Accelerate performance with digital clarity and speed *

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Ingenia 1.5T CX MR Systems Accelerate performance with digital clarity and speed * Specifications Nova Dual gradients * Digital clarity and speed are defined as SNR obtained with Ingenia or SmartPath to dstream compared to Philips Achieva

Innovation that matters to you From the very beginning, Philips has always had one thing at the heart of our company our mission to improve people s lives through meaningful innovation. This mission inspires us to work with you to find the shortest path to the best care at the lowest cost. It drives us to create technology that makes a difference to those who run our MR systems, those who read the images, and those patients who benefit from confident diagnoses. Philips is dedicated to improving and saving lives through innovation in radiology. We develop our solutions in partnership with clinicians and customers. Your patients can have better, more personalized care, while you make the best use of time and budget. We partner with you to drive clinical performance, enhance patient and user experience, and ensure economic value, within and beyond the walls of your enterprise. Drive clinical performance Our technical advances in image quality and anatomical intelligence are focused on clinical reality. We innovate to make a difference in people s health. Enhance patient and user experience We deliver patient comfort by helping to reduce examination times and creating soothing environments. We provide patient centric imaging to support your goals in first time right imaging results. Ensure economic value To help you maximize your MR investment, we design our systems to pay off quickly and return dividends for a long time, through upgrade programs, extensive service offerings, and low operating costs. 2

Contents Ingenia 1.5T CX Magnet system 5 Gradient system: Nova Dual gradients 6 Ingenia 1.5T CX RF system 8 Patient centric imaging 10 Patient comfort 12 Workflow and throughput 16 System information 18 Siting information 19 3

Ingenia 1.5T CX Magnet system Type Ultra compact, superconducting magnet Shield type Actively shielded External interference shielding Yes Field strength 1.5T Length 1.57 m (5 ft. 2 in.) Width 1.88 m (6 ft. 2 in.) Height 2.40 m (7 ft. 9 in.) Weight (with cryogens) 2,900 kg (6,400 lbs.) Fringe field containment 5G (axial x radial) 1G (axila x radial) 3.80 m x 2.45 m (12 ft. 5 in. x 8 ft.) 5.25 m x 3.30 m (17 ft. 1 in. x 10 ft. 8 in.) Cryogens Type HeliumSave Technology Vessel capacity Boil-off rate Refill interval Liquid Helium Yes (Zero boil-off) 1,650 liters 0.00 liter/hour* Not applicable * Under regular scanning conditions. Homogeneity Max FOV Shimming QBC shimming 53 cm Both passive and active shimming. Passive shimming during installation. Automatic active shim (auto-shim) or dynamic FOV shimming for each patient. Yes, QBC shimming improves magnet homogeniety beyond 50x50x45 volume Field Homogeneity (V-RMS) Volume cm Typical (ppm) Guaranteed (ppm) 50 x 50 x 45 0,5 0.75 40 x 40 x 40 0,2 0.35 30 x 30 x 30 0,08 0.15 20 x 20 x 20 0,03 0.07 10 x 10 x 10 0,01 0.02 Long Term Stability < 0.1 ppm/hour < 876 ppm/year 4

dstream architecture Unique digital broadband MR architecture dstream digitizes the signal in the coil, eliminating noise influences typical of analog pathways to capture the MR signal where it is at its purest. Combined with speed, workflow and ease of use dstream provides SNR and effi ciency daily operations. In addition the number of channels is no longer determined by the MR system. This makes the MRI system forwardcompatible to easily access emerging applications like body and cardiac and new enhancements for established applications like neuro and musculoskeletal imaging. ipatient Ingenia CX features ipatient, an advanced platform that puts you in control of personalized, patient centric imaging. Encompassing everything from planning to coils to processing, ipatient adapts to patient variability, condition and anatomy to deliver a comfortable patient experience and exam e ffi c i e n c y. 5

