The first - Scanning Technologies
Transcription
The first - Scanning Technologies
A History of People and Technology Since the seventies, continuous research and the genius of experienced men and women of technology have made impressive achievements in the biomedical field of ULTRASOUND IMAGING a reality. Special thanks to all Esaote People who cooperated with us on this important Project: with the contribution from both Men and Women, it became a Reality. ESAOTE: Where People Make the Difference 2005 - Strategic Corporate Marketing - Esaote Spa - Genoa (Italy) 1 2 A History of People and Technology: 30 Years of Technological Evolution (1975-2005) ................................................................................ 5 Ultrasound Products History ..................................................................................................................................................... 29 ECHOVISOGRAPH .................................................................................................................................................................. 30 ECHOPROCESSOR .................................................................................................................................................................. 31 ECHOSCAN .......................................................................................................................................................................... 32 NEW SECTOR IMAGER / SSI (portable version) ................................................................................................................................ 33 SIM 3000 ............................................................................................................................................................................ 34 SIM 4000i/c ......................................................................................................................................................................... 35 AU 1000 (GP) -ESACORD 90 (Cardio) ........................................................................................................................................... 36 AU 420 .............................................................................................................................................................................. 37 SIM 5000 PLUS ...................................................................................................................................................................... 38 SIM 7000 CFM - Challenge ........................................................................................................................................................ 39 Panoramic Multiplane TE Probe ................................................................................................................................................. 40 Space Missions: STS-50 - STS-65 - STS-71 ...................................................................................................................................... 41 AU 530 .............................................................................................................................................................................. 42 WALL TRACK MOTION - ART.LAB ................................................................................................................................................ 43 AU4 IDEA ............................................................................................................................................................................ 44 Multiplane Laparoscopic Probe LP13A ......................................................................................................................................... 45 Modular Intraoperative Probe IOE13A .......................................................................................................................................... 46 AU3 PARTNER ...................................................................................................................................................................... 47 AU5 EPI ............................................................................................................................................................................. 48 CARIS family ........................................................................................................................................................................ 49 MEGAS family ...................................................................................................................................................................... 50 TECHNOS family ................................................................................................................................................................... 51 PICUS family ....................................................................................................................................................................... 52 MyLab World ........................................................................................................................................................................ 