ACUSON Juniper™ Ultrasound System - syngo® Velocity Vector Imaging™ Technology (VVI) - VB10 | 1.5 Software

ACUSON Juniper ultrasound system VB10 SW Release syngo® Velocity Vector Imaging™ Technology (VVI) Quick Reference Card siemens-healthineers.com/juniper AA SIEMENS Healthineers . ACUSON Juniper SIEMENS HOOD05162003104916 July, 20 2020 Healthineers Step 1 Step 4 • For Global Longitudinal Strain (GLS), choose Apical • To analyze a clip without an ECG or with a poor 4 chamber (A4C), Apical 2 chamber (A2C), and ECG, select Sequence / M-mode selection icon Apical 3 chamber (A3C) views to define one cardiac cycle within the period For Global Circumferential Strain (GCS), choose selector • Parasternal Short Axis at the mitral valve level • If only one cardiac cycle is to be analyzed, drag (SAX MV), papillary muscle level (SAX PM), and and drop the red markers to desired cardiac apex level (SAX APEX) cycle Tip: Frame rate range of 60–90 fps is recommended for optimal tracking results. Step 2 Show Selected • Enter Review Period Select • Select images needed for VVI syngo VVI • Select the gray arrow in the top right corner of analysis the screen to return to the contour page • Select Show Selected to view selected images • Select syngo VVI Step 5 • Place markers at endocardial border according to placement guide for systole and then diastole Step 3 Press Set key for medial and lateral annulus - • Select image(s) from the thumbnails and assign to the Press Update key to “End” trace at the apex - corresponding views 3.(8) End Apical X Sax Atrium Set Set A40 SAX MV Atrium A2C SAX PM RV RV A3C SAX APEX Step 6 O • For manual trace, place series of markers using Set key along the endocardial border in a clockwise Tip: To delete an image, select the X in the upper right-hand rotation for systole and then corner. diastole • Anchor the last point using the Update key to “End” the trace Step 7 • Double click Set key or select Start Analysis icon to begin analysis for each contour for systole and then diastole 2 siemens-healthineers.com/juniper - HOOD05162003104916 July, 20 2020 Step 8 Step 12 The end systolic contour displays • Select Segmental Analysis icon • for the user to accept or edit, then the end diastolic contour displays for the user to accept or edit Step 13 • To edit the contour, use Set key to drag and reposition red or blue • Evaluate the Segmental Analysis page markers • At the top of the page, different parameters can be Tip: Red markers move a large segment and selected such as Velocity, Displacement, Strain, and blue markers move a small segment. Strain Rate Transverse Strain Displacement Seg. Pk % ES TTP ms 03-basal inf/sept 44.6 43.4 322 09-mid inf/sept 37.5 37.3 268 9927 ms 14-apical septal 39.6 37.9 375 16-apical lateral 39.0 39.0 286 12-mid ant/lat 27.9 27.5 268 200 Step 9 06-basal ant/lat 31.6 23.7 500 Average 34.8 34.8 286 Maximum Opposing Wall 2 Time To Peak 600 Delay : 178 ms Select the Accept Changes icon in 001/171 036/0000 / 2657 5. (64 5pm • 2% 21 -5% 46 the top right corner -1% -14% -10 -129 3% -50 Phase +50 22 26 467 20 375 ngitudinal Strain (endo) 18750 Longitudinal Strain (endo) Step 10 Longitudinal Strain (endo ) 804 Seg. Pk % ES TTP ms 03-basal inf/sept -19.2 -18.7 322 09-mid inf/sept -21.0 -21.0 304 14-apical septal -27.6 -27.6 286 16-apical lateral -30.1 -30.1 286 • To edit the contour, select the S or D 12-mid ant/lat -20.2 -20.1 304 06-basal ant/lat -19.0 -18.6 322 Average -22.8 -22.7 304 Maximum Opposing Wall icon: Delay : 0 ms 34 -2% es-gls endo -22.35 % es-gls myo -20.11 % -2% -2% es-gcs endo -34.55 % -15 -23 Once Correct ES Border is selected, es-gcs myo -26.84 % 4% -50 Phase +50 -2% - 34 -467 467 ms -16 a new tracking will be initiated If Correct ED Border is selected - first, the Correct ES Border contour tracking will not be initiated Step 14 Export Image Export Data • Options for analysis are: Export Image Export Clip Save to Report - Step 11 Export Data - A main analysis page will be displayed Export Clip - • Save to Report - 128/ 195 000 / 2125 / 3230 ms . (36 bpm ) 22.20 % Average Volume 12.00 Longitudinal Strain (Myo) Average MyoGCS -27.07 % ml Average MyoGLS -22.33 EndoGCS -34.81 % EndoGLS -24.54 % FF 66.75 EDV 103.29 ml ESV 34.49 ml GRS 24.26 ESL 6.81 cm -30.8 ESDbas 3.17 cm EDL 8.51 cm 1-33.7 EDDbas 3.63 cm SD-TS-Syst. 11.7 % SD-LS-Syst. 6.6 -19.2 -18.4 -11.5 23.7 Syst. Myo Longitudinal Strain% Syst. Transverse Strain siemens-healthineers.com/juniper - HOOD05162003104916 July 20,2020 3 For the proper use of the software or hardware, please always use At Siemens Healthineers, our purpose is to enable healthcare the Operator Manual or Instructions for Use (hereinafter collectively providers to increase value by empowering them on their journey “Operator Manual”) issued by Siemens Healthineers. This material is towards expanding precision medicine, transforming care delivery, to be used as training material only and shall by no means substitute and improving patient experience, all enabled by digitalizing the Operator Manual. Any material used in this training will not be healthcare. updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the An estimated five million patients worldwide everyday benefit from training. The Operator Manual shall be used as your main reference, our innovative technologies and services in the areas of diagnostic in particular for relevant safety information like warnings and and therapeutic imaging, laboratory diagnostics and molecular cautions. medicine as well as digital health and enterprise services. Note: Some functions shown in this material are optional and might We’re a leading medical technology company with over 120 years not be part of your system. of experience and 18,500 patents globally. With over 50,000 employees in more than 70 countries, we’ll continue to innovate Certain products, product related claims or functionalities described and shape the future of healthcare. in the material (hereinafter collectively “Functionality”) may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. ACUSON Juniper and syngo VVI are registered trademarks of Siemens Medical Solutions USA, Inc. syngo is a registered trademark owned by Siemens Healthcare GmbH. Siemens Healthineers Ultrasound owns the rights to all images. Siemens Healthineers Headquarters Legal Manufacturer & Published by 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 siemens-healthineers.com USA Phone: 1-888-826-9702 siemens-healthineers.com/ultrasound Published by Siemens Medical Solutions USA, Inc. · 9375 0720 · ©Siemens Medical Solutions USA, Inc., 2020 - HOOD05162003104916 - July 20,2020