Gradient system Nova Dual HP gradients Philips Nova Dual HP gradients high linearity enables availability of maximum gradient amplitude and slew rate over the entire FOV. Nova Dual HP gradient system enables users to choose between two amplitude/slew rate combinations to optimize critical applications. Nova Dual allows selection of either 33 mt/m peak amplitude combined with a slew rate of 180 mt/m/ms or - in studies that profit from high gradient amplitude, such as diffusion-weighted imaging and microscopy studies - a 66 mt/m peak amplitude. Both performance levels can be achieved over the entire 53 cm FOV with excellent linearity. The gradient system design reduces eddy currents and acoustic noise. Maximum FOV is 53 cm Linearity of 1.4% over the entire 53 cm FOV with distortion correction. Water-cooled gradient amplifier technology combined with a non-resonant coil design, allows flexible generation of any type of gradient waveform 100 % duty cycle. Smart power management with PowerSave technology tunes the energy consumption to the actual system status system off mode, stand-by mode and scanning/measurement mode thereby enabling savings in energy use. Gradient performance Type Shield type Max Amplitude* (Effective) Max Slew rate* (Effective) Mode Mode 1 Mode 2 Non-resonant Self-shielded 66 mt/m 114 mt/m 180 mt/m/msec 311 mt/m/msec Dual Duty cycle 100% Gradient linearity Coil cooling Amplifier cooling 33 mt/m & 180 mt/m/msec with Max. FOV 66 mt/m & 90 mt/m/msec with Max. FOV 1,4% without any SW correction Liquid Liquid (V-RMS**) at 53 cm DSV *On each axis **Measured in 12 angles on 19 planes. NOTE: All above specifications over full 53 cm FOV. Amplitude deviation over full 53 cm FOV < 8%. Gradient technology Type Cooling Max sustained power output per axis Solid state Direct liquid cooling gradient coil with hollow conductors for maximum cooling power and optimum thermal stability 60 kw 6

Parameter values, Nova Dual HP gradients Matrix size 64 128 256 SE TR (ms) 13 13 13 SE TE (ms) 2,92 3 3,22 IR TR (ms) 35 35 35 IR TE (ms) 2,92 3 3,22 IR delay (ms) 12 12 12 2DFFE TR (ms) 0.80 0,83 1,22 2DFFE TE (ms) 0,26 0,34 0,49 3DFFE TR (ms) 0.80 0,83 1,22 3DFFE TE (ms) 0,26 0,34 0,49 TSE TR (ms) 31 31 31 TSE TE (ms) 1,76 1,84 2,18 TSE spin echo spacing (ms) 1,76 1,84 2,18 GRASE TR (ms) 25,5 28 28 GRASE TE (ms) 3,6 4,1 5,4 GRASE gr echo spacing (ms) 0,29 0,45 0,8 EPI TR (ms) 2 2,7 4,3 EPI TE (ms) 0,8 1,02 1,5 EPI gr echo spacing (ms) 0,26 0,4 0,67 EPI min meas time (ms) 3,4 8,9 27 TE (ms) (Ssh DWI, b=1000, SENSE=4) 43 44 48 Max TSE turbofactor 1024 GRASE max turbo factor 170 GRASE max EPI factor 44 Max EPI factor 255 Max b-value (s/mm2) 10000 10000 10000 7

Ingenia 1.5T CX RF system dstream architecture Philips unique digital broadband MR architecture, dstream samples the MR signal directly in the RF coil on the patient. The fiber-optic transmission of digital broadband data from the coil to the image reconstructor reduces potential noise influences typical with analog pathways. Philips dstream technology enables: High dynamic range (max 187 db) Very short TRs and TEs Real-time imaging control for clinical motion correction: Navigator-corrections required for free-breathing cardiac techniques High-resolution diffusion (i.e., PhaseTrak) with profile updates within 1 ms. Real-time control of RF transmission, gradient switching, data acquisition and triggering. Easy Expandability The number of channels is determined by the coil rather than limited by the system. The MR system becomes channel independent, which means a removal of the number of channels as a system specification. This enables plug-and-play expansion of clinical capabilities. Expansion does not require major system upgrades, resulting in lower life cycle costs. ds SENSE Our next generation parallel imaging for the dstream (ds) architecture, ds SENSE simplifies and speeds up scan setup and enables high parallel imaging factors for more speed or resolution. ds SENSE includes quick, fully integrated reference scans which are planned automatically. RF transmit RF-SMART technology enables SAR to be effectively managed through balanced system design, and maximizes scanner performance in combination with the application of Philips-unique imaging capabilities such as SENSE, SPAIR, Flip Angle Sweep and RF amplitude control. 8

