4D imaging is easily at your fingertips.

Meet the Vivid* E9, GE Healthcare’s first cardiovascular ultrasound system built specifically for 4D imaging—from ergonomics and image acquisition to data management and archiving. Vivid E9 provides the tools to help streamline your workflow, increase productivity, and provide the data you need for more confident diagnoses. Our Vivid E9 also provides exceptional 2D imaging with equal power, precision, and agility.

4D TEE Overview

While Vivid E9 is currently used most frequently in the echo lab, the availability of the 4D TEE transducer enables the system to be used more often in clinical settings including the cath lab, and the operating room. 

  • GE's 4D TEE transducer will allow clinicians to view precise images of the heart during assessment/diagnosis performed in the echo lab, and to support invasive surgical procedures in the operating room, as well as image-guided procedures in the cath lab

4D TEE Clinical Settings

  • With the 4D TEE transducer, Vivid E9 can now be used as a visual aid when performing procedures  like mitral valve repair, transcatheter aortic valve implantation (TAVI), atrial septal defect (ASD) closures and patent foraman ovale (PFO) closures

The Vivid E9 BT12 also includes several features that are new to GE cardiovascular ultrasound, and which are designed to enhance 4D imaging and workflow.

  • The industry’s first configurable 4D TEE transducer
  • A new tilt and rotate function Configurable 4D TEE transducer.
  • A live “2-Click Crop” tool 

Significant workflow enhancements can also be achieved during mitral valve acquisition with a dedicated MV button and during quantification with a new plug-in tool that has the potential to decrease assessment time.  

4D TEE Features

Simplified Image Acquisition.

  • Triplane imaging, 4D views, and high frame rates for both TTE and TEE procedures
  • One-button acquisition of mitral valve images
  • In biplane mode, the ability to tilt and rotate at the same time, e.g. to accurately image the mitral valve during a MV clip procedure
  • A new QuickRotate button provides consistency and accuracy by allowing users to rotate an image in 30 degree increments with a single click
  • Enhanced zoom capabilities allow for more adequate high volume rates in a single- and multibeat in 4D and 4D color zoom mode using FlexiZoom

Mitral Valve from surgeon's view utilizing Flexizoom

BiPlane Tilt and Rotate

Intuitive Navigation

2 Click Crop, a quick and intuitive way of obtaining any 4D view in both live and replay modes

  • Laser lines, a new tool to help understand the relationship between 2D slices, and 4D views, help to visualize the linkage between 2D and 4D, and also helps improve depth perception

  • New “one-stop-shop” slice tool, FlexiSlice, provides full flexibility for the user to slice in any direction, 2D view or render view in both live and replay modes

Advanced Quantification

  • MV Assessment plug-in from TomTec (Available on EchoPAC)
    • Helps increase productivity during mitral valve assessment
    • Provides a set of static and dynamic measurements describing the mitral valve anatomy
  • An automated left ventricular volume and EF quantification tool (4D Auto LVQ) also for TEE

4D Auto LVQ for TEE


2D and 4D TTE Image Quality

As 4D becomes routine in your clinical practice, you still need excellent 2D image quality.

Vivid E9 handles 2D imaging with equal power, precision, and agility, made possible with our 4V-D transducer, the second generation 4D probe, and the M5S probe’s single-crystal matrix array. The door to 4D and its many new possibilities hasn’t merely been opened. It’s been completely removed.

4D Image Quality

The Vivid E9 helps make 4D imaging every bit as easy as 2D imaging. It can bring improvements to your entire 4D workflow process, thanks to fast, consistent reproducibility.

New 4D Rendering Image Quality Enhancements

Depth render map: Copper/Blue for better shadowing, render continuity, render stability and depth perception.

2 Click Crop for TTE - Efficient way of obtaining any 4D view in live and/or replay.

FlexiZoom - No need for flipping or cropping, but flexibility to make further adjustments (rotation, translation) if desired.

4D Strain Quantification - supports a new export format for ease of doing offline research.

2D Image Quality

Marrying matrix-array and single-crystal technologies, the M5S transducer delivers excellent endocardial definition and texture. Together with controls like UD Clarity and HD imaging, it helps provide crisp valves across a wide range of patients. Similar quality is achieved with pediatrics, vascular, abdominal,and TEE probes.

New 2D Image Quality Enhancements

Enhanced visualization of low level echoes, most noticeable on difficult-to-scan patients.

  • More clear near field
  • Enhanced border visualization
  • Enhanced lateral wall visualization
  • Reduced pericardial blooming
  • Compared to Vivid E9 BT11


Streamline workflow and improve consistency.

The Vivid E9 offers:

  • Customizable Scan Assist and Scan Assist Pro to acquire images in a pre-defined sequence and significantly reduce keystrokes and exam time.
  • Multidimensional imaging so you can capture bi- or tri-plane images in a single beat.
  • Auto-Align for 4D views that feature automatic positioning and orientation of the left ventricle.
  • Multi-Slice Imaging that provides a live imaging mode with choices of viewing 5, 7, 9 or 12 slices for simultaneous acquisition and assessment.
  • Dynamic Multi-Slice to help ensure continuous visualization of the same cardiac structures throughout the heart cycle.

Quantitative Analysis

Easy 4D imaging and advanced quantitative analysis.

The Vivid E9 helps make 4D imaging every bit as easy and effortless as 2D imaging thanks to fast, consistent reproducibility through:

  • AFI (speckle-tracking strain) for Tri-plane and 2D Auto EF for left ventricular, global and regional function
  • 4D Auto LVQ, an integrated and automated 4D volume and EF tool, and an extension to this tool—4D LV Mass—which provides a left ventricular mass, as well as a mass index.
  • 4D Strain, an easy-to-interpret 4D-tracking tool that allows for quantification of LV function to help you identify wall motion abnormalities.
Ultrasound VE9 quantification clinical image.

Easy 4D imaging.

Image Quality

Powerful transducer technology offers greater clarity.

Vivid E9 D-Series transducers let you acquire extraordinary images on most patients, with transducer technology that maximizes penetration without sacrificing resolution. Transducers include:

  • A high bandwidth 4V-D transducer — significantly smaller than its predecessor, yet more powerful — with improved 4D image quality and the ability to scan in all modes, including CW Doppler.
  • A 12S-D transducer for the smallest of neonatal patients.
  • Improved performance and expanded application coverage for shared services with the addition of a ML6-15-D probe, and an intra operative i13L probe for in the operating room.
Ultrasound 4V enhanced controller.

Powerful transducer technology provides even greater clarity.

Heart Failure Management

Managing heart failure patients.

The Vivid E9 features these 4D imaging and quantitative tools to help you diagnosis, treat, and manage heart failure patients:

  • Flexi-Volumes and RV Volumes evaluate the shape and size of heart chambers.
  • 4D color flow provides data on valve function.
  • 4D Auto LVQ and Tissue Velocity imaging quantify systolic and diastolic function.
  • AFI and 4D Stress echo are on board to help differentiate ischemic and non-ischemic heart failure.
  • Tri-plane TSI and 2D strain help assess the treatment and advanced therapy options for heart failure management.
Ultrasound VE9 managing heart failure clinical image.

Managing heart failure patients.



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