RFQ 75H70624Q00055 PKG.pdf

A. This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Federal Acquisition Regulation (FAR) Subpart 12.6, as supplemented with additional information included in this notice, FAR Part 12, Acquisition of Commercial Items (Title VIII of the Federal Acquisition Streamlining Act of 1994) (Public Law 103-355). This announcement constitutes the only solicitation; quotes are being requested and a written solicitation will not be issued.

B. The Great Plains Area Indian Health Service (IHS) intends to award a Firm-Fixed Price, Commercial Item, Purchase Order in response to Request for Quote (RFQ) #75H70624Q00055.

C. This solicitation document and incorporated provisions and clauses are those in effect through

Federal Acquisition Circular 2024-05.

D. This RFQ is issued is NOT a small business set-a-side and the associated NAICS Code is #339112, which has a small business standard size of 1,000 employees.

E. The quoted unit pricing must be all inclusive (to include but not be limited to travel, lodging, per diem, fringe benefits, federal, state and local taxes) plus all other costs pertinent to the performance of this contract. Utilize your most competitive and reasonable rates.

BRAND NAME / EQUAL

Complete the attached RFQ # 75H70624Q00055.

F. To be provided for the Rosebud Indian Health Service, 800 Hospital Road, Rosebud, South

Dakota 57570.

The period of performance will be Date of Award through sixty (60) days.

G. FAR 52.212-1 Instructions to Offerors-Commercial Products and Commercial Services (SEP

2023).

Quotes shall be submitted on company letterhead stationery, signed, dated and it shall include:

1. RFQ Number: 75H70624Q00055

2. Closing Date: September 9, 2024 at 12PM CT

3. Name, address, and telephone number of company. Email address of a contact person.

4. Technical description of the item/service being offered in sufficient detail to evaluate compliance with the requirements of the solicitation. This may include product literature, or other documents if necessary.

5. Terms of any express warranty.

6. Price and any discount terms.

7. Remit to address, if different than mailing address.

8. A completed copy of the representations and certifications at FAR 52.212-3. (See FAR

52.212-3(b) for those representations and certifications that the offeror shall complete electronically.)

9. Acknowledgement of Solicitation Amendments, if any issued.

10. Past Performance information, when included as an evaluation factor, to include recent and relevant contracts for the same or similar items and other references including; contract numbers, points of contact with telephone numbers, and other relevant information.

11. A statement specifying the extent of agreement with all terms, conditions, and provisions included in the solicitation. Offerors that fail to furnish representations or information, or reject the terms and conditions of the solicitation may be excluded from consideration.

H. FAR 52.212-2 Evaluation-Commercial Products and Commercial Services (NOV 2021)

Basis of Award is Lowest Price, Technically Acceptable “LPTA” factors determining the successful contractor. The Government will not use the formal source selection process described in FAR

Part 15.

I. FAR 52.212-3 Offeror Representations and Certifications-Commercial Products and

Commercial Services (MAY 2024)

See attachment for full text. The Offeror shall complete only paragraphs (b) of this provision if the Offeror has completed the annual representations and certifications electronically via the

System for Award Management (SAM) website accessed through http://www.acquisition.gov. IF the Offeror has not completed the annual representations and certifications electronically, the

Offeror shall complete only paragraphs (c) through (p) of this provision.

J. FAR 52.212-4 Contract Terms and Conditions-Commercial Products and Commercial Services

(NOV 2023). Applied to this acquisition and is by reference.

K. FAR 52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive

Orders-Commercial Products and Commercial Services (MAY 2024) See attachment for full text.

L. Attached are the Federal Acquisition Regulations (FAR) and Health & Human Services Acquisition

Regulation (HHSAR) clauses that are applicable including below.

M. Offers will be accepted electronically only. Submit via to the following:

Great Plains Area Indian Health Service

Attn: William Kohl, Contract Specialist

115 4th Ave SE – Room 309

Aberdeen, SD 57401

EMAIL: William.Kohl@ihs.gov

Any questions, please submit by email to: William.Kohl@ihs.gov before September 6, 2024 by

12PM CT.

Contractors will need a Unique Entity ID (UEI) number, TIN number, and be registered with www.sam.gov.

http://www.acquisition.gov/ mailto:William.Kohl@ihs.gov mailto:William.Kohl@ihs.gov http://www.sam.gov/

The contractor must provide only new equipment and new parts for the required products described herein; no used, refurbished, or remanufactured equipment or parts shall be provided under any circumstances.

75H70624Q00055

1. REQUEST NO.

5a. ISSUED BY

NAME

a. NAME

c. STREET ADDRESS

d. CITY

10. PLEASE FURNISH QUOTATIONS TO

THE ISSUING OFFICE IN BLOCK 5a ON

OR BEFORE CLOSE OF BUSINESS (Date)

2. DATE ISSUED 3. REQUISITION/PURCHASE REQUEST NO. 4. CERT. FOR NAT. DEF.

UNDER BDSA REG. 2

AND/OR DMS REG.1

RATING

6. DELIVERY BY (Date)

7. DELIVERY

9. DESTINATION

a. NAME OF CONSIGNEE

b. STREET ADDRESS

PAGE OF PAGES

5b. FOR INFORMATION CALL: (No collect calls)

TELEPHONE NUMBER

AREA CODE NUMBER

8. TO:

b. COMPANY

e. STATE f. ZIP CODE

c. CITY

d. STATE e. ZIP CODE

IMPORTANT: This is a request for information, and quotations furnished are not offers. If you are unable to quote, please so indicate on this form and return it to the address in Block 5a. This request does not commit the Government to pay any costs incurred in the preparation of the submission of this quotation or to contract for supplies or services. Supplies are of domestic origin unless otherwise indicated by quoter. Any representations and/or certifications attached to this Request for Quotations must be completed by the quoter.

11. SCHEDULE (Include applicable Federal, State and local taxes)

THIS RFQ

REQUEST FOR QUOTATION

(THIS IS NOT AN ORDER)

IS IS NOT A SMALL BUSINESS SET ASIDEX

08/29/2024 See Schedule

1 7

INDIAN HEALTH SERVICE

Rm 309 Fed Bldg-115 4th Ave SE Division of Acquisition Management

Great Plains Area

Aberdeen SD 57401

11/15/2024

IHSROSEBUD

800 HOSPITAL DR

ROSEBUD SD 57570

ROSEBUD

SD 57570

WILLIAM KOHL

09/09/2024 1200 CT

FOB DESTINATION

OTHER

(See Schedule)X

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

Solicitation for a firm, fixed-price, commercial item purchase order for medical equipment. A GE

VOLUSON EXPERT 22 BT24 USA GOVT AND A GE VENUE R4

PREMIER. Both ultrasound systems for the Rosebud Indian Health Service, 800 Hospital Road, Rosebud, South Dakota 57570.

Period of Performance will be date of award with delivery no later than SIXTY (60) DAYS after receipt of order.

BASIS FOR AWARD: Quoters are advised that award shall be made to the Lowest Price Technically Acceptable (LPTA) offer. Quotes will also include the following to be considered acceptable.

