm, 130° field of view
Curved intraoperative C9-3io [ 3 – 9 MHz ] 128 elements, 25mm

Linear L12-3 [ 3 – 12 MHz ] 160 elements, 38mm
Linear L12-5 50mm [ 5 – 12 MHz ] 256 elements, 50mm field of view
Linear L15-7io [ 5 – 15 MHz ] 128 elements, 22mm
Laparoscopic L10-4lap [ 4 – 10 MHz ] 128 elements
PureWave Cardiac sector S5-1 [ 1 – 5 MHz ] 80 elements, 20.3mm
Pediatric cardiac sector S8-3 [ 3 – 8 MHz ] 96 elements, 15.4mm, 90° field of view
Neonatal cardiac sector S12-4 [ 4 – 12 MHz ] 96 elements, 9.8mm, 90° field of view

PureWave xMATRIX TEE X7-2t [ 2 – 7 MHz ] 2,500 elements
ViewFlex Xtra catheter [ 4.5 – 8.5 MHz ] 64 elements, 120° field of view (for ICE)

Pedoff (CW Transducer) D2cwc [ 2 MHz ] Adult cardiology applications
Pedoff (CW Transducer) D5cwc [ 5 MHz ] Deep venous and arterial applications

Advanced CX50 Transducers: PureWave & xMatrix
The Philips CX50 has the most advanced transducers ever used on a portable ultrasound machine, including three single crystal PureWave transducers; the [ 1 – 5 MHz ] C5-1 convex, the [ 5 – 8 MHz ] C10-3v endovaginal, and the [ 1 – 5 MHz ] S5-1 adult cardiac sector probe. Single crystal transducers are able to significantly improve image quality even at deep penetration, something very important when scanning large patients. No other portable has single crystal transducers, as the technology usually is only used on premium level ultrasound machines. The Philips CX50 also can use the [ 2 – 7 MHz ] X7-2t xMatrix transesophegeal transducer, which has excellent image quality and can image in multiple planes at once as well as image in 4D mode. Only the CX50 among portable ultrasound machines has a 4D TEE probe. The ViewFlex Xtra catheter developed by St. Jude Medical is also compatible with the CX50 and is used for ICE where the catheter is inserted inside the heart through the left femoral vein.

Popular Philips CX50 Transducers
The amazing C5-1 PureWave convex and the S5-1 PureWave cardiac sector are the most popular transducers for the CX50 providing excellent imaging even on heavier patients. The [ 3 – 12 MHz ] L12-3 is the most popular linear for the CX50 as it offers the best blend of scanning possibilities and is the most affordable linear.

Competitors
How the CX50 Compares with Other Philips Ultrasound Systems
In late 2011 Philips also launched the CX30 as a lower-priced portable that looked nearly identical on the outside but used less expensive transducers and had no access to PureWave or the X7-2t TEE. The CX30 was later discontinued in 2014. The Philips Visiq tablet portable was launched in 2014 at a much lower price point and feature set. The Philips CX50 remains the most advanced portable in the Philips lineup.

A review of the CX50 ultrasound is available on our partner company Providian’s website. Read or watch Brian Gill’s review of the CX50 on ProvidianMedical.com.

Philips CX50 vs. Affiniti 70
The CX50 and the Affiniti 70 are very similar, using many of the same transducers including the PureWave probes. The Affiniti 70 has a console with a larger monitor, a touchscreen, and a wider set of transducers, including 4D probes. The processor in the Affiniti 70 is also more powerful, but the CX50 is able to use the X7-2t in full 4D and xPlane mode, whereas the Affiniti 70 can only use 2D mode on the X7-2t.

Other Brand Ultrasounds Similar to the Philips CX50
The closest competitor to the Philips CX50 is the GE Vivid q, which is a portable ultrasound with similar cardiac performance and quantification software but which lacks the CX50’s 4D xMatrix TEE probe compatibility. The Vivid q is one of the best options for ICE procedures in compact operating rooms and EP labs. Both the CX50 and the Vivid q have similar cardiac image quality and are in the premium price category of $27,000 to $42,000. The CX50 is a shared service ultrasound that offers OB/GYN and radiology applications and transducers, whereas the Vivid q is a cardiovascular-specific system. The Mindray M7 (available from our partner company Providian) is positioned in the midrange price category, but it’s cardiovascular performance and quantification software are strong for the price. The M7, however, lacks the 4D Matrix TEE function of the Philips CX50. The Samsung HM70A is the closest competitor to the Philips CX50 in general imaging and OB/GYN, but the HM70A, like the M7, is a midrange rather than a premium portable, and it’s cardiac features are not as robust as the CX50. The HM70A also has no TEE probe or neonatal cardiac sector probe and doesn’t offer 4D probes for OB/GYN applications, but it is still competitive with the CX50 for the price range.

