ACUSON Origin System Configuration Presentation

SIEMENS Healthineers ACUSON Origin Ultrasound System System Configuration 1.0 software version 1 Unrestricted © Siemens Healthineers 2022 Unrestricted © Siemens Healthineers 2023 1 Objectives SIEMENS . Healthineers .. • Explain System Configuration navigation • Review System Configuration menu 2 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The objectives of this presentation include: • Explain System Configuration navigation • Review System Configuration menu Notes No. 2 System configuration menu access SIEMENS Healthineers .. • Select System Configuration System Configuration icon Patient System Settings • Main menu options listed Imaging Workflow Enhancement Review Imaging Settings Report > Measurement & Report End Exam >Annotations Features Transducer >Connectivity & Network Peripheral Devices System Management 3 Unrestricted © Siemens Healthineers 2023 Unrestricted © Siemens Healthineers 2022 Speaker Notes: Select the System Configuration icon on the touch screen to access the configuration menu of options. Use the System Configuration settings to modify factory default settings or to customize the current settings. Notes No. 3 System configuration navigation SIEMENS Healthineers .... • Select main menu to open System Configuration System Configuration System Configuration submenu options System Settings System Settings System Settings > Workflow Enhancement Workflow Enhancement Workflow Enhancement Image Preset Configuration Imaging Setting • Active selection highlighted in Imaging Settings Measureme Report Image Preset Measurement & Report orange Annotations Exam Association Annotations Features Procedure Configuration Features Transducer Imaging Settings Transducer Connectivity & Network Measurement & Report Connectivity & Network Peripheral Devices Annotations Peripheral Devices System Management System Management Features System Information Transducer Security Connectivity & Network Service Peripheral Devices System Management 4 Unrestricted © Siemens Healthineers 2023 Unrestricted © Siemens Healthineers 2022 Speaker Notes: Select a main menu option on the image screen to expand the submenu options. Active selection highlighted in gray and backlit in orange. Notes No. 4 System configuration navigation SIEMENS Healthineers' ... System Configuration System Configuration System Configuration y System Settings y System Settings y System Settings General General General Display Display Display Patient Patient Patient CEUS Workflow Enhancement Workflow Enhancement Workflow Enhancement >Imaging Settings Imaging Settings Imaging Settings Measurement & Report Measurement & Report Measurement & Report > Annotations › Annotations Annotations Features Features U1 ABC Features Transducer Transducer Transducer Connectivity & Network Connectivity & Network Connectivity & Network Peripheral Devices Peripheral Devices Peripheral Devices System Management System Management Delete System Management 5 Unrestricted © Siemens Healthineers 2023 Unrestricted © Siemens Healthineers 2022 Speaker Notes: You can use the trackball and set keys or, rotate the Forward / Backward control located on the control panel, to navigate menu options. The active selection is highlighted in gray and backlit in orange. Notes No. 5 Saving system configuration changes SIEMENS Healthineers ... 1. System Configuration System Configuration 2. y System Settings System Settings Patient General General Display Display Imaging Revier Patien Patient Workflow Enhancement > Workflow Enhancement Report Imaging Settings Imaging Settings Measurement & Report Measurement & Report Annotations Annotations Features Features Transducer Transducer Connectivity & Network > Connectivity & Network Peripheral Devices Peripheral Devices System Management System Management 6 Unrestricted © Siemens Healthineers 2023 Unrestricted © Siemens Healthineers 2022 Speaker Notes: No “save” control is required, to save changes made in the system configuration menu: • Select the name of another menu option or, • Exit the configuration menu settings by selecting Imaging on the left side of the touch screen Notes No. 6 Restore defaults SIEMENS Healthineers ... • Restore factory default System Configuration settings Systoen Settings General Regional Settings (Restart Required) Inettution Information Display Keyboont Institution Nome Patient English English • Located on most page > Workflow Enhancement line Format Time Format Physician ar Dperitoc Imaging Settings MIDNYYYY AMIFM Performing Physicians Measurement & Report Add Annotations Action requires confirmation Restore Default • Features Transducer Connectivity & Network Do you want to restore defaults? All user-defined settings will be deleted. >Peripheral Devices System Management Click OK to restore default settings. Click Cancel to close the dialog without restoring default settings. OK Cancel Bustone Dataans 7 Unrestricted © Siemens Healthineers 2023 Unrestricted © Siemens Healthineers 2022 Speaker Notes: To restore the factory default settings for the page, select Restore Defaults located on the bottom right of most pages. The action requires confirmation before defaults are restored. To reset the entire system back to the default settings (system IP, Protected Health Information, and the study database are retained) select Restore All Defaults under the Service menu. Note: Restoring default factory settings deletes your changes. Notes No. 7 Objectives SIEMENS . Healthineers .. • Explain System Configuration navigation • Review System Configuration menu 8 Unrestricted © Siemens Healthineers 2023 Speaker Notes: No Speaker notes. Notes No. 8 System settings > general SIEMENS Healthineers .... 1. Regional System Configuration Regional Settings (Restart Required) Institution Information Settings Language System Settings Keyboard Institution Name English English 3 > Workflow Enhancement English 1 Time Format Physician or Operator 2. Units French Imaging Settings German AM/PM Performing Physicians Time Add Italian General 10 : 14:22 AM 4 Spanish 3. Institution Time Zone (UTC-08:00) Pacific Time (US & Canada) Information Units 2 Delete Height and Weight O Metric (cm / kg) Audio 4. Performing English (ft. in / lb. oz) Confirmation Beep Volume Physician Store Image and Clip 5 High Gesture Detecting Transducer Gesture Settings 5. Audio Enable Gesture Detecting 6 6. Gesture Detecting Transducer 9 Unrestricted © Siemens Healthineers 2022 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The first main menu option is System Settings. When selected, the submenu options are displayed. General configures ultrasound system settings. 1. In this section, configure system settings by region, i.e., language options for the ultrasound system user interface screens, language characters for the touch screen keyboard, date and time display format, current date and time and time zone for your region. Changes made require a system restart. Languages include English, German, French, Spanish and Italian. 2. This section specifies the type of measurement units for height and weight in either the metric (cm / kg) or non-metric (ft. in / lb. oz) measurement system. 3. Here, the name of the healthcare institution can be entered. 4. In this section, the user can enter the performing physicians, operators or referring physicians name or add names of often used as shown here 5. In this section, the audio beep can be enabled or disabled when an image or clip is stored and the volume for the beep can be set at high, medium or low. 6. In this section, gesture settings for transducers can be enabled or disabled on compatible transducers. Notes No. 9 System settings > display SIEMENS Healthineers' ... 1. Touch Screen User-Defined control Touch Screen User Defined Buttons Monitor Screen Saver 10 Minutes (1 - 120) 2. Monitor Screen Saver Patient 2 Imaging 3. User-defined Key Review Report 01 End Exam Service Image None 3 Full Screen 1 Film Sheet Full Screen Service Image Hide Banner System Configuration Lock Screen Job Status System Settings Panoramic General Print Send to Store Server Display 10 Unrestricted © Siemens Healthineers 2022 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Display configures touch screen and image screen settings. 1. In this section, options for direct access to frequently-used controls can be added to, or removed from, the user- defined control on the touch screen. Options include: • None • Eject USB – disconnects the USB from the system • Film Sheet – displays selections to copy image to film sheet • Full Screen – activates full-screen format on image screen, hiding the thumbnail panel and patient banner • Hide Banner – hides the patient banner on the image screen • Lock Screen – locks touch screen and trackball (press Freeze to unlock) • Network Job Status – displays the network job status dialog box • Panoramic – activates Panoramic imaging • Print – sends a screenshot of image screen to printer • Send to Store Server – sends image and clips to all DICOM storage servers configured for transfer at end of exam • Service Image – saves screenshot of current image screen and touch screen to service image folder on system 2. Select the number of minutes (1-120 minutes) before screen saver activation. 3. Configure user defined keys under U1. Options include: • None • Film Sheet • Full Screen • Hide Banner • Lock Screen • Job Status • Panoramic • Print • Send to Store Server Notes No. 10 • Service Image 10 System settings > patient SIEMENS Healthineers' ... 1. Patient Patient Banner 1 System Configuration Last Name, First Name Middle Name Date Banner Patient ID Age Institution Name Operator System Settings Properties Rows Accession No O Row 1 Row 2 2. Properties General Age []BP [mmHg] Position 3 BSA [m2] K < 412 Display 2 Date Width 3. Change Date of Birth Patient < 100 Date + Time (short) Prefix EDO rows, Fetal Age position, First Name Last Name First Name Middle Name Last Name width and First Name Height add prefix Institution Name Last Name, First Name Last Name, First Name Middle Name Last Name LMP [ Middle Name No, Fetuses Operator Patient ID Performing Physician Referring Physician Request ID 11 Unrestricted © Siemens Healthineers 2022 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Patient configures patient information settings. 1. In this section, a preview of the current selections in the patient banner are displayed. 2. Here, the information to include in the patient banner can be added or removed by selecting or deselecting the check box next to the option. The selections include those shown on the slide as well as Sex, Study, Time and Weight (scroll down to display these selections at the bottom of the list on the system). 3. This section only appears when a property is selected from the patient banner (e.g., “Age” has been selected on this slide and is displayed in orange). The selected item can be moved to the first or second row and then repositioned in that row. The width of the selected item can be changed, and a prefix can be inserted at the beginning of the selected item. Notes No. 11 Workflow enhancement > image preset configuration SIEMENS . Healthineers ... Image Presets and Default Transducers image Transducers and Default Image Presets System Configuration Image Preset Show All Transduce Transducer Default & Order Abdomen 10V4 5C1 Cardiac Carotid 5V1 2 DAX LVO 6 System Settings OB 5 5Z1 1014 Cardiac(2) Arterial Z6T 712 DI Workflow Enhancement Venous CW2 L8-3 Cardiac 8V3 L17-5 Image Preset Configuration Fetal Echo 4 C5-2 Ta 10V4 7 Abd-Difficult 4V1 Intracardiac 1415 Vascular Access 5V1 Carotid(2) 521 Cardiac(2) Z6T LVO CW2 8V3 Create Preset 1 Cardiac Delete 3 Import Export 8 9 Restore : Defaults 12 Unrestricted © Siemens Healthineers 2022 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The next main menu option is Workflow Enhancement which configures the presets and transducers and allows you to export or import them via a USB. When selected, the submenu options display. Note: Factory presets can be customized without creating a separate custom preset. Image Preset Configuration allows you to create, delete, hide or show presets, and configure the default transducer to the preset (i.e., the default transducer configured here will automatically be selected with the preset during patient registration). It also allows you to configure the default and order of the presets when a transducer is selected from the touch screen. The Image Presets and Default Transducers section controls preset availability on the ultrasound system. 1. Select Create Preset to create a new preset (discussed on next slide). 2. To assign the default transducer to a preset, select the preset and then select the name of the required transducer (the default transducer for the selected preset is highlighted in orange). 3. To remove the selected preset, select Delete and then select OK on the dialog box that will appear. Only custom presets can be deleted. 4. Uncheck the box associated with the preset to hide a preset from the patient registration menu and the touch screen. 5. Check Show All to display all presets. Transducers and Default Image Presets defines the default and order of presets on the touch screen when a transducer is selected from the touch screen. 6. The default preset for the selected transducer is highlighted in orange. A new default can be chosen from the list under Default & Order. If a preset is hidden under Image Presets and Default Transducers, it will not display under Transducers and Default Image Presets. If a default preset is hidden, the new default will be set to the highest order preset (preset displayed at the top of the list). 