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Philips iE33 Ultrasound Machine

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Philips

The Philips iE33 is a premium level cardiovascular ultrasound machine that was launched in 2004 and has been revised and improved over the past decade. In 2010 Philips launched the iE33 xMatrix, a major update that supported the brand new xMatrix transducers with thousands of elements each and capable not only of extraordinary image quality, but also viewing images in 2 planes in real time as well as 4D without the need for a mechanical probe. The Philips iE33 xMatrix also has the powerful QLAB quantification package and a host of other cardiovascular specific software enhancements that speed and add diagnostic confidence to standard cardiac and vascular exams. The Epiq 7 has replaced the iE33, but as it has over a decade of being the cardiovascular gold standard it remains one of the most popular ultrasound machines in demand. Those looking for similar power and features at the premium level who focus on OB/GYN or radiology should consider instead the Philips iU22 which looks identical to the iE33 except for one touchscreen while the iE33 has two.

Overview

Application training for the Philips iE33

KPI’s on-staff sonographer can provide onsite applications training or remote training via videoconference at a set price plus travel costs. A pre-recorded video training course is included in the sale, lease or rental of the Philips iE33 from KPI Healthcare.

Philips iE33 Service options

Free technical support is available from KPI during installation and over the course of the standard limited warranty. Technical support is available after the warranty period at an hourly cost per issue.

Philips iE33 Maintenance

KPI recommends the use of a surge protector along with a dedicated power outlet. Probes should be disinfected after every use with a disinfectant wipe proven not to damage the lens (KPI recommends SonoWipes for this.) KPI recommends one PM visit (preventative maintenance) every year.

Philips iE33 Dimensions & Weight

Height: (adjustable, maximum) 1626 mm (64 in), (minimum) 1397 mm (55 in)

Width: 559 mm (22.0 in)

Depth: 1092 mm (43 in)

Weight: (no Peripherals) 150kg (331lbs.), approx. 480 lbs with packaging

iE33 Specifications

Philips xSTREAM imageformer architecture

Up to 442,176 total digital channels (xMATRIX configuration), 57,000 total digital channels (non xMATRIX configuration)

Displayed Imaging Depth: 1 – 39 cm (transducer dependent)

Up to 180 dB system dynamic range

Philips iE33 Electrical power

Voltage 100V-127V, 220V-240V

Frequency 50/60 Hz

Power consumption: 750VA – 900VA depending on system configuration

Revisions

Philips iE33 revisions: A cart – C cart

Philips first launched the iE33 in 2004 as their new premium shared service ultrasound machine, replacing older units like the Sonos7500. This first version of hardware was designated an “A-cart.” This first version had dual motherboards and dual power supplies and a huge amount of problems with both. The iE33 B-cart improvements were to circuit boards, cables, power supply assembly, and USB ports. The iE33 C-cart brought a new 20” LCD monitor and articulating arm as well as new circuit boards. The R-cart is a refurbished A, B, or C-cart with hardware and software upgrades to G4.0 software.

Philips iE33: D cart – F cart

The iE33 D-cart was launched in 2007 and finally fixed the problems with the dual motherboards by using a unified motherboard. D.1 and D.2 included minor hardware updates. The iE33 E-cart made upgrades to the cart, wheels and locking mechanism. E.1 was a minor hardware & software update. E.2 added major power supply improvements to support Matrix transducers. E.3 was a minor update to the way the iE33 was manufactured. The iE33 F-cart was a major upgrade that added Type III channel boards. F.1 was a minor manufacturing update. F.2 upgraded the video card. F.3 upgraded to a new SATA DVD drive.

Philips iE33: G cart

The iE33 G-cart was launched in 2010 and is the latest version of the iE33. This revision added a new channel board and a 21” widescreen monitor. The iE33 G.1 revised the control panel and added larger touch screens. KPI recommends buying D-cart and up as most hardware problems with the iE33 were fixed by this revision and D-carts can be updated to the latest software

Philips iE33 Vision software updates

The software of an iE33 can be updated to a point limited by the hardware cart. Each major revision of the software was designated with the year and “Vision” in the name. “Vision 2012” was the last major release of the software. Very early A-C cart had software that was named simply “system update” with a number. System update 1.0-2.0 have almost all been upgraded over the years and system 3.0 is the lowest version still commonly found on used iE33s.

The Philips iE33 Vision 2007 software update included support for the new L15-7io intraoperative linear transducer, the X7-2 xMatrix pediatric cardiac, and C8-5 microconvex. Tissue specific presets were added to the S5-1 Purewave cardiac sector probe, and the S12-4 and S8-3 were optimized for 2D and Doppler performance. Improvements were made to LVO and QLAB. Features added were TCD (transcranial Doppler) imaging, Fetal Echo Analysis and Live 3D (4D) Echo.