53 3 Summary 4 A History of People and Technology 30 Years of Technological Evolution (1975-2005) 5 The Company: Esaote, started in the seventies The Man: Carlo Castellano - Chairman/Managing Director The Idea: to invest in new medical technology, combining standard electronic components with new technologies to create high-end performance medical equipment accessible to all. Being able to offer products that are affordable to every kind of customer increases the use of non-invasive diagnostic imaging worldwide. The Challenge: started in Italy (Genoa and Florence) and then expanded into Europe (Maastricht), now present in the worldwide market. The Strategy: in 1986 the strategic plan is presented. It involves easy-tomove products targeted at the private cardiovascular market. The possibility to offer Color Doppler as an optional module dedicated to all diagnostic applications increases the products’ value. The Action: the acquisition of OTE Biomedica provides the industrial capability to produce new products and technologies at competitive costs. Following the industrial policy driven by Andrea Oberti, the acquisition of Pie Medical adds new knowledge in low-end ultrasound products and in dedicated software 6 7 for the quantification of cardiovascular diseases. The Target: today the company is specialized in the development and manufacturing of ultrasound equipment designed to offer: • high diagnostic and multipurpose capabilities • new technologies in mid-range products • innovative design and new easy-to-use standards in all systems 8 All the company’s activities are aimed at producing new ultrasound equipment at excellent price performance ratios, while widening the opportunities to expand sales into all clinical applications. Esaote As a Whole Esaote is changing. Despite an expanding ‘World of Esaote’, it still remains the major European ultrasound producer with all its main facilities based in Europe. 9 Many of the most dramatic changes and new technological innovations in healthcare have occurred in the last 20 to 30 years, a time when Esaote’s biomedical engineers started to achieve concrete results in their diagnostic imaging research. These advances play such a vital role in modern medicine that it is difficult to imagine how it used to be before their introduction. Esaote’s strategic marketing, driven by Fabrizio Landi, has brought the company’s focus to medium-range products while paying special attention to the price performance ratio. This strategy has become the key to Esaote’s success and characterizes the overall trend in the global ultrasound market, nationally and internationally. Esaote’s engineers developed highly sensitive color Doppler systems, harmonic imaging, echocardiography and ultrasound contrast agents, as well as compact ultrasound systems with miniature components. The company is determined to continue doing its best in the future, to ensure that the customer continues to choose Esaote because of the unforgettable day-to-day imaging experience with the systems. 10 11 Innovation Becomes a Day-to-Day Reality High diagnostic and multipurpose capabilities Another key to Esaote’s success is the cooperation between the R&D and Product Marketing departments. This team improves the company’s capability to be focused on the real diagnostic imaging needs of its customers. Esaote’s marketing groups work constantly on innovative strategies to keep the company one step ahead of the fastpasted world of global technology. They also are the liaison between the three R&D centers (Genoa, Florence, Maastricht) and a group of leading European reference centers in diagnostic imaging. Florence, R&D Team (2005) The Esaote engineering groups accept the strategic challenge to develop products to further penetrate the national and international ultrasound market. The extremely positive outcome on all levels has been gained through the widened multipurpose capability implemented on every single product manufactured by Esaote. A very low human resources turnover is the essence of Esaote’s success: people have always represented the primary value of the company. With an average of 6000 ultrasound systems sold annually all over the world, Esaote has grown to be the sixth largest ultrasound company in the world and the only one in Europe, with 1300 employees actively engaged. The company’s R&D department is a unique combination of the strengths of three research groups: in Florence, the R&D group is specialized in the Cardiovascular application segment, in Genoa the R&D group is involved in General Purpose Imaging and in Maastricht the R&D team focuses on smaller systems for the Obstetrics and Gynecology and Veterinary markets. 12 With the recent expansion of the product-range, Esaote’s additional services and performances have been increased. The company has been listening carefully to what the customers want. Placing the customers’ values and confidence in the products’ reliability has always been the way things have been done at Esaote, and that will continue into the future. 