ACUSON Sequoia™ Ultrasound System Crown Edition Data Sheet | 2.5 (VA50) Software Release

Data sheet ACUSON Sequoia™ Ultrasound System Crown Edition (v2.5) siemens-healthineers.com/en-us/ultrasound/ new-era-ultrasound/acuson-sequoia HOOD05162003344619 | Effective date 15-March-2023 ACUSON Sequoia ACUSON Sequoia SIEMENS Healthineers Data sheet · ACUSON Sequoia ultrasound system Table of contents System overview 6 Operating modes 6 Combined modes 7 Formats 7 2D-mode features 8 Color features 8 Power features 8 Pulsed Wave Doppler features 9 Continuous Wave Doppler features 9 M-mode features 9 3D-mode features 10 4D-mode features 10 Cybersecurity 11 Patient data encryption option 11 System operating software 11 Imaging features 12 User-programmable system parameter settings 12 Harmonics 12 InFocus Coherent Image Formation 12 Compounding 12 Auto TEQ (Tissue Equalization) Technology 12 Auto Flash Color Artifact Suppression 12 Auto Doppler (Option) 12 UltraArt Universal Image Processing 12 Clarify technology 12 Speed of sound 12 Panoramic imaging 13 Modality compare 13 Biopsy 13 Clips 13 Protocols 13 Zoom 13 DICOM 13 2 siemens-healthineers.com/ultrasound ACUSON Sequoia ultrasound system · Data sheet Measurements, calculations and reports 14 General functions 14 General 2D-mode measurements and calculations 14 Trans Cranial Doppler 14 Auto IMT 14 Maximum physical dimensions 14 Pediatric hip 15 General M-mode measurements and calculations 15 General Doppler measurements and calculations 15 Exam-specific measurements and calculations 15 Auto Calcs software 15 Wireless data transfer 15 Storage and archiving 15 Hibernate 15 Mobility 16 User-accessible connections 16 Operator control panel 16 Monitor 16 Transducer technology and design attributes 16 siemens-healthineers.com/ultrasound 3 Data sheet · ACUSON Sequoia ultrasound system Accessories and options 17 Language-specific operating system 17 Cardiac Imaging option 17 Fusion Imaging option 17 Fusion Imaging Accessories option 17 Virtual Touch Strain Imaging option 17 Virtual Touch Shear Wave option 17 Virtual Touch Point Shear Wave option 17 Virtual Touch Auto pSWE option 18 Virtual Touch UDFF (Ultrasound-Derived Fat Fraction) option 18 Contrast Agent Imaging option1, 2 18 Auto OB Measurements option 18 syngo Velocity Vector Imaging option 18 Retractable keyboard option 18 Footswitch option 18 Printer options 18 Blu-ray/DVD/CD combination drive option 18 Universal video converter option1, 2 18 Physio module option 19 Transducer options 19 Virtual workstation 19 4 siemens-healthineers.com/ultrasound ACUSON Sequoia ultrasound system · Data sheet Service options 20 Connect platforms 20 Flexible service solutions 20 Clinical measurement range and accuracy 21 Direct measurement 21 System requirements 21 Power supply requirements 21 Possible combinations with other equipment 21 Input and output signals for audio, video, and data transmission connections 22 Wireless network connections 22 Environmental requirements 23 Ultrasound system 23 Transducers 23 System classifications 24 Standards compliance 24 Quality standards 24 Design standards 24 Acoustic output standards 24 Radio and telecommunications standards 24 CE declaration 25 EU authorized representative 25 siemens-healthineers.com/ultrasound 5 ACUSON Sequoia ultrasound system Clarify with confidence The ACUSON Sequoia delivers an ultra-premium ultrasound experience that combines innovations to the platform architecture and display technologies and a comprehensive portfolio of advanced transducer technologies and innovations designed to address clinical challenges. Powered by BioAcoustic imaging that overcomes limitations to reduce variability, the ACUSON Sequoia delivers clinical excellence across ultrasound specialties to improve diagnostic accuracy, regardless of the indication. System overview Operating modes • 2D-mode You need a better, smarter system with the ability to 2D-mode with Harmonics imaging - scan more patients in less time all while delivering • Color flow Doppler clearer results. Color - The ACUSON Sequoia is designed for the best-in-class Power - image quality and boasts advanced hardware and Directional Power - components for greater depth and resolution. Slow Flow State - • Pulsed Wave Doppler High Pulsed Repetition Frequency - Pulse Wave Doppler Tissue Imaging (DTI) - • Continuous Wave Doppler Steerable Continuous Wave Doppler for phased array - transducers Auxiliary Continuous Wave Doppler for pencil - transducers • M-mode M-mode with Harmonics imaging - Anatomical M-mode - 6 siemens-healthineers.com/ultrasound 24” Dual-layer LCD ACUSON Sequoia monitor by Barco Crisp ultrasound without lifetime or quality issues 13.3” touch screen High resolution and dynamic display Adjustable 30–60 degrees Sequoia Integrated storage shelf Large container allows User-designed for easy storage of control panel accessories Ergonomically designed for simplified workflow Compact Pinless Quiet operation Connector Ports Less than a library Easy access transducer connector ports and integrated storage shelf C Mobility Lightweight (125 kg) and small foot print design with integrated central locking break Combined modes Formats • 2D-mode with color • Single, dual, live dual, and seamless dual image 2D-mode with power display format • 2D/Doppler • Display formats for M-mode and Doppler can be • modified from live and frozen images • 2D/Doppler with color Full screen - • 2D/Doppler with power Side by side - • 2D/M-mode 1/2 2D with 1/2 trace - • 2D/M-mode with color 1/3 2D with 2/3 trace - 2/3 2D with 1/3 trace - • 2D/Anatomical M-mode • Virtual format imaging: linear, steered, or trapezoidal format - • Curved sector, linear, and phased-sector data acquisition and display formats • Image display formats during review: 1 × 1, 2 × 2, 3 × 3, and 4 × 4 siemens-healthineers.com/ultrasound 7 Data sheet · ACUSON Sequoia ultrasound system 2D-mode features Color features • 1.5 TB SSD Hard Drive with 1 TB dedicated to • Gain in 0.5 dB increments: -20 dB to 20 dB patient data • User-adjustable color region of interest (ROI), size, • Hard Drive Speed: up to 100,000 IOPS and position • Physical channels: 384 • Independent controls for color gain, pulse repetition frequencies, invert, baseline, line density, persistence, • Digital processing channels: 11,404,800 priority, filter, and smoothing • RAM