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ACUSON P500 2.0 General System Overview

A Step by Step that provides a general system overview of the ACUSON P500, Release 2.0.

SIEMENS Healthineers General System ACUSON P500™ Ultrasound System, Release 2.0 Product and System Training HC US MSC S SET Page 1 | Restricted C Siemens Medical Solutions USA, Inc. 2017 This presentation provides an overview of the system and the primary components. Objectives SIEMENS Healthineers Explain the General System Discuss the Cart and Peripheral Options Discuss Service Features Review Care and Cleaning .--- HC US MSC S SET Page 2 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 General System SIEMENS Healthineers Imaging ACUSON P5007M Key Features Ultrasound System Hand-Carried General Imaging Release 2 .0 Touch User interface Cardiology Integrated SMART Cart with 3 Intracardaic Imaging transducers supported OB / GYN Advanced Imaging Point of Care technologies Transducers Automated workflow 10 Transducers eSieLink remote assistance 4 ICE Catheters HC US MSC S SET Page 3 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: The ACUSON P500 ultrasound systems 2.0 supports General Imaging (Abdomen, Small Parts), Cardiology for Adult and pediatric including Stress Echo, Intracardiac Imaging with AcuNav ultrasound catheters and SoundStar® Catheters, OB-GYN (no 3D/4D imaging available) and Point of Care applications including but not limited to Endocrinology, Rheumatology, Vascular Access, MSK, Pain Management, and Orthopedic. The system is a hand-carried ultrasound system with a touch user-interface. An integrated SMART Cart is available that allows up to 3 transducers to be connected. The systems has many advanced imaging technologies that will be discussed in the Major Modes presentation. Automated workflow with esie Measure support Cardiac measurements. Many service features have been added including eSie Link remote access for online support. The system has 10 transducers and 4 Ultrasound intracardiac catheters. System Architecture SIEMENS Healthineers . Windows® 7 embedded SIEMENS All-digital beamformer technology Adaptable software-driven architecture Gateway for advanced technologies 200 Integration technologies from other platforms SIEMENS HC US MSC S SET Page 4 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: The system’s core architecture is built on the ACUSON X Family of products. Utilizing the Windows 7 Operating system, the ACUSON P500 ultrasound system, release 2.0 provides the latest in technology and flexibility. Complete with 180 GB of memory, it provides excellent speed, storage and review capability. The system utilizes digital beamformer technology which provides signal integrity throughout the entire signal path – from transducer to display. This provides excellent wide-bandwidth imaging. It also provides precise and sensitive color Doppler. This technology migrated from our premium Siemens platforms. The Parallel Quad beam formation provides up to 5088 processing channels for increased temporal resolution and fast processing speeds. A new front end was added to provide better use of the channels and a wider transmit bandwidth. This provides excellent sensitivity and spatial resolution. The new mid-processor on the ACUSON P500 system provides the gateway for advanced technologies such as: Advanced SieClear™ Spatial Compounding, TEQ™ ultrasound technology, Siemens remote technologies (SRS)*, Dynamic Persistence and Color Doppler Flash Suppression. These technologies provide increased usability and diagnostic confidence. This mid-processor allows for improved software upgradability and integration flexibility. * Note: SRS is not available in all countries. Check with your local service organization. System Specifications SIEMENS Healthineers . Dimensions 40.2 cm (I) x 37.4 cm (h) x 7.15 cm (d) - closed 40.2 cm (I) × 37.4 cm (h) x 36 cm (d) - open Weight 7.1 kg or 15.65 pounds (with battery installed) SIEMENS 6.45 kg or 14.46 pounds (without battery) Boot-up Less than 30 seconds HC US MSC S SET Page 5 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: The systems is 40.2 cm (L) X 37.4 cm (H) x 7.15 cm (D) when closed. 