7. To reposition the preset in the list, select the preset and then select the up or down arrow. 8. Allows the export or import of presets via USB (discussed later in the presentation). 9. Select Restore Defaults to restore the presets to their factory default settings (removes custom presets and added transducers). Notes No. 12 Workflow enhancement > image preset configuration SIEMENS . Healthineers' .... To create a custom Image Presets and Default Transducers Transducers and Default Image Presets Trans preset: System Configuration Image Preset Show All Transduce Transducer Default & Order Abdomen 10V4 » System Settings 5C1 Cardiac Carotid 5V1 DAX LVO OB 5Z1 1. Select Create Workflow Enhancement 10L4 Cardiac(2) Image Preset Configuration Arterial Z6T 712 Ta Preset Venous CW2 L8-3 Cardiac 8V3 L17-5 Fetal Echo 8F C5-2 Ta 10V4 2. Edit name and Abd-Difficult Create Preset select Root Intracardiac Vascular Access Preset Carotid(2) Preset Name 2 LVO Cardiac(2) Root Preset Cardiac LVO 3 3. Select OK Create Preset 1 OK Cancel Cardiac Delete Import Export Restore : Defaults 13 Unrestricted © Siemens Healthineers 2023 Unrestricted © Siemens Healthineers 2022 Speaker Notes: To create a custom preset: 1. Select Create Preset to display the dialog box. 2. Edit the preset name in the data field (must be a unique name). In this example, we are creating an LVO Contrast preset. The maximum number of characters including spaces is 20 and may include special characters. 3. Select the desired preset from the Root Preset drop-down menu. Select OK. The new preset will display in alphabetical order in the list and all transducers related to the “Root Preset” will be available in the new preset. Notes No. 13 Workflow enhancement > image preset configuration SIEMENS Healthineers' ... 1. Export all or selected presets to USB as .image file Export Import 2. Import all presets in .image file on 1 2 USB Export Image Presets and Default Transducers Import Image Presets and Default Transducers Note: No reboot required Exam name Default Exam Default Transducer Abdomen 5C1 Available Media Abdomen A: V Refresh Carotid Carotid 10L4 File Name Cardiac.image OB 5C1 Arterial LEA 1014 OK Cancel Venous 10L4 Cardiac Cardiac 5V1 Fetal Echo Fetal Echo 5C1 Import Imaging Exam Preset TO TCI SV1 Select All Exarn Presets already exist on this system with the same name. Available Media Refresh Click Update to replace the Exam Presets with new data. Click Ignore to cancel the update. The Name Cardiac image Click Rename to save both Exam Presets and to rename the additional on Click Cancel to cancel the update and close this message. OK Cancel Update Ignore Rename Cancel 14 Unrestricted © Siemens Healthineers 2022 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Image Preset Configuration also allows you to export or import presets and default transducers. You can export one, many, or all presets at one time as an .image file. When you import presets, you must import the entire .image file (containing one, many, or all presets that were exported) from the USB. Presets from a previous software version will be ignored and cannot be imported. The process to import presets from a previous software version is performed in the full backup / restore under System Management > Service. 1. To export presets: Connect a USB to the system and select Export. Select the USB device from Available Media drop-down menu and then select the check box associated with the desired preset(s) or, choose Select All, and then select OK. An .image file is created on the USB. 2. To import presets: Connect the USB containing the .image file to a system and select Import. Select the USB device from Available Media drop-down menu and select OK. If the preset name already exists on the system, a dialogue box will appear with options to update, ignore, rename or cancel. Note: No reboot is required after import or export of presets and default transducers. Notes No. 14 Workflow enhancement > image preset > image preset editor SIEMENS Healthineers' ... 1. Under Image Preset Editor tab, select the System Configuration Image Preset Editor Global Settings Image Presets preset/transducer Color 20 (Contrast Contrast System Settings Cardiac Transducer combination Workflow Enhancement 2 5V 1 521 Image Preset Configuration 26T Invert 2. Select preset settings CW2 Image Preset HV3 under each page for AVILVOT each mode tab Coronary WIRVOT MVIAV 3. Restore Defaults for General High 4 preset/ transducer Add transducer Restore Transducer List Frequency Baseline 4. Default Settings are 5 Actual values on the image screen may vary due to the dependency of Actual this setting on other imaging parameters. highlighted -+ Cardiac, 5V1 : 3 Restore Defaults 5. Soft key, Depth, Gain and Mode setting can be customized 15 Unrestricted © Siemens Healthineers 2022 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Image Preset contains configuration options under an Image Preset Editor tab and a Global Settings tab. Image Preset Editor allows the customization of settings for any preset/transducer combination without the need to physically connect a transducer. The user-interface resembles the touch screen interface for ease of use. 1. Select the desired preset / transducer combination. 2. Select the desired preset settings under each page for each mode (i.e., 2D, Color, DTI, 4D, etc...) tab. The recommendation is to work from left to right since some modes are related. 3. The Restore Defaults control allows you to restore factory default settings in each mode for the selected preset / transducer combination. Other transducers under the selected preset are not reset or affected. For custom presets, the “Restore Defaults” control is visible but dithered out as it is unavailable. For default presets, the “Restore Defaults” control is visible but dithered out until a change is made. 4. For each mode, you can select the parameters from the touch screen to create the preset. In this example, we are selecting General as the default Color flow state. 5. The soft key parameters can be customized as well as the Depth, Gain and default Mode. Note: Actual values may not reflect imaging values due to certain dependencies. Actual values depend on the PRF / Frequency of the transducer. The system delivers as close to the predetermined target settings as possible. For example, the setting for “Steer” can be set for a linear transducer but if “Trapezoid” is also selected, the value is ignored. Notes No. 15 Editing a preset / transducer from touch screen SIEMENS Healthineers ... • To edit a preset / transducer from touch 5V1 screen: Cardiac Cardiac • Select the transducer and preset TCI Edit • Adjust imaging parameters • Select Edit Edit Preset : Cardiac • Select Save All the imaging parameters of Cardiac preset will be updated. • Updated in Image Preset Editor page Save Cancel 16 Unrestricted © Siemens Healthineers 2022 Unrestricted © Siemens Healthineers 2023 Speaker Notes: To edit a preset from the touch screen: • Select the transducer and preset. • Adjust the imaging parameters as desired. • Select Edit from the transducer preset selection menu. • Select Save. • The new preset settings will be updated in System Configuration > Image Preset Editor under the menu for the preset / transducer combination. • In this example, we have made changes to the Cardiac default preset and will override the factory defaults. You can restore to the factory default in the System Configuration > Image Preset Editor on the bottom right. • As a note of caution, if there are multiple users in a department, it is recommended to create a new preset unless everyone will use the primary preset. Notes No. 16 Workflow enhancement > image preset > global settings SIEMENS Healthineers .... 1. Select Global System Configuration Settings tab System Settings Image Preset Editor Global Setting 2. Select Map or Workflow Enhancement Tint to apply Image Preset Configuration across all Image Preset preset / transducer combinations 2 Maps + = screen may vary due to the dependency of lues on the image screen may vary due to Actual values on the "" this setting on other imaging parameters. 17 Unrestricted © Siemens Healthineers 2023 Unrestricted © Siemens Healthineers 2022 Speaker Notes: The Global Settings tab allows “Maps” and “Tint” settings to be applied across all preset / transducer combinations. 1. Select Global Settings tab. 2. Select the Map or Tint that will be applied globally (to all preset / transducer combinations) and may be helpful during PACS display optimization. A global Map or Tint change may take a few seconds to apply. Note: Global Setting changes will override any previous changes made to the Map or Tint under the Image Preset Editor. Notes No. 17 Workflow enhancement > exam association SIEMENS Healthineers ... • Any preset can be System Configuration Exam Association associated with any System Settings Define the default exam association for image presets by selecting an item in each list. The highlighted items are the default selection for each preset list. Workflow Enhancement Image Preset Measurement & Report Annotations Annotations Protocols Default Calc Package Default Body Marker Default Text Package & Stress Echo Protocols • Measurement & Image Preset Configuration Abdomen Cardiac Abdomen Abdomen None Carotid Abdomen Carotid Carotid Breast Report package Image Preset DB Breast Cardiac Cardiac Exam Association Arterial Carotid Breast Breast Cardiac Advanced Venous Early OB Digital Digital OB • Body Marker Cardiac GYN GYN Carotid Fetal Echo GYN Fetal Echo Fetal Echo package TCI Ped Hip Early OB Early OB Pharmacology Abd-Difficult LEA MSK MSK Treadmill Intracardiac LEV Neonatal Head Neonatal Head Bicycle Text Annotations Vascular Access MSK OB OB Regurgitant Volume • Neo Head Pediatric Abdomen Pediatric Abdomen PISA package OB LEA LEA Mitral Stenosis Pediatric Abdomen LEV LEV Aortic Stenosis Pelvis Renal • Protocol Penile Pelvis Prostate Penile 18 Unrestricted © Siemens Healthineers 2022 Unrestricted © Siemens Healthineers 2023 Speaker Notes: In the Exam Association menu, any preset can be defaulted to any Measurement and Report calculations package, Body Marker package, Text Annotations package, and Protocol. Note: Protocol is no longer displayed in the Patient Registration page since it can now be configured to a preset. • Custom presets default to the root preset. • Protocols default to None. • If Measurement and Report or Text Annotation packages are hidden or custom packages are deleted, the system defaults to General. • Restore Defaults on this page will re-assign the default preset association. Note: Perform this step after the creation of any custom Measurement and Report calculations packages, Body Marker packages, Text Annotations packages, and Protocols so that the custom package is available prior to exam association. Notes No. 18 Workflow enhancement > procedure configuration SIEMENS . Healthineers' ... 1. Requested Procedure System Configuration Procedure Configuration Description System Settings Requested Procedure Description 1 Add Exam Workflow Enhancement Procedure Description Preset Preset 2. Export to USB for PC Image Preset Configuration General 4 editing Abdomen Image Preset Carotid Exam Association Thyrold 3. Import from USB Procedure Configuration Breast GYN after PC editing Export Procedure Description OB Arterial Venous 4. Assign preset to Available Media Refresh Cardiac procedure File Name ProcedureDescription .xlsx Fetal Echo description TO 2 MSK OK Cancel Prostate 5. Delete procedure Neonatal Head Early OB description 3 Testis Abd-Difficult Import Export 2 5 Delete 19 Unrestricted © Siemens Healthineers 2022 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Procedure Configuration assigns a default preset to a worklist procedure description (the patient registration form will then display the name of the default preset when a scheduled procedure is selected from the worklist server). 1. To manually assign a preset to a procedure description: Enter the name of the procedure description in the Requested Procedure Description data field (the maximum characters visible, including spaces, is 40 but 100s may be added) and then select Add. 2. To export a file with procedure descriptions for editing on a PC (personal computer): Connect a USB to the system and select Export. A dialog box will appear. Select the USB, edit the name of file and select OK. Remove the USB and view on a PC to add procedure descriptions to the file (see next slide). 3. To import procedure descriptions: Connect the USB to the system and then select Import. A dialog box will appear. Select the USB, select the desired file name and then select OK. 4. Once the list of procedure descriptions has been imported, you can add or edit the preset assigned to the procedure description. Select the procedure description name from list and then select the name of the required preset. Note: Blank presets are set to highest order preset (preset displayed at the top of the list), e.g., General. 5. To remove the selected procedure description, select Delete. Note: Unrecognized procedure descriptions in patient registration will be assigned to the preset selected. If a preset is not selected during patient registration or, the preset entered does not exist, the highest order preset is assigned. Notes No. 19 Workflow enhancement > procedure configuration SIEMENS . Healthineers ... 