Amount: 32 GB • User-selectable transmit frequencies: up to 5 and Auto • CPU: Intel® Core™ i7-7820EQ CPU @ 3.00GHz (Quad core) (Dynamic MultiHertz) • GPU: Nvidia Quadro P4000 Color On/Off invert and baseline shift functions • • • Beamformer A/D converter bits: 14 bit ADC User-selectable color flow states: low, general, high, and anatomy specific, for example, kidney or aorta • Adjustable size and position of field of view • Color adaptive wall filter • Magnification in frozen, cine, or real time imaging • Pulse repetition frequency range: 200 Hz to 10,000 Hz • Cine capture: up to 80,000 frames or 300 seconds • 8 bit color • Acquired 2D-mode frame rates, depending on the • transducer and imaging depth: up to 250 fps (frames Color velocity maps, exam-dependent: up to 10 per second) includes a velocity variance map – • Color Variance Map • Imaging depth transducer dependent up to 55 cm • • Fundamental and harmonic transmit frequencies, Dynamic multi-hertz imaging transducer dependent Compatible transducers: 5C1 - Supported studies: Abdomen, Abdomen-Difficult • System frequency range 1–21 MHz Compatible transducers: 10L4 - • User-selectable transmit frequencies: up to 15.0 MHz Supported studies: Arterial, Venous • Multi-line signal parallel processing • Color Maps, invert, priority, background (color only) • Linear array transducer beam steering can be adjusted on real-time or frozen images. • System dynamic range 383 dB • Shades of gray: 256 Power features • Power gain in 0.5 dB increments: -20 dB to 20 dB • 2D/Doppler refresh, update, and triplex functions Gain in one decibel increments: -20 dB to 20 dB • Independent controls for power gain, pulse repetition • frequencies, invert, baseline, line density, persistence, • Dynamic range in one decibel increments: 10 dB to 80 dB priority, filter, smoothing, and directional display • • 2D-mode with Harmonics imaging User-selectable transmit frequencies: up to 5 • 8 depth gain compensation controls User-selectable Power map selections: up to 5 and • Auto (Dynamic MultiHertz) • InFocus dynamic transmit focusing • Persistence levels: up to 4 • Doppler grayscale and colorization (tint) maps • Power smoothing levels: up to 4 • Persistence levels: up to 4 • Pulse repetition frequency range: 200 Hz to 10,000 Hz • Speed of sound, exam-dependent: up to 4 • Adaptive wall filter • Line density: up to 3 • Slow Flow State: applies smart filters and adaptive • UltraArt universal imaging: Off, 1 to 3 signal enhancement to image smaller low-flow vessels • Clarify: up to 5 further into tissue. • Maps: up to 9 • Directional power flow states: slow, low, general, high, • Tints: up to 15 and anatomy specific, for example, kidney or aorta Overall gain, depth gain compensation, dynamic • Power Doppler maps, priority, background (color only), • range, colorization (Tint) map, grayscale map, UltraArt Directional Power can be adjusted on real-time and Image Processing, zoom can be adjusted on real time frozen images. or frozen images 8 siemens-healthineers.com/ultrasound ACUSON Sequoia ultrasound system · Data sheet Pulsed Wave Doppler features • User-selectable transmit frequencies per transducer: Fast Fourier Transformation (FFT) processing: up to up to 2 • 256 points • Simultaneous 2D-mode and Doppler display • User-selectable Doppler update mode • FFT speed: up to 2,880 FFTs per second • User-adjustable Doppler scale and baseline position • User-selectable transmit frequencies per transducer: up to 3 controls • User-adjustable Doppler UltraArt universal imaging • Simultaneous 2D-mode and Doppler display and 2D/Doppler with color (Triplex) and edge controls • User-selectable 2D/Doppler refresh • Angle correction in one degree increments: 0° to 89° • Flow angle correction on real time or frozen images, • User-adjustable Doppler scale and baseline position controls with velocity readout update • Transmit frequencies: 1.8 MHz to 5 MHz • User-adjustable Doppler UltraArt universal imaging and edge controls • Pulse repetition frequencies (PRF): 2,000 Hz to 50,000 Hz • Angle correction in one degree increments: 0° to 89° • Wall filter selections: 40 Hz to 1,000 Hz • Transmit frequencies: 1.25 MHz to 10 MHz • Doppler cine control feature: up to 30 seconds of • Pulse repetition frequencies (PRF) and high-pulse repetition frequency (PRF) Doppler: 100 Hz to 35,714 Hz Doppler data can be stored • Wall filter selections: 1 Hz to 4,375 Hz • Sweep speed selections: up to 12 Adjustable Doppler gate size, depending on the • Gain in one decibel increments: -30 dB to 30 dB • transducer: 0.05 cm to 3.0 cm • Dynamic range in five decibel increments: 10 dB to Doppler signal processing enables calculation of 80 dB • waveform statistics during real-time imaging • Doppler gain, scale, baseline, spectral invert, sweep • Derived waveform Doppler trace function analyzes speed, wall filter, edge, UltraArt universal imaging, real-time or frozen Doppler spectrum for maximum grayscale map, colorization (tint) map, flow angle velocity information. Waveform may be set to trace correction, and dynamic range adjustment on real time above baseline, below baseline, or both. or frozen images Doppler cine control feature: stores up to 30 seconds • Adjustable audio volume with different levels and a • of Doppler data mute control: up to 21 levels Sweep speed selections: up to 12 • Automatic optimization of scale, baseline, gain and/or • Gain in one decibel increments: -30 dB to 30 dB dynamic range selected manually or upon entering • freeze • Dynamic range in five decibel increments: 10 dB to 80 dB M-mode features • Doppler gain, scale, baseline, spectral invert, sweep speed, wall filter, edge, UltraArt universal imaging, • Independent controls for M-mode gain and sweep grayscale map, colorization (tint) map, flow angle speed correction, and dynamic range adjustment on real time • Dynamic range display in one decibel increments: or frozen images 10 dB to 80 dB • Adjustable audio volume with different levels and a • Gain in one decibel increments: -20 dB to 20 dB mute control: up to 21 levels • Sweep speed selections: 8 mm/s to 200 mm/s • Auto Spectral: automatic optimization of scale, • User-selectable transmit frequencies: up to 15.0 MHz baseline, gain and dynamic range upon entering freeze • User-selectable edge enhancement selections: up to 4 • Pulsed wave Doppler Tissue Imaging (DTI) available for • all cardiac and fetal echo exams on vector and curved Maps: up to 9 array transducers • Tints: up to 15 • Anatomical M-mode for the cardiac exam supports Continuous Wave Doppler features visualization of an M-mode sweep by rotating the M-mode cursor off axis • Fast Fourier Transformation (FFT) processing: up to 256 points • FFT speed: up to 2,880 FFTs per second siemens-healthineers.com/ultrasound 9 Data sheet · ACUSON Sequoia ultrasound system 3D-mode features • Volume Editing tools are provided to support • Acquires three-dimensional images and maximizes visualization: line, open spline, and closed spline tools. resolution for assessing structures • Images of volume objects are available for review on User-adjustable region of interest and volume of the system and to export to other devices for the • interest during setup (ROI/VOI), for size, position and purposes of documentation. curve (VOI only) and position • Freeze during 3D imaging, stops the volume • Available in combination with 2D-mode or acquisition and displays a partial volume. 2D-mode with color • FlexPlane function to create slices of a reference image Note: 2D-mode with color is only available for review of anatomy. for the following transducers: 7VC2 • You can draw up to three orthogonal or nonorthogonal • Requires the compatible transducers: 7VC2 slices using a line, trace, or spline on the reference Supported studies: Abdomen, Obstetric, General image. As you draw on the reference image, an image • Requires the compatible transducers: 9VE4 extends in the active slice. Supported studies: Gynecology, General • You can change the thickness of the slice to emphasize Sweep speed quality selections: up to 3 internal structures and tissue. • • • Layouts: 1-up, 2-up, 3-up and 4-up MPR: Gain, dynamic range, grayscale map, colorization map (tint), rotation and visualization in X, Y, Z axis, • Sweep angle selections: rendering modes, inversion mode, Multi-slice editing, 7VC2: 20° to 85° in increments of 5° Slice thickness, FlexPlane editing, volume editing - 9VE4: 20° to 145° in increments of 10°, 145° maximum (removal tools), animation can be adjust in real time, - VR Rotation: X (M knob), Y (PW/CW knob), and Z (C knob) on frozen images, and saved volumes. • VR Fixed rotation: 0°, 90°, 180° and 270° • VR: Gain, threshold, opacity, smooth, brightness, • contrast, colorization map (tint) rotation and • VR Flip: Up/Down, Front/Back, Left/Right, Down/Up, Back/Front, and Right/Left visualization in X, Y, Z axis, rendering modes, inversion mode, Multi-slice editing, slice thickness, FlexPlane • VR Reset: All, Curve and Orientation editing, volume editing (removal tools), animation can • Volume slice selection using 3D/4D knob be adjust in real time, on frozen images, and saved volumes. • MPR Maps: A to G • MPR Tints: 1 to 10 4D-mode features • MPR DR: 10 to 80 (increments of 1) • VR Tints: 1 to 7 Acquires and enables simultaneous viewing of three- • dimensional images in real-time with up to 18 volumes • VR Contrast Settings: 25 to 95 (increments of 1) per second for assessing motion. • VR Brightness Settings: -100 to 100 (increments of 1) • User-adjustable region of interest and volume of • VR Smooth: 0 to 3 interest during setup (ROI/VOI), for size, position and curve (VOI only). • VR Threshold: 0 to 255 (increments of 1) • Available in combination with 2D-mode • VR Opacity: 0 to 86 (increments of 2) • Requires the compatible transducers: 7VC2 • VR Rendering methods: Surface, Vascular (minimum intensity projection), Supported studies: Abdomen, Obstetric, General Skeletal(maximum intensity projection), LightSource • Requires the compatible transducers: 9VE4 Curved VOI allows the straight line of the render Supported studies: Gynecology, General • direction to be adjusted to contour the shape of the • Sweep speed quality selections: up to 3 view plane of the Volume of Interest. • Layouts: 1-up, 2-up, 3-up and 4-up • Inversion mode allows rendering of anechoic • Sweep angle selections: structures to appear echogenic and echogenic - structures to appear anechoic, thereby enhancing 7VC2: 20° to 85° in increments of 5° the visualization of internal surfaces. 9VE4: 20° to 80° in increments of 10° - • VR Rotation: X (M knob), Y (PW/CW knob), and Z (C knob) • MultiSlice function allows the user to select range, slice spacing and display format for viewing each slice • VR Fixed rotation: 0°, 90°, 180° and 270° in review. The MultiSlice function supports up to 17 • VR Flip: Up/Down, Front/Back, Left/Right, Down/Up, slices at once. Back/Front, and Right/Left 10 siemens-healthineers.com/ultrasound ACUSON Sequoia ultrasound system · Data sheet • VR Reset: All, Curve and Orientation Cybersecurity • VR slice selection using 3D/4D knob Your ultrasound system includes a security package to • MPR Maps: A to G protect patient confidentiality and system security. • MPR Tints: 1 to 10 MPR DR: 10 to 80 (increments of 1) Patient data encryption option • • VR Tints: 1 to 7 • Data storage encryption VR Contrast Settings: 25 to 95 (increments of 1) Protects patient information and system settings - • • VR Brightness Settings: -100 to 100 (increments of 1) stored on the ultrasound system by preventing unauthorized access • VR Smooth: 0 to 3 Includes a USB storage device with the recovery key - • VR Threshold: 0 to 255 (increments of 1) for recovering encrypted data • VR Opacity: 0 to 86 (increments of 2) • VR Rendering methods: Surface, System operating software Vascular (minimum intensity projection), • Windows 10 version 1809 long support operating Skeletal(maximum intensity projection), LightSource software • Volume Editing tools are provided to support • Multi-language capability visualization: line, open spline, and closed spline tools. • User-modifiable configuration settings, including • Clips stored of volume objects are available for review libraries of annotations and body markers on the system and to export to other devices for the • User-defined exam, transducer, and image parameter purposes of documentation. settings • Cine capture: up to 10 seconds • Supports DICOM file format • Cine Prospective Capture: 1–10 sec • Supports PC file format • Cine Retrospective Capture: 1–5 sec • Compatible with remote update handling for remote • Acquire higher resolution 3D volume by pressing 3D application support and remote