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Siemens ACUSON Antares, Instructions For Use Manual

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[ 1 ]   I N S T R U C T I O N S   F O R   U S E

 

Image Task Card 

The 

Image

 task card is used for selecting the imaging mode and the 

image format and for optimizing the settings such as dynamic range, 

persistence, and edge enhancement or for selecting an exam type or 
transducer that contains pre-configured, optimized settings. 

The 

Image

 task card also provides controls for functions other than imaging 

parameters. VCR recording, ECG settings, image formatting, and the update 
styles settings are organized in group boxes. 

The 

Image

 task card also includes capture definitions for storing and 

reviewing clips. 

Parameter Menu Selections 

Mode-specific menus and selections display on the left side of the screen in 
the 

Image

 task card. Each imaging mode has a mode-dependent Parameter 

menu used to adjust imaging parameters. 

Note:  

A Parameter menu may have two pages of selections. To access the menu 

selections, roll the trackball to the 

Page 1 of 2

 indicator or the 

Page 2 of 2

 indicator on the 

Parameter menu and then press the 

SELECT

 key. 

Note:  

A menu selection can be an icon and/or text. The "Tool Tip" column in the following 

tables indicates additional text displayed on the screen when you roll the trackball to 

position the trackball pointer on the menu selection. The "Settings" column in the 

following tables lists the settings that are displayed on the Parameter menu for each 

menu selection (graphically depicted settings or options are not listed in this column).  

2D-Mode Parameter Menu Selections 

 

Menu 

Selection 

Tool Tip 

Description 

Settings 

(current 
setting) 

Transmit 
Frequency

 

Changes the transmit frequency of an active 
multi-frequency transducer in 2D-mode. 

Transducer-
dependent 

#Foc 

# Focal Points

 

Selects the number of focal zones. 

Dependent on 

transducer and 
exam type 

DR Dynamic 

Range

 

Controls the overall contrast resolution of the image. 

30 dB to 70 dB in 
5 dB increments 

R/S

 

Res/Speed

 

Adjusts the balance between the image line density 
(resolution) and the frame rate. 

0 to 5  

Edge

 

Edge Enhance

 

Distinguishes the contours of a structure during 

real-time imaging.  

0 (none), 1 to 3  

[1] Instructions for Use 

Protocol Group Box  3-38

 

Summary of Contents for ACUSON Antares

Page 1: ...Siemens Medical Solutions USA Inc 10033049 ABS 001 01 ACUSON Antares Ultrasound Imaging System 1 Instructions for Use ...

Page 2: ......

Page 3: ...ll Quality System Authorized EC Representative Siemens Aktiengesellschaft Medical Solutions Henkestraße 127 D 91052 Erlangen Germany 2001 2005 Siemens Medical Solutions USA Inc All Rights Reserved August 2005 Printed in the United States of America ACUSON Antares SONOLINE Antares Extend Clarify SieScape fourSight 3 Scape SieClear DIMAQ MultiHertz TEQ Cadence StellarPlus Ensemble Multi D ErgoDynami...

Page 4: ...ii 1 I N S T R U C T I O N S F O R U S E ...

Page 5: ...o the Accessories and Options chapter of the System Reference for a list of system specific features and options including transducers Chapter 4 System Setup Detailed descriptions of how to transport set up and prepare the system for use including transducer connection and system startup procedures Chapter 5 Beginning an Examination Information on starting an examination including instructions for...

Page 6: ...iv 1 I N S T R U C T I O N S F O R U S E ...

Page 7: ...ructions for Use also includes the procedures for system setup and beginning an exam 2 Instructions for Use The 2 Instructions for Use includes procedures for acquiring and optimizing images This manual provides procedures for general and exam specific measurements and calculations It is organized by the following categories Image Calcs Patient Data and Resources The System Reference provides refe...

Page 8: ...trol Panel Keys and Controls Controls and keys located on the control panel are identified by uppercase boldface type Example Rotate the MENU control Keys located on the keyboard are identified by boldface type Example Press the Patient key located on the keyboard On Screen Objects On screen objects such as task card tabs menu selections buttons entry fields names of forms and dialogs and group bo...

Page 9: ...u to set up the ultrasound system with your preferences Presets define the configuration of the system software whenever you power on the system You can press the Presets key on the keyboard or select the Presets button on the image screen to access the system Presets menu A complete listing of system presets is located in the System Reference Whenever a system preset is discussed in other chapter...

Page 10: ...viii 1 I N S T R U C T I O N S F O R U S E ...

Page 11: ...figurations 4 Language Formats 4 Transducers 4 Intended Use 5 Operating Modes 6 Image Screen Layout 7 Screen Saver 7 Sample Image Screen 8 Image Task Card 9 Documentation Devices 10 Patient Data Management 11 Measurements and Reports 12 System Presets 12 User Defined Exam Type 12 ...

Page 12: ...1 Introduction 1 2 1 I N S T R U C T I O N S F O R U S E ...

Page 13: ...wer Doppler imaging The system utilizes broadband multi frequency transducer technology and state of the art image processing techniques Example of the left front view of the ultrasound system 1 User adjustable monitor with two forward facing speakers 2 User adjustable control panel 3 Front handle 4 Language specific alphanumeric keyboard 5 Central brakes 6 Front swivel wheels 7 Physio panel 8 Rec...

Page 14: ...ltiHertz multiple frequency transducer technology supports imaging frequencies from 2 0 MHz to 13 MHz Multiple frequency capability is available for all transducers in 2D M Color Power and Doppler modes You can connect up to three array transducers to the imaging system with one transducer being the active transducer 1 Instructions for Use System Hardware Options Ch 6 System Reference System speci...

Page 15: ...ician The Antares ultrasound system supports the following applications Abdominal Renal Obstetrics Fetal Echo Gynecology Small Parts Breast Testicle Thyroid Musculoskeletal Superficial Musculoskeletal Pediatric Abdomen Infant Hip and Neonatal Cephalic Vascular Arterial and Venous Digital Urology Penile Pelvis Prostate System Reference Listing of Transducers and Intended Application Ch 1 ...

Page 16: ... and 2D M mode display are available Pulsed Doppler Pulsed Doppler can display a spectrum simultaneously with a 2D image An update function is available to toggle a frozen 2D image with a real time spectrum or a real time 2D image with a frozen spectrum Color Doppler Color Doppler displays in a 2D mode image and in 2D Doppler display Power Doppler Power Doppler displays in a 2D mode image and 2D D...

Page 17: ...ctograms and annotation text biopsy guidelines and CINE icons An image can be inverted on a vertical axis and reversed on a horizontal axis to facilitate viewing and measurements EMC Note Operating the ultrasound imaging system in close proximity to sources of strong electromagnetic fields such as radio transmitter stations or similar installations may lead to interference visible on the monitor s...

