ACUSON Freestyle Elite with Artis Access

SIEMENS Healthineers ACUSON Freestyle™ Elite with Artis Access System Overview Unrestricted © Siemens Healthineers, 2020 Unrestricted 1 Objectives SIEMENS . Healthineers • Illustrate external features of Artis and ACUSON Freestyle integration • Explain Probe Controls and Features • Discuss Wireless Technologies • Summarize Imaging Technologies • Describe Advanced Features • Explain Licensing Configuration Options 2 Unrestricted © Siemens Healthineers, 2020 2 Access Redefined SIEMENS . Healthineers .. The ACUSON Freestyle Elite with Artis Access redefines access with cable‐free probes, external antenna, boom mount and Artis display imaging. 3 Unrestricted © Siemens Healthineers, 2020 Reduce cost of investment by purchasing solutions for the complete interventional suite through a single vendor, Siemens Healthineers. Cable free probes – quick charge capabilities and a probe battery life that supports 90 minutes of continuous use help ensure uninterrupted scanning. Freely move around the workspace with improved line of sight to the probe using the adjustable External Antenna. This is especially useful in crowded Interventional Radiology suites. The External Antenna provides signal connectivity between the system and the probe with range of up to 3 meters / 10 feet. Eliminate on floor system cabling with the system mounted onto the Siemens Artis Large Display. Promote clear visualization of the needle and target anatomy, reducing accidental punctures to improve patient safety and satisfaction. Mounted ACUSON Freestyle system with cable‐free probe requires no exposed cabling, promoting a safer working environment. 3 ACUSON Freestyle Elite with Artis Access and Artis SIEMENS . Healthineers Large Display Connection 2 Wired Ethernet Networking Connector 4 3 15‐pin VGA Connector Output 1 4 Unrestricted © Siemens Healthineers, 2020 To connect the ACUSON Freestyle® Elite with Artis Access: 1. Power must be plugged into Artis Large Display. 2. Wired Ethernet Networking Connector must be connected. 3. 15‐pin VGA connector output must be connected. 4. External Antenna must be connected to the left side of the system. Service will mount the External Antenna to the Large Display. The External Antenna is then cabled to the ACUSON Freestyle system. The External Antenna must be aimed towards the patient table. 4 Artis Display Selections SIEMENS . Healthineers .. Video Out- DICOM GSDF Show test pattern -Video Out DICOM GSDF SIEMENS DICOM GSDF SIEMENS SIEMENS SIEMENS SIEMENS LD DICOM SIEMENS SIEMENS SIEMENS LD DICOM natural English 5 Unrestricted © Siemens Healthineers, 2020 If the projected image from the ultrasound system to the Artis monitor display needs adjustments, there are multiple calibration adjustments available. Go to SETUP > SYSTEM > Display page to see the Video Out options. • DICOM GSDF (Default Setting): Video output calibrated to the luminance characteristics specified in DICOM Part 14: Grayscale Standard Display Function. Video quality depends on connected monitor. • LD DICOM: Provides a grayscale correction for the Siemens Large Display connected to a compatible Artis system utilizing LUT selection DICOM 14 Gamma Model with a 0.45 cd / sqm Luminance Minimum. NOTE: This setting was optimized for the Siemens Large Display monitor based on the Siemens‐authorized installation kit and may not be suitable for other monitors or configurations. • LD DICOM natural: Provides a grayscale correction for the Siemens Large Display connected to a compatible Artis system utilizing the DICOM 14 Gamma Model with a 0.28 cd / sqm (natural) Luminance Minimum. NOTE: This setting was optimized for the Siemens Large Display monitor based on the Siemens‐authorized installation kit and may not be suitable for other monitors or configurations. The LD DICOM natural setting is recommended when connected to Siemens Large Display. On the Artis system, select Display LUT: DICOM 14 Gamma Model with a 0.28 cd / sqm (natural) Luminance Minimum, or equivalent. ‐To test the calibration between the ACUSON Freestyle Series and the monitor, a Show test pattern feature is available under the Video Out option. Select the Show test pattern button to display a full screen test pattern. Touch any control (system or probe) to deactivate the test pattern and display the most recent screen. 