1. Complete and signed SF-18, Request for Continued ...

12. DISCOUNT FOR PROMPT PAYMENT

a. 10 CALENDAR DAYS (%) b. 20 CALENDAR DAYS (%) c. 30 CALENDAR DAYS (%) d. CALENDAR DAYS

NUMBER PERCENTAGE

NOTE: Additional provisions and representations

13. NAME AND ADDRESS OF QUOTER

b. STREET ADDRESS

c. COUNTY

d. CITY e. STATE f. ZIP CODE

14. SIGNATURE OF PERSON AUTHORIZED TO

SIGN QUOTATION

16. SIGNER

a. NAME (Type or print)

c. TITLE (Type or print)

a. NAME OF QUOTER

AREA CODE

NUMBER

15. DATE OF QUOTATION

b. TELEPHONE are are not attached

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition not usable

STANDARD FORM 18 (REV. 6-95)

Prescribed by GSA - FAR (48 CFR) 53.215-1(a)

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

2 7

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

75H70624Q00055

Quotations

2. Provide Items per Specifications

3. Meet the 60 day or less delivery schedule

Any questions regarding this solicitation shall be requested before September 6, 2024, before

12PM CT in writing by email to William Kohl, at

William.Kohl@ihs.gov.

The quoted unit price is an all-inclusive cost.

All-inclusive is defined to include travel, lodging, per diem, fringe benefits, Federal/State/Local taxes, plus any other costs pertinent to the performance of this contract.

Period of Performance: 09/13/2024 to 11/15/2024

1 Catalog #: H8052EG 1 EA

Item Description: Voluson Expert 22 BT24 USA GOVT

Requisition No: IHS1489983

Delivery: 11/15/2024

2 Catalog #: H40472LT 1 EA

Item Description: C1-6-D XDclear Convex Array

Probe

Requisition No: IHS1489983

Delivery: 11/15/2024

3 Catalog #: H44901AR 1 EA

Item Description: RM7C Probe

Requisition No: IHS1489983

Delivery: 11/15/2024

4 Catalog #: H44901AS 1 EA

Item Description: RIC10-D Probe

Requisition No: IHS1489983

Delivery: 11/15/2024

5 Catalog #: H48681FP 1 EA

Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

3 7

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

75H70624Q00055

Item Description: Advanced Volume Contrast

Imaging (VCI) with OmniView and Uterine Trace

Requisition No: IHS1489983

Delivery: 11/15/2024

6 Catalog #: H48711UL 1 EA

Item Description: SonoGyn

Requisition No: IHS1489983

Delivery: 11/15/2024

7 Catalog #: H48711NH 1 EA

Item Description: Gel Warmer

Requisition No: IHS1489983

Delivery: 11/15/2024

8 Catalog #: H48711NU 1 EA

Item Description: RFID Log-on

Requisition No: IHS1489983

Delivery: 11/15/2024

9 Catalog #: H48711NT 1 EA

Item Description: Respond Probe Holder

Requisition No: IHS1489983

Delivery: 11/15/2024

10 Catalog #: H48711ur 1 EA

Item Description: WLAN Stick US Standard

Requisition No: IHS1489983

Delivery: 11/15/2024

11 Catalog #: H8052BW 1 EA

Item Description: B/w Printer UP-D898DC Kit

Requisition No: IHS1489983

4 7

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

75H70624Q00055

Delivery: 11/15/2024

12 Catalog #: H8042VU 1 EA

Item Description: Venue R4 Premier

Requisition No: IHS1490189

Delivery: 11/15/2024

13 Catalog #: H45041DL 1 EA

Item Description: 3SC-RS Phased Array Probe

Requisition No: IHS1490189

Delivery: 11/15/2024

14 Catalog #: H48062AB 1 EA

Item Description: L4-12t-RS Linear Array Probe

Requisition No: IHS1490189

Delivery: 11/15/2024

15 Catalog #: H40482LJ 1 EA

Item Description: C1-5-RS Wideband Convex Array

Probe (USA PoC Only)

Requisition No: IHS1490189

Delivery: 11/15/2024

16 Catalog #: H40402LN 1 EA

Item Description: E8C-RS Microconvex Array Probe

Requisition No: IHS1490189

Delivery: 11/15/2024

17 Catalog #: H45051VA 1 EA

Item Description: USB Sony UP-D 711MD Black White

Image Thermal Printer Kit (Factory Installed)

Requisition No: IHS1490189

5 7

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

75H70624Q00055

Delivery: 11/15/2024

18 Catalog #: H45051VO 1 EA

Item Description: Attachable Endocavitary Probe

Holder for Venue

Requisition No: IHS1490189

Delivery: 11/15/2024

Quotation must set forth, full, accurate and complete information as required by the Request for Quotation (RFQ) and be returned no later than the date referenced in Block #10 of the Request for Quotation form SF-18. All required Quotation must set forth, full, accurate and complete information as required by the Request for

Quotation (RFQ) and be returned no later than the date referenced in Block #10 of the Request for

Quotation form SF-18. All required information must be submitted in order to be considered responsive and eligible for award.

ACCEPTANCE PERIOD: Your proposal must stipulate that it is predicated upon all the terms and conditions of this RFQ. In addition, it must contain a statement to the effect that it is firm for a period of at least 30 days from the date of receipt by the Government. Quotation must set forth full, accurate and complete information as required by the Request for Quotation (RFQ) and be returned no later than the date reference in

Block #10 of the Request for Quotation Form

SF-18. All required information must be submitted in order to be considered responsive and eligible for award.

No contract award shall be made to any vendor or provider listed on the OIG Exclusion List http://exclusions.oig.hhs.gov throughout the duration of the contract. It shall be the responsibility of the contractor to notify the acquisition official if there is a change in provider.

Contractor must be registered with the System for

Award Management (SAM) before award can be made.

The website to register at is: www.sam.gov.

INVOICE SUBMISSION AND PAYMENT

6 7

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

75H70624Q00055

In compliance with the Office of Management and

Budget (OMB) M-15-19 memorandum Improving

Government Efficiency and Saving Taxpayer Dollars

Through Electronic Invoicing directing Federal agencies to adopt electronic invoicing as the primary means to disburse payment to vendors.

Invoices submitted under any award resulting from this solicitation will be required to utilize the

Invoice Processing Platform (IPP) in accordance with HHSAR 352.232-71, Electronic Submission and

Processing of Payment Requests.

IPP is a secure, web-based electronic invoicing system provided by the U.S. Department of the

Treasury?s Bureau of the Fiscal Service, in partnership with the Federal Reserve Bank of St.

Louis (FRSTL). Respondents to this solicitation are encouraged to register an account with IPP if they have not already done so. If your organization is already registered to use IPP, you will not be required to re-register, however, we encourage you make sure your organization and designated IPP user accounts are valid and up to date.

The IPP website address is: https://www.ipp.gov.

If you require assistance registering or IPP account access, please contact the IPP Helpdesk at (866) 973-3131 (M-F 8AM to 6PM ET), or

IPPCustomerSupport@fiscal.treasury.gov.

The Contractor shall submit a signed and approved invoice to request payment. For services, it should be submitted at least on a monthly basis.

The Contractor shall include the following information on each invoice in accordance with the Prompt Payment Act (5 CFR Part 1315.9(b)):

1. Contractor's name

2. Invoice number and date

3. Entire award number (Purchase Order

Number/Delivery Order Number/Contract Number) or other authorization number for delivery of goods or services

4. Description (including dates of service), price, and quantity of goods and services rendered

5. Shipping and payment terms

6. SAM Unique Entity ID and Taxpayer Identifying

7 7

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

75H70624Q00055

Number (TIN)

7. Contact name (where practicable), title and telephone number

Payment shall be made by the:

GREAT PLAINS AREA

INDIAN HEALTH SERVICE

DIVISION OF FINANCIAL MANAGEMENT

114 5TH AVE SE

ROOM 309 FEDERAL BUILDING

ABERDEEN, SOUTH DAKOTA 57401.