15.8 in x 14.7 in x 2.8 in The systems is 40.1 cm (L) X 37.4 cm (H) x 36 cm D) when open. 15.8 in x 14.7 in x 14.2 in The system weighs 7.2 kg / 15.65 lbs. with the battery installed. The system offers a large handle for ease of carrying. Transducers Options SIEMENS Healthineers CH5-2 Transducer P4-2 Transducer VF13-5 Transducer VF10-5 Transducer EC9-4 Transducer VF16-5 Transducer L10-5v Transducer P8-4 Transducer + CW2 Transducer CW5 Transducer ACUSON AcuNav™ ultrasound catheter 8F / 10F SoundStar® Catheter 8F / 10F HC US MSC S SET Page 6 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: There are 10 transducers and 4 supported catheters. supported with ACUSON P500 2.0 system. CH5-2 Exam Types : Abdominal, OB/GYN, FAST Exam, etc. P4-2 Exam Types : Adult Echo and Abdominal exams VF13-5 Exam Types : Small Parts, Breast and MSK and superficial vascular VF10-5 Exam Types : Small Parts, MSK, Breast and Vascular exams EC9-4 Exam Types : Endovaginal imaging for GYN and early OB VF16-5 Exam Types: Breast, C-Vascular, EM, MSK, Sup MSK, Small Parts. L10-5v Exam Types: Breast, C-Vascular, EM, MSK, P-vascular, Small Part, Venous P8-4 Exam Types: Neo Head, Ped ABD, Renal CW2 exam types: Cardiac and pediatric echo CW5 exam types: Cerebrovascular and pediatric echo ACUSON AcuNav ultrasound catheters 8F and 10F: intracardiac procedures Full specifications can be found in the transducer flyer. Supported Exam Types SIEMENS Healthineers ' Abdominal and Renal Exam Exam Selection Patient O Exam Selection Emergency Medicine (FAST) Transducer Exam Edit Exams P8-4 Neo Head Vascular (CV, Venous, Arterial) Ped Abd Exam 2 Ped Echo Default Small Parts Renal Breast, MSK, Sup MSK Review 3 CW2 OB/GYN including early OB, Pelvis * Report Neo Head Pediatric Abdominal Browser 5 Cardiac Config 6 Pediatric Echo Intracardiac Echocardiogramhy Help -7 HC US MSC S SET Page 7 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: The ACUSON P500 2.0 system supports 18 Exam types. Touch Screen SIEMENS Healthineers . 15.4 in (39cm) infrared (IR) touch SIEMENS screen Resolution: 1280 X 800 pixels Monitor view angle: 176 degrees CUSON PSO Multi-domain vertical alignment technology ......................................................................... SIEMENS HC US MSC S SET Page 8 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: The system has a 15.4 in Flat Panel Display (LCD, high resolution, and progressive scan (non- interlaced) with Multi-domain Vertical Alignment Technology). This technology allows the brightness of the LC molecules to appear uniform over a wide variety of viewing angles. The system supports touch interaction – one finger tap, slide and swipe. The Touch-based user interface allows the operator to select functions in the areas highlighted in gray. The operator may: change imaging parameters, add customized text, and utilize measurement packages. The resolution is (1280 X 800) pixels. The recordable image area (800 X 600) pixels. The viewing angle is approximately 176 degrees. The energy saving feature enables a screen saver after a specified period of time. Control Panel SIEMENS Healthineers Simplified user interface 4 4 4 A 4 4 Traditional alphanumeric keyboard Direct image optimization keys 3 inch touch pad Freeze HC US MSC S SET Page 9 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: The ACUSON P500 system control panel offers a simplified user interface with limited keys. The system also offers an alphanumeric keyboard and direct access keys for image optimization as well as the touch technology. The Touch Screen offers complimentary actions with the soft keys and virtual keyboard. There is also a 3 inch Touch pad that utilizes gesture control (Pinch, Tap and Slide) functionality. Battery SIEMENS Healthineers · One removable lithium-ion battery · Operating time: 1 hour Recharging time 100%: 3 hours O · Operating voltage is 14.4 volts · Capacity: 6.6 amps · Power: 95 watts O O O HC US MSC S SET Page 10 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: The system has one removable Lithium-ion battery that is standard with the system. The battery is located on the underside of the system (see large arrow). The small arrow represents the battery release mechanism. Prior to using the battery for the first time, connect the system to a power outlet for at least three hours. The operating time when fully charged is approximately 1 hour. Per the manual guidelines, if the ultrasound system is not used regularly, remove the battery during any lengthy non-use period. Additional batteries may be purchased. System Input / Output Connector SIEMENS Healthineers Input / Output connection 68 88 8 USB 2.0 (4 ports) Ethernet HDMI USB Audio Ethernet HDMI (for external monitor) Output connector 3.5mm stereo audio jack HC US MSC S SET Page 11 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: There are several input / output connections on the system. If the system is attached to the Smart