5 Preforming an Exam SIEMENS . Healthineers .. 6 Unrestricted © Siemens Healthineers, 2020 • Select power located on the ACUSON Freestyle ™ Elite with Artis Workflow Ultrasound System, to power ON. • Remove a battery from the charger bays and insert into probe. 6 Preforming an Exam SIEMENS . Healthineers . Probe, External Antenna, and Artis Display 7 Unrestricted © Siemens Healthineers, 2020 • It is important to start the procedure with fully charged batteries by checking the dashes on the screen. Five dashes signify a completely charged battery. Each probe has a 1.5 hour battery life with continuous use. This ensures uninterrupted scanning. The probe batteries quickly charge, empty to full, in 2 hours. Five dashed lines represent the charge status, with the bright dashes representing the battery charge level. For example, four bright dashes and one dim dash mean the battery is at least 80% charged. Note ‐ charge status is also displayed in the SETUP > SYSTEM page. 7 Preforming an Exam SIEMENS . Healthineers .. Probe, External Antenna, and Artis Display L13-5 3 Meters / 10 Feet - + 8 Unrestricted © Siemens Healthineers, 2020 • Simultaneously press and hold the + / ‐ probe soft keys to power on the probe. • Release probe soft keys when audio signal is heard. • Stay within 3 meters / 10 feet of the system. • Maintain an unblocked line of sight between the probe and the external antenna. Improved performance may be achieved with shorter distances and/or a more direct line‐of‐sight between the probe and external antenna. The probe has six internal antennas (2 back and 2 on each side.) Avoid holding the back end of the probe, as this may block antennas. An antenna icon appears on the screen when the ACUSON Freestyle Series senses a connected external antenna. 8 Preforming an Exam SIEMENS . Healthineers ... Probe, External Antenna, and Artis Display L8-3 V Gen Unfreeze Save Scroll Cine Tools Text Print Close Unfreeze ANL 0.0 dB Setup Patient Measure View 9 Unrestricted © Siemens Healthineers, 2020 • Select Unfreeze to begin 2D imaging. • Check the Wireless Signal Quality Meter screen indicator, as a guide to maintaining a good link (best signal quality obtained with 4‐6 bars.) Note: If the image is frozen, the Wireless Signal Quality Meter is also frozen. The wireless signal quality meter is only active in live imaging mode. 9 Saving an Image SIEMENS . Healthineers L8-3 Gen Freeze Save L13-5 Gain Depth Colo N Gain Tools Exams - ANL 0.0 dB Setup Patient Measure View 10 Unrestricted © Siemens Healthineers, 2020 This is an optional step. Highlight Save via Slider Control, select “+” to Save image. Once the image is live, Gain and Depth will appear on the right side. Select “+” on the Remote Control soft key to increase Depth or Gain. Select “ ‐ ” to decrease Depth or Gain. 10 Close a Study SIEMENS . Healthineers Unfreeze Save All slides that show Scroll the system screen may be best black Cine Tools OR Text Print Close 11 Unrestricted © Siemens Healthineers, 2020 • There are 3 options to close an exam: 1. Select Close > Study Complete to close the exam. Close will appear when the image is frozen and a study is active. 2. Select Close Exam icon on Artis, icon is illustrated on the slide. 3. Begin a new patient on Artis. • Images will automatically transfer to the default PACs once study is closed (assumes a PACs device has been configured and set as default on Setup > DICOM page.) 11 Artis Workflow SIEMENS . Healthineers ... 