The Philips iE33 Vision 2008 software update included support the new Purewave C5-1 convex transducer. Features added were TMQ (tissue motion quantification) in QLAB, Viewforum stand alone image viewing platform, improved needle visualization, and contrast capabilities.

The Philips iE33 Vision 2009 software update included support for the new S8-3t pediatric micro TEE probe which is 1/3 the size of the S7-2t. Features added were tissue aberration correction, contrast enhanced ultrasound, and SmartExam automation software.

The Vision 2010 software update on the Philips iE33 added xMatrix including support for the new Purewave xMatrix X5-1 transducer, Live xPlane imaging, and 3D Stress Echo, and support for any PACS. (R-carts can have this update, but cannot support the X5-1 transducer.) This iE33 revision also added cardiac diagnostic capabilities related to ischemic disease detection, structural heart disease assessment, as well as systolic and diastolic heart failure and cardiac arrhythmia

The Philips iE33 Vision 2011 software upgraded QLAB with CMQ-Stress replacing TMQ, and with the additions of the Auto Volume tool, GI 3DQ trending, iCrop, and Elevation compounding. Options with Vision 2011 include the xMatrix performance bundle, and Live 3D. (R-carts can have this update.)

The Vision 2012 software on the Philips iE33 adds support for Auto Doppler, Fetal Heart Navigator, and Vascular Plaque Quantification (VPQ).

All revisions of the Philips iE33

Philips iE33 (A.0) with system update 3.0 – Vision 2010 software

Philips iE33 (B.0) with system update 3.0 – Vision 2010 software

Philips iE33 (C.0) with system update 3.0 – Vision 2010 software

Philips iE33 (R.0) with Vision 2007-Vision 2011 software (limited)

Philips iE33 (D.0) with Vision 2007 – Vision 2012 software

Philips iE33 (D.1) with Vision 2007 – Vision 2012 software

Philips iE33 (D.2) with Vision 2007 – Vision 2012 software

Philips iE33 (E.0) with Vision 2007 – Vision 2012 software

Philips iE33 (E.1) with Vision 2007 – Vision 2012 software

Philips iE33 (E.2) with Vision 2007 – Vision 2012 software

Philips iE33 (E.3) with Vision 2007 – Vision 2012 software

Philips iE33 (F.0) with Vision 2007 – Vision 2012 software

Philips iE33 (F.1) with Vision 2007 – Vision 2012 software

Philips iE33 (F.2) with Vision 2007 – Vision 2012 software

Philips iE33 (F.3) with Vision 2007 – Vision 2012 software

Philips iE33 (G.0) with Vision 2011 or Vision 2012 software

Philips iE33 (G.1) with Vision 2011 or Vision 2012 software

Probes

All Philips iE33 probes / transducers

xMATRIX: X3-1 [ 1 – 3 MHz ] 2,400 elements

xMATRIX: X5-1 [ 1 – 5 MHz ] 3,040 elements, PureWave

Pediatric xMATRIX: X7-2 [ 2 – 7 MHz ] 2,500 elements, PureWave

xMATRIX TEE transesophegeal :X 7-2t [ 2 – 7 MHz ] 2,500 elements, PureWave

TEE transesophegeal: S7-2 Omni [ 2 – 7 MHz ] 65 elements, 8.64mm

Pediatric TEE transesophegeal: S7-3t [ 3 – 7 MHz ] 48 elements, 7.63mm,

Pediatric TEE transesophegeal: S8-3t [ 3 – 8 MHz ] 32 elements, 5.2mm shaft diagmeter, multiplane microTEE

ViewFlex Xtra catheter: [ 4.5 – 8.5 MHz ] 64 elements, 120° field of view (for ICE)

ureWave cardiac sector: S5-1 [ 1 – 5 MHz ] 80 elements, 20.3mm, adult cardiac sector

Pediatric cardiac sector S8-3: [ 3 – 8 MHz ] 96 elements, 15.4mm

Neonatal cardiac sector: S12-4 [ 4 – 12 MHz ] 96 elements, 9.78mm

Intraoperative Linear: L15-7io [ 7 – 15 MHz ] 128 elements, 23mm, perioperative

Linear: L11-3 [ 3 – 11 MHz ] 288 elements, 39mm, vascular applications

Linear: L9-3 [ 3 – 9 MHz ] 160 elements, 38mm, vascular applications

Linear:L8-4 [ 4 – 8 MHz ] 128 elements, vascular applications

PureWave Convex: C5-1 [ 1 – 5 MHz ] 160 elements, 96° field of view, Coded beamforming

Microconvex: C8-5 [ 5 – 8 MHz ] 128 elements, 120° field of view, cerebrovascular applications