cart, the Ethernet and HDMI are more readily accessible on the Smart cart connections. The input / output connections are: • USB 2.0 Ultrasound system (4 ports), Smart cart (4 ports) • Ethernet (10BaseT/100BaseT/1000BaseT) RJ45 (1 port) • HDMI 1.4 1 output The output connection is a 3.5 mm stereo audio jack which has one output. ACUSON P500 System Carrying Case SIEMENS Healthineers Standard carrying case ACUSON P500 SIEMENS The Ultrasound Pioneers HC US MSC S SET Page 12 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: A soft-sided carrying case is included with each system. Objectives SIEMENS Healthineers Explain the General System Discuss the Cart and Peripheral Options Discuss Service Features Review Care and Cleaning .--- HC US MSC S SET Page 13 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Smart Cart Option SIEMENS Healthineers Dimensions 59 cm (w) X 89.2 -109.2 cm (h) X 89.2 cm (d) Weight 63.8kg / 140 pounds Multi-transducer module option 20 cm 4 wheel swivel and lock Input / Output connectors HC US MSC S SET Page 14 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: The Smart cart raises and lowers 20 centimeters using the lever in the front to the cart. It weighs approximately 63.8 kg / 140 pounds. There is a multi-transducer module that supports up to three transducers which work simultaneously available. There are two shelves for storage of peripherals and supplies and 4 transducer and gel holders that can be easily removed. There are several input / output connectors on the back of the cart illustrated by the small arrow. The HDMI supports an External monitor and there is an Ethernet connection and a DC out port. Additional power plugs are also available at the bottom of the cart for the peripherals. Please note. The first two are currently active and available. The 3rd is reserved for future use. The cart has 4 wheel swivel :Castor size: 125mm, front castors (2 each) (direction and total lock), rear castor (2 each) (total lock) Multi-transducer Module (MTM) SIEMENS Healthineers . Attaches to the Smart Cart MTM connector plugs into the system --- : Enables up to 3 transducers HC US MSC S SET Page 15 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: The Multi-transducer Module (MTM) is optional with purchase of the Smart cart. It ships as a separate item from the cart. The Multi-transducer module plugs into the system transducer connector (small arrow). Once connected, it allows simultaneous use up to three transducers (large arrow). Simple Cart - Value Offering SIEMENS Healthineers Maximum physical dimensions 60.5 cm (W) × 65.9 - 92.1 cm (H) × 53.5 (D) cm · Weight: 18.5 kg Wheels Castor size: 125 mm Front castor (2 each): bi-brake system (direction lock and total lock) Rear castor (2 each): total Lock HC US MSC S SET Page 16 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: This slide illustrates the features of the Simple cart. This is a great option for institutions that want a cart for the ACUSON P500 system at a reduced cost. Barcode Reader Option SIEMENS Healthineers · Allows fast and accurate data input · Easy attachment to the USB port · Supports 2D and 1D patient barcodes · Can scan up to 3 individual barcodes · Inputs patient identifying data HC US MSC S SET Page 17 | Unrestricted @ Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: The Barcode reader option allows fast and accurate patient information data input. Connect a Siemens approved barcode reader directly to a USB port on the system. It supports 2D and 1D patient barcode: Originally, barcodes represented data in the widths (lines) and the spacing of parallel lines: 1D - linear or one dimensional lines and spacing. 2D - patterns of squares, dots, hexagons and other geometric patterns within images matrix codes or symbologies. It can scan up to three individual barcodes (Patient, Physician, and Sonographer). The Barcode reader inputs the following patient identifying data: Patient First and Last Name, Patient and Physician ID, and Sonographer. Once the barcode is scanned, it will enter the information that has been selected in the configuration menu (under Barcode). WARNING: To avoid electrical shock, do not connect the barcode reader to the system when more than two on-board documentation devices are connected to the system. WARNING: Do not stare into the beam of the barcode reader. This action can create a risk for injury to the user. DUAL USB Footswitch Option SIEMENS Healthineers Configuration Custom Keys General 1 Depth and Zoom Knob Direction General 2 Custom Keys Increase Depth · Clockwise Counter-Clockwise