DADD - Revolution EVO Competitive Deck v4.pptx

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1. Revolution EVO vs. EDGE Confidential. GE internal use only. Based on publicly available information. Source data on file

2. GE internal - For internal distribution only.

3. Positioning Do not use Rev GSI . Use Revolution EVO head-to-head versus Edge How Siemens sells Fast rotation speed: 0.28 sec Stellar detector 0.3 mm spatial resolution Dual energy capability 0 MHU STRATON X-ray tube 100 kW generator Wide 78 cm gantry bore Revolution EVO How to fight vs. Edge Do not fight on their field , rotation speed or generator power. Our field is real clinical value, not specification. Show Edge’s clinical capabilities, LCD or scan coverage speed. If we need to do specification or claim fight, Stellar detector vs. Clarity Imaging Chain and Safire vs. ASiR-V. Edge Mainly their push is specification… Optima CT660 SE AS+ Revolution GSI Revolution EVO vs. EDGE Revolution EVO vs. Siemens | June 2014 Confidential. GE internal use only. Based on publicly available information. Source data on file 3 Not for use in the US. Revolution EVO is not cleared by the FDA and it is not available for sale in the US.” Revolution HD

4. High resolution when you want it. Enables higher resolution kernel in normal use for more detailed images Problem statement Need more high resolution images in routine, but it is a trade off of artifact, noise and radiation dose… Our offering Helps enable use of higher resolution kernel in your routine studies without all of the tradeoffs. Because… ASiR-V improves spatial resolution 2.07x. Low electric noise design Clarity Detector, 44%. AELA New Clarity collimator GE field Siemens field 0.28 sec rotation speed… 100 kW generator power… 0.3 mm spatial resolution… Bone Plus kernel with ASiR-V Clinical Value Do not fight their fight… focus on clinical value instead Revolution EVO vs. Siemens | June 2014 Confidential. GE internal use only. Based on publicly available information. Source data on file Mainly their push is specification… Not for use in the US. Revolution EVO is not cleared by the FDA and it is not available for sale in the US.”

5. Lower dose in routine Can use ASiR-V routinely for your patient without workflow penalty. Problem statement Patient awareness of dose is still increasing. Lower dose study is our goal… Our offering You can use ASiR-V routinely for your patient without workflow penalty. Because… ASiR-V, up to 82% dose reduction Clarity detector is lower noise design ODM 0.28 sec rotation speed… 100 kW generator power… 0.3 mm spatial resolution… 0.5mSv Chest case 120 kV , 12 to 65 mA , 0.5 sec , 1.375 pitch, 0.625 mm thickness Do not fight their fight … fo cus on clinical value Revolution EVO vs. Siemens | June 2014 Confidential. GE internal use only. Based on publicly available information. Source data on file Mainly their push is specification… GE field Siemens field Clinical Value Not for use in the US. Revolution EVO is not cleared by the FDA and it is not available for sale in the US.”

6. Workflow Workhorse system. 40% workflow improvement*. Problem statement Need to see more patients without any additional resource to improve our bottom line… Our offering Provide streaming and unique workflow. You can improve productivity around 40%. Because… One stop scanning mode DPP Image check 0.28sec rotation speed… 100kW generator power… 0.3mm spatial resolution… Only GE Do not fight their fight , f ocus on clinical value… Mainly their push is specification… Revolution EVO vs. Siemens | June 2014 Confidential. GE internal use only. Based on publicly available information. Source data on file . GE field Siemens field Clinical Value Asterisk : Based on internal testing against another GE CT System. Results will vary depending on clinical practice Not for use in the US. Revolution EVO is not cleared by the FDA and it is not available for sale in the US.”

7. How do we bring your customers to our field? Revolution EVO vs. Siemens | June 2014 Confidential. GE internal use only. Based on publicly available information. Source data on file A : Your question What kind of CT are you looking for? B : Your question What are your challenges with your current CT? Customer’s answer would be… 128 sl CT… High generator power… Fastest rotation speed… High resolution… Customer’s answer would be… CT appointment is over 2 weeks… Dose awareness of patient is increasing… You want to perform cardiac exams in challenging patients or TRO Majority is routine study, so… Toward specification battle You can say our solutions are… Not for use in the US. Revolution EVO is not cleared by the FDA and it is not available for sale in the US.”

