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Datasheet ACUSON NX3 Ultrasound System ACUSON NX3 Ultrasound System Table of Contents General Information���������������������������������������������������������������� 5 5 Cine Review 10 Post-Processing Features in Freeze Frame or Cine 10 User Interface 6 Control Panel 6 System 6 Monitor 6 Transducer Technology����������������������������������������������������������� 6 Study Types �������������������������������������������������������������������������� 11 Exam-specific Measurements and Reports���������������������������� 11 Abdomen 11 11 Transducer Ports 6 Obstetrics Transducer Storage 7 Gynecology 11 Hard Drive 7 Cardiac 11 Physiological Interface 7 Cerebrovascular 12 Peripheral Vascular 12 Venous 12 Operating Modes�������������������������������������������������������������������� 7 2D 7 Thyroid 12 Color Doppler 7 Urology 12 Spectral Doppler 7 Testicle 12 M-mode 7 Penile 12 Orthopedic 12 TCD 12 Emergency Medicine 12 Display Modes������������������������������������������������������������������������� 7 2D-mode Image Processing 7 MultiHertz Multiple Frequency Imaging 8 Digital Patient Study Storage and Archiving������������������������� 12 Tissue Harmonic Imaging (THI) 8 Focusing 8 2D Image Display 8 2D Calipers – Generic Measurements and Calculations 8 Color Doppler Velocity Imaging 8 Dynamic TCE Technology 13 Power Doppler Imaging/Directional Power Doppler 9 Tissue Grayscale Optimization (TGO) (Option) 13 Color and Power Doppler Display 9 SieClear Compounding 13 Pulsed Wave Spectral Doppler 9 Advanced SieClear Spatial Compounding 13 Steerable Continuous Wave (SCW) Doppler 9 HD Zoom (Option) 13 Spectral Doppler Display 9 Spectral and Color Doppler Tissue Imaging (DTI) (Option) 13 DICOM 3.0 Connectivity (Option) 14 DICOM Modality Worklist (Option) 14 DICOM MPPS – Modality Performed Procedure Step (Option) 14 Integrated Gel Warmer (Option) 14 QuikStart (Option) 14 Clarify Vascular Enhancement (VE) Technology (Option) 14 SieScape Panoramic Imaging (Option) 14 Spectral Doppler Calipers – Generic Measurements and Calculations 2 Freeze, Cine and Cine Post-Processing Functions����������������� 10 System Architecture 9 M-mode 10 M-mode Image Display 10 M-mode Calipers – Generic Measurements and Calculations 10 QuickSet User-programmable System Parameters 10 siemens.com/ultrasound Patient Study Management 12 Advanced Technologies and Features����������������������������������� 13 ACUSON NX3 Ultrasound System 3D/4D (Option) 15 Physio (Option) 15 syngo Auto OB Measurements (Option) 15 Stress Echo Imaging (Option) 15 syngo Auto Follicle Measurements (Option) 15 Axius Edge-Assisted Ejection Fraction (Option) 16 Barcode Reader (Option) 16 DICOM Structured Reporting (Option) 16 DICOM Connectivity (Option) 16 Ultrasound System Security – Virus Protection 16 Documentation Devices�������������������������������������������������������� 16 Optional On-Board Video Devices 16 System Input/Output������������������������������������������������������������� 16 Video and Audio Input/Output (I/O) 16 System Interface Connections 16 Acoustic Output Management 17 Dual Foot Switch (Option) 17 System Dimensions��������������������������������������������������������������� 17 Electrical/Environmental Specifications�������������������������������� 17 Integrating the Healthcare Enterprise (IHE)�������������������������� 17 Standards Compliance���������������������������������������������������������� 17 Quality Standards 17 Design Standards 17 Acoustic Output Standards 17 EU Authorized Representative���������������������������������������������� 17 siemens.com/ultrasound 3 ACUSON NX3 Ultrasound System 4 siemens.com/ultrasound ACUSON NX3 Ultrasound System ACUSON NX3 Ultrasound System The ACUSON NX3™ ultrasound system is the next generation mid-range cart-based system in the Siemens ACUSON product line. Built from the ground up with a newly designed image processing architecture and a stunning new lightweight and compact design, it delivers both superb image quality on the largest monitor in its class, as well as work­ flow efficiencies using Siemens’ new tactile and touch UI. With a broad range of appli­ cations to meet both your day-to-day and specialized needs, the ACUSON NX3 is the system of choice for the most demand­ing shared service, general imaging and OB/GYN requirements in hospitals and clinics. General Information System Architecture All-digital signal processing and multi-beam formation technology provide best-in-class imaging in all modes and enable seamless integration of features and options to: • Enable parallel Quad beam processing of the RF signal data in the time and amplitude domains with new generation all digital beamformer technology – 2D-mode line density: Up to 512 lines – Processing channels: Up to 11,872 channels – Total system dynamic range: > 227 dB • DTO™ Dynamic Tissue Optimization technology, Dynamic TCE™ tissue contrast enhancement technol­ ogy, SieScape™ panoramic imaging, Advanced SieClear™ spatial compounding, SieClear™ com­ pounding and Clarify™ vascular enhancement (VE) technology are built into the ACUSON NX3 system to provide excellent image quality siemens.com/ultrasound • Enhance productivity through application-specific imaging presets, TGO™ tissue grayscale optimization technology Doppler