Samsung R20
Samsung Healthcare · R series
Cart-basedPoint of CareObstetrics & GynecologyMusculoskeletal
This cart-based general imaging ultrasound system from Samsung has a 27-inch OLED monitor and a tilting 15.6-inch touchscreen. Its options include AI tools for breast, thyroid and uterine exams and S-Shearwave elastography for breast, liver and MSK. The Samsung R20 sits under General Imaging and Point of Care in the maker's US line, and it shares FDA 510(k) clearances with the Z20, HERA Z30 and R30.
- Released
- 2025launched by Samsung
- Display
- 27-inchOLED monitor
Compatible probes
Linear
- LM2-18 Linear matrix
- L3-22
- LA2-9S
- LA2-14A
- LA2-16S
- LA3-22AI Intraoperative
Convex & microconvex
- CA1-7S
- CA1-7Sn
- CA2-13M Micro convex, single crystal, pediatric
- CA3-10A
- CV1-8A Volume, 3D/4D
Phased
- PA1-5A
Endocavity
- EA2-11AR
- EA2-11ARn
- EA2-11AV
- EV2-12 Volume, 3D/4D
- miniER7
Specifications
Display
- Monitor
- 27-inch OLED monitor
- Touch screen
- 15.6-inch touchscreen, tilt-adjustable; layout customizable per mode
Physical
- Control panel
Height-adjustable for scanning standing or sitting; LED lighting for transducer mountingHeight-adjustable for operation standing or sitting; adjusts to support head-to-toe scanning with minimal repositioning; LED lighting aids transducer mounting in dim settings; radiology-optimized UX/UIShow allShow less
- Cart and mobility
One-touch system lock/unlock, no individual wheel locks; foot-operated rear caster lockOne-touch system lock/unlock with no individual wheel locking; foot-operated rear caster lock; compartments for trays, printers and tools; gel warmer mountable on either sideShow allShow less
- Transducer cables
- flex™ cables: ultra-thin and lightweight, with a honeycomb structure
- Ergonomics
Meets 100% of recognized ergonomic guidelines in an independent evaluationMeets 100% of recognized ergonomic guidelines and recommendations in an independent evaluation (2025)Show allShow less
Power & battery
- Extended Power Pack
- Extended Power Pack (EPP), an addition cleared for the R20 family
- Energy features
Power consumption dashboard; auto on/off and usage alerts; battery life optimization modeReal-time power consumption dashboard; auto on/off control and usage alerts; battery life optimization mode; recycled resin on the system body; eco-conscious paper packagingShow allShow less
Connectivity & options
- Wi-Fi
- Wi-Fi module
- SonoSync™
Live streaming with remote control from a smart device; image sharing, not for diagnosisReal-time live streaming with remote control of the control panel and touch screen from a smart device; for image sharing, not for diagnosisShow allShow less
- S-Hub
- System management: remote data backup and a real-time asset-status dashboard
- Cybersecurity
- Samsung Cybersecurity Solution: intrusion prevention, access control, data protection
- Biopsy guide
- BP-KIT-105, migrated from the V8 to the R20 family
- Optional features
MV-Flow™, S-Shearwave Imaging™, TAI™, TSI™, NerveTrack™, S-Detect™, Live LiverAssist™, …May require additional purchase: MV-Flow™, Live LiverAssist™, S-Detect™ for thyroid, S-Detect™ for breast, TAI™, TSI™, Live BreastAssist™, NerveTrack™, S-Shearwave Imaging™, AbdomenAssist™, BladderAssist™, ProstateAssist™, BowelAssist™, UterineAssist™Show allShow less
Imaging & software
- Imaging engine
Advanced Imaging Engine: software beamforming, advanced GPU, Crystal Architecture™Advanced Imaging Engine with software beamforming and an advanced GPU, built on Crystal Architecture™; digital beamforming and Adaptive Image Processing are named among its imaging componentsShow allShow less
- Imaging modes
2D, M mode, Color, Power, PW and CW Doppler, TDI, TDW, ElastoScan, MV-Flow, 3D/4D2D, Color Doppler, Power Doppler (PD), M mode, Pulsed Wave (PW) Doppler, Continuous Wave (CW) Doppler, Tissue Doppler Imaging (TDI), Tissue Doppler Wave (TDW), ElastoScan, MV-Flow, combined modes, Multi-Image (Dual, Quad), 3D/4D; the modes cleared for the HERA Z20, R20, HERA Z30 and R30Show allShow less
- 2D image optimization
- ClearVision, Live Q-Scan, ShadowHDR™, Luminant™, HQ-Vision™, 3rd Harmonic, A-Focus™
- Microvascular flow
- MV-Flow™ (optional), with LumiFlow™
- Contrast imaging
MV-CEUS™ TOA (contrast arrival timing mapping); CEUS+ with MV-CEUS and ToAMV-CEUS™ TOA (contrast arrival timing mapping); CEUS+ with two sub-functions, MV-CEUS and time of arrival (ToA), in the later family clearanceShow allShow less
- Elastography
S-Shearwave Imaging™ (optional) for breast, liver and MSK, with EzSWI™; ElastoScanS-Shearwave Imaging™ (optional) for breast, liver and MSK, with EzSWI™ recommending elastic imaging frames and ROI locations; ElastoScan modeShow allShow less
- Liver fat quantification
QUS: TAI™ and TSI™ (both optional); Deep USFF AI-based fat fractionQUS: TAI™ (Tissue Attenuation Imaging) and TSI™ (Tissue Scatter distribution Imaging), both optional; Deep USFF (AI-based Deep Ultrasound Fat Fraction quantification)Show allShow less
- AI detection
Live LiverAssist™, Live BreastAssist™, NerveTrack™, S-Detect™ for thyroid and breastLive LiverAssist™ (marks suspected lesions with an ROI box during scanning; on V1.01, with the CA1-7S and the Abdomen preset only), Live BreastAssist™ (real-time breast-lesion detection with BI-RADS classification), NerveTrack™, S-Detect™ for thyroid, S-Detect™ for breastShow allShow less
- AI measurement
AbdomenAssist™, BladderAssist™, ProstateAssist™, BowelAssist™, UterineAssist™, AutoIMT+AbdomenAssist™ (kidney, spleen), BladderAssist™, ProstateAssist™, BowelAssist™ (segments bowel-wall layers and calculates average bowel-wall thickness in a selected ROI), UterineAssist™, UterineContour™, AutoIMT+ (carotid), AI Assist Auto-MeasurementShow allShow less
- Extended field of view
- Panoramic+™ (angular scanning from linear transducer data) and WideView
- Workflow
EzStructure™, EzFlow™, EzExam+™, QuickPreset, Touch CustomizationEzStructure™ (one-button 2D optimization), EzFlow™ (with EzStructure™: Color and PW Doppler optimization), EzExam+™ (predefined exam protocols), QuickPreset (one-touch transducer and preset selection), Touch Customization (touch screen layout per mode)Show allShow less
- User personalization
MyTune™: a user's settings, touch screen layout, presets and backlighting at loginMyTune™: on user login, applies the user's preferred system settings, touch screen layout, imaging presets and system backlightingShow allShow less
- Voice Assist
- Up to over 40 customizable voice commands in vascular and procedural exams
- Other features
BiometryAssist™, ViewAssist™, EzCheck, NeedleMate+™, Zoom Window, Dual Live VideoBiometryAssist™, ViewAssist™, EzCheck, NeedleMate+™, Zoom Window, Dual Live Video, Bowel Report™, AI-AssistShow allShow less
- Software in the family's clearances
Clearance scope only: HeartAssist, PortraitVue, IOTA-SRrisk, EzVolume, S-Fusion, …Clearance scope, not a statement of what ships on a given R20. First clearance (HERA Z20, R20, HERA Z30, R30): BiometryAssist, HeartAssist, ViewAssist, EzCheck, EzReport, EzFlow, EzStructure, Luminant, PortraitVue, IOTA-SRrisk, EzVolume, Live ViewAssist, UterineContour, SonoSync. Later clearance (adds HERA Z20e and HERA Z20s): AbdomenAssist, BladderAssist, QualityCheck, PelvicAssist; NerveTrack detection; IDEA, IETA, EzPictogram, 3D printing, Voice Command; QUS, EzHRI, RFA viewer, S-Fusion, TMAD; CEUS+ (MV-CEUS, ToA); EzStructure for GYN, Abdomen, MSK and Small Parts (Breast, Thyroid); an AutoEF measurement itemShow allShow less
- Revision and software
- Software versions V1.01 and V1.02
Compliance
- FDA 510(k)
K241971 (October 11, 2024); K252018 (January 5, 2026)K241971, decided October 11, 2024, substantially equivalent: HERA Z20, R20, HERA Z30, R30 Diagnostic Ultrasound System; product code IYN, regulation 892.1550. K252018, decided January 5, 2026, substantially equivalent: adds the HERA Z20e and HERA Z20s, with K241971 as primary predicate, and an ophthalmic clinical applicationShow allShow less
- Indications for use
Fetal/Obstetrics, Abdominal, Gynecology, Small Organ, Muscular-Skeletal, Cardiac, …Fetal/Obstetrics, Abdominal, Gynecology, Intra-operative, Pediatric, Small Organ, Neonatal Cephalic, Adult Cephalic, Trans-rectal, Trans-vaginal, Muscular-Skeletal (Conventional, Superficial), Urology, Cardiac Adult, Cardiac Pediatric, Thoracic, Trans-esophageal (Cardiac), Peripheral vessel; the later clearance adds Ophthalmic; prescription useShow allShow less
- Safety standards
- IEC 60601-1, IEC 60601-1-2 (EMC), IEC 60601-2-37 (ultrasonic diagnostic equipment)
- Acoustic output display
- Real-time mechanical index and thermal index, both displayed automatically
What to check when buying a used Samsung R20
Run an electrical safety test before clinical use
The R20 is designed to meet IEC standards for basic safety, EMC and ultrasonic diagnostic equipment, and a used unit's history gives no proof that it still does.
How: Have a biomedical technician run an incoming electrical safety test on the unit before its first clinical use, and do not accept a unit that fails it.
Confirm MI and TI appear with every probe
The R20 shows its mechanical index and thermal index on screen automatically in real time, so an index that fails to appear leaves the operator without the system's acoustic output readout.
How: Scan with each transducer offered with the unit and check that both the MI and the TI values stay on screen while imaging.
Confirm the software build and licensed options
R20 features depend on the software build and the licensed options, and many of its AI and quantification tools are options that may need a separate purchase.
How: Check the installed software build and every licensed option on the unit itself, and match them against each feature the unit is offered with.
Confirm each offered probe images on this unit
Transducers were added to the R20 family across its FDA clearances and their availability varies by configuration, so a probe offered with the unit does not prove its installed software runs it.
How: Connect each transducer offered and confirm that the system recognizes it and produces an image under the installed software.
Common questions about the Samsung R20
Is the Samsung R20 FDA-cleared?
Yes. The R20 is cleared under FDA 510(k) K241971, decided substantially equivalent on October 11, 2024, in a clearance it shares with the HERA Z20, HERA Z30 and R30.
A second 510(k), K252018, decided on January 5, 2026, includes the same four systems plus the HERA Z20e and HERA Z20s, and adds an ophthalmic clinical application.
The cleared applications include fetal/obstetric, abdominal, gynecology, pediatric, small organ, musculoskeletal, urology, cardiac, thoracic and peripheral vessel imaging, for prescription use.
When did the Samsung R20 come out?
Samsung launched the R20 in India on November 24, 2025, and announced its first US showing for RSNA 2025 on November 30, 2025. Its first FDA 510(k) clearance, K241971, was decided on October 11, 2024.
How is the Samsung R20 different from the Z20?
Samsung offers the R20 for general imaging and the Z20 for advanced maternal-fetal medicine and complex obstetric and gynecologic cases. In Samsung's US line, the R20 sits under General Imaging and Point of Care, and the Z20 under Women's Health.