troubleshooting button on touchscreen. • Freeze during 4D imaging, pauses the volume acquisition for review and editing of volumes in cine. • FlexPlane surface enhances visualization of the volume with a surface of varying opacity. • Vascular enhances visualization of the volume with the minimum intensity projection, for example, for viewing vascular structures. • Skeletal enhances visualization of the volume with the maximum intensity projection, for example, for viewing skeletal structures. • LightSource enhances visualization of the volume with translucent lighting. • Animation define the range, direction, and speed of animation to view the volume. • MPR: Gain, dynamic range, grayscale map, colorization map (tint), rotation and visualization in X, Y, Z axis, rendering modes, inversion mode, Multi-slice editing, Slice thickness, FlexPlane editing, volume editing (removal tools), animation can be adjust in real time, on frozen images, and saved volumes. • VR: Gain, threshold, opacity, smooth, brightness, contrast, colorization map (tint) rotation and visualization in X, Y, Z axis, rendering modes, inversion mode, Multi-slice editing, slice thickness, FlexPlane editing, volume editing (removal tools), animation can be adjust in real time, on frozen images, and saved volumes. siemens-healthineers.com/ultrasound 11 Data sheet · ACUSON Sequoia ultrasound system Imaging features Auto Doppler (Option) Auto Doppler offers workflow automation tools by User-programmable system parameter settings updating the imaging parameters including color box position and steering angle, PW gate position, steering • Supports up to 100 user programmable image presets angle, and angle correction. Auto Doppler algorithm analyzes flow signal, selects the largest vessel with Harmonics appropriate flow direction, and automatically adjusts the following imaging parameters: • Available for all imaging transducers • Color box position: centered to the selected vessel • Harmonic transmit frequencies per transducer: up to 4 • Color box steering angle: steered along the selected vessel InFocus Coherent Image Formation • PW gate position: placed in the center of the selected InFocus coherent image formation focuses the image at vessel all depths and exploits high beamformer output capacity, • PW gate angle correction: aligned to the centerline of which increases image uniformity. More information the flow object is harvested from the usual transmit sequence, using • massive overlapping multibeam groups rather than PW gate steering angle: steered to get 60 degree individual or close parallel beam lines as in conventional angle correction (or smallest angle probe can provide) systems. This secondary beamforming enabled with InFocus, physics-based delay, phase and amplitude UltraArt Universal Image Processing corrections can be made across transmit events to Reduces speckle and enhances contrast to provide significantly sharpen the image and improve spatial a realistic tissue presentation and patient-specific resolution beyond what is typical for a given transducer processing that adapts to differences in tissue. frequency. Can be performed in real-time or on frozen images. Available in B-mode, PW and Contrast modes. Compounding With InFocus Coherent Image Formation and electronic Clarify technology beam steering (Compounding), the system supports a Clarify can decrease artifacts in the 2D-mode image, Compounding Factor of up to 80. resulting in an improved view of anatomical structures. Decreased artifacts can enhance definition of both Auto TEQ (Tissue Equalization) Technology tissue and vessel walls by increasing contrast resolution and improving boundary detection. Clarify uses flow • Optimizes the overall field of view (FOV) image brightness uniformity by changing the depth gain information to eliminate noise and reverberation from compensation and overall gain vessels. • Supports 2D-mode and Pulsed Wave Doppler • Auto Tissue Equalization Optimization continuously Speed of sound applies the TEQ technology to a 2D-mode image • Exam-dependent: up to 4 • Optimizes the 2D image by adjusting the speed of sound Auto Flash Color Artifact Suppression • Available only with the following exams: Breast, MSK, Proprietary technology to detect and prevent motion Abdomen Difficult artifacts and reduce noise, simultaneously enhance color sensitivity 12 siemens-healthineers.com/ultrasound ACUSON Sequoia ultrasound system · Data sheet Panoramic imaging Protocols • Panoramic images may be created up to 60 cm in length A protocol is a predefined checklist that guides you and up to 360° when the depth is less than the radius through a clinical workflow. of the target area being scanned. • Define protocol views that include an image or clip • Cine display of frame-by-frame review of individual with measurements and annotations data frames within the panoramic image • Change the sequence of views during a protocol • Reverse during acquisition • Pause and resume a protocol • Zoom and pan capabilities • Activate a clinical application program during a • Compatible with UltraArt universal imaging tissue protocol contrast enhancement technology • Create new protocols or modify existing protocols • Color Panoramic imaging is a combination of real-time • panorama imaging and real-time power mode Import or export protocols using a USB storage device acquisition. All power information is preserved during image acquisition, and the peak of the signal is saved Zoom for the color panoramic image. • Magnification: up to 11.5x zoom with up to 36 steps • Supports magnification in frozen, cine, or real time Modality compare imaging • Displays images from a previous exam side-by-side with images from the current exam DICOM • Supported modalities for previous exams DICOM 3.0 standard. Mammography - Computed tomography - Magnetic resonance imaging - Ultrasound - Biopsy Available for transducers compatible with needle guide attachments. Please see transducer flyer for additional information. Clips • Prospective capture of motion image data • Retrospective capture of motion image data • Acoustic Rate Capture • Variable clip length (1 to 300 seconds) • Clip formats Compressed JPEG Lossy - Uncompressed Clips - AVI and JPEG - DICOM - • Supports storing of individual images within clips siemens-healthineers.com/ultrasound 13 Data sheet · ACUSON