1. Open exported file on PC using Excel File Home Insert Page Layout Formulas Data Review View Add- File Home Insert Page Layout Formulas Data Review View Add-Ins Acroba % Cut Calibri 11 × Cut Calibri 11 Wrap Text 2007 or higher Copy . Copy Paste Format Painter B Paste Format Painter B E Ex Merge & Cente Clipboard Font Alignment Clipboard Font Alignment A1 fx Procedure Description D9 2. Edit, add or paste procedure Procedure Description Exam Presets Procedure Description 2 Exam Presets 3 2 CVS ABDOMINAL DOPPLER Abdomen descriptions from PACS Admin 1 3 CVS ARTERIAL DUPLEX 1 ARM LEFT Arterial 4 CVS ARTERIAL DUPLEX 1 ARM RIGHT 5 CVS ARTERIAL DUPLEX 1 LEG LEFT 6 CVS ARTERIAL DUPLEX 1 LEG RIGHT 7 CVS ARTERIAL DUPLEX 2 ARMS 3. Optional step: enter names of 8 CVS ARTERIAL DUPLEX 2 LEGS 9 CVS ARTERIAL NIVA presets 10 CVS CAROTID DUPLEX EXAM 11 CVS CAROTID DUPLEX LIMITED 12 CVS NIVA WITH EXERCISE 13 CVS STRESS ECHO 14 CVS STRESS ECHO W CONTRAST EXER OR PHARM 15 CVS ULTRASOUND GUIDANCE 16 CVS US AORTA 17 CVS VENOUS DUPLEX 1 ARM LEFT 18 CVS VENOUS DUPLEX 1 ARM RIGHT 19 CVS VENOUS DUPLEX 1 LEG LEFT 20 CVS VENOUS DUPLEX 1 LEG RIGHT 21 CVS VENOUS DUPLEX BILATERAL 2 ARMS 22 CVS VENOUS DUPLEX BILATERAL 2 LEGS 2 CMS VENOUS DOR 23 AB INDEX LIMITED 24 ABBI STERO BX 25 ARTERIAL DUPLEX 1 ARM LEFT 26 ARTERIAL DUPLEX 1 ARM RIGHT 27 ARTERIAL DUPLEX 1 LEG LEFT 28 ARTERIAL DUPLEX 1 LEG RIGHT 29 ARTERIAL DUPLEX 2 ARMS 30 ARTERIAL DUPLEX 2 LEGS 31 ARTERIAL NIVA 32 CAROTID DUPLEX Proce Procedure Configuration 20 Unrestricted © Siemens Healthineers 2022 Unrestricted © Siemens Healthineers 2023 Speaker Notes: When the file is exported to USB, it can be opened on a PC using Excel 2007 or higher. 1. An Excel spreadsheet will open displaying two columns labeled Procedure Description and Exam Presets. If previously added procedures descriptions have been added, they can be edited on a PC using the exported file. 2. If no procedure descriptions were previously added, they can be manually added or, a list, provided by the PACS administrator may be pasted to the spreadsheet under the Procedure Description column. • Note: There is no theoretical limit of Procedure Descriptions that may be added, testing was done with 1200 Procedure Descriptions. 3. Enter the names of the presets under the Exam Presets column if desired or add them after the file is imported back onto the system. • Note: Blank presets set to highest order preset .If preset entered does not exist, highest order preset is added. To import procedure descriptions: Connect USB to system, select Import, select name of USB, select file name and then select OK (refer to previous slide for additional information on this step). To add or edit the preset assigned to the procedure description: Select procedure description name from list and then select the name of the required preset (refer to previous slide for additional information on this step). Notes No. 20 Imaging settings > general SIEMENS Healthineers ... 1. Seamless or conventional System Configuration Dual display Dual System Settings 1 2. Display / hide imaging Workflow Enhancement Enable Seamless Dual parameters in Dual Imaging Settings Display all Imaging Parameters 2 General 3. Enter Full Screen when Enter Full Screen When Activating Dual 3 activating Dual 21 Unrestricted © Siemens Healthineers 2022 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The next main menu option is Imaging Settings. When selected, the submenu options are displayed. General configures settings for the Dual display format. The system can be configured for conventional dual (e.g., the left and right images are displayed side-by-side and separated by a space) or seamless dual (e.g., the left and right images are seamlessly connected allowing measurements across the central line). • Check Enable Seamless Dual to activate the seamless dual display when Dual is selected. • Clear the check box to activate the conventional dual display when Dual is selected. The system can also be configured to display or hide the imaging parameters in the Dual display format. • Check Show Image Text to display the imaging parameters when Dual is selected. • Clear the check box to hide the imaging parameters when Dual is selected. The system can be configured to enter Live Dual when in the Dual or Live Dual display format. This will remove the patient banner from the image. Notes No. 21 Imaging settings > capture settings SIEMENS Healthineers ... 1. Exam Presets System Configuration Exam Presets 1 Cardiac 2. Default Capture System Settings Settings (for Workflow Enhancement Default Capture Settings 2 Contrast Capture Settings 3 4D Capture Settings 4 preset selected) Imaging Settings General Clip Capture Clip Capture Clip Captur Prospective Prospective Prospective Capture Settings 3. Contrast Clip Length dip Length Clip Length Time Custom (1-300) Custom (1-300) Time Custom (1-10) Capture · Beats Custom (1-300) Beats Custom (1-300) Beats Custam (1-10) Settings (for 2 Beats 2 Heats 3 Beats preset selected) First R-wave Offset Last R-wave Offset First R-wave Offset Last R-wave Offset First I-Wave Offset Last R wave Offset O Frames O Frames Frames 0 4 Pares 27 Enable Compression E Enable Compression E Enable Compression 4. 4D Capture Compression Level Compression Level Compression Level Medium Medium Medium Settings Capture Definition Capture Definition Limit Clip Capture Rate to 30Hz Limit Olip Capture Rate to 30Hz 22 Unrestricted © Siemens Healthineers 2022 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Capture Settings configures clip capture settings for each preset. 1. The preset is first selected from the drop-down menu. 2. This section provides options for capturing clips for the selected preset a. Prospective versus Retrospective clip capture. b. Duration of the clip length and whether it is based on Time or Beats (heart cycles) including one custom setting for time and one custom setting for beats. If Beats is selected, the number of frames to capture before the first R-wave or the number of frames to capture after the last R-wave can be selected if desired. c. Compression of the clip at the time of capture can be enabled or disabled. The level of clip compression can be set to “Low” (retains highest number of frames stored for a series of images to retain a higher image quality resulting in a higher clip file size), “Medium” (reduces the number of frames stored for a series of images) or “High” (significantly reduces the number of frames stored for a series of images resulting in a loss of image quality but a lower clip file size. d. The clip capture rate can be limited to a frequency of 30Hz. When checked, the files are stored at a lower frame rate and a smaller file size is created. When unchecked, the files are captured and stored at a higher frame rate. 3. This section provides options for capturing clips during contrast agent imaging for the selected preset. It includes the same setting options described above (a-c) for traditional imaging. 4. This section provides options for capturing clips during 4D imaging for the selected preset. It includes the same setting options described above (a-d) for traditional imaging. Note: On each screen there is an option to restore defaults. Notes No. 22 Imaging settings > imaging mode SIEMENS Healthineers ... 1. Exam Presets System Configuration Exam Presets » System Settings Cardiac 1 2. Enable Cursor Workflow Enhancement Mode* Imaging Settings Imaging Cursor Workflow Freeze Behavior 5 Doppler Auto TEQ 7 General El Enable Cursor Mod 2 Default Menu on Touch Screen Parameters Capture Settings Mode Menu Gain 3. Automatic Color Doppler and M-Mode Imaging Mode 3 In Review Dynamic Range Invert EX Enable Automatic Color Invert Play/Pause CINE El Scale/Baseline Doppler Mode 6 Mode Thermal Index Display Off 4. Display Format Display Format 4 La TIS O Entering Freeze 1/3 20, 213 Trace TIB Doppler Auto TEQ Target Spectral Intensity O TIC 5. Freeze Behavior M Mode PW Display Format Low 1/3 20, 213 Trace 6. Power Display CW 1/2 2D, 1/2 Trace 1/3 20, 2/3 Trace Medium 2/3 2D, 1/3 Trace 7. Doppler Auto Side by Side TEQ * If unchecked, AI Assist will not be available will not be displayed on the Touch Screen. 23 Unrestricted © Siemens Healthineers 2022 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Imaging Mode configures imaging mode settings for each preset. 1. The preset is first selected from the drop-down menu. 2. This section provides the option to bypass the M-mode and PW and CW Doppler curser for the selected preset. Check the box to display the full screen B-mode image with the M-mode or spectral Doppler cursor after mode activation. Uncheck to bypass the initial full screen B-mode image with the M-mode, PW, or CW Doppler cursor and immediately activate in the B-mode / M-mode or B-mode / PW or CW Doppler split format. * 3. In this section, check the box to enable automatic color Doppler invert with PW gate steering; uncheck to disable the function. 4. Here, the default display format for B-mode / PW or CW Doppler and B-mode / M-mode can be selected. Options include: 1/2 2D to 1/2 trace; 1/3 2D to 2/3 trace; 2/3 2D to 1/3 trace; Side-by- Side. 5. In this section, the menu or controls that display when the “Freeze” control is activated can be assigned to the preset selected. a. Options for the touch screen includes: Measurement Menu, Mode Menu (activates CINE), Text Menu, Body Marker Menu. b. Options when in Review includes: Play / Pause CINE or Exit Review. 6. In this section, Thermal Index Display options can be activated that include (TIS,TIB,TIC) 7. In this section, Doppler Auto TEQ parameters that are automatically optimized can be activated (checked) or deactivated (uncheck), Doppler Auto TEQ can be deactivated or activated upon entering “Freeze” and intensity levels for PW and CW spectral waveform gain can be selected (Low, Medium, High). * If unchecked, AI Assist will not be available and will not be displayed on the Touch Screen. Notes No. 23 Imaging settings > image parameter display SIEMENS Healthineers' .... 1. Image Image Parameter Display Preview Parameter System Configuration Patient Information Shear Wave Parameter Institution Name Last Name, First Name Transducer System Settings Last Name Exam Display Date of Birth Thermal Index - Bone (TIB) Workflow Enhancement Patient ID Thermal Index - Cranium (TIC) Thermal Index - Soft Tissue (TIS) Date & Time Mechanical Index (MI) Imaging Settings Operator ANL (Wireless only) 2. Preview Transducer Frame Rate Transmit Power General Exam 2D Thermal Index - Bone (TIB) Frequency Capture Settings Thermal Index - Cranium (TIC) 1 Gain/Dynamic Range Thermal Index - Soft Tissuw (TIS 2 Speed of Sound Line Density Mechanical Index (MI) UltraArt Imaging Mode ANI. (Wireless only) Map/Tint Frame Rate Persistence Image Parameter Display Transmit Power Clarify Level Compound 2D 3D/4D Frequency Gain/Dynamic Range Gain/Dynamic Range Speed of Sound Volume Sweep Quality Line Density Volume Sweep Angle Threshold UltraArt Opacity Map/Tint Smoothing Persistence Brightness Clarity Level Contrast MPR MapfTint Compounding VR Map/Tint 3DM4D C Frequency Frequency Gain/Dynamic Range Gain Volume Sweep Quality Flow State Persistence/Line Density Volume Sweep Angle 24 Unrestricted © Siemens Healthineers 2023 Unrestricted © Siemens Healthineers 2022 Speaker Notes: Image Parameter Display configures the display of patient information and imaging parameters on the imaging screen. 1. The patient information section may be customized by institution name, patient name, ID, date and time, and operator. Although the information in this section will be printed on the image, it will be removed upon de-identification of the study. You can activate (check) the display of more parameters as needed or deactivate (uncheck) for less clutter on the imaging screen. 2. This section provides a preview of how the imaging screen will look with the selected parameters when in multiple modes. Notes No. 24 Measurement and report > measurement SIEMENS Healthineers ... General Exam Package Exam Specific Per Label Configuration System Configuration 2D Mode Calculation Display Area System Settings 20 Calipers [] Draw Dotted Lines Between Calipers Both Measured Results Report Calculations Workflow Enhancement Doppler Mode Ao d/LA S AD Root d/BSA Imaging Settings Velocity Ao Sinus d/BSA Show Negative Symbol Ao STJ d/BSA AoV Ann Area Measurement & Report Heart Rate Tool AoV Ann Area (Post) AoV Ann s/BSA Number of Heart Cycles AoV Ann s/BSA (Post) Measurement AOV ATIET ADV ATIET (Post) .......... AOV CI Touch Screen Measurement Config AOV CI (Post) AOV CO Custom Measurement Label AoV CO (Post) AoV Peak Grad AoV Peak Grad (Post) Custom Calculations AOV SI (Post) AoV Site 2 Area Report AoV Site 2 Area (Post) AOV Site 2 SV AoV Site 2 SV (Post) ............... 000000888800000080000 ..... OB Tables Restore Defaults 25 Unrestricted © Siemens Healthineers 2022 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The next main menu option is Measurement & Report which configures selections for predefining measurement and report preferences. When selected, the following submenu options are displayed: • Measurement • Touch Screen Measurement Config • Custom Measurement Label • Custom Calculations • Report • OB Tables The Measurement option contains four tabs that allow the user to configure the overall measurement settings for the ACUSON Origin ultrasound system. Use the Pointer to select one of the four tabs and display the available options. The active tab is highlighted in orange. The first tab, General, contains the options for system wide measurements settings such as: • Dotted line between calipers removal • Heart rate tool (number of cycles) • Show negative symbol (onscreen and report) Note: If “Show Negative Symbol” is not selected, values measured below the baseline will result in erroneous RI calculations. Measurement Display Area (MDA) configuration is also contained within the General tab. The user has the option to customize which calculations are displayed within the MDA by checking the box next to the desired calculation. Items that are not checked will not be displayed within the MDA. Note: The heart rate tool refers to OB. Note: For additional information, please refer to the ACUSON Origin Ultrasound System Release | Measurement Notes No. 25 Configuration presentation. 