Features
Philips CX50 Features
15” high-resolution monitor
1 transducer port
1 pedoff port
AutoSCAN image optimization
iSCAN intelligent optimization
Advanced XRES adaptive image processing
Expanded field of view
Active native data
Live compare
SmartExam protocols
PureWave crystal technology
Active Native Data
Live Compare
IntraCardiac Echocardiography (ICE) imaging
Cineloop review
160 GB hard drive space
Internal slot-load CD/DVD RW drive
Comprehensive measurement tools
One three-lead ECG input
2D ICE
Abdominal
Abdominal Vascular
Acute Care
Adult Echo
Cerebro Vascular
Contrast General
Contrast Superficial
Digital Navigation Link 2D
Digital Navigation Link 3D
DICOM Networking
DICOM Structured Reporting
SonoCT
PureWave Crystal Technology
xMatrix Array Technology
Exam Protocols
Grayscale Freehand 3D
Integration Mode
Live 3D
Live xPlane
Live 3D TEE
LVO Contrast
Musculoskeletal
Needle Visualization
OB/GYN
Pediatric Echo
Pediatric Radiology
Peripheral Vascular
QLAB 3DQ
QLAB 3DQA
QLAB 3DQ GI
QLAB IMT
QLAB MVI
QLAB MVQ
QLAB ROI
QLAB SQ
QLAB CMQ
Regional Anesthesia
Small Parts
Stress
TDI
Integrated intervention with Philips Allura X-ray systems
Mobility cart
Multiport adapter
Wheeled travel case

Philips CX50 Technology Definitions
AutoSCAN image optimization: This Philips CX50 feature automatically and continuously optimizes the brightness of the image at the default gain and TGC settings for the best image quality. It can be turned on and off as needed.

iSCAN intelligent optimization: This feature provides automatic one-button global image optimization on the Philips CX50 through AI adjustment of TGC, Doppler and receiver gain, compression curve, Doppler PRF, and Doppler baseline.

Advanced XRES adaptive image processing: This is an advanced real-time speckle reduction feature standard on the CX50 that also enhances edge definition.

SmartExam protocols: A step by step user-customizable set of protocols on the Philips CX50 that can help speed exams and increase consistency.

PureWave crystal technology: Philips version of the single crystal transducer technology that improves image quality on the CX50 at higher penetration. This makes it easier to diagnose difficult-to-scan patients.

Active native data: On the Philips CX50 this is a software tool that enables image processing, quick data re-acquisition, and image analysis with the same resolution and same frame rates of the original images. It is available in 2D mode, PW & CW Doppler, Color Doppler, and Physio. Active native data helps shorten exam duration, improves clinical workflow by post-processing, and reduces the time needed to keep the probe on the patient.

Live Compare: This feature of the CX50 allows the recall of current or previous exam image data for direct side-by-side comparison with current image data.

SonoCT: This is real-time compound imaging on the Philips CX50 that obtains multiple coplanar, tomographic images from different viewing angles, then combines them into a single compound image at real-time frame rates.

PureWave Crystal technology: A breakthrough single crystal technology on the CX50 that allows greater acoustic efficiency and bandwidth than piezoelectric (Ceramic) technology.

xMATRIX array technology: This is a unique 2D electronic array technology with fully-sampled elements that allow 2D, Live volume, and Live xPlane imaging, applicable to 3D live echocardiography that requires ultra-fast frame rate and calculation capability.

Live xPlane: An advanced feature of xMatrix transducers that allows for 4D data sets to be captured and images of multiple planes to be displayed in real-time on the CX50.

Live 3D TEE: This feature available on Philips CX50 X7-2t TEE transducer, providing a live maximum 90° by 90° Live 3D TEE volume image. It shows the full view of the left ventricle (not available with transthoracic echo) and provides more perspectives for planning. These views are not available during surgery. The Live 3D TEE provides the 3D heart view while it’s beating to assess function. The 3D data can be sliced for multiple 2D images, providing incremental details of structural defects in the valves and leaflets.

QLAB 3DQ GI: This QLAB tool on the Philips CX50 allows viewing, quantification, cropping, rotation, and measurements of 3D image data set.

QLAB IMT: This CX50 QLAB tool makes measurement of intima-media thickness in carotids and superficial vessels quick and consistent.

QLAB MVI: MicroVascular Imaging on the Philips CX50 maps contrast agent progression, measuring frame-to-frame changes, suppressing background tissue, and capturing additional data that make it significantly easier to visualize the vessels.