RF Transmit Output Frequency Bandwidth Amplitude Resolution Frequency Resolution Frequency stability over a 10 minute period Gain stability over any period of time > 100 microseconds Phase Resolution RF Amplifier Type Output Power 63.86 MHz 610 khz (± 305 khz around operating frequency) 16 bits 0.07 Hz/bit <10ppb <0.1dB 16 bits (0.005 degrees) Solid state, microprocessor controlled 18 kw RF Receive Number of independent receive channels Location of analog-to-digital converter (ADC) Coil element to ADC distance Signal chain from coil to reconstructor Signal chain from coil electronics to connector Signal chain from connector to magnet Signal chain from magnet to reconstructor reciever signal resolution Analogue to digital converter (ADC) input bit depth Maximum Dynamic Range Pre-amplifier Noise Figure Channel independent Inside the coil close the receive channels Approx. 1 cm Fully digital Digital Digital Digital 32 bits (4 bytes) 19 bits 187 db < 0.5 db 9

Patient centric imaging At the centre of patient centric imaging is ipatient which helps drive fast and robust images based on stable patient positioning. Fast and comfortable patient setup is supported by flexible and efficient coil workflow designed around the needs of a variety of patients. ds coil solutions dstream (ds) coil solutions provide a full range of clinical solutions with two types of coils: Integrated coils combine to provide solutions for multiple applications Dedicated coils optimize imaging for a single application ds T/R System body coil The integrated ds T/R system body coil is a transmit/receive system coil which is typically used for RF excitation, but can also be used for imaging various large body parts. Solid-state quadrature Transmit/Receive technology Digital signal sampling in the coil High homogeneity FlexCoverage Posterior coil Posterior coil, used routinely in 60% of all applications, is an integrated coil below the thin table top providing neck to- toe coverage. This coil does not need to be carried, positioned, connected nor exchanged, thereby enhancing workflow. It is always there when you need it. Head-to-toe coverage up to 200 cm* in combination with the base coil 10

ds coil solutions ds TotalSpine ds HeadSpine* ds HeadNeckSpine* Coil solution type Integrated Integrated Integrated Coverage 90 cm 30 cm (Head) 90 cm (Total Neuro) 45 cm (Head/Neck) 90 cm (Total Neuro) Max. no. channels 44 15 (Head) 20 (Head/Neck) Main applications Total spine, C-Spine, T-Spine, L-Spine 51 (Total Neuro) 52 (Total Neuro) Head, Brain, Total neuro, Total spine (CTL) Neuro-vascular, Head, Brain, Pediatric, Total neuro, Total spine (CTL) * One of these solutions must be chosen ds coil solutions ds Torso ds Whole Body * Coil solution type Integrated Integrated Coverage 60 cm 200 cm Max. no. channels 32 108 Main applications Chest, Pelvis, Heart, Peripheral-vascular Whole Body, Chest, Pelvis, Heart, Peripheral-vascular * Optional WholeBody Specialist required 11