13 New technologies in mid-range products In 30 years of history, Esaote has produced an impressive number of new patents and proprietary technologies. The company has often been the pioneer in advanced technologies that are now standard in all products present in the market, for example, annular technology with dynamic variable aperture. The engineering group in Florence introduced the concept within cardiac ultrasound of focusing the annular arrays, while having the possibility to optimize the ultrasound beam in all fields of view (dynamic focusing). This enhances the image quality substantially in all applications. In 1992, the research team in Genoa found the solution to combining high image resolution with high frequency capability to improve penetration and field of view. A new synergy between image resolution and field of view penetration in deeper image layers was created. Additionally, the innovative technology of broadband arrays allows the use of multiple frequencies on the same probe and offers the possibility to select between resolution and penetration without having to change probe. 14 Maastricht, R&D Team (1995) In 1993, the Maastricht R&D group presented the first Wall Track System to measure blood vessel wall properties. The team was able to transform this research tool into an advanced commercial product, which has become a gold standard in all scientific ultrasound examinations oriented to access vascular risks. 15 In 1994, the Genoa R&D group presented the first multipurpose system with frequencies up to 20 MHz, the AU4 Idea ultrasound system. This was the fruit of ten years of research on innovative technologies in transducers and created a new standard in small parts clinical diagnoses. In the year 1995, the Florence R&D team presented the first truly complete multipurpose ultrasound system with annular, linear and convex capabilities with reduced dimensions and innovative ergonomics. The AU3 became the best-selling Esaote product worldwide. Recently, there has been substantial research carried out on tissue characterization, in order to make better use of the extremely rich amount of information that comes back with the echo signal. So far, ultrasound scanners have only made use of the intensity information, which is the basis of the construction of the traditional B-Mode image. The frequency and phase content of the echo is mostly discarded (except in Doppler examinations) for the simple reason that its interpretation would be very difficult and that current ultrasound systems do not have enough computing power to exploit it fully. 16 Genoa, R&D Team (2005) However, Esaote’s research is progressing quickly and the cost of computing power is continuously decreasing. Therefore, it is easy to forecast that, sooner or later, new systems for tissue characterization will become available to further aid diagnosis. 17 Excellent, long-term results in the Italian ultrasound market have been obtained due to the widespread distribution and customer-focused marketing and sales strategies managed by Renzo Muzi. At the same time, the worldwide success of all the products is thanks to a completely new direct distribution network created by the recently reorganized International Sales division. Starting in 1992, Esaote became a force in the international ultrasound market. Carlo Mannelli had been given the challenge to create an International Sales & Marketing distribution network starting from the European market and widening to the Far-East countries. Thanks to the encouraging sales results, Esaote opened direct subsidiaries in various strategic markets. New offices – such as Biosound-Esaote in the USA, Esaote France, Esaote Germany, Esaote Spain, Esaote LatinoAmerica, Esaote China and Esaote Moscow Representative Office for CIS Countries – arise worldwide. At this point, all independent distributors are closely connected to the Esaote strategy and are an active part of the Esaote World. This success makes Esaote the sixth largest medical diagnostic company in the world with 8% market share of the worldwide ultrasound market. 18 Genoa, R&D People at Work (1985-1990) 19 Innovative design and new easy-to-use standard in all systems Even in the design field Esaote has become a leader in innovation: the new user interface concept with a central trackball and several function keys became a new standard starting in 1990. In 1994, the AU4 Idea created a new standard in ergonomics by housing innovative functions in a reduced dimension system with direct and advanced peripherals management. In 2000, the Technos Family systems became the precursor of a new family of products; one focused on a unique and completely redesigned ergonomic style with a new fully adjustable keyboard, both in height and rotation. One of the most important aspects of ultrasound is its unique characteristic of being simultaneously a flexible, non-invasive, real-time and low-cost method of diagnostic imaging. These attributes make it the best choice for monitoring minimally invasive surgical procedures such as thermo-ablation, and the Esaote engineers know it. That is why they are continuously focused on designing concrete tools and optional accessories to facilitate the end user. 20 21 Thirty years have elapsed since the very first Esaote ultrasound system was conceived by the engineering groups: many imaging experts believe that compact ultrasound will become dominant within the next 10 years, and Esaote is actively focused on making this concept a reality. Past and Future Developments in Diagnostic Imaging In the last ten years since the celebrations of the centennial (1995) of diagnostic imaging, the world has witnessed a real breakthrough in the field. These years have been remarkable for the rate of innovation all people of technology have brought about. Present and future trends in diagnostic ultrasound are still influenced by the significant developments of imaging modalities in the past decades. It