1 3 2 12 Unrestricted © Siemens Healthineers, 2020 The integrated probe controls allow all imaging parameters to be changed remotely, reducing interaction with the system. Artis Patient Synchronization eliminates lead time to procedure by automatically populating patient registration data between systems. Efficiency is improved with Auto Send which instantly sends studies, upon exam completion, from the system to PACS. To enable Artis Patient Synchronization: SETUP > SYSTEM > Admin > Enable Artis Patient Synchronization. The ACUSON Freestyle Series will query the Artis system every 60 seconds or immediately upon probe power‐on. If a new patient / exam is detected, the system will automatically load patient data. If the exam is ended on the Artis, the ACUSON Freestyle Series will automatically end the exam and transfer any images to PACS. To enable the Auto Send feature, a default PACS must first be selected on the DICOM setup page by placing a check mark in the last column of the DICOM device list. The default device may also be selected by highlighting the device and selecting EDIT, and then placing a check mark in the Set as default checkbox. 12 Objectives SIEMENS . Healthineers • Illustrate external features of Artis and ACUSON Freestyle integration • Explain Probe Controls and Features • Discuss Wireless Technologies • Summarize Imaging Technologies • Describe Advanced Features • Explain Licensing Configuration Options 13 Unrestricted © Siemens Healthineers, 2020 13 Probe Controls SIEMENS . Healthineers . Probe Grip Probe Middle Key Probe On / Off LED / Index Marker Probe Frequency Range/ Index Marker + + / ‐ Remote Control 1.8 Soft Keys - Image Midline Marker J Slider Control 14 Unrestricted © Siemens Healthineers, 2020 The probes are remarkable in many aspects. A major differentiator is the integrated probe controls which allow remote control of all imaging parameters and reduced interaction with the system. This is especially useful in crowded Interventional Radiology suites. Because they are cable‐free probes, cable management is no longer a consideration. For example, cables may cause: decreased range of motion due to the torque of the probe, unsafe IR environments due to a cable tripping hazard, or inadvertent contamination of the sterile field. Capturing, reviewing and closing studies can also be accomplished by the probe controls. The LED lights solid during live scanning and flashes while in freeze mode. The LED light is normally green, but turns amber when the probe battery reaches < 20% power. The Plus soft key corresponds to clockwise rotation of the rotary control. The Minus soft key corresponds to counterclockwise rotation of the rotary control. The probe index marker is the side of the probe where the probe On / Off symbol is located it corresponds to the ACUSON “a” symbol next to the image display. The probe model numbers such as “L13‐5” also serves as an index marker. Two additional keys in the middle of the probe can be used as shortcuts for Freeze, Print, Color, Clip, Save, Wide, or Needle V. It requires three taps, on either side, to execute. To customize configuration for the probe middle keys: SETUP > SYSTEM > Probes. 14 Probe Options and Features SIEMENS . Healthineers . Broadband Probes L8‐3 L13‐5 C5‐2 ª 18-3 L13-5 C5-2 Frequency 8 ‐ 3 MHz 13 ‐ 5 MHz 5 ‐ 2 MHz Depth 1.5 ‐ 9 cm 1.5 ‐ 6 cm 4 – 24 cm Footprint / Radius of Curvature 38 mm 25 mm 60 mm ROC + + + 15 15 Unrestricted © Siemens Healthineers, 2020 There are 3 probes available. Each probe has integrated system controls to access all imaging parameters. There are two linear probes: the L8‐3 with larger footprint and deeper penetration and the L13‐5 for higher resolution and restricted access. There is also the C5‐2 curved probe for abdominal scanning or when greater penetration or field‐of‐view is required. The ACUSON Freestyle system and probes are designed to operate in the same room as X‐ray equipment. However, THE ACUSON Freestyle probes contain sensitive electronic components not found in conventional cabled probes. Avoid leaving probes directly in the active