Display Exam Increase Zoom Clockwise · Counter-Clockwise Soft Keys M&R Report Key Function Text Annotation Body Marker Print/Store 1 Image Store Savan Eirte / use KINESIS CORPORATION Wireless Print/Store 2 Image Store Network Service Clip Store Clip Store Clip Store Archive eft Peda Freeze Authorization Right Pedal Freeze Printer Image Store Barcode User Defined 1 Clip Store Utility User Defined 2 Caliper Update TEQ Update Configure New Key U/D Flip UR Flip Not Used Close Study Save Cancel HC US MSC S SET Page 18 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: The dual pedal footswitch option is attached to the system via a USB port on the system. There are 4 connectors located on the cart and 4 on the system. The footswitch is programmable in the configuration menu under Custom Keys. The footswitch is an excellent option when doing procedural exams, for cardiology, it may be useful for stress echocardiograms. Peripherals Option SIEMENS Healthineers · Up to 2 devices can be Integrated into the WOR UNTER CONTRAST BRIGHT FEED COPY OPEN System Cart SONY Supported devices: POITAL GRAPPIG PRINTER UP- COMONO Mitsubishi USB P95DW b/w printer Sony UP-D898 b/w printer RW Mitsubishi USB CP30DW color printer . O Sony UP-D25MD color printer DIGITAL VIDEO RECORDER use off PLAY PRUSE 01/01/0001 001001 12 TEAC DVD UR-50BD-SK recorder 0:0.0. TEAC UR-508D HC US MSC S SET Page 19 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: Up to two peripheral devices can be integrated into the cart. Support devices include two choices for B/W thermal printer and Color printers. A medical grade DVD recorder is also available. There are additional power connections available on the cart for the peripherals. The printers come only with a small sample of paper. It is recommended that paper be ordered to ensure the customer has enough during the initial install. Consumables are also available in the Siemens price book. Wireless Data Transfer Option SIEMENS Healthineers Standard feature Statistics Library Setup Support Welcome: |Q-Path Admin ITO)-path Exams Resources List Images/Worksheets Exam Billing QA Q-path Version 4.5.309 Images Attachments Exam Date Patient ID Patient Name Accession # Exam Type Operator At Today 27_09_2013_09_37_20 Abdomen N/A Supports connectivity: 27_09_2013_09_37_20 ACUSON Aorta Set default Reassign P4-2 PI = XX Abdomen RI = XX J yes DICOM services - Modality Tx Power 100% S/D = XX Physician signature MI 0.52 PS = Xx cm/s TIS 0.9 ED = xx cm/s TIB 3.0 TAmax = xx cm/s Physician approval worklist, MPPS, storage 2.3 MHZ TAmean = xx cm/s 1775 Hz Images Gate 5.0 mm All Images Clips Audio Selested only 0 dB commitment and store 37 fps 90 mm 17 cm Telexy Qview (EHR) Quality Ass set defaul Reassign Image Quality (1) No recognizable structures, no Siemens Remote Service objective data can be gathered (2) Minimally recognizable structures but insufficient for diagnosis (SRS) (3) Minimal criteria met for diagnosis, recognizable structures but with some technical or other flaws Frame Tore: N/A (4) Minimal criteria met for diagnosis, all Current: 1 olution: 800 x 600 structures imaged well and diagnosis easily supported HC US MSC S SET Page 20 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: Wireless data transfer is a standard feature. Wireless Data Transfer utilizes internal Wi-Fi module to enable wireless connectivity between the ultrasound system and the facility’s LAN. This provides functionality equivalent to a wired network. Recommend to use only the 5 GHz frequency bandwidth to reduce potential radio interference from the 2.4 GHz frequency bandwidth. The option supports: DICOM services - Modality worklist, MPPS, storage commitment and store. - Siemens Remote Service – Remote update handling for storage distribution and - NetViewer for remote application support and remote trouble-shooting. - Telexy Qview (Sold separately by Telexy Healthcare and requires a wireless or - LAN connection.) Electronic Health Record System. Objectives SIEMENS Healthineers Explain the General System Discuss the Cart and Peripheral Options Discuss Service Features Review Care and Cleaning .