Sequoia ultrasound system Measurements, calculations and reports The measurement function is available during a patient sequoia exam or with stored images. Each measurement label supports up to 5 measurements. The ultrasound system copies only the five most recently labeled measurements to the report. General functions • 2D-mode and M-mode have unlimited sets of 120 to 175 cm (47.24 to 68.90 in) measurement markers per image for distance CO measurements • Doppler has unlimited sets of measurement markers per image for velocity measurements 108 cm • Label then measure or measure then label workflow 61 cm (24.02 in) (42.52 in) for individual labels • Customizable reports • Institution logo, export to PDF General 2D-mode measurements and calculations • Distance Maximum physical dimensions • Depth Width 61 cm (24.02 in) • Angle Height 120 cm to 175 cm (47.24 in to 68.90 in) • Circumference (using a trace or ellipse measurement tool) 94 cm to 108 cm (37.01 in to 42.52 in) Area (using an ellipse or trace measurement tool) Depth Minimum depth for storage: 108 cm • Volume and stenosis (42.52 in) • Volume flow (using an area or diameter measurement 125 kg (276 lbs) • tool with a Doppler measurement) Not to exceed 155 kg (342 lbs) • Ratio calculations (using two area, two distance The weight of the system is based on the measurements) system unpacked and ready for connecting Weight transducers and using in a patient • Pediatric Hip • Trans Cranial Doppler (TCD) examination. The weight includes documentation Trans Cranial Doppler devices, such as printers, installed on the system. • Supports pediatric and adult use cases Auto IMT • Supports automated Carotid intima-media thickness measurement • Used as a tool for communicating with patients about the relative state of their cardiovascular system 14 siemens-healthineers.com/ultrasound ACUSON Sequoia ultrasound system · Data sheet Scquota Lequota Dionne ‘-quota 66006 Pediatric hip Exam-specific measurements and calculations • Supports alpha angle, alpha and beta angle, femoral • The measurement function is arranged by exam type head coverage and is available for use with all exam types. All exam types support the following measurement and report • Sonometer report option features. General M-mode measurements and calculations • All general measurements and calculations • Exam-specific patient report (editable) • Distance/depth • Heart rate Auto Calcs software • Slope • Provides area, volume, diameter and length • Time measurements using a border detection algorithm on a user-defined region of interest General Doppler measurements and calculations • Can be used wherever manual trace is available • Measurements on a frozen or cine image including velocity Wireless data transfer • Heart rate Enable wireless capabilities on the ultrasound system. • Heart cycle • Systolic/diastolic ratio Storage and archiving • Resistive index The ultrasound system supports data storage and review • Pulsatility index of completed ultrasound studies, including static images, • Time averaged velocity dynamic clips, measurements, calculations, and reports. • Time averaged mean velocity • Time averaged maximum velocity Hibernate • Acceleration • Decreases the time to power on and off the ultrasound system. • Time • Doppler statistics (system-generated waveform trace) • Boot-up from Hibernate mode in as few as 23 seconds for real-time and cine display of Doppler spectral • Hibernate in as few as 10 seconds measurements and calculations, including PS, ED, S/D, • Cold boot: 2 minutes, 46 seconds PI, RI, TAMx, TAMn • Ratio calculations (two velocity measurements) siemens-healthineers.com/ultrasound 15 Data sheet · ACUSON Sequoia ultrasound system Mobility Monitor • Compact and lightweight industrial design • Barco full high-definition video display Steering handle for portability and maneuvering 24-inch high dynamic range color dual layer - • LCD display • Rear handle for repositioning the ultrasound system 16:9 widescreen format - • Central steering and locking break HD resolution at 1,920 x 1,080 pixels - • Four locking swivel wheels 1024 × 768 image screen capture for images - Transducer holders and cable management and reports • Maximum white luminance: 320 Cd/m² - • Tilt down monitor Monitor contrast ratio: 200000:1 - • Locking arm for monitor ± 89° angle of view - • Locking control panel • Adjustable position for optimal viewing Height: at least 30 cm - User-accessible connections Multi-directional articulating arm: - Lateral adjustment ± 360° around the system • USB ports on the right side of the monitor for Swivel: ± 45° left and right - importing and exporting protocols and exams, Tilt: up to 90° forward and up to 15° backward - archiving, and serviceability (quantity 2) • Monitor Performance Optimization • USB ports on the left side of touch screen for Integrated sensor with for luminance stabilization, - importing and exporting protocols and exams, luminance tracking and auto calibration functionality archiving, and serviceability (quantity 2) Supports QAWeb for monitor quality assurance and - • USB ports on the input/output panel for peripheral reporting, calibration and asset management devices (quantity 4) • Monitor outputs: Linear Gamma, DICOM GSDF • DC power sockets on the input/output panel for Dark Room, DICOM GSDF Office, DICOM GSDF OR on-board peripherals (quantity 2) • Transport position • DC power sockets on each side. the control panel Monitor folded down - for the gel warmer (quantity 2) Locks secure the top and bottom adjustable arms - in the center position Operator control panel Transducer technology and design attributes • Backlit controls and keys • Control panel adjustment for standing and sitting For detailed transducer information please refer to the positions ACUSON Sequoia Transducer Flyer. Left/right swivel: ± 90° • Lightweight, ergonomic transducer design - Range of height: 74 cm to 97 cm (29.13 in to Touch screen and gesture transducer selection - • 38.18 in) • Four array transducer ports • Control panel text available in: English, German, • French, Spanish, Italian Auxiliary continuous wave transducer port (option) • • Control panel layout supports ambidextrous operation Compact-pinless connectors • LCD Touch Screen Integrated storage shelf for transducer connectors • 33.782 cm (13.3 inch) diagonal widescreen • Transducer