25 Measurement and report > measurement SIEMENS Healthineers ... System Configuration General Exam Packag Exam Specific Per Label Configuration Exam Package System Settings Cardiac Workflow Enhancement CINE Measurement Behavior Result Format Show Precision Imaging Settings Il Erase in CINE IVS 0.00 LVPW 20 Tools 0.00 Measurement & Report LVID 0.00 Votutte Tool 3 Distarices «Stenosis Measurement Area %Stenoso Tool Show 0.00 Ellipse . Trace cm 0.00 Generic Area Hatlo Tool A(E) cmt 0.00 Trace Acces Show mit 0.00 Dopp Doppler Tools Angie Default Tool Area litlo 0.00 Velocity AT Show ms Average Distance: 0.00 Volume Flow Tobl cm 0.00 Volume Distance Show 0.00 Flow 0.00 Heart Cycle D (B) 0.00 26 Unrestricted © Siemens Healthineers 2022 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The Exam Package tab allows the user to individually configure each exam package with different default measurement tools and cine measurement behavior. These selections are system-wide and any new measurement label created for a given package (i.e. Abdomen, Carotid, etc.) will inherit these default settings automatically when the label is created. Options to alter these default settings on an individual label basis is contained within the Per Label Configuration tab, which will be covered later in this presentation. To customize the default settings for an exam package, use the Pointer and Set key to select the specific package from the drop-down menu, then choose the desired default tool options for 2D, Doppler and Volume Flow. The user can further customize the measurement label by selecting a unit and level of precision that will display in the report and the onscreen MDA when the label is used. Some labels, such as Acceleration, also contain the option to show or hide the resultant within the MDA. For additional information, please review the ACUSON Origin System Release | Measurement Configuration presentation. Notes No. 26 Measurement and report > measurement SIEMENS Healthineers' ... System Configuration General Exam Package Exam Specific Per Label Configuration System Settings OB Exam Prostate Exam Workflow Enhancement Display OB/GYN Dates on the Screen Auto OB Prostate Specific Gravity LMP/DOC O European - BPD outer to outer O 1.0 Imaging Settings Clinical Age US - BPD outer to inner 1.05 EDD Measurement & Report EFW Measurement Display Averaged GA of = SD on Touch Screen Gestational Age Carotid Exam Display Averaged GA or = SD in Measured Results Carotid Ratio Gestational Age Max ICA Dist CCA Display Out of Range Max ICA O Max CCA O Prox ICA O Prox CCA 1.5 O Mid ICA O Mid CCA Dist ICA Dist CCA Al Measure: Heart Cycles Measured Doppler M Mode 27 Unrestricted © Siemens Healthineers 2022 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The Exam Specific tab contains options for Carotid, Cardiac and OB exams. For cardiac exams, the user can set the default number of heart cycles assessed when performing AI measurements on Doppler, DTI and M-mode. The options are 1, 2 and 3. The user can also increase or decrease the amount of heart cycles measured on the fly during an exam. The default carotid ratio option is available within this tab. The user has the option to select a specific segment for the ICA and CCA to be used for calculation of the ratio. If a specific segment is not desired, the option to use the maximum measured velocity, regardless of segment, can be selected. In this example, the system has been configured to use the maximum ICA velocity and the distal CCA velocity to calculate the ratio. Note that this configuration can be altered on a “per exam basis” on the report page of an opened exam should the user desire a different option than what is configured here. Once the exam is closed, the changes made on the report page for the ICA / CCA segments will return to what is configured here in the Exam Specific tab. For OB exams, the user has the option of what information they would like to be displayed on the screen during imaging. Use the Pointer and Set key to check or uncheck the available options. The options for display include: •LMP/DOC •Clinical Age •EDD •EFW Default tool types for both maternal and fetal measurements are found here as well as the auto OB measurement type. Be sure to check that the auto OB measurement type (BPD outer to outer or outer to inner) matches the region you are installing the system in. Report display options for gestational age and out of range are other OB options found under the Exam Specific tab. Note: For additional information, please refer to the ACUSON Origin Ultrasound System Release | Measurement Notes No. 27 Configuration presentation. 27 Measurement and report > measurement SIEMENS Healthineers ... System Configuration General Exam Package Exam Specific Per Label Configuration Label Name System Settings Find Simbar Lation Default Tool and Method 2D Label Workflow Enhancement Label Doppler Imaging Settings M Mode Measurement & Report Output Show Unit Precision Measurement Apply To Similar Label 28 Unrestricted © Siemens Healthineers 2023 Unrestricted © Siemens Healthineers 2022 Speaker Notes: The final tab is the Per Label Configuration. Under the Per Label Configuration, each label output can be modified based on unit, precision, default tool type, and display (show / hide) within the MDA, should the user desire a change from the default selection set in the Exam Package tab. Each default tool type can be further customized for the method used for calculations – last, max, mean, or average. Should a user wish to alter multiple labels of the same measurement type within a package, the option to Find Similar Label(s) can be used. Select the Find Similar Label option and a list of all similar labels (based on measurement type) will appear in the space provided. The user then needs to check off each label they wish to be converted to the newly chosen settings and then select Apply To Similar Label. Note: For additional information, please refer to the ACUSON Origin Ultrasound System Release | Measurement Configuration presentation. Notes No. 28 Measurement and report > touch screen measurement config SIEMENS Healthineers ... System Configuration Package Configuration Touch Screen Layout Fitter System Settings Partage Nine Workflow Enhancement kraging Loos Imaging Settings Abdomen Breast Measurement & Report Measurement Early CB Fetal Echo CYN Ped Ifp LEA LEV MSK Anis Head Pediatric Aixtomen Import Export 29 Unrestricted © Siemens Healthineers 2023 Unrestricted © Siemens Healthineers 2022 Speaker Notes: The next section in the M&R system configuration is the Touch Screen Measurement Config. There are two tabs, Package Configuration and Touch Screen Layout Editor. The first tab is the Package Configuration where the user can: • Show / Hide an exam package by checking / unchecking the corresponding box • Re-order the package layout by using the up / down arrows. Re-ordering will be reflected on the displayed touch screen menu when a user selects the alternate exam package command in the upper right corner of the touch screen • Create new customized measurement packages for any exam • Delete custom measurement packages • Import or Export an entire package or packages as a .Calc file via USB to another system Note: Custom equations will not be exported using this option. Exporting custom equations must be done using the Local Settings export or full Back-up and Restore under the System Management tab. Note: For additional information, please refer to the ACUSON Origin Ultrasound System Release | Measurement Configuration presentation. Please go to the next slide to review the second tab. Notes No. 29 Measurement and report > touch screen measurement config SIEMENS Healthineers .... System Configuration System Configuration Spien Settings · Workflow Enbarcamère · Warelow Enhancement Package Configuration . Iraging Settings Nurse · Vousremeet & Report . Meinvateren & Report Canias Measurement Touch Screen Mwwwserrent Ca Measurement Label Utvary Contasy Mouturerent Labol Candas CetDe Calculations Report Heport Ansatzions Trordian Trassaker . Connectivity & Nonwart . Connectivity & Network Peripe ers Devices Peripheral Devices Sym Management Splan Mirugeral BED& RAX EMD & PLAX New Page Restore Detasks Cardiac 30 Unrestricted © Siemens Healthineers 2022 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The second tab is the Touch Screen Layout Editor which allows the user to customize the layout of the touch screen measurement labels for each exam. The layout is done by mode. Once a specific exam is selected from the drop-down menu, a mirror image of the Touch Screen layout is displayed. There are two lines of anatomy specific folders. Label groups belonging to a specific anatomical area, for example, Left Ventricle (LV), will be contained within these folders. A master list of labels associated with the selected exam type is displayed to the side of the Touch Screen layout grid. There is a label search field to aid the user in locating a desired label. It can be moved to the Touch Screen as shown in this example where LVd series was added. If a new page needs to be added to the Touch Screen, use the New Page key. A total of 5 pages are possible with a maximum of 18 labels per page. Once a new page is added it cannot be deleted, however if there are no labels located on that page it will not be displayed during live scanning / active measurement mode. White dots located below the touch screen visually indicate additional pages. To access additional pages for configuration, the user can select the directional arrow key on either side of the Page number indicator with the pointer. A Restore Defaults option is available in the bottom corner which will apply to the selected exam type only. Note: For additional information, please refer to the ACUSON Origin Ultrasound System Release | Measurement Configuration presentation. Notes No. 30 Measurement and report > custom measurement label SIEMENS Healthineers ... System Configuration Label Root: Ao Abd Report Section: Aorta 20 Tools: Distance System Settings SR Template: Cardiac New Workflow Enhancement Early Os SR Mapping: Completed Copy Imaging Settings Ped Hip Eat LEA LEV Measurement & Report MSK Neo Head Ao Coasct Vmax Measurement Ao Desc Delete Ao Desc Vmax Touch Screen Measurement Config Ao Diam d Ao Ithmus No Root d Custom Measurement Label Ao Sinus d Ao STJ d SR Mapping Ao Thoracic AcV Annulus's AGV Annulus $ (Post) AOV Area Planimetr AOV Area Planimetriast) AOV AT 31 Unrestricted © Siemens Healthineers 2023 Unrestricted © Siemens Healthineers 2022 Speaker Notes: The next M & R section is where the user can build custom labels and add them to the Touch Screen display. There is a drop-down list of all exam packages that can have custom labels added to them on the homepage for the Custom Measurement Label tab. Note: For step-by-step instructions, please refer to the ACUSON Origin Ultrasound System Release | Measurement Configuration presentation. Notes No. 31 Custom calculations SIEMENS Healthineers' ... System Configuration Formula SR Mappin System Settings Workflow Enharicernerit Name Units Precision leport Section Formula Sin Mapping > Imaging Settings LVOTIBSA LV LVOTASA SK Templain [LVOT VII.VTI,cm]/[(Calc)BSA,m2) Measurement & Report LVOTIUSA Fetal Fetes Measurement Concept Code Meaning * Cardiac Index Touch Screen Measurement Config Cordiac Cootiy Scheme Designato " Custom Measurement Label Ensure the formula and units are correct and then click Save. Save Cancel Il Tempkin Section Custom Calculations Show in Measured Results Left Ventricle Show in Report Measurement Method Exam Package Result Labels Continuity Equation by Velocity Time | Y General Calculations ATAN Min Min Of Any Finding Site TAN Max Max Of Any Left Ventricle Outflow Tract (Calc)BSA COS Abs Mean Of Any (Calc)Clinical Age Antegrade Flow (Calc)Fibroid 1 Vol SIN First Cardiac Cycle Point Peak Systolic (Calc)Fibroid 2 Vol Image View (Calc)Fibroid 3 Vol Apical four chamber (Calc)Fibroid 4 Vol (Calc)Fibroid 5 Vol cm2 log Cancel (Calc)GB Vol m2 (Calc)Isthmus Mass 1 Vol Add 32 Unrestricted © Siemens Healthineers 2022 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Custom calculations can be added by accessing System Configuration > Measurement and Report > Custom Calculations They can also be tied to Structured Reporting ( SR) Mapping. Customized labels can created to support the new equations in System Configuration > measurement and Report > Custom Measurement label A few common ones are: • Philips PI(TCD) equation PI (TCD) = PSV – ED/ Mean TCD where Mean TCD is PSV/3 + 2 x ED/3 ESV for apical 2CH right atrial volume and BSA: RA A2Cs ml/BSA = ml/m² • Index for LVOT VTI and BSA: LVOT VTI/BSA = no units • Note: For additional information, please refer to the ACUSON Origin Ultrasound System Release | Custom Calculations presentation and quick card. Notes No. 32 Measurement and report > report SIEMENS Healthineers' ... System Configuration Report Content Assessments Comments System Settings Report Sections Workflow Enhancement Patient History Imaging Settings - Patient - History Measurement & Report - Institution Measurement Abd Organs - Liver Touch Screen Measurement Config - Uiver Shear Wave Elastography Measurements (p5WE) Custom Measurement Label - Liver Shear Wave Elastography Measurements (SWE) - Liver Ultrasound Derived Fat Fraction Measurements (UDFF) Custom Calculations Gallbladder and Pancreas - Spleen Report ...... Renal - Kidneys Side-by-Side - Kidneys - Bladder Aorta - Aorta & Iliac Arteries Abd Grafts Collapse All + Cotoneed by default - Expanded by default 33 Unrestricted © Siemens Healthineers 2022 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The layout of the report on the ACUSON Origin ultrasound system is organ / anatomically based. There are four sections available for configuration: • Report Content • Assessments • Comments • Report Template The Report Content section allows the user to determine what results will be displayed at the end of an exam. 1. The user has the option to expand areas or collapse areas or individual sections when the report is displayed. There is a default setting located at the bottom of the page to expand or collapse all. 2. Individual sections can be expanded or collapsed by using the Pointer to click on the “+” or “ - ” next to the section content. 