QLAB ROI: A plugin within QLAB on the CX50 that uses contrast and 2D imaging to increase the consistency and reliability of acoustic measurements.

Accessories
Philips CX50 Accessories
Sony UPD-897MD Digital Black & white thermal printer
Sony UPD-898MD Digital Black & white thermal printer
Sony UPX-898MD Digital Black & white thermal printer
Sony UPD-25MD Digital Color thermal printer
Mitsubishi P95DW Digital Black & white thermal printer
Mitsubishi CP30DW Digital Color thermal printer
Sony DVO-1000 DVD Recorder
CIVCO disposable biopsy guides (for Convex, Linear, and Endo-cavity transducers)

Additional Supplies
Aquasonic ultrasound gel
Sono ultrasound wipes
Sony UPP-110HG thermal printing paper
Sony UPC-21L color thermal printing pack
Mitsubishi CK30L printing paper
Mitsubishi K95HG high gloss thermal printing paper

Ports on the CX50
1 active transducer port
Ethernet port
2 USB ports
DVI-I Video out
One 3-lead ECG input

Imaging Modes
Philips CX50 Imaging Modes
2D
M-mode
Anatomical M-mode
Tissue Doppler imaging
Live xPlane imaging
Live 3D TEE
Color M-mode
Color Power Angio (CPA)
Directional CPA
PW Pulsed wave (Spectral) Doppler
HPRF PW Doppler
Continuous-wave (CW) Doppler
Freehand 3D imaging
Color compare mode
Dual-mode
Duplex
Triplex
Tissue Harmonic Imaging (THI)
Intelligent Doppler imaging
Contrast imaging
Needle visualization
Biopsy display

Applications
Philips CX50 Clinical Applications
The Philips CX50 is a shared service ultrasound machine and offers a broad selection of applications with the exception 4D imaging for OB/GYN applications. These include the following.

Adult cardiac
Adult transesophageal
Stress echo
Abdominal
Pediatric
Vascular – carotid, arterial, venous
Abdominal, vascular access, intervention
Transcranial Doppler
Fetal echo
Obstetrical
Gynecological and fertility
Small parts
Breast
Musculoskeletal
Emergency medicine
Regional anesthesia
Intervention
Laparoscopic
Surgery
Intraoperative – vascular, epicardial
Intracardiac echo
Contrast

Overview
Get Applications Training for the Philips CX50
Our on-staff sonographer can provide onsite applications at a set price plus travel costs.

Service & Maintenance
Free technical support for the CX50 is available during installation and over the course of the standard limited warranty. Additional technical support is available after the warranty period at an hourly charge. For system maintenance, Ultrasound Supply recommends using a surge protector and a dedicated power outlet. For safety, probes should be cleaned in between each use with a disinfectant wipe that’s proven not to damage the lens.

Philips CX50 Dimensions & Weight
Height: 86 mm (3.4 in)
Width: 413 mm (16.25 in)
Depth: 356 mm (14 in)
Weight: 7.3 kg (16.2 lbs.), approx. 43 lbs. with packaging

Philips CX50 Specifications
Next-generation all-digital compact broadband beamformer with pulse shaping capability.
Up to 504,576 digitally-processed channels.
Image presentation: Depth from 1 cm to 30 cm (transducer dependent).
Up to 170 dB full-time system dynamic range.

Electrical Power for the Philips CX50
Voltage: 100-240V
Frequency: 50/60 Hz
Amperage: 2.65A MAX
Heat dissipation: 700-1100 BTU/hour (fully loaded)
Operation range: 10°C – 40°C operating in 15-95% relative humidity

Revisions
Philips CX50 Hardware Revisions
Philips first launched the CX50 in 2009 as their first portable ultrasound machine. The 2009 revision used A.0 hardware that ran Windows XP as the software platform. The upgrade to B.0 hardware implemented a new more powerful ComEx motherboard that ran Windows 7. From the exterior, the CX50 has not changed much since the initial launch except for port updates. The CX50’s reliability and stability improved dramatically after revision B.0 of the hardware; for this reason, we recommend buying later versions unless the earlier model has been upgraded by Philips.

Software Revisions to the CX50 Ultrasound
Every few years, Philips has released a new software update to the CX50. Philips calls each update “Vision” plus the year it was launched. Vision 2010 software replaced the initial release for the CX50, and then Vision 2012, followed by Vision 2013 Version 3.0. The 2013 version of the CX50 software added many powerful options such as Live 3D and Live xPlane to take advantage of the x7-2t TEE transducer. For this reason, we recommend purchasing a CX50 with at least Vision2013 software.