ACUSON Juniper™ Quick Reference Guide - VB10 | 1.5 Software

whatifer ACUSON Juniper ultrasound system Quick Reference Guide O VB10 SW Release siemens-healthineers.com/juniper SIEMENS Healthineers ACUSON Juniper SIEMENS Healthineers 2 At Siemens Healthineers, our mission 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 Table of content everyday benefit from our innovative technologies and services in the areas of diagnostic and System Overview 3 therapeutic imaging, laboratory diagnostics and Getting Started 12 molecular medicine as well as digital health and 2D and M-mode 22 enterprise services. Color and Spectral Doppler 40 SieScape Panoramic Imaging 58 We’re a leading medical technology company with Measurements and Reports 60 over 120 years of experience and 18,500 patents Text, Arrows and Body Markers 70 globally. With over 50,000 employees in more than Data and Image Management 76 70 countries, we’ll continue to innovate and shape Care and Cleaning 88 the future of healthcare. System Overview 3 1. Flat Panel Display Monitor 2. 2 USB Ports 2 1 3. Power On / Off (QuikStart standby) 4. Pull-out Keyboard (optional) 5. Rear Handle 7 ACUSONE 5 Juniper 8 6. Gel Warmer 7. Articulating Arm (tilt, swivel, raise, lower) 3 6 9 8. Touch Screen 9. Control Panel (height and swivel adjustable) SIEMENS Beathineers? 10. 5 Transducer Ports 10 11. Auxiliary CW Pencil Port ----- 4 11 12. Lock / Steer / Swivel Wheels 12 System Overview System Overview 4 Power on and QuikStart Stand-by Mode 1. Press the Power key to turn the system on or to enter the system shutdown menu 2. Select Shutdown to turn the system off 3. Select Restart to reboot the system 1 4. Select Standby to enter QuikStart stand-by mode which allows the system to power off/ on in less than 5 seconds System Shutdown System can remain in Standby Mode for up to 30 minutes before it must be connected -- How do you want to proceed? to a power source. Shutdown Restart Standby Cancel 2 3 4 Control Panel 5 1. Soft Key Rotary Controls 2. Patient Study Control 1 3. Exam Selection 4. Review 2 Patient 2D 5. Report 3 Exam PW M CW 30 /40 eSielmage 6. Steer 4 6 9 Review Steer 1 Depth / Focus C 7. Select 5 Angle 14 Report 10 8. UD (user-defined keys) UD 1 Esc Dual Zoom 8 11 9. Angle 13 UD 2 Text Body Marker Caliper Print Store 1 Clip Store 10. Escape 7 12 Select UD 3 Pointer 11. Text, Body Marker, Arrow 15 15 Print Store 2 12. Pointer 13. Trackball 14. Update 15. Left / Right Set System Overview System Overview 6 Control Panel 16. Pulsed Wave Doppler 17. Color Doppler 18. 2D Mode 16 17 18 19. M-mode 19 Patient 2D 20. Continuous Wave Doppler Exam PW M 27 DI4D eSielmage 21. 3D / 4D X Review 20 21 22 26 Steer Angle $ Depth / Focus C 22. eSieImage Multi-parametric Report 23 28 Optimization UD 1 Esc Dual Zoom 23. Dual ABC 24 29 *... x UD 2 Text Body Marker Caliper Print Store 1 Clip Store 24. Caliper 25 Select UD 3 Pointer 25. Freeze Print Store 2 26. Depth / Focus 27. DGC Controls 28. Zoom 29. Print, Store and Clip Monitor Screen Layout 7 1. Patient Banner 10 SIEMENS Healthineers 1 48 2. Orientation Marker Abdominal 5C1 2 Abd Abd Renal Bowel Tx Power 100% MI 1.11 3. Imaging Parameters FAST Lung TIS 0.7 TIB 0.7 Clarify VE 3 Right Left None ASC 1 3 DTCE Med 4. Image Screen Menu Area Prox Mid Dist None Dyn R 63 dB THI 3.6 MHZ Liver Length -10 dB 10 fps 5. Measured Results (movable) GB Wall Thickness D 10.1 mm GB Length 6 9 CBD 6. Image Display 5 CHD 4 Kidney Length 7. User-Defined Key Functions Kidney Width Kidney AP Spleen Volume 8. Trackball Functions Aorta 12 cm HD 2 Pancreas Head 9. Thumbnail Display Pancreas Body Pancreas Tail Fr223 IVC 10. Status Icons 7 UD 1 Nome UD 2 None UD 3 None 8 System Overview System Overview 8 Touch Screen Layout 1. Login / Logoff 1 A 13L4 14 5C1 12L3 11L4 9MC3 CW8 Thyroid Add Exam 9 2. System User Manual 2 ? 2D 8 Elasticity SieScape eSieScan 3. System Configuration 7 4. Digital Keyboard 3 5. Study Display Options 4 Clarify VE Clarify VE Levels 10 6. Soft Key functions that Clear THI Split 4 FOV Size Biopsy Settings Biopsy 12 Screen correspond to rotary controls 11 Hide Patient Physio Settings > Trapezoid 4B Full FOV 7. Active Modes 5 Image Param 8. Advanced Application Tabs Clip Settings Needle Visual. DTI End Exam Add Exam 13 9. High Density DTCE Med R/S 4 Tint 10 Image Size 12 Tx Power 100% 10. Blue Highlight = 6 MultiHertz 8.0 MHz Adv. SieClear 2 Dyn F 68 dB Map C Focus Width TEQ Gain O Active Selection 11. Grayed-Out = Unavailable Selection 12. Gray Highlight = Available Selection 13. Page Navigation 14. Transducers LAg Connecting Transducer 9 1. Ensure the lever lock is in the left, unlocked position 2. Align the connector and press into the transducer port 3. Place the lever into the right, locked position ACUSON ACUSON 11L4 " 11L4 ED System Overview System Overview 10 System Casters /Steering Easy wheeling casters • Individual brakes • Lock / steer/ swivel functionality 11 System Overview Getting Started 12 Patient Registration – Manual 1. Press the Patient Key Patient 2. Select the Patient Tab on the Touch Screen Patient Browser Review 3. Enter patient information 4. Select transducer and exam 5. Select OK Tip: Transducer and Exam can also be selected from the Touch Screen after patient registration by selecting Exam on the Control Panel. 