Siemens
Diagnostic Ultrasound
ACUSON Juniper and Juniper Select Supplement and Errata to the User and Reference Manual Ver 2.0 VB 11
Supplement and Errata to the User and Reference Manual
258 Pages
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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 2.0 Software Version VB11 ©2022-2024 Siemens Medical Solutions USA, Inc. All Rights Reserved. Date of first issue: 2022-08 Date of revision: 2024-03 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, eSie Touch, 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
Su p pl e me n t t o t he Us er a nd R ef er enc e M a nu a ls Err at a to t he Us er and R ef er ence Manuals
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.
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.
Disinfecting a Continuous Wave Transducer (New content: Page 6-13, 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 6-12. – 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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Accessories and Options Options (Updated content: Page A-19, Instructions for Use) Options
Description
eSie Touch Elasticity Imaging
Provides a qualitative representation of relative tissue stiffness for the region of interest
(Available only on the ACUSON Juniper system)
Compatible transducers and exam types: – 16L4, 12L3, 11L4, 13L4, 14L4: Breast, Thyroid – 18H5: Thyroid
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.
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Su p pl e me n t t o t he Us er a nd R ef er enc e M a nu a ls Err at a to t he Us er and R ef er ence Manuals
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.
Combined Modes (Updated content: Pages 1-10, A-9, Instructions for Use)
2D-mode with Color
2D-mode with Doppler
2D-mode with Color and Doppler
2D-mode with M-mode
2D-mode with M-mode and Color
2D-mode with Elastography*
2D-mode with Contrast Agent Imaging
2D/Anatomical M-mode
*Available only on the ACUSON Juniper system.
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Input/Output Connections (Updated content: Page 3-24, 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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Su p pl e me n t t o t he Us er a nd R ef er enc e M a nu a ls Err at a to t he Us er and R ef er ence Manuals
Connecting to Remote Services (Updated content: Page 3-31, Instructions for Use) (Available only when remote services is enabled on your ultrasound system) You can connect to remote services through a wired or wireless network. To begin the remote access session: 1. 2.
Use the phone number provided by your Siemens Healthineers representative. Follow the instructions provided by your service representative, including how to disconnect from the remote service session. Note: If you do not disconnect from the session, the session will end after 30 minutes of inactivity.
Transducer Technology and Design Attributes (Updated content: Page A-6, Instructions for Use)
Range of operating frequencies Transducer
2D-mode
Doppler
14L4
6.2 MHz - 14.0 MHz
4.0 MHz - 6.2 MHz
Options (Updated content: Page A-18, A-19, Instructions for Use) Options
Description
syngo Auto Follicle
Compatible transducers and exam type: – 5C1, 6C1, 7C2, 8VC3, 10MC3, 9VE3, 9MC3: Gynecology Provides system-detected distance measurements for user confirmation.
syngo Auto OB
Compatible transducers and exam types: – 5C1, 6C1, 7C2, 8VC3, 9MC3, 10MC3, 9VE3: Obstetrics, Early Obstetrics, Advanced Obstetrics – 12L3, 11L4, 13L4, 14L4: Obstetrics Provides system-detected measurements of specific fetal parameters for user confirmation.