Page 18: ...the online Help They are an alternative to the function keys on the keyboard 7 Task card The available task cards are Image Calcs Review and Compose Images are acquired and optimized in the Image task card Measurements are made in the Calcs task card Data is reviewed in the Review task card and any post processing functions are performed in the Compose task card 8 Group box Displays groups of cont...

Page 19: ...n the Parameter menu 2 Mechanical and Thermal Indices 3 Transducer Orientation Indicator 4 Focal Point markers 5 DGC curve 6 Task card tabs Image Calcs Review Compose 7 Group boxes Imaging VCR and Physio 8 Transducer drop down menu 9 Exam type drop down menu 10 Transmit Power 2 Instructions for Use IMAGE Parameter menu Ch 1 Group box Ch 1 Drop down menu Ch 1 ...

Page 20: ...entation devices may be controlled using the system control panel others may need to be operated remotely Note Refer to the manufacturer s instructions for specific information concerning the operation of these devices WARNING Accessory equipment connected to the analog and digital interfaces must be certified according to the respective EN and IEC standards for example EN 60950 and IEC 60950 for ...

Page 21: ...s saved to the ultrasound system internal hard disk local database Patient data may be copied to the integrated compact disk drive CD R drive or to a network database if the ultrasound system is configured to support networked communication and is connected to a network Patient data that is printed is also automatically saved to the ultrasound system internal hard disk local database ...

Page 22: ...on volatile memory and will remain intact when the system is powered off Each user of the system can determine settings for imaging preferences and default settings then store them on a disk Those user defined settings can then be loaded along with new system software The disk also serves as a backup User Defined Exam Type The user defined exam type feature allows you to capture an optimized confi...

Page 23: ...otection Against Electrical Shock System 17 Level of Protection Against Electrical Shock Transducers 17 Possible Combinations with Other Equipment 18 Maintaining Data Integrity 19 Caring for the Ultrasound System 20 Daily Checklist 20 Maintenance 21 Repair 21 Siemens Authorized Care 21 Caring for Documentation and Storage Devices 23 Caring for the Battery Pack 23 Battery Pack Replacement and Dispo...

Page 24: ...Transducers 40 IPX8 Immersion Levels 42 Approved List of Disinfectants 43 Sterilizing Transducers VF13 5SP 44 Caring for Transducer Accessories 45 Transducer Sheaths 45 Storage 45 Gel Pad 46 Storage 46 Needle Guide Bracket Kits 47 Storage and Transportation 47 Cleaning Disinfecting and Sterilizing Transducer Accessories 48 Needle Guide Bracket Kits 48 ...

Page 25: ...t symbols located on the ultrasound imaging system and transducers Symbol Explanation Danger Risk of explosion if used in the presence of flammable anesthetics Caution Risk of electric shock Do not open Refer servicing to qualified service personnel Consult Operator s Manual Standby ON ON only for MAINS control OFF only for MAINS control Microphone Connection Headphone Connection Degauss Switch Mo...

Page 26: ...eo Red Green Blue Control Panel Light or Indicator Light Yellow Indicator Light Status Indicator for DC Power Good Green or Green Indicator Light Printer Connection Type BF Defibrillator proof Patient Connection Type BF Applied Part Type B Patient Connection Continuous Wave Transducer Port Transducer Port ECG Signal Connection ECG Electrocardiogram EKG ...

Page 27: ...ound Do not install wet Location of Air Filter Insert this way Battery Ni MH Recycle Ni MH battery Do not dispose of by burning Do not dispose of by dumping in garbage Do not dispose of by dumping in garbage Use a separate collection for electrical and electronic equipment Do not dispose of by flushing down lavatory Keyboard Movement Indicator Keyboard Weight Restriction Shelf Weight Restriction ...

Page 28: ...ited States of America UL classified symbol for Canada and United States of America Gost R symbol indicates that this product is certified for conformity to the safety requirements of Russian state standards 60ºC 40ºC Transducer storage temperature range Transducer unlock left and lock right positions IPX8 Protected against the effects of continuous immersion in water Bar Code V AC alternating cur...

Page 29: ...r MAINS 115V 50 60 Hz 12A maximum draw 15A MAINS breaker Identifies voltage frequency and current rating of system configuration for MAINS 230V 50 60 Hz 6 5A maximum draw 7 5A MAINS breaker Identifies voltage and circuit breaker current Indicates this side up 1 Do not stack 367 kg Shipping weight example Do not allow to get wet Fragile Handle with care ...

Page 30: ...ety and Care 2 8 1 I N S T R U C T I O N S F O R U S E Labels 1 X ray shielding notice 2 System warning label identification label and certification labels Location of labels on the ultrasound system example ...

Page 31: ...2 Safety and Care 1 I N S T R U C T I O N S F O R U S E 2 9 Example of system warning label identification label and certification labels ...

Page 32: ...of system serial number overlays system warning label Example of X ray shielding notices The X ray radiation of this unit is sufficiently shielded 1 Product name 2 Manufacturing date 3 Model number barcode 4 Model number 5 Serial number barcode 6 Serial number 7 Product status number ...

Page 33: ...efer to FDA Medical Alert MDA91 1 WARNING Ultrasound energy is transmitted more effectively through water than through tissue When using a standoff device of any kind for example a waterpath or gel pad the actual mechanical and thermal indices MI and or TI may be higher than indicated in the output display on the ultrasound system The assessment of the biological effects of diagnostic ultrasound o...

Page 34: ...System Reference Mechanical and Thermal Indices The ultrasound system displays the Mechanical and Thermal Indices during real time imaging in all imaging modes when the Mechanical Index or the Thermal Indices are equal to or exceed a value of 0 4 Note During exams using Cadence Contrast Agent Imaging CCAI the system always displays values for the Mechanical Index MI and the Maximum of Mechanical I...

Page 35: ...Administration s FDA recommendations and guidelines System default transmit intensity and mechanical index values are always below the FDA recommendations for each exam type Although some exam types may default to a condition of maximum allowable transmit power there are other system controls or functions that could raise acoustic output levels To increase the transmit power To increase the transm...

Page 36: ...power adjustment of the following imaging functions and or controls may affect the acoustic output Automatic Time out Imaging Mode Color Ensemble Size Line Density Resolution Color ROI Position M mode ROI Position Color ROI Size Multi Frequency Doppler Gate Position Power On Off Doppler Color PRF Presets Doppler Gate Size Reset Exam Type Transducer Field of View Scan Angle Transmit Power Focus Upd...

Page 37: ...ordance with IEC 60601 2 37 Maximum Temperature Transducer TMM Still Air C5F1 41 0 C 47 0 C C7F2 41 0 C 45 5 C C5 2 41 0 C 41 5 C CX5 2 41 0 C 43 5 C CH4 1 41 5 C 47 0 C CH6 2 41 0 C 41 0 C VF7 3 41 0 C 46 0 C VFX9 4 41 5 C 47 5 C VF10 5 41 0 C 46 0 C VF13 5 41 0 C 41 5 C VF13 5SP 41 0 C 41 5 C VFX13 5 41 0 C 42 0 C P10 4 41 0 C 41 0 C PH4 1 41 0 C 41 0 C PX4 1 41 0 C 43 0 C EC9 4 41 5 C 41 0 C EV...

