ACUSON Juniper Supplement and Errata to the User and Reference Manual

An updated User and Reference Manual may be available for your ultrasound system. Refer to your printed manual or access the most recent manual from the Siemens Healthineers Document Library at doclib.siemens-healthineers.com. Product Version 1.5 Software Version VB10 ©2020-2024 Siemens Medical Solutions USA, Inc. All Rights Reserved. Date of first issue: 2024-04 All trademarks are property of their respective owners. The following trademarks of Siemens Healthineers AG or its affiliates are registered or pending with the U.S. Patent and Trademark Office: ACUSON, ACUSON Juniper, syngo Siemens includes references to third-party products in the user documentation for informational purposes only. Siemens does not endorse third-party products referenced in the user documentation. Siemens does not assume responsibility for the performance of third-party products. Siemens reserves the right to change its products and services at any time. In addition, this publication is subject to change without notice. Manufacturer Siemens Medical Solutions USA, Inc. Ultrasound 22010 S.E. 51st Street Issaquah, WA 98029 U.S.A. Phone: +1-888-826-9702 siemens-healthineers.com

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Siemens Healthineers Headquarters Siemens Healthineers AG Siemensstr. 3 91301 Forchheim Germany Phone: +49 9191 18-0 siemens-healthineers.com

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About this Publication This publication is applicable to the following ultrasound products and product options: 

ACUSON Juniper ultrasound system



Select Edition

Supplement to the User and Reference Manuals (English) The supplement provides updated information for your existing user manuals. Refer to your ultrasound system's user and reference manuals for a complete set of operating instructions.

Select Edition (New content: Page A-20, Instructions for Use) Note: This product option supports the use of limited transducers, software features, and options. The option is not upgradable to include all supported transducers and options described in the user and reference manuals.

The option for the Select Edition provides compatibility with only the following transducers and transducer ports: 



Transducers: –

5C1

–

5P1

–

8VC3

–

10MC3

–

11L4

–

12L3

–

CW2

–

CW5

Transducer ports: –

Four ports for array transducers

–

One port for the auxiliary continuous wave transducer

This product option is compatible with all accessories and options listed in Appendix A of the Instructions for Use with the exception of the following options: 

eSie Left Heart measurement package



eSie Touch elasticity imaging



Virtual Touch Quantification



Needle Visualization



Stress Echo



syngo Velocity Vector Imaging

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Caring for Transducers (New content: Page 6-4, Instructions for Use) Transducer Element Check A transducer element check is available for evaluating the integrity of each element on a transducer. If you suspect transducer degradation due to damage, age, or another issue, contact your customer service representative. Based on the results of the transducer element check, your customer service representative will advise you of necessary actions.

List of Approved Cleaners (Updated content: Page 6-12, Instructions for Use) See also: For an additional list of approved cleaners and disinfectants, refer to the Transducer Cleaners and Disinfectants Addendum. You can also access the most recent compatible cleaners and disinfectants on the Siemens Healthineers web site.

Disinfecting a Continuous Wave Transducer (New content: Page 6-12, Instructions for Use) A continuous wave (CW) transducer with a T-bar requires additional tasks for disinfection. To prepare a CW transducer for disinfection: 1. 2. 3.

Rotate the screw on the side of the T-bar counterclockwise and then set the screw aside. Loosen and then slide the T-bar onto the transducer cable. Perform the additional tasks when following the disinfection instructions on page 6-11. – Carefully wipe the T-bar and screw using a disinfectant wipe. 

Use a circular motion when wiping the T-bar and screw.



Slide the wipe partially through the hole on the T-bar and then rotate the T-bar to disinfect the interior of the hole.



Slide a portion of the wipe into the threaded screw hole on the T-bar and rotate the wipe to clean the interior of the hole.

–

Carefully wipe the transducer, including the cable, using a second disinfectant wipe.

–

Allow all surfaces to remain wet with disinfectant for a minimum of two minutes. Reapply the disinfectant to the transducer, T-bar, and screw, if necessary. Note: Follow the disinfectant manufacturer's instructions.

– 4.

Rinse and then dry the transducer, T-bar, and screw.

