Philips ProxiDiagnost N90 Release 1.1

The versatile ProxiDiagnost N90 digital radiography-fluoroscopy (DRF) room is a compact 2-in-1 powerhouse, featuring premium Philips imaging innovation, designed to enhance clinical confidence. The ProxiDiagnost N90 is the result of years of dedicated development, offering versatility and premium features to meet virtually every exam need. The system provides exceptional patient access with excellent image quality at a low dose, achieving a perfect balance between radiography and fluoroscopy for fast exams that enhance patient and staff satisfaction.

Key Benefits

• Comprehensive dose management tools
• Improved image quality and faster workflow
• Enhanced clinical applications and ease of patient access
• Latest IT standards

Advantages of ProxiDiagnost N90

The ProxiDiagnost N90 premium DRF system is clinically comprehensive, supporting applications such as gastrointestinal exams, arthrography, voiding cystourethrogram, swallow exams, chest, spine, upper and lower extremities, and skull. It is suitable for a wide variety of patients, from pediatrics requiring short procedure times and low dose, to obese patients up to 300 kg (661 lb.) where accessibility and penetration are critical.

Our best in class imaging chain

The reliable and well-proven Philips imaging chain, a product of years of industry leadership, ensures image quality, diagnostic confidence, and low dose through harmonious integration of all elements from the generator to the tube.

Exceptional workflow features

• Dynamic UNIQUE enhances real-time fluoroscopy image processing with advanced de-noising and brightness stabilization.
• 7-Field AEC chamber allows for greater flexibility in positioning and image orientation, regardless of detector placement.
• Two high-resolution monitors (one with touchscreen) feature the customizable Eleva user interface, facilitating easy workflow in as few as three clicks.

Comprehensive dose management

Dose management features, including Philips' patented in-pulse controlled Grid-Controlled Fluoroscopy (GCF), Intelligent Exposure (IQX), automatic filters, and collimation on last image hold (LIH), reduce patient dose without impacting image quality, making it perfectly suited for pediatrics.

Compact, scalable design

Build and adapt the system to suit specific needs. Options range from a table for pure fluoroscopy to adding a ceiling-suspended second tube for radiography. For high-volume use, a vertical stand and wireless SkyPlate detector can improve workflow. Software capabilities can be expanded with stitching, clinical QC, Bone Suppression, and more.

Cost effective

The ability to perform both high-quality radiography and fluoroscopy in one room facilitates high utilization. Sharing the SkyPlate wireless detector with other Philips systems can realize further cost efficiencies.

IT security

Security best practices are embedded throughout the ProxiDiagnost N90 lifecycle to safeguard confidentiality, integrity, and availability of the system and its data, based on NIST 800-53 security and privacy controls and US Department of Defense cybersecurity requirements.

For pediatric examinations, Philips Grid-Controlled Fluoroscopy (GCF) enables a dose rate¹ reduction up to 68%² compared to Pulse Controlled Fluoroscopy (PCF), depending on patient type and clinical application.

Outstanding accessibility

The small table footprint provides free access at the back. Combined with a slim detector housing, it allows outstanding access to the patient during procedures. The table accommodates patients up to 300 kg (661 lbs), and the detector parking position frees the tabletop completely for easy and safe patient access.

Visual representation of the ProxiDiagnost N90 system's compact footprint and slim detector housing, emphasizing easy patient access from the back and sides. A separate image shows a patient on the table with a detector parking position that frees the tabletop.

High flexibility with a true 2-in-1 system

The system offers high flexibility as a true 2-in-1 radiography and fluoroscopy solution.

• Upper gastrointestinal examinations at up to 30 fps are supported by Dynamic UNIQUE image processing, in-pulse control technology, a 7-Field AEC chamber, and a cutting-edge detector, delivering exceptional images from the first frame.
• Experience fast workflow with the ceiling-suspended Eleva Tube Head with Live Camera Package.
• Improve visibility of details with UNIQUE 2 image post-processing software, maintaining a natural overall impression.
• Perform Digital Subtraction Angiography (DSA) examinations with the ease of the Eleva system.
• Enjoy increased clarity of chest radiographs with Bone Suppression³ technology for better clinical outcomes.

Image showing a patient undergoing an upper gastrointestinal examination, highlighting the system's capability for high-speed fluoroscopy. Image depicting a healthcare professional using the ceiling-suspended Eleva Tube Head with a live camera package, demonstrating fast workflow. Image showcasing the system's ability to perform Digital Subtraction Angiography (DSA) examinations with the Eleva interface. Image of a chest radiograph, illustrating the enhanced clarity achieved with Bone Suppression technology.

