real-time visualization · 2020. 11. 24. · 10f 90 cm acuson sc2000™, acuson p500™, acuson...

©Biosense Webster, Inc. 2020All rights reserved. 041266-200825

The third party trademarks used herein are trademarks of their respective owners.

Biosense Webster, Inc.31 Technology Drive, Suite 200 | Irvine, CA 92618, USATel: 909-839-8500 | Tel: 800-729-9010 | Fax: 909-468-2905www.biosensewebster.com

Manufactured bySiemens MedicalSiemens Medical Solutions USA, Inc.Ultrasound Division Headquarters1230 Shorebird Way | P.O. Box 7393Mountain View, CA 94039-7393 USATel: 888-826-9702

OrderingNumber Description Size

Insertion Length Compatibility

10439236 SOUNDSTAR® eco Ultrasound Catheter (for GE systems)

8F 90 cm Vivid™ S70N, Vivid™ iq, Vivid™ i, Vivid™ q

10439072 SOUNDSTAR® eco Ultrasound Catheter (for GE systems)


10439011 SOUNDSTAR® eco Ultrasound Catheter (for Siemens systems)

8F 90 cm ACUSON SC2000™, ACUSON P500™, ACUSON X700™, ACUSON P300™ PE, ACUSON Cypress™, ACUSON Sequoia™ legacy

10437577 SOUNDSTAR® eco Ultrasound Catheter (for Siemens systems)


R10439236 Certified Performance SOUNDSTAR® eco Ultrasound Catheter (for GE systems)


R10439072 Certified Performance SOUNDSTAR® eco Ultrasound Catheter (for GE systems)


R10439011 Certified Performance SOUNDSTAR® eco Ultrasound Catheter (for Siemens systems)


R10437577 SOUNDSTAR® eco Ultrasound Catheter (for Siemens systems)


OrderingNumber Description Size

Insertion Length Compatibility

10135910 ACUSON AcuNav™ ultrasound catheter (for GE systems)


10043342 ACUSON AcuNav™ ultrasound catheter (for GE systems)


10135936 ACUSON AcuNav™ ultrasound catheter (for Siemens systems)


08255790 ACUSON AcuNav™ ultrasound catheter (for Siemens systems)


R10135910 Certified Performance ACUSON AcuNav™ ultrasound catheter (for GE systems)


R10043342 Certified Performance ACUSON AcuNav™ ultrasound catheter (for GE systems)


R10135936 Certified Performance ACUSON AcuNav™ ultrasound catheter (for Siemens systems)


R8255790 Certified Performance ACUSON AcuNav™ ultrasound catheter (for Siemens systems)


2D fundamental imaging frequencies (MHz) supported with 8F and 10F SOUNDSTAR and ACUSON AcuNav™ ultrasound catheters:

Vivid™ S70N (MHz) 4.5, 6, 8, 10, 11.5

Vivid™ iq (MHz) 4.5, 6, 8,11.5

ACUSON SC2000™ (MHz) 5, 5, 6, 8

ACUSON P500™ (MHz) 5, 6.2, 8.0

SOUNDSTAR® Ultrasound Catheter Specifications

ACUSON AcuNav™ Ultrasound Catheter Specifications

Imaging Specifications Real-Time Visualization

ACUSON AcuNav™ Ultrasound Catheter and SOUNDSTAR® Ultrasound CatheterIntracardiac Echocardiography Imaging Guide

This imaging guide is an introduction to intracardiac echocardiography imaging. It contains directions to obtain proper positioning and basic views used with the ACUSON AcuNav™ Catheters or SOUNDSTAR® Ultrasound Catheters.This guide assumes the following:1. A femoral vein approach is used for the insertion of the ACUSON AcuNav™

Catheters or SOUNDSTAR® Ultrasound Catheters.2. The catheter operator is standing at the patient’s right side, with the

patient’s head to the left of the operator.3. The system orientation is with the ACUSON System icon positioned to

the left of the image vector. This corresponds to the inferior portion of the scan plane.

HOME POSITION: RA, TV, RV ViewOnce the liver appears on the screen, advance the SOUNDSTAR® Ultrasound Catheter slightly into the mid right atrium (RA). This image of the RA, tricuspid valve (TV), and the right ventricle (RV) is referred to as the Home Position. In the Home Position, the SOUNDSTAR® Ultrasound Catheter is in an unlocked or neutral position, meaning there is no steering and the tension control knob is disengaged.

Left Atrium (LA), Esophagus (ESO), Descending Aorta (Dao)Descending Aorta – Rotate the SOUNDSTAR® Ultrasound Catheter clockwise from the left pulmonary veins. The aorta lies posterior to the left atrium. The esophagus and aorta may be viewed in the same view. Both structures are visualized between the left and right pulmonary veins. The esophagus will lie anterior to the descending aorta behind the left wall.Esophogus – rotate the SOUNDSTAR® Ultrasound Catheter slightly clockwise from the left pulmonary veins.