auto optimization, enhanced measurement and report functionality, knowledgebased workflow tools including syngo® Auto OB measurements, Axius™ edge-assisted Ejection Fraction, QuikStart rapid boot and standardized imaging protocols • Streamline connectivity with solutions such as DICOM Print/Store, DICOM Modality Worklist, DICOM MPPS and DICOM structured reporting for OB/GYN, Vascular and Cardiac exams • Increase functionality with fourSight™ 4D transducer technology, integrated stress echo, and syngo® Auto Follicle 5 ACUSON NX3 Ultrasound System User Interface • On-screen text, control panel overlay and operating instructions are available in the following languages: – Chinese, English, French, Italian, German, Spanish • Russian keyboard and operating instructions supported • Flat Panel Display (LED), 21.5-inch widescreen, color, high resolution, and progressive scan (non-interlaced) with In Plane Switching (IPS) technology • Resolution: 1920 x 1080 pixels • Operating instructions are available in 24 additional languages • Recordable image area clips: 800 x 600 pixels • Thumbnail menu provides on-screen thumbnail images and dynamic clips during exams • Digital on-screen display of brightness control • On-screen acoustic power indicator (AIUM/NEMA output display standard) • 4 illumination controls including contrast, brightness control and task light Control Panel • 10.4” touch screen (resolution 1024 x 768) • Simple, intuitive user interface with Home Base design minimizes repetitive hand motions and enables motor-memory learning • Backlit key illumination • Variable key brightness indicates active functions • Task light • Customizable soft keys for easy and immediate viewing of on-screen menus • Full-size QWERTY keyboard supports text entry, function keys and system programming • Wrist support to help reduce operator fatigue System • Height-adjustable control panel • Control panel with lock lever • Articulating monitor arm to help improve ergonomics – Arm rotation: -80° to +80° – FPD rotation: -80° to +80° – Tilt: 15° to 70° – Pull: 210 mm • Integrated high performance audio speakers •Wheels – Castor size: 125 mm – Front castor (2 ea): Total lock – Rear castor (2 ea): Total lock 6 Monitor siemens.com/ultrasound • Monitor tilt: 15° up, 80° down and swivel of ± 80° • Energy saving display power management • Angle of view: 178° Transducer Technology Ultra-sensitive, wideband transducers, matched with user-selectable MultiHertz™ multiple frequency imaging, improve resolution and penetration. Up to seven 2D and THI frequencies and up to two color Doppler and spectral Doppler frequencies expand the clinical versatility of a single transducer, thereby maximizing transducer investment. • Innovative ultra low-loss lens materials and micro­ electronic technologies for efficient performance and increased signal bandwidth • microCase™ transducer miniaturization technology and SuppleFlex™ transducer cables • SuppleFlex cables and integrated cable management provide protection during exams and transport • Independent 2D and color frequencies for optimal resolution and penetration • Frequency range: 1.3 – 12.0 MHz • Hanafy lens acoustic technology • Universal, stainless steel and disposable biopsy guides for specified linear and curved array transducers Note: Please refer to the dedicated transducer flyer on our website at siemens.com/ultrasound for more information. Transducer Ports • 4 transducer ports (3 active ports standard, 4th active port is available as an option) that support high density phased array, curved array and linear array transducers • Electronic transducer selection (instantaneous switching between transducers) • Supports DL (260) type connectors • Industrial design provides easy access to the transducer ports ACUSON NX3 Ultrasound System Transducer Storage Spectral Doppler • 5 configurable transducer holders support all transducer designs and provide gel bottle storage • Pulsed wave • Special transducer holder provides secure storage and easy access to endocavity transducer • Spectral Doppler tissue imaging • Transducer holders can be removed for cleaning Hard Drive • Internal 500 GB hard drive • Allows storage of patient studies that include images, clips, reports and measurements • Image storage capacity up to 300,000 images with compression • For more detailed information, please consult the Digital Patient Study Storage and Archiving section on page 12 Physiological Interface • Standard 3-lead ECG interface • Auxillary Input for ECG and other physiology signals from third party devices • Continuous display in all real-time modes • R-Wave single and dual trigger function • Respiratory trace • Heart rate display • Adjustable gain and trace position on-screen • Recovery time: Less than 2 seconds Operating Modes 2D • Fundamental 2D • Phased THI • Filtered THI • Alternating THI Color Doppler • Velocity-based color Doppler • Power Doppler • Directional power Doppler • Color M-mode • Color Doppler tissue imaging • Steerable continous wave (SCW) • Duplex and Triplex modes M-mode • Color M-mode • Anatomical M-mode (option) • ECG trace in all modes Display Modes • Selectable split screen display formats in 2D or 2D/color with M-mode and/or spectral Doppler mode: top-bottom or side-by-side in real-time and digital cine replay • 4B-mode allowing simultaneous display of 4 static B-mode images • Virtual Format • Dual from freeze •Split/Zoom Flexible combination of imaging modes in side-byside Dual and Dual Select in real-time, and digital cine replay. 