ACUSON Juniper™ Ultrasound System | What’s New 2.0 Software Release

This presentation provides an overview of the new features of the acuson Juniper 2.0 software release. We will go over each of the main features and workflow enhancements. Two new transducers have been added to the acuson juniper 2 dot O software release. The 6C1 which is a single crystal convex transducer and the 14 L 4 is a 50 millimeter linear transducer. Image quality improvements have been implemented on the 5C1 abdominal and 16 L 4 musculoskeletal presets. Contrast enhanced ultrasound, or Celsius, has been added to the 6C114L4 and 5P1 transducers. The font size is larger for easier visualization when Ccus is engaged. A freeze timer has been added. And the position of the timer is now adjustable. The contrast option for left ventricular opacification lvo imaging has moved from the main touch screen. Elvio is accessible via two options, with the 2.0 software release selecting contrast from the Workflow tab. Or via a shortcut tab on the main touch screen. Elvio is available from the touch screen. When in stress echo mode. Pulse wave PWM and continuous wave CW Doppler are available during lvo imaging. An automatic burst function is available during lvo imaging. Once Burst is selected, the mechanical index and my settings will increase for a few seconds, then adjust back to the original setting. The length of burst is configurable from the soft keys. A new future called Alpha blending allows the user to prioritize between the two D mode and the transparency of the color overlay while in color Doppler velocity or CV mode. This is an example of a carotid artery with CV engaged. Notice the transparency of the color overlay with alpha blending. As the Alpha blend index increases, the transparency of the color overlay increases. New tools have been added to the pediatric hip measurement hip alpha plus beta, hip beta plus alpha, and Hip Alpha. The default measurement is hip alpha plus beta. Additional pediatric hip tools include the percent femoral head coverage and femoral head coverage ratio. The new image rotates feature improves the pediatric hip workflow. This job aid provides a comprehensive review of the pediatric hip measurement workflow on the acuson juniper ultrasound system software level 2.0 and is available in PEP Connect. The optional battery support on the acuson juniper System 2.0 software includes an integrated battery indicator on the monitor so the user can recognize the current battery status, battery level, and whether or not the system is plugged into a power source. The Optional Integrated battery support may provide 45 to 60 minutes of scanning time, depending on imaging modes. The user can hover the mouse cursor over the battery indicator and launch a tooltip message that indicates the battery capacity and whether or not the system is plugged into a power source. Once unplugged, the battery support will alert the user of the remaining battery capacity. Once the battery capacity reaches a low level, under 30%, the battery indicator will become yellow and a warning dialog will appear for five seconds to notify the user to connect to a power source. When the system reaches a critical low level under 15%. The system beeps and the indicator blinks and becomes red with a warning dialog to connect to AC power. In this instance, the user must select OK to continue. Once the battery capacity reaches 0%, the battery indicator will continue to blink in red and beep with a warning dialog that appears that the system will be shut down. In this instance, the system provides a safe system shutdown and will automatically save and end the exam. Restarting the system is only allowed once the system is reconnected to a power source. When I'm plugging the ackison venipede system from a power source, a message will display indicating the risk factors that should be avoided while operating on battery power alone. This includes scanning during a biopsy, stress, echo contrast, 3D4D volume imaging, intraoperative transesophageal, or endo cavity scanning. The standby feature is only allowed when the battery level is mid or above. If the battery is low or critical low, then standby will not be allowed. And a message will appear that the battery is too low to support standby. For easy touch elasticity imaging, the region of interest ROI indicator now displays the reference ref or mass measurement for better clarity and will also be displayed on the measurement display area or MDA. In the breast and thyroid applications, there are five strain ratio labeled measurements, one through 5. And the shadow function is now supported. Right and left mass one through 5 labels are stored in the report with both ROI reference, ROI mass and strain ratio displayed. To improve point Fairway consistency, a reference line now helps alignment to the liver capsule. When performing more than 20 point shear wave measurements, a message will display maximum valid measurements made. The biopsy indicator is now consistent with the Acuson Sequoia and Redwood ultrasound systems. That touch screen displays the selected angle, improving workflow and easy access to the desired angle. There is now quick access to turn off the biopsy guide. The biopsy label has changed to biopsy line and a numbering system for different biopsy angles. Neo visualization is improved with advanced easy, clear spatial compounding. This advanced steered compounding feature improves 2D mode image quality, the spec a reduction, and enhances tissue differentiation during a needle biopsy procedure. Electronic instruction for use or E IFU. Is an electronic manual now available on the system. Select the question mark on the touch screen and the manual will appear. The language of the manual will be the same language that is on the system. To search for topics, press control plus app on the manual keyboard and type in the desired search term.