8. ROUTINE HIGH RESOLUTION CT DOSE IMPROVED WORKFLOW Our push Other CT venders claim high resolution as specification, but there are some limitations with dose penalty or scan parameter. Our approach is more than specification. You can use high resolution kernel in in more routine cases with fewer tradoffs . Low dose is always a priority as CT vender. Your priority must be also high image quality at low dose. Our concept of ASiR-V development was as much as low dose imaging in routine. ASiR-V that combined Veo dose performance and ASiR workflow will help your routine exams and patient. Care needs. Past 10 years, scan speed was improved dramatically, but please consider entire workflow from patient setting to release. Scan speed is less than 5sec in majority case, other time is for patient setting etc... Our unique workflow helps to improve entire exam time, up to 40% and which may help you improve patient throughput Siemens answer We are leading vender for high resolution with Z-sharp or UHR mode, and enabling 0.3mm resolution. Also we can do same approach with Safire… We also have Safire that has IR technology. Also Stellar detector is low noise design. No information on Siemens’ product data sheet or brochure Our response Can Siemens broadly use those features? Ask about dose performance. Confirm Safire claim. Their claim is dose. Also ask them the evidence that Safire can keep resolution. The latest IR technology for Siemens is Admire, but it is only for Force so far. Safire is no longer the latest… Yes. Stellar is low noise design. Yes. we have 40% workflow evidence*. Push our clinical value, avoid getting into a specifications battle MICT Standard PowerPoint Template | 9 May 2014 User footer as needed 8 Asterisk : Based on internal testing against another GE CT System. Results will vary depending on clinical practice Not for use in the US. Revolution EVO is not cleared by the FDA and it is not available for sale in the US.”

9. 0.28 SEC ROTATION 100 KW GENERATOR 0.3 MM SPATIAL RESOLUTION Siemens push Our rotation speed is the best in class . Revolution EVO is 0.35 sec rotation speed. Especially cardiac studies need fast rotation speed for Image quality… Revolution EVO is just 72 kW system…. this will cause IQ issues with noise, especially for obese patients We have Z-sharp, UHR mode and realize best spatial resolution in this segment Our answer For cardiac, we have SSF, intelligent motion correction that improves temporal resolution Rotation speed is one of the pieces that define scan coverage speed. Please check their coverage speed. Their brochure says scan speed is 11 sec in the abdomen… Revolution EVO is just 2 to 3 sec Why do you need 100 kW generator… must be to reduce noise for obese patients… No problem! Revolution EVO has ASiR-V which can reduce noise up to 90% 10 years ago, generator power directly related with Image quality… today, better reconstruction technology is helping to eliminate the need for higher generator power Yes, Z-sharp or UHR mode are good technologies to enhance resolution, but there are may be some limitations such as FOV or pitch. Also ask dose efficiency. Our approach is without dose penalty and tradoffs Incidentally, our specification is higher than the EDGE at 0.28 mm How to disarm the specifications MICT Standard PowerPoint Template | 9 May 2014 User footer as needed 9 Not for use in the US. Revolution EVO is not cleared by the FDA and it is not available for sale in the US.”

10. The electronics of the detector elements are fully integrated in the photodiode. I t is possible to miniaturize the electronic components on the detector elements. When comparing conventional CT technology with the SOMATOM Definition Edge and the Stellar Detector with True Signal Technology , the resulting noise is more or less the same for high signals. Our Answer Siemens Claim Our offering is Clarity imaging chain. To get maximum clinical performance, you need to optimize the complete system from X-ray tube to IR reconstruction. Stellar is just one component of a CT system. Clarity Imaging Chain provides enhancement of spatial resolution up to 20% compared with previous technology. Key tech nical points: Analog free Clarity Detector, up to 44% e-noise reduction Less focal movement X-ray tube New collimator to reduce scatter noise Expose STELLAR What to say against Stellar Detector? Revolution EVO vs. Siemens | June 2014 Confidential. GE internal use only. Based on publicly available information. Source data on file Not for use in the US. Revolution EVO is not cleared by the FDA and it is not available for sale in the US.”