2D-mode Image Processing • All-digital parallel signal processing with frame rate up to 499 fps (transducer dependent) • MultiHertz imaging: Up to 7 user-selectable transmit frequencies • Res/Speed selection: 6 levels • Persistence: 5 levels • Edge enhancement: 4 levels • Dynamic range selection: 30 – 90 dB in 3 or 5 dB increments, application dependent • Gain: -30 to +30 dB in 1 dB increments • DTO technology: 3 levels • Dynamic TCE technology: 3 levels • Depth/Gain compensation: 8 controls • User-selectable gain balance: 9 maps • User-selectable 2D colorization: 16 maps • Maximum display depth: 30 cm • Minimum display depth: 1 cm siemens.com/ultrasound 7 ACUSON NX3 Ultrasound System MultiHertz Multiple Frequency Imaging Siemens’ unique MultiHertz multiple frequency imaging is designed to combine the resolution and penetration of several transducers into one. At the push of a button, the user can independently change frequencies for 2D, THI, color and spectral Doppler to select the optimal combina­ tion for image resolution, penetration and sensitivity. • Transmit frequencies: Up to 7 user-selectable frequencies – 2D and M-mode: Up to 3 fundamental frequencies – THI: Up to 5 frequencies – Color, power, or pulsed wave Doppler modes: Up to 2 frequencies – SCW Doppler mode: 1 frequency Tissue Harmonic Imaging (THI) Selectable harmonic frequencies increase success with difficult-to-image patients, improving diagnostic confi­ dence, and dramatically improving contrast and spatial resolution by reducing noise and clutter in the image. • MultiHertz imaging capability in THI • Available on the CH5-2, EC9-4, P4-2, C8F3, VF10-5, VF12-4 Focusing • Transmit focal zones: Up to 4 zones • Digital dynamic receive focusing with dynamic apodization • Multi-position, user-selectable position • Can use multiple focal zones simultaneously 2D Image Display • Full screen, Split, Quad and Dual Select screen formats as well as Dual, Dual seamless, Dual select and Dual from Freeze • Curved Vector format • L/R flip and U/D flip for all formats in real-time and digital cine replay • Multiple cursor sets on frozen, live, dual screen and cine playback images • Distance measurements: Up to 8 measurements per screen – Distance measurement – Depth measurement from skin line – Angle measurement – Area and circumference: ellipse, trace • Compound Measurements – Volume: user-selectable preset by 1 distance, 2 distance, 3 distance, or 1 ellipse and 1 distance – Flow volume: 1 velocity and 1 distance, or 1 velocity and 1 ellipse – Stenosis: user-selectable preset calculated by 2 ellipse, or 2 distance measurements Color Doppler Velocity Imaging • Available on all imaging array transducers • Multi-beam formation technology provides quad signal processing for color Doppler frame rates up to 188 fps (transducer dependent) • Transmit frequencies: Up to 2 user-selectable frequencies per transducer • Left/right steer on all linear transducers • Color Doppler invert • Advanced processing in color Doppler mode resulting in excellent spatial resolution and superior Flash suppression • AutoColor flow state optimization with high, medium and low flow settings • Color Doppler velocity maps: Up to 9 userselectable maps (7 velocity and 2 velocity/variance) • Velocity scale range: ± 0.6 – ± 244.4 cm/sec • PRF scale range: 100 – 19,500 Hz (transducer dependent) • Gain: -20 – 20 dB in 1 dB increments •Split/Zoom • Color Doppler line density: 6 selections • Image depth: 1 – 30 cm in 1.0 cm increments (transducer dependent) • Wall filter: 4 selections • Color smoothing: 4 levels • Virtual Format Imaging (transducer dependent) • Tissue/color priority: 5 selections – Left/right steer • Color Doppler persistence: 5 levels – Trapezoid Imaging • Velocity tag • Digital read/write Zoom with image pan – Available on live and cine replay images – At least 2.5x and up to 10x zoom (transducer dependent) •4B-mode • 90° image rotation (all linear transducers) 8 2D Calipers – Generic Measurements and Calculations siemens.com/ultrasound • Peak hold: Off, 1 sec, 2 sec and 3 sec • DTI™ Doppler tissue imaging capability available on the P4-2 transducers ACUSON NX3 Ultrasound System Power Doppler Imaging/Directional Power Doppler Steerable Continuous Wave (SCW) Doppler • Available on all imaging array transducers • Available on all phased array transducers • Multi-beam formation technology provides quad signal processing for power Doppler frame rates up to 195 fps (transducer dependent) • Transmit frequency: 1 frequency • Left/right steer on all linear array transducers • Transmit frequencies: Up to 2 user-selectable frequencies per transducer • Power Doppler maps: Up to 16 maps (8 directional and 8 non-directional) • PRF scale range: 100 – 19,500 Hz (transducer dependent) • Gain: -20 – 20 dB in 1 dB increments • Power Doppler line density: 6 selections • Wall filter: 4 selections • Power Doppler smoothing: 4 levels • Tissue/power Doppler priority: 5 selections • Color persistence: 5 levels Color and Power Doppler Display • 2D/C mode, Split 2D-2D/C mode • Dual real-time 2D/C mode • 2D/C/D mode (simultaneous triplex), 2D/C/D mode (update) Pulsed