has been noted that more progress had been made in the last quarter of the first century of imaging than in the previous 75 years (e.g. the almost simultaneous introduction of CT, MRI and ultrasound, not to mention PET and SPECT modalities). But the progress made from 1995 to 2005 has been even more rapid and incisive, and Esaote has been an active part of it. 22 23 In the core Esaote business – ultrasound – engineers in all facilities have actively contributed to the momentous transition from analog to digital hardware. This has brought an increase in the image quality and in the operational capabilities of the diagnostic ultrasound system. However, the implications of this milestone transition go far beyond these two achievements. Indeed, digital processing immediately offered the possibility to apply techniques that, although investigated theoretically in the past, never made it to clinical reality because of their prohibitive cost. An example of this has been the introduction of harmonic imaging, soon followed by new techniques to best exploit the availability of ultrasound contrast agents. Today, ultrasound is no longer a single imaging modality, but a plurality of techniques adapted to different clinical needs, and the Esaote engineers concretely study its potential and implement these technologies in new products. As is often the case, new developments spur further research and novel applications. 24 25 MyLab50 AU5EPI AU3 Partner Advances in Ergonomics (ESAOTE 1995-2005) Ultrasound imaging is riding a new wave of technology with techniques being introduced at an accelerated rate, such as those for tissue characterization based on the analysis of the raw ultrasound signal. Given the current trend in healthcare towards a “one-stop-shop” approach, it is anticipated that diagnostic ultrasound will increasingly be used for various applications: the R&D teams of Esaote operatively represent the continuity between the past and the future technical discoveries in diagnostic imaging and its potential developments. At Esaote, people of technology look and learn from the past while concentrating on the possibilities for the future. 26 27 ESAOTE: Where People Make the Difference 28 Ultrasound Products History 29 1978 The first Mono-Probe Ultrasound System designed and developed in the Florence Lab for Cardiology and Ob/Gyn applications Presented at the Worldwide Ultrasound Congress of Cardiology in Tokyo in 1978 ECHOVISOGRAPH (M. Cerofolini) Mono-probe ultrasound system A-Mode and M-Mode tracing for Cardiology Real-time linear arrays for Ob/Gyn Interchangeable 2.25-3.5 MHz transducers for Cardiological, Abdominal, Peripheral, Obstetrical applications High resolution display with grey scale capability Easy operation Conformity with all international safety standards The Easy-Operation Ultrasound System 30 1980 The first Modular Mono-Probe Ultrasound Echocardiograph manufactured in the Florence Lab for Cardiac Imaging The first Ultrasound System certified by IMQ to guarantee the full safety for both patient and operator The first significant commercial result in terms of brand image and sales ECHOPROCESSOR (M. Cerofolini, E. Trisolini) Mono-probe system (sector array) with automatic scanning (optional) and possibility to easily upgrade to bi-dimensional imaging 3 signal processing A-Mode and M-Mode tracing Polygraphic channel (7 ECG derivations) Reduced dimensions and maneuverability Bi-dimensional expandibility High-res fiber optic recorder Ease-of-Use, Reliability and Compactness 31 1981 The first Mono-Probe Ultrasound System (Echovisograph platform) developed by the Florence Lab for Ob/Gyn applications ECHOSCAN (M. Cerofolini, E. Trisolini) Mono-probe ultrasound system B-Mode imaging for Ob/Gyn examinations Real-time linear scanning Linear arrays with internal multiplexer The Real-Time Ob/Gyn Scanner 32 1982-83 The first Mechanical Sector Echocardiograph manufactured in the Florence Lab for Cardiac Section Imaging with Portable Version available (SSI) Sector Probe Sector Imager SSI (8300SI) SECTOR IMAGER SSI (portable version) (M. Cerofolini, G. Bavaj) Mono-probe system (sector array) with automatic scanning Fully digital image Sector angle: 30°, 60°, 90° The smallest transducer (lightweight and easy-to-handle) Wide range of frequencies M-Mode on movable M-Line 2D image and echopolygraphic tracing print Small Sector Imager (SSI): the first portable version for ambulatory or ward echographic diagnosis (called 8300SI in USA) Your Mechanical Sector Echocardiograph 33 1984 The first Portable Echocardio Scanner with High Resolution Mechanical Sector Probes for Cardiology, Internal Medicine and Gynecology fields The first ultrasound system with External Steerable PW/CW Module based on FFT analysis The smallest system in real-time scanning with 14,4 kg weight SIM 3000 (M. Cerofolini, G. Bavaj) Real-time high-res mechanical sector probes Lightweight mobile echocardiograph system Improved image quality using microprocessor signal processing Movable M-Mode cursor on 2D image Full biometry (distances, slope, areas, circumferences, volumes) Small head easy-to-handle two-dimensional transducers (2.5-3.5-5.0-7.5 MHz) 3.5 MHz dynamic focusing probe Doppler module and software extension Easy to operate to give morphologic and functional information of cardiac structures even in surgical practice High performance at a competitive price with small size and reduced