11. Data sheet description AS+ Data sheet Edge D ata sheet Ask your customers: If Stellar is a fully integrated detector and has less noise, WHY ARE LCD SPECS WORSE THAN AS+? Expose STELLAR What to say against Stellar Detector? Revolution EVO vs. Siemens | June 2014 Confidential. GE internal use only. Based on publicly available information. Source data on file Spiral Phantom CATPHAN (20cm) Objective 5 mm Contrast difference 3 HU CTDI vol 12 mGy at 180 eff. mAs Technique 10 mm, 120 kV Sequence Phantom CATPHAN (20 cm) Objective 5 mm Contrast difference 3 HU CTDI vol 9.9 mGy at 180 eff. mAs Technique 10 mm, 120 kV Spiral Phantom CATPHAN (20 cm) Objective 5 mm Contrast difference 3 HU CTDI vol 13.1 mGy at 180 eff. mAs Technique 10 mm, 120 kV Sequence Phantom CATPHAN (20 cm) Objective 5 mm Contrast difference 3 HU CTDI vol 10.7 mGy at 180 eff. mAs Technique 10 mm, 120 kV Source : Edge Datasheet for syngo CT 2012B Source : AS+ 129sl configuration Datasheet for AS+ 128-slice configuration syngo CT 2008G Not for use in the US. Revolution EVO is not cleared by the FDA and it is not available for sale in the US.”

12. Edge is claiming 0.28sec, 1.7 helical pitch and 230mm/sec, but actually: Spine (Page 22) : 230mm in 7.6sec, Rotation speed : 1.0sec Chest (Page28) : 155mm in 1.5sec, Rotation speed : 0.5sec Abdomen (Page 30) : 245mm in 11sec. Rotations speed : 0.5sec Finding For routine scan, rotation speed would be 0.5 or 1.0 sec. Edge does not have variable scan speed. Siemens is claiming 1.7 helical pitch and 0.28sec rotation speed, but clinical images on their brochure do not have 0.28sec or 1.7 pitch cases… Our coverage speed Detector width Rotation speed Helical Pitch Scan coverage Scan time EVO 40mm 0.35sec 1.531 155mm 1.0sec Edge 38.2mm 0.5sec 1.35 155mm 1.5sec Detector width Rotation speed Helical Pitch Scan coverage Scan time EVO 40mm 0.5sec 1.375 245mm 2.0sec Edge 38.2mm 0.5sec 0.3 245mm 11.0sec Detector width Rotation speed Helical Pitch Scan coverage Scan time EVO 40mm 0.5sec 1.375 230mm 1.5sec Edge 38.2mm 1.0sec 0.8 155mm 7.6sec Coverage Speed From Edge brochure The uniqueness of the SOMATOM Definition Edge is the combination of the Stellar Detector, the STRATON tube with z-Sharp, the new gantry with 0.28 sec rotation speed, and the patient table that supports a pitch of 1.7. This allows a scan speed of up to 230 mm/sec. Clinically, this means scanning the whole heart in half a second, a 50 cm thorax in roughly two seconds or performing a two-meter scan of the entire body in nearly eight-and-a-half seconds, all at a spatial resolution of up to 0.30 mm. Revolution EVO vs. Siemens | June 2014 Confidential. GE internal use only. Based on publicly available information. Source data on file Our Answer Siemens Claim Expose coverage Source : SOMATOM Definition Edge Brochure. Order No. A91CT-04015-51C1-7600 Source : SOMATOM Definition Edge Brochure. Order No. A91CT-04015-51C1-7600 Not for use in the US. Revolution EVO is not cleared by the FDA and it is not available for sale in the US.”

13. Z- sharp technology and UHR have clinical limitation s: FOV limitation 8 row, 16sl mode only (UHR) GE’s approach for high resolution is cuts across Clarity Imaging Chain ASiR-V improves spatial resolution up to 2.07x. AELA Result: We can use these technologies routinely Z- sharp technology for Z-axis UHR for XY-axis High Resolution Technology AELA with ASiR-V Revolution EVO vs. Siemens | June 2014 Confidential. GE internal use only. Based on publicly available information. Source data on file Our answer Siemens claim Expose Z-SHAR/UHR Not for use in the US. Revolution EVO is not cleared by the FDA and it is not available for sale in the US.”