holders for all transducer designs and gel - Full high-definition video bottle storage - 1,920 x 1,080 pixels resolution - Variable tilt angle: 30° to 60° - Touch screen for use with gloved hands - • Gel warmer 16 siemens-healthineers.com/ultrasound ACUSON Sequoia ultrasound system · Data sheet Accessories and options Fusion Imaging Accessories option • CIVCO eTrax Needle Sensor supports 12, 14, 16 The Siemens Healthineers-authorized accessories and and 18-gauge needles options for your ultrasound system are listed in this • Transducer-specific tracking brackets with needle chapter. The available options depend on the licenses guides purchased for your ultrasound system. Virtual Touch Strain Imaging option Language-specific operating system • Provides a qualitative representation of relative tissue Includes the operating and general imaging system stiffness for the region of interest software and system user and reference manuals. • Strain Ratio provides a quantifiable method to compare the relative stiffness of tissue within two user- • English Language Operating System selectable regions of interest • International English Language Operating System • German Language Operating System Compatible transducers: 10L4, 14L5, 15L4, 18L6 • Supported studies: Breast, Thyroid, General • French Language Operating System • Compatible transducers: 9EC4 • Spanish Language Operating System Supported studies: Prostate • Italian Language Operating System Virtual Touch Shear Wave option Cardiac Imaging option • Uses acoustic radiation force impulse (ARFI) • Cardiac imaging technology of diagnostic ultrasound to induce tissue • Pulsed Wave DTI (Doppler tissue imaging) capability displacement Continuos Wave (CW) capabilities • Qualitatively depicts shear velocity for a selected • Cardiac measurements and reports region of interest on a 2D image • • Provides quantitative measurements of shear velocity • Compatible transducers: 5V1, 8V3, 10V4, CW2 (Vs) and elasticity (E) for selected points within the region of interest Fusion Imaging option • Dual SWE display format to demonstrate two different • Fusion imaging aligns reference data with a real-time maps on the screen simultaneously ultrasound image for diagnosis and interventional • Compatible transducers: 5C1, DAX, 9C2 procedures Supported studies: Abdomen, General • Supported reference data: computed tomography, • Compatible transducers: 10L4 magnetic resonance imaging Supported studies: Breast, Thyroid, MSK, General • Compatible transducers: 4V1, 5C1, DAX Supported • Compatible transducers: 18L6, 15L4 studies: Abdomen, General Supported studies: Breast, Thyroid, General • Compatible transducers: 10L4 Supported studies: Musculoskeletal, General Virtual Touch Point Shear Wave option • Fusion supports the following components • Ascension Technologies Corporation driveBAY 2 Measures tissue shear velocity (Vs) and elasticity (E) - electromagnetic tracking system for a selected region of interest using acoustic Ascension Technologies Corporation Mid-range radiation force impulse (ARFI) technology of - Transmitter (for the driveBAY 2) diagnostic ultrasound to induce tissue displacement. GCX pole to support mid-range transmitter • Provides measurement labels for sites, lesions, and - CIVCO General Purpose 8 mm sensors liver segments - • Note: For information on the installation, care, and Compatible transducers: 5C1, DAX, 4V1, 9C2 operation of hardware components, refer to the Supported studies: Abdomen, General manufacturer’s operating instructions that accompanied • Compatible transducers: 10L4 the device. Supported studies: Abdomen siemens-healthineers.com/ultrasound 17 Data sheet · ACUSON Sequoia ultrasound system Virtual Touch Auto pSWE option syngo Velocity Vector Imaging option (Requires the Virtual Touch Point Shear Wave • Tracks and estimates tissue velocity and other motion Elastography option) and deformation parameters at selected points on a user-defined outline of a structure • Simultaneously acquires a series of multiple point shear wave elastography (pSWE) measurements • Assists analysis of rotation, displacement, and radial within individual regions of interest strain of the left ventricle • Measurements per label: up to 15 • Assists evaluation of fetal or adult cardiac contraction Compatible transducers: DAX, 9C2 by analyzing the systolic and diastolic ventricular strain • and rotation • Supported studies: Abdomen, General Virtual Touch UDFF (Ultrasound-Derived Fat Fraction) Retractable keyboard option option • Language-specific alphanumeric keyboard available in: (Requires the Virtual Touch Auto pSWE option) English, German, French, Spanish, Italian, Danish, Swedish/Finnish and Norwegian • Measures tissue in a selected region of interest and calculates the ultrasound-derived fat fraction (UDFF) index for assessing fatty liver disease Footswitch option Measurements per label: up to 20 • Configurable three-pedal footswitch • • Attaches to a USB port on the ultrasound system • Compatible transducers: DAX, 9C2, 5C1 • Supported studies: Abdomen, General Printer options Contrast Agent Imaging option1 • Integrated black and white printer assembly, • Supports the following contrast agent destruction UP-D711MD, Sony techniques: Burst, Flash Sequencing • External black and white printer, UP-X898MD, Sony • External color printer, UP-D25MD, Sony • Compatible transducers: 7L2, 10L4, 14L5, 18L6, DAX, 5C1, 9C3, 18H6, 11M3, 4V1, 5V1, 8V3, 10V4, 9EC4, 9VE4, 9C2, 10EV3, 15L4, 7VC2 Blu-ray/DVD/CD combination drive option • VueBox Support • Recordable disc drive for storage, review, and archival Requires clips acquired during contrast agent of patient and image data - imaging and stored in DICOM format • Supports compatibility with the VueBox software Compatible only with Blu-ray disc (BD) or medical- - application from Bracco. The software is used to grade digital video disc (DVD) media perform qualitative and quantitative analysis of • Disk media linear data. For information regarding the software The combination drive supports the following media: - application, refer to the manufacturer’s instructions. BD R, BD-RW, DVD-R, DVD RW, DVD+RW, DVD+R Compatible transducers: 7L2, 10L4, 14L5, 18L6, The following media brands are recommended for - - DAX, 5C1, 9C3, 18H6, 11M3, 4V1, 5V1, 8V3, 10V4, use with the combination drive: Panasonic, TDK, 9EC4, 9C2, 7VC2, 15L4, 9VE4, 10EV3 Maxell Auto OB Measurements option Universal video converter option2 AI powered measurements of crown rump length, Converts digital video signals from the ultrasound • biparietal diameter, head circumference, abdominal system to analog video signals to support an external circumference, femur length, humerus length, and display device. Includes the following cables: occipital frontal diameter • DVI cable • Supports biparietal diameter outer-to-outer or • Power cable outer-to-inner measurements 1 At the time of publication, the United States Food and Drug Administration has cleared ultrasound contrast agents only for use in left ventricular opacification (LVO), liver, and vesicoureteral reflux (VUR). Check the current regulations for the country where you are using this ultrasound system for contrast agent clearance. 