Wave Spectral Doppler • Available on all imaging array transducers • Transmit frequencies: Up to 2 user-selectable frequencies per transducer • DTI capability available on select transducers • Sweep speed: 8 selections • Post-processing gray maps: 8 maps • Doppler colorization: 12 maps • Gain: 0 – 90 dB in 1 dB increments • PRF range: 1.56 – 34.7 kHz sample rate • Velocity scale range: ± 30 – ± 650 cm/sec with 0° angle correction • Wall filter: 25 - 6944 Hz, 8 steps (transducer dependent) • Baseline shift: 17 levels • Spectral invert • Autotrace function is not supported in SCW mode Spectral Doppler Display • Full screen Doppler trace, 2D/Doppler mode, triplex or update 2D/C/Doppler • Imaging display: 4 formats – Top-bottom: 1/3-2/3, 1/2-1/2, 2/3-1/3 – Side-by-side: 40-60 Spectral Doppler Calipers – Generic Measurements and Calculations • Multiple cursor sets on frozen and cine playback images • Velocity/Frequency/Pressure Gradient • Heart rate/Heart cycle/Time • Post-processing gray maps: 8 maps • Autotrace measurements in real time and freeze including calculations for PS, ED, TAMx, TAMn, PI, RI and S/D • Doppler colorization maps: 12 user-selectable maps • Resistive Index (RI) • Gain: 0 – 90 dB in 1 dB increments • Pulsatility Index (PI), including Peak-to-Peak method • PRF range: 100 – 19,500 Hz • Time Average Velocity max (TAV) • Velocity scale range: ± 1.5 – ± 350 cm/sec with 0° angle correction • Systolic/diastolic ratio (S/D) • Angle correction: 0 – 89° in 1° increments •Acceleration/Deceleration • Sweep speed: 8 selections • Gate size: 0.2 – 20 mm • Wall filter: 25 - 3906 Hz, 8 steps (transducer dependent) • Baseline shift: 17 levels • Velocity Time Integral (VTI) • Flow volume using combined velocity and distance, or velocity and ellipse measurements • Doppler angle correction after measurement • Spectral invert • Autotrace function siemens.com/ultrasound 9 ACUSON NX3 Ultrasound System M-mode • Available on all imaging array transducers • Anatomical M-mode (option) – live and cineloop • Frequencies: Up to 5 user-selectable frequencies, including fundamental and harmonics • Edge enhancement: 4 selections • Display dynamic range: 30 – 70 dB in 5 dB increments • Gain: -30 – 30 dB in 1 dB increments • Gray maps: 9 maps • M-mode colorization maps: 16 maps • Sweep speed: 8 selections M-mode Image Display • Full screen M-mode, 2D/M-mode • Imaging display: 4 formats – Top-bottom: 1/3-2/3, 1/2-1/2, 2/3-1/3 – Side-by-side: 40-60 M-mode Calipers – Generic Measurements and Calculations • Multiple cursor sets on frozen and cine playback images –Distance –Time –Slope – Heart rate Freeze, Cine and Cine Post-Processing Functions Cine Review The cine feature is standard and offers the ability to review real-time acquired data. All real-time, postacquisition optimization functions are available in cine review. • Frame-by-frame cineloop review and continuous cine motion review, including control of playback rate • Independent cine review in mixed modes (2D/M, 2D/Doppler, 2D/C/Doppler) • Independent cine review in 2D Dual Select mode with image align playback feature • Standard cine memory: Up to 2,729 frames • Acoustic clip capture from cine review • Anatomical M-mode optional Post-Processing Features in Freeze Frame or Cine •2D-mode –Zoom/pan – Gray map – Colorization map –Measurements/reports/annotations/pictograms • Color Doppler –Zoom/pan QuickSet User-programmable System Parameters – Color map All imaging modes and parameters are customizable and programmable using QuickSet user-programmable system parameters. –Measurements/reports/annotations/pictograms – Color invert • Spectral Doppler • Up to 128 QuickSet parameters supported – Gray map • QuickSet parameters combine all preferred imaging mode parameters, annotation, text and measure­ ments into a single user preset – Angle correct – Doppler colorization map –Measurements/reports/annotations/pictograms •M-mode – Gray map – M-mode colorization map –Measurements/reports/annotations/pictograms 10 siemens.com/ultrasound ACUSON NX3 Ultrasound System Study Types The ACUSON NX3 system is designed to support many multi-specialty imaging applications. Factory-supplied exam and transducer dependent imaging presets have been carefully optimized for each application to pro­vide consistency, reliability and increased productivity. All applications include body markers, text and annotation labels. Selected applications support customized work­ sheets and reports. The following study types are supported: •Abdominal •Renal •Obstetrics •Gynecology • Early Obstetrics • Adult Cardiac (Transthoracic) • Vascular (C-Vas, P-Vas, Venous) • Small Parts (Breast, Testicle, Thyroid) •Orthopedics • Musculoskeletal (MSK) • Urology (Prostate) • Cranial (TCI & TCD) • Emergency Medicine (EM) Exam-specific Measurements and Reports All measurement and report packages are available for use with all exam types. All exam-specific measurement and reports support: • All general measurements and calculations • Comprehensive, customizable, patient reports and worksheets • Customizable anatomy descriptions • Physician summary utility – supports on-system report generation including customizable letterhead, patient data, results, graphs, images, comments, recommendations and a customizable signature line The following Measurements and Reports packages