weight An Answer to Your Clinical Queries. Anywhere 34 1985 The first Portable General Purpose Ultrasound System with Annular Array Sector Technology (SIM 4000i) The first Portable Real-Time Cardiac Ultrasound System with Annular Array Sector Technology (SIM 4000c) The smallest size ever seen in Ultrasound Equipment for both emergency cases and routine examinations (14,4 kg weight) The National Aeronautics & Space Administration of America (NASA) invites ESAOTE to start a cooperation for an Ultrasound System specially dedicated to Space Missions! SIM 4000i/c (M. Cerofolini, B. Greppi) Real-time annular array sector technology to dinamically focus the ultrasound beam (dynamic focusing) Concentric independent time phased rings inside lightweight transducer with frequency up to 7.5 MHz PW/CW Doppler based on FFT analysis A, B, B+M, M, Doppler (optional) Modes Microprocessor technology Automatic/manual TGC control to optimize M-Mode and 2D imaging Dual ECG triggering High memory capability (2 M-Mode or 2D images, last 4 acquired frames) Full on-line biometry (distance, time, velocity, perimeter, area, volume, fractional shortening, ejection fraction) General Imaging, Obstetrics/Gynecology, Pediatrics/Neonatology, Small Parts, Cardiology (Adult, Pediatric, Neonatal), Vascular Obstetrics calculation packages Extended versatility, compactness, portability, lightweight, design, flexibility, ease of operation Your Portable Annular Array Sector Scanner 35 1986 AU 1000 (GP) - ESACORD 90 (Cardio) The first Multipurpose Ultrasound System manufactured in the Genoa Lab with High Frequency Transducers up to 10 MHz Exclusively designed by Giugiaro with the first adjustable keyboard to select the best ergonomic position (F. Pomata - M. Mazzarella, R. Muzi) B/W real-time imaging A-Mode, B-Mode, B+M-Modes, M-Mode 3.5-5.0-7.5 MHz annular array (mechanical sector) 10 MHz water path probe for Small Parts exams 3.5 MHz electronic linear array Special probes for endoscopic exams High velocity PW/CW Doppler Doppler calculations Body marks, patient data availability Vascular, General Purpose, Obstetrics, Cardiology, Small Parts, Endoscopic Ergonomic design, reduced dimensions and weight, flexibility High-res fiber optic recorder High Diagnostic Capability in Linear & Sector Imaging 36 1988 Electronic Ultrasound Scanner manufactured in the Genoa Lab with High Performance Image Quality using new technology based on dynamic receiving filters The first system to focus up to 192 points in receiving mode with 10 MHz probe dedicated to Small Parts exams AU 420 (F. Pomata - M. Mazzarella, R. Muzi) B/W imaging A, B, M Modes Dynamic receiving filters with up to 192 focus points (highperformance 10 MHz probe) 3.5-5.0 MHz linear array Multi-element annular array (mechanical sector) 3.5-5.0-7.5 annular array (mechanical sector) for Cardiology 7.5-10 MHz water path sector probes for Small Parts Special probes for Intraoperative, Transrectal, Biopsy applications Adjustable biopsy marker High Performance: 10 MHz Probe for Small Parts 37 1988 The first Portable General Purpose and Cardiovascular Ultrasound System with Annular Array Technology, Integrated Steerable PW/CW and High PRF The smallest size ever seen for an ultrasound system SIM 5000 PLUS (M. Cerofolini, B. Greppi) 2D - Hypertrophic cardiomyopathy Dual 2D - Systole/diastole Duplex system (2D/M-Mode/Doppler PW-HPRF-CW) Optional high-sensitivity Doppler module based on digital FFT analysis High-res image quality thanks to dynamic focusing on annular array transducers Concentric independent time phased rings inside lightweight transducer Wide range of transducers: annular array (imaging/Doppler PW-HPRF), split element (imaging/Doppler PW-HPRF-CW) and pedof (Doppler PW-CW) Precise advanced TGC gain control M-Mode - Left ventricle Real-time and off-line advanced measurements/calculations on imaging and MMode/Doppler tracings Very high memory capability Easy to upgrade via software Cardiology, Angiology, Internistic, Pediatrics/Neonatal, Small Parts Ease of use, flexible, easily integrable inside cart, advanced performances Innovative design: compact, integrated, lightweight, reduced dimensions 2D/CW Doppler - Aortic steno-insufficiency The Cardiovascular Portable Duplex High Technology is… Efficiency, Imaging, Doppler 38 1990 SIM 7000 CFM - Challenge The first Portable Ultrasound Color System with Multifrequency Annular Array The technological breakthrough in Advanced Integration: B-Mode/M-Mode+Color+Stress Echo package The affordable, reliable, cardiovascular and True Portable Color Simple, versatile, flexible in an Open Architecture TE Probe Angios Probes Annular Probes (called Genesis II in USA) (M. Cerofolini, B. Greppi) 2D, M-Mode Multi-Mode Color Flow Mapping (CFM) capability Ultrasensitive steerable PW/CW Doppler HPRF 2 to 15 MHz annular AA-C multi-element probe family with excellent sensitivity and wider bandwidth Panoramic TE probe High frequency 7.5-10 MHz Angios probe for Vascular exams (TransArray technology) Multi-channels dynamic phasing and variable aperture for advanced beam focusing Electronic dynamic focusing 2D and M-Mode high-res zoom Flexible scrolling Continuous loop memory Digital image archival for off-line analysis and follow-up Programmable report generator Easy and quick measurements Cardiology, Pediatrics, Neonatalogy, Vascular, Transesophageal, Stress Echo (IMS) Ergonomic design, light, compact, expandible