Virtual Touch Quantification (Available only on the ACUSON Juniper system)
Virtual Touch quantification measures tissue shear velocity (Vs) and elasticity (E) for a selected region of interest. Virtual Touch quantification uses acoustic radiation force impulse (ARFI) technology of diagnostic ultrasound to induce tissue displacement. A time-controlled sequence of "push pulses" from the transducer induces a small displacement of tissue. The ultrasound system measures shear wave velocity and elasticity at the region of interest. Provides measurement labels for sites, lesions, and liver segments, which display in the liver assessment section of the abdomen report Compatible transducers and exam types: – 5C1, 6C1: Abdominal
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Options
Description
Needle Visualization
Compatible transducers and exam types:
(Available only on the ACUSON Juniper system)
– 16L4: Bowel, Focused Assessment with Sonography for Trauma, Lung, Testis, Penile, Thyroid, Pediatric Hip Joint, Carotid, Breast, Musculoskeletal, Digital, Nerve – 12L3, 11L4, 13L4, 14L4: Bowel, Focused Assessment with Sonography for Trauma, Lung, Obstetrics, Breast, Testis, Penile, Thyroid, Pediatric Hip Joint, Carotid, Peripheral Venous, Peripheral Arterial, Spine, Musculoskeletal, Digital, Nerve. – 18H5: Testis, Penile, Thyroid, Musculoskeletal, Digital, Nerve, Intraoperative Abdomen, Carotid Enhances the visualization of the needle during the biopsy or needle puncture procedures
Options (Deleted content: Page A-21, Instructions for Use) Options
Description
Virtual Communication for eSieLink Remote Assistance
Enables virtual communication for remote assistance with a Siemens Healthineers representative. Requires using the phone number provided by your Siemens Healthineers representative to initiate remote assistance. The representative guides you through the setup of each communication session Includes a headset, camera, and camera attachment
eSiePrep
Provides pre-configuration of Internet Based Connectivity (IBC) and Smart Remote Services (SRS) connection
Options (New content: Page A-21, Instructions for Use) Options
Description
Remote Services Option
Enables a Siemens Healthineers representative to remotely view and control your system Requires using the phone number provided by your Siemens Healthineers representative to initiate remote assistance. The representative guides you through the setup of each communication session
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Environmental Requirements (Updated content: Page A-34, Instructions for Use)
Ultrasound System During Operation
During Storage or Transportation
Atmospheric pressure:
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
During Storage or Transportation
---
---
All transducers, except CW2, CW5
700 hPa to 1060 hPa
500 hPa to 1060 hPa
CW2, CW5
---
500 hPa to 1060 hPa
Relative humidity:
---
---
All transducers, except CW2, CW5
10% to 80%, non-condensing
10% to 95%, non-condensing
CW2, CW5
---
Less than 80%, non-condensing
Temperature:
---
---
All transducers, except 5P1, 11M3, 9MC3, 8VC3, 9VE3, 5VT, 6C1, CW2, CW5
+10°C to +40°C
-40°C to +60°C
5P1, 5VT, 6C1, 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
Atmospheric pressure:
Cybersecurity (Updated content: Page C-6, C-13, Instructions for Use) The following text replaces the existing text, Smart Remote Services, on pages C-6 and C-13 in your manual:
Remote customer services
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Enabling Ports (Deleted content: Page 1-23, System Reference) Port Number
Port Group
Protocol
8226
System Management
TCP
Remote Assistance
TCP
8227 8228 12061 13001 11080
Enabling Ports (Updated content: Page 1-23, System Reference) Port Number
Port Group
Protocol
104
DICOM
TCP
80
Remote Customer Services
TCP
443
M-Mode Measurement Labels (Updated content: Page D-15, System Reference) Measurement Label
Description
Measurement Method
DE Slope
Anterior excursion of the mitral leaflet at early diastole
Slope
DE excursion
Amplitude of the early diastole wave
Distance