2 Not commercially available in all countries. Contact your local representative regarding local availability. 18 siemens-healthineers.com/ultrasound ACUSON Sequoia ultrasound system · Data sheet Physio module option Transducer options • Includes the ECG function, which contains the ECG Refer to the following table to identify transducers cable and leads compatible with your ultrasound system. ECG leads, standard U.S.A. - ECG leads, standard European Virtual workstation - • Includes both ECG and Respiratory trace from the • ECG leads. An Aux cable is available as an option to Provides remote access to your facilities applications import signals from a 3rd-party device. such as PACs, Worklist, EMR directly from the ultrasound system • Includes connection options for a web browser connection or a remote desktop session Options Description • 9C3 • 9C2 Transducers, Curved Array • 5C1 • 7VC2 • DAX • 18H6 • 18L6 • 15L4 Transducers, Linear Array • 14L5 • 10L4 • 7L2 • 10V4 • 8V3 Transducers, Phased Array • 5V1 • 4V1 Transducers, Micro-convex • 11M3 • 10EV3 Transducers, Endocavity • 9EC4 • 9VE4 Transducers, Continuous Wave (CW) CW5, CW2 (dependent on cardiac imaging option) • Verza Guidance System Biopsy and needle guide set, 7L2, 9C2, 14L5, 15L4 - Biopsy and Fusion needle guide set, DAX, 5C1, 10L4 - • Transducer Accessories Needle guides In-plane ultrasound needle guide, Ultra-Pro II - (Reusable bracket and disposable Fusion needle guide set, 4V1 - needle guides) Biopsy needle guide set, 18L6 - Biopsy needle guide set, 9C3 - Reusable endocavity needle guide, 9EC4, 10EV3 - Disposable endocavity needle guide, 9EC4, 9VE4, 10EV3 - *Not available in all countries. siemens-healthineers.com/ultrasound 19 Data sheet · ACUSON Sequoia ultrasound system Picture needs to be updated. Please send us the picture number. conthisvery Service solutions Service offerings • Planned Maintenance (PM) Connect platforms • Reactive Maintenance (RM) • Remote Service Connection Remote Technical Support • • Speeds problem resolution; anticipates potential Remote Application Support • problems; allows for remote SW upgrade without Customer Education - impacting workflow Online Tutorials Classroom Courses - • teamplay Fleet Tailored Clinical Workshops - Streamlines your Siemens Healthineers fleet Technical Education for BioMed engineers - management and optimizes your asset performance holistically, 24/7 and from any device. • Software Services Software updates - • PEPconnect/PEPconnections - Create and manage individual education plans to meet Remote Update Handling (RUH) unique needs On-site software installation - • Evolve software upgrades Provided when announced, at least once every 18 months, available with eligible service contract 20 siemens-healthineers.com/ultrasound ACUSON Sequoia ultrasound system · Data sheet Clinical measurement range and accuracy The system assumes a speed of sound of 1,540 m/sec for all measurements. Direct measurement Range Accuracy Distance 0 cm to 40 cm 3% of the distance or 1.5 mm; whichever is greater assuming 1,540 m/sec speed of sound. Does not apply to trace tool. Distance tolerance using trace tool is user-dependent. Distance using 0 cm to 27.5 cm Linear transducer: 5% of the distance or 2.5 mm; whichever is extended field greater assuming 1,540 m/sec speed of sound. of view Curved transducer: 8% of the distance or 2.5 mm; whichever is greater assuming 1,540 m/sec speed of sound. Trace Area 0 cm² to 1170 cm² 6% of the area or 1.5 cm2; whichever is greater, assuming minimal operator error in tracing the desired object and assuming 1,540 m/sec speed of sound. Trace Distance 0 cm to 139 cm 5% of the distance or 6 mm; whichever is greater, assuming minimal operator error in tracing the desired object and assuming 1,540 m/sec speed of sound. Trace Circumference 0 cm to 139 cm 5% of the circumference or 6 mm; whichever is greater, assuming minimal operator error in tracing the desired object and assuming 1,540 m/sec speed of sound. Time 0 sec to 9.0 sec Better than ± 1% of the sweep speed or ± 10 msec, whichever is greater. Velocity 1 cm/sec to 2000 cm/sec 10% of the velocity or 5 cm/sec; whichever is greater using a calibrated flow phantom. System requirements Power supply requirements Mains Voltage 100 V ~ to 240 V ~ Maximum Current 5.4 to 13.0 amps Frequency 50 to 60 Hz Noise Level 35 to 38 dB Possible combinations with other equipment Only the peripheral devices listed in this chapter are approved for use with the ultrasound system. Any use of other devices with the system will be at the user’s risk and may void the system warranty. On-board peripheral devices must be installed by an authorized Siemens Healthineers representative or approved third party. Check with your sales representative. siemens-healthineers.com/ultrasound 21 Data sheet · ACUSON Sequoia ultrasound system Input and output signals for audio, video, and data transmission connections Port Location Example of connection Signal RJ-45 On rear panel Ethernet RJ45, 10BaseT/100BaseT/1000BaseT Bi-directional USB-A (four ports) Input/output panel Printer, Fusion electronics unit, footswitch, Bi-directional Blu-ray/DVD/CD combination drive DisplayPort Input/output panel External monitor Input USB-A (two ports) Left side of the touch USB storage device, headset and camera for Bi-directional screen virtual communication with a Siemens service representative USB-A (two ports) Right side of the monitor USB storage device, headset and camera for Bi-directional virtual