are available on the ACUSON NX3 ultrasound system: Abdomen • All general measurements and calculations Obstetrics • Early Obstetrics Gestational Age (GA) measurements are MSD, CRL, and Yolk Sac siemens.com/ultrasound • Gestational Age parameter labels are MSD, CRL, BPD, OFD, HC, AC, ATD, ASD, FL, HL, UL, TL, FT, FTA and BN • 10 user-defined measurement labels • Calculations include: EFW from the selected reference, HC/AC, TCD/AC, LVW/HW, CorBPD, FL/AC, FL/BPD, CI, AFI, AXT • Comprehensive Fetal Heart measurements and calculations • Facial Angle – Nuchal Translucency and Nuchal Fold measurements • Calculations for both Gestational Age (GA) and Estimated Date of Confinement (EDC) • Early OB and Standard OB patient reports include worksheets for viewing the progress of the report and editing during the exam process • Multiple fetus reporting capabilities – Maximum of 4 • Growth Analysis Graphs with exam file linking • Detailed Fetal Heart report page Gynecology • Micturated and residual volume calculation • Uterus, Right and Left Ovary, Right and Left Follicle, CRL, MSD, GS and Yolk Sac measurements • Follicle measurement supports up to 15 follicles • Follicle measurement methods supported –MDistance – 2Dist + Avg – 3Dist + Avg – 2Dist Avg – 3Dist Avg –Area –Volume –Circumference Cardiac • Adult standard measurements • Volume formulas for Left Ventricular function assessment in 2D-mode and M-mode • 2D-mode, M-mode and Doppler calculations • M-mode Slope, Heart Rate, Time and Distance measurements • Spectral Doppler Acceleration, Trace, Heart Rate, Time and Velocity measurements • Cardiac patient report and worksheet for 2D-mode, M-mode and spectral Doppler 11 ACUSON NX3 Ultrasound System Cerebrovascular Emergency Medicine • CCA prox, CCA mid, CCA dist, ICA prox, ICA mid, ICA dist, ECA and VA measurements • FAST – Focused Assessment with Sonography for Trauma reporting • Area Percent Stenosis and Diameter Percent Stenosis measurements • Aorta – Essential aorta measurements and reporting to support emergency medicine Peripheral Vascular • CIA, EIA, CFA, PFA, SFA prox, SFA mid, SFA dist, P OP A, TRUNK ATA, PTA, PER A and DPA measurements • Right and left extremity measurements Venous • Right and left extremity measurements Thyroid • Rt. Lobe, Lt. Lobe Isthmus and nodule measurements • Supports measurement of up to 15 separate nodules • Measurements can display all 3 measurements plus volume calculation Urology • Pre- and post-void volume, Prostate volume, PSAD and micturated volume calculations • Includes both Prostate and Urology report packages Testicle • Volume 1–5 Penile • Corp Cav, Corp Spong, Cav A, Pre-Inj Cav A, Post-Inj Cav A and Urethra B mode measurement • Iliac A, Dorsal A, Urethral A, Bulbar A, Brach A, Cav A, Pre-Inj Cav A, Post-Inj Cav A, Sup Dorsal V and Dp Penile V D mode measurement Orthopedic • Right and left hip angle measurement • Classification and Graf Sonometer • Hip angle patient report • OB – Subset of essential OB measurements and reporting The ACUSON NX3 system supports customizable labeled measurements (20 B-mode, 5 Doppler and 5 M-mode) for the following exam types: Abdomen, Musculoskeletal, Breast, Testicle, Venous, Renal, Super­f icial Musculo­ skeletal, and Small Parts. All reporting packages support user-defined descriptors (up to 39). Digital Patient Study Storage and Archiving The DIMAQ-IP integrated workstation allows for digital acquisition, storage and review of complete ultrasound studies, including static images, dynamic clips, measure­ ments, calculations and reports. Studies can be reviewed and quantified on-board, stored on the system hard drive and transferred to the built-in DVD multi-drive (DVD-R/RW & CD-R/RW) or USB Flash drive for cost-effective archival. Patient Study Management Playback of digitally stored images in a selectable 1-up, 4-up, 9-up, 16-up or 25-up screen format. The patient study screen allows search, selection and deleting of studies or export to DVD multi-drive (DVD-R/RW and CD-R/RW). • 300 GB of the 500 GB internal hard drive reserved for patient data management – Patient database sorting by Name, ID and Study Date • Hard drive capacity: – Approximately 300,000 B/W and color images • Storage and retrieval of static images TCD • RMCA, ICA-Siphon, ACA-A1, ACA-A2, ACoA, PCAP1, PCA-P2, PCoA, PCA, Basilar A and Vert A measurement • Storage and retrieval of cine clips – Retrospective clip capture during real-time imaging with a selectable duration of 1, 2, or 4 seconds or a selectable duration of 1, 2, 3 or 4 beat capture; ECG-triggerable – Prospective clip capture during real-time imaging with a selectable duration of 1 to 120 seconds or a selectable duration of 1 to 120 beat capture; ECG-triggerable 12 siemens.com/ultrasound ACUSON NX3 Ultrasound System • Export of patient studies from hard drive SieClear Compounding • Storage and retrieval of reports The SieClear compounding option uses multiple lines of sight to increase contrast resolution and improve tissue differentiation of low contrast lesions by reducing image speckle. Tissue boundaries and interfaces appear sharper and more continuous. SieClear compounding is accessible in THI and is compatible with other advanced imaging options including SieScape imaging, TGO technology and Clarify vascular enhancement technology. • Supports measurements and