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Ultrasound Needle Guidance Technology Provides Real-Time Visual Updates of Needle Location

By MedImaging International staff writers
Posted on 20 May 2013

New ultrasound needle-guidance technology integrates ultrasound with sophisticated magnetics to provide users with real-time visual updates of needle positioning as it moves through tissue to the intended target. More...

The easy to use “point-and-shoot” design can save time and may significantly improve procedure outcomes, especially for vascular access.

Preexisting patient health disorders, such as low blood pressure, can increase the risk of complications during these procedures. The ability to simply line up the target line with the vessel and then track the “virtual needle” into the vessel can improve patient safety and the confidence of ultrasound users performing guided procedures.

Fujifilm SonoSite, Inc. (Bothell, WA, USA), a developer of bedside and point-of-care ultrasound, reported the launch of AxoTrack needle guidance technology on select SonoSite ultrasound systems. This newly developed product, named by Popular Science Magazine as one of 2012’s best new innovations, is now available for use with SonoSite M-Turbo ultrasound systems.

The launch comes with the news that SonoSite has received 510(k) clearance from the US Food and Drug Administration (FDA) to market specialized ultrasound transducers equipped with AxoTrack Technology engineered by Soma Access Systems, LLC (Greenville, SC, USA).

AxoTrack combines ultrasound with advanced magnetics to provide users with real-time visual updates of needle location as it travels through tissue to the intended target. The AxoTrack system, designed for rapid ease of use, is composed of a specially designed ultrasound transducer from SonoSite and a single-use sterile procedure kit from Soma Access Systems, LLC.

“AxoTrack needle guidance technology for SonoSite Systems brings a timely solution to health systems. By reducing vascular access time and enhancing patient safety, AxoTrack can ultimately reduce procedural risks and costs at a time when all of these points really matter to health systems,” said Kevin M. Goodwin, SonoSite’s president and CEO. “It is well recognized that ultrasound visualization improves the accuracy and safety of deep needle-based procedures. AxoTrack takes this to a new level by reducing the spatial coordination required when a needle tip is typically not seen. Now physicians can observe the “virtual needle’s” movement on the screen so they can be more accurate and avoid observed critical structures such as the carotid artery or the lung pleura. We are confident this point-and-shoot technology will significantly improve outcomes and also make guided procedures far more approachable for new users by addressing the coordination challenges sometimes faced with ultrasound needle guidance.”

An in vitro study using AxoTrack resulted in vascular access procedures that were successful on the first pass and first stick 99.3% of the time versus just 37.1% of the time when compared to the standard freehand method for ultrasound-guided central venous access. “For the first time, clinicians have clear sight of needle location as it moves inside the human body,” said Dexter Hagy, president and CEO of Soma Access Systems. “This means fewer passes for difficult-to-reach targets, greater success rates, and increased physician confidence, setting a new standard of care throughout the medical industry.”

After nearly 10 years of research and development, Soma Access Systems has refined AxoTrack into a simple and highly effective tool for a variety of ultrasound-guided procedures. Mr. Goodwin concluded, “The SonoSite collaboration with Soma to bring AxoTrack to market adds a new degree of safety, accuracy, and cost-effectiveness for health systems. Physicians that have seen the technology are amazed, and we have a large SonoSite customer base that has been waiting for it.”

Related Links:
Fujifilm SonoSite
Soma Access Systems

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57 (905.03692626953): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294746341 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

58 (!!!!! 1908.0638885498): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746341 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746341 AND published='1' LIMIT 1

59 (99.897384643555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746341 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746341 AND published='1' LIMIT 1

60 (128.03077697754): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746341 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746341 AND published='1' LIMIT 1

61 (230.07392883301): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746341 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746341 AND published='1' LIMIT 1

62 (!!!!! 2215.8622741699): select cover from jos_number where journalid in (5) and cover is not null order by left(issue,2)+right(issue,2)*12 desc limit 1

63 (771.04568481445): SELECT fid FROM jos_deeppockets WHERE id=294746341 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294746341 AND published='1' LIMIT 1

64 (81.062316894531): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=214 ORDER BY `ordering`

65 (87.976455688477): select jos_twitters.link from jos_twitters where cat=10

66 (42.915344238281): select jos_facebook.link from jos_facebook where cat=10

67 (42.200088500977): select jos_google_plus.link from jos_google_plus where cat=10