The Government reserves the right to accept or reject services if the level of work is unsatisfactory.

Voluson Expert 22 Datasheet Page 1 of 16

Voluson Expert 22 BT24

The Voluson™ Expert 22 is an ultra-premium imaging platform that combines extraordinary image quality with our superb volume ultrasound technology.

The Voluson Expert 22 is for clinical trailblazers who want to continue to set new limits in women’s healthcare. Our powerful and adaptive Lyric Architecture, combined with unmatched probe technology and progressive imaging tools, will help find answers to complex cases earlier. The classic, modern Voluson design, with AI features, supports efficient workflow increasing satisfaction and daily activities. All this is combined with support excellence in service, education, and security. The Voluson Expert 22, for pioneers.

For groundbreakers. Because like you, we don’t just hope for a healthier future for women. We insist on creating it.

Highlights Lyric Architecture – Graphic-based Beamforming High-Definition Ultrasound (HDU) 23.8” Monitor Radiantflow, SlowflowHD and Slowflow3D Advanced VCI with OmniView HDlive™ Technologies Radiant, UltraHD and Augment Uterine Trace & Spine Trace SonoAVC™ Advanced STIC & eSTIC Advanced Fetal Echo fetalHQ, SonoFHR AI-based image guidance with SonoLystlive* AI-based functionality with fetalHS, SonoCNS, SonoPelvicFloor2.0 SonoGyn Fibroid Mapping Automation Technology with SonoBiometry, SonoNT™, SonoIT XDclear™ Probes Volume Matrix Technology High Frequency Transvaginal Imaging Electronic 4D Technology 3D Printing Capabilities Voluson Image Portal

Voluson Expert 22 Datasheet Page 2 of 16

General Specifications Dimensions / Weight / Audible noise emission Height (minimum) 113 cm (44.3 in) Height (maximum) 174 cm (68.3 in) Adjustable with electrical motor Width 58 cm (23.0 in) Depth 96 cm (37.9 in) Weight (no Peripherals) 95 kg (209 lbs.)

Maximal audible noise emission

≤65dBA

Typical audible noise emission (in a noise-reduced setting)

≤37dBA (measured at normal user-location in standard working mode)

Power supply Voltage 100 – 240V~ Frequency 50/60 Hz (+/-1Hz) Power Max. 600VA including all options, typical power consumption ~300 VA without peripherals

Thermal Output max. 2047 BTU/h typ. 1023 BTU/h

Console design 4 Active Universal Pinless Imaging Probe Ports Central 4-wheel brake mechanism with directional lock on rear wheels, front and rear operation Wheels 15 cm (5.9 in) diameter Non-glaring probe port illumination Ambient lighting with user-adjustable coloring On-board storage for Peripherals

Operating System Operating System: Windows® 10 Iot Enterprise 64 bit Integrated HDD 2 TB (optional 1TB SSD) Integrated SSD 64 GB

User Interface Operating panel Floating Keyboard:

Rotation: adjustable +/- 40° from center Height adjustable + 300 mm (11.8 in) Front extension: up to 200 mm (7.9 in) 5 integrated probe holders with individual cable outlet plus 1 holder for transvaginal probe Gel holder User-adjustable light scheme 4 programmable buttons for print/save/send 4 user-configurable buttons Integrated microphone

Touch screen 15.6” high-resolution color LCD screen Resolution Full HD 1920 x 1080 pixel Aspect ratio 16:9 Multi-touch interactive dynamic software menu Brightness adjustable Capable of displaying 2D/3D/4D ultrasound Images in real-time

Monitor 23.8” high-resolution HDU Display with HDMI interface Resolution Full HD 1920 x 1080 pixel Aspect ratio 16:9 Max. display brightness 340 cd/m² Contrast ratio 1000 : 1 Response time 15 ms Tilt/Rotate Adjustable Monitor Tilt angle: min. +25°/-75° Horizontal rotate angle: +/- 90° Brightness settings: Extra Dark, Dark, Semi Dark, Light, Extra Light Room Color temperature setting: warm and cold

System Overview Exam types Abdominal Obstetrical and Fetal Echo Gynecological Small Parts and Breast Vascular Pediatrics Transrectal Cardiology Cephalic Musculoskeletal (MSK)

Standard operating modes B-Mode (2D) Color Doppler mode (C) Power Doppler Mode (PD), including HD-Flow™ M-Mode (M), including anatomic M-Mode (AMM) Pulsed Wave Doppler (PW) with automatic HPRF, including duplex and triplex capabilities Tissue Doppler Mode (TD) and PW-Tissue Doppler Mode SlowflowHD, including Slowflow3D B-Flow™ (BF) Combination modes: M/C, M/HD-Flow, M/TD, PW/C, PW/HD-Flow, PW/PD, PW/TD

Extended View (XTD View) Volume Mode (3D/4D):

3D Static 4D Real Time

VCI-A

Static 3D Mode:

B Mode only B + Power Doppler Mode B + CFM Doppler Mode B + HD-Flow Mode B + SlowflowHD

B + CRI

B + CRI + CFM

B + CRI + PD

B + CRI + HD-Flow B + B-Flow

User Management and Logging Functionality Multiple Users with individual logon credentials Different and adjustable access levels LDAP Interface Enhanced Audit Trail and Usage Log

Privacy and Security Functionality Hard disc AES Encryption with 256-bit length Whitelisting Encrypted DICOM® Communication Capability (TLS) Encryption and Data Anonymization Export Capability

Voluson Expert 22 Datasheet Page 3 of 16

All ports, services and shared resources that are not required for the intended use are disabled Operating System Access disabled Deactivation of USB ports possible

Transducer types Phased Array – 1D and Active Matrix (1.5D) Convex Array Microconvex Array Linear Array – 1D and Active Matrix (1.25D) Volume probes 4D:

Convex Array Microconvex Array Linear Array Active Matrix Convex Array (1.5, 2D)

Scanning methods 2D Electronic Sector/Convex/Linear 3D/4D Mechanic/Electronic Volume Sweep

System standard features Automatic Optimization (B-Mode, PW Doppler) Auto TGC Coded Harmonic Imaging with Pulse Inversion Technology, operating on multiple frequencies AutoScale (PW Doppler and Color Doppler PRF) Anatomical M-Mode (AMM) with up to 2 cursors Augment scanning mode UltraHD scanning mode Shadow Reduction Radiant & Radiantflow

SRI

CrossXBeamCRI™ (Compound Resolution Imaging) Advanced 4D (4D Realtime, 4D Biospy, VCI-A, 4D-AMM) HDlive Studio+ (including HDlive Studio with up to 3 light sources, Silhouette controls and Perspective Rendering, HDlive Silhouette) HDlive Flow, HDlive Flow Silhouette SonoRenderlive Scan Assistant:

Includes measurements, annotations and fetal anatomy and gynecology worksheet entries Performs predefined mode changes, preset selection and screen layout changes Supports display of user-selected reference images Standardize image sequence upon DICOM® transfer HD Zoom & Pan Zoom Steering Virtual Convex (Trapezoid Image), also with CrossXBeamCRI BetaView Histogram Analysis with up to 3 user-adjustable ROIs with comparative analysis on complex curves Inversion Mode Measurement, Calculations and Worksheets/Report for:

OB

GYN

Vascular Cardio Abdominal

Small Parts Transrectal Pediatrics Cephalic Musculoskeletal (MSK)

Multigestational Calculations SonoBiometry (BPD, HC, AC, FL, HL, SonoNT & SonoIT, Cerebellum, CM, Lat. Ventricle, Cardiac axis) SonoCNS SonoFHR

Real-time automatic Doppler calculations

VOCAL II

DICOM® 3.0 Connectivity Integrated Software DVR

• Digital recording

• One drive for data export and recording

• USB support: FAT32 compatibility GYN IOTA LR2, Simple Rules and ADNEX Model GYN IETA Protocol & Report GYN IDEA Protocol & Scan Assistant Guideline fetalHS Patient information database Image Archive on hard drive 3D/4D data compression (lossy/lossless) Data export in 3D printable format Advanced STIC:

STIC STIC-Flow STIC M-Mode SonoVCAD™heart

V-SRI

CW Doppler Advanced Security Features Premium Security Features: Standard on Government system configurations Voluson Remote Updates eDelivery (during warranty) Voluson Image Portal (additional Wi-Fi Stick required) SonoLyst (includes SonoLystlive/IR/X)

System options E4D advanced features (for eM6C G3 activation only) 2D Modes: Bi-Plane (including CRI and Steering), VCI 2D, Adapt Real Time 4D Mode: B + CFM/PD/HD-Flow Modes VCI-A + CFM/PD/HD-Flow Modes eSTIC Advanced VCI (Volume Contrast Imaging), including VCI-C, OmniView, Uterine Trace and Spine Trace SonoAVC, including SonoAVCfollicle, antral2.0 and general SonoVCADlabor Compression Elastography fetalHQ (including speckle tracking capabilities) SonoPelvicFloor2.0

Ophthalmic Artery SonoGyn, including Fibroid Mapping and Uterine Trace Verisound™ Fleet, formerly AVURI Device Management

Peripheral options Gel warmer (integrated in probe holders) B&W printer, medical grade (integrated in console) Color printer, medical grade (not integrated, with wireless connection) Report color printer with network printing capabilities & connection kits for printing reports and images (not integrated) Alphanumeric Keyboard (not integrated) ECG Digital Module Foot Switch, with programmable functionality Barcode Scanner NFC reader (for user log-on with RFID Cards) Respond (automatic probe activation when a probe is taken from the holder) Integrated DVD+R(W)/CD-R(W) drive DVD Formats: DVD+R, -R, +RW, -RW for recording, DVD and CD support for data export

Voluson Expert 22 Datasheet Page 4 of 16

UPS – 115V AC Uninterruptible Power Supply to prevent data/image loss in case of power failure, assuring autonomy up to 15 minutes in scanning (may vary depending on battery age) Power Filter External Patient Monitor Set Wireless HDMI connection Isolation Transformer WLAN Stick Digital Expert Connect

Displayed information Patient name: First/Middle/Last Name, max. 62 characters Patient ID: max. 32 characters Secondary patient ID (Citizen Service Number) Accession #: max. 16 characters Hospital Name: max. 30 Characters Sonographer Gestational age (OB) or LMP (GYN) Birth date Date:

YYYY/MM/DD

MM/DD/YYYY

DD/MM/YYYY

Time display selectable: 12/24 hours Probe name Displayed Acoustic Output:

TIS: Thermal Index Soft Tissue TIC: Thermal Index Cranial TIB: Thermal Index Bone MI: Mechanical Index Frame Rate / Depth Angle / Zoom Preset / Application Receiver Frequency Gain Dynamic Contrast/Gray Map

Persistence/Edge Enhance Radiant

SRI, CRI

M Mode/AMM Mode:

M-Gain Dynamic contrast Edge Enhance

Reject M-Cursor, AMM-Cursor Time Scale

PW Doppler Mode:

PW-Gain Angle Sample Volume Depth and

Size

PRF including HPRF Wall Motion Filter Frequency Velocity or Frequency Scale Time Scale

Color Flow Imaging modes Color Gain Frequency Quality Wall Motion Filter Pulse Repetition Frequency

Color Map Color Scale: kHz, cm/s, m/s Color Velocity Range Color Balance Marker

3D/4D Mode:

3D/4D Sub Program Threshold Quality Volume Box Angle Mix Acquisition Mode Compression VCI: slice thickness

TUI: slice distance TUI: slice position in overview image STIC acquisition time Calculated heart rate for

STIC and eSTIC

Grayscale bar Color Scale bar (mode-dependent), showing WMF, Balance Depth Scale Focal Zone Marker Probe Orientation Marker

Cine Frame Number Recorder, spooler, external monitor, email, Trice, ethernet connection status Body Marks: 92 types organized in 10 anatomical groups Measurement results ECG Line Trackball function (Trackball and Trackball buttons) P-Button and C-Button configuration Zoom overview image (zoom box position) Clipboard in adjustable layout Scan Assistant/Measurement result window

System Parameters System setup User-programmable Presets Display Languages: English, French, German, Spanish, Portuguese, Italian, Danish, Dutch, Finnish, Norwegian, Swedish, Russian, Japanese, Simplified Chinese Software Keyboard Languages: English, French, German, Spanish, Italian, Danish, Finnish, Norwegian, Swedish, Russian, South Slavic Latin, Swiss French, Swiss German, Polish eIfU (electronic Instructions for Use) Languages:

Bulgarian, Croatian, Czech, Chinese Simplified, Danish, Dutch, English, Estonian, Finnish, French, German, Greek, Hungarian, Indonesian, Italian, Japanese, Kazakh, Korean, Latvian, Lithuanian, Norwegian, Polish, Portuguese, Romanian, Russian, Serbian, Slovakian, Slovenian, Spanish, Swedish, Turkish, Ukrainian, Vietnamese Programmable Scan assistant lists including Add, Delete, Edit and Reorder of checklist items Up to 2100 Programmable Annotations organized in 10 anatomical groups, including a library function and auto-complete

Measure setup M&A Setup including Add, Delete, Edit and Reorder of measure items Application Setup including several parameters of Measurement, Doppler Trace and Calculation presets Global Setup including several parameters of Measurement, Cursor and Result window presets Post assign measurements Auto Sequence measurements

Image processing and presentation Digital Beamformer

1.800.989.313 system processing channel technology Minimum Depth of Field: 0 – 1 cm (Zoom, probe-dependent) Maximum Depth of Field: 0 – 50 cm (probe-dependent) Depth Steps: up to 29 (probe-dependent) Confocal Imaging Transmission Focus: 1-5 Focus Points selectable (probe- and application-dependent) Focal Zone position, up to 10 positions selectable Continuous Dynamic Receive Focus/ Continuous Dynamic Receive Aperture for all probes 256 gray levels

16.8 million Colors 24 bit Up to 418 dB Dynamic Range Image reverse: Right/Left Rotation: 0°, 180°

Cine features Prospective or Retrospective Cine Mode Single/Dual/Quad image Cine Display

Voluson Expert 22 Datasheet Page 5 of 16

Cine Gauge and CINE image number display Cine Review Loop Cine Sequence (by Setting Start and End) Measurements/Calculations & Annotations on CINE Length:

2D: 1024MB: up to 10 min (depending on B-image size and

FPS); typical: about 3 min/4000 images (with curved array:

15cm depth, angle 81°, 22 FPS)

PW/M-Mode: 32MB: up to 1 min motion time (depending on sweep and depth)

Image/volume storage (archive) Standard and fully anonymized archive available Images stored as:

Raw Data file (proprietary format) DICOM file (Single-or Multi-Frame) Volume file stored as:

Raw Data file (proprietary format) DICOM file Size: typically: 0.8 – 5MB (depending on probe and adjusted volume size) Compression:

2D: JPEG, lossless, high, mid low 3D/4D: Lossy and lossless compression available. Typical compression rates are 50% with lossless compression, 15% with lossy compression but maximum quality, and 5% with lossy compression and reduced quality (approximate values).