Page 38: ...tem or to the system s peripheral devices may compromise the system grounding and cause your system to exceed leakage current limits WARNING To avoid electrical shock and damage to the ultrasound system power off and unplug the equipment from the AC power outlet before cleaning and disinfecting Caution To avoid the possibility of static shock and damage to the system avoid the use of aerosol spray...

Page 39: ...ectrical Shock of Type B The Type B icon is located on the system Level of Protection Against Electrical Shock Transducers According to EN 60601 1 and IEC 60601 1 the assemblies for the endocavity transducer and the linear curved and phased array transducers provide a Level of Protection Against Electrical Shock of Type BF The Type BF icon is located on the transducer label Example of a transducer...

Page 40: ... 1 1 Siemens can only guarantee the performance and safety of the devices listed in the System Reference If in doubt consult Siemens service department or your local Siemens representative The ultrasound system supports a maximum of three documentation devices connected to the system Depending on how your system is configured certain documentation devices will maintain power when the system is pow...

Page 41: ...s Should an abnormal system shutdown occur retrieval of data not saved to the hard disk or not archived to an external recording media is not normally possible An abnormal system shutdown occurs if you do not power off the ultrasound system using the green partial power on off switch located on the front of the system Other examples of abnormal system shutdown include equipment malfunction loss of...

Page 42: ...at has a cracked punctured or discolored casing or a frayed cable WARNING To avoid electrical shock you must visually inspect a transducer prior to use Do not use a transducer that has a cracked punctured or discolored casing or a frayed cable Discoloration Exception The use of the approved disinfectants Cidex OPA and Gigasept FF may cause discoloration of transducer housings including the face of...

Page 43: ...mens authorized representative It is important to inspect the equipment more frequently if it is operated under extraordinary conditions Perform inspections and maintenance at the prescribed intervals to avoid worn and hazardous parts due to wear Contact the Siemens service department for information regarding the required maintenance As manufacturers and installers of ultrasound equipment Siemens...

Page 44: ...without the express written consent of the Siemens service department WARNING Accessory equipment connected to the analog and digital interfaces must be certified according to the respective EN and IEC standards for example EN 60950 and IEC 60950 for data processing equipment and EN 60601 1 and IEC 60601 1 for medical equipment Furthermore all configurations shall comply with the system standards ...

Page 45: ... clean water If any fluid comes in contact with a user s eyes immediately flush their eyes with water and seek medical attention WARNING Do not allow the battery pack to contact water Compromising the structural integrity of the battery pack can result in leakage or explosion and the potential for personal injury WARNING Do not disassemble the battery pack Compromising the structural integrity of ...

Page 46: ...y occasionally disconnected from the AC power for a duration of approximately four hours replace the battery every three years 1 Battery pack charge indicator LED 2 AC OK indicator LED 3 Mains ON OFF circuit breaker Example of an AC Tray panel with the battery pack charge indicator LED The battery pack charge indicator LED is located at the rear of the system on the AC Tray panel A green blinking ...

Page 47: ...he battery pack is located under the storage bin cover within a recess on the right rear panel of the ultrasound system The storage bin cover must be removed to access the battery pack 1 Battery pack location 2 Battery symbol 3 Storage bin cover 4 Right rear panel Battery pack location ...

Page 48: ...ry location and gently pull to unsnap the first of four fastener pins from its receptacle 2 Support the cover near each fastener as you pull working downward and toward the left until the cover is removed 1 Storage bin cover 2 Battery recess 3 Right rear panel 4 Receptacles for fastener pins 5 Fastener pins Removing replacing the storage bin cover ...

Page 49: ...t rear panel The battery pack is attached to the ultrasound system by a connector at the end of a cable The battery is also secured within the recess by hook and loop fastener 2 Grasp the battery pack within the recess and gently pull the battery pack to release the hook and loop fastener 1 Battery recess beneath the storage bin cover 2 Battery pack 3 Hook and loop fastener hook side 4 Hook and lo...

Page 50: ...recess 3 Position the battery wires so they are neatly stored within the battery recess To replace the storage bin cover 1 Locate the support plate on the inside of the lower left from outside corner of the storage bin cover 2 Hook the lower edge of the support plate over the attachment plate on the right rear panel 3 Slide the storage bin cover downward onto the attachment plate and rotate the ri...

Page 51: ...ralia Australian Battery Recycling Program AMTA Austria UFB Belgium Bebat Canada Rechargeable Battery Recycling Corporation RBRC Denmark BatteriForeningens European Union European Portable Battery Association France Societe de Collecte et de Recyclage des Accumulateurs SCRA Finland NBA Germany Stiftung Gemeinsames Rucknahmesystem Batterien GRS Italy COBAT Japan Battery Association of Japan Netherl...

Page 52: ...ts acidic or basic solutions isopropyl alcohol or strong cleaners such as ammoniated products as these can damage the surface of the system Use the recommended cleaning procedure Caution Do not use spray cleaners on the ultrasound system as this may force cleaning fluid into the system and damage electronic components It is also possible for the solvent fumes to build up and form flammable gases o...

Page 53: ... to the ultrasound system b Squeeze the tab towards the holder and pull the holder downward 1 Holder 2 Tab 3 Support 4 Point of attachment Holder attachment and detachment 2 Clean the holder under running water using a mild detergent and dry with a lint free cloth 3 Reattach the holder to the ultrasound system Align the support on the holder directly below the point of attachment on the ultrasound...

Page 54: ...p to remove the trackball bezel from the trackball assembly The bezel contains a gasket that should stay with the bezel If the gasket should drop out of the bezel then reposition it into the underside of the bezel 1 Trackball bezel Trackball bezel positioned for removal from trackball assembly 1 Trackball bezel side view 2 Gasket side view The gasket fits within the underside of the trackball beze...

Page 55: ...dler wheel using a cotton swab moistened with mild detergent solution 4 Allow the trackball components to completely dry before reassembly 5 Reinstall the trackball and replace the trackball bezel a Place the trackball inside the trackball assembly b Place the trackball bezel over the trackball c Rotate the trackball bezel clockwise until it snaps into position and the bezel symbols are in the cor...

Page 56: ...gularly to maintain proper system cooling Check the air filters weekly and clean as needed Clean and reinstall both air filters according to the following instructions Example of the location of the air filters The filter locations are marked with the air filter symbol 1 Location of back panel air filter 2 Input output panel door 3 Location of input output panel air filter ...

Page 57: ...or bend the filter or apply heat to the filter as doing so could damage the filter 1 Power off and unplug the power cord from the power outlet 2 Locate the air filter tray in the back panel and pull the tray out of the ultrasound system 1 Back panel air filter 2 Back panel air filter tray Removing the air filter tray from the back panel ...