3. The user also has the option to show or hide sections in the report by checking or unchecking the section under the Show column. Note that if a section is hidden (unchecked) the results in that section will not be shown on the report, even if there are measurements taken involving that section. If the user needs to display these results, they will need to go to the system configuration and check the box to “show” the results. There is a pre-loaded list of assessments from factory for certain exam types: • Fetal Echo, Carotid, Abdomen • Gyn, Early OB (fetal & maternal), Fetal, Maternal, Hip As with the report content, the user can show / hide any assessment text by checking / unchecking the box for the assessment text. In this example, we are showing the Carotid Assessment. Custom assessments can be added to the report page either as a checklist or a comment (text) box. To add a custom assessment: • Select the Type of assessment to be added • Manually enter the assessment / label name in field provided • Select Add To delete a custom assessment item: • Use the Pointer to highlight the desired label • Select Delete Custom assessment labels will appear at the bottom of the report. They can be reordered in this section but cannot be relocated into the list of factory assessments. Custom assessment labels cannot be edited only deleted. Note: For additional information, please refer to the ACUSON Origin Ultrasound System Release | Measurement Configuration presentation. Notes No. 33 Measurement and report > report SIEMENS Healthineers' ... System Configuration Report Content Assessments Comments Report Template System Settings Assessments Workflow Enhancement Carotid Imaging Settings Show RI CCA LE CCA Create Custom Assessment Items Measurement & Report Rt CCA Plaque Description Lt CCA Plaque Description Type: Measurement Rt CCA Diameter Lt CCA Diameter Reduction Reduction Checklist Touch Screen Measurement Config RI CCA Comments Lt CCA Comments O Comment Text Box Custom Measurement Label Rt BIF Lt BIF Custom Calculations Rt BIF Plaque Description Lt BIF Plaque Description Rt BIF Diameter Reduction Lt BIF Diameter Reduction Report Rt BIF Comments Lt BIF Comments Add 3 3 3 Rt ICA LEICA Rt ICA Plaque Description Lt ICA Plaque Description Rt ICA Diameter Reduction LE ICA Diameter Reduction Rt ICA Comments Lt ICA Comments RLECA LEECA Rt ECA Plaque Description LE ECA Plaque Description 34 Unrestricted © Siemens Healthineers 2022 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The layout of the report on the ACUSON Origin ultrasound system is organ / anatomically based. There are four sections available for configuration: • Report Content • Assessments • Comments • Report Template The Report Content section allows the user to determine what results will be displayed at the end of an exam. 1. The user has the option to expand areas or collapse areas or individual sections when the report is displayed. There is a default setting located at the bottom of the page to expand or collapse all. 2. Individual sections can be expanded or collapsed by using the Pointer to click on the “+” or “ - ” next to the section content. 3. The user also has the option to show or hide sections in the report by checking or unchecking the section under the Show column. Note that if a section is hidden (unchecked) the results in that section will not be shown on the report, even if there are measurements taken involving that section. If the user needs to display these results, they will need to go to the system configuration and check the box to “show” the results. There is a pre-loaded list of assessments from factory for certain exam types: • Fetal Echo, Carotid, Abdomen • Gyn, Early OB (fetal & maternal), Fetal, Maternal, Hip As with the report content, the user can show / hide any assessment text by checking / unchecking the box for the assessment text. In this example, we are showing the Carotid Assessment. Custom assessments can be added to the report page either as a checklist or a comment (text) box. To add a custom assessment: • Select the Type of assessment to be added • Manually enter the assessment / label name in field provided • Select Add To delete a custom assessment item: • Use the Pointer to highlight the desired label • Select Delete Custom assessment labels will appear at the bottom of the report. They can be reordered in this section but cannot be relocated into the list of factory assessments. Custom assessment labels cannot be edited only deleted. Note: For additional information, please refer to the ACUSON Origin Ultrasound System Release | Measurement Configuration presentation. Notes No. 34 Measurement and report > report SIEMENS Healthineers ... System Configuration Report Content Assessments Comments System Settings Comments For Exam Package > Workflow Enhancement Imaging Settings Cardiac Add Measurement & Report Hx of smoking: Measurement HTN: YES Touch Screen Measurement Config HLD: YES Custom Measurement Label Heart Surgery or Stent: Custom Calculations Rhuematic Fever: Report CHest Pain: Shortness of Breath: Fatigue: Dizziness: Report Content Comment Syncope: Site Information Edema: stitution Logo Details Layout HX of Stroke: Layout Large Bold Layoutt Fever of unknown origin: SIEMENS althineers Line 2 Pacemaker: Murmur: Megas Perman Arrythmia: Delete 35 Unrestricted © Siemens Healthineers 2022 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Pre-defined comments can be added to the report. To add a comment to the report: • Select the exam package from the drop-down list • Enter the desired comment in the space provided • Select Add • Re-order (if required) with the directional arrows To delete a comment: • Highlight comment • Select Delete Comments can be re-ordered by using the directional arrows at the side of the list. In this example, we added comments for the Cardiac exam. The final tab, the Report Template, contains options for customization of the Report includes the addition of a site logo and / or three lines of text (“institution details”). To add a site logo, insert a USB into the USB port containing a JPEG or PNG of the desired logo. Select Load to view the file contents of the USB on the screen. Highlight the desired logo from the files that are displayed and select Load Image from the bottom of the dialogue window. The logo will be added to the Logo window area. To remove the logo, select the Remove key located below the logo window. In this example, we added the Siemens Healthineers logo. In addition to a customized logo, a custom statement or institution details of up to 3 lines and 32 characters per line, can be added to the report. To add a customized statement, use the Pointer to activate one of the three available Text areas and type in the desired text. Once the text is entered the user can further customize the font type and style by using the drop-down menu beside each text line. Once the logo and / or details have been entered, there are three report template layouts to choose from. Use the drop-down menu to select the desired layout – a schematic of the layout will appear below the drop-down field detailing the layout of the logo and text. In this example, we created a cardiac assessment using the comments section. Notes No. 35 Measurement and report > OB tables SIEMENS Healthineers' ... Default OB Author Custom GA Table Custom Growth Curves Gestational Age Growth Analysis Measurement: Author Measurement: Author AC Hadlock Hadlock APTOXTTD Tokyo* AFI Moore BinocD Tongsong AFEZ Moore BPD Hadlock AFI 3 Moore Cerebellum Hill APTDXTTO Tokyo CRE Hadlock BPD Hadlock EFW Age Osaka* Cerebellum Verburg Hadlock Gist Magna Nicolaides FOOT Mercer Clavicle Sherer ITA Osaka* CAL Hadlock GSD Rempen EFW Hadlock Hadlock FL Jeanty Foot Chitty MSD Rempen FTA Osaka OFD ASUM 2003 GSD Hellman Tibia Jeanty Hadlock Jeanty HCIAC Campbell Jeanty LI CP Ratio Ebbing US Age (Ultrasound Age) EFW (Estimated Fetal Weight) Average Hadlock (BPD, HC, AC, FL) Restore Defaults 36 Unrestricted © Siemens Healthineers 2023 Unrestricted © Siemens Healthineers 2022 Speaker Notes: The OB Tables section has three tabs: • Default OB Author – authors can be selected from the drop-down menu associated with the growth parameter • Custom Growth Curves – the user can add / create custom gestational age tables • Custom Growth Curves – the user can add / create custom growth curves Note: For additional information, please refer to the ACUSON Origin Ultrasound System Release | Measurement Configuration presentation. Notes No. 36 Annotations > body marker SIEMENS Healthineers' ... System Configuration Package Configuration Touch Screen Layout Editor Package Configuration Touch Screen Layout Editor System Settings Body Marker Package Package Name Body Marker Package Name Show All Cantiac Cardiac Workflow Enhancement Abdomen Cardiac Carotid AN Packages Breast Imaging Settings Cardiac Body Marker Behavior Digital Breast Delete Body Markers on unfreeze GYN Measurement & Report Fetal Echo Digital Early OB Annotations GYN MSK Fetal Echo Neonatal Head Body Markers Early OB OB MSK Pediatric Abdomen LEA Neonatal Head LEV OB O Pediatric Abdomen LEA LEV Create Package Import Export New Page 37 Unrestricted © Siemens Healthineers 2023 Unrestricted © Siemens Healthineers 2022 Speaker Notes: The next main menu option is Annotations which configures selections for predefining body markers and text preferences. Body Marker packages can be created on the tab labeled Package Configuration and the touch screen can be configured under Touch Screen Layout Editor. Note: For additional information, please refer to the ACUSON Origin Ultrasound System Release | Text, Body Marker and Arrow presentation. Notes No. 37 Annotations > text SIEMENS Healthineers .... System Configuration Package Configuration Touch Screen Layout Editor Package Configuration Touch Screen Layout Edmon AB Packages System Settings Name Show AB Text Annotation Package Abdomen Cardiac Add Text Group Add Text Workflow Enhancement Carotid An Packagis Cardiac < > + < > + Imaging Settings Text Behavior Auto Complete Breast RIGHT TRANS PLAX LVOT Delete text on unfreeze Auto text complet Measurement & Report Digital LEFT LV CORONAL PSAX RVOT GYN Early OB Annotations Fetal Echo MSK Neonatal Head RA SVC A4C Early DB ce Body Markers MSK Pediatric Abdome RV MV ASC 401 Neonatal Head LESA Text UV PA AV AZC APEX Pediatric Abdomen TV SAG ABC AORTA LEA LEV Herial Create Package Import Export New Page Delete Page 38 Unrestricted © Siemens Healthineers 2023 Unrestricted © Siemens Healthineers 2022 Speaker Notes: The next main menu option is Annotations which configures selections for predefining body markers and text preferences. Text packages can be created on the tab labeled Package Configuration and the touch screen can be configured under Touch Screen Layout Editor. Note: For additional information, please refer to the ACUSON Origin Ultrasound System Release | Text, Body Marker and Arrow presentation. Notes No. 38 Features > protocols SIEMENS Healthineers ... Protocols are customized and created here Protocols and View System Configuration User Defined [] Multiple Select ratacol Name CARDIAC 2 * CARDIAC2 Add Protocol System Settings View 1 Progression Paused Images Add View Automatic Within the Protocol View 2 O Manual O At the End of the Protocol > Workflow Enhancement End Protocol At Exit Protocal Automatically end when all views O Remain in acquisition Imaging Settings Heptaon Text completed O Enter Report O Enter Review Measurement & Report Export Onder Copy View 1 Annotations View 2 Delete y Features Protocols View Detallis import Export 39 Unrestricted © Siemens Healthineers 2023 Unrestricted © Siemens Healthineers 2022 Speaker Notes: The next main menu option is Features. When selected, the submenu option Protocols is displayed. Protocols are customized and created here. Note: For additional information, please refer to the ACUSON Origin Ultrasound System | Protocols presentation. Notes No. 39 Features > stress echo SIEMENS Healthineers ... Stress Echo Protocols are customized and created here System Configuration stress Echo Wall Motion Scoxring Protocols Stress Echo Wall Motion Scoring System Settings Pharmacology Rest Select all views Workflow Enhancement Treadmill PORT O PLAX Bkcyde O PSAX Wall Motion Scoring Imaging Settings Regurgitant Volume O MC Measurement & Report PISA 0 A2C Segment Model Mitral Stenosis O 16 Segments Annotations Aortic Stenosis 17 Segments VVVVVVV Features Protocols Add Copy Delete Stress Echo Stage Name Stage Capture Settings Additional Settings Clip Capture Clips Por Captura Stage Timer Enter Selection Prospective Off O Do not enter Clip Type O Start at Beginning of Stage After View Capture Beats O Start at First Clip Store O After Stage Capture Apply to All Stages Display the reference view 40 Unrestricted © Siemens Healthineers 2023 Unrestricted © Siemens Healthineers 2022 Speaker Notes: The next menu option in Features is Stress Echo. When selected, the submenu option Stress Echo is displayed. Stress Echo protocols are customized and created here. Note: For additional information, please refer to the ACUSON Origin Ultrasound System | Stress Echo presentation. Notes No. 40 Features > 4D HeartAI SIEMENS Healthineers ... 