X‐ray beam. 15 Custom Probe Covers SIEMENS . Healthineers - leotthingers siemens.com/Freestyle ACUSON Freestyle" Series Ultrasound System Quick Raference Guide - Release 4.0 Double Click to Open and Download 18:3 16 Unrestricted © Siemens Healthineers, 2020 Convenient, custom‐sized CIVCO probe covers are available for all ACUSON Freestyle probes. Sterile field preparation time is reduced by 92% with cable‐free probes. Use rubber bands to ensure probe covers are secured tightly with no air bubbles around the probe face and no wrinkles around the Slider Control. For optimal sterile probe preparation, see detailed instructions in the ACUSON Freestyle™ Series Ultrasound System Quick Reference Guide. CIVCO Latex‐Free Wireless Ultrasound CIV‐Flex™ Probe Cover (CIVCO Product Number: 610‐1212). Probe Sheath Kit 11003359 16 C5‐2 Probe SIEMENS . Healthineers Biopsy Guide - X 6 17 Unrestricted © Siemens Healthineers, 2020 There are in‐plane and out‐of‐plane biopsy guides for the linear probes. The curved probe has an in‐plane biopsy guide available. L13‐5 Probe In‐plane Biopsy Guides: Infiniti Plus P / N 11002768, Civco Needle guide kit P / N 11002759. Small Gauge Option (18, 20, 12/22 and 25 Gauge) Large Gauge Option (12, 14, 16, and 18 Gauge) Out‐of‐plane Biopsy Guides: AccuSite P / N 11002310, Civco Needle guide kit P / N 11001907 (0.5 cm‐ 3.5cm) L8‐3 Probe In‐plane Biopsy Guides: Infiniti Plus P / N 11002309, Civco Needle guide kit P / N 11001906. Small Gauge Option (18, 20, 12/22 and 25 Gauge) Large Gauge Option (12, 14, 16, and 18 Gauge) Out‐of‐plane Biopsy Guides: AccuSite P / N 11002760, Civco Needle guide kit P / N 11002748 (0.5 cm‐ 3.5cm) C5‐2 Probe In‐plane Biopsy Guides: Infiniti Plus P / N 11003355, Civco Needle guide kit P / N 11003356. Small Gauge Option (18, 20, 12/22 and 25 Gauge) Large Gauge Option (12, 14, 16, and 18 Gauge) 17 Locating Wireless Probes SIEMENS . Healthineers' ... L8-3 V Gen Unfreeze 3.5cm G 9 Save SC 3 SF 4 PP 6 High Scroll 55dB 16 Hz Cine Locate Probe Low Please locate and secure L8-3 Tools probe Text High OK Print Close ANL 0.0 dB Auto-Freeze timeout Setup Patient Measure 18 Unrestricted © Siemens Healthineers, 2020 The system provides a basic level of localization as a means of assisting in preventing the unintentional separation of the wireless probe from the console. This feature protects the investment and strengthens equipment security via configurable localization alerts for console and probes. This feature uses the Bluetooth® radios in the probe and console, as well as other system functions, to monitor the connection and proximity of the wireless probe to the console. One such function is the Bluetooth signal strength, which decreases with separation distance. When an alert condition occurs, a visual notification will be displayed on the console and the probe will eventually emit a continuous audible tone. There are three programmable alert levels, as follows: • High: Visual and/or audible notifications will occur with these conditions: probe inactivity, a study is closed, the probe is turned off, the console is turned off. • Low: Visual and/or audible notifications will occur with these conditions: a study is closed, the probe is turned off, the console is turned off. The on‐screen flashing message will appear after approximately 3 minutes of inactivity. Audible system tones will be heard after an additional 2 minutes. Audible probe tones will be heard after an additional 1 minute at 15 second intervals. This will continue until OK is selected via system controls or probe +/‐ controls. Note: When High is selected, Enable Automatic Freeze is automatically selected and cannot be manually deselected. 