--- HC US MSC S SET Pagegel 201 UnRestricted C Siemens Medical Solutions USA, Inc. 2017 Service - Overview of Service Features SIEMENS Healthineers SW downloadable patch Save Log X Save log data about current system status to a zip file. Service partition In case you are experiencing a problem or requesting an improvement on system. please select the area and describe the details. Short software installation [ Software Cant access the SRS server ..... [ Hardware time Network Service problem report tool - CTRL + L Probe Saver Go Cancel HC US MSC S SET Page 22 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: There are several key service features built into the system. SW downloadable patch, service partition, short software installation time ,service problem report tool and probe saver feature. SW downloadable patch: To reduce system down time a software patch download is available . The CSE can download the patch from the intranet and then visit the customers site to install the patch rather than wait for it to be shipped. The Service Partition is a dedicated partition for storing recovery images. If a software issue arises, the customer may contact the Customer Care Center and the system can be up and running in approximately 30 min. Short software reload time: If a software reload is needed, the installation time was reduced from approximately 30 – 40 min ( Revision 1.0) to approximately 20 minutes with Revision 2.0. With the ACUSON P500 system, release 1.0, any type of installation triggered a Cyclic Redundancy Check (CRC) which took 30 – 40 minutes to run. With the latest revision level, the CRC is now optional and more efficient. The software is shipped with the system and customer can work with their service engineer to reload remotely. The Service problem report tool is the ability for the customer to choose a save log to report incidents. The customer may simply press Ctrl + L. A pop-up window will appear where the customer may fill in details for Software, Hardware or Network. Probe Saver: The systems has a feature called Probe Saver which reduces transmit power automatically when a probe is idle for a set period of time. This is discussed in the next slide. Probe Saver SIEMENS Healthineers ... System Serial Number : PP4294 ACUSON SIEMENS 03:03/2016 09: 18 56 System Serial Number : PP4294 ACUSON 03/03/2016 09:19:30 System Serial Number : PP4294 ACUSON SIEMENS 09 19:53 VF105 . ... VF 1015 . . . .VF 1015 Small Parts Small Parts Small Parts Tx Power 100% MI 1.20 Tx Power 100% Tx Power 1.00% MI 0.18 % TIS 03. MI 1.20 ....... TIB 0.3 JIS.Q.3 STIS <0. TIB 0.3 TIB <0.1 SC 2 DTCE High SC 2 Dyn R 80 dB DTCE High DTCE High THI 8.0 MHZ Dyn R 80 dB Dyn R 80 dB 0 dB THI 8.0 MHZ 28 fps 0 dB 0 dB 28 fps 28 fps 3.5 cm 3.5 cm HC US MSC S SET Page 23 | Restricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: As stated before, the systems has a feature called Probe Saver which reduces transmit power automatically when a probe is idle for a set period of time. One the transducer is placed on the skin and tissue is recognized, the power automatically adjusts to normal scanning. This feature is not-enabled when the system ships from the factory. This is an illustration of the Probe Saver feature. Notice, the first image on the left, illustrates active scanning. The middle image illustrates no scanning mode. The third image illustrates the decreased transducer power. This feature will only work if it is activated in the system and is set-up in the Configuration Menu. This is especially useful for the ICE transducer or during interventional procures where the transducer is left idle for some time. What is eSieLink™ Remote Assistance? SIEMENS Healthineers Siemens REMOTE syngo Remote syngo Remote Remote Service Assist (sRA) Trainer (sRT) Diagnostics Pre-clarification Provides User Services System Services Real-time remote Enable Enhance training and eSieLink™ Technology applications (Ultrasound implementation of TeamViewer) support Software: TeamViewer Hardware*: eSieLink Accessories Webcam, headset, mounting device HC US MSC S SET Page 24 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: eSieLink™ Remote Assistance Technology provides Real-time remote training and applications support. eSie Link remote assistance not only enables user services, e.g. syngo Remote Assist, syngo Remote Trainer, but also enhances Siemens Remote Service, e.g. remote diagnostics and SRS pre-clarification. To enjoy full value of eSieLink remote assist, the ultrasound system has to be SRS connected. eSieLink™ Remote Assistance Accessories SIEMENS Healthineers Logitech C930E Jabra Evolve 30UC Webcam mounting strap .:::::: : HC US MSC S SET Page 25 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: The eSieLink remote assistance accessories are the Logitech C930E webcam, Jabra Evolve 30UC headset and the webcam mounting strap. These are optional items to support this technology. Objectives SIEMENS Healthineers Explain the General System Discuss the Cart and Peripheral Options Discuss Service Features Review Care and Cleaning .