4D HeartAI workflow protocols are customized and created here System Configuration Contours Default Direction For Speckle Tracking Left Ventricle LV Epicardiun Longitudinal System Settings Left Atrium Hikde O Circumferential Right Ventricle 2 Right Atrium Default Curve After Speckle Tracking > Workflow Enhancement Measurement Results Volume O Segmental Strain Imaging Settings Chambers Measurements O Global Strain O Left Ventricle (max 6) Default Timing/Phase After Speckle Tracking Measurement & Report O Left Atrium (max 4) EF (%) O Right Ventricle (max 4) GLS (%) End Systolic Strain Annotations Right Atrium (max 4) O Peak Systolic Strain Mass (g) O Time to Peak CO (U/min) O Post Systolic Strain Indexed Features EDV (mL) Protocols ESV (mL) SV (ml) Stress Echo Note: Capture sends all available measurements to the report. 4D Heart Al Display measurements as BSA Indexed (BSA suffix in above table) Number of Beats 02 0 3 04 05 Results Format Individual Beat Average of Beats 41 Unrestricted © Siemens Healthineers 2023 Unrestricted © Siemens Healthineers 2022 Speaker Notes: The next menu option in Features is 4D HeartAI When selected, the submenu option 4D HeartAI is displayed. The 4D HeartAI features are customized and created here. Note: For additional information, please refer to the ACUSON Origin Ultrasound System Release | 4D HeartAIpresentation. . Notes No. 41 Features > 2D HeartAI SIEMENS Healthineers ... AI 2D Heart features are customized and created here AI System Configuration Contours (Two frame-ED, ES Results) Default Curve After Speckte Tracking (LV) Deta Left Ventricle (A4C,A2C,A3C) LV Epicardiun Left Atrium (A4C,A2C) O Show Segmental Strain O Global Strain System Settings Right Ventricle (A4C) Hide O Volurne 21 Right Atrium (A4C) O Strain Rate Workflow Enhancement Measurement Results Default Curve After Speckle Tracking (LA) Chambers > Imaging Settings Measurements (max 6 per chamber) O Global Strain Left Ventricle Volume Measurement & Report O Left Atrium O Right Ventricle GLS (%) Default Timing/Phase After Speckle Tracking (LV) O Right Atrium O End Systolic Strain Annotations Mass (g/m2) Peak Systolic Strain Co (Umin) O Time to Peak y Features E EDV (mL/m2) O Post Systolic Strain USA O Post Systolic Strain Indexed Protocols ESV (mL/m2) BSA SV (mUm2) BSA Stress Echo Note: Capture sends all available measurements to the report. 4D Heart Al Display measurements as BSA Indexed (BSA suffix in above table) Note: Enter the Height and Weight to obtain BSA indexed values. 2D Heart Al Number of Beats (Two frame - ED, ES Results) 0 3 05 Results Format (Two frame - ED, ES Results) Individual Beat Average of Beats 42 Unrestricted © Siemens Healthineers 2023 Unrestricted © Siemens Healthineers 2022 Speaker Notes: The next menu option in Features is 2D HeartAI When selected, the submenu option 2D HeartAI is displayed. The 2D HeartAI features are customized and created here. Note: For additional information, please refer to the ACUSON Origin Ultrasound System | 2D HeartAI presentation. Notes No. 42 Features > AI Assist SIEMENS Healthineers ... AI Assist features are customized and created here System Configuration Al Assist Enable O Disable System Settings Workflow Enhancement Cardiac Views Color Anatomy Areas and PW and CW Anatomy Order Imaging Settings Areas and Order AZC MV MV Measurement & Report ABC Annotations A4C y Features A5C Protocols PLAX Stress Echo PLAX RVIT 4D Heart N PLAX RVOT PSAX AV 2D Heart Al PSAX Al Assist SUBC 4C SUBC IVC SSN 43 Unrestricted © Siemens Healthineers 2023 Unrestricted © Siemens Healthineers 2022 Speaker Notes: The next menu option in Features is AI Assist. When selected, the submenu option AI Assist is displayed. The AI Assist features are customized and created here. Note: For additional information, please refer to the ACUSON Origin Ultrasound System | AI Assist presentation. Notes No. 43 Transducer > Z6T transesophageal transducer SIEMENS Healthineers ... System Configuration 1. Transducer selection System Settings 26T Workflow Enhancemet 1 Imaging Settings Biplane+ Settings Assign function to co 5 2. BiPlane+ Settings Measurement & Report Rotation 2 Free Tilt Features Rotate at 360º No restrictions 4 Capture Bi-Plane Onio! Connectivity & Network 3. Default BiPlane+ Rotation Angle O Limit rotation to 180" O Perpendicular on tilt Transducer Loft B Right B Wireless Tilt Cursor Display Volume Transducer Auto hide after 1.5 seconds Peripheral Devices 4. Free Tilt System Management Default Biplane+ Rotation Angle O Left O', Right 90 3 5. Assign function to controls O Left O', Right 270 Right A light B 44 Unrestricted © Siemens Healthineers 2022 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The next main menu option is transducer. When selected, the submenu option Matrix is displayed. This allows customization of the Z6T transesophageal transducer and the 5Z1 cardiac Volume transducer. 1. Select the Transducer you wish to customize. 2. Bi-Plane+ Setting and Rotation • Rotation – Rotate 360 degrees or Limit rotation to 180 degrees 3. Default BiPlane+ Rotation Angle • Left 0 degrees / Right 90 degrees • Left 0 degrees / Right 270 degrees 4. Free Tilt • No restrictions or Perpendicular on tilt • Tilt Line Display – Auto hide after 1.5 seconds (check to enable Auto hide) 5. Assign functions to controls • Set Left and Right A and B controls (see next slide for options) 6. Restore Defaults • Restore factory default settings. Notes No. 44 Z6T Transesophageal Transducer > function control SIEMENS Healthineers ... Not Assigned V Not Assigned Capture Left B BiPlane+ On/Off Left A Increase Depth (press-and-hold function) Decrease Depth (press-and-hold function) Color On/Off CW On/Off PW On/Off Freeze Right Rotate Forward (press-and-hold function) Right B Rotate Backward (press-and-hold function) Increase Tilt Angle (press-and-hold function) Decrease Tilt Angle (press-and-hold function) 4D On/Off 45 Unrestricted © Siemens Healthineers 2023 Unrestricted © Siemens Healthineers 2022 Speaker Notes: The Z6T transesophageal transducer function control. Left A and B and Right A and B can be configured to the user preference. The selections are listed above. Notes No. 45 Transducer > 5Z1 volume transducer SIEMENS Healthineers' .... 1. Transducer selection 267 521 System Configuration 1 BiPlanes Settings 2. BiPlane+ Settings Systen Settings Workflow Enhancement Rotation 2 Imaging Settings Free Tilt Measurement & Report Rotate 360º . No restrictions 4 3. Default BiPlane+ > Annotations O Umit rotation to 180' O Perpendicular on tin · Features Rotation Angle Transducer THE Line Display Matrix 13 Auto hide after 1.5 seconds 4. Free Tilt Default BPLiner Rotation Angle O Left 0', Right 90 3 @ Left 0', Right 270- 46 Unrestricted © Siemens Healthineers 2022 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The following is customable for the 5Z1 Volume Transducer. 1. Select the Transducer you wish to customize. 2. Bi-Plane+ Setting and Rotation • Rotation – Rotate 360 degrees or Limit rotation to 180 degrees 3. Default BiPlane+ Rotation Angle • Left 0 degrees / Right 90 degrees • Left 0 degrees / Right 270 degrees 4. Free Tilt • No restrictions or Perpendicular on tilt • Tilt Line Display – Auto hide after 1.5 seconds (check to enable Auto hide) Note: Restore factory default settings is listed on each page. Notes No. 46 Connectivity and network SIEMENS Healthineers ... • Network Status System Configuration TCP/IP Display Format System Settings IPV4 -.........--- • Wireless Network > Workflow Enhancement Imaging Settings • DICOM Configuration Measurement & Report Network Status > Annotations Wired Features Wired • Export Transducer Connectivity & Network Status Disconnected Network Status MAC Address 00-13-95-48-DE-86 Detail Duration Speed 47 Unrestricted © Siemens Healthineers 2023 Unrestricted © Siemens Healthineers 2022 Speaker Notes: The next main menu option is Connectivity & Network. When selected, the following submenu options are displayed: • Network Status • Wireless Network • DICOM Configuration • Export Notes No. 47 Connectivity and network > wireless network SIEMENS Healthineers ... System Configuration Wireless Network Settings System Settings 21 Enable WiFi > Workflow Enhancement SSID V Encryption ySignal Strength Profile Saved Imaging Settings SWSCLAB01 WPA2PSK SWSIBCSRS01 WPA2PSK JAES Measurement & Report CRSP WPA2PSK SWSGP01 WPA2 › Annotations SWSSAAD1 WPA2 SWSIQHMFG01 WPA2PSK › Features SWSIQHSMS01 WPA2PSK TLS-Radiator WPA2 › Transducer ASUS WIFi 6 5G WPA2PSK ASUS WIFI 6 WPA2 y Connectivity & Network linksys 2.4 WPA2PSK EAP PEAP WPA2PSK Network Status Linksys_5G WPA2PSK Wireless Network US Service WPA2PSK WPA2PSK 8 8 8 88883 Add SSID etwork Key UserName SWSCLAB01 Remove Security EAP Type UserPassword WPA2PSK Connect None Encryption Certificate Name: Refresh AES Browse Import Certificate Refresh Complete 48 Unrestricted © Siemens Healthineers 2023 Unrestricted © Siemens Healthineers 2022 Speaker Notes: Wireless Network allows connectivity to an available wireless network and allows you to add specific ones. Note: For additional information, please refer to the ACUSON Origin Ultrasound System | Connectivity presentation. Notes No. 48 Connectivity and network > DICOM configuration SIEMENS Healthineers' .... System Configuration Local Host DICOM Service System Settings Property Workflow Enhancement Connection Type Wireless > Imaging Settings Host Nante : US2019 1 Lines Service Search Order Status: Disconnected Measurement & Report MAC Address : 00:DE:82:5084:90 Delete Annotations IPV4 Configuration Settings cal NE Tilles Features 3 Use DHCP RSIRIS ISCUI IP Address Transducer Connectivity & Network 2 Print [SCU] 3 83600315 Network Status Study Transter Checare) [SCP+SCU) Wireless Network Gateway [] Secure Study Transfer 83600315 SEC DICOM Configuration Study Transfer (Luisecure) [SCP+SCU] 4 49 Unrestricted © Siemens Healthineers 2023 Unrestricted © Siemens Healthineers 2022 Speaker Notes: In DICOM Configuration, you can configure the Local Host. These are: 1. Wired / Wireless 2. DHCP or Static 3. AE Titles 4. Secure Transfer Encryption Notes No. 49 Connectivity and network > DICOM configuration SIEMENS Healthineers ... 3 System Configuration Local Host DICOM Service > System Settings Server Type Properties 5 Workflow Enhancement DICOM Storage Aad Detailtt ServerName Sepre PACS > Imaging Settings PACS IP Address Measurement & Report 4 TEST Annotations SYNDYNI Features Port Nienbit 104 Verily Transducer Connectivity & Network 6 Delete Proches Query Model Staragn Commitment Network Status Study Foot Select SC Server Wireless Network Trasnfer Syntite Compression DICOM Configuration 2 Imilot Little Erstial E JPEG Losy Explicit Little Endian D JPEG Lossless 23 Explicit Big Endian Convert RGB to Monochstate ram No RGB Conversion Send Receive Acoustic Data [ Archive Node 23 Enable DICOM GSDF [] Secure Connection Reset: DICOM Storage 50 Unrestricted © Siemens Healthineers 2022 Unrestricted © Siemens Healthineers 2023 Speaker Notes: In DICOM Configuration, you can configure the Local Host and DICOM Service. (Available only for the network administrator) Users can configure the ultrasound system and connected devices, for example, servers and printers for DICOM by creating and editing profiles (DICOM configurations). To access a DICOM configuration: 1. Select the configuration icon on the Touch Screen and select Connectivity & Network. 2. Select DICOM Configuration. 3. Select the DICOM Service tab. 4. Select the required DICOM server type from the Server Type drop-down list. • DICOM Storage specifies settings for a DICOM storage location profile. • DICOM Worklist specifies settings for a DICOM worklist profile. • DICOM Print specifies settings for a DICOM printer profile. 5. Enter the DICOM Storage Properties. 6. To delete a profile, select the profile in the Server Name list and then click Delete. Note: The ultrasound system saves configuration settings changes when you navigate away from the page. Notes No. 50 Connectivity and network > export SIEMENS Healthineers ... System Configuration > System Settings Report Data Export Web API Workflow Enhancement [ Enable Transfer Server Address > Imaging Settings › Measurement & Report Network File Share > Annotations 1 User Name Features Domain/User Name 3 › Transducer Password Connectivity & Network Password Network Status Site Wireless Network DICOM Configuration 2 Export 51 Unrestricted © Siemens Healthineers 2022 Unrestricted © Siemens Healthineers 2023 Speaker Notes: (Available only for the network administrator) User can export current configuration settings to external media, for example, a USB storage device. To export network settings to external media: 1. Select the configuration menu icon and select Connectivity & Network. 2. Select Export. 