18 Probe Cleaning and Disinfecting SIEMENS . Healthineers L8‐3 L13‐5 C5‐2 - Immersion level Disinfectant fluid Probe nose 19 Unrestricted © Siemens Healthineers, 2020 The entire probe or probe battery may be immersed for short periods of time (under three minutes) in approved chemical solutions. The probe and battery pack separately can be fully immersed in water; the specification for water immersion is a depth of 1 meter for one hour. Please refer to the manual for specific disinfectants and soak times. Do not immerse the Probe Adapter cable; wipe it with a cloth. Note: Do not continuously immerse (more than three minutes) the entire probe, battery pack or probe battery well in approved chemical solutions. 19 Objectives SIEMENS . Healthineers • Illustrate external features of Artis and ACUSON Freestyle integration • Explain Probe Controls and Features • Discuss Wireless Technologies • Summarize Imaging Technologies • Describe Advanced Features • Explain Licensing Configuration Options 20 Unrestricted © Siemens Healthineers, 2020 20 Breakthrough Wireless Innovation SIEMENS . Healthineers Ultra‐wideband (UWB) Wireless Networking Bluetooth® VOG Proprietary ultra‐ Powered by Bluetooth®, Built‐in wireless networking, wideband (UWB) radio integrated probe controls including Enterprise delivers seamless, real‐ and an internal alarm system Authentication, allows time wireless imaging. for probe location security. images to be sent securely and rapidly. 21 Unrestricted © Siemens Healthineers, 2020 UWB: Proprietary ultra‐wideband (UWB) radio delivers seamless, real‐time wireless imaging. UWB transfers image data from the probe to the system. Bluetooth®: Integrated probe controls and an internal alarm system for probe location security. Wireless Networking: Built‐in wireless networking, including Enterprise Authentication, allows images to be sent to PACS securely and rapidly. 21 Breakthrough Wireless Innovation SIEMENS . Healthineers Bluetooth, Zigbee WLAN 80.211b WPAN 802.15 3G Cellular WiMax Indoor Emitted Signal 4G Cellular Indoor Power WLAN 802.11a,g UWB coexistence mechanisms with other radio services 7.8 GHZ UWB 2.7 3.4 4.2 5.5 2.4 3.1 3.8 Frequency (GHz) 10.6 22 Unrestricted © Siemens Healthineers, 2020 The proprietary 7.8 GHz ultra‐wideband radio operates at a very low RF energy level, using a broad spectrum. This combination of high frequency and low transmit power give the radio excellent coexistence properties: it is not susceptible to RF interference from other devices, and does not interfere with other devices. 22 Objectives SIEMENS . Healthineers • Illustrate external features of Artis and ACUSON Freestyle integration • Explain Probe Controls and Features • Discuss Wireless Technologies • Summarize Imaging Technologies • Describe Advanced Features • Explain Licensing Configuration Options 23 Unrestricted © Siemens Healthineers, 2020 23 Pixelformer™ Image Processing Architecture SIEMENS . Healthineers .. L8-3 • Automated Uniform Focus V Gen Unfreeze Save • Automated Image Optimization Scroll with Automatic Time Gain Cine Compensation (TGC) Tools • Automated Frequency Adjustment Text at Different Depths Print Close ANL 0.0 dB Setup Measure View 24 Unrestricted © Siemens Healthineers, 2020 When learning how to utilize ultrasound, physicians are primarily taught how to modify five parameters: Depth, Focus, Overall Gain, Frequency and Time Gain Compensations. Because of the automation capabilities, 3 out of 5 parameters no longer require manual adjustment: Focus, Frequency and TGCs are automatically optimized. This helps to shorten the learning curve, system operation and exam time. The operator now only has to press Depth. Auto Focus – Achieved through Pixelformer™ imaging processing architecture provides both transmit and receive focusing at every pixel. Auto TGC and Overall Gain ‐ Automatically adjusts time gain compensation and gain based on signal strength, image content and depth settings. Frequency ‐ Automatically adjusts frequency with depth settings for greatest resolution and optimal penetration. 24 Imaging Features SIEMENS . Healthineers .. 