Page 58: ... shake the filter or blot the filter with a clean lint free cloth Caution Do not insert a wet filter as this can damage the system 5 Replace the air filter into the tray positioning the filter flat side down with the angled corners fitting into the back of the tray The filter will fit into the back corners of the tray only if the filter is positioned flat side down 6 Press the filter against the h...

Page 59: ... output panel air filter Removing the air filter from the input output panel 4 Rinse the air filter with running water and allow the filter to completely dry To hasten drying you may gently shake the filter or blot the filter with a clean lint free cloth Caution Do not insert a wet filter as this can damage the system 5 Slide the air filter back into the ultrasound system taking care to orient the...

Page 60: ...operative transducer with a CF type applied part the patient leakage currents may be additive WARNING The outer surfaces of an endocavity or intraoperative transducer should be checked to ensure there are no unintended rough surfaces sharp edges or protrusions that may cause a safety hazard Caution Transducers are sensitive instruments irreparable damage may occur if they are dropped knocked again...

Page 61: ...otect the sensitive parts of the transducer Be sure that all parts of the transducer are properly placed inside the case before you close the lid Storage Store transducers in a clean and dry environment Extreme temperatures or humidity may damage a transducer Repair Do not attempt to repair or alter any part of the transducer Contact your service representative at Siemens immediately if a transduc...

Page 62: ...ge to the transducer observe the immersion levels indicated for each transducer type Do not immerse or allow the cable or connector of a transducer to become wet Caution The transducers have been designed and tested to be able to withstand high level disinfection as recommended by the manufacturers of approved disinfectant products Carefully follow the disinfectant manufacturer s instructions Do n...

Page 63: ...evel indicated in the following illustration 5 Carefully follow the disinfectant manufacturer s instructions 6 After cleaning or disinfecting use a clean cloth to dry the transducer To high level disinfect a transducer 1 Disconnect the transducer from the system 2 Thoroughly clean rinse and dry the transducer 3 Take care to keep the cable strain relief and connector of the transducer dry while imm...

Page 64: ...nsducers meet Ingress Protection level IPX8 of EN 60539 and IEC 60539 to the depth of the immersion line shown in the illustration Endocavity transducers exceed minimum Ingress Protection level IPX7 of IEC 60601 2 18 to the depth of the immersion line shown in the illustration Endocavity Linear Curved Phased fourSight 4D fourSight 4D endocavity Example of immersion levels for each transducer type ...

Page 65: ... and Gigasept FF may discolor transducer housings including the face of the transducer There is no associated degradation of imaging performance or transducer reliability Cidex Cidex Plus Cidex OPA Gigasept FF Milton Virkon C5F1 C7F2 C5 2 CX5 2 CH4 1 NC CH6 2 NC EC9 4 EV9F4 NC P10 4 PH4 1 NC PX4 1 VF7 3 VFX9 4 NA NA NA VF10 5 NA NA NA VF13 5 VF13 5SP VFX13 5 compatible NC not compatible NA not app...

Page 66: ... sterilization manufacturer s instructions The STERRAD sterilization system a hydrogen peroxide gas plasma sterilization system is approved for use with the listed intraoperative transducer s VF13 5SP To sterilize a transducer with the STERRAD system Note This procedure applies to the VF13 5SP transducer only 1 Disconnect the transducer from the system 2 Thoroughly clean rinse and dry the transduc...

Page 67: ...terility Note Siemens recommends that you follow all instructions provided by manufacturers of sterile goods transducer sheaths to ensure proper handling storage and cycling of all sterile goods Using a disposable latex transducer sheath on a transducer reduces the possibility of cross contamination Always use a protective transducer sheath for endocavity exams and when scanning an open wound or a...

Page 68: ...the material indicates damage Any product showing flaws should not be used Storage Do not store the gel pads below 40 F 5 C nor above 135 F 57 C Gel pads have a limited shelf life Before use examine these products for any material flaws Some packaging may list an expiration date Any product showing flaws or whose expiration date has passed should not be used ...

Page 69: ...nd transported under the following environmental conditions Ambient temperature 10 C to 60 C Relative humidity 30 to 95 no condensation Atmospheric pressure 700 hPa to 1060 hPa Between examinations keep the bracket assembly in a sterile environment When the biopsy adapter is transported to a different hospital or clinic or is sent to your Siemens representative for repair be sure to sterilize it a...

Page 70: ...ation Instructions are provided for the following accessories for transducers Needle Guide Bracket Kits Needle Guide Bracket Kits Needle guide bracket kits are available for specific transducers Instructions follow for the cleaning disinfecting and sterilization of each kit Bracket assemblies should be cleaned and sterilized or high level disinfected after each use 2 Instructions for Use RESOURCES...

Page 71: ... sterile cloth or sterile gauze To sterilize the bracket assembly Use sterile technique to perform this procedure 1 Sterilize assembly using high pressure steam sterilization 130 C 266 F for an exposure time of 10 minutes EOG ethylene oxide sterilization or hydrogen peroxide plasma sterilization 2 Perform one of the gas sterilization methods listed below Procedure Sterilization Method Gas Concentr...

Page 72: ...nd high level disinfecting procedures for the bracket assemblies EC9 4 Disposable Endocavity Needle Guide WARNING The needle guide is packaged sterile and is a single use item Do not use if the packaging indicates signs of tampering or if the expiration date has passed The disposable endocavity needle guide is a single use item Refer to the in box instructions for disposal instructions EV9F4 Stain...

Page 73: ...D 6 D 7 C 7 M 8 Trackball Controls 9 Select 9 Update View 10 Priority Tool 11 Next 12 Archiving Controls 13 Freeze 13 CINE Wheel 14 VCR 14 Clip Vol Save 14 Print Store 15 Image Controls 15 Depth 15 Focus 15 Zoom 16 Menu Control 16 UNIVERSAL 2 17 UNIVERSAL 1 18 Other Controls 19 Speaker Microphone 19 Transmit Power 19 Depth Gain Compensation 19 ...

Page 74: ...er 21 Film 21 Presets 21 Help 21 Other Alphanumeric Keys 22 Annotation Cursor 22 Text A Text B Text C Text D 22 Arrow 22 Home 22 Set Home 22 Hide Text 22 Clear Screen 22 Clear Line 23 Picto 23 Marker 23 Arrows 23 Alt 23 Alt Gr 23 Backspace 24 Caps Lock 24 End 24 Enter 24 Shift 24 Space 24 Tab 24 Blank 24 Footswitch 25 Task Cards 25 ...

Page 75: ...ns 39 fourSight Editing Group Box 43 fourSight Animation Group Box 44 CINE Graphics 45 Calcs Task Card 46 Text Picto Text Group Box 47 Basic Measurement Tools 2D Mode 48 Basic Measurement Tools M Mode 48 Basic Measurement Tools Doppler 48 Review Task Card 49 Display Menu 49 Image Selection Tools 50 Image Management Tools 50 Buttons 50 Compose Task Card 51 SieScape Parameter Menu Selections Option ...