3. Configure the export options, if necessary. Enable Transfer- Enables or disables the transfer of XML measurement reports Network File Share- Displays the network file share Domain / User Name - Specifies your domain user name Password - Specifies your domain password Web API - Specifies information about the Web API, Nuance, and PowerScribe Server Address - Specifies the server address User Name - Specifies the user name used to log on to the server Password - Specifies the password required Notes No. 51 Peripheral devices > foot switch SIEMENS Healthineers ... • Three footswitch pedals System Configuration System Settings • Functions that can be > Workflow Enhancement 1 Middle Right assigned to pedals > Imaging Settings Durst Burst Burst > Measurement & Report Flash Sequence Rash Sequence Flash Sequence > Annotations Clip Save Clip Save Clip Save > Features Color Color Cokal › Transducer CW CW > Connectivity & Network DVR Record DVR Record DVR Accord Peripheral Devices Auto TEQ Auto TEQ Auto TEQ Freeze Freeze Freeze Foot Switch Full Screen Full Screen Full Screen Image Store Image Store Image Szore M Mode M Mode M Mode 2 Next View Next View Next View Pause/Resume Protocol Pause/ Resume Protocol Pause Resume Protocol Previous View Previous View Previous View PW PW PW Review Review Review Harmonkes Harmonics Harmonics UD Print UD Print UD Print 52 Unrestricted © Siemens Healthineers 2023 Unrestricted © Siemens Healthineers 2022 Speaker Notes: The next main menu option is Peripheral Devices which configures selections for predefining Foot Switch, DVR, Print / Store, and Local Printer setting preferences. When selected, the submenu options are displayed. Foot Switch provides custom assignments to each pedal on a three-pedal footswitch. 1. Identifies the footswitch pedal to assign the function. 2. To assign a function to a pedal, select a function from the list located below the pedal. The selected function is highlighted in orange. Notes No. 52 Peripheral devices > DVR SIEMENS Healthineers' .... • Enable DVR System Configuration . System Settings ilei Namin Commetilloo • Default Video > Workflow Enhancement Defaut Video Distinillan 1 Destination > Imaging Settings O Network Fre Share Patient Last Scene 2 Path › Measurement & Report Patient First Name System Serial Number > Annotations Date & Timo > Features File Naming 158 Device Exam Type • > Transducer Convention > Connectivity & Network file names will be creed in ttes format Peripheral Devices Patient Last Name Patient first Name System Serial Number Date & Time mph Foot Switch Auto Start and Stop • Auto Start and Stop DVR []Automatically start video secceding when exam starts Automatically stop video recording when an exam ents 3 Restore Defaults 53 Unrestricted © Siemens Healthineers 2022 Unrestricted © Siemens Healthineers 2023 Speaker Notes: DVR provides a built-in system DVR to stream compressed video feed of the imaging monitor display to a USB or Network. The recording is saved as an MP4 file. Check to enable the DVR, uncheck to disable. 1. In this section, select either Network File Share or USB Storage (select from USB Device drop-down list) for default video destination. 2. This section provides options for the file name format when saving video recordings. Select the desired format from the options provided. An example of the selected naming format is displayed below this selection. 3. Check each box to automatically start video recording when an exam starts and / or stop when an exam ends. Note: If checked, video recording may still be manually started / stopped during an exam. Example: Unknown_800044_517202330927PM.mp4 (Name/SN System/Date/Time/Format Notes No. 53 Access the DVR from touch screen SIEMENS Healthineers .... 1. Additional Selections icon DAX 1514 10V4 Workflow 2. DVR Menu Patient DVR Imaging Video Destination Start Exit Review Report End Exam Service Image 2 Hide Banner DVR Record/Pause DVR Menu Enable Screen Saver Lock Screen Unlock USB ject USB Reconnect Wi-Fi DVR Menu Job Status send to Store Print Film Sheet 1 54 Unrestricted © Siemens Healthineers 2023 Unrestricted © Siemens Healthineers 2022 Speaker Notes: To access the DVR Menu: 1. Select the Additional Selections icon located on the lower left corner of the touch screen. 2. Select the DVR Menu option from the touch screen. Note: If dithered out, make sure you have a USB inserted and have enabled the DVR in System Configuration > Peripherals > DVR. Notes No. 54 DVR touch screen controls SIEMENS Healthineers ... 1. Video Destination Cardiac 5V1 Workflow 2. Available Space Patient DVR Imaging Video Destination : A:1 1 Pause Stop Exit 3. Video Timer Review Available Space : Report 228.0 GB ( Approx. 9.16:55:48) 2 5 6 7 4. Change Destination nd Exam Video Timer : 00:00:07 5. Start / Pause / Resume 3 . 00:00:07 3 Change 6. Stop Destination 4 X 7. Exit 55 Unrestricted © Siemens Healthineers 2022 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The DVR menu, located on the touch screen, displays the following: 1. The default storage location (selected in System Configuration > Peripheral Devices > DVR). 2. The amount of space available for recording on the selected media. 3. The time elapsed since the start of the recording. Select the following to: 4. Change the default video destination for video recording. When selected, the system activates the configuration settings under System Configuration > Peripheral Devices > DVR. Select either Network File Share or USB Storage as the default storage location for video recordings. 5. Select Start to begin recording. Select Pause to temporarily stop recording. Select Resume to continue recording after pausing. 6. Select Stop to end recording. 7. Select Exit to end the recording. When the recording is started and then stopped, the system saves a title on the recording media. Each time the recording is paused and resumed during a session, the system saves a chapter on the recording media. A title can consist of multiple chapters. The system assigns a title using the patient’s last name and the exam type. The fille is saved as an .mp4. Notes No. 55 Peripheral devices > print / store > image store SIEMENS Healthineers ... 1. Control Panel Image System Configuration Print Routing Capture System Settings Control Panel: Image Capture 1 Touch Screene UD Rint Control 2 Workflow Enhancement Imaging Settings Color Doppler 2. Touch Screen: UD Print Measurement & Report 20 Ref Annotations Control › Features Store 3 ]Store Transducer mage Store Connectivity & Network 4 Printers 3. Store y Peripheral Devices Store Server Imag Asto Transfer SR Auto Tramite Foot Switch Disabled OIp Auto Transfer Disabled Disabled DVR 4. Image Store Print / Store Embed Overlays 5 6 Advanced 5. Embed Overlays 6. Advanced 56 Unrestricted © Siemens Healthineers 2022 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Print / Store provides configuration selections for a printer or storage device connected to the ultrasound system. 1. This section provides selections for assigning the print function to the Image control on the control panel. Black and white, color and power Doppler, tinted image, B-mode with Doppler and miscellaneous images can be assigned to a printer using the drop-down menu for each. 2. This section provides selections for assigning the print function to the additional print selection on the touch screen. Black and white, color and power Doppler, tinted image, B-mode with Doppler and miscellaneous images can be assigned to a printer using the drop-down menu for each. 3. Check the box to assign the Store function to the designated control for storing images to the selected storage server. 4. The Image Store tab lists the storage servers available for storing images and indicates if / when images, clips and SR data is transferred to the storage device. Options for images and clips include: During Exam, End of Exam, Disabled. Options for SR include: End of Exam, Disabled. 5. Check the box to store graphics and text as an overlay on an image. 6. Select to access advanced settings for configuring the transfer of patient data. Note: For further information, please refer to the ACUSON Origin Ultrasound System | System Reference manual. Notes No. 56 Peripheral devices > print / store > printers SIEMENS . Healthineers ... 1. Printers System Configuration Print Routing System Settings Workflow Enhancement Control Panel: Image Capture Touch Screen: UD Print Control 2. Formatted by Imaging Settings BW Color Doppler Measurement & Report Tinted Annotations 2D Ret 3. Optimize large › Features Misc sheet Transducer Store Store Connectivity & Network Peripheral Devices Image Store 1 Printers 4. Advanced Foot Switch DVR Printer uto Transfer Layout tedia Size Orientation Sony UP-D711MC During Exam Landscap Print / Store 1X1 UserDefaut 3 Formatted by Optimize large sheet 4 Advanced O System Printer 2 57 Unrestricted © Siemens Healthineers 2022 Unrestricted © Siemens Healthineers 2023 Speaker Notes: 1. The Printers tab lists the available printers for printing images and indicates if / when images are sent to the printer. Options include: During Exam, End of Exam, Disabled. This section also lists: • The layout options for the number of images to print on each page. • The default paper size for printing images and the size of the filming sheet. • Portrait of landscape print layout options. 2. In this section, select the source of the page format. 3. When checked, “Optimize Large Sheet” prints the page without a full page of images. 4. Select to access advanced settings for configuring the film sheets. Note: For further information, please refer to the ACUSON Origin Ultrasound System | System Reference manual. Notes No. 57 Peripheral devices > local printer SIEMENS Healthineers .... 1. Local Printer System Configuration Local Printer Settings > System Settings Settings > Workflow Enhancement Configure > Imaging Settings 1 · Measurement & Report Refresh Refresh, Add, 2 2. > Annotations > Features Sony UP-071114 Remove Printer, Transducer > Connectivity & Network Remove Printer Test Printer Peripheral Devices Set ans default Foot Switch Test Printer DVR Print / Store Add Printer 3 3. Add Printer (via Local Printer USB) USB Printer is automatically installed when connected. 58 Unrestricted © Siemens Healthineers 2023 Unrestricted © Siemens Healthineers 2022 Speaker Notes: Local Printer predefines settings for devices connected to the ultrasound system. 1. This section lists the printers connected to the ultrasound system. 2. This section provides controls to: refresh the list of printers, access options for configuring a printer, delete the selected printer from the list, and confirm the configuration of the selected printer. 3. This section provides information on installing a printer connected to a USB port on the ultrasound system. Note: For further information, please refer to the ACUSON Origin Ultrasound System | System Reference manual. Notes No. 58 System management > system information SIEMENS Healthineers ... 1. Serial System Configuration System Information Number, Serial Number : 800048 System Settings Model : MI CV Product Workflow Enhancement Version Details ... Detall > SOFTWARE DETAILS 1 Version, Imaging Settings Automatic Disk Management Software Version 5 Enable Auno Cleanup SyngoVersion Version Measurement & Report 2 Archived 2 SecurityUpdateVention [ Archived & Committed Functional Country Functional Diubic Details Annotations 0 Sent 3 Features [] Sent & Committed › Transducer Fusion Power Line Frequency - 2. Details Connectivity & Network Frequency 0 50 HE Peripheral Devices 3. Automatic System Management Firmware Information System Information Disk Management Export (USE) Restore Defaults 59 Unrestricted © Siemens Healthineers 2022 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The next main menu option is System Management which provides local and remote access for authorized Siemens Healthineers service representatives to troubleshoot and maintain the ultrasound system. It also provides configuration selections for System Information, Security and Services setting preferences. When selected, the submenu options are displayed. System Information provides identifying information for the ultrasound system. 1. In this section, the system serial number, software version, and details about the installed software version are displayed. 