00:12:09 00:13:00 00:00:05 00:00:47 3.20% 0.74 0.85 0.06 0.4 0.7 0.24 0.28 0.6 Siemen Siemens Healthineers presents ACUSON Juniper™ Ultrasound System What's New 2.0 software release. Review comparable This presentation provides an overview of the transducers and new features of the ACUSON Juniper 2.0 features on the 2.0 release We will go over each of the main features, and Learn about ACUSON workflow enhancements. Juniper 2.0 workflow enhancements Master Template HILS2218 | Effective Date: 25-Mar-2022 Transducers New for ACUSON Juniper system 2.0 software release 6C1 - single crystal convex 14L4 - 50 mm linear 6C1 ACUSON 14L4 Image Quality Improvements 5C1 Abdominal (ABD) 16L4 Musculoskeletal (MSK) Contrast-Enhanced Ultrasound (CEUS) · 6C1, 14L4, and 5P1 · Improved font size Abd Tx Power 0.63% · Freeze timer added with MI 0.08 TIS <0.1 adjustable position. TIB <0.1 DTCE Med Dyn R 75 dB 3.1 MHz 30 dB Contrast 2.2 MHz 13 dB Dyn R 65 dE 16 cm P 2 Left Ventricular Opacification LVO Workflow The Contrast option for LVO imaging is accessible via two options: . Shortcut tab on the main touch screen 5P1 Add Exam Workflow Adult Echo Elasticity eSieScan eSieLH Stress Echo SieScape L/R Flip LVO available during Stress Echo. Additionally, Continuous Wave (CW) and Pulse Wave (PW) Doppler are available during LVO. Pharmacology Reference Image Tx Power 3.20% Rest MI 0.19 PLAX MIF 0.08 PSAX Dyn R 60 dB LVO 3.7 MHz 31 fps 0 bpm Low AAC A2C Peak 15 cm Post 6510 Hz Gate 3.0 mm 34 fps Automatic Burst function is available during LVO. The Burst time is configurable from the soft key. 2D Persist Edge Exit Clip Settings Timer Burst DTCE Med R/S Tint Burst Time 0.3 sec TEO Gain MultiHertz 3.7 MHz Dyn R 60 dB Map Tx Power Alpha Blending Carotid 3541 H2 Flow Med 19 fps 20 fps MI 0.85 Color Doppler Velocity Color Doppler Velocity with Alpha Blending Pediatric Hip New tools have been added to the pediatric hip measurement: · Hip (a+ß) Hip (a) Hip (B+a) · Percent Femoral Head Coverage (%FHC) · Femoral Head Coverage (FHC) Ratio · Image Rotation has been added to improve the Ped Hip workflow. d:D d:D Ratio %FHC Rotate Image For a comprehensive review of the Ped Hip measurement workflow, search PEPconnect for the ACUSON Juniper™ ACUSON Juniper™ Ultrasound System Ultrasound System 2.0 SW release 2.0 SW release Pediatric Hip Job Aid Job Aid slemens-healthineers.com/ultrasound Two-dimensional (2D) ultrasound evaluation of the neonatal hip utilizing sonographic landmarks and measurement workflow. PEPconnect Q What do you want to learn? Battery Indicator The battery indicator will be displayed so the user can recognize the current battery status. AC power is Plugged in Remaining battery: 36% System is plugged into a power source. The display will indicate the battery's current capacity and identify if the system is plugged into a power source. Optional battery support may provide 45 to 60 minutes of scanning time, depending on imaging modes. Critical Low Run Down Full Once the battery capacity reaches a Low level (under 30%), the battery indicator will become yellow, and a warning dialog will appear (for five seconds) to notify to connect to the AC power. Low Battery Level The system is out of battery. Connect the AC power. OK Once the battery capacity reaches a Critical Low level (under 15%), the system beeps and the indicator change to a red color and blink. The warning dialogue indicates to connect to the AC power. In this instance, the user must select OK to continue. Or, the system will shut down in a few minutes. the system provides a Safe Shutdown and will automatically save and end the exam. Once the battery capacity reaches 0%, the battery indicator will continue to blink red and beep. A warning dialogue appears indicating the system will shut down. In this instance, System Shutdown The system will shut down in a few seconds. Restarting the system is only allowed once the system is reconnected to a power source. When