from a desk top model to a fully configured system with trolley, RGB high-res monitor and peripherals 39 The Portable Color - Unlimited Performance The Challenge to the Highest Quality Requirements in Cardiovascular Diagnostic Ultrasound 1990 Panoramic Multiplane TE Probe The smallest Multiplane TE Probe with Annular Array Technology The innovative design incorporates a stepping motor in the probe head defining a new standard in TE size worldwide (M. Cerofolini) Advanced composite ceramics technology The widest possible dynamic range 5.0-7.5 MHz imaging 3.3-5.0 MHz Doppler Excellent color sensitivity and superb anatomic detail Transverse/longitudinal scan planes Lightweight design, slim shaft, smooth articulation Shaft diameter: 9,5 mm Shaft length: 110 mm Shaft orientation: ±120° up/down - left/right Easy to handle, safe to use, comfortable for patient (14 mm tip width) Cardiology (ICU, emergency room, private office) Transesophageal Imaging - A Unique Wide Sector Format 40 July 1994 July 1995 Annular Probes Space Missions: STS-50 - STS-65 - STS-71 June 1992 “I am a Canadian sonographer and was working with a group of investigators who had grant from the Canadian Space Agency to study back pain in astronauts and we used the Biosound unit on two shuttle flights - June 92 and July 94. ..The unit worked perfectly for the remainder of the mission!” Source: Vickie Lessoway - Biosound Inc, Vol. 2, Issue 1, page 6 Esaote cooperates with the NASA and our up-to-date Ultrasound System is installed inside the shuttle for three Space Missions: STS-50 - STS-65 - STS-71 (M. Cerofolini) 41 AU 530 1990 The first Multipurpose Ultrasound B/W System with Very High Frequency Annular Probe up to 15 MHz. After 10 years the VHFS technology became a standard in the Ultrasound field The first Ultrasound System with Multifrequency Capability offering two-three frequencies on one only probe. This new technology became a standard and overcame the dilemma of combining image penetration and resolution and offered a real technological breakthrough in Ultrasound applications The first Biplane Annular Array Transrectal Probe with real-time longitudinal and transversal scanning (F. Pomata, L. Schiavini) VHFS (Very High Frequency Sonography) up to 15 MHz annular probe Linear/convex/annular phased/single element arrays 2.5-15 MHz probe range 7.5-15 MHz high-frequency probes for Small Parts exams Multifrequency annular array technology Endorectal and endovaginal special probes High sensitivity steerable PW/CW Doppler based on FFT blood flow analysis High speed analog continuous focusing to obtain uniform high resolution over the entire ultrasound image 2D, M-Mode, Doppler analyses with advanced computation packages 6 different presetting functions General Purpose, Ob/Gyn, Small Parts, Cardiology, Vascular, Pediatrics/Neonatal, Urology Versatile, compact, expandable and flexible system Ultrasound Ahead of Our Time Breaking the Wall of Resolution Versatile Multimode Ultrasound System “MHz” Can Make a Difference New Standard in Dermatology The State-of-the-Art in Small Parts Sonography 42 The first Wall Track System (WTS) manufactured by Esaote to measure blood vessel wall properties like diameter, change in diameter (distension) and vessel wall thickness (IMT) The result of many years of research of the Ultrasound Group at the University of Maastricht (Prof. Dr. ir. A.P.G. Hoeks - Prof. Dr. R.S. Reneman, J. Geijsen, W. Luiten) Wall Track System in use for clinical research at the University of Maastricht (1992) WALL TRACK SYSTEM - ART.LAB 1992 (ART.LAB 2005) Echo scanner add on (connection to the front-end of a scanner) Primarily designed as a research tool for clinical studies, then accepted as the standard for measuring vessel wall function Vessel wall properties related to cardiovascular risk factors for early detection of cardiovascular disease Based on dedicated time domain radio frequency (RF) signal processing for the measurement of blood vessel wall properties (diameter, distension and vessel wall thickness) Great advantage coming from RF-signal processing for the use of phase and amplitude information (from tissue and blood) without compromise A Complete Configuration for Identification of Cardiovascular Risk Factor Measure Vascular Wall Properties Non-Invasively 43 AU4 IDEA 1994 The first Multidisciplinary Color Ultrasound System with four technologies: linear, convex, phased and annular array The first Ultrasound system from 2 to 20 MHz frequency range (VHFS - Very High Frequency Sonography) The first unit using a Central Processor with a clock frequency up to 100 MHz The first for innovative design with new keyboard concept (central-positioned trackball and related functions keys) to select different functions: it became a standard in all Ultrasound systems (F. Pomata, L. Schiavini) The new Digital Data Processing technology at 100 MHz has been made possible by the development of CMOS 100 MHz ASIC microchip, designed by Esaote, which won the ECC prize for the most innovative high-speed switching circuit project. The signal processing speed becomes 3 to 4 times faster than traditional systems, with consequent advantages in frame rate, sensitivity and frequency. 