Page 76: ...Tab 62 Filming Shortcut Menus 62 Film Job Management Selections 62 Image Management Selections 62 Patient Browser Screen 63 Icon Selections 64 Menu Selections 65 Patient Menu Selections 65 Transfer Menu Selections 66 Edit Menu Selections 68 View Menu Selections 69 Filter Menu Selections 70 Sort Menu Selections 71 Options Menu Selections 72 Help Menu Selections 72 ...

Page 77: ...and on screen selections are designed to promote quick learning and recognition of the controls and keys on the control panel Control Panel Control Panel Overlays Language overlays for the control panel are available The locations and functions of the keys and controls are not impacted by the overlay System Reference Examples of overlays Ch 2 ...

Page 78: ...unction control Pressing the 2D control activates 2D mode deactivates all active modes other than 2D mode and displays the Image task card on the image screen with the 2D mode Parameter menu Rotating the 2D control clockwise increases the 2D gain rotating the control counterclockwise decreases the gain The gain value displays on the 2D mode Parameter menu next to the 2D status icon Rotating the 2D...

Page 79: ...ssing the D control again exits Doppler Rotating the D control clockwise increases the Doppler gain rotating the control counterclockwise decreases the gain The gain value displays on the Doppler Parameter menu next to the Doppler status icon Rotating the D secondary mode control outer ring selects Doppler modes for future use and reselects pulsed wave Doppler The selection is displayed on the Dop...

Page 80: ... displays the Image task card on the image screen with the M mode Parameter menu and an M mode cursor for positioning in the 2D image pressing the control a second time activates M mode and displays the M mode sweep and the 2D image according to the format selected in the Presets menu Pressing the M control again exits M mode Rotating the M control clockwise increases the M gain rotating the contr...

Page 81: ...f the SELECT key is dependent on the active task card Active Task Card Function Description Image When the pointer cursor is positioned over the image area pressing the SELECT key alternates the trackball function between a pointer cursor and the default mode tool for the active mode for example the 2D FOV When the pointer is positioned over the Parameter menu the SELECT key allows you to interact...

Page 82: ...l time 2D image with a real time Doppler spectrum Image M mode Toggles a real time 2D image with a real time M mode image Image SieScape and 3 Scape Starts or cancels the acquisition process Image fourSight Toggles the full screen display format 1 1 of the volume with the previously selected display format when you double click the UPDATE VIEW key Review Toggles the selected display format with a ...

Page 83: ...trol between mode tools For example during Doppler and 2D mode pressing the PRIORITY TOOL key alternates the trackball control between the Doppler mode tool D Gate and the 2D mode tool 2D FOV The Tool icon in the lower right of the screen indicates the tool in use for the active priority mode During 3 Scape imaging or fourSight imaging toggles the 2D FOV tool with the ROI VOI tool Calcs Cycles thr...

Page 84: ...function free cursor the NEXT key displays the Calcs task card During fourSight imaging acquisition cycles through the currently active tool functions and anchors polygon endpoints During review of volumes acquired using fourSight when there is not a selected quadrant the NEXT key displays the Calcs task card for measurements Calcs Toggles the first endpoint marker of the active set of calipers wi...

Page 85: ...eep is already frozen pressing the FREEZE key resumes real time imaging Use the system presets to automatically display the Text Picto Text group box and the Image or Calcs task card when you freeze the image SieScape and 3 Scape Imaging Before acquisition suspends real time imaging During acquisition ends the acquisition process and displays the acquired data in the Compose task card From the Com...

Page 86: ...Compose During SieScape imaging cycles through frames During 3 Scape imaging steps through the volume slice by slice During fourSight imaging steps through the volume slice by slice When acquisition is paused cycles through acquired volumes 4D Cine must be enabled VCR Toggles the record function with the pause function if the VCR is on and a tape is inserted The VCR controls are located in the VCR...

Page 87: ...ush up on the DEPTH control to decrease depth push down on the control to increase depth Focus Changes the location of the focal point s along the depth marker Push up on the FOCUS control to position the focal point s toward the top of the image shallower closer to the skin line and push down on the control to position the focal point s toward the bottom of the image deeper farther from the skin ...

Page 88: ...itrary slice is magnified the system magnifies all arbitrary slices at their intersection point using the same zoom factor In the Review task card the ZOOM control has no effect Menu Control Provides a method of navigating and interacting with on screen menus and objects similar to the combination of the trackball and SELECT key combination Rotating the MENU control navigates the menus To adjust t...

Page 89: ...ntrol to increase a setting push down on the control to decrease a setting When imaging is frozen and the Text menu is displayed deletes the current word or the first word to the left of the cursor During fourSight imaging adjusts the Rotate setting on the fourSight Parameter menu Calcs Deletes the last measurement Review Changes the display format number of images displayed on the screen Compose ...

Page 90: ...ht imaging cycles through the quadrants Push up on the control to cycle through quadrants in the clockwise direction Push down on the control to cycle through quadrants in the counter clockwise direction Calcs Toggles the display of the Text menu with the display of the Measurement menu Review Scrolls through pages of images displayed on the Review task card Compose During SieScape imaging increme...

Page 91: ...clockwise to increase the transmit power rotate the control counterclockwise to decrease the transmit power Depth Gain Compensation Adjusts the gain for the 2D image to compensate for weak signals The gain range is depth dependent for the active transducer frequency Push a DGC slider control to the right to increase the compensation push a slider control to the left to decrease the compensation No...

Page 92: ...eys The system supports shortcuts through combining keys on the keyboard To use a shortcut press and hold the first key and then press the second key For example to use the shortcut Ctrl 2 press and hold the Ctrl key and then press the 2 key This Shortcut Key Combination for Image Size Adjusts the size of the 2D mode image to Ctrl 1 Full size Ctrl 2 One size smaller than full size Ctrl 3 Two sizes...

Page 93: ...save or print the report Note The system saves the report as a screenshot image Browser Displays the patient browser used to search for patient records and to view patient data Film Displays the Filming screen You can preview the images prior to sending them to an external documentation device Presets Displays the system presets menu options for you to modify and customize the system including gen...

Page 94: ...To toggle the Position and Rotate functions press the NEXT key and roll the trackball Press the SELECT key to anchor the arrow and disengage the trackball Home Repositions the text cursor to the predetermined Home position To change the Home position roll the trackball to the new position and press the Set Home key Set Home Sets the default Home position of the text cursor Hide Text Hides the text...

Page 95: ...marker The transducer marker displays over the pictogram on the image screen To position the marker use the trackball To rotate the marker press the NEXT key To toggle the transducer marker between the Position and Rotate functions press the NEXT key Press the SELECT key to anchor the transducer marker and disengage the trackball Arrows Repositions the text cursor in the direction corresponding to...