unplugging the ACUSON Juniper system from the power source, a message will display indicating the risk factors that should be avoided while operating on battery power alone. This includes scanning during: Stress echo · 3D/4D volume imaging Endocavity scanning Note: Recommend not to use the battery support feature during biopsy, stress echo, contrast, 3D/4D volume imaging, or Run Down hageal, or endocavity scanning. Intraoperative Transesophageal intraoperative, transesophageal, or endocavity scanning. The Standby feature is only allowed when the battery level is Mid or above. If the battery is Low or Critical Low, then Standby will not be allowed, and a message will appear that the battery is too low to support Standby. eSie Touch™ Elasticity Imaging The region of interest or ROI indicator now displays the reference (Ref) measurements or Mass measurements display area or MDA for better clarity. Small Parts Breast Tx Power 100 MI 1.40 TIS 0.2 TIB 0.2 SC 2 Dyn R 69 dB 6.2 MHz 7 dB 12 fps Cyst 1 Rt Mass 1 ROI1 (Ref) ROI2 (Mass) 0.08 % Strain Ratio 0.74 Testis Left None Mass 1 Mass 2 Mass 5 Cyst Cyst 4 Cyst 2 Mass 3 Mass 4 0.06 % In the breast and thyroid applications, there are five Strain Ratio labeled measurements one through five (1-5), and the Shadow function is now supported. Right Rt Mass 2 Rt Mass 3 Rt Mass 4 Rt Mass 5 Rt Cyst 1 Rt Cyst 2 Rt Cyst 3 Rt Cyst 4 Rt Cyst 5 Clear Screen Rt LN 1 Rt LN 2 Rt LN 3 Rt LN 4 Rt LN 5 Hid Patient Shadow Images Param Distance Ellipse Spline Cross Angle Vol 3 Dist ET-%Stenosis Strain Ratio More Undo/Redo MDA Summarize MDA ROI Diameter Delete Exam Font Size On Exam Specific Information Label Method Value V1 V2 V3 V4 2D Mode Side by Side Last 0.08 % Comments 0.24 % 0.28 % Virtual Touch™ Technologies Added a reference line for alignment to the liver capsule to Tx Power 100% improve consistency. TIS 0.7 Site 1 TIB 2.4 Vs 1.25 m/s ASC 2 4.69 kPa Depth 3.3 cm When performing more than 20 measurements at one site, a 26 fps message will display "Maximum Valid Measurements made." 12 cm Site 1: 20 Valid / 20 Total Maximum valid measurements made. Biopsy Angle and Line The Biopsy indicator aligns with the 11L4 Thyroid ACUSON Sequoia™ ultrasound system and MI 1.19 ACUSON Redwood™ ultrasound systems. TIS 0.3 TIB 0.3 Dyn R 68 dB THI 8.0 MHz 40 fps Biopsy There is now quick access to turn off the biopsy guide. The Biopsy label has changed to Biopsy Line and a numbering system for different biopsy angles. Off Biopsy Line Advanced SieClear™ Spatial Compounding improves needle visualization. Thyrold MI 0.60 DTCE High Needle Visualization without Advanced SieClear™ Spatial Compounding Needle Visualization with 13L4 TIS 0.1 Dyn R 66 dB THI 10.0 MHZ 43 fps 42 fps Electronic Instructions for Use Electronic instructions for use - elFU an integrated manual. Select the question mark on the touch screen and the searchable elFU will appear. Help Bookmarks ACUSON Juniper SIEMENS Diagnostic Ultrasound System Instructions for Use Guide Diagnostic Ultrasound System US Find Virtual Touch Previous Next Disclaimer Please note that the learning material is for training purposes only. For the proper use of the software or hardware, please always use the Operator Manual or Instructions for Use (hereinafter collectively "Operator Manual") issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training. The Operator Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Please note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (hereinafter collectively "Functionality") may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. ACUSON Sequoia, ACUSON Redwood, ACUSON Juniper systems, eSie Touch elasticity imaging, Virtual Touch technologies, and Advanced SieClear spatial compounding are trademarks of Siemens Medical Solutions USA, Inc. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. Siemens Healthcare GmbH 2022 91052 Erlangen, GermanylTelephone: +49 9131 84-Olsiemens-healthineers.com Healthineers