calculations on archived study and on saved and retrieved images • Acoustic clip capture from cine review • M-mode still frame scroll and store • PW spectral Doppler still frame scroll and store • Export of patient studies from hard drive to DVD-R/RW and CD-R/RW drive. Studies can be individually selected or batched copied • The system supports the following data export file formats RTF, PDF, TIFF, AVI, JPG and DICOM. Connectivity to PACS, other off-line storage (such as USB flash drive) or EMR device is achieved via LAN or WLAN connection. • Compatible with removable 650 MB, 700 MB and 790 MB CD-R and 650 MB or 700 MB CD-RW • Removable 4.7 GB single layer DVD and 8.5 GB single side double layer DVD Advanced SieClear Spatial Compounding This feature combines two distinct technologies to create exceptional image quality: Advanced SieClear spatial compounding and SieClear compounding. This combina­ tion of technologies provides exceptional improvements in border definition. • Up to 7 steering angles available on linear transducer, 5 available on curved array transducers • Supports all primary and secondary exam types • Supports export to USB Flash Drive HD Zoom (Option) Advanced Technologies and Features High density (HD) zoom function obtains a region of interest with increased detail resolution. Dynamic TCE Technology • Dynamic TCE technology is a proprietary, advanced post-processing method for speckle reduction • Compatible with other advanced imaging modes including Advanced SieClear compounding, THI and TGO technology • Supports all primary and secondary exam types • Three levels available: Low, Medium and High Tissue Grayscale Optimization (TGO) (Option) TGO tissue grayscale optimization technology provides one-button image optimization. It automatically adjusts image brightness to the tissue type being imaged and equalizes the overall image gain. It also automatically adjusts baseline and scale in doppler. The user-definable threshold accommodates different user preferences for gain settings and various room lighting conditions. TGO technology improves the consistency and quality of the ultrasound images to enhance productivity by removing time-consuming and operator-dependent manual adjust­ ments. TGO technology can be used with every trans­ ducer, for every exam type and at every imaging frequency, including THI. siemens.com/ultrasound • Ability to enlarge areas of interest with no loss of detail • Increased boundary resolution of cystic regions, vessels and hypoechoic regions Spectral and Color Doppler Tissue Imaging (DTI) (Option) • Supports both color DTI and spectral DTI functionality and includes a quantification package • Enables assessment of LV diastolic function on the ACUSON NX3 system – Spectral Doppler DTI capability utilizes real-time Doppler shift information from moving tissue to better visualize and quantify myocardial diastolic function – The spectral Doppler DTI calculation package provides guided velocity and acceleration measurements and includes a measurement report package – Color DTI capability can be used for qualitative evaluation of wall motion and displays the relative change of velocities – Color DTI M-mode – DTE (Doppler Tissue Energy) 13 ACUSON NX3 Ultrasound System DICOM 3.0 Connectivity (Option) Enables digital data transfer via a DICOM network for both printing and storage. The ACUSON NX3 system acts as a DICOM Storage Class User and DICOM Print Class User. • Connectivity to PACS system for storage of all digital images and dynamic clips with patient demographic data • In-progress store during the exam • Image printing to DICOM color and grayscale printers • DICOM storage commitment • DICOM exchange media export to DVD-R/RW and CD-R/RW • DICOM region calibration • DICOM interchange media viewer software SHOWCASE® • Interchange media database that identifies the CD to which the patient study has been burned DICOM Modality Worklist (Option) Enables query and direct download of the patient worklist schedule from the Hospital/Radiology Information System (HIS/RIS) to the ACUSON NX3 system, automatically populating the “New Patient” screen with patient demo­ graphic information. DICOM MPPS – Modality Performed Procedure Step (Option) Enables automatic exchange of Modality Performed Procedure Step information with the Hospital/Radiology Information System (HIS/RIS). Integrated Gel Warmer (Option) • Temperature control precision: ± 1° – Low: 31° C – Medium: 34° C – High: 37° C • Easy-to-use power on/off control switch • LED color for status indicator – Standby mode: Off – Operating mode: Orange • Safety protection for electrical overload • Weight: ~ 370 g • Size: 83 mm x 165 mm x 100 mm QuikStart (Option) QuikStart reduces time required for power-up and power-down events by allowing the system to enter a specialized standby mode. • Standby mode power-down in 10 sec; complete boot-up in less than 10 sec • Standby time: > 35 min • Full recharge: < 180 min Clarify Vascular Enhancement (VE) Technology (Option) Clarify VE technology is a real-time, adaptive, pixel-bypixel analysis implemented through a simple, time-saving user interface that provides multiple levels of clarification to optimize tissue contrast resolution and definition of both tissue and vessel walls according to user preference. Clarify VE technology is available