13 Register New Patient New Patient Patient Demographics Edit Patient Data Last Name Patient Patient ID 1234 First Name A Date of Birth DD MM 1 YYYY Age 3 Mi Pre Suf Gender Male Female @ Other Height cm BSA m Weight kg BP mmHg Exam Transducer 12L3 Accession No. 4 Exam Thyroid Indication Protocol Medical Information Additional Info Add info Order Information Performing MD Dr FirstName LastName Referring MD Dr FN UN Sonographer First Last 5 OK Cancel Getting Started Getting Started 18 Transducer /Study Control Panel and Touch Screen A 13L4 5C1 1213 Thyroid 2 11L4 9MC3 2/ CW8 Add Exam 1. Select Exam Exam 2 Breast MSK FAST Carotid 3 Close 2. Select the transducer on the Touch Thyroid Digital Lung Venous Edit Screen Testis Nerve Bowel Arterial 3. Select the desired Exam type Clear Screen Penile Spine OB Hide Patient Ped Hip Image Param End Exam Store, Print, and Clip Store 19 3 5 Control Panel and Touch Screen 1. Press Freeze 2. If desired, roll trackball for frame-by- frame CINE review Print Store 1 Clip Store 3. Press Print Store 1 to save a static image 4. Press Print Store 2 to save and print1 Press Clip Store to acquire and save Print Store 2 5. a clip while scanning 4 1 1 A compatible printer must be connected Tip: Clip Store length is adjustable on the and assigned to the print function in Touch Screen during live scanning. the Configuration menu before using selection. Getting Started Getting Started 20 Review and End Exam 1. Press Review Review 2. Select the desired layout on 1x1 1X2 2x2 the Touch Screen 3×3 4x4 5x5 3. Rotate the Page soft key or rotate Select to move between Select images 4. Select End Exam on the Touch End Exam Screen to end the study 21 Patient Browser Review ? General Review Select all Deselect All 2 1×1 1X2 2x2 Archived Report 3x3 4×4 5×5 Show Selected Slide Show Stress Echo Review Clear Teaching File Export PC Printer USB B&W USB Color Screen Printer Printer AHP Hide Patient Delete syngo VI Image Param K Save Reset Marker 4 End Exam Page 3 DICOM Print Cine Speed Cine Start Marker Cine End Marker 25 / 25 Color Cine Frame Getting Started 2D and M-mode 22 2D Control Panel Patient Y 2D Exam PW M 11 2 CW 3D / 4D eSielmage X Review Steer Angle $ Depth / Focus C Report S UD 1 Esc Dual Zoom ABC x ... x UD 2 Text Body Marker Caliper Print Store 1 Clip Store Select UD 3 Pointer Print Store 2 23 2D Controls Function 2D Enters / exits 2D-mode or adjusts overall 2D gain / brightness eSieImage (eSieImage Automatically and continuously applies TEQ in real-time multiparametric image Press twice to deactivate optimization) Note: Available on a live image only Manually adjusts gain / brightness at depth DGC Default all slide pods in the center Magnifies the image Zoom Rotate to increase or decrease image magnification Note: Zoom is available on a live and frozen image Increases image size, detail resolution and frame rate in a region of interest (ROI)/Displays “HD Z” on the image screen Press Zoom key to display the ROI and roll trackball to position HD Zoom Rotate (or, press right or left Set key) to resize the ROI and Press to activate Press again to deactivate Note: Available on a live image only 2D & M-mode 2D and M-mode 24 2D Control Panel 2D Controls Function Adjusts the number of focal zones # of Focal Zones Press the Depth/Focus control to select the desired number of focal zones Note: Availability varies by transducer, exam type and THI activation Adjusts the scanning depth and the focal zone Press the toggle up / down to adjust the depth Depth / Focus Rotate the toggle to adjust the focal zone Note: Direction of depth and focal zone control is customizable in the Configuration Menu / Custom Keys Displays two separately acquired images side by side Dual Press Dual to activate and toggle between images Press the 2D key to exit 25 Increases the line density /frame rate Press the Set key and roll trackball to resize the sector 2D Sector Width Press the Set key and roll trackball to position Press the Set key to lock Note: Available on a live image only, not available on linear transducers 2D & M-mode 2D and M-mode 26 2D Touch Screen 13L4 5C1 12L3 11L4 9MC3 OB + Add Exam ? 2D Elasticity Slescape eSieScan Clarify VE Clarify VE Levels 3 Clear THI Split FOV Size Biopsy Settings Biopsy Screen Hide Patient Physio Settings > Trapezoid 4B Full FOV CTI Image Param Clip Settings Wide FOV DTI High Density DTCE Med R/S 5 Tint 3 Image Size 2 Tx Power 100% MultiHertz 6.2 MHZ Adv. SieClear 1 Dyn R 65 dB Map D Focus Width TEQ Gain O 2D Controls Function 27 Displays linear or trapezoid image format Trapezoid Select to activate / deactivate Note: Available on Linear transducers and on a live image only Live Dual (Split)* Activates two simultaneous images in dual format Select to activate / deactivate Displays four separately acquired images 4B Select 4B to activate and add each image Select 2D to exit Note: Available on a live image only in 2D and Color Doppler Increases contrast and lateral resolution, reduces noise and clutter THI (Tissue Harmonic Imaging) Select to activate / deactivate Note: Available on a live image only Needle Visual Activates multiple needle interrogation angles (Enhanced Needle Select to display available in-plane needle enhancement options Visualization) Note: Available on a live image only *Note: This guide uses the term “Live Dual” to refer to Split imaging displayed as Split on the ultrasound system 2D & M-mode 2D and M-mode 28 2D Touch Screen 2D Controls Function Increases the distance between multiple focal zones Focus Width Rotate to increase / decrease the distance between multiple focal zones Activates a larger field of view Wide FOV Select to display the 220° FOV Note: Available on the 9MC3 transducer only Changes the FOV back to 176° Full FOV Note: Available on the 9MC3 transducer only Activates the FOV size FOV Size Select to increase / decrease the size of the FOV (also can use trackball and select keys) Note: Available in Full FoV on the 9MC3 transducer only 29 Clarify VE Decreases artifacts, increases contrast resolution and boundary (Clarify vascular detection in structures with flow enhancement [VE] Press to activate / deactivate technology) Note: Available on a live imaging only Adjusts levels of sensitivity when using Clarify VE Clarify VE Levels Select higher level to increase sensitivity Select lower level to