2cm G 9 Compounding and Speckle Filter SC 3 SF 6 PP 10 55dB 7 Hz •Included in Image Presets •Improves Image Quality 25 Unrestricted © Siemens Healthineers, 2020 Two more imaging features: Compounding & Speckle Filter provide excellent image quality for easy visualization of anatomy and the needle. These technologies are included in the image preset. It is vital to choose the correct preset so all the technologies can collectively give an optimal image. The last exam preset will be chosen by default, V Gen will have the best image quality for IR procedures. Compound ‐ SC (1‐4) ‐ Spatial Compounding combines steering angles for improved contrast resolution and border detection. Higher levels increase number of angles. Speckle ‐ SF (1‐9) ‐ Available on live or frozen image. Speckle Filter applies image filters to remove speckle and enhance edges. Higher levels apply more filtering for smoother image appearance, similar to spatial compounding and DTCE. 25 Enhanced Needle Visualization SIEMENS . Healthineers .... In‐Plane Option No Enhancement With Enhancement ANL 0.0 dB ANL 0.0 dB 26 Unrestricted © Siemens Healthineers, 2020 Enhanced Needle Visualization comes standard with ACUSON Freestyle Elite and ACUSON Freestyle Elite with Artis Access. Enhanced Needle Visualization intensifies the brightness of the needle for enhanced needle visibility leading to faster procedural completion. Clear visualization of the needle and target anatomy can reduce accidental punctures and improve patient safety and satisfaction. There are two techniques for utilizing Enhanced Needle Visualization: in‐plane and out‐of‐plane. For In‐Plane, shallow and steep angles up to 40°may be visualized. For optimal needle visualization, select the graphic display that is most perpendicular to the needle path via the Inner Rotary Control. In‐plane technique: turn right or left for two angle positions on either side. Enhanced Needle Visualization is located in the B‐mode and Color Tools menu and can be selected for display in the list of Imaging Parameters on the Control Bar soft keys as Needle V under: SETUP > SYSTEM > Display > User Selected Keys. Note: The graphic display guide position can be saved in a User‐Defined Preset. The dotted line through the image approximates the steered angles active for that setting for brightening the display of a needle. For optimal display, the needle would be on a path that is perpendicular to this dotted line. Other linear shapes in the image that are perpendicular to this line, may also appear brighter. 26 Enhanced Needle Visualization SIEMENS . Healthineers' ... Out‐of‐Plane Option No Enhancement With Enhancement 07-AUG-2014 02:26:07 PM L8-3 V Gen 07-AUG-2014 02:25:57 PM L8-3 V Gen 0.0 dB 27 Unrestricted © Siemens Healthineers, 2020 The second technique for Enhanced Needle Visualization is the Out–of–Plane Option. For out‐of‐plane technique: turn the Inner Rotary Control to select horizontal graphic which appears as a dotted line at the bottom of the screen. 27 Objectives SIEMENS . Healthineers • Illustrate external features of Artis and ACUSON Freestyle integration • Explain Probe Controls and Features • Discuss Wireless Technologies • Summarize Imaging Technologies • Describe Advanced Features • Explain Licensing Configuration Options 28 Unrestricted © Siemens Healthineers, 2020 28 Wide Imaging Option SIEMENS . Healthineers' ... Linear Image Wide Image ----- ----- 07-OCT-2016 09:39:48 PM L8.3 Freeze L8.3 SP Thyroid 07-OCT-2016 09:48:13 PM SP Thyroid Freeze 4cm G 16 Clip G 16 Clip SC 2 SC 2 SF 9 PP 7 Wide SF 9 PP 7 Exit Tools 55dB 14 Hz Gain 12 Hz M-Line Depth Save Color Wide TGC Page Tools Exams ANL 0.0 dB Text ANL 0.0 dB Setup Patient Measure Setup Patient Measure 29 Unrestricted © Siemens Healthineers, 2020 Broaden your view with the new Wide mode for trapezoidal imaging. This is a standard feature on all ACUSON Freestyle Series systems. This is a valuable feature for thyroids and vessel interrogation. Wide broadens the view by angling the outer edges of the 2D image on linear probes. To set Wide on the Control Bar soft key menu select SETUP > SYSTEM > Display > User Selected Keys, otherwise it is located in the second page of B‐mode Tools. 