Microconvex: C9-4 [ 4 – 9 MHz ] 192 elements, 108° field of view, abdominal

Pedoff (CW Transducer): D5cwc [ 5 MHz ] Deep venous and arterial applications, non-imaging

Pedoff (CW Transducer): D2CWC [ 2 MHz ] Adult cardiology applications

Pedoff (PW Transducer): D2tcd [ 2 MHz ] Transcranial Doppler applications, non-imaging

Pulse: TY-306 [ 0.04 – 300 MHz ] Heartsound Pulse Contact Sensor, Cardiac and vascular

Advanced Philips iE33 transducers: Matrix Pediatric

The Philips iE33 not only offers six PureWave single crystal transducers that includes four xMatrix probes. xMatrix not only improves image quality and penetration since xMatrix is developed based on PureWave technology, but also allows for real-time scanning of multiple planes and cardiac 4D without needing a typical mechanical 4D probe. This speeds the acquisition of 4D cardiac data over a 4D mechanical probe for mainly OB/GYN. C-plane resolution is also improved over a typical 4D mechanical probe. The [ 1 – 5 MHz ] X5-1 transducer for the iE33 represents the apex of xMatrix design. The [ 1 – 3 MHz ] X3-1 and [ 2 – 7 MHz ] X7-2 are early xMatrix probes, while the [ 2 – 7 MHz ] X 7-2t is a TEE probe with xMatrix technology and represents the pinnacle of transesephegeal technology. In addition, the iE33 supports the largest number of pediatric cardiac transducers including the [ 3 – 8 MHz ] S8-3t multiplane micro TEE and four other pediatric cardiac transducers. The ViewFlex Xtra catheter developed by St. Jude Medical is also compatible with the iE33 and is used for ICE where the catheter is inserted inside the heart through the left femoral vein.

Popular Philips iE33 transducers

The most popular cardiac sector transducer for the Philips iE33 is the [ 1 – 5 MHz ] S5-1, a PureWave transducer offering better than normal image clarity even at deep penetration. The amazing X 7-2t is the most popular transesphegeal probe for the iE33 with it’s xMatrix 4D and multiplanar capabilities.

Competitors

How the Philips iE33 compares with other Philips systems

TThe Philips iE33 was launched in 2004 as the replacement to the Sonos 7500 and continued in production until 2015. The iE33 is a premium level ultrasound machine that was top of the line till the introduction of the Epiq line in 2013. The Epiq 7 replaced the iE33 and has a larger monitor and larger touchscreen. It also is smaller and lighter than the iE33. The HD15 sits below the iE33 in features, image quality and price and is a shared service ultrasound machine whereas the iE33 is focused only on cardiovascular applications.

Philips iE33 vs iU22

When Philips launched the iE33 it launched the iU22 at the same time and ever since, many medical professionals have wondered what the difference is, and which is best for their needs. The iE33 is focused only on cardio vascular applications where the iU22 is shared service and can be used for women’s health, general imaging as well as cardiac and vascular applications. Because of this the iU22 supports 4D transducers, and several endocaviary transducers, but no neonatal sector or pediatric TEE. The Philips iE33 and iU22 even look nearly identical; with the major distinguishing feature being dual touchscreens for navigation on the iE33 while the iU22 has only one touchscreen.

Other brands competing with the Philips iE33

The Philips iE33 is the premium cardiovascular-focused ultrasound machine of the past decade. Its closest competitor from GE would be the Vivid E9 and both systems are very similar. The iE33 has two touchscreens and a larger monitor compared to the Vivid E9 and also supports ICE in the latest release where the Vivid E9 has no ICE probe or support. The closest competitor from Siemens is the SC2000 which offers similar image quality and features but is stronger in ICE while the iE33 has better xMtrix TEE imaging.

Features

Tissue Harmonic Imaging : Yes

Spatial Compounding(=CrossXbeam) : Yes

Speckle Reduction (=SRI) : Yes

Auto Image Opt(B mode) : Yes

Auto Image Opt(Doppler): Yes

Write Zoom: Yes

Triplex Mode: Yes

Needle Enhancement or Needle Recognition :No

Auto NT Measurement (=Sono NT) :No

Auto Follicle 2D Measurement:No

Auto Follicle 3D Measurement:No

Auto IMT:Yes

Auto IMT (Real Time):No

Automated B/M/D Measurement:Yes

Automated LH Measurement(Automated Function Imaging(AFI), Cardiac Motion Quantification(CMQ), or Auto EF(Ejection Fraction):Yes

Live Dual (B/BC) Mode:Yes

SmartExam or Scan Assistant:Yes

Independent Steer & Lockable Wheels:Yes

Fusion:No

Raw Data File:Yes

Flexible Report:Yes

Barcode Reader:No

Gel Warmer:No

Transducers

Convex (1~6Mhz):Yes(2~5Mhz)