decrease sensitivity Note: Available on a live image only Adjusts orientation on the image screen U/D and R / L Flip Press to activate / deactivate Note: Available on a live or frozen image Selects the type and length of clip capture Clip Settings Chronology – prospective /retrospective, capture type, acquisition rate and trigger type Note: Available on a live image only Optimizes the 2D image by adjusting the speed of sound for fatty CTI tissue versus dense tissue in Breast imaging (Custom Tissue Imaging) Press to activate Adjust the CTI levels based on the type of breast tissue 2D & M-mode 2D and M-mode 30 2D Touch Screen 2D Controls Function Activates contrast imaging for the left ventricle LVO Contrast (Left Ventricular Press to activate / deactivate Opacification) Note: Only compatible with the 5P1 transducer in the Adult Echo preset 2D Soft Keys 31 2D Controls Function Compounding* (Advanced SieClear spatial Enhances contrast resolution and boundary detection compounding and SieClear Increase for more compounding multi-view spatial Decrease for less compounding compounding) Note: Available on a live image only TEQ Gain Adjusts default gain setting for eSieImage multiparametric imaging Balances line density (spatial resolution) and frame rate R / S Increase to improve image detail (Resolution / Speed) Decrease to improve frame rate Note: Available on a live image only *Note: This guide uses the term “Compounding” to refer to Advanced SieClear spatial compounding and SieClear multi-view spatial compounding displayed as Adv. SieClear or SieClear on the ultrasound system 2D & M-mode 2D and M-mode 32 2D Soft Keys 2D Controls Function DTCE (Dynamic TCE tissue Reduces speckle and enhances tissue contrast contrast enhancement Settings are Low, Medium and High technology) Note: Available on a live image only Adjusts the size of the image display Image Size Increase for a larger image display, decrease for a smaller image display Available options are 0–4 Note: Available on a live image only Adjusts the level of acoustic energy delivered to the patient Tx Power Rotate clockwise to increase power (Transmit Power) Rotate counterclockwise to decrease power Note: Available on a live image only Adjusts number of gray shades displayed 33 Dyn R Rotate clockwise for a softer/ grayer image (Dynamic Range) Rotate counterclockwise for more contrast Note: Available on a live or frozen image Adjusts transmit frequency of the active multi-frequency transducer MultiHertz (MultiHertz multiple Use higher frequency for increased resolution frequency imaging) Use lower frequency to increase penetration Note: Available on a live image only Map Selects a processing curve that assigns echo amplitudes to gray shades Rotate to select desired Map Colorizes the gray scale image Tint Rotate to select desired Tint 2D & M-mode 2D and M-mode 34 M-mode Control Panel N Patient Y C 2D PW M Exam 11 2 CW 3D / 4D eSielmage X Review Steer Angle $ Depth / Focus C Report S UD 1 Esc Dual Zoom ABC x ... x UD 2 Text Caliper Print Store 1 Clip Store Body Marker Select UD 3 Pointer Print Store 2 35 M-mode Controls Function Enters / exits M-mode or adjusts overall M-mode gain M Press to activate / deactivate (M-mode) Rotate to adjust overall M-mode gain Roll trackball to position M-line Note: Available on a live image only Alternates between 2D/ M-mode formats Update /View Press Update to move between modes Note: Available on a live image only Enters / exits color M-mode With color Doppler activated, press M (M-mode) Color M-mode Position M-line and Press M Press M (M-mode) again to deactivate Note: Only available with cardiac transducers 2D & M-mode 2D and M-mode 36 M-mode Touch Screen A 5P1 8V4 10V4 Adult Echo + Add Exam ? 2D M este!! Stress Echa eSieScan Clear Screen Hide Patient Physio Settings > Full M M Mode Image Param Clip Settings Angle AMM Marker AMM End Exam Tint MultiHertz 3.7 MHZ Edge 2 Dyn R 60 dB Map D Sweep 4 Tx Power 100% 37 M-mode Controls Function Changes the display format to full screen M-mode Full M Press to activate / deactivate Angle AMM Views the M-mode sweep based on patient anatomy, independent of (Anatomical M-mode) transducer orientation utilizing angle rotation Press to activate / deactivate Views the M-mode sweep based on patient anatomy, independent Marker AMM (Anatomical M-mode) of transducer orientation utilizing freehand drawing of the angle Press to activate / deactivate 2D & M-mode 2D and M-mode 38 M-mode Soft Keys M-mode Controls Function Sharpens the contours of a structure in the M-mode sweep Increase for more sharpness Edge Decrease for less sharpness To deactivate, select zero Note: Available on a live image only Selects a processing curve that assigns echo amplitudes to gray shades Map in the M-mode sweep Note: Available on a live and frozen image Colorizes the M-mode sweep Tint Note: Available on a live and frozen image Adjusts the number of gray shades displayed in the M-mode sweep DR Rotate clockwise for a softer/ grayer sweep (Dynamic Range) Rotate counterclockwise for more contrast Note: Available on a live or frozen image 39 Adjusts the scrolling speed of the M-mode sweep Sweep Increase to display fewer cardiac cycles Decrease to display more cardiac cycles Note: Available on a live or frozen image 2D & M-mode Color and Spectral Doppler 40 Color Doppler Control Panel N Patient Y C 2D O PW M Exam CW 3D / 4D eSielmage X Review Steer Angle $ Depth / Focus C Report S UD 1 Esc Dual Zoom ABC x ... x UD 2 Text Caliper Print Store 1 Clip Store Body Marker Select UD 3 Pointer Print Store 2 41 Color Doppler Controls Function Enters / exits color Doppler or adjusts overall color Doppler gain C Press to activate / deactivate color Doppler mode (Color Doppler) Rotate to increase / decrease color Doppler gain Note: Available on a live image only Adjusts the color ROI Increases frame rate by decreasing the color ROI width or depth Color Box Size / Position Press Set to alternate between Size / Position Roll the trackball to resize or reposition color ROI Note: Available on a live image only Steers the Color ROI Steer Toggle the Steer key left/right to steer Note: Steering angle is transducer dependent Color & Spectral Doppler Color and Spectral Doppler 42 Color Doppler Touch screen A 5P1 8V4 10V4 Adult Echo + Add Exam ? 