Left Atrium (LA) – Right Inferior Pulmonary Vein (RIPV)The right pulmonary veins will appear close to the imaging surface of the SOUNDSTAR® Ultrasound Catheter image. To visualize the right inferior pulmonary vein (RIPV), continue clockwise rotation beyond the left pulmonary veins and slightly beyond the esophagus view. Utilize Doppler to assist with identifying the pulmonary vein inflow.

Right Inferior Pulmonary Vein (RIPV) and Right Superior Pulmonary Vein (RSPV) Short AxisThe right pulmonary veins will appear close to the imaging surface of the SOUNDSTAR® Ultrasound Catheter image. From the left atrium/right inferior pulmonary vein view continue a slight clockwise rotation of the catheter to visualize both the inferior and superior pulmonary veins in a short axis. Utilize color Doppler to assist with identifying the pulmonary vein inflow.

Left Atrium – Right Superior Pulmonary Vein (RSPV) Long AxisThe right pulmonary veins will appear close to the imaging surface of the SOUNDSTAR® Ultrasound Catheter image. In order to view the right superior pulmo-nary vein (RSPV) more longitudinally, advance the catheter higher in the right atrium and continue clockwise rotation. In many cases, the addition of posterior tilt and right/left steering at this time will further optimize the image. Utilize color Doppler to assist with identifying the pulmonary vein inflow.

Left Ventricle (LV)A long axis view of the left ventricle (LV) can be seen by returning the catheter beam to the Home Position and withdrawing the SOUNDSTAR® Ultrasound Catheter low in the right atrium, visualizing the Eustachian ridge. Using the top control on the catheter handle (P-A), the knob is rotated clockwise, which puts an anterior tilt on the catheter tip. The catheter is then advanced through the tricuspid valve into the right ventricle (RV). When the catheter is in the RV, the anterior steer is released. Rotate the catheter clockwise. The imaging beam will move from imaging the RV to imaging the LV. A pericardial effusion can be visualized from these views.

Right Atrium, Left Ventricular Outflow Tract (LVOT)From the RVOT view, rotate the catheter very slightly clockwise. The aortic valve and left ventricular outflow tract (LVOT) will begin to appear in the middle of the screen. You may also be able to see the pulmonary artery and/or pulmonary valve just behind the aortic valve.

Left Atrium (LA) – Left Inferior Pulmonary Vein (LIPV) and Left Superior Pulmonary Vein (LSPV)The left inferior pulmonary vein (LIPV) and the left superior pulmonary vein (LSPV) are often visualized in the same imaging plane. To visualize the LIPV, rotate the SOUNDSTAR® Ultrasound Catheter clockwise from the CS/MV/LAA view slightly. The LIPV and LSPV are often visualized in the same plane. A slight clockwise rotation from the LIPV may be needed to visualize the LSPV. Utilize color Doppler to assist with identifying the pulmonary vein inflow.

Right Atrium, Right Ventricular Outflow Tract (RVOT)From the mid right atrial Home Position with no steering activated, rotate the SOUNDSTAR® Ultrasound Catheter slightly clockwise or to the patient’s left side. You will begin to see the aortic valve just above the RVOT.

Right Atrium (RA), Coronary Sinus (CS), Left Atrium (LA), Mitral Valve (MV), Left Atrial Appendage (LAA)Rotate the SOUNDSTAR® Ultrasound Catheter clockwise from the RVOT view. The coronary sinus (CS) will be visualized directly below the right atrium (RA) in the same plane as the mitral valve (MV). The left atrial appendage (LAA), also in the same plane as the MV, will appear as an “out-pouching” from the left atrium (LA).

The intracardiac imaging terms used in this imaging guide are defined below:

Clockwise: describes the rotation of the catheter away from the operator.Counterclockwise: describes the rotation of the catheter towards the operator.Depth: increases or decreases the depth of penetration or field of view.Home Position: this refers to an ultrasound image that displays the right atrium, right ventricle, and tricuspid valve. The catheter is positioned in the mid-right atrium.Neutral Position: the neutral position ridges located on the catheter handle are aligned. No steering or tension is applied.Scan Plane: how ultrasound images the body; two-dimensional; a slice of an anatomical structure,Tension Control Knob: provides graduated tension to the steering mechanism of the catheter tip.

Caution: US law restricts this device to sale by or on the order of a physician. Important information: Prior to use, refer to the instruction for use supplied with this device for indications, contraindications, side effects, warnings and precautions. ACUSON AcuNav™ is a trademark of Siemens Medical Solutions USA, Inc. ©Biosense Webster, Inc. 2020 | 041266-200825

ACUSON AcuNav™ Ultrasound Catheter and SOUNDSTAR® Ultrasound Catheters

Intracardiac Echocardiography Imaging Guide

real-time visualization · 2020. 11. 24. · 10f 90 cm acuson sc2000™, acuson p500™, acuson...

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