14. mA reduction Additional mA Additional mA Additional mA Opposite side : No additional mA Reduction angle Head : 120 degree Body : 120 degree Reduction angle - Head: 90 degree - Body: 180 degree GE’s approach is flexible for exam type. For head exam, it is 90 degree mA reduction. 180 degree for body exam. X-care is only 120 degree for both head and body. 120 degrees is not enough to cut radiation dose on breast. GE way is no additional mA from opposite side. X-care has additional dose from opposite side. X-care is only available in < 1.0 helical pitch. GE does not have these limitation s . 0.531 to 1.531. Expose limitation ODM vs. X-Care Revolution EVO vs. Siemens | June 2014 Confidential. GE internal use only. Based on publicly available information. Source data on file 270 9 180 ODM is standard X-CARE is optional Source : JRC2010, Organ Dose Modulation, Junko Sekiguchi Not for use in the US. Revolution EVO is not cleared by the FDA and it is not available for sale in the US.” GE created , based on Web information

15. LOW CONTRAST DETECTABILITY COVERAGE SPEED ODM VS. X-CARE GE’s question How much improved LCD spec with Edge, compared to AS+? Check both data sheet. Brochure says 245mm in 11sec. You should check some abdomen cases. Recently their clinical image gallery does not have coverage speed info and scan protocol. What is the maximum pitch that Edge can use with X-Care?   Specific questions to understand Edge’s performance. MICT Standard PowerPoint Template | 9 May 2014 Confidential. GE internal use only. Based on publicly available information. Source data on file 15 http://health.siemens.com/ct/image-contest/gallery/index Not for use in the US. Revolution EVO is not cleared by the FDA and it is not available for sale in the US.”

16. Revolution EVO vs. Prime GE internal - For internal distribution only.

17. Positioning Basically do not use EVO, vs. Prime. If it is difficult case to close the deal with CT660, use Revolution EVO. How Toshiba sells 80 row system, 160sl CT AIDR3D… up to 75% dose reduction Wide bore for patient accessibility Dual Energy capability 4D imaging Eco style and short foot print Affordable price Slice and price… Revolution EVO How to fight vs. Prime Do not go to slice game, focus on detector coverage 40mm vs. 40mm . Push Clarity imaging chain with high resolution. Toshiba’s detector, DAS, and Tube are old not as current of a technology. AIDR3D is similar technology with Neuro3D filter . ASiR and ASiR-V are totally difference technology. Push 660/EVO workflow, 40% workflow improvement*. You may take more patient and t his could improve your patient throughput. Optima CT660 SE Aquilion Prime GE versus Aquilion Prime Revolution EVO vs. Toshiba | June 2014 Confidential. GE internal use only. Based on publicly available information. Source data on file Asterisk : Based on internal testing against another GE CT System. Results will vary depending on clinical practice Not for use in the US. Revolution EVO is not cleared by the FDA and it is not available for sale in the US.”

18. HOW TOSHIBA SELLS OUR ANSWER 80 row system, 160 sl CT Detector is 40 mm vs. 40 mm. See page18. AIDR3D… up to 75% dose reduction AIDR3D is similar technology with N3D. Our offering is ASiR. See page19. Wide bore for patient accessibility Wide bore is for obese patient. Long geometry design, previous generation IR technology… Dual Energy capability Yes, we have 4D imaging Yes, we have Eco style and short foot print Yes, we have Optima CT660 versus Aquilion Prime 18 Other benefits of CT660 w orkflow, ODM, high p itch h elical, global b rand... Revolution EVO vs. Toshiba | June 2014 Confidential. GE internal use only. Based on publicly available information. Source data on file Not for use in the US. Revolution EVO is not cleared by the FDA and it is not available for sale in the US.”