2D este!! Stress Echo eSieScan Split Clear 4B VelTag Screen Off E Hide Patient Physio Settings > Color Display DTE Image Param Clip Settings 2D Adv. SieClear Invert DTI CDE End Exam Filter 1 R/S Priority 2 Smooth 2 Tx Power 100% W MultiHertz 2.5 MHZ Scale 4325 Hz Baseline Map D Flow Med Persist O 43 Color Doppler Controls Function CDE Applies color based on flow amplitude (Color Doppler Energy) Note: Available on a live image only Turns color display off when in color Doppler Color Display Select to activate / deactivate Note: Color ROI remains on the image Reverses the colors depicting forward and reverse flow in the color ROI and the color bar Invert Select to activate / deactivate Note: Available on a live or frozen image Displays four separately acquired images 4B Press to activate and add each image Note: Available on a live image only in 2D and Color Doppler DTI Activates the Doppler tissue imaging feature for cardiac exams (Doppler tissue imaging Press to activate / deactivate capability) Note: Available on a live image only Color & Spectral Doppler Color and Spectral Doppler 44 Color Doppler Soft Keys Color Doppler Controls Function MultiHertz Adjusts the color Doppler frequency independent of the 2D frequency (MultiHertz multiple Rotate to increase / decrease frequency imaging) Note: Available on a live image only Selects a processing curve that assigns the velocity / velocity variance Map (Color) or flow amplitudes (Power) to a range of colors Note: Available on a live and frozen image Adjusts the level of acoustic energy delivered to the patient in color Doppler mode Tx Power Rotate clockwise to increase power (Transmit Power) Rotate counterclockwise to decrease power Note: Available on a live image only, changes mechanical and thermal indices 45 Adjusts spatial averaging (smoothing) for color flow Smooth Increase for flow sensitivity Decrease for color spatial resolution Note: Available on a live image only Adjusts the pulse repetition frequency (PRF) Scale Rotate clockwise to increase PRF Rotate counterclockwise to decrease PRF Note: Available on a live image only Adjusts the range of flow velocities displayed above and below the Baseline baseline Rotate to adjust the baseline of the active mode Prioritizes the display of grayscale or color flow data Priority Increase for greater color fill Decrease to prioritize grayscale and less color fill Adjusts the time that the color flow data remains in the ROI before being replaced by another color Persist (Persistence) Increase for greater color fill Decrease to increase temporal resolution Note: Available on a live image only Color & Spectral Doppler Color and Spectral Doppler 46 Color Doppler Soft Keys Color Doppler Controls Function Adjusts the color wall filter Filter Increase to reduce motion artifacts Decrease to increase sensitivity to low flow states Note: Available on a live image only Balances line density (spatial resolution) and frame rate R / S Increase for image detail (Resolution / Speed) Decrease to increase frame rate Note: Available on a live image only 47 Spectral Doppler Control Panel Patient Y C 2D PW E M Exam CW 3D / 4D eSielmage x Review $ Depth / Focus C Steer Angle Report S UD 1 Esc Dual Zoom ARC X ... X UD 2 Text Caliper Print Store 1 Clip Store Body Marker Select UD 3 Pointer Print Store 2 Color & Spectral Doppler Color and Spectral Doppler 48 Spectral Doppler Soft Keys Spectral Doppler Controls Function Enters / exits spectral Doppler or adjusts overall spectral Doppler gain PW (pulsed wave) Doppler Press to enter/ exit and CW (continuous wave) Roll trackball to position Doppler gate Doppler Press PW or CW to activate the strip Rotate PW to adjust overall spectral Doppler gain Note: Available on a live image only Alternates between the Doppler spectrum and the 2D image Update /View Press once to alternate between Doppler/ 2D Note: Available on a live image only Adjusts the PW Doppler angle Steer Toggle left/right to adjust the steering angle Note: Available on linear transducers and on a live image only 49 Adjusts angle correction Angle Press to cycle through 60 / 60 / 0° angle selections Rotate to adjust values in 1° increments Note: Available on a live or frozen image Optimizes spectral Doppler gain, baseline, scale and dynamic range eSieImage With Doppler spectrum active, press eSieImage on the Control Panel (Auto Doppler Optimization) to activate Press twice to exit Note: Available on a live image only Color & Spectral Doppler Color and Spectral Doppler 50 Spectral Doppler Touch Screen A 13L4 5C1 12L3 11L4 9MC3 Carotid + Add Exam ? 