Minimally Invasive Planning & Procedures — Solutions to simplify complex procedures
Worldwide, there has been a shift away from open surgical procedures as hospitals increasingly move towards more minimally invasive surgery. As a result, over half of patients now leave the hospital on the same day as their operation. Catheter-based cardiac treatments have also seen a large rise in usage in comparison with open cardiac procedures. Accordingly, hospitals today require rooms for minimally invasive procedures that are flexible and easily adaptable, and are able to accommodate the full range of current and future surgical technologies.
At ESC 2010, Philips will be introducing the enhanced xMATRIX ultrasound system for iE33 featuring a lighter, more efficient transducer, the X5-1. This new technology provides a more complete imaging solution, allowing more patients to be treated and expanding existing diagnostic capabilities to include more disease states. The PureWave xMATRIX technology offers outstanding 3D and 2D image quality utilizing a single transducer allowing for the incorporation of 3D imaging into routine exams and fully optimized workflow. Clinicians who have experienced scanning fatigue will appreciate that the X5-1 combines the ergonomics of 2D transducers with the three-dimensional insight they need to make the most informed patient care decisions possible.
Hybrid OR Integrations
Philips is also highlighting its Hybrid OR Integrationsat this year’s ESC , geared to scale back the obstacles that make crowded interventional suites difficult to operate in. Since different interdisciplinary teams operate in the suite throughout the day, Philips, along with partner companies, aims to reduce the complexities that can make the Hybrid OR a challenging project and replace them with effective and efficient layout templates.
Philips’ Hybrid OR Integrations make it possible to perform open and minimally invasive cardiovascular procedures in the same room. Philips teamed with experts in fields such as surgical lighting, tables and equipment to ensure the creation of a new hybrid operating room that optimizes workflow. Additionally, liaising closely with partners ensures that everything is integrated to specifications from the imaging system and lighting to the monitors and table.
As a global leader in providing X-ray solutions for minimally invasive cardiovascular procedures, Philips works closely with customers to listen to and act on their feedback. Through this process Philips recognizes that customers need hybrid operating rooms that offer greater flexibility.
Philips plans to introduce HeartNavigator, an interventional tool combining 3D CT images of a patients’ cardiac anatomy captured before a procedure into a single image with an overlay of the live X-ray fluoroscopy information.
"The combined emergence of transcatheter valves and sophisticated interventional tools like Philips’ HeartNavigator means that we’re able to have a major positive impact on the lives of a group of patients who we would’ve previously been unable to help," commented Dr. J.J. Koolen, Head of the Department of Cardiology, Catharina Hospital. "Replacing a valve in a beating heart is a very challenging procedure. By combining static 3D images with the live 2D image we get a much better understanding of the patient’s anatomy."
XperSwing, Philips’ dual-axis rotational angiography, offers a new way to image patients in the cath lab. The rotating C-arm follows a pre-programmed curved trajectory around the patient, allowing acquisition of all desired anatomical projections in a single run. This produces high-quality images of the coronary arteries that can be used to support device navigation and support accurate diagnosis. Because the complete view of the left or right coronary tree is achieved in a single run, XperSwing can help clinicians reduce both X-ray dose and contrast agent loading for the patient, according to a recent study. Dual-axis rotational angiography features a rotating C-arm that follows a curved trajectory on two axes at once, allowing all desired anatomical views to be imaged in a single run.
Conventional, two-dimensional angiography moves the C-arm either up and down or side to side along one axis. That means it may be necessary to make several acquisition runs in several positions to get all of the information required. XperSwing rotates the C-arm in a three-dimensional arc around the patient, to reduce the number of X-ray runs required.
Cath lab information management & multimodality access
Before, during and after the intervention, the new Philips Xper Information Management cath lab workflow solution manages and integrates clinical data. This product suite features comprehensive hemodynamic monitoring and charting during the intervention. To expedite post-procedure workflow, Xper Information Management presents robust clinical reporting and data mining capabilities integrated with the system database, charting and scrapers. With user-centric navigation, scheduling and inventory management, Xper Information Management simplifies workflow for all cardiovascular professionals so they can focus on delivering quality patient care.
The Philips cath lab experience features new connectivity between Xper Information Management and the recently enhanced Xcelera multimodality image management, analysis and reporting solution, which stores all acquired images throughout the cath procedure, organizes information, and provides access to images and data from key cardiology subspecialties. Featuring a user-friendly design, Xcelera offers access to an extensive range of market-leading advanced quantification applications on a common workspace. The multimodality solution presents one access point for all relevant cardiology information, such as cardiovascular ultrasound, CT, MR, nuclear medicine, ECGs and electrophysiology recording signals, as well as long-term storage and enterprise distribution of multimedia studies.
Philips Ambient Experience provides a positive environment for patients and healthcare professionals to enhance clinical processes and patient care. As part of the company's focus on people-centric healthcare, Philips pays special attention to strategies that create patient-friendly environments. The company works with hospitals and healthcare facilities to tailor Philips Ambient Experience solutions to the specific requirements and circumstances of customers.
Providing design and technology solutions to offer positive distraction, personalization of the environment and a more comfortable work space, Ambient Experience enhances the clinical process for both patients and caregivers.
Ambient Experience integrates architecture, design and technologies, such as dynamic lighting and sound, to allow patients to personalize their environment and experience a more relaxing atmosphere. Patients are able to select room themes coordinated with lighting and sound. Concurrently, designers take special care to address the needs of the clinical staff to make the workplace efficient and pleasant.
Philips works with hospitals and healthcare facilities to customize Philips Ambient Experience design solutions. These customized, patient-focused details help set hospitals apart from competitors – allowing them to attract and retain not only patients, but also talented professionals.
Today, Philips has completed 150 Ambient Experience installations around the world in a range of clinical environments, including clinic lobbies and waiting areas, pediatric emergency departments, MRI, CT, Mammography, catheterization (cath) lab suites, PET/CT and outpatient imaging centers.