--- HC US MSC S SET Pageg:626UnRestricted C Siemens Medical Solutions USA, Inc. 2017 Care and Cleaning SIEMENS Healthineers General System Cleaning and Disinfecting Inspect the Power and transducer cords Use only approved cleaners listed in the manual Verify transducers are clean and free of gel Do not use spray or aerosol cleaners on the system or transducers Verify the control panel, touch pad and touch screen Use only approved disinfecting wipes are clean and free of gel or other contaminants The Touch Screen can be cleaned with the approved disinfecting Check that the data field is accurate wipes Always apply a sterile sheath during procedures requiring sterility Carefully follow the disinfectant manufacturer's instructions for disinfection or high-level disinfection. HC US MSC S SET Page 27 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: The Safety and Care section of the manual should be reviewed carefully prior to performing an ultrasound examination. The manual provides detailed instructions as well as the approved disinfecting wipes and solutions. The system should be powered off and the power plug removed when cleaning the system. The topics listed are just a few of the requirements for care and cleaning. This may seem like basic information, but many non-traditional users may utilize this system for scanning, so it is important to review this for all new installations or anytime the customer is using the system alone regardless of the institution or medical facility. From the manual—daily checklist If your system's power cord is frayed or split, or shows signs of wear, contact your Siemens service representative for power cord replacement. Visually inspect the ECG connector and the cable. Do not use the ECG function if the connector or cable is damaged or broken. Verify that the touchpad, DGC slide controls, and other controls on the control panel are clean and free from gel or other contaminants. Once the system is powered on: Visually check the on-screen displays and lighting. 27 Care and Cleaning SIEMENS Healthineers Approved Disinfectant Wipes for the Ultrasound System Surfaces The following matrix provides a list of approved disinfectant wipes for use on the ultrasound system and surfaces of the listed components. Sani-Cloth Sani-Cloth Sani-Cloth Sani-Cloth Sani-Cloth Super AF AF3 Bleach Wipe" HB Plus Sani-Cloth Ultrasound System V V Transducer Liners V V V V V Trackball Assembly V V V V v v *or any bleach wipe with <1% sodium hypochlorite and no other active ingredients = compatible NC = not compatible NA = not applicable (not tested) SNEINSIS SIEMENS HC US MSC S SET Page 28 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 The following are the approved disinfecting wipes per the user manual. 28 Care and Cleaning SIEMENS Healthineers Approved List of Cleaners Note: Gigasept FF may discolor the transducer. There is no associated degradation of imaging performance or transducer reliability. You can use Gigasept FF as a cleaner and a disinfectant. ENZOL Gigasept FF Transeptic CH5-2 VF10-5 V NA VF13-5 NA NA VF16-5 L10-5v NA EC9-4 NA P4-2 V P8-4 < CW2 V CW5 V ¥ = approved NA = not approved HC US MSC S SET Page 29 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 The following are the approved disinfecting cleaners. Care and Cleaning SIEMENS Healthineers Approved List of Disinfectants Note: CIDEX OPA and Gigasept FF may discolor the transducer. There is no associated degradation of imaging performance or transducer reliability. You can use Gigasept FF as a cleaner and a disinfectant. CIDEXPLUS Milton Revital Ox CIDEX Gigasept FF Sani-Cloth CIDEX OPA Super Rely+On Virkon RESERT HLD Sani-Cloth HB PI-Spray II Sani-Cloth AF3 CH5-2 V VF10-5 v NA NA NA NA VF13-5 NA VF16-5 NA L10-5v NA NA NA EC9-4 V NA P 4 -2 P8-4 V V V NA CW2 NA NA CW5 V NA NA = approved NA = not approved HC US MSC S SET Page 30 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 The following are the approved disinfectants. Summary SIEMENS Healthineers Explain the General System Discuss the Cart and Peripheral Options Discuss Service Features Review Care and Cleaning .--- HC US MSC S SET Pagegel 311 UnRestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: This was a brief overview to: •Explain the General System •Discuss the Cart and Peripheral Options •Discuss Service Features •Review Care and Cleaning Questions HC US MSC S SET Page 32 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Questions?

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