2D C PW Elasticity Siescape eSieScan Mute Clear Simult Auto Stat Trace Direction Screen Both Hide Patient Physio Settings > Full D Update Rate Sensitivity 3 Image Param Clip Settings Invert DT Mean Trace End Exam MultiHertz: 4.0 MHZ Filter 213 Hz Dyn R 60 dB Tint 2 Tx Power 100% Gate 2.0 mm Scale 7102 Hz Baseline Map A Sweep Volume 10 W 51 Spectral Doppler Controls Function Displays Full Screen Doppler Full D Select to activate / deactivate Note: Available on a live image only Reverses the Doppler spectrum (negative values display above the baseline) Invert Select to activate / deactivate Note: Available on a live or newly frozen image only Automatic tracing and display of PW Doppler measurements Auto Stat Select to activate / deactivate Select settings for data above, below or on both sides of the baseline Note: Available on a live or newly frozen image and in Caliper mode Adjusts the sensitivity of the Trace tool when in Auto Stats Sensitivity Increase for higher sensitivity. Choices are 0–7 Note: Available when Auto Stat is activated only Displays graphic traces of the mean (yellow) with maximum (blue) Mean Trace velocities or frequencies on the spectrum Note: Available when Auto Stat is activated only Color & Spectral Doppler Color and Spectral Doppler 52 Spectral Doppler Touch Screen Spectral Doppler Controls Function Select to choose trace direction Trace Direction Choose above, below or both sides of the baseline Note: Available in Auto Stat only Displays both the 2D image and spectral Doppler tracing in real-time Live / Live* (Simultaneous [Triplex]) Press to activate / deactivate Note: Available on a live image only DTI Activates the Doppler Tissue imaging feature for cardiac exams (Doppler Tissue imaging Press to activate / deactivate capability) Note: Available on a live image only Defines the interval for refreshing the 2D-mode image Update Rate Select Off, 1 sec, 2 sec, 4, sec or 8 sec Note: Available on a live image only 53 Mutes the Doppler audio Mute Select to activate / deactivate Note: Available on a live image only *Note: This guide uses the term “Live / Live” to refer to Simultaneous Triplex imaging displayed as Simult on the ultrasound system Color & Spectral Doppler Color and Spectral Doppler 54 Spectral Doppler Soft Keys Spectral Doppler Controls Function Adjusts spectral Doppler frequency independent of the 2D or color MultiHertz (MultiHertz multiple frequency frequency imaging) Rotate to adjust Note: Available on a live image only Selects a processing curve that assigns echo amplitudes to gray shades Map in the Doppler spectrum Note: Available on a live and frozen image Adjusts the level of acoustic energy delivered to the patient in spectral Doppler mode Tx Power Rotate clockwise to increase power (Transmit Power) Rotate counterclockwise to decrease power Note: Available on a live image only, changes mechanical and thermal indices displayed L4g 55 Adjusts the pulse repetition frequency (PRF) Scale Rotate clockwise to increase PRF Rotate counterclockwise to decrease PRF Note: Available on a live image only Adjust the range of velocities displayed Baseline Rotate to adjust the baseline of the active mode Note: Available on a live or frozen image Adjust number of gray shades displayed Dyn R Rotate clockwise for a softer/ grayer spectrum (Dynamic Range) Rotate counterclockwise for a blacker/whiter spectrum Note: Available on a live or frozen image Adjusts sample volume size Gate Rotate clockwise to increase size Rotate counterclockwise to decrease size Note: Available on a live image only Colorizes the Doppler spectrum Tint Select desired Tint from 0–11 Note: Available on a live and frozen image Color & Spectral Doppler Color and Spectral Doppler 56 Spectral Doppler Soft Keys Spectral Doppler Controls Function Adjusts the spectral Doppler signal filter Filter Increase to reduce motion artifacts Decrease to increase sensitivity to low flow states Note: Available on a live image only Adjusts the scrolling speed of the Doppler spectrum Sweep Increase to display fewer cardiac cycles Decrease to display more cardiac cycles Note: Available on a live and frozen image Adjusts the spectral Doppler audio volume Volume Increase to raise audio level Decrease to lower audio level Note: Available on a live and frozen image 57 Color & Spectral Doppler Panoramic (SieScape Panoramic Imaging1 ) 58 Perform a Panoramic Acquisition 1. Select the SieScape* tab to activate 11L4 16L4 1213 Venous Panoramic imaging 2D SieScape 2. Press the right or left Set keys to Acquire the image Acquire Acquire 3. Press Freeze or one of the Set keys to End acquisition, press Freeze again to reactivate Pan Pan acquisition if desired Rotate Rotate 4. Use the SieScape review controls, zoom rotary 20170725-13 ACUSON 25/07/2017 16:24:21 Thyrele control and the trackball and select keys after Tx Pewer 100% MI 1.06 TIS 6.1 completing the acquisition to size, rotate, SC 2 DICE Mod Dyn Ret de 4 40 pan, magnify or measure the image 5. Use the Cine function to recall single frames for review 6. Select Exit to deactivate Panoramic imaging 59 1 Optional feature *Note: This guide uses the term “Panoramic” to refer to the SieScape Panoramic Imaging displayed as SieScape on the ultrasound system SieScape Panoramic Imaging Measurements and Reports 60 Unlabeled Measurements 1. Press Caliper 5. Roll the trackball to position the second x ... x Calipe caliper 2. To change the measurement type, 6. Press Set to complete the measurement press More and select the desired function and / or activate additional caliper sets 3. Roll the trackball to position the first caliper 4. Press Set to anchor Unlabeled measurements do not enter into Tip: Measurements can be performed on frozen, the exam report. CINE and stored images. - Unlabeled Measurements – Perform Measurements 61 Carotid Venous Arterial TCD Style Style 1 ? Right Left Non Distance Open Trace Open Spline 2 Distance 3 Distance X Rt Prox CCA Rt Prox IC. ET-%Stenosis Auto Stenosis D-%Stenosis A-%Stenosis Cross Angle Innom A Rt Bulb O d:D Ellipse Trace Spline eSieCalcs Hip Angle d:D Ratio Clear Screen % % Hide Dist Ratio Vol Ratio Area Ratio Strain Ratio D FIOW A Flow Patient Image Param Vol 1 Dist Vol 2 Dist Vol 3 Dist 1 Ellipse Vol 1E + 1D Disk Trace Disk End Exam 2 Distance Ellipse Spline Cross Angle Vol 3 Dist ET-%Stenosis More Undo/Redo MDA Exam Font Size On Summarize MDA Report Delete Vascular Measurements & Reports Measurements and Reports 62 Labeled Measurements 1. Press Caliper 5. Roll the trackball to position the second X ... x Calipe caliper 2. Select the desired measurement label 6. Press Set to complete the measurement, send 3. Roll the trackball to position the first caliper the labeled value(s) to the patient report and / or activate additional measurements 4. Press Set to anchor 7. Rotate the Exam type soft key to display additional labeled measurement packages Tip: The measurement label can be selected before or after calipers are placed. 