Page 96: ...the last selection in a drop down menu Enter Positions the cursor at the beginning of the next line of text or field and accepts entered data Shift Accesses the uppercase letters and the character that is on the top half of a number or punctuation key Space Inserts a blank space Tab Positions the cursor in the beginning of the next available field in the Patient Registration form or a patient repo...

Page 97: ...footswitch pedals Task Cards The primary tasks during an examination are grouped into task cards that follow the high level workflow of an examination The available task cards are Image Calcs Review and Compose Images are acquired and optimized in the Image task card measurements are made in the Calcs task card data is reviewed in the Review task card and any post processing functions are done in ...

Page 98: ...the Page 2 of 2 indicator on the Parameter menu and then press the SELECT key Note A menu selection can be an icon and or text The Tool Tip column in the following tables indicates additional text displayed on the screen when you roll the trackball to position the trackball pointer on the menu selection The Settings column in the following tables lists the settings that are displayed on the Parame...

Page 99: ... Gain Set Saves a TEQ gain offset for the current 2D mode imaging feature Timer1 StopWatch Activates or deactivates the on screen Timer The Timer displays the time elapsed since the timer was started Off On Trig1 Trigger When enabled limits the frame rate to the selected maximum value Note This selection is not available during Doppler or M mode imaging Transducer dependent Balance2 Balance Key CA...

Page 100: ...p Speed Adjusts the scrolling speed of the M mode sweep 1 2 4 6 8 DR Dynamic Range Adjusts the overall contrast resolution of the M mode sweep 30 dB to 70 dB in 5 dB increments Edge Edge Enhance Distinguishes the contours of a structure during real time imaging 0 none 1 to 3 Maps Maps Selects a processing curve that assigns echo amplitudes to gray levels A B C D E F G Tint Tint Changes the color o...

Page 101: ...for any pixel 0 to 4 current setting Transmit Frequency Changes the transmit frequency of an active multi frequency transducer during Color Transducer dependent Filter Wall Filter Activates and deactivates the adaptive wall filter 0 to 3 R S Res Speed Adjusts the balance between the image line density resolution and the frame rate Increasing the line density increases resolution and decreases fram...

Page 102: ...ending on the power map selected On Off Priority Tissue Reject Priority Adjusts the threshold for the amplitude of the Power display 0 to 4 current setting Transmit Frequency Changes the transmit frequency of an active multi frequency transducer during Power mode Transducer dependent Filter Wall Filter Balances low flow sensitivity with flash suppression 0 to 3 R S Res Speed Adjusts the balance be...

Page 103: ...echnology for Doppler current setting Transmit Frequency Changes the transmit frequency of an active multi frequency transducer during Doppler Transducer dependent Filter Wall Filter Rejects low frequency signals for example signals generally caused by tissue clutter Dependent on transducer and exam type Gate Gate Size Adjusts the size of the Doppler gate Dependent on transmit frequency Sweep Swee...

Page 104: ...selected in the Patient Registration form for patient records Imaging Group Box Allows you to select a screen format for 2D imaging for example a dual format or the optional SieScape Panoramic Imaging format Also contains selections for horizontally or vertically rotating an image During 2D mode the Imaging group box also includes the Biopsy angle selections which activates on screen guidelines fo...

Page 105: ...em presets Seamless Dual 2D 2D with no separation if Seamless Dual is ON in system presets TEQ Refresh Automatically optimizes the overall FOV image brightness uniformity This button is available only when a function other than TEQ ultrasound technology is assigned to the UPDATE VIEW key for example during mixed 2D Doppler imaging or with dual format images Ex Extend Activates the Extend Performan...

Page 106: ...age according to the interval defined using the Trace Update Styles drop down list Available settings are 2D Lv D Lv 2D Lv D Frz D Lv 2D Frz D Lv 2D Lv D Lv 2D EOS end of sweep D Lv 2D 2S every two seconds D Lv 2D 4S every four seconds D Lv 2D 8S every eight seconds To toggle frozen and real time images Press the UPDATE VIEW key To enable a simultaneous format Select 2D Lv D Lv or D Lv 2D Lv from ...

Page 107: ...ontrol Layout Icon Selection Description Start Begins acquisition of the composite image Pause Pauses image acquisition without exiting the Acquire process Stop Ends image acquisition Speed Indicator The speed of scanning is depicted by the shading of the Speed Indicator Shading Scan Speed Below optimum scan rate increase scan speed slightly Optimum scan rate Above optimum scan rate nearing tear s...

Page 108: ...h or scan angle for volume acquisition Scan Speed Selects the scan speed for volume acquisition 3 Scape Region of Interest ROI Activates display of the 3 Scape ROI fourSight Imaging When this feature is installed on your system the Imaging group box contains selections for use in volume acquisition Menu Selection Tool Tip Description fourSight Activates fourSight imaging and displays the fourSight...

Page 109: ...ardiac cycle The first trigger marker is always positioned at or to the right of the QRS complex Delay Change Trigger 1 Delay Specifies the position of the first trigger marker in relation to the QRS complex of the cardiac cycle The selected value determines the time in milliseconds ms from the QRS complex to the trigger marker Possible settings Minimum 0 to maximum 1980 in increments of 20 ms T2 ...

Page 110: ...thod Fast Forward Forward videotape without viewing fastest forward method Blank Search Locate the next unrecorded section on the videotape Reset Counter To reset the counter Play Begin playing the videotape Eject Eject a videotape from the VCR Index Value Display the image frame corresponding to the entered tape position in hours minutes and seconds Protocol Group Box The Protocol group box inclu...

Page 111: ... volumes Note The system also displays the Protocol group box when fourSight is active Note A menu selection can be an icon and or text The Tool Tip column in the following tables indicates additional text displayed on the screen when you roll the trackball to position the trackball pointer on the menu selection The Settings column in the following tables lists the settings that are displayed on t...

Page 112: ...ight 1 3 Displays the volume on the left of the screen and the other three quadrants on the right 1 1 4 1 2 1 1 3 Reset Reset Display Adjusts the orientation of quadrants Center On each slice repositions the focal point to the center of the quadrant Sync Aligns slice and volume orientations When the selected quadrant is a slice aligns the orientation of the volume quadrant to that of the slice qua...

Page 113: ...e highest value along each projection of the volume May be helpful in visualizing hypo echoic lesions and large vascular structures MeanIP Mean Intensity Projection Limits the display to average value pixels by selecting pixels with the arithmetic mean average value along each projection of the volume Opacity MinIP MaxIP MeanIP Plane Cut Plane Enables or disables the specified cut plane for 2D mod...

Page 114: ...Smoothing Adjusts the percentage of smoothing to smooth the data in the volume quadrant 0 to 100 Bright Brightness Adjusts the percentage of brightness in the 2D mode data of the volume An increase in brightness increases the saturation of voxels that have a higher voxel value and increases the brightness of voxels that have a lower voxel value 0 to 100 Cont Contrast Adjusts the percentage of cont...