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Su p pl e me n t t o t he Us er a nd R ef er enc e M a nu a ls Err at a to t he Us er and R ef er ence Manuals
Enabling Ports (Deleted content: Page 1-23, System Reference) Port Number
Port Group
Protocol
8226
System Management
TCP
Remote Assistance
TCP
8227 8228 12061 13001 11080
Enabling Ports (Updated content: Page 1-23, System Reference) Port Number
Port Group
Protocol
104
DICOM
TCP
80
Remote Customer Services
TCP
443
M-Mode Measurement Labels (Updated content: Page D-15, System Reference) Measurement Label
Description
Measurement Method
DE Slope
Anterior excursion of the mitral leaflet at early diastole
Slope
DE excursion
Amplitude of the early diastole wave
Distance
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Su p pl e me n t t o t he Us er a nd R ef er enc e M a nu a ls Err at a to t he Us er and R ef er ence Manuals
Enabling Ports (Deleted content: Page 1-23, System Reference) Port Number
Port Group
Protocol
8226
System Management
TCP
Remote Assistance
TCP
8227 8228 12061 13001 11080
Enabling Ports (Updated content: Page 1-23, System Reference) Port Number
Port Group
Protocol
104
DICOM
TCP
80
Remote Customer Services
TCP
443
M-Mode Measurement Labels (Updated content: Page D-15, System Reference) Measurement Label
Description
Measurement Method
DE Slope
Anterior excursion of the mitral leaflet at early diastole
Slope
DE excursion
Amplitude of the early diastole wave
Distance
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Su p pl e me n t t o t he Us er a nd R ef er enc e M a nu a ls Err at a to t he Us er and R ef er ence Manuals
Enabling Ports (Deleted content: Page 1-23, System Reference) Port Number
Port Group
Protocol
8226
System Management
TCP
Remote Assistance
TCP
8227 8228 12061 13001 11080
Enabling Ports (Updated content: Page 1-23, System Reference) Port Number
Port Group
Protocol
104
DICOM
TCP
80
Remote Customer Services
TCP
443
M-Mode Measurement Labels (Updated content: Page D-15, System Reference) Measurement Label
Description
Measurement Method
DE Slope
Anterior excursion of the mitral leaflet at early diastole
Slope
DE excursion
Amplitude of the early diastole wave
Distance
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Su p pl e me n t t o t he Us er a nd R ef er enc e M a nu a ls Err at a to t he Us er and R ef er ence Manuals
Enabling Ports (Deleted content: Page 1-23, System Reference) Port Number
Port Group
Protocol
8226
System Management
TCP
Remote Assistance
TCP
8227 8228 12061 13001 11080
Enabling Ports (Updated content: Page 1-23, System Reference) Port Number
Port Group
Protocol
104
DICOM
TCP
80
Remote Customer Services
TCP
443
M-Mode Measurement Labels (Updated content: Page D-15, System Reference) Measurement Label
Description
Measurement Method
DE Slope
Anterior excursion of the mitral leaflet at early diastole
Slope
DE excursion
Amplitude of the early diastole wave
Distance
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Su p pl e me n t t o t he Us er a nd R ef er enc e M a nu a ls Err at a to t he Us er and R ef er ence Manuals
Enabling Ports (Deleted content: Page 1-23, System Reference) Port Number
Port Group
Protocol
8226
System Management
TCP
Remote Assistance
TCP
8227 8228 12061 13001 11080
Enabling Ports (Updated content: Page 1-23, System Reference) Port Number
Port Group
Protocol
104
DICOM
TCP
80
Remote Customer Services
TCP
443
M-Mode Measurement Labels (Updated content: Page D-15, System Reference) Measurement Label
Description
Measurement Method
DE Slope
Anterior excursion of the mitral leaflet at early diastole
Slope
DE excursion
Amplitude of the early diastole wave
Distance
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Su p pl e me n t t o t he Us er a nd R ef er enc e M a nu a ls Err at a to t he Us er and R ef er ence Manuals
Enabling Ports (Deleted content: Page 1-23, System Reference) Port Number
Port Group
Protocol
8226
System Management
TCP
Remote Assistance
TCP
8227 8228 12061 13001 11080
Enabling Ports (Updated content: Page 1-23, System Reference) Port Number
Port Group
Protocol
104
DICOM
TCP
80
Remote Customer Services