Review of current exam and archived data sets (Single Images and Cine Clips). View format: Raw data, DICOM data. Display Formats: 1x1, 2x2, 3x3 Reload of current/ archived data sets: 2D Raw Data (incl. Color Doppler, Spectral Doppler and M-Mode). 3D Raw Data (single Volume incl. Calc. Cines). 4D Raw Data (Volume Cine).

Export as:

Bitmap files: BMP, TIFF, JPEG, PNG Raw files: RAW (2D), VOL (Volume data), 4DV (RAW, VOL incl. Patient data — password protected) Video File Format: AVI, MP4 DICOM Files: DCM, DICOM Files with DICOMDIR 3D Raw Data: export Cartesian format possible Surface formats: STL, OBJ, PLY, 3MF, XYZ (with projected and full 3D export capabilities) AVI Codec: MS Video 1, FullFrames Export to: DVD+R(W), CD-R(W), Network, USB devices, email, Printer, DICOM®, TricefyTM Export Anonymous function: available for following image types:

AVI, BMP, TIFF, JPEG, PNG, MP4, 4DV

Backup function to: DVD+R(W)/CD-R(W), Network, USB devices Repro function: Settings recall (e.g. Geometry, Gain, Color map, etc.) from a stored or reloaded picture Exam history: Direct access to images from previous exams;

Direct access to measurement reports and images from previous exams; Image compare window on screen to compare images from previous exams with current exam image Hard Drive Data Storage space: approx. 1900 GB (with standard 2TB HDD) or approx. 900 GB (with optional 1TB SSD)

Connectivity DICOM® support:

Verify Print Store Modality Worklist Structured Reporting Storage Commitment MPPS (Modality performed procedure step) Media Exchange

Off-network / mobile storage queue Query/Retrieve

TLS

Scanning Parameters B Mode Gain range +15 (100%) to -25 dB (0%) TGC 8 sliders Near Field/Far Field Adjusting upper/lower TGC sliders Mode Harmonic/Fundamental Harmonic Frequencies Low/Mid/High Fundamental Frequencies Penet/Norm/Resol Acoustic Power 1-100% Angle 20° to max. angle in 5° steps Max Angle Probe-dependent Shadow Reduction On/off available on all probes except 6S-D and L8-18i-D Dynamic Contrast 1-12 in 0.5 step increments SRI 5 steps (1-5), available on all probes CRI 8 steps (1-8), available on all

(curved and linear) probes except: M5Sc-D and 6S-D

VCI-2D (eM6C G3 only) Radiant Off/min/mid/max UltraHD On/off, available on all probes except 6S-D, M5Sc-D and L8- 18i-D

Augment On/off, available on all probes except 6S-D and L8-18i-D

Gray maps 21 (18 basic maps and 3 User-defined maps)

Tint maps 11 (10 colors, 1 grayscale) Line filter off, low (12.5/75/12.5%), high

(25/50/25%) Persistence filter 8 steps from 1-8 CRI filter Off/low/mid/high Line Density Low/norm/high Reject 51 steps from 0-255 Enhance 6 steps 0, 1, 2, 3, 4, 5 Display Modes B, XTD, Fullscreen Max. B-Mode Frame Rate > 3000 frames/sec Gray scale values 8 bit Frequency Range 1 to 18 MHz depending on the probe, adjustable in 3 fundamental steps (penetration, normal, resolution) and up to 5 Harmonic steps (Augment, low, mid, high, UltraHD)

Screen Formats:

2D Imaging: Single (B), Dual (B+B), Quad (B+B+B+B) XTD View: Single (XTD), Dual (B+XTD) Write Zoom up to 8x Magnification Read Zoom: 0.8x – 3.4x Zoom (with HD-Zoom functionality up to

22x Zoom) Virtual Convex:

* also with CrossXBeamCRI

RSP6-16-D*

9L-D* 6S-D

11L-D* M5Sc-D

ML6-15-D*

Wide Sector:

RIC6-12-D

RIC5-9-D

RAB6-D

C1-6-D eM6C G3

Voluson Expert 22 Datasheet Page 6 of 16

RM7C

RIC10-D

IC5-9-D C2-9-D

M-Mode Working Modes M (conventional M-Mode)

AMM (Anatomical M-Mode) Acoustic Power 1-100% Gain +15 (100%) to -25 dB (0%) Radiant Off/min/mid/max Dynamic Contrast 1–12 in 0.5 step increments Gray maps 21 (18 basic maps and 3 user-defined maps) Tint maps 11 (10 colors, 1 grayscale) Reject 51 steps from 0-255 Enhance 6 steps 0, 1, 2, 3, 4, 5 Sweep speed 1-6 B/M-Mode Quality On/off Review (memory times) >60 s (32MB) Format 40/60, 50/50, 60/40 AMM Rotate -90 to 90 Display Modes:

M: 2D+M, 2D+M/CFM, 2D+M/HD-Flow, 2D+M/SlowflowHD, 2D+M/TD

AMM: 2D+AMM, 2D/CFM+AMM/CFM, 2D/HD-Flow +AMM/HD-

Flow, 2D/SlowflowHD+AMM/SlowflowHD, 2D/TD+AMM/TD Screen Formats: (window arrangement) 2D+M and 2D+AMM: up/down (horizontal): three different sub formats 30/70, 50/50, 70/30% left/right (vertical): 50/50% 2D+AMM+AMM: left/right-up/down: 50/25/25%

M-Color Flow Mode Probes:

IC5-9-D

RAB6-D

C1-6-D

RIC5-9-D

RIC10-D

RM7C

M5Sc-D

RIC6-12-D

eM6C G3 C2-9-D

Acoustic MCFM Power 1-100% MCFM Color Maps 8 maps CFM Gain +/-15 dB range, 0.1 dB steps CFM Velocity Scale Range PRF: 150Hz to 20.5kHz Wall Motion Filter 8–3000 Hz Ensemble (color shots per line) 8-16, step size 1 Gentle color filter Smooth: Rise: 12 steps

Fall: 12 steps CFM Spectrum Inversion CFM Baseline Shift 17 steps Pre-settable and independently adjustable B, M and MCFM Gain CFM Threshold 1–255 steps Balance 25–225, step size 5 Artifact suppression On/Off Color Display Mode:

V (Velocity) V-T (Velocity + Turbulence)

V-P (Velocity + Power) T (Turbulence) P-T (Power + Turbulence)