on all curved and linear transducers. SieScape Panoramic Imaging (Option) Grayscale panoramic imaging allows acquisition and display of images up to 60 cm in length to a maximum curvature of 360°. • Available on all curved and linear transducers • Can be displayed in full field acquisition or zoomed for detail viewing • Measurements available 14 siemens.com/ultrasound ACUSON NX3 Ultrasound System 3D/4D (Option) • 3-Scape™ real-time 3D imaging (option) – Provides a freehand acquisition technique – Supported on the CH5-2, EC9-4, and C8F3 transducers • fourSight™ 4D transducer technology (option) – Provides real-time 3D images – Utilizes mechanical acquisition – Up to 30 vol/sec – Supported on the C8F3 4D transducer – Offers an easy-to-use interface for rapid acquisition and volume rendering Curved Top VOI – 4D cine – MPR Measurements Stress Echo Imaging (Option) The stress echo package provides tools for ECG-triggered acquisition, display, selection comparison, evaluation and archiving of multiple cardiac loops during various stages of a stress echo examination. • Standard acquisition protocols for treadmill, ergo­ metric and pharmacological stress including: – Multiple factory default stress echo protocols – Customizable stress echo protocols – Flexible combination of imaging modes while in stress echo package – Ability for customized studies through Protocol Editor, with up to 12 stages, 6 views per stage, 20 loops per view or 120 sec prospective clip capture – Full screen or ROI (region of interest) acquisition Physio (Option) • Complete R-R capture with clip editing Contains the prerequisites to perform cardiac and certain vascular exams: • Stage Timer • Physiological interface – Standard 3-lead ECG interface – Aux ECG interface – R-Wave single and dual trigger function – Heart rate display – Adjustable gain and trace position on screen – Selection for external ECG input – Respiratory function • Provides the ability to configure ECG capabilities for specialty applications that do not require Continuous Wave Doppler capabilities • AUX ECG and Respiratory functions are supported in addition to conventional Physio Module syngo Auto OB Measurements (Option) The syngo Auto OB measurements option contains an innovative algorithm which provides the ability to automatically measure the most common fetal structures required for fetal biometry: BPD, HC, AC, FL and HL. This technology reduces user variance, providing consistency between operators and reduces keystrokes. All measure­ ment results are saved to the OB report. siemens.com/ultrasound • Easy workflow throughout the exam protocol • Prospective continuous capture (up to 120 seconds) or Retrospective labeled capture • Reference image display during acquisition • Immediate review of acquired loops • Flexibility to skip views or stages • Flexibility to re-acquire and overwrite already acquired images • Indication of current view, acquired views and skipped views in the workflow diagram • Wall Motion Scoring, 16/17 segment model with graphical display and report printing • LV Volume Measurements with report printing syngo Auto Follicle Measurements (Option) The syngo® Auto Follicle measurement option is an automated measurement technique that enables fast and acurate assessment of multiple follicles. It helps reduce exam time by allowing the user to automatically capture and record measurements. 15 ACUSON NX3 Ultrasound System Axius Edge-Assisted Ejection Fraction (Option) Ultrasound System Security – Virus Protection Axius ejection fraction calculates left ventricle volumes and ejection fractions quickly and reliably. Embedded virus protection solution that protects the system against advanced persistent threats, viruses, mal­ ware and other executing software by detecting and preventing any unwanted change to improve IT compliance and security. • Enhances workflow by allowing the user to indicate three boundary points for measurement instead of a manual trace of the ventricle • Utilizes the Simpson method for LV volume calcu­ lations based on LV endocardial border trace Barcode Reader (Option) • Allows fast and accurate patient information data input • Easy attachment to USB port • Supports 2D and 1D patient barcodes • Can scan up to 3 individual barcodes: patient, physician and sonographer • Inputs the following patient-identifying data: Optional On-Board Video Devices • Up to 2 documentation devices (B/W printer and color printer/DVR recorder) can be integrated into the system cart and controlled from the system control panel • Supported devices: – Mitsubishi USB P95DW B/W Printer – Sony UP-D898 and UP-D711 B/W Printer – Patient Name (First and Last) – Mitsubishi USB CP30DW Color Printer – Patient ID – Sony UP-D25MD Color Printer – Physician ID – TEAC DVR UR-50BDS –Sonographer DICOM Structured Reporting (Option) DICOM Structured Reporting (SR) provides a standardized report architecture to allow for easy transfer of measure­ ments to offline PCs, workstations and archiving systems. DICOM Structured Reporting will automatically populate measurements to their respective fields in an external software package. This option is available for the follow­ ing applications: •OB/GYN •Vascular •Cardiac DICOM Connectivity (Option) Utilizes USB dongle to enable wireless connectivity between the ultrasound system and the