2 TCD Style 63 Carotid Venous Arterial Style 1 ? Right Left None Prox Mid Dist None 2 Rt Prox CCA Rt Prox ICA Rt Prox ECA Rt Prox Vert A Innom A Rt Bulb Rt Prox Subclav A Clear Screen Hide Patient Result Compare Image Param End Exam O Distance Ellipse Spline Cross Angle Vol 3 Dist ET-%Stenosis D-Flow More Undo/Redo MDA Summarize MDA Delete Exam Font Size On Report Vascular 7 Measurements & Reports Measurements and Reports 64 Edit Measurements (Labeled and Unlabeled) Edit Completed Measurement 1. Press Update to activate calipers and cycle between active calipers 2. Press the Select Next soft key to cycle between calipers sets Select Next 3. Press Delete soft key to remove active Delete All measurement 4. Press Delete All soft key to delete all Delete All measurements 5. Rotate Undo / Redo or the Select key to edit a trace measurement Undo/Redo Reposition Measurement Results 65 1. Select Pointer 2. Click and drag MDA Results to desired position Tip: Click and drag MDA Results to the bottom of the screen to display in a horizontal format. Measurements & Reports Measurements and Reports 66 Report Review the Report 1. Press the Report key to enter/ exit 5. To edit the report, roll the trackball to the report page Report desired measurement and edit 2. Select Results to review additional 6. Select Print Preview to visualize the revised measurements summary 3. Select Print Report to send to connected 7. Select Export PDF to save the report on a USB external printer 4. Press Print Store 1 to store report as a thumbnail Print Store 1 Only labeled measurements appear on the report; an * appears for any edited -- measurement. 67 Report 6 2 Results xyz Assessment Images Comments Print Preview Close 3 Print Report Export PDF 7 Store Report Clear Screen Hide Patient Image Param Report Thyroid 17_05_2020_16_38_43 ACUSON 17/05/2020 A Exam Specie intermation 20 Mode Measure mees ndications 2D Mode Side by Side A 20 Mode Measurement Images Comments Label Method Value VI Iva VS Ithmus AP Last 2.57 mm 2.67 Rt Thyroid Lebe Volume 0.09 ml 5 Rt Thyroid Lobe TRY 6.22 mm Rt Thyroid Lobe SAG 6.02 mm 6.02 Rt Thyroid Lobe AP 4.79 mm ~ 2D Mode Side by Side Label Right Lett Theytold Lobe Volume 0.09 ml Theyacid Lobe TRY 6.22 mm Theytold Lobe SAG 6.02 mt Theytoid Lobe AP 4.79 mm Tip: Press Store Report to capture the report Images page(s) as an image(s). Export POR friet Report Stone Airport 6 7 3 Measurements & Reports Measurements and Reports 68 Report Import Images into the Report 1. Press the Report key to enter/ exit report page 2. Select Images on the Touch or Imaging Screen Images 3. Select the display format on the imaging screen 4. Roll the trackball to the thumbnail image and press the Set key to transfer to the images section 5. To Delete the image from the report, hover the cursor over the image and click the “X” that appears in the upper right corner Up to 20 images can be stored to the Summary. System Serial Number : 900122 69 Report 4 Carotid 26 26_10_2017_14_53_07 O 26/10/2017 ^ Images Exam Specific Information 2x2 3 D Mode Measurement Qyz Carotid Assessment 26_10_2017_14 53_07 26/10020 5 26_10_2017_14 52.07 26/10/2017 1612:46 Images 2 Caretd Comments Right SAG ICA Right SAG ICA DICE Mad HOJE SAO ICA Dyn R:10 40 Rt Prox ICA RI 0,70 PS 59.5 cm' ED 18.0 cms 28 KPN MAG ICA 26 10 2017 14 33 97 26/10/2017 16:05:33 26 10 2017 14 33 07 26/10/2017 16:07:16 29 Carotid Carota Tx Prver 100'% Tx Pover 300% ABC 1 DICE Med Right SAG ICA 30 Print Preview Export PDF Print Report Print Clear Delete Measurements & Reports Text, Arrows and Body Markers 70 Text 1. Press the Text Body Marker key on Text Body Marker Arrow the control panel ABC Text ? Body Marker 2. Select the desired annotation on the RIGHT SAG PLACENTA LVOT BLADDER FOOT 2 Touch Screen 3 LEFT TRV CEREBELLUM 4CH KIDNEY COR CHOROID PLEXUS DIAPHRAGM SPINE Clear 3. Select the Keyboard icon on the Screen PROFILE STOMACH ARM Hide Touch Screen to activate the digital Patient NOSE/LIPS CORD INSERT HAND Image alphanumeric keyboard; press again Param RVOT 3 VESSEL LOWER LEG to return to the text screen End Exam Hide Text Delete Word Delete Line Home Position Set Home Exam OB Text Icons 71 Controls Function Controls Function Activates /deactivates text cursor Delete Line ARC Deletes one line of text at the cursor Text and the text Touch Screen menu Body Marker Sets default position for the text Delete Word Deletes the last word Set Home cursor Displays the next or previous page, Home Position Positions the cursor at the home when available location Press to activate/deactivate and Hide Text Temporarily hides text Caps Lock make all letters typed capitalized/ Off not capitalized Clear Deletes all text, pictograms or Screen arrows Text, Arrows & Body Markers Text, Arrows and Body Markers 72 Body Markers 1. Press the Text Body Marker key on 5. Press Set to anchor the Control Panel ABC Text Body Marker 2. Select the Body Marker tab 3. Select the desired Body Marker from 6. Reselect the Text Body Marker key the Touch Screen on the Control Panel to readjust the ARC Body Marker position Text Body Marker 4. Use the Body Marker widget on the Touch Screen to adjust the 7. Press Delete or Clear Screen on transducer orientation / position the Touch Screen to delete the Body Marker Tip: Body Marker options can be customized in the System Configuration Menu. 73 Text Body Marker Arrow 2 ? an 3 7 Clear Screen sm Hide Patient 4 Image Param End Exam 7 Transducer Marker Rotate Exam On Delete Thyroid O Text, Arrows & Body Markers Text, Arrows and Body Markers 74 Arrows 1. Press the Text Body Marker key on 6. Press Set to activate additional ABC the control panel Text arrows Body Marker 2. Select the Arrow tab on the Touch 7. Press Delete to delete the last Screen arrow or Clear Screen to delete all 3. Select the desired arrow type / size / markings color 8. Press Update to cycle through Use the Arrow widget to adjust the multiple arrows 4. arrow orientation 9. Press Text Body Marker to exit ABC Arrow function 5. Roll the trackball to position Text Body Marker Tip: Unlimited arrows can be added. Text Body Marker 75 Arrow 2 5 ? 