Page 115: ...that area Trace Defines an area from a free form drawn outline and then removes all the voxels inside or outside that area Parallel Cut Selects a plane layer within the volume and then removes all the voxels outside the selected plane Note This selection is not available when VOI is enabled Niche Removes all the voxels from the nearest corner of the volume to a selected depth inside the volume Not...

Page 116: ... Wireframe Enables or disables the display of the wireframe in the volume quadrant current setting Rotation Range Selects rotation range in degrees For the 360 selection the volume continuously rotates in one direction around the selected axis for Axial to the right for Lateral downward For other selections the volume rotates in both directions around the selected axis for Axial left and right mot...

Page 117: ... edit the length of the CINE data 2 Frame Counter Indicates the number of the active frame 3 Rate Indicator Indicates the rate of CINE playback It can be set to 1 2 4 1 8 1 4 1 3 1 2 2 3 4 Right CINE marker Indicates the end of the CINE data This marker can be repositioned to edit the length of the CINE data 5 Frame Indicator Indicates the location of the frame within the loop of CINE data It also...

Page 118: ...including menus for measurement tools measurement labels and pictograms When the trackball cursor is positioned over a group box it displays as a pointer When the trackball cursor is positioned over the image area it displays as a caliper When you make a measurement the values display on the bottom of the screen To activate the Calcs task card press the FREEZE key when defined in system presets or...

Page 119: ...een Deletes all text and pictograms on the image screen A Displays the first annotation term in the A list then cycles through the selections in the list B Displays the first annotation term in the B list then cycles through the selections in the list C Displays the first annotation term in the C list then cycles through the selections in the list D Displays the first annotation term in the D list...

Page 120: ...ce Basic Measurement Tools M Mode Tool Icon M Mode Measurements Distance Heart Rate Slope Time Basic Measurement Tools Doppler Tool Icon Doppler Measurements Velocity Frequency Heart Rate Trace RI S D Resistive Index Systolic Diastolic Slope Heart Cycle Velocity Ratio Time Auto Statistics located in the Imaging group box on the Image task card ...

Page 121: ...xaminations that are in the study folder The patient name and patient ID for the currently displayed images are always displayed at the top of the screen During an examination when a patient is registered the system also displays the current date and time at the top of the screen During a review session when reviewing previous examination s the system displays the study date and time instead of th...

Page 122: ...e s from the patient study when you end the examination or end the review session A counter next to the icon indicates the number of images that are tagged for deletion Flag Activates or deactivates a flag mark The flag mark displays at the top of the selected image s The flag marker is visible every time you review the image in the Review task card A counter next to the icon indicates the number ...

Page 123: ... original display of the frozen image Best Fit Automatically scales the image to fit the image area DR Dynamic Range Controls the overall contrast resolution of the image Maps Selects a processing curve that assigns echo amplitudes to gray levels Color SieScape Parameter Menu Selections Option The selections are available during the Setup and Acquire processes Use these selections to optimize and ...

Page 124: ...ameter menu for each menu selection graphically depicted settings or options are not listed in this column General Selections for 3 Scape Imaging Menu Selection Tool Tip Description Settings Quadrant Active Quadrant Selects activates a quadrant A B C D Rotate Volume Rotation 0 90 180 270 Rotates the volume to the selected angle in degrees 0 90 180 270 current setting Volume Display Type Selects a ...

Page 125: ...ligns slice and volume orientations When the selected quadrant is a slice aligns the orientation of the volume quadrant to that of the slice quadrant When the selected quadrant is the volume quadrant aligns the orientation of all slice quadrants to that of the volume quadrant Note If the VOI is displayed when you select a slice quadrant and then select Sync then the system redefines the render dir...

Page 126: ... pixels by selecting pixels with the highest value along each projection of the volume May be helpful in visualizing hypo echoic lesions and large vascular structures MeanIP Mean Intensity Projection Limits the display to average value pixels by selecting pixels with the arithmetic mean average value along each projection of the volume Opacity MinIP MaxIP MeanIP Plane Cut Plane Enables or disables...

Page 127: ...ed threshold Note Use Opacity instead of High Th to adjust image transparency 1 to 255 Opacity Opacity Adjusts the percentage of opacity in the volume to smooth image contours 0 to 100 Smooth Smoothing Adjusts the percentage of smoothing to smooth the data in the volume quadrant 0 to 100 Bright Brightness Adjusts the percentage of brightness in the 2D mode data of the volume An increase in brightn...

Page 128: ...rf Shading Heightens contrast creating a textured appearance for highlighting internal features Uses the selected shading opacity percentage and thresholds Note Surf Shading is not available for volumes acquired using the Auto Sweep method Opacity MaxIP Surf Shading Plane Color Cut Plane Enables or disables the specified cut plane 1 or 2 for Power data in the volume Note This selection is not avai...

Page 129: ...ing Adjusts the percentage of shading in the volume to heighten contrast Adjusts shading for both 2D mode data and Power mode data 0 to 100 Bright Brightness Adjusts the percentage of brightness in the Power mode data of the volume An increase in brightness increases the saturation of voxels that have a higher voxel value color data and increases the brightness of voxels that have a lower voxel va...

Page 130: ...inside or outside of that area Trace Defines an area from a free form drawn outline and then removes all the voxels inside or outside that area Parallel Cut Selects a plane layer within the volume and then removes all the voxels outside the selected plane Note This selection is not available when VOI is enabled Niche Removes all the voxels from the nearest corner of the volume to a selected depth ...

Page 131: ...urrent setting Rotation Range Selects rotation range in degrees For the 360 selection the volume continuously rotates in one direction around the selected axis for Axial to the right for Lateral downward For other selections the volume rotates in both directions around the selected axis for Axial first right then left for Lateral first downward then upward 30 60 90 120 180 240 300 360 current sett...

Page 132: ...d Use the system presets to disable automatic printing You can copy stored images to the Filming screen from the current examination or from previous examinations Images are displayed in the Filming screen on separate sheets pages The current sheet number and the total number of sheets display next to the page corner icon Icon Selection Description page corner icon Displays the next or previous pa...

Page 133: ...mage text and graphics can be hidden and displayed on images that were saved as ultrasound images with graphic overlays only Icon Tool Function All Text Displays image text for the selected image s Customized Text Displays customized image text for the selected image s No Text Hides image text for the selected image s Show Graphics Displays graphics for the selected image s Hide Graphics Hides gra...

Page 134: ...n empty position Repack reorganizes all images in the film job placing the image from the second page onto the first page and deleting the second page Note This selection is not available when image s are selected Expose Film Job Immediately sends all images in the film job to the selected printer Properties Displays the Film Properties dialog box Image Management Selections Selection Function Cut...

Page 135: ...content sections the system displays the storage locations the patient data the status indicators and the information about the selected patient data Status indicators denote occurrences of printing transferring and other actions for the selected patient data Information about the patient data such as referring physician or study type is displayed according to the pre selected headings Use the Bro...