TCP
443
M-Mode Measurement Labels (Updated content: Page D-15, System Reference) Measurement Label
Description
Measurement Method
DE Slope
Anterior excursion of the mitral leaflet at early diastole
Slope
DE excursion
Amplitude of the early diastole wave
Distance
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Su p pl e me n t t o t he Us er a nd R ef er enc e M a nu a ls Err at a to t he Us er and R ef er ence Manuals
Enabling Ports (Deleted content: Page 1-23, System Reference) Port Number
Port Group
Protocol
8226
System Management
TCP
Remote Assistance
TCP
8227 8228 12061 13001 11080
Enabling Ports (Updated content: Page 1-23, System Reference) Port Number
Port Group
Protocol
104
DICOM
TCP
80
Remote Customer Services
TCP
443
M-Mode Measurement Labels (Updated content: Page D-15, System Reference) Measurement Label
Description
Measurement Method
DE Slope
Anterior excursion of the mitral leaflet at early diastole
Slope
DE excursion
Amplitude of the early diastole wave
Distance
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Su p pl e me n t t o t he Us er a nd R ef er enc e M a nu a ls Err at a to t he Us er and R ef er ence Manuals
Enabling Ports (Deleted content: Page 1-23, System Reference) Port Number
Port Group
Protocol
8226
System Management
TCP
Remote Assistance
TCP
8227 8228 12061 13001 11080
Enabling Ports (Updated content: Page 1-23, System Reference) Port Number
Port Group
Protocol
104
DICOM
TCP
80
Remote Customer Services
TCP
443
M-Mode Measurement Labels (Updated content: Page D-15, System Reference) Measurement Label
Description
Measurement Method
DE Slope
Anterior excursion of the mitral leaflet at early diastole
Slope
DE excursion
Amplitude of the early diastole wave
Distance
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Su p pl e me n t t o t he Us er a nd R ef er enc e M a nu a ls Err at a to t he Us er and R ef er ence Manuals
Enabling Ports (Deleted content: Page 1-23, System Reference) Port Number
Port Group
Protocol
8226
System Management
TCP
Remote Assistance
TCP
8227 8228 12061 13001 11080
Enabling Ports (Updated content: Page 1-23, System Reference) Port Number
Port Group
Protocol
104
DICOM
TCP
80
Remote Customer Services
TCP
443
M-Mode Measurement Labels (Updated content: Page D-15, System Reference) Measurement Label
Description
Measurement Method
DE Slope
Anterior excursion of the mitral leaflet at early diastole
Slope
DE excursion
Amplitude of the early diastole wave
Distance
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Su p pl e me n t t o t he Us er a nd R ef er enc e M a nu a ls Err at a to t he Us er and R ef er ence Manuals
Enabling Ports (Deleted content: Page 1-23, System Reference) Port Number
Port Group
Protocol
8226
System Management
TCP
Remote Assistance
TCP
8227 8228 12061 13001 11080
Enabling Ports (Updated content: Page 1-23, System Reference) Port Number
Port Group
Protocol
104
DICOM
TCP
80
Remote Customer Services
TCP
443
M-Mode Measurement Labels (Updated content: Page D-15, System Reference) Measurement Label
Description
Measurement Method
DE Slope
Anterior excursion of the mitral leaflet at early diastole
Slope
DE excursion
Amplitude of the early diastole wave
Distance
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Su p pl e me n t t o t he Us er a nd R ef er enc e M a nu a ls Err at a to t he Us er and R ef er ence Manuals
Enabling Ports (Deleted content: Page 1-23, System Reference) Port Number
Port Group
Protocol
8226
System Management
TCP
Remote Assistance
TCP
8227 8228 12061 13001 11080
Enabling Ports (Updated content: Page 1-23, System Reference) Port Number
Port Group
Protocol
104
DICOM
TCP
80
Remote Customer Services
TCP
443
M-Mode Measurement Labels (Updated content: Page D-15, System Reference) Measurement Label
Description
Measurement Method
DE Slope
Anterior excursion of the mitral leaflet at early diastole
Slope
DE excursion
Amplitude of the early diastole wave
Distance
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Su p pl e me n t t o t he Us er a nd R ef er enc e M a nu a ls Err at a to t he Us er and R ef er ence Manuals