4 6 3 7 Clear Screen Hide Patient Image Param End Exam 8 3 3 7 4 Arrow Color Arrow Size Green Large Delete Rotate Text, Arrows & Body Markers Data and Image Management 76 Review and Delete Images Review Images on Current Study Review Images from a Closed Study 1. Press Review on the Control Panel 1. Press Patient on the control panel Review Patient 2. Select the desired layout 2. Select Browser Tab on the Touch 1x1 1X2 2x2 Browser on the Touch Screen Screen 3×3 4x4 5x5 3. Double click the desired study 3. Rotate the Select key or Page soft key to view more images 4. Select the desired display Select 1x1 1X2 2x2 format on the Touch 4. Press Review or 2D to exit Screen 3x3 4x4 5x5 5. Rotate the Select key or Page soft key to view more images Select 6. Press Review or 2D to exit Tip: Rotate the Select key to choose a protocol view and press the Select key to pause / resume the protocol. Delete Images from a Current Study or 77 in Review A 1. Select the Pointer from the control panel Pointer 2 2. Select an image on the thumbnail panel to highlight 3. Press the Delete icon on the Touch Screen 3 Print Clear Delete Data & Image Management Data and Image Management 78 Restart an Exam 1. Press Patient Key Patient 2. Select Browser Tab on the Touch Screen Patient Browser Review 3. Select patient study from list to highlight 4. Select Restart 5. Select OK Images, clips and volumes can be added to a closed study within 24 hours. 79 Patient Browser Show Files 1 month old Source Media [D:| Local Disk Disk Space: 3.5GB / 293.0GB Patient Browvier ~ Search Queue Patient Last Nom from 02/11/2017 Worldist Patient ID to 02/11/2017 Search El QueryRetrieve Study List Total Studies: 16(16) New Study Patient Name Patient ID Date/Time Clipuimages Archived 4 LastName, A_FirstName 39613873 02/11/2017 14:08 27.5 Restart 02_11_2017_11_17_54 02/11/2017 11:17 Cro 0.9 Close Study 3 01_11_2017_13_58.59 01/11/2017 13:58 0.9 HO 01_11_2017_13.56.49 01/11/2017 13:56 2.7 31_10_2017_16_15_13 31/10/2017 16:15 1127 49.0 HO,USB 31_10_2017_15.43_15 31/10/2017 15:43 17.3 HD,USB 27_10_2017_12_42_11 27/10/2017 12:42 10.2 26_10_2017_16_25_19 26/10/2017 16:25 HID,USB 26_10_2017_15.01.56 26/10/2017 16:01 1/20 84.3 HD,USB heartless, 26_10_2017_13.55.02 26/10/2017 13:55 0/76 150.1 HO,USB LESLIE, 25_10_2017_15_10_33 25/10/2017 15:10 0161 USB vascular, 25_10_2017_14.27_38 25/10/2017 14:27 5.4 5.4 HO,USB 24_10_2017_15.43.42 24/10/2017 15:43 0:15 34.5 HD,USR 01 24/10/2017 12:59 10/29 368.4 HO,USB VOLUME 3D 4D, TRAINING 24/10/2017 11:35 26.8 HD,USB auto ob test. 24_10_2017_10.09.22 24/10/2017 10:09 0.9 Patient Browser Review R Patient Browser Queue Search Clear Search Worklist Export(Import) Delete Query/ Retrieve Select all Deselect All New Study Restart 4 Data & Image Management Data and Image Management 80 Teaching File 1. Press Review 7. Under Teaching File, name the file and Review 2. Select Browser tab select New or select an existing file and select Append Patient Browser Review 8. Select Close 3. Double click the desired exam from Local Disk 9. The teaching file is now displayed in the to load study Patient Browser 4. Roll the trackball, highlight an image or clip 10. To add images from multiple studies, from the imaging screen (not thumbnail) follow steps 1–5, then select the desired and press the Set key teaching file 5. Repeat for all desired images 11. Press Append to add the additional images 6. Press Teaching File on the Touch Screen Tip: Images and Clips stored in a teaching file removes all patient data. 81 A Patient Browser Review Teaching File Select Teaching File ? Teaching File Name Clips Images JUNIPER IMAGES 1 14 8 Select all Deselect All 1x1 1X2 2x2 3x3 4x4 5x5 Show Selected Slide Show Clear Screen 6 Teaching File Export PC Printer USB B&W USB Color Printer Printer Append 7 Hide Patient Delete File Name JUNIPER2 Image New 7 Param K Status End Exam Page DICOM Print Cine Speed 25 / 25 Color Cine Frame Close 8 Data & Image Management Data and Image Management 82 Export Study Export Study to Network 1. Select the patient name in the Patient Browser 2. Select the desired Output Device 3. Select Send Tip: Images automatically send to PACs if the system is configured to send during the exam or at the end of the exam. 83 Patient Browser Show Files 1 year old Source Media [D:] Local Disk Disk Space: 10.2GB / 293.0GB BD Patient Browser ~ Search = Queue Patient Last Name from 20/03/2018 to 4New Study Patient ID 20/03/2018 Search Clear Search Restart Study List Total Studies: 49(49) SE Patient Name Patient ID Date/Time Clips/Images MB Archived 18_02_14_MV041364RB165, 165 14/02/2018 17:34 3/5 63.7 HD,USB 18_02_MV073049RR195, 195 13/02/2018 11:00 10/63 267.3 HD,USB 18_20_03_MV031783JS OB, 1 IF_20180320194823 20/03/2018 19:48 11/8 203.2 HD,USB 2010_01_18_MV051641TH212, TF_20180118072845 18/01/2018 07:28 4/19 90.9 HD,USB 2018_01_11_MV060161MS250, TF_20180111134529 11/01/2018 13:45 0/23 35.8 HD, USB 2018_01_11_MV062938SS131, TF_20180111135721 11/01/2018 13:57 0/21 54.5 HD,USB 2018_01_11_MV080187AC165, TF_20180111140236 11/01/2018 14:02 4/9 104.3 HD, USB 2018_01_18_MV042667BR225, TF_20180118022436 