facility’s LAN to provide functionality equivalent to a wired network. The Wireless Option supports connectivity with: • DICOM services – Modality worklist, print, storage commitment and store • Siemens Remote Service – Remote update handling for storage distribution and NetViewer for remote application support and remote troubleshooting Technical Specification • Standards: IEEE 802.11 a/b/g/n/ac • Security features: WEP, WPA, WPA2 personal, WPA and WPA2 Enterprise 16 Documentation Devices siemens.com/ultrasound System Input/Output Video and Audio Input/Output (I/O) • VGA out and DVI out • DVI in/out • External audio out System Interface Connections • Universal Video Converter (Option) – The external video converter box converts digital video input signals to analog video output signals, which allows for video signals from the ultrasound system for display on an external display device. – Supports one input video format (DVI) and three digital output video formats (DVI, D-Sub, S-video) •Network – (1) Ethernet connector, type RJ45 (10/100/1000 BaseT) •Peripherals – (6) USB 2.0 ports (2 USB ports in front, 4 USB ports in the rear) – DVI in/out – (2) AC Main Outlet ACUSON NX3 Ultrasound System Acoustic Output Management • On-screen acoustic power indicator (AIUM/NEMA output display standard) Dual Foot Switch (Option) • USB type dual-control, programmable foot switch Standards Compliance The ACUSON NX3 ultrasound system is in compliance with the following standards, including all applicable amendments at the time of product release. Quality Standards System Dimensions • FDA QSR 21 CFR Part 820 • Height: 149.7 cm (58.9 in) • ISO 13485 • Width: 54 cm (21.3 in) • Depth: 92.3 cm (36.3 in) • Weight: 75 kg (165 lbs) without OEM’s Electrical/Environmental Specifications The ACUSON NX3 system is available in one mainframe configuration, suitable for use in 100/115 V and 230 V environments. • Power connections: 100-120/200-240 VAC, 50/60 Hz • Built-in AC isolation transformer • Power consumption: maximum 600 VA with OEM’s • Atmospheric pressure range: 700 – 1060 hPa (525 – 795 mm Hg) or up to 3000 m (9,483 ft) • Ambient temperature range (without OEM’s): 10 – 40° C (50 – 104° F) • Humidity: 30 – 80%, non-condensing, during operation • Maximum heat output: 2150 BTU/hr • Average noise level output: 46 – 47 dB Integrating the Healthcare Enterprise (IHE) Having all relevant information at one’s fingertips is a pre­requisite for optimal and efficient patient care. Seam­ less integration of the hospital’s IT and Imaging Systems and their capabilities to exchange information without restriction are key success factors for facilitating daily work. This is why Siemens has been instrumental in launching and advancing the IHE (Integrating the Healthcare Enter­ prise) Initiative. The ACUSON NX3 ultrasound system is just one of many innovative Siemens products embedded with the necessary building blocks to support clinicians’ need for seamless health information exchange. • ISO 9001 Design Standards • UL 60601-1 • CSA C22.2 No. 601-1 • EN 60601-1 and IEC 60601-1 • EN 60601-1-1 and IEC 60601-1-1 • EN 60601-1-2 and IEC 60601-1-2 (Class B) • EN 60601-2-18 and IEC 60601-2-18 • EN 60601-2-37 and IEC60601-2-37 • EN 60601-2-25 and IEC 60601-2-25 • EN 60601-1-4 and IEC 60601-1-4 • EN60601-1-6 and IEC 60601-1-6 • ISO 14971 • EN 62304 and IEC 62304 Acoustic Output Standards • IEC 61157 (Declaration of Acoustic Power) • IEC 62359 ed. 2 (Test Methods for the Determination of TI and MI) • AIUM/NEMA UD-2, Acoustic Output Measurement Standard for Diagnostic Ultrasound • AIUM/NEMA UD-3, Standard for Real-time Display of Thermal and Mechanical Acoustic Output Indices on Diagnostic Ultrasound Equipment EU Authorized Representative Siemens Healthcare GmbH Henkestraße 127 91052 Erlangen Germany Phone: +49 9131 84-0 Siemens reserves the right to modify the design and specifications contained herein without prior notice. Please contact your local Siemens Healthcare Sales Representative for the most current information. For more information on the ACUSON NX3 system and the Siemens commitment to the IHE initiative, please visit www.siemens.com/IHE. siemens.com/ultrasound 17 The products/features mentioned in this document may not be commercially available in all countries. Due to regulatory reasons their future availability cannot be guaranteed. Please contact your local Siemens organization for further details. 3-Scape, ACUSON NX3, AcuNav, Advanced SieClear, Axius, Clarify, DTI, DTO, Dynamic TCE, fourSight, microCase, MultiHertz, Native, SieClear, SieScape, SuppleFlex, SwiftLink, TGO are trademarks of Siemens Medical Solutions USA, Inc., and syngo is a trademark of Siemens Healthcare GmbH. Siemens Healthcare Headquarters Siemens Healthcare GmbH Henkestraße 127 91052 Erlangen Germany Phone: +49 9131 84-0 siemens.com/healthcare SHOWCASE is a registered trademark of Trillium Technology, Inc. Microsoft and Windows are registered trademarks of the Microsoft Corporation in the United States and other countries. Legal Manufacturer Siemens Medical Solutions USA, Inc. Ultrasound 685 E. Middlefield Road Mountain View, CA 94043 USA Phone: 1-888-826-9702 siemens.com/ultrasound CG US 3188 1015 online | © 10.2015, Siemens Medical Solutions USA, Inc. siemens.com/ultrasound
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