ACUSON Juniper™ Ultrasound System – VB10 | Upgrade

Continue Button HOOD05162003191333 | Effective Date 18-May-2021 Master Template HOOD05162003052540 | Effective Date: 26-Nov-2019 ? ACUSON Juniper™ Ultrasound System - VB10 | Upgrade This online training will provide information about the VB10 system upgrade available for the ACUSON Juniper system. Note that not all options are available in all countries. There is no audio accompanying this online training. The objectives are listed below. Select Next to proceed. Identify new transducers & improvements to existing transducers 1 2 Review key enhancements and new tools Welcome Clinical Workflow Enhancements Contrast-Enhancement for Left Ventricular Opacification (LVO) When clinically indicated, contrast-enhancement for LVO can improve the detection of the endocardial border and may facilitate accurate wall motion assessment. [1,2] When image quality is impacted by a technically difficult echocardiogram, LVO can help with clinical management and reduce repeat exams. [1-3] ? Jonathan R. Lindner, et al., American Society of Echocardiography Guidelines and Recommendations for Contrast Echocardiography: A Summary for Applications Approved by the U/S/ Food and Drug Administration, in Journal of the American Society of Echocardiography 2018. Porter, T.R.M., et al., Clinical Applications of Ultrasonic Enhancing Agents in Echocardiography: 2018 American Society of Echocardiography Guidelines Update. Journal of the American Society of Echocardiography, 2018. 31(3): p. 241-274. Main, M.L., et al., Acute Mortality in Critically Ill Patients Undergoing Echocardiography With or Without an Ultrasound Contrast Agent. JACC: Cardiovascular Imaging, 2014. Clinical Workflow Enhancements Enhancements to Cardiac Tools Added tool - Proximal Isovelocity Surface Area (PISA) radius The PISA tool has been added and is used clinically to measure Aortic and Tricuspid Insufficiency. eSie Left Heart™ measurement package The eSie Left Heart package has been upgraded to auto detect the endocardial boarder at apical two-chamber and apical four-chamber views to calculate left ventricular ejection fraction (LVEF). Auto detection of the endocardial border helps to reduce manual planimetry for LVEF. This will help to improve the accuracy of LVEF. syngo® Velocity Vector Imaging™ (VVI) technology Workflow improvements have been made to syngo VVI to aid in evaluating myocardial motion, global longitudinal strain (GLS) and circumferential strain. Along with an accurate LVEF, reporting and monitoring GLS and circumferential strain can provide a useful clinical observation of heart function for a patient over time. ? Enhancements to Cardiac Tools Security Features with VB10 Learn more about the security features with the VB10 upgrade on the ACUSON Juniper system. Review Security and MDS 2 Form within the RESOURCES tab. ? Security Features with VB10 ? The 5VT TEE is a new transducer available with the VB10 on the ACUSON Juniper system Select each of the tab arrows to learn more the 5VT TEE. Overview Rotary Controls Array Rotation Control Friction Brakes Image Examples Adult 5VT Transesophageal Transducer (TEE) Adult 5VT Transesophageal Transducer (TEE) Example Images Click or Tap the in the upper right-hand corner to return to the main page. Click or Tap to play each of the images below. Each image will loop continuously. Friction Brakes There are Friction Brakes (framed in orange) on either side of the handle that will lock the A/P and L/R flexion. Press the raises tactile indicator on the button to lock and press to a flat position (as shown below) to unlock the Friction Brake When the brakes are engaged, you can change the scan plane without losing acoustical contact Click or Tap the in the upper right-hand corner to return to the main page. Array Rotation Control The Array Rotation Control, highlighted in orange, rotates the array within the distal tip of the transducer and is adjustable from 0° to 180°. Press down and release the control to incrementally increase or decrease the angle Press down and hold for rapid angle adjustment 90-degree rotations may be programmed on the Touch Screen Click or Tap the in the upper right-hand corner to return to the main page. Rotary Controls There are two separate rotary Flex Controls that bend the articulating section (the distal tip) of the transducer shaft. Rotate the top Rotary Control (light gray) Anterior/Posterior (A/P) flexion of the distal tip The smaller bottom Rotary Control (dark gray) guides Left/Right (L/R) flexion of the distal tip Align the raised reference lines with the N marking to place the distal tip in neutral Reference Lines Neutral Click or Tap the in the upper right-hand corner to return to the main page. Overview Vector array 90 degree field of view (FOV) with an aperture of 14.8 x 11.6 mm Twin Cam - Zero Insertion Force connector for seamless connection (no adapter is needed) Color Doppler Velocity (CDV), Doppler Tissue Imaging (DTI), Pulsed and Continuous Wave Doppler (PW and CW) Click or Tap the in the upper right-hand corner to return to the main page. 13L4 Transducer New with the VB10 Upgrade Features a 40 mm footprint Biopsy guide allows accuracy with five separate angles 30-degree Color Doppler steering angles Click or Tap the 13L4 transducer to learn more. ? ? 13L4 Transducer Trapezoid – Color Doppler Velocity - Example The wide aperture and a trapezoid display is ideal for a testicular exam and a variety of other clinical applications such as thyroid, breast, and musculoskeletal exams. Click or Tap the trapezoid video below, the video loops continuously. Click or Tap the in the upper right-hand corner to return to the main page. Or select Next to continue. CW8 - CW Doppler New with the VB10 Upgrade Peripheral Vascular Use in conjunction with blood pressure cuff and sphygmomanometer for Ankle-Brachial Index (ABI) Transcranial Doppler CW8 is not available in the United States of America. Click or tap the left image to play the CW Doppler. ? ? CW8 CW Doppler A reduction in near field noise for a clearer cardiac apex The upgrade improves signal-to-noise ratio for CW Doppler And, the 5P1 is LVO capable Click or Tap the 5P1 videos below to play. 5P1 Transducer Improvements ? ? 