Siemens ACUSON NX3 Elite
Siemens Healthineers · ACUSON series

The Siemens ACUSON NX3 Elite is a mid-range, cart-based ultrasound system mainly for general imaging, shared service cardiology and OB/Gyn. It shares the NX3 Series with the ACUSON NX3 and adds cleared intra-operative and cardiac indications, including transesophageal, plus eSie Touch and contrast agent imaging. It weighs 75 kg without peripherals, with a 21.5-inch display and four active probe ports.
- Released
- 2015launched by Siemens
- Probe ports
- 4active
- Display
- 21.5-inch1920 x 1080 LED, IPS
- Weight
- 75 kg165 lb, without peripherals
Compatible probes
Linear
- 11L4
- VF10-5
- VF12-4
- VF13-5SP Intraoperative
- VF16-5
Convex & microconvex
- CH5-2
- C8-5
- C8F3 4D transducer
Phased
- P4-2
- P8-4
Endocavity
- EC9-4
- EC10-5w 220° field of view
- BP10-3 Biplane, for prostate
- 10MC3
Specialty
- V5Ms Transesophageal
- CW2 Non-imaging continuous wave Doppler
- CW5 Non-imaging continuous wave Doppler
Specifications
Display
- Display
21.5-inch widescreen color LED flat panel, IPS, 1920 x 1080, 178° angle of view21.5-inch widescreen LED flat panel display, color, progressive scan (non-interlaced), In Plane Switching (IPS); resolution 1920 x 1080 pixels; angle of view 178°Show allShow less
- Touch screen
- 10.4-inch touch screen on the control panel, 1024 x 768; supports swipe interaction
- Monitor arm
Articulating: arm and panel rotation -80° to +80°, tilt 15° to 70°, pull 210 mmArticulating monitor arm: arm rotation -80° to +80°, flat panel rotation -80° to +80°, tilt 15° to 70°, pull 210 mm; monitor tilt 15° up and 80° down, swivel ±80°Show allShow less
Physical
- Weight
- 75 kg (165 lb) without OEM peripherals
- Dimensions
- Height 144.7–158.6 cm (57.0–62.4 in); width 54 cm (21.3 in); depth 92.3 cm (36.3 in)
- Wheels
- Four 125 mm casters, 2 front and 2 rear, each with total lock
- Probe ports
4 active ports for phased, curved and linear array transducers; DL (260) connectors4 active transducer ports supporting phased array, curved array and linear array transducers; DL (260) type connectors; electronic transducer selection; continuous wave Doppler with a pencil probeShow allShow less
- Control panel
Home Base design, height-adjustable 11 cm; backlit keys, soft keys, QWERTY keyboardControl panel with Home Base design; height-adjustable control panel with lock lever, vertical adjustment 11 cm; backlit keys with variable key brightness indicating active functions; customizable soft keys; full-size QWERTY keyboard; 4 illumination controls (contrast, brightness, task light); user-customizable settingsShow allShow less
- Transducer holders
5 configurable holders with gel bottle storage, plus a dedicated endocavity holder5 configurable transducer holders with gel bottle storage; a dedicated endocavity transducer holder; holders removable for cleaningShow allShow less
- Cooling
- Air cooling
Power & battery
- Power
100-120/200-240 VAC, 50/60 Hz; isolation transformer; max 600 VA with OEM peripherals100-120/200-240 VAC, 50/60 Hz; built-in AC isolation transformer; power consumption maximum 600 VA with OEM peripheralsShow allShow less
- QuikStart standby (option)
Power-down in 10 sec; complete boot-up in less than 10 sec; standby time > 35 minQuikStart standby mode (option): power-down in 10 sec, complete boot-up in less than 10 sec; standby time > 35 min; full recharge < 180 minShow allShow less
- Start-up and shut-down (NX3 Series)
- 1 minute 47 seconds from off-mode to operating state; 20 seconds back to off-mode
- Energy use (NX3 Series)
- 0.23 kW average during examinations; 0.13 kW operating without an examination
Connectivity & options
- DICOM
DICOM 3.0: store, print, storage commitment, worklist, MPPS, media export; SR (option)DICOM 3.0: Storage Class User and Print Class User, in-progress store, storage commitment, Modality Worklist, MPPS, DICOM media export to DVD/CD; DICOM structured reporting for OB/GYN, vascular and cardiac exams (option); export formats RTF, PDF, TIFF, AVI, JPG and DICOM. VB20 application entities: Verification, Storage, Storage Commitment, Query, Retrieve, Worklist, MPPS and PrintShow allShow less
- Network and wireless
Ethernet RJ45 (10/100/1000 BaseT); wireless option via USB dongle, 802.11 a/b/g/n/ac1 Ethernet RJ45 connector (10/100/1000 BaseT); Wireless Data Transfer option via USB dongle, IEEE 802.11 a/b/g/n/ac, WEP, WPA, WPA2 personal and WPA/WPA2 Enterprise; connectivity to PACS or EMR via LAN or WLANShow allShow less
- Ports
6 USB 2.0 (2 front, 4 rear); VGA out, DVI out, DVI in/out; audio out; 2 AC outlets6 USB 2.0 ports (2 front, 4 rear); VGA out and DVI out; DVI in/out; external audio out; 2 AC main outletsShow allShow less
- Storage and media
500 GB drive, 300 GB for patient data; up to 300,000 images with compressionInternal 500 GB hard drive, 300 GB reserved for patient data; up to 300,000 images with compression; DIMAQ-IP integrated workstation; built-in DVD multi-drive (DVD-R/RW and CD-R/RW) and USB flash drive exportShow allShow less
- Documentation devices
- Up to 2 on-board devices in the cart: a B/W printer and a color printer or DVR
- Physiological interface
3-lead ECG, auxiliary physio input, R-wave single and dual trigger, respiratory trace3-lead ECG interface; auxiliary input for ECG and other physiology signals; R-wave single and dual trigger; respiratory trace; heart rate display (Physio is an option)Show allShow less
- Workflow and hardware options
QuikStart, gel warmer, wireless transfer, barcode reader, DICOM SR, dual foot switchQuikStart; Integrated Gel Warmer; Wireless Data Transfer; Barcode Reader; DICOM Structured Reporting; Dual Foot Switch; Universal Video Converter (each an option)Show allShow less
- Remote service
eSieLink Remote Assistance; Smart Remote Service and eSiePrep setup (options)eSieLink Remote Assistance Technology for remote support sessions; Smart Remote Service (SRS), optional, for remote support; eSiePrep, an option that configures internet connectivity before shipmentShow allShow less
- System security
- Embedded virus protection
Imaging & software
- System architecture
All-digital beamformer, parallel Quad beam processing; up to 172,032 processing channelsAll-digital beamformer with parallel Quad beam processing; 2D-mode line density up to 512 lines; up to 172,032 processing channels; total system dynamic range > 227 dBShow allShow less
- Frequency range
1.3–16.0 MHz; MultiHertz: up to seven 2D and THI and up to two Doppler frequencies1.3–16.0 MHz system frequency range; MultiHertz multiple frequency imaging with up to seven 2D and THI frequencies and up to two color Doppler and spectral Doppler frequenciesShow allShow less
- Image depth
- 1–30 cm in 1.0 cm increments (transducer dependent)
- Imaging modes
2D with THI; color, power and directional power Doppler; PW, CW and steerable CW; M-mode2D: fundamental 2D, phased THI, filtered THI, alternating THI. Color Doppler: velocity-based color Doppler, power Doppler, directional power Doppler, color M-mode, color Doppler tissue imaging. Spectral Doppler: pulsed wave, continuous wave (pencil probe), steerable continuous wave (SCW), spectral Doppler tissue imaging, duplex and triplex modes. M-mode: color M-mode, anatomical M-mode (option); ECG trace in all modes. Harmonic imaging and amplitude DopplerShow allShow less
- Imaging technologies
DTO, Dynamic TCE, TGO, HD Zoom, Advanced SieClear, SieClear, SieScape, Clarify VEDTO Dynamic Tissue Optimization, Dynamic TCE tissue contrast enhancement, TGO tissue grayscale optimization, HD Zoom, Advanced SieClear spatial compounding, SieClear compounding, SieScape panoramic imaging and Clarify Vascular Enhancement (VE)Show allShow less
- Imaging options
DTI, eSie Touch elasticity, Cadence contrast agent imaging, anatomical M-modeSpectral and Color Doppler Tissue Imaging (DTI); eSie Touch Elasticity Imaging, at its release on the VF10-5 and VF12-4 transducers; Cadence Contrast Agent Imaging, optimized on the CH5-2 transducer for abdominal applications; Anatomical M-mode (each an option)Show allShow less
- Measurement and analysis options
syngo Auto OB, Auto Follicle, Auto Left Heart, AHP, Axius EF, Stress Echo, Physiosyngo Auto OB Measurements (BPD, HC, AC, FL and HL); syngo Auto Follicle Measurements; syngo Auto Left Heart (Auto LH) Technology; syngo Arterial Health Package (AHP), for intima-media thickness; Axius Edge-Assisted Ejection Fraction; Stress Echo Imaging, protocols up to 12 stages and 6 views per stage; Physio (each an option)Show allShow less
- 3D/4D (option)
3-Scape freehand 3D; fourSight 4D on the C8F3, up to 30 vol/sec; Advanced fourSight3-Scape real-time 3D imaging (option, freehand; supported on CH5-2, EC9-4, EC10-5w and C8F3); fourSight 4D transducer technology (option, mechanical acquisition, up to 30 vol/sec, on the C8F3 4D transducer); Advanced fourSight Technology (option, MultiSlice up to 36 slices, Thick Slice Imaging, Curved MPR)Show allShow less
- Cardiac and TEE (2018 configuration)
- fourSight TEE imaging, syngo VVI and syngo Mitral Valve Assessments (MVA)
- Revision and software
VA10 (August 2015) and VB20 (December 2017, software ID 5.1.xxx)VA10 (August 2015) and VB20 (December 2017, software ID 5.1.xxx). Builds named in the 2019 acoustic output recall: VA10A to VA10F, VB20A and VB20B; VB20C is the corrected VB20 buildShow allShow less
Environment
- Operating environment
10–40 °C (50–104 °F) without OEM peripherals; 30–80% humidity non-condensingAmbient temperature 10–40 °C (50–104 °F) without OEM peripherals; humidity 30–80% non-condensing in operation; atmospheric pressure 700–1060 hPa (525–795 mm Hg) or up to 3000 mShow allShow less
- Heat output and noise
- Maximum heat output 2150 BTU/hr; average noise level 46–47 dB
Compliance
- FDA 510(k)
K152469 (2015-09-21), K173957 (2018-02-01), K192835 (2019-10-22), K202683 (2020-10-15)K152469 (decided 2015-09-21), K173957 (2018-02-01), K192835 (2019-10-22) and K202683 (2020-10-15). Class II, 21 CFR 892.1550, product codes IYN, IYO and ITX; cleared as the ACUSON NX3 Elite / NX3 Diagnostic Ultrasound SystemShow allShow less
- Standards
ISO 9001, ISO 13485, 21 CFR 820; UL 60601-1, EN/IEC 60601-1, IEC 60601-2-37Quality: 21 CFR Part 820 (Quality System Regulation), ISO 9001, ISO 13485. Design: UL 60601-1, CSA C22.2 No. 601-1, EN/IEC 60601-1 and collateral and particular standards including IEC 60601-2-37. Acoustic output: IEC 61157, IEC 62359 ed. 2, AIUM/NEMA UD-2, AIUM/NEMA UD-3Show allShow less
Languages
- Languages
Screen text and panel overlay: Chinese, English, French, Italian, German, SpanishOn-screen text and control panel overlay in Chinese, English, French, Italian, German and Spanish; operating instructions in 24 additional languagesShow allShow less
What to check when buying a used Siemens ACUSON NX3 Elite
Confirm the acoustic output recall correction
FDA recall Z-2353-2019 found that transducers on affected software could exceed their acoustic output power values in pulsed wave Doppler, and the recall is listed as open, with not every unit corrected.
How: Read the software version: VA10A to VA10F, VB20A and VB20B are listed as affected, and VB20C is the corrected VB20 release.
Look for fluid ingress at panel seams
Fluid that seeps into the electrical circuitry can cause excessive leakage current or system failure, and spray cleaners can force it in.
How: Inspect the control panel seams, the keyboard and the DVD slot for any sign that fluid has seeped inside.
Inspect the power cable for heat damage
An FDA report describes an NX3 Series system whose power cable melted at a wall outlet with old wiring.
How: Look along the cable and at the plug for melted or heat-marked insulation, and check the outlet the system will use.
Have the V5Ms TEE probe leakage-tested
The V5Ms needs an electrical leakage current test before each use, and one that fails again after its connections are checked must not be used on a patient.
How: Ask for a leakage test on the V5Ms, or run one, and do not accept a probe that fails it.
Common questions about the Siemens ACUSON NX3 Elite
Is the Siemens ACUSON NX3 Elite FDA-cleared?
Yes. It is FDA-cleared under 510(k) K152469, decided September 21, 2015, as the ACUSON NX3 Elite / NX3 Diagnostic Ultrasound System, a Class II device under 21 CFR 892.1550 with product codes IYN, IYO and ITX.
Later clearances cover it too: K173957, decided February 1, 2018; K192835, decided October 22, 2019, which extended its cardiac indication to include transesophageal use; and K202683, decided October 15, 2020, which added lung-ultrasound imaging to the labeling with no new features or software changes.
What is the difference between the ACUSON NX3 Elite and the ACUSON NX3?
Both belong to Siemens' NX3 Series and are cleared under the same 510(k)s. The NX3 Elite's cleared indications add intra-operative use (abdominal, small parts and vascular) and cardiac use including transesophageal, which the NX3's indications do not list.
The NX3 Elite also offers syngo Arterial Health Package, syngo Auto Left Heart, contrast agent imaging and eSie Touch elasticity imaging, features the clearances list for the NX3 Elite only.
Can the Siemens ACUSON NX3 Elite do transesophageal echo?
Yes, with the V5Ms TEE transducer. K192835, decided October 22, 2019, extended the NX3 Elite's cardiac indication to include transesophageal use, and fourSight TEE imaging is listed for the NX3 Elite configuration cleared under K173957 on February 1, 2018.
Is the Siemens ACUSON NX3 Elite discontinued?
Yes. Its FDA device record gives December 31, 2025 as the end of its commercial distribution. Siemens launched it alongside the ACUSON NX3 at Medica 2015 in Düsseldorf.
Where is the Siemens ACUSON NX3 Elite made?
Siemens Healthineers builds it at its facility in Seongnam-si, Gyeonggi-do, in the Republic of Korea.