19. 80 row system, 160sl CT AIDR3D… up to 75% dose reduction Wide bore for patient accessibility Dual Energy capability 4D imaging Eco style and short foot print Affordable price Do not go to slice game Our first reaction Prime is 40 mm (0.5 mm x 80 raw), EVO / CT660 is 40 mm (0.625 mm x 64 raw) Toshiba's reaction We are 0.5mm detector, so resolution is better than CT660/ EVO. Our reaction Please check their data sheet. What is Toshiba’s LP/cm information for Z-direction… CT660/EVO are 19.7 lp /cm. Why they do not show Z-MTF? Because their focal spot is large… Prime focal spot >>> Small : 0.9 x 0.8 , Large: 1.6 x 1.4 660 / EVO focal spot >>> Small : 0.7 x 0.6, Large: 0.9 x 0.7 Our answer How Toshiba sells Coverage!! Revolution EVO vs. Toshiba | June 2014 Confidential. GE internal use only. Based on publicly available information. Source data on file Not for use in the US. Revolution EVO is not cleared by the FDA and it is not available for sale in the US.”

20. Raw data and image data based IR. Streak artifact reduction Automated connection with AEC Up to 75% dose reduction Our Answer Toshiba’ Claim AIDR3D is similar technology as VISR. ASiR and ASiR-V are more state of the art technology than those basic IR technology. Expose AIDR3D What to say against AIDR3D ? AIDR 3D white paper VISR white paper AiSR -V AiSR AIDR3D VISR N3D filter Positioning Revolution EVO vs. Toshiba | June 2014 Confidential. GE internal use only. Based on publicly available information. Source data on file Not for use in the US. Revolution EVO is not cleared by the FDA and it is not available for sale in the US.” GE created , based on Toshiba’ White paper

21. 80 row system, 160sl CT AIDR3D… up to 75% dose reduction Wide bore for patient accessibility Dual Energy capability 4D imaging Eco style and short foot print Affordable price Our Answer How Toshiba sells Push workflow and imply discuss financial benefit Workhorse system. 40% workflow improvement*. Problem statement Need to take more patient without any additional resource to improve our bottom line… Our offering Provides streamlined workflow. You can improve productivity around 40%. Because… One stop scanning mode DPP Image check Only GE Push Only GE Revolution EVO vs. Toshiba | June 2014 Confidential. GE internal use only. Based on publicly available information. Source data on file Asterisk : Based on internal testing against another GE CT System. Results will vary depending on clinical practice Not for use in the US. Revolution EVO is not cleared by the FDA and it is not available for sale in the US.”

22. 80 ROW, 160 SLICE AIDR3D ECO STYLE AND SMALL FOOTPRINT Toshiba push Our slice is 160 slice. Prime is the largest slice CT in this segment. Prime has AIDR3D as standard that is up to 75% radiation dose reduction. Environmentally conscious products. Improvements have been made via: reduction of overall weight less acoustic noise generation smaller installation space 50% reduction in heat generation Our answer Yes, their system is 160 sl CT, but detector width is both 40 mm. GE is 0.625 mm x 64 row. Toshiba is 0.5 mm x 80 row. They are also pushing 0.5 mm slice thickness, but confirm that important thing is effective slice thickness. Look for LP/cm data on data sheet. Detector is 0.5 mm, but Tube focal spot is large Please check their White paper. Its technology would be similar to N3D filter. ASiR is proven IR technology and 4500 systems are running worldwide and 150 papers and talked since RSNA 2009. This claim is copy cat of Optima CT660. Our claim of energy reduction is 54.5% compared with previous technology and it was measured by COCIR procedure. How to disarm the specifications 22 Revolution EVO vs. Toshiba | June 2014 Confidential. GE internal use only. Based on publicly available information. Source data on file Not for use in the US. Revolution EVO is not cleared by the FDA and it is not available for sale in the US.”

23. Revolution EVO vs. Ingenuity Elite GE internal - For internal distribution only.

24. Positioning Put EVO on better position than Ingenuity CT Elite. How Philips sells iMR , iMR , iMR ….. O-MAR, O-MAR, O-MAR….. Nano Panel Elite Revolution EVO How to fight vs. Elite Philips is only vender that does not have 0.35 sec rotation speed in this segment. Also they do not have SSF… It may be more challenging for them to get enough IQ. Ingenuity recommendation helical pitch is under 1.0… Example from their brochure, 11.24 sec at 50 cm…. Usability… They do not have only vender that does not have Gantry display. Also, table minimum height is 578 mm… Optima CT660 SE Ingenuity CT Elite Ingenuity CT Core Only iMR and o-MAR N eed steps to move Patient table…. It may not be convenient for patient. GE versus Ingenuity Elite Revolution EVO vs. Philips | June 2014 Confidential. GE internal use only. Based on publicly available information. Source data on file Not for use in the US. Revolution EVO is not cleared by the FDA and it is not available for sale in the US.”