5P1 Transducer Improvements 8V4 & 10V4 Transducer Improvements Pediatric echo and Abdomen: 2D-mode is optimized improving boundary detail Better contrast resolution utilizing fundamental frequencies ? 8V4 & 10V4 Transducer Improvements 9MC3 Transducer Enhancement Enhanced the workflow changes to the FOV controls: Pressing Wide FOV changes the imaging area to a fixed 220-degree FOV Pressing Full FOV returns the imaging area to an adjustable 176-degree FOV Biopsy capability in both the Wide and Full FOV Click or Tap the left video to view an example of the adjustable FOV. ? ? 9MC3 Transducer Enhancement Transducers Review specifications about all compatible transducers within the RESOURCES tab. Contact your local Siemens Healthineers Sales Support for more detailed information about this upgrade and available transducers to support your clinical needs. ? Transducers ? Course Review Congratulations. You have completed the course ACUSON Juniper™ Ultrasound System VB10 | Upgrade. Select the numbered buttons below to review the material provided. Identify new transducers & improvements to existing transducers 1 1 1 Review key enhancements and new tools 2 2 2 Course Review Review Key Enhancements and New Tools New Contrast-Enhancement for Left Ventricular Opacification (LVO) When clinically indicated, LVO may improve patient outcomes, reduce repeat exams, and help to answer the clinical question eSie Left Heart™ measurement package Upgraded to auto detect the endocardial border and calculate LVEF New Proximal Isovelocity Surface Area (PISA) radius tool Used to calculate Aortic and Tricuspid Insufficiency syngo® Velocity Vector Imaging™ (VVI) technology Measures cardiac deformation or strain Select the in the upper right-hand corner to close this page. Identify New Transducers & Improvements to Existing Transducers New Adult TEE 5VT Vector array 90 degree FOV Seamless connection, no adaptor needed Color Doppler, DTI, PW and CW Doppler New Linear 13L4 40 mm footprint Biopsy capable Enhanced Color Doppler steering angle New CW8 Doppler Peripheral Vascular Transcranial Not available in the USA 5P1 Reduction in near field noise CW Doppler signal to noise improvement Added LVO capability 9MC3 Supports Wide FOV as a fixed 220-degree Biopsy capable on Wide FOV and Full FOV 8V4 and 10V4 Improved 2D resolution Select the in the upper right-hand corner to close this page. Disclaimer Please note that the learning material is for training purposes only! For the proper use of the software or hardware, please always use the Operator Manual or Instructions for Use (hereinafter collectively “Operator Manual”) issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training. The Operator's Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (hereinafter collectively “Functionality”) may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. eSie Left Heart™ measurement package is a trademark of Siemens Medical Solutions USA, Inc. syngo® is a registered trademark and Velocity Vector Imaging™ technology is a trademark of Siemens Healthcare GmbH. ACUSON Juniper is a trademark of Siemens Healthineers GmbH. 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. Copyright © Siemens Healthcare GmbH 2021 Siemens Healthineers Headquarters\Siemens Healthcare GmbH\Henkestr. 127\ 91052 Erlangen, Germany\Telephone: +49 9131 84-0\siemens-healthineers.com ? Disclaimer Disclaimer Exit To access your Certificate of Completion, select the Launch button drop down on the course overview page. You can also access the certificate from your PEPconnect transcript. ? You have completed the ACUSON Juniper™ Ultrasound System - VB10 | Upgrade Online Training . Completion Navigation Help Select the RESOURCES Tab to launch additional content in a separate window. Select > NEXT to advance or review previous pages using < PREV icons on the lower right-hand side of the slide. Exit this Navigation Help slide by selecting the . Select the icon on the upper left-hand side to open the table of contents and GLOSSARY of terms. Navigation Help Question Bank 1 HOOD05162003191333 | Effective Date: 18-May-2021 US ACUSON Juniper VB10 Security ACUSON Juniper VB10 Transducers 2D-mode Two-dimensional or 2D-mode is used to define a non-volumetric ultrasound image. Color Doppler Velocity Color Doppler Velocity (CDV) applies color to the velocities and directions of blood flow within the ROI. CW Doppler Continuous Wave Doppler (CW). Doppler Tissue Imaging (DTI) Doppler Tissue Imaging (DTI) combined with 2D-mode. DTI applies a color Doppler to depict movement of tissue. DIT a mode that is available for Echocardiography applications using phased array transducers. Adding PW Doppler to DTI will apply a spectral display of the velocity of the tissue over time. FOV Field of View is the region of the 2D image. LVEF Left Ventricular Ejection Fraction. LVO Left Ventricular Opacification. PISA Proximal Isovelocity Surface Area. PW Doppler Pulsed Wave Doppler (PW). TEE Transesophageal Echocardiography. 1 HOOD05162003191333 | Effective Date 18-May-2021 1.1 Welcome 1.2 Clinical Workflow Enhancements 1.3 Enhancements to Cardiac Tools 1.4 Security Features with VB10 1.5 Adult 5VT Transesophageal Transducer (TEE) 1.6 13L4 Transducer 1.7 CW8 CW Doppler 1.8 5P1 Transducer Improvements 1.9 8V4 & 10V4 Transducer Improvements 1.10 9MC3 Transducer Enhancement 1.11 Transducers 1.12 Course Review 1.13 Disclaimer 1.14 Completion