Patient comfort Ingenia CX s ipatient includes optional accessories and hardware that are designed for specific patient types, to increase patient comfort. Digital coil design greatly reduces coil weights and leads to less patient repositioning in many exams, and many coils are adjustable for a custom coil fit. Patient comfort Choice of feet-first or head-first imaging for most applications FlexCoverage Posterior coil: Never worry about the position of the patient to this coil. No cables, no connections. This invisible, patient-friendly coil is always there when you need it. Lightweight, conforming coils to enhance patient comfort and operator handling. Ambient Ring circular light to enhance the visual openness of the system. Adjustable fresh air supply in 6 increments. Djustable variable in-bore lighting in 3 increments. In-bore microphone and ceiling-mounted loudspeakers support two-way patient-operator communication and music. Hand-held technologist call button. Patient headset with built-in two-way communication reduces acoustic noise by up to 25 db. Look-out mirror, applicable in both directions and also applicable without the ds head coil. Patient comfort Patient Aperture Tunnel Length Tunnel Flare flare at both ends Choice of head-first or feet-first patient entry for most applications In-bore lighting fresh air supply 60 cm 60 cm 110 cm yes Yes 3 levels 6 levels scan range 160/200 Horizontal travel: Distance Accuracy Speed Max. weight capacity Min. table height IV pole patient variability 275 cm +/- 0.5 mm (0.02 inch) up to 325 mm/s 250 kg (550 lbs) 60.5 cm integrated patient independent contrasts through predefined B1 based on adaptive power optimization 12

Patient positioning accessories Comprehensive set of patient accessories Table mattress set Head/leg support Knee support Positioning wedges Small foam wedges Set of sandbags Set of patient fixation straps Patient communication Communication system allows for two-way intercom communication with the patient and includes a nurse call button. Optional camera and monitor are available (up to 4 cameras can be connected). Acoustic noise reduction Hardware acoustic noise reduction Software acoustic noise reduction Acoustic damping of covers Epoxy encapsulated body coil Force-balanced gradient coil with flexible mounting Headset (up to 25 db reduction) Pediatric acoustic hood Anti-vibration pads AutoSoftone noise reduction (up to 30 db) ds SENSE Patient support Patient support enables a maximum weight capacity of 250 kg (550 lbs) Patient table height can be quickly lowered, providing access for compromised or non-ambulatory patients. Detachable tabletop can be combined with one or more FlexTrak patient transport systems for efficient patient management and rapid egress. Supported by manual mode table release. Up to 200 cm* scan range Horizontal travel of 275 cm (9 ft 1 in.) with +/- 0.5 mm (0.02 inch) accuracy** Horizontal table speeds of up to 325 mm/s to enable fast, easy patient positioning and rapid multi-station examinations Ergonomically designed control units on both sides of the bore to increase operating flexibility. *WholeBody Specialist required. **Magnet siting requirements needs to be confirmed to allow full usage of horizontal table movement. 13

Patient transport (optional) Dockable patient transport system for simplified patient preparation, handling and transportation from preparation room to the MR scanner, without repositioning the patient. Lightweight, easy to manoeuvre FlexTrak patient support system docks and undocks quickly and easily with patient support and tabletop. Patient and coils can be prepared outside the MR room. No need to remove coils to reposition patients. Integrated coil connections on the table and FlexConnect connectors for efficient patient management and rapid evacuation. Easy-to-use foot pedal, locks wheel direction during transport or brakes the FlexTrak while standing still. Physiology measurement and gating Wireless physiological hardware to provide synchronization for sequence triggering and gating. Wireless physiological signals can be observed on the operator s console monitor or on the optional Interventional Monitor. Wireless Physiology consisting of wireless Basic Triggering Unit (wbtu) and respiratory module hardware Physiological synchronization for sequence triggering and gating through Wireless VCG Wireless Respiratory Wireless PPU (requires optional PPU Sensors) FlexTrak patient transport system (optional) Physiology synchronization Signal type (standard) Signal type (optional) Imaging methods Waveform display Vector ECG (VCG) and Respiratory Peripheral Pulse Gating, Triggering On Operator s Console. Optional LCD Physiology Display monitor mounted on the system displays waveforms in the examination room. 14

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Workflow and throughput ipatient enables imaging with fewer coils, and reduces coil positioning and set-up time. An integrated posterior coil is all you need for 60% of routine exams. When combined with the anterior coil, you can easily image anatomies from above the shoulder to the toe. All coils can be connected with just one hand. By automating repetitive tasks and incorporating best practices into ExamCards, ipatient enhances exam consistency. Smart Exam* automation assists in delivering reproducible planning results in more than 80% of procedures. es. dstream throughput Easy coil handling through lightweight patient conforming coil design Large coverage coils for easier positioning Flexible combinations of coils Efficient coil usage more applications with fewer coils Unique design allows up to 60% of routine applications without additional coil connections. FlexConnect easy to use, singlehanded coil connections. Streamlined user interface for image acquisition and image review Flex Caddy coil cart (optional) 16