Superb image quality

The 43 cm x 43 cm (17 in x 17 in) dynamic flat detector facilitates high-resolution radiography and high-speed fluoroscopy. Optional SkyPlate wireless portable detectors offer outstanding image quality at a low X-ray dose with high DQE and MTF. UNIQUE 2 for radiography and Dynamic UNIQUE for fluoroscopy are established post-processing software applications designed to increase diagnostic confidence through enhanced detail, contrast harmonization, and reduced noise/background clutter.

Eleva – a common platform and user experience

As part of the Philips diagnostic X-ray systems community, the ProxiDiagnost N90 shares the innovative Eleva platform, including the Eleva workstation and Eleva Tube Head. The 30.7 cm (12.1 in) tube head touchscreen allows users to confirm patient identity, check or change system parameters, and review radiography images. The user interface provides a smooth, patient-focused workflow with customizable presets and automation for efficiency and throughput. Live camera collimation offers a bird's eye view of the collimated area, aiding accurate collimation with minimal system manipulation. The live tube head camera can also be activated at the Eleva workspot to confirm patient position and collimation before exposure, helping prevent retakes and save dose.

Close-up view of the Philips ProxiDiagnost N90's Eleva Tube Head touchscreen interface, displaying patient information, imaging parameters (kV, MAS), focal spot selection (Large, Medium, Small), and a simulated X-ray image of a knee.

Build your own DRF suite

With ProxiDiagnost N90's adaptive design, the system's geometry and options can be tailored to unique needs. The minimum room requirement for a pure fluoroscopy table is approximately 5.50 m x 3.50 m (18 ft x 12 ft), increasing space-effectively as components are added.

Utilizing the ceiling-suspended Eleva Tube Head speeds up radiography workflow by 28 seconds per examination.^4,5

System at a glance

Diagram illustrating the ProxiDiagnost N90 system with numbered callouts: 1. Accessibility features, 2. Image quality components, 3. Dose management controls, 4. Bariatric patient accommodation, 5. Eleva Exam Control interface, 6. Clarity of the diagnostic monitor.

1. Accessibility: Outstanding patient access during procedures via free access to tablesides and slim flat detector housing. Easy and safe patient access due to a tabletop that moves completely clear from detector housing.

2. Image quality: Impressive high-quality fluoroscopy from the first frame onward, thanks to in-pulse control and dynamic UNIQUE image processing. Supports Table Bucky work with large fixed or removable SkyPlate detectors.

3. Comprehensive dose management: Fully automatic adjustment of exposure settings to body thickness with intelligent exposure (IQX). Optional Grid-Controlled Fluoroscopy (GCF) with in-pulse control for ultra-sharp pulses, frame rates as low as 0.5 fps, and dedicated settings from newborn to bariatrics.

4. Bariatrics: Spacious clearance area under the detector and a wide tabletop accommodate large patients. Robust construction and high static table load of 300 kgs (661 lb) with high penetration settings for bariatric patients. Motorized Tube-lift to adjust SID as needed by patient type.

5. Exam control: Eleva Tube Head common user interface for radiography work. The 30.7 cm (12.1 in) touchscreen allows users to confirm patient identity and check/change all relevant parameters. The live camera supports precise collimation and patient position confirmation.

6. Clarity: Ceiling-suspended, diagnostic-grade, high-quality monitor for clarity and confident decisions at the patient side.

Benefits per stakeholder

Radiologist

• Next-generation, easy-to-learn fluoroscopy controls with proven design on a large installed base of Philips EasyDiagnost systems.
• Confident diagnoses with flat detector technology, Dynamic UNIQUE, and UNIQUE 2 image processing.
• All high-quality fluoroscopy runs can be recorded to document findings.

Technologist

• Fast exams with Eleva's automatic patient exposure parameters.
• Peace of mind with in-pulse control for automatic adjustment of exposure parameters to body thickness.
• Workflow and user interface harmonization between Philips DRF products.

Hospital administrator

• Excellent room utilization due to compact footprint, fully featured DRF system, and fast workflow.
• Fits clinical needs and space through flexible room concepts.
• Lower costs by combining radiography and fluoroscopy rooms and sharing SkyPlate detectors with other compatible Philips products.

Patient

• Exceptional image quality and comprehensive dose management for targeted diagnoses.
• Easy access to the system thanks to its slim design.
• High static table load of 300 kg (661 lb.) supports a wide range of patient types.

Specifications