Reassemble the transducer after all components are dry. a. Carefully slide the T-bar into place on the transducer. b. Rotate the screw clockwise into the T-bar to secure the T-bar to the transducer.

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List of Approved Disinfectants (Updated content: Page 6-13, Instructions for Use)

CIDEX OPA

Gigasept FF (new)

Revital Ox RESERT HLD

Sani-Cloth AF3 Germicidal Disposable Wipes

Super Sani-Cloth Germicidal Disposable Wipes

trophon EPR with NanoNebulant*

trophon EPR with Sonex-HL*

trophon2 with NanoNebulant*

trophon2 with Sonex-HL*

See also: For an additional list of approved cleaners and disinfectants, refer to the Transducer Cleaners and Disinfectants Addendum. You can also access the most recent compatible cleaners and disinfectants on the Siemens Healthineers web site.

5C1











NA

NA

NA

NA

7C2











NA

NA

NA

NA

16L4



















13L4



















12L3



NA





NA

NA

NA

NA

NA

11L4



NA















18H5



NA





NA









8VC3



NA

NA



NA

NA

NA

NA

NA

5P1



















8V4



















10V4



















11M3







NA











9VE3



NA

NA





NA

NA

NA

NA

10MC3



















9MC3



















CW2











NA

NA





CW5











NA

NA





CW8











NA

NA

NA

NA

 = approved NA = not approved *An asterisk (*) indicates a reprocessing device with the approved disinfectant for use. For information about the reprocessing device, refer to the device manufacturer's instructions for use.

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Transducer Options (Updated content: Page A-20, Instructions for Use) Note: The gel pad option is no longer available for sale.

Digital Documentation Devices (Updated content: Page A-21, Instructions for Use) Note: Up to two documentation devices (black and white printer and color printer or DVR) can be integrated into the system.



Black and White Printer, P95DW-DC(S), Mitsubishi1



Black and White Printer, UP-D898DC, Sony



Black and White Printer, UP-D711, Sony



Color Printer, CP30DW, Mitsubishi1



Color Printer, UP-D-25MD, Sony



DVR UR-50BD-SK Recorder (NTSC/PAL, 115V/230V), TEAC2

1

Not available for sale

2

Not available for sale or use in the European Union

Measurement Accuracy (Updated content: Page A-24, Instructions for Use) Note: The range of accuracy for the heart rate detected by the physio module is 30 bpm to 300 bpm.

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Biopsy (Puncture) Guideline Function (New content: Page A2-3, Clinical Applications Guide) Note: Linear and curved array transducers include reference lines as a supplementary visual guide during a freehand biopsy procedure. The reference lines are located at the center of the transducer surface and at points from the center.

Approved Cleaners and Disinfectants for the Transesophageal Transducer (Updated content: Page D3-24, Clinical Applications Guide) See also: For an additional list of approved cleaners and disinfectants, refer to the Transducer Cleaners and Disinfectants Addendum. You can also access the most recent compatible cleaners and disinfectants on the Siemens Healthineers web site. Transducer

Approved Cleaners

Approved Disinfectants

5VT

ANIOSYME DD1

ANIOXYDE 1000

ENZOL

CIDEX OPA

Matrix Wipes

gigasept FF (new)

Protex ULTRA Disinfectant Wipes

MetriCide OPA Plus

TEEZyme

TD-5¹

Transeptic

TD-8¹ Tristel Trio Wipes System

¹For use only with the TD-100 Automated TEE Probe Disinfector according to the device manufacturer's instructions for use.

Setting Up a Clip for Processing (New content: D4-8, Clinical Applications Guide) Note: When a clip is loaded for analysis, ensure the end diastole and systole markers on the setup screen align with the ECG trace.

Measurement Display for Obstetrics (Replaces the selection for head circumference and abdominal circumference, Page 3-6, System Reference) Selection

Description

AC Measurement

---

AC with TAD / APAD measurement

Display the values for transverse abdominal diameter and abdominal anteroposterior diameter from the abdominal circumference measurement.

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Errata to the User and Reference Manuals (English) The errata provides corrected information for the user and reference manuals. Refer to your ultrasound system's user and reference manuals for a complete set of operating instructions.