2. When selected, detailed information about the installed software is displayed. (on a customer system) 3. When checked, activates deletion of unprotected patient studies when the amount of used storage space reaches a system-defined threshold. a. Archived - deletes archived patient studies. b. Archived & Committed - deletes patient studies that have been archived and confirmed as archived. c. Sent - deletes patient studies sent to a PACS. d. Sent & Committed - deletes patient studies that have been sent to PACS and confirmed as sent to PACS. Note: For further information, please refer to the ACUSON Origin Ultrasound System | System Reference manual. Notes No. 59 System management > security SIEMENS Healthineers' ... • Security Health Admin System Configuration Security Health- Admin System Settings syngo Security Configure> • Provides security status of Workflow Enhancement Windows 10 features listed Imaging Settings V Firewall Measurement & Report V Ports Detail> Annotations V Windows Hotfixes Detail> Features / User Account Management Transducer X Audit Trail Connectivity & Network X Active Directory Configure Peripheral Devices V Signed Drivers System Management X FIPS (Federal Information Processing Standard) Enable System Information BIOS Password Security V Memory Protection (ASLR, SEHOP, DEP) X Disk Encryption V Unlock USB Configur V/ Signed Install Media V MDS2 Detail > OSS Clearance Detail > X Secure DICOM Transfer Configure 60 Unrestricted © Siemens Healthineers 2023 Unrestricted © Siemens Healthineers 2022 Speaker Notes: Security provides the security status of the features listed under Security Health Admin. A check mark indicates an enabled feature and an “X” indicates a disabled feature. Note: Some selections are only available for the ultrasound system administrator or an authorized Siemens Healthineers service representative. For further information, please refer to the ACUSON Origin Ultrasound System | System Reference manual. Notes No. 60 System management > security > security configuration SIEMENS Healthineers ... • Configuration of users, roles System Configuration and functional privileges System Settings based on user login Security Configuration .. Workflow Enhancement / syngo Security Configure Imaging Settings ¥ Windows 10 Security View ... Measurement & Report Firewall • Pages / controls can be Annotations Ports Detail> 2 Password Configuration .. Windows Hotfixes hidden or dithered Detall> Features › Transducer ¥ User Account Management X Audit Trail Connectivity & Network X Active Directory Configure • Workflow related Peripheral Devices 1 Signed Drivers System Management X FIPS (Federal Information routing Standard) Enable System Information • System management ¥ NOS Password Security Memory Protection (ASLR, SEHOP, DEP) related X Disk Encryption Unlock USB Configure / Signed lestall Media MDSZ Detall> 055 Clearance Detail> X Secure DICOM Transter Configure 61 Unrestricted © Siemens Healthineers 2022 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Users, roles and functional privileges based on user login are configured under Security Configuration. Users - individuals that have access to the system through login. Roles (Groups) – a classification for a user account, providing access to functions or tasks on the system for multiple users. Active Directory – authorizes and authenticates the users and roles, enforcing security policies for those systems connected to the domain (hospital network database). The System Configuration pages that can be accessed by a user are: 1. Workflow related – can be hidden only (not dithered). The two types of user roles for workflow configuration are: Administrator (full access), Non-Administrator (access to Regional Settings only). 2. System Management related – can be hidden or visible but dithered (restricted). The five types of user roles by default for System Management configuration are: Administrators, Standard, Service, DICOM, Emergency. Configurable through System Management menu. Security settings for Groups / Roles and Privileges can be viewed under Security View. Password complexity and account policy can be configured by the administrator under Password Configuration. Note: Some selections are only available for the ultrasound system administrator or an authorized Siemens Healthineers service representative. For further information, please refer to the ACUSON Origin Ultrasound System | System Reference manual. Notes No. 61 Security > user login / logoff SIEMENS Healthineers ... 0 • User login / logoff icon End Session Patient • User names and passwords default to Imaging Lock System EP Review Log Off Admin ... • Admin; Report Log In Different User ... Sonographer; End Exam • OTT Change Password ... • Emer; • Configurable by Admin Help Cancel 62 62 Unrestricted © Siemens Healthineers 2022 Unrestricted © Siemens Healthineers 2023 Speaker Notes: When the login / logoff icon is selected on the touch screen, the user can lock the system, logoff, login and change their password. • The user login icon is available on the ACUSON Origin system • Login / logoff window can be disabled by service representative with a level 7 service key under System Configuration > Service > Local Service > Configuration > Settings > Disable Security (system reboots) • User names default to Admin, Sonographer, and Emer with blank passwords • User names and passwords are configurable by the Admin Notes No. 62 System management > service SIEMENS Healthineers ... 1. Local Service System Configuration Local Service Install Software 1 new Service limages System Settings Newest on Top 2. View Service Workflow Enhancement View Service Images Imaging Settings Capture Service Logs Images Measurement & Report View Licenses Annotations Event Log 3 3. Remote Service Features Restore Ail Defaults › Transducer Backup Connectivity & Network Restore 4 4. Remote Peripheral Devices Local Service Assistance y System Management Remote Service System Information Remote Service 2 Security 5. Import / Export Local Settings Service Import Export 63 Unrestricted © Siemens Healthineers 2022 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Service provides local and remote access for authorized Siemens Healthineers service representatives to troubleshoot and maintain the ultrasound system. 1. The Local Service section provides options to install software, backup and restore customized settings across software versions, view service images and licenses, save service logs, and export service images. It also is the set-up for the GSDF Monitor settings. Restore All Defaults will reset the entire system back to the default settings (licenses, system IP, Protected Health Information, and the study database are retained). 2. In this section, options to configure remote service for the ultrasound system are launched. 3. Here, a remote service session can be launched. A Siemens Healthineers representative guides you through each session of virtual communication. 4. The Import / Export controls are available on the main service menu under Local Settings for easy access. They can be used for exporting and importing demo system configuration settings. Note: Users have limited access to the service section. For further information, please refer to the ACUSON Origin Ultrasound System | System Reference manual. Notes No. 63 System management > service > backup / restore SIEMENS Healthineers' ... • Must use to convert settings across software versions • Can take minutes Backup Restore Available Media Status Avalable Media If required, the system may restart automatically once the restore is completed USB-[EN] Refresh redtures Backup success. USB-(A.]] Refresh successfully. Make sure all data is saved before processing to restore. Do you want to continue the restore operation? Annotations backup success. Measurement & Report backup success. Backup filename Status Backup filename System Settings backup success. Connectivity & Network backup success. 20221006152647_800023_VA50A_BACKUP.ar Cancel MYBACKUP Peripheral Devices backup success. Ultrasound Specific System Management backup success. Features Procedure and Imaging Settings backup success. Annotations Wireless Network backup success. Clone Package backup success. D Measurement & Report Sw Settings02 backup success. System Settings Auto Report backup success. B Connectivity & Network Security Settings backup success. Peripheral Devices Backup completed successfully. Q System Management WorkFlow Enhancement and Imaging Settings O Wireless Network [ System Service and Security Sw Settings02 Auto Report Backup Cancel Close O Security Settings Select all Close 64 Unrestricted © Siemens Healthineers 2022 Unrestricted © Siemens Healthineers 2023 Speaker Notes: To backup and save System Configuration settings to a USB device: 1. Connect a USB to the system and select Backup from the Service menu. 2. Select the USB from the Available Media drop-down menu. 3. Enter a backup filename and then select Backup. To restore the system from a backup file: 1. Connect the USB to the system and select Restore from the Service menu. 2. Select the USB from the Available Media drop-down menu. 3. Select the Backup filename and options and then select Restore. 4. The system will display a message that the system may restart automatically once the restore is complete. 5. Select OK. Note: Backup and Restore must be used to convert settings across systems that have different software versions (e.g., during a system upgrade). Certain preset parameters will not be restored, and defaults will be used (e.g., Color scale presets and exam configuration to exam association). Backup and Restore can also be used to copy all non-serial number specific settings across systems that are at the same software version during an install. The IP address, licenses and DICOM Host ID are not copied over. Notes No. 64 System management > service > import / export SIEMENS . Healthineers ... • Use to import Local Settings (e.g., demo presets) from USB to system • Takes less time than full Backup / Restore Export Local Settings Import Local Settings Export Local Settings Export successful. Available Media A:1 Refresh Available Media Refresh File Name MYDEMOPRESETS Erp File Name 20200304142924_801438_VA20A_MYPRESE OK 20200713210633 800570 VA25A_MYDEMOPRESETS.rp 20200304132357 801438_VA20A_MYPresets.rp Press OK to export Local Settings. Last Imported: 20200304 . System Settings . Workflow Enhancement Import Local Settings Imaging Settings · Measurement & Report Current configuration settings will be replaced. . Annotations The ultrasound system will automatically restart when the import completes. Import completed successfully. Click OK to restart the system. Features Do you want to continue? OK Cancel OK OK Cancel 65 Unrestricted © Siemens Healthineers 2022 Unrestricted © Siemens Healthineers 2023 Speaker Notes: To export the Local Settings listed to a USB device: 1. Connect a USB to the system and select Export from the Service menu. 2. Select the USB from the Available Media drop-down menu. 3. Enter a filename and then select OK. To import local settings from a backup file: 1. Connect the USB to the system and select Import from the Service menu. 2. Select the USB from the Available Media drop-down menu. 3. Select the filename and then select OK to confirm the completion message. 4. Upon completion, select OK to restart the system. Note: Import and Export can be used at a demo to more quickly copy local settings such as System Settings, Workflow Enhancement, Measurement & Report, Annotations, and Features from a demo USB. All settings in Connectivity & Network, Peripheral Devices, and System Management are excluded. Import / Export capabilities for one, many, or all customized settings can be performed from the Image Preset Configuration, Touch Screen Measurement Config, Body Markers and Text and Protocols menus (no system restart required). Notes No. 65 Data types and file extensions SIEMENS Healthineers ... This PC > (F:) MGM Search (F:) MGM Name Date modified Type Size Local Settings 20190716110314_899430_VA20A_DemoFile.rp TT TO/ CUTS TH:US AM RP File 1,242 KB 20190716110346_899430_VA20A_DemoFile.ar 0 11. E AM AD Cilla 127 048 KB Backup DemoFile.anno 7/16/2019 11:01 AM ANNO File 1 KB DemoFile.body 7/16/2019 11:01 AM BODY CiLA 1 KB DemoFile.Calc 7/16/2019 10:58 AM CALC File 84 KB Text Annotation DemoFile.image 7/16/2019 11:12 AM IMAULTI 4 KB Body Markers Calcs Image Presets 66 Unrestricted © Siemens Healthineers 2023 Unrestricted © Siemens Healthineers 2022 Speaker Notes: When viewed on a computer, the files that were backed up and / or exported will have their own extensions. If desired, files can be renamed; however, the extension must stay the same. The system filters the files located on the USB by extension during restore or import. The system can see everything at the root directory so there is no need for folders. Note: For instructions on exporting and importing Measurement (.calc), Annotation (.anno) and Body Marker (.body) files, please refer to the ACUSON Origin Ultrasound System Measurement Configuration presentation and the ACUSON Origin Ultrasound System Text, Body Marker and Arrow presentation. Notes No. 66 Summary SIEMENS . Healthineers .. • Explain System Configuration navigation • Review System Configuration menu 67 Unrestricted © Siemens Healthineers 2023 Speaker Notes: We have completed the review of the System Configuration navigation and Menu. Notes No. 67 The products/features mentioned in this document may not be commercially available in all countries. Due to regulatory reasons their future availability cannot be guaranteed. Please contact your local Siemens Healthineers organization for further details. ACUSON O r i g i n an d T E Q ar e trademarks of Siemens Medical Solutions USA, Inc. At Siemens Healthineers, our purpose is to enable healthcare providers to increase value by empowering them on their journey towards expanding precision medicine, transforming care delivery, and improving patient experience, all enabled by digitalizing healthcare. An estimated five million patients worldwide everyday benefit from our innovative technologies and services in the areas of diagnostic and therapeutic imaging, laboratory diagnostics and molecular medicine as well as digital health and enterprise services. We’re a leading medical technology company with over 120 years of experience and 18,500 patents globally. With over 50,000 employees in more than 70 countries, we’ll continue to innovate and shape the future of healthcare. Siemens Healthineers Headquarters Manufacturer Siemens Healthcare GmbH Siemens Medical Solutions USA, Inc. Henkestr. 127 Ultrasound 91052 Erlangen, Germany 22010 S.E. 51st Street Phone: +49 9131 84-0 Issaquah, WA 98029, USA siemens-healthineers.com Phone: 1-888-826-9702 siemens-heathineers.com/ultrasound 68 Unrestricted © Siemens Healthineers 2023 Notes No. 68 Thank you SIEMENS . Healthineers .. for your enthusiasm! Questions? HOOD05162003112111 69 Unrestricted © Siemens Healthineers 2023 Speaker Notes: No speaker notes. Notes No. 69