Convex (2~9Mhz):Yes(4~9Mhz)

Single Crystal Convex (1~6Mhz):Yes

Single Crystal Convex (2~9Mhz):No

2D Arrary 3D Convex (1~6Mhz):No

Micro Convex (5~8Mhz):Yes

Single Crystal Endocavity_Straight Type (3~10Mhz):No

Endocavity_Curved Type (5~8Mhz):No

3D Convex (2~6Mhz):No

3D Convex Light Weight (2~7Mhz):No

3D Endocavity (3~10Mhz):Yes

3D Micro Convex (3~9Mhz):No

3D Linear (4~18Mhz):No

Linear (>14Mhz):No

Linear (3~12Mhz):Yes

Linear (<9Mhz):Yes

Single Crystal Linear (>14Mhz):No

Single Crystal Linear (3~12Mhz):No

Single Crystal Linear (<9Mhz):No

Linear 50mm:No

Linear 25mm:No

Hockey stick (<13Mhz):Yes

Hockey stick (>13Mhz):Yes(7~15Mhz io)

T or L shape Intra Operative:Yes

Phased Array_Adult (1~5Mhz):Yes

Single Crystal Phased Array_Adult (1~5Mhz):Yes

2D Arrary 3D Phased Array (1~5Mhz):Yes

Phased Array_Pediatric (3~8hz):Yes

Single Crystal Phased Array_Pediatric (3~8hz):No

Phased Array_Neonate (4~12Mhz):Yes

ICE (Intracardiac Echo Cardiography):No

TEE_Adult (3-7Mhz):Yes

TEE_Pediatric (3~7Mhz):Yes

2D Array 3D TEE (2~7Mhz):Yes

Pencil CW (2Mhz):Yes

Pencil CW (5 or 6Mhz):Yes

Imaging Modes

2D, M mode:Yes

M-color Flow Mode:Yes

Anatomical M-mode:Yes

Trapezoidal Mode:Yes

Color, Power Angio, Pulse Wave Doppler:Yes

Bi-directional Power (=HD FLOW):Yes

SCW Doppler:Yes

Tissue Doppler(Velocity) Imaging:Yes

Freehand 3D:No

Live 3/4D OB/GYN:No

HD Live:No

STIC (Spatio-Temporal Image Correlation):No

Live 3D Echo:Yes

Stress Echo:Yes

Strain and Strain Rate (Cardiac):Yes

B Flow:No

Panoramic Imaging (=Logiq view):Yes

Contrast Imaging – Cardiac:Yes

Contrast Imaging – General Imaging:Yes

Strain-based Elastography:No

Shear Wave Elastography:No

Applications

Abdominal:Yes

Women’s Health Care (GYN & Breast):Yes

OB:Yes

Fetal Echo:Yes

Vascular:Yes

TCD(Transcranial):Yes

Small Parts (Breast, Thyroid, Testis…):Yes

MSK/Anesthesiology:Yes

Pediatrics:Yes

Urology (Renal, Prostate…):Yes

Echocardiography_Adult:Yes

Interventional Cardiology:Yes

Echocardiography_Pediatric:Yes

Echocardiography_Neonate:Yes

Stress Echocardiography:Yes

Transesophageal Echo_Adult:Yes

Transesophageal Echo_Pediatric:No

Internal Medicine w/ Shared Service:Yes

Surgury:Yes

Interventional Radiology:Yes

Contrast Imaging _ General Imaging (Low MI):Yes

Contrast Imaging _ Cardiac (High or Low MI): Yes

Bowel Imaging:Yes

Strain Elastography:Yes

Shear Wave Elastography:No

Brands

Philips

Condition

Refurbished

Type

Fixed

System Overview

Year Launched: 2004
Estimated Market Price ($): Premium
Monitor (inch): 17″LCD(20″ option)
Tilt/Rotate Adjustable Monitor: Yes
Monitor Resolution:
Image Size Resolution:
Touch Screen (Inch): DUAL
Trackball or Trackpad: Trackball
CP Back-Lighting:Yes
Weight:345lbs
Probe Ports: 3
Battery:No
Boot-Up Time:120sec
Sleep Mode (Quick Start):30sec(stanby mode)
Maximum Depth of Field:30cm
Minimum Depth of Field:2cm
Cart (HCU):No
Independent Steer & Lockable Wheels:Yes

Connectivity

DICOM 3.0:Yes(Option)
DICOM SR_Cardiac:Yes
DICOM SR_Vascular :Yes
DICOM SR_OB/GYN:Yes
JPEG, WMV, & AVI:Yes
USB:Yes(4)
HDD/SDD:160GB
DVD/CD RW:Yes
Wireless LAN:No

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