Input/Output Connections (Updated content: Page 3-19, Instructions for Use)

9 1 8

7

6

2

5

1 2 3 4 5 6 7 8 9

Ethernet network port Input/output service status label Black and white printer port Accessory Power Outlet HDMI output (for DVR) DVI output S-Video output USB ports Status indicator light for service diagnostics

3

4

Example of input/output panel.

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2D-Mode Features (Updated content: Page A-9, Instructions for Use) 

Acquired 2D-mode frame rates, depending on the transducer and imaging depth: up to 2,070 fps (frames per second)

Color Doppler (Updated content: Page A-12, Instructions for Use) 

Velocity scale range: ±0.6 cm/s to 330.9 cm/s

Options (Updated content: Page A-16, Instructions for Use) Options

Description

syngo Velocity Vector Imaging

 Compatible transducers and exam types: – 5P1: Adult Echocardiography, Pediatric Echocardiography – 8V4, 10V4, 11M3: Neonatal Echocardiography, Pediatric Echocardiography – 5VT: Transesophageal Echocardiography

Monitor (Updated content: Page A-3, Instructions for Use) 



Variable positioning adjustments: –

Range of height: 141 cm to 163.4 cm; folds down for transport or portable exams to 122 cm

–

Left and right swivel: ±90°

–

Tilt front (+65°) and back (-15°)

Monitor arm adjustments: –

Left and right swivel: ±320°

–

Vertical: up to 20°

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Environmental Requirements (Updated content: Page A-28, Instructions for Use)

Ultrasound System Maximum Altitude:

During Operation

During Storage or Transportation

Operation up to 3,000 meters

Up to 5,050 meters

(700 hPa to 1060 hPa)

(500 hPa to 1060 hPa)

Relative humidity:

10% to 80%, non-condensing

10% to 95%, non-condensing

Temperature:

---

---

System without a battery pack

+10°C to +40°C

-20°C to +60°C

System with a battery pack

+10°C to +35°C

-20°C to +50°C

Transducers During Operation Atmospheric pressure:

During Storage or Transportation

---

---

All transducers, except CW2, CW5

700 hPa to 1060 hPa

500 hPa to 1060 hPa

CW2, CW5

680 hPa to 1060 hPa

680 hPa to 1060 hPa

---

---

All transducers, except CW2, CW5

10% to 80%, non-condensing

10% to 95%, non-condensing

CW2, CW5

Less than 80%, non-condensing

Less than 80%, non-condensing

---

---

+10°C to +40°C

-40°C to +60°C

Relative humidity:

Temperature: All transducers, except 5P1, 11M3, 9MC3, 8VC3, 9VE3, 5VT, CW2, CW5 5P1, 5VT, CW2, CW5

+10°C to +40°C

-10°C to +50°C

11M3, 9MC3

+10°C to +40°C

-20°C to +60°C

8VC3, 9VE3

+10°C to +40°C

-30°C to +70°C

System Maximum Physical Dimensions (Updated content: Page A-28, Instructions for Use) Width:

585.3 mm

Height:

1634 mm

Depth:

845.1 mm

Weight:

76 kg without documentation devices Not to exceed 150 kg

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M-Mode Measurement Labels (Updated content: Page D-15, System Reference) Measurement Label

Description

Measurement Method

Mitral Valve(M)

Mitral Valve function

---

CE amp

Amplitude of the E wave

Distance

CA amp

Amplitude of the A wave

Distance

DE Slope

Anterior excursion of the mitral leaflet at early diastole.

Slope

DE excursion

Amplitude of the early diastole wave

Distance

EPSS

E Point to Septal Separation. The distance between the anterior leaflet and the ventricular septum at early diastole.

Distance

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M-Mode Measurement Labels (Updated content: Page D-15, System Reference) Measurement Label

Description

Measurement Method

Mitral Valve(M)

Mitral Valve function

---

CE amp

Amplitude of the E wave

Distance

CA amp

Amplitude of the A wave

Distance

DE Slope

Anterior excursion of the mitral leaflet at early diastole.

Slope

DE excursion

Amplitude of the early diastole wave

Distance

EPSS

E Point to Septal Separation. The distance between the anterior leaflet and the ventricular septum at early diastole.

Distance

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