Real–time Triplex Mode B + M + MCFM in any depth

Color Doppler Mode Screen Formats 2D+CFM: Single, Dual, Quad Display Modes:

Simultaneous dual mode: 2D/2D+CFM Triplex mode: 2D+CFM/PW, 2D/M+MCFM Volume Mode: 3D+CFM, STIC+CFM, eSTIC+CFM Color coding:

Steps: 65536 color steps Display modes: V-T (velocity + turbulence), V (velocity), V-P

(velocity + power), T (turbulence), P-T (power + turbulence) Gain +15 dB to -15 dB, 0.2 dB steps Acoustic output 1–100% Pulse Repetition Frequency CFM: 150 Hz to 20.5 kHz

MCFM: 150 Hz to 20.5 kHz Quality Low/norm/high Radiantflow Off/min/mid/max Flow Profiles 6 presets Depth range Axial: 0 to B scan range

Lateral: 0 to B scan range Baseline shift 17 steps (independent from spectral Doppler) Inversion of color direction Yes Wall Motion Filter 7 steps (low1, low2, mid1, mid2, high1, high2, max) Smoothing Filter 12 steps rising time, 12 steps falling time Threshold 1-255 Line Density (color line density)

10 steps

Ensemble (color shots per line) CFM: 7 to 31; MCFM: 8 to 16 Flow Resolution 4 steps (low, mid1, mid2, high) Balance From 25 to 225 Center frequency Low/mid/high Line filter Off/1-7 Color Maps 8 Maps Frequency range 1 to 18 MHz depending on the probe, adjustable in 3 steps (low, mid, high)

Max. meas. velocity 4.23 m/sec Min. meas. velocity 0.3 cm/sec Scale kHz, cm/s, m/s Automatic moving tissue suppression

Yes

Max. Color Doppler Frame Rate > 450 frames/sec

Power Doppler Mode (PD) Screen Formats 2D+PD: Single, Dual, Quad Display Modes:

Simultaneous dual mode: 2D/2D+PD Triplex mode: 2D+PD/PW Volume Mode: 3D+PD PD coding 256 color steps PD window size Lateral: maximum to minimum

B mode scan angle Axial: B scan range

Display mode P (power) Wall motion Filter 7 steps (low1, low2, mid1, mid2, high1, high2, max) Smoothing Filter Rising edge: 12 steps

Falling edge: 12 steps Gain Control +15 dB to -15 dB, 0.2 dB steps PD Ensemble 7 to 31 PD Line Density 10 steps Pulse Repetition Frequency 150 Hz to 20.5 kHz Radiantflow Off/min/mid/max PD Map 8 different color codes for each probe Frequency range 1 to 18 MHz depending on the probe, adjustable in 3 steps (low, mid, high)

Voluson Expert 22 Datasheet Page 7 of 16

Flow Resolution 4 steps (low, mid1, mid2, high) Balance From 25-225 in 41 steps Artifact suppression Yes

HD-Flow Screen Formats 2D+HDF: Single, Dual, Quad Display Modes:

Simultaneous dual mode: 2D/2D+HDF Triplex mode: 2D+HDF/PW; 2D/M+MHDF Volume mode: 3D+HDF HD-Flow Coding Steps 256 color steps HD-Flow window size lateral Maximal to minimal B mode scan angle; axial: B-scan range Wall Motion Filter 8 steps (low1, low2, mid1, mid2, high1, high2, max1, max2)

Smoothing Filter 12 steps rising edge 12 steps falling edge

Gain Control +15 dB to -15 dB, 0.2 dB steps HD-Flow Ensemble 7 to 31 HD-Flow Line Density 10 steps Pulse Repetition Frequency 150 Hz to 20.5 kHz HD-Flow Map 8 different color codes for each probe Frequency Range 1 to 18 MHz depending on the probe adjustable in three steps (low, mid, high)

Flow Resolution 4 steps (low, mid1, mid2, high) Balance From 25 to 225 Line Filter 8 steps (off, 1 to 7) Artifact suppression Yes Radiantflow level min/mid/max, available on all probes

SlowflowHD Available on all probes, except M5Sc-D Screen Formats Single, Dual, Quad, 2D+

SlowflowHD Display Modes:

Simultaneous dual mode: 2D/2D+ SlowflowHD Triplex mode: 2D+SlowflowHD/PW (triplex update);

2D+SlowflowHD/M, 2D+SlowflowHD/AMM SlowflowHD Coding Steps 256 color steps SlowflowHD window size lateral

Maximal to minimal B mode scan angle; axial: B-scan range

Wall Motion Filter 8 steps (low1, low2, mid1, mid2, high1, high2, max1, max2)

Smoothing Filter 12 steps Gain Control +15 dB to -15 dB, 0.2 dB steps Line Density 10 steps Pulse Repetition Frequency auto adjusting Map 8 different color codes for each probe

Frequency Range

1 to 18 MHz depending on the probe adjustable in three steps (low, mid, high)

Flow Resolution 4 steps (low, mid1, mid2, high) Balance From 25 to 225 Line Filter 8 steps (off, 1 to 7) Artifact suppression 4 steps (off, low, mid, high)

Tissue Doppler Mode (TD)

RIC5-9-D

RIC10-D

RIC6-12-D

eM6C G3

RAB6-D

RM7C

C2-9-D C1-6-D M5Sc-D

Screen Formats 2D+TD: Single, Dual, Quad Display Modes Simultaneous dual mode:

2D/2D+TD

Triplex mode:

2D+TD/PW, 2D/M+MTD

TD coding steps 65536 color steps Depth range Axial: 0 to B-scan range

Lateral: 0 to B-scan range Baseline shift 17 steps Inversion of color direction Yes Smoothing Filter 12 steps rising time, 12 steps falling time Gain Control +15 dB to -15 dB, 0.2 dB steps Line Density (color line density)

10 steps

Ensemble (Color shots per line)

3 to 31

Flow Resolution 4 steps (low, mid1, mid2, high) Pulse Repetition frequency 150 Hz to 20.5 kHz TD Map 4 different color codes for each probe Frequency range 1 to 18 MHz depending on the probe, adjustable in 3 steps (low, mid, high)

Balance From 25 to 225 Max. meas. velocity 4.23 m/sec Min. meas. velocity 0.3 cm/sec Display Mode V (velocity) Scale kHz, cm/s, m/s

PW Doppler Gain +15 dB to -25 dB, 0.2 dB steps Pulse Repetition Frequency Probe-dependent Flow Profiles 6 presets Sample volume position Axial: 0 to B scan range

Lateral: 0 to B scan range Baseline shift 17 steps, -8 to 8 Inversion of flow direction Yes Wall Motion Filter 8 steps (probe-dependent) PW Angle -85° to 85° in 1° increments Gray maps 21 (18 basic maps and 3 user-defined maps) Tint maps 11 (10 colors, 1 grayscale) Center frequency Low/mid/high Sweep speed 1-6 Allow HPRF On/off Dynamic contrast 10 – 40 in 2-step increments Frequency range 1 to 18 MHz depending on the probe, adjustable in 3 steps (low, mid, high)

Units kHz, cm/s, m/s

PW-Tissue Doppler Mode (PW-TD)

RIC5-9-D

RIC10-D

RIC6-12-D

eM6C G3

RAB6-D

RM7C

C2-9-D C1-6-D M5Sc-D

Operating Modes 2D+TD/PW (Tissue Doppler + Pulsed Wave Doppler, Single Gate)