communication with a Siemens service representative ECG connector Physio panel ECG leads Input Aux connector Physio panel ECG external DC input Bi-directional Wireless network connections The ultrasound system supports the following options for connection to wireless networks. Network standard • 802.11a • Wired Network • 802.11b DHCP (RFC2131), as implemented by Windows 10 • 802.11ac MAB • 802.11g • WIFI Network • 802.11n DHCP (RFC2131), as implemented by Windows 10 MAB Frequency bandwidth • 2.4 GHz • 5 GHz Authentication • WPA • WPA2 • WPA PSK • WPA2 PSK • Open Encryption • None • TKIP • AES Extensible Authentication • PEAPv0 Protocol (EAP) (PEAP-MSHCAPv2) • TLS 22 siemens-healthineers.com/ultrasound ACUSON Sequoia ultrasound system · Data sheet Environmental requirements Electromagnetic Compatibility (EMC) Note: Operating interference visible on the monitor screen. However, the the ultrasound imaging system in close proximity to device has been designed and tested to withstand such sources of strong electromagnetic fields, such as radio interference and will not be permanently damaged. transmitter stations or similar installations may lead to Ultrasound system During Operation During Storage or Transportation Atmospheric pressure 700 hPa to 1060 hPa 500 hPa to 1060 hPa Relative humidity 20% to 80%, non condensing 10% to 95%, non condensing Temperature – – System without a printer +10°C to +40°C -10°C to +60°C System with a printer +10°C to +35°C -10°C to +60°C Note: Print media, for example, printer paper, is excluded from the environmental requirements. Refer to the ranges included on the manufacturer’s label. Transducers During Operation During Storage or Transportation Atmospheric pressure – – All transducers, except 7VC2, 9VE4 700 hPa to 1060 hPa 500 hPa to 1060 hPa 7VC2, 9VE4 700 hPa to 1060 hPa 700 hPa to 1060 hPa Relative humidity – – All transducers, except 7VC2, 9VE4 10% to 80%, non condensing 10% to 95%, non condensing 7VC2, 9VE4 10% to 80%, non condensing 10% to 90%, non condensing Temperature – – All transducers, except 7VC2, 9VE4 +10°C to +40°C -10°C to +50°C 7VC2, 9VE4 +20°C to +40°C -5°C to +50°C Note: Needle guides are excluded from the environmental requirements. Refer to the ranges included on the manufacturer’s label. siemens-healthineers.com/ultrasound 23 Data sheet · ACUSON Sequoia ultrasound system System classifications Standards compliance • Type of protection against electrical shock: The diagnostic ultrasound system is in compliance Class I, external powered with the following standards, including all applicable Degree of protection against electrical shock: amendments at the time of product release. • Type BF applied part for endocavity, linear, curved, - and phased array transducers Quality standards Type B applied part for Fusion transducer sensors - • and needle tracking sensors FDA QSR 21 CFR Part 820 Type BF defibrillation-proof applied part for ECG • EN ISO 13485 and ISO 13485 - connections on the physio module • ISO 9001 Type CF defibrillation-proof applied part for ECG - connections on the physio module Design standards • Degree of protection against harmful ingress of water: • ANSI/AAMI ES 60601-1 Ordinary equipment • CAN/CSA-C22.2 No. 60601-1 • Degree of safety of application in the presence of a • EN 60601-1 and IEC 60601-1 flammable anesthetic material with air or with oxygen • or nitrous oxide: EN 60601-1-2 and IEC 60601-1-2 (Class A) Equipment not suitable for use in the presence of a • EN 60601-1-6 and IEC 60601-1-6 flammable anesthetic mixture with air or with oxygen • EN 60601-2-18 and IEC 60601-2-18 or nitrous oxide • EN 60601-2-37 and IEC 60601-2-37 • Mode of operation: • EN 62304 and IEC 62304 Continuous operation • EN 62366-1 and IEC 62366-1 • Ingress protection levels: • Transducers: IPX8 EN ISO 14971 and ISO 14971 - Footswitch: IPX8 - Acoustic output standards • IEC 62359, Test Methods for the Determination of Thermal and Mechanical Indices Related to Medical Diagnostic Ultrasonic Fields • AIUM/NEMA UD-2, Acoustic Output Measurement Standard for Diagnostic Ultrasound Equipment • AIUM/NEMA UD-3, Standard for Real Time Display of Thermal and Mechanical Acoustic Output Indices on Diagnostic Ultrasound Equipment Radio and telecommunications standards • CFR 47 FCC Part 15.247 • CFR 47 FCC Part 15.107 • CFR 47 FCC Part 15.109 • ETSI EN 300 328 • ETSI EN 301 489-1 • ETSI EN 301 489-17 • ETSI EN 301 893 24 siemens-healthineers.com/ultrasound ACUSON Sequoia ultrasound system · Data sheet CE declaration EU authorized representative CE This device bears a CE mark in accordance with Siemens Healthcare GmbH the provisions of EU Regulation 2017/745 of Henkestr. 127, 91052 Erlangen, Germany 0123 April 5, 2017 concerning medical devices and Phone: +49 9131 84-0 the Council Directive 2011/65/EU of June 08, 2011 on the restriction of the use of certain hazardous Siemens Healthineers reserves the right to modify the substances in electrical and electronic equipment. design and specifications contained herein without prior notice. Please contact your local Siemens Healthineers The CE marking applies only to Medical Devices which Sales Representative for the most current information. have been put on the market according to the above mentioned EU Regulation and EU Directive. Unauthorized changes to this product are not covered by the CE mark and the related Declaration of Conformity. siemens-healthineers.com/ultrasound 25 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 Healthineers organization for further details. ACUSON, ACUSON Sequoia, Auto TEQ, Clarify, eSieCalcs, Sequoia, TEQ, UltraArt, Velocity Vector Imaging, Virtual Touch are trademarks of Siemens Medical Solutions USA, Inc. syngo® is a registered trademark owned by Siemens Healthcare GmbH. eTrax is a trademark of CIVCO. CIVCO is a trademark of CIVCO Medical Solutions. Sony is a registered trademark of Sony Corporation. Siemens Healthineers Headquarters Manufacturer Siemens Healthcare GmbH Siemens Medical Solutions USA, Inc. Henkestr. 127 Ultrasound 91052 Erlangen, Germany 22010 S.E. 51st Street Phone: +49 9131 84-0 Issaquah, WA 98029, USA siemens-healthineers.com Phone: 1-888-826-9702 siemens-healthineers.com/ultrasound Published by Siemens Medical Solutions USA, Inc. · 1HOOD05162003344619 · Effective date 15-March-2023 3285 0323 online ©Siemens Medical Solutions USA, Inc., 2023