18/01/2018 02:24 5/18 125.5 HD, USB 2018_01_18_MV080189TH180, TF_20180118073950 18/01/2018 07:39 15/23 340.3 HD,USB 15/02/2018 16:32 8/31 284.7 HD,USB 13/02/2018 06:22 0/13 28.3 HD,USB 12/01/2018 15:30 30/68 536.9 HD,USB 16/01/2018 14:04 3/13 58.5 HD,USB 17/01/2018 17:03 16/20 193.4 HD,USB 15/02/2018 22:04 13/11 309.0 HD, USB 16/02/2018 00:11 6/16 214.3 HD,USB 15/02/2018 22:39 715 180.0 HD, USB 25/10/2017 15:16 17/57 180.6 HD,USB 203.2 MB Selected Export Delete 2 Output Device Network Share: PACS Send 3 Clear Delete Data & Image Management Data and Image Management 84 Export Study Export Study to CD-R /DVD in DICOM Export Study to USB in PC Format (TIFF or AVI) 1. Insert CD-R /DVD 1. Insert USB 2. Select the patient name in the Patient 2. Select the patient name in the Patient Browser Browser 3. Select Export 3. Press Export 4. Select DICOM as the export format 4. Select Tiff/AVI as the export format 5. Select CD/DVD as the destination 5. Select a USB Drive as the destination 6. Select Export 6. Select Export Tip: Hold CTRL to select more than one patient Tip: USB icon is displayed in the top right of name and select De-identify to anonymize the image screen when USB is inserted a study before exporting. correctly. Export to USB or CD-R /DVD 85 Export Patient Browser Show Files how All Source Media [D:] Local Disk Disk Space: 5.5GB / 293.0GB Patient Browser Search Destination Patient Last Nam from 01/08/2017 [H:] 5 Disk Space: 1.6GB / 7.5GB 4 New Study Wc Restart Patient ID to 01/08/2017 Search Clear Search Patient Name Patient ID Clips Images Si Close Study Study List Total Studies: 33(33) rea TF_20171025072320 0 0.4 SE Patient Name Patient ID Date/Time Clips/Images MB Archived patient , G 31_07_2017_16_59_49 31/07/2017 16:59 215 34.7 HD,USB Patient, E 345698 31/07/2017 16:44 44.4 HD 2 ErE Patient , B 12345 31/07/2017 15:39 2/20 55.6 HD Patient , E 3456 31/07/2017 15:22 4.2 HD Patient, C 234567 31/07/2017 15:13 1/1 20.3 HD Patient , B 12345 31/07/2017 14:48 4.9 HD Identification qwer, 12234 31/07/2017 14:46 0.0 Unarchived 31_07_2017_14_42_25 31/07/2017 14:42 0.9 HD De-identify Anonymous 28_07_2017_12_32_45 28/07/2017 12:32 1.3 HD GROUP D. 20170728-1 28/07/2017 10:39 8/15 109.8 HD,USB GYN CASE4, 27_07_2017_17_13_11 HD,USB Format Options 27/07/2017 17:13 115.6 GYN CASE3, 27_07_2017_15_2255 27/07/2017 15:22 714 101.9 HD,USB DICOM 4 Finalize 07272017-2D 27/07/2017 12:14 2/33 66.0 HD,USB y Eject 07272017-1D 27/07/2017 11:07 9/10 488.3 HD,USB 07262017-3D 26/07/2017 17:03 14/1 108.4 HD,USB Tiff/Avi Eject 07262017-2D 26/07/2017 15:59 20/13 370.3 HD,USB 26_07_2017_14_54_24 26/07/2017 14:54 HD,USB EPE 41.1 Status 07262017-1D 26/07/2017 10:18 43127 403.6 HD.USB Ready 3 Export Delete Output Device Not Active 6 Export Close Data & Image Management Data and Image Management 86 Import Study Import Study from CD-R /DVD Import Study from USB to Local Database 1. Insert CD-R /DVD 1. Insert USB 2. Select CD/DVD from Source Media in the 2. Select USB drive from Source Media in the Patient Browser Patient Browser 3. Select patient name on the CD/DVD 3. Select patient name on the USB 4. Select Import 4. Select Import Import from USB or CD-R /DVD 87 2 Patient Browser Show Files Show All Source Media [H:] V Disk Space: 0.1GB / 3.8GB R Patient Browser ~ Search Queue Patient Last Name from 04/09/2018 Patient ID to 04/09/2018 Search Clear Search 4 New Study Restart Study List Total Studies: 1(1) SE Patient Name Patient ID Date/Time Clips/Images MB Archived jijlj134jiujijrljlejmlkm, 04_09_2018_17_05_52 04/09/2018 17:05 0/4 8. HD,USB 3 4 8.2 MB Selected Import Delete Output Device Not Active Send Print Clear Delete Data & Image Management Care and Cleaning 88 Cleaning and Disinfecting the System 1. Power off the system and unplug the power supply 2. Use a clean gauze pad or lint-free cloth, lightly moistened with a mild detergent, to wipe the surface of the system 3. Use a clean, lint-free cloth to dry the surface LACUSON Juniper 4. As required, use an approved disinfectant wipe to disinfect the system and accessories 5. Plug the power cord into the power supply SIEMENS Healthingers ACUSOIN Juniper Tip: Ensure that fluids do not seep into any openings on the system. Cleaning the Trackball 89 1. Rotate the ring around the trackball counter - clockwise and carefully lift the ring to remove 2. Remove the trackball 3. Clean the ring, trackball and trackball assembly with a cotton swab or lint-free pad moistened with a mild detergent solution X 4. As required, use an approved disinfectant wipe to disinfect the ring, trackball and trackball assembly 5. After allowing the trackball components to completely dry place the trackball into the assembly 6. Place the ring over the trackball, aligning the tab with the point of attachment on the assembly and rotate clockwise until the ring snaps into place Care & Cleaning Care and Cleaning 90 Air Filter Cleaning the Air Filter 1. Power off the system and unplug the power supply 2. Push the air filter tray to release the locking mechanism and then pull the tray from the system 3. Rinse the air filter tray with running water and allow the filter to completely dry 4. Slide the dry air filter back into the system 5. Plug the power cord into the power supply S Tip: Air filter should be checked and cleaned weekly to maintain proper system cooling. 91 Care & Cleaning Note: Some functions shown in this material are optional and might not be part of your system. ACUSON Juniper, SieScape, Clarify, CTI, DTCE, DTI, eSieImage, MultiHertz and SieClear are trademarks of Siemens Medical Solutions USA, Inc. Siemens Healthineers Headquarters Legal 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-healthineers.com/ultrasound Published by Siemens Medical Solutions USA, Inc. · 9622 0820 · © Siemens Medical Solutions USA, Inc., 2020