25. iMR , iMR , iMR ….. O-MAR, O-MAR, O-MAR….. Nano Panel Elite Our Answer How Philips sells Cardiac capability Needs If customer wants to do cardiac study or cardiac is future needs, ask to customer. What is important for cardiac? For cardiac study, there are 5 important factors. Expose cardiac capability Cardiac important factors GE’s strength Rotation speed Philips is only vender that does not have 0.35sec rotation speed in this segment. Also they do not have SSF… It may be more challenging for them to do cardiac study. Temporal enhancement features Motion correction by SSF. Only GE’s technology Detector coverage 40mm coverage Low dose technology ASiR-V and SSP Post processing capability Proven AW software Revolution EVO vs. Philips | June 2014 Confidential. GE internal use only. Based on publicly available information. Source data on file Not for use in the US. Revolution EVO is not cleared by the FDA and it is not available for sale in the US.”

26. CT660 Ingenuity Ingenuity brochure analysis Expose scan speed Exams Scan coverage Ingenuity CT Coverage speed CTA Circle of Willis 16.8 cm 3.68 sec Pediatric brain 13.9 cm 4.3 sec IAC 7.1 cm 14.2 sec Pediatric head and neck 22.7 cm 4.61 sec Renal CTA 13.8 cm 2.89 sec Abdomen and Pelvis 49.8 cm 10.54 sec Thoracic / Abdomen 50 cm 11.24 sec Source : Ingenuity brochure, Pure confidence in action Exams Scan coverage Optima CT660 Typical coverage speed CTA Circle of Willis 16.8 cm 2.72 sec Pediatric brain 13.9 cm 2.35 sec IAC 7.1 cm 4.17 sec Pediatric head and neck 22.7 cm 3.47 sec Renal CTA 13.8 cm 1.73 sec Abdomen and Pelvis 49.8 cm 4.65 sec Thoracic / Abdomen 50 cm 4.67 sec Revolution EVO vs. Philips | June 2014 Confidential. GE internal use only. Based on publicly available information. Source data on file Not for use in the US. Revolution EVO is not cleared by the FDA and it is not available for sale in the US.”

27. iMR , iMR , iMR ….. O-MAR, O-MAR, O-MAR….. Nano Panel Elite Our Answer How Philips sells Usability and lack of features Expose Ingenuity performance Lack of features… Explanation Gantry display Gantry display is standard. We can show many information for workflow improvement or patient care ODM ODM enables dose reduction to superficial organs that are more radiosensitive VHS They have only Jog mode that coverage is 8cm. It is same capability with VS. Table height Vertical range is 578mm to 1028mm… may need steps…. SSF 0.4sec rotation speed without motion freeze…. Their CT need steps to move Patient table…. It may not be convenient for patient. Philips is pushing MAR because GE does not have it… but how many cases do you need MAR function? Focus on patients and workflow. Table minimum height is 578mm…. In many cases, customer needs to use steps for patient setting. Ingenuity does not have certain features offered by GE's Revolution EVO, such as Gantry display, ODM, VHS or SSF… Revolution EVO vs. Philips | June 2014 Confidential. GE internal use only. Based on publicly available information. Source data on file Not for use in the US. Revolution EVO is not cleared by the FDA and it is not available for sale in the US.”

28. MAR Philips push MAR, MAR, MAR, MAR……. Our answer MAR is effective for some cases, but consider what percentage of cases do you need MAR? Also target disease by CT study around metal would be very low. Please consider comprehensively, image quality, workflow , radiation dose reduction or advanced applications. GE systems are designed to provide robust and holistic solutions Also Ingenuity CT miss some important feature and specifications.. Gantry display Minimum table height, 578mm. ODM VHS Table height may influence your productivity and may impact many exams…MAR case would be a subset of the population. What to say versus MAR? 28 Revolution EVO vs. Philips | June 2014 Confidential. GE internal use only. Based on publicly available information. Source data on file Not for use in the US. Revolution EVO is not cleared by the FDA and it is not available for sale in the US.”