FlexConnect coil connection / connectors Single-handed coil connection for fast and easy plugging and unplugging of coils, and for auto-eject with FlexTrak undocking in emergency cases. The small FlexConnect connectors use advanced fiber-optic connections for carrying digital broadband MR signals. High reliability by eliminating delicate RF pin connections. FlexTrak table top Thin table top that maximizes bore space. Includes coil connections directly on the table top for fast and easy setup. Thin design minimizes distance between patient and FlexCoverage Posterior coil for optimal SNR Strong design supports patients up to 250 kg (550 lbs) Easily removed for patient transport using the optional FlexTrak patient transport system SmartAssist Next generation, easy-to-use SmartExam* and ExamCards software that help the user reduce the number of manual tasks. Simplifies workflow by making ExamCards more efficient Can reduce repetitive tasks by half Increases efficiency, reproducibility and consistency Smart conflict management to improve workflow Viewing, filming and export The MR viewing environment supports fast and flexible viewing, processing and film generation Window width/level, zoom, pan, rotate, mirror Image annotation (text, arrows and lines) Simultaneous visualization of up to four independent series for comparison. Cine movie display in various formats Drag & drop functionality to enable the creation of films containing random image selections Single mouse click film generation of image series using a range of predefined formats Images and movies can be exported to PC formats as visible on screen SmartAssist efficiency assistance SmartStart Moves the table to isocenter and starts the exam at the touch of a button. SmartSelect SmartExam* planning (optional) SmartLink SmartLine ExamCards Automatically determines which coils and elements should be activated to produce the highest SNR for the selected area. Positions slices on the target anatomy reducing operator input to as little as a single mouse click. It is optionally available for brain, spine, shoulder, knee and breast imaging. Simplifies the planning, viewing and processing of multi-sequence, multi-station exams, treating multistation exams as one volume. Performs intelligent background processing (such as volume view, diffusion, perfusion etc.,) of multiple image datasets in parallel with image acquisition which saves time. A grouping of individual sequences and operations that define a clinical protocol making the most complex exams simple. A set of Philips defined ExamCards is standard. SmartExam* Shoulder SmartExam* Spine SmartExam* Brain SmartExam* Knee SmartExam* Breast * SmartExam is optionally available for brain, spine, shoulder, knee and breast imaging SmartExam is not available to patients with MR Conditional Implants. 17