29 Enable Automatic Study Management SIEMENS . Healthineers ... Admin M Enable Automatic Study Management 80 % Full Automatic Study Management Automatically Deletes the Available patient study database Oldest Studies Based on a Set remaining 20% of Rules: • Age of Study Decreasing patient study database to • Archival Status 70% of available storage. Oldest eligible studies will be deleted. • Empty Image Content OK Cancel 30 Unrestricted © Siemens Healthineers, 2020 When enabled, Automatic Study Management allows you to automatically delete eligible patient studies on an as‐needed basis, so you have enough system storage for your next exam. When the Study List reaches 80% of capacity, studies eligible for deletion will be removed from the Study List, starting with the oldest to newest, until the patient study database reaches 70% of capacity or no more eligible studies exist. For a study to be eligible for automatic deletion, it must be more than 5 days old and must either contain no image data or have been successfully archived. If the system’s hard drive is 100% full a dialog box will appear. 1. Selecting OK will automatically delete the oldest studies. 2. Save / Clip will not function until studies are deleted. User cannot store images when storage capacity is at 100%. Note: Enabling the Automatic Study Management feature without understanding its functionality may result in the unintended loss of data. 30 Enable Automatic Study Management SIEMENS . Healthineers Admin M Enable Automatic Study Management 100 % Full Automatic Study Management Patient study database full Freeze Clip Decreasing patient study database to Save 70% of available storage. Oldest eligible studies will be deleted. Gain Depth OK Cancel 31 Unrestricted © Siemens Healthineers, 2020 31 Objectives SIEMENS . Healthineers • Illustrate external features of Artis and ACUSON Freestyle integration • Explain Probe Controls and Features • Discuss Wireless Technologies • Summarize Imaging Technologies • Describe Advanced Features • Explain Licensing Configuration Options 32 Unrestricted © Siemens Healthineers, 2020 32 Artis Bundle Option SIEMENS . Healthineers . • Patient Synchronization on option • Freestyle External Antenna • Installation kit 33 Unrestricted © Siemens Healthineers, 2020 Redefine access with the ACUSON Freestyle Elite and Artis Access bundle, including: • Artis Patient Synchronization option • ACUSON Freestyle External Antenna for Artis (VD11 or VE10) • Mounting and installation hardware Note: ACUSON Freestyle Elite with Artis Access is only compatible with Siemens Artis AT systems. See a Siemens Healthineers representative for more information. 33 Licensing Configuration Options SIEMENS . Healthineers ACUSON ACUSON Freestyle Freestyle Elite ACUSON Freestyle Elite [w / Artis Features system system Access] system Monitor: 15 in / 38 cm LED / LCD ●● ● Video Out (Gamma) Correction (only for Siemens AX / Boom) ●● ● Artis Patient Synchronization ○ ● ‐‐‐‐ External Antenna (VESA Mount) ○ ○ ‐‐‐‐ External Antenna (Artis Mount) ● ‐‐‐‐ ‐‐‐‐ Push Button Knob ●● ● Wide (Trapezoidal) Mode ●● ● DICOM (Storage, Commit, MWL, MPPS & Media) ○● ● Enhanced Needle Visualization ○● ● Wireless Networking ○● ● Auto Send ●● ● Release 4.0 SETUP Screen Optimization ●● ● Auto Study Management ●● ● Console Localization Alerts ●● ● Additional On‐screen Languages (Chinese & Korean) ●● ● Differences between ● Standard ○ Optional N / A ‐‐‐‐ configurations Unrestricted © Siemens Healthineers, 2020 For ACUSON Freestyle (non‐Elite), wireless is a Zero cost option. ACUSON Freestyle Series & ACUSON Freestyle Series Elite Configurations: • Needle Visualization • DICOM • Wireless Networking • Auto Send ACUSON freestyle Elite vs ACUSON Freestyle Elite with Artis Access: • Artis Patient Synchronization • Artis Bundle (Artis Patient Synchronization, Freestyle External Antenna, installation kit) 34