Transmit Frequencies 1.75..18 MHz Pulse Repetition Frequency 0.9..7.0 kHz Sample Volume (Doppler Gate)

Length: 0.7,1,2,3,4,5,6, Voluson Expert 22 Datasheet Page 8 of 16

7,8,9,10,15 mm Position: 5 mm to B-scan end, Angle correction: -85°…0°…+85°

Power control range 1-100 Gain range B-Mode: +15 to -25 dB

TD: +15 to -15 dB PW: +15 to -25 dB

WMF (Wall Motion Filter) PW: 30…500 Hz Baseline shift ± PRF/2, ± 8 steps Spectrum Analyzer max. 128 frequencies, 256 amplitude levels PW sweep speeds Duplex/Triplex (26.44 / 13.22 /

8.81 / 6.61 / 4.40 / 2.94 cm/s) Review (memory time) >60 s (32MB) Measurable velocities 1cm/s – 1.3m/s (a = 0°, 2.0MHz, max. zero shift) 1cm/s – 2.5m/s (a = 60°, 2.0MHz, max. zero shift)

Signal processing Dynamic range: 15 steps (10 to 40) Gray maps: 18 basic curves and 3 user-defined (pre, post) Tint maps: 11

Scale display Vert.: kHz, cm/s, m/s (selectable) Hor.: 1s marker (big), ½ s marker (small)

Screen Formats 2D+TD/PW: horizontal:

three different sub formats 30/70, 50/50, 70/30% vertical: 50/50%

Display Formats 2D+TD/PW (duplex/triplex update/simultaneous)

Audio-Modes Stereo (both directions separately in both channels)

Audio Volume Adjustable

Volume Scan Module Vol. scan size: max. 128 MB for B-Mode volumes, max. 180 MB for Color Doppler volumes; The required memory space depends on scan parameters (VOL-box size and quality (low, mid1, mid2, high1, high2, max). Typical: 0.8-5 MB Lines/2D-image: max. 1024 (typ. 80 to 350) 2D-images/volume: Up to 4096 (Acquisition mode dependent) Max. Volumes/sec.: >1200 (typ. 10-20), depending on probe and scanning parameters 4D Volume Cine: up to 400 volumes, up to 1024 MB Rotation: 360°, 1° or 3° increments (X-, Y- and Z-axis) Magnification. Adjustable form 0.3 to a factor of 4.00 Acquisition Modes:

3D Static:

- 3D (2D incl. CRI)

- 3D/PD (incl. CRI)

- 3D/CFM (incl. CRI)

- 3D/B-Flow

- 3D/HD-Flow incl. CRI

4D:

- 4D Real Time

- VCI-A

- VCI-OmniView

- STIC

- eSTIC

STIC:

- Fetal Cardio

- STIC Angio: B/Power Doppler (incl. CRI)

- STIC CFM: B/Color Doppler (incl. CRI)

- STIC HD-Flow: B/HD-Flow (incl. CRI)

- STIC B-Flow

- STIC TD

eSTIC (eM6C G3 probe only):

- STIC B (Fetal Cardio)

- STIC CFM (B/Color Doppler)

- STIC PD (B/Power Doppler)

- STIC B/HD-Flow

- STIC B/TD (B/Tissue Doppler) Visualization Modes:

Render

- 3D/4D Rendering (diverse surface and intensity projection modes)

- SonoRenderlive Sectional Planes

- Multiplanar

- OmniView, actual and projected view

- Niche

- SonoVCADlabor

TUI (Tomographic Ultrasound Imaging) (overview image+parallel slices)

- TUI Standard

- SonoVCADheart

Visualization Modes:

Volume Analysis

- VOCAL: semi-auto/ manual segmentation tool (segmentation using touch screen), (3D Static only) + Threshold Volume:

measure volume below and above a threshold

- SonoAVCfollicle (Sono Automated Volume Count)

- SonoAVCantral2.0

- SonoAVCgeneral

- SonoCNS

- Uterine Trace and Spine Trace

- SonoPelvicFloor2.0

VCI (Volume Contrast Imaging) HDlive Studio: 3 free moveable light sources and types Render Modes:

HDlive Silhouette HDlive Flow Surface Enhanced Color Mix Mode of two render modes Surface Texture Surface Smooth

HDlive Studio+ HDlive Flow Silhouette Transparency modes: max-, min-, and X-ray Gradient Light Inversion Glass Body Light

Display graphics:

Rotation axis, center point ROI box, 3D Frame Temporary display of onscreen controls (rotation, translation) Gray maps: Slices: 21 (18 basic curves and 3 user-defined (pre, post) 3D Image: one general map adjustable with brightness (-50 to +50) & contrast (-50 to +50)) Tint maps: Slices: 10; 3D image: 10 Depth render maps: 3

V-SRI:

RIC5-9-D

RIC10-D

RIC6-12-D

RAB6-D

BF (B-Flow) B-Flow for all probes except: 6S-D, M5Sc-D and L8-18i-D Screen Formats Single (BF), Dual (BF+BF), Quad (BF+BF+BF+BF) Display Modes BF, Update: BF/PW Acc. Power range 1–100% Scan angle Taken from 2D Gain range +15 to -25 dB Gray scale values 8 bit SRI Taken from 2D Persistence filter 8 steps (pre)

S./PRI 1.00, 1.50, 2.00, 3.00, 4.00, 5.00

Quality 3 steps (pre) low, norm, high Enhance 6 steps (pre) 0, 1, 2, 3, 4, 5 Gray maps 21 (18 basic maps and 3 user-defined maps)

Voluson Expert 22 Datasheet Page 9 of 16

Tint maps 10 Dynamic 12 different dynamic curves

C1 – C12 Accumulation Off, 0.20, 0.35, 0.50, 0.75, 1.00, 1.50, Infinite Background 0, 1, 2

Compression Elastography

RIC5-9-D

11L-D

IC5-9-D

ML6-15-D

Acoustic Power range: 1 – 100 Tx Frequency: 3 (penet/norm/resol) Transparency: 51 steps (0,5, 10, …255) Soft Compress:

Range: 0-9

Step Size: 1

Hard Compress Range: 0-9

PRF: 10, 15, 25, 40, 60, 85 Hz Elasto Maps: 8 Persistence:

Range: 1-9

Line Dens.: Range: 1-2 Filter Axial:

Range: 1-9

Filter Lateral:

Range: 1-21

Step Size: 2

Window Length:

Range: 8-25

Screen Formats:

Single (2D/Elasto) Dual (2D/Elasto+2D/Elasto) Quad (2D/Elasto+2D/Elasto+2D/Elasto+2D/Elasto) Elastography Analysis up to 4 user-adjustable ROIs with comparative analysis on complex curves Elastography Ratio Measurement

Bi-Plane Mode (available on eM6C G3 only) Acc. Power range 1–100 Scan angle B-Mode angle: 85°

Bi-Plane angle: 90° Gain range +15 to -25 dB Gray scale values 8 bit SRI 5 steps (1-5) CRI 8 steps (1-8) Persistence filter 8 steps (pre) Line filter: 3 steps (pre) off, low

(12,5/75/12,5%), high (25/50/25%)

Line Density: 3 steps (pre) low, norm, high Reject: 51 steps (pre) from 0 to 255 Enhance: 6 steps 0, 1, 2, 3, 4, 5 Gray maps: 21 (18 basic & 3 User-defined maps) Tint maps: 10 Dynamic: 12 different dynamic curves

C1–C12 Steering: Max 20° (+/- 10°)

Measurements Generic measurements Distance:

Distance (Point-to-Point) Distance (Line-to-Line) 2D Trace (Trace Length)

2D Trace (Point Length) Stenosis (% Dist.)

Ratio D1/D2

Area/Circumference:

Ellipse Trace (Line) Trace (Point)

Stenosis (% Area) Area (2 Dist.)

Ratio A1/A2

Volume: following Methods:

1 Distance 1 Ellipse 1 Dist. + Ellipse

3 Distance Multiplane-Planimetric

Volume (3D only) Angle:

Angle (3 Point)

Angle (2 Line)

M-Mode:

Distance (Point to Point) Time Slope Vessel Diam.

Ratio D1/D2

HR

Stenosis (% Dist.)

IMT

Stenosis Diam.

PW Doppler Mode:

Auto & Manual Trace:

- PS (Peak Systole)

- ED (End Diastole)

- MD (Mid. Diastole)

- S/D (Ratio)

- TAmax

- HR

- PI (Pulsatility Index)

- RI (Resistance Index)

Vol. Flow PGmax, PGmean TAmax (Time avg. max. Velocity) TAmean (Time avg. mean Velocity) VTI (Velocity Time Integral) Heart Rate Vessel:

R/L Vessel area R/L Vessel diam.

R/L IMT

R/L Stenosis area R/L Stenosis diam.

R/L Flow diam.

Single Measurements:

Velocity Time

PS/ED

RI

PI

PS

Acceleration

HR

ED

Abdomen calculations Liver Gallbladder Pancreas Spleen Kidney (right/left) Renal Artery (right/left) Aorta (Proximal, Mid, Distal) Portal Vein Vessel Bladder Volume Summary Reports

Small part calculations Thyroid (right/left) Testicle (right/left) Dorsal Penile Artery (right/left) Vessel

Small part breast calculations Lesion 1-5 (right/left)

Voluson Expert 22 Datasheet Page 10 of 16

Obstetrics calculations Fetal Biometry Early Gestation Fetal Long Bones Fetal Cranium NT Method: SonoNT/Manual

AFI

Uterus Ovary right/left Umbilical Vein Placenta Volume Ductus venosus: S, D, a, PI, PLI, PVIV Doppler measurements: Ductus Art., Ductus Ven., Ao, Carotid, MCA, Celiac Artery, Superior Mesenteric Artery, Umbilical Art., Umbilical Vein, FHR, Uterine Art.

Gestational Age Calculation Gestational Growth Calculation Fractional Limb Volume Fetal Weight (FW) Estimation Fetal Trend Graphs Multi-Gestational Calculation & Fetal Compare Calculation and Ratios Fetal Qualitative Description (Anatomical assessment) Fetal Environmental Description (Biophysical profile)

Obstetrics Fetal Echo Chambers Thorax Aorta/LVOT Pulmonary/RVOT Venous fetalHQ

FHR

Tricuspid valve Mitral Valve Aortic Pulmonary

LPA

RPA

Ductus Art.

Cardiac Output

LT TEI

RT TEI

Ductus Ven.

Umbilical Vein Pulmonary Veins

Obstetrics Z-scores Long Axis Aortic Arch Short Axis Thorax

Obl. Short axis 4 Chambers fetalHQ Global Heart Size: Length, Width, Area, Axis Global Heart Shape: Sphericity Index Ventricular Size (for RV & LV): Area, BAL, Transverse Diameter

(24 segment) Ventricular Shape (for RV & LV): Sphericity Index (24 segment)

Ventricular Contractility: Area Fractional Shortening, Global Strain, Transverse Diameter Shortening (24 segment), BAL Shortening, Annular Plane Systolic Excursion, Lateral and Septal Wall Strain

Cardiology calculations 2D Mode:

LV Simpson (Single & Bi-Plane) Volume (Area Length) LV-Mass (Epi & Endo Area, LV Length)

LV (RVD, IVS, LVD, LVPW)

LVOT Diameter RVOT Diameter MV (Dist A, Dist B, Area) TV (Diameter) AV/LA (Aortic Valve/Left Atrium) PV (Diameter) M-Mode:

LV (IVS, LVD, LVPW, RVD)

AV/LA (Ao Root Diam, LA Diam, AV Cusp Sep., Ao Root Ampl) MV (D-E, E-F Slope, A-C Interval, EPSS) HR (Heart Rate) Atrial HR PW-Mode:

MV (Mitral Valve) AV (Aortic Valve), TV (Tricuspid Valve) PV (Pulmonary Valve) LVOT & RVOT Doppler (Left & Right Ventricle Outflow Tract) Pulmonic Veins PAP (Pulmonary Artery Pressure measurement) HR (Heart Rate) TEI-Index C-Mode:

PISA

Others:

Diast. Vol (Bi) Syst. Vol. (Bi) Stroke Volume Volume Flow Cardiac Output Ejection Fraction Fractional Shortening Myocardial Thickness LA/Ao Ratio E/A Peak Peak Gradient Acceleration

• SVR/SVRI

Mean Gradient Mean Gradient Acceleration

VTI

TVA

PG

PHT

MVA

AVA

ERO

CVP (Cardio Vascular Profile)

Score

Transrectal calculations Prostate Vessel Summary Reports incl. PSAD, PPSA(1), PPSA(2) calculation

Vascular calculations Left/Right CCA (Common Carotid Artery) Left/Right ICA (Internal Carotid Artery) Left/Right ECA (External Carotid Artery) Left/Right Vertebral Artery Left/Right Subclav.

Left/Right Bulb Vessels

Gynecology calculations Uterus

Voluson Expert 22 Datasheet Page 11 of 16

Left/Right Ovary Left/Right Follicle Fibroid/Myoma Endometrial thickness (Dist, Double Dist.)

Cervix Length Left/Right Ovarian Artery Left/Right Uterine Artery Vessels Pelvic Floor Left/Right Ovarian Cyst Left/Right Ovarian Mass Left/Right Adnexal Cyst Generic Cyst Left/Right Adnexal Mass Generic Mass Bladder (Length/Width/Height/Vol) GYN IOTA LR2, Simple Rules and ADNEX Model IETA Protocol Sonohysterography — unenhanced ultrasound examination IDEA Protocol Uterus classification (ESHRE/ESGE and ASRM)

Pediatric calculations Left/Right Hip Joint Pericallosal Artery Summary Report

Cephalic calculations Left/Right ACA (Anterior Cerebral Artery) Left/Right MCA (Middle Cerebral Artery) Left/Right PCA (Posterior Cerebral Artery) Basilar Artery A-Com. A (Anterior Com. Artery) P-Com. A (Posterior Com. Artery) Left/Right CCA (Common Carotid Artery) Left/Right ICA (Internal Carotid Artery) Left/Right Vertebral Artery Vessels Summary Reports

OB Tables Age Tables AC: ASUM, CFEF, Hadlock_82, Hadlock_84, Hansmann, Hobbins, Jeanty, JSUM, Kurmanavicius, Merz, Nicolaides, Shinozuka, Siriraj, Tokyo

AD: Persson APAD:…