68 (46.968460083008): select jos_linkedin.link from jos_linkedin where cat=10

69 (87.976455688477): SELECT fid FROM jos_deeppockets WHERE id=294746341 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294746341 AND published='1' LIMIT 1

70 (55.074691772461): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=214 ORDER BY `ordering`

71 (584.12551879883): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294746341 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (!!!!! 1215.934753418): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294746341 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (71.048736572266): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

74 (298.97689819336): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (60.081481933594): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (168.80035400391): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (298.02322387695): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (58.889389038086): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (207.90100097656): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (223.87504577637): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (49.114227294922): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (!!!!! 1250.9822845459): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (60.081481933594): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (59.843063354492): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (93.936920166016): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294746341 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (49.829483032227): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294746341 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (61.988830566406): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

91 (93.936920166016): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (49.114227294922): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (57.93571472168): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (49.114227294922): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (115.87142944336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746341 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746341 AND published='1' LIMIT 1

106 (90.122222900391): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746341 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746341 AND published='1' LIMIT 1

107 (96.08268737793): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294746341 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (84.161758422852): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294746341 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (135.89859008789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746341 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746341 AND published='1' LIMIT 1

110 (89.883804321289): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746341 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746341 AND published='1' LIMIT 1

111 (105.85784912109): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294746341 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (752.21061706543): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294746341 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (985.86082458496): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (660.89630126953): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

115 (195.02639770508): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746341 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746341 AND published='1' LIMIT 1

116 (84.877014160156): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746341 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746341 AND published='1' LIMIT 1

117 (113.01040649414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746341 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746341 AND published='1' LIMIT 1

118 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746341 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746341 AND published='1' LIMIT 1

119 (85.115432739258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746341 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746341 AND published='1' LIMIT 1

120 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746341 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746341 AND published='1' LIMIT 1

121 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746341 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746341 AND published='1' LIMIT 1

122 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746341 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746341 AND published='1' LIMIT 1

123 (668.04885864258): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

124 (!!!!! 40886.878967285): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

125 (676.15509033203): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294746341 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294746341 AND type='deeppockets_item' AND published='1' LIMIT 1

126 (!!!!! 11334.896087646): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

127 (103.95050048828): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

128 (72.002410888672): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

129 (94.890594482422): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

130 (118.97087097168): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

131 (51.021575927734): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

132 (353.09791564941): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

133 (177.86026000977): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

134 (69.141387939453): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

135 (48.87580871582): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

136 (530.95817565918): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746341 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (427.0076751709): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746341 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (69.141387939453): SELECT name FROM jos_deeppockets WHERE id=214

139 (46.014785766602): SELECT name FROM jos_deeppockets WHERE id=214

140 (781.05926513672): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))214((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (755.07164001465): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))214((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

142 (115.87142944336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746341 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746341 AND published='1' LIMIT 1

143 (70.810317993164): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746341 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746341 AND published='1' LIMIT 1

144 (!!!!! 20820.85609436): TRUNCATE TABLE jos_trademed_module

145 (153.0647277832): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294746341 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (94.175338745117): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294746341 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (!!!!! 1231.1935424805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746341 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (98.943710327148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746341 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (120.87821960449): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746341 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746341 AND published='1' LIMIT 1

150 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746341 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746341 AND published='1' LIMIT 1

151 (!!!!! 1834.8693847656): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

152 (109.91096496582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746341 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746341 AND published='1' LIMIT 1

153 (125.88500976562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746341 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746341 AND published='1' LIMIT 1

154 (60.081481933594): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294746341 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294746341 AND type='deeppockets_item' AND published='1' LIMIT 1

155 (39.815902709961): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=214 or channel_id is null)

156 (34.093856811523): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=214 or channel_id is null)

157 (45.7763671875): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

158 (!!!!! 1666.0690307617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746341 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746341 AND published='1' LIMIT 1

159 (111.10305786133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294746341 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294746341 AND published='1' LIMIT 1

160 (77.009201049805): select jos_twitters.link from jos_twitters where cat=10

161 (46.014785766602): select jos_facebook.link from jos_facebook where cat=10

162 (44.107437133789): select jos_google_plus.link from jos_google_plus where cat=10

163 (43.153762817383): select jos_linkedin.link from jos_linkedin where cat=10

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