Ingenia 1.5T CX System information Computer systems Host computer* Processor Host Memory System Disk Image Database Disk Image storage Parallel scanning and saving images Reconstructor* Processor Reconstructor Memory (RAM) Reconstruction speed 256x256 reonstructions 256 FFT, 100% FOV Parallel scanning and reconstruction Console Display size Resolution Connectivity Protocol Network connection connections 3.6 GHz Six Core Intel processors 32 GByte 128 GByte SSD, Solid State Disk Technolology 512 GByte SSD, Solid State Disk Technology Approx. 600,000 images (256 x 256) External storage via USB port DICOM STD-CTMR and E-MR format Yes 3.6 GHz Six Core Processor 32 GByte >=27,000 images per second upto 56,000 recons/sec Yes * May be supplied on one or two computers 23 inch LCD wide-screen 1900 x 1200 pixels Ethernet 1 Gb TCP/IP standardsbased image transfer with DICOM 3.0 RJ45 10/100/1000 Mbps 10BaseT, 100BaseT or 1000BaseT connection Connectivity / interoperability Communication is performed via DICOM protocols. The system can be configured for safe storage of MR images and other patient data in departmental information systems and PACS. The MR workspace conforms to the new Enhanced (multiframe) MR DICOM standard, which improves the performance of data transfer of large data sets and fully supports information associated with diffusion and spectroscopy. The system can be configured (per node) to support standard DICOM MR image transfer or DICOM Enhanced MR Image Transfer. If a receiving node does not support DICOM Enhanced MR, standard DICOM MR Images will be transferred. DICOM Workflow Management: DICOM Modality Worklist DICOM Modality Performed Procedure Steps DICOM Storage Commitment DICOM Send/Receive: DICOM Enhanced MR: Export / Import of DICOM Enhanced MR Images Export / Import of DICOM MR Spectroscopy Export / Import of DICOM Raw DICOM MR: Export / Import of DICOM MR Images Export / Import of Philips Private MR Series Data Export / Import of Philips Private MR Spectrum Data Export / Import of Philips Private MR ExamCards Data DICOM SC: Export / Import of SC (color) Image Data DICOM Grayscale Softcopy Presentation State: Export / Import of Grayscale Softcopy Presentation State DICOM Query / Retrieve of Philips MR data, all the exported image types DICOM Print Grayscale Softcopy Presentation State with preset window settings as on the console Basic Grayscale Print DICOM Media MR Studies on DVD (Read / Write) IHE Integration Profiles Scheduled Workflow Patient Information Reconciliation Consistent Presentation of Images Basic Security Consistent Time Full information on compliance with DICOM standards and available functionality is contained in Philips DICOM Conformance Statement. 18

Ingenia 1.5T CX Siting information Ingenia CX is designed for rapid installation times, compact siting footprint and low ceiling heights. Examination room Floor space (Recommended) 33.6 m 2 (4.8 m x 7 m) 362 sq. ft. (15 ft. 8 in. x 23 ft.) Floor space (Minimum) 19.5 m 2 (3.4 m x 5.3 m) 210 sq. ft. (11 ft. 2 in. x 17 ft. 4 in.) Ceiling height (Recommended) 2.9 m (9 ft. 5 in) Ceiling height (Mimimum) 2.65 m (8 ft. 7 in.) Temperature 18-22 C Humidity (Non-condensing) 40-70 % Heat dissipation 2 kw Site-planning Philips site-planning specialists will assist in all aspects of site and installation planning. Detailed data concerning installation requirements is given in specific site planning documentation (Planning Reference Book). Please refer to the local Philips organization for detailed specifications for the installation. Control room Temperature (Recommended) 18-24 C Temperature (min-max) 10-35 C Humidity (Non-condensing) 30-70 % Heat dissipation 0.5 kw Technical room Floor space (Recommended) 10 m 2 (5.1 m x 2 m) 108 sq. ft. (16 ft. 7 in. x 6 ft. 6 in.) Floor space (Minimum) 4.3 m 2 (2.4 m x 1.8 m) 46.5 sq. ft. (7 ft. 8 in. x 5 ft. 9 in.) Ceiling height (Recommended) 3.2 m (10 ft. 5 in) Ceiling height (Mimimum) 2.6 m (8 ft. 5 in.) Temperature 15-24 C Humidity (Non-condensing) 30-70 % Heat dissipation to air Standby 2 kw Peak 7 kw Power requirements Mains voltage 400 V or 480 V +/- 10 %. Surge Protection: Complies with IEC 60601. A voltage stabilizer or power conditioner is not required if customer site meets the above mains requirements. Mains frequency 50 or 60 Hz +/- 1 Hz Power ratings (including magnet cryocooler) Cryocooler only 5.5 kw Standby 6.6 kw Ready for measurement 11.7 kw Average* 22.0 kw * Average scanning power based on COCIR. 19

2017 Koninklijke Philips N.V. All rights reserved. Specifications are subject to change without notice. Trademarks are the property of Koninklijke Philips N.V. (Royal Philips) or their respective owners. 4522 991 24711 * MAR 2017 How to reach us Please visit www.philips.com/healthcare www.philips.com/ingeniacx healthcare@philips.com * Digital Clarity and Speed defined as SNR obtained with Ingenia or SmartPath to dstream compared to Achieva.