360° radial array New laparoscopic probe with flexible tip High density transducers using composite materials Parallel microprocessor design Parallel reception Dynamic focusing with variable aperture Advanced Ultrasonography for Superior Diagnosis The New Idea Is Whole Body Imaging From 2 to 20 MHz “Whole Body” Ultrasonography A Great Opportunity for Superior Performance Abdominal, Ob/Gyn, Vascular, Small Parts, Pediatrics, Cardiology, Ophthalmology, Dermatology, Orthopedics, Urology A-C-T (Advanced Contrast Technology): time wait processing, ACT apodization, advanced beam distribution, broadband transducers, new algorithms 44 Multiplane Laparoscopic Probe LP13A 1994 The first Laparoscopic Probe with 10 mm diameter size and multiple tip movement A new era in Ultrasound examinations begins with less invasive surgical procedures (R. Furia - G. Borreani, E. Fontana - C. Valle) Multiplane imaging Broadband linear array technology 7.5-10 MHz frequency Steerable CFM/PW Doppler Shaft orientation: ± 90°up/down - ± 90°left/right Operating & angiographic rooms, therapeutic applications Ultrasound in Laparoscopic Surgery - The New Gold Standard The Real Golden Standard in Ultrasound Technology Less Invasive Surgery Ultrasound Technology Intraoperative & Interventional Ultrasound 45 1994 Modular Intraoperative Probe IOE13A The first Modular Intraoperative Probe with multiple configurations available (Esaote patented) A new era in Ultrasound examinations begins with less invasive surgical procedures (R. Furia - G. Borreani, L. Schiavini) Multiple imaging scanning Probe body shaft with 4 facets for handle and finger attachments Maximum flexibility and access to any vessel or organ Abdominal, Vascular, Carotid Endarterectomy, Peripheral by-pass Intraoperative scanning, Saphenous Vein mapping, Small Parts, Biopsy Operating & angiographic rooms, therapeutic applications Intraoperative & Interventional Ultrasound Complete Solutions for Advanced Interventional Ultrasound 46 1995 The Multipurpose System with integrated CFM at the highest price-performance ratio The new extended modularity allows the best configuration vs applications and represents a new step ahead in versatility and flexibility Ultrasound for enhanced productivity with diagnostic confidence Trolley Multiplane TE Probe AU3 PARTNER (M. Cerofolini, B. Greppi) The Reliable Partner in Ultrasound High-Perfomance Cardiovascular Imaging The Best Detail in Cardiovascular Imaging, the Maximum Flexibility in Application Build a Partnership More and More The Winning Response The Exclusive Potentiality Linear, convex, annular phased array CFM/PW/ECG modules 2.5 to 10 MHz frequency probe range Multiplane TE probe Digital Archiving Module (DAM) with DICOM compatibility Quad screen format Cardiac, Abdominal, Ob/Gyn, Vascular, Small Parts, Urology 47 1997 The first Multipurpose Color Ultrasound System with five technologies: linear array, convex array, electronic phased array, annular phased array, ultrasound contrast media processing AU5 EPI (M. Macciò, E. Fontana) 2 to 20 MHz probe range VHFS - Very High Frequency Sonography TEI™ - Tissue Enhancement Imaging for difficult-to-study patients CTEI™ - Contrast Tissue Enhancement Imaging to manage contrast media procedures EPI - Extended Platform Imaging The Five-Function Ultrasound System The Value of Versatility Power Doppler & VeloPower capability DSM - DICOM Storage Module for connectivity/archiving 3D technology Abdominal, Small Parts, Ob/Gyn, Cardiology, Vascular 48 1998 2001 The movable Compact Ultrasound solution with phased, convex and linear array technology The ideal equipment for ICUs, bedside examinations, operating theaters and emergency rooms Caris CarisPlus CARIS family (A. Bertini, B. Greppi) Fully digital platform (Caris Plus) High-density electronic probes: phased, convex, linear array (Caris Plus) High-res annular phased array transducers (Caris) High-frequency probes (up to 10 MHz) New advanced transducers (e.g. microconvex, multiplane TE, endocavity, etc.) High-res images & high-sensitivity Doppler Color Is on the Move TEI™ - Tissue Enhancement Imaging for difficult-to-study patients It Satisfies Your Logistical Needs with Integrated stress-echo & Wall Motion analysis Real-time digital archiving, reporting & printing Quality Network connection & DICOM capability Moving in Cardiology 10" TFT LCD tilting display and 15" SVGA monitor Portable and deluxe cart-equipped versions The Digital Metamorphosis Compact, lightweight (only 15 kg), modular, complete, high-tech CFM solution The Art of Flexibility Cardiology, Vascular, Ob/Gyn, General Imaging, Small Parts, Pediatric/Neonatal, Urology 49 1999 2003 The first Compact Ultrasound System with linear, convex and phased array technology The first system offering Harmonic Imaging with phased array cardiac probe The first system offering CnTI™ technology for Ultrasound Contrast Media dedicated to myocardial perfusion examinations CVX A R D I O V A S C U L I L A R MegasCVX C MegasGPX MEGAS family (M. Cerofolini - F. Andreuccetti, B. Greppi) GPX M Fully digital platform New advanced transducers (e.g. microconvex, multiplane TE, intraoperative, laparoscopic, interventional, etc.) High-res images & high-sensitivity Doppler TEI™ - Tissue Enhancement Imaging for difficult-to-study patients CnTI™ technology for contrast agents management Integrated stress-echo & Wall Motion analysis Diagnosis & therapy module Real-time digital archiving, reporting & printing Network connection & DICOM capability Cardiology, General Imaging, Ob/Gyn, Small Parts, Vascular, Pediatric/Neonatal, Surgery, Transcranial 50 U L T I D I S C I P N The Ideal Solution Your Reliable Daily Partner At The Heart of Technology Diagnostic Versatility The New Standard in Cardiovascular Ultrasound A R Y 1999 2003 The first Digital Beamformer Ultrasound System using Windows®-based platform The complete range of High-End Multipurpose Ultrasound Systems: Technos Partner, Technos MP, Technos MPX Innovative Design followed by all other manufacturers all over the world Extended multifrequency capability The Premium Extended Performance Technos MPX The Multipurpose High Performance Technos MP The Faithful Partner Technos Partner TECHNOS family (M. Brusacà - F. Pomata, M. Macciò - E. Fontana) Linear/convex/phased array 4-frequencies probes Advanced transducers (e.g. microconvex, multiplane TE, intraoperative, laparoscopic, interventional, etc.) CnTI™ technology for contrast agents management Diagnosis & therapy module 3D imaging VPan extended field of view capability Advanced measurements packages Very high-res images & very high-sensitivity Doppler Windows®NT platform Advanced digital archiving & connectivity Ergonomic & very innovative design Comfort is Getting Smarter A Class of Its Own Appreciate the Comfort Class and Comfort Above and Beyond the Day to Day 51 2001 2003 The dedicated OB/GYN Ultrasound System The complete portable solution for modern ultrasound professionals Picus PicusPro PICUS family (C. Marian, W. Luiten) Fully digital platform High-density electronic probes: convex and linear array High-frequency probes (up to 12.5 MHz) Three frequencies per probe for all probes New advanced transducers (e.g. microconvex, endocavity, motorized 3D) High-res images & high-sensitivity Doppler Doppler auto-tracing Automatic on line PI, RI calculation Real-time digital archiving, reporting & printing Network connection & DICOM capability 10" TFT LCD tilting display and 15" SVGA monitor Compact, lightweight (only 15 kg), modular, complete, hightech CFM solution Portable and cart-equipped versions Abdomen, Ob/Gyn, Small Parts, Carotid, Fetal Heart, Cardiology, Phlebology Advanced measurements and report packages: Obstetrics, Gynecology, Cardiology Automated 3D and 4D imaging 52 The Exceptional The Right Answer Dedicated to Women’s Healthcare 2004 2005 MyLabWorld > RESEARCH One World, One Language > DATA SHARING > INTEGRATION MyLab™ World > WORKFLOW MyLab15 Discover MyLab25 the next generation of ultrasound systems at ECR 2005 MyLab50 EXPO A booth 101 Headquarters: ESAOTE SpA Via Siffredi, 58 16153 Genova, ITALY Tel. +39(010)6547.1 Fax +39(010)6547.275 www.esaote.com E-mail: international.sales@esaote.com 53 Official MyLab Family Launch at ECR 2005 (March 4-8 - Vienna, Austria) MyLab™ World 2004 2005 MyLabWorld Compact Quality without Compromise High Performance without Compromise High Versatility without Compromise MyLab15: the premium black & white compact system for General Imaging and Ob/Gyn, easily upgradable to Color and Doppler MyLab30CV & MyLab25: the first portable ultrasound systems with 15" display offering all Cardiac and General Purpose ultrasound features in 9.9 Kg weight including stress-echo capability 54 The first solution where the latest technologies converge to offer the most accurate patient data management The daily reality with a modular architecture based on optimized workflow for cost-saving approach to patient care The complete integration of different systems and modalities with powerful processing tools (A. Bertini - M. Brusacà - F. Andreuccetti - M. Lagustena, B. Greppi - M. Macciò - G. Altobelli - W. Luiten) High CV Standard without Compromise Extreme Flexibility without Compromise Luxury in the Daily Practice MyLab50: the flexible solution in Integration Technology offering high image quality in linear, convex, phased array technology MyLab70: the complete and reliable high-class system offering a flexible and modular architecture for the best comfort in the daily practice 55 2004 2005 MyLabWorld The first advanced technique to allow a perfect correlation of Ultrasound and CT/MR Imaging to significantly increase precision and accuracy of image-guided diagnoses, follow-up and interventional procedures Virtual Navigator (S. De Beni, M. Macciò) Advanced combination of two different imaging modalities: real-time Ultrasound scanning with contrast media and CT/MR static imaging DICOM data loading of US/CT/MR standard examinations Correlation procedure to obtain the best US/CT/MR volume matching thanks to three different techniques: > skin markers on patients to allow automatic spatial correlations > manual technique to select random planes > internal positioning markers to select anatomical structures/pathologies of interest Controlled navigation to maintain a perfect and precise spatial correlation of CT/MR planes and real-time Ultrasound scanning (image superimposition) Double biopsy line on US/CT/MR volumes Measurements capability on US/CT/MR volumes Identification of internal liver lesions and follow-up in interventional imaging A Step Ahead in Fusion Imaging Diagnosis, Follow-up, Interventional Approach 56 We look to the past with our mind on the future ESAOTE: Where People Make the Difference 833 0745 000 (MA Rev.B) ESAOTE S.p.A. Headquarters: Via Siffredi, 58 16153 Genova, ITALY Phone +39-010-6547.1 Fax +39-010-6547.275 International Activities: Via di Caciolle, 15 50127 Firenze, ITALY, Phone +39-055-4229.1, Fax +39-055-4229.208 E-mail: international.sales@esaote.com www.esaote.com