Page 136: ...er This icon is displayed in Tree View only for patient data on Local Database or CD R Study Folder Displays series objects within the study folder This icon is displayed in Tree View only for patient data on Local Database or CD R Series Object Displays images within the series object This icon is displayed in Tree View only for patient data on Local Database or CD R Patient Folder Scheduler Disp...

Page 137: ...elect a patient folder the system automatically selects the most recent study folder when you select Local Database the system automatically selects the first patient folder Film Task Status Displays the Film Task Status dialog box which lists film jobs Expose Film Task If a film job exists in the Filming screen then the system immediately sends all of its images to the default printer If more tha...

Page 138: ...red default storage device For example if a workstation named MV300 is the default storage device then the menu selection is Send to MV300 Send to Displays the Send To dialog box which lists destinations storage devices for storing of the selected patient data When the transfer is complete the system updates the work status of the patient data to Sent This selection is available for patient data o...

Page 139: ...ard disk Export to Off line Displays the Export to Off line dialog box which lists paths on the system s hard disk and export options for export of the selected patient data The system exports the selected patient data files to the selected path on the system s hard disk This selection is available for patient data on the Local Database only Note You can also enter a path A path is a hierarchical ...

Page 140: ...ed series object within this same patient folder can be deleted Remove Protection Removes protection from the selected patient data Mark Assigns mark bookmark work status to the selected patient data Marked items of patient data can be filtered for display Unmark Removes mark work status from the selected patient data Set State Indicates completion of the selected process Note This selection is no...

Page 141: ...selected series object according to the pre selected format options for image presentation When not checked displays information about the images within the selected series object according to the pre selected headings for images To configure the format options for Tree View or Single View layout access the Browser Configuration dialog box by selecting Configure Browser from the Options menu Note ...

Page 142: ...hout an archived work status Not Printed Displays only patient data without a printed work status Not Sent Displays only patient data without a sent work status for sending over the network Not Marked Displays only patient data without a marked work status Marked Displays only patient data with a marked work status user defined filter Displays only patient data that meets the criteria specified fo...

Page 143: ...om the Sort menu then the system displays the series objects within the patient folder in order by date and time Sort Selections for Storage Location Icons Selection Sorts Patient Folders by Patient Name Patient name DB Date and Time Date and time that the patient folder was created on the Local Database Work Status 1 Printed Printed work status Not available for Scheduler 2 Archived Archived work...

Page 144: ...ge date and time Slice Position Slice position transversal coronal sagittal Modality Specific Data Reserved for future use Work Status 1 Printed Printed work status 2 Archived Archived work status 3 Sent Sent work status Multiple Displays the Image Display Order dialog box which lists multiple sorting options Reverse Order Reverse order in the selected sorting option above Options Menu Selections ...

Page 145: ...stem 10 System Startup 11 AC Tray Panel 11 Plugging in the System 11 Supplying Power to the System 12 Mobile QuikStart for Portable Studies Standby 13 Adjusting Controls on the Monitor 14 Testing the Monitor 16 Degaussing the Monitor 16 Connecting and Disconnecting Transducers 17 Array Transducers 18 Protective Transducer Holder 19 Transducer Cable Management 20 Connecting System Accessories 21 Fr...

Page 146: ...ation Devices 25 System Ergonomics 26 Configuring the Print Store Function 27 Assigning Functions to the Print Store Keys 27 Choosing the Output Format for Images 29 Selecting Image Text for Display 30 Configuring Additional Storage 31 Configuring Print Preferences 32 Configuring Printer Properties 33 Optimizing the Sony UP D23 MD Printer Configuration 34 ...

Page 147: ...a cracked punctured or discolored casing or a frayed cable Discoloration Exception The use of the approved disinfectants Cidex OPA and Gigasept FF may cause discoloration of transducer housings including the face of the transducer You can continue to use a transducer if it is discolored due to the use of these specific disinfectants only Visually inspect all power cords Do not turn on the power if...

Page 148: ... the ultrasound system 1 User adjustable monitor with two forward facing speakers 2 User adjustable control panel 3 Front handle 4 Language specific alphanumeric keyboard 5 Central brakes 6 Front swivel wheels 7 Physio panel 8 Recordable compact disk CD R drive 9 Power ON OFF Standby 10 Transducer holders ...

Page 149: ... System Setup 1 I N S T R U C T I O N S F O R U S E 4 5 Example of the right front view of the ultrasound system 1 Transducer and gel holders 2 Transducer ports 3 Keyboard light underneath control panel ...

Page 150: ... S E Example of the back view of the ultrasound system 1 Input output panel with audio and video connections 2 Left rear panel 3 Rear swivel wheel with brake 4 AC tray panel 5 Right rear panel with storage bin 6 AC outlets for on board peripheral devices ...

Page 151: ...be a mobile unit Before moving the system to another location you must prepare for the move by powering off and securing the system Using the Front Brakes Front Brake The front brakes on the wheels nearest you when you face the control panel on the ultrasound system are set differently from the rear brakes The front brakes are set simultaneously from a foot pedal in the central section of the syst...

Page 152: ...ft the center section of the front bumper from underneath firmly until the wheels are locked in a forward position using the top of your foot This is the highest position for the front bumper To release the swivel brakes Press the center section of the front bumper down with your foot until it clicks once This is the center position for the front bumper Using the Rear Brakes The rear brakes are se...

Page 153: ... the front and rear brakes During the Move Caution When moving the ultrasound system protect it from environmental changes including moisture winds dirt and dust and extreme heat or cold exposure Caution Avoid moving the ultrasound system on outside surfaces with loose dirt contaminates or standing liquids Caution Care should be taken to minimize shock and vibration of the ultrasound system Avoid ...

Page 154: ...r air flow to the system cooling fans Set brakes Set the front and rear brakes Plug in cord Plug the power cord into a hospital grade or local equivalent wall outlet Power ON Power on the ultrasound system Check display After the boot up sequence is complete verify that the image display is stable that you can select a transducer and that selections made on the control panel respond to your select...

Page 155: ...er Example of AC Tray panel without connector cover Plugging in the System The ultrasound system has a non detachable power cord WARNING For 115V units only To ensure grounding reliability connect the system only to a hospital grade power receptacle To plug in the system Connect the power cord plug to the MAINS supply in the following manner 230V systems to a 230V standard MAINS i e Schuko recepta...

Page 156: ... the power cord is plugged into the system and then into the power supply 3 Power on the ultrasound system Cold Boot When the system is powered on it runs through a series of self diagnostic and calibration tests after which the system is ready for use Note The system will not run through the complete power on routine if a problem occurs Instead an error code or message appears on the screen to in...

Page 157: ... or off by using the installed battery to place the ultrasound system in a standby status The system can maintain the standby status for approximately four hours when the system s power cord is not plugged into the power supply To place the system in a standby status 1 Briefly press and then release the power on off switch to power off the ultrasound system 2 Select the Standby button on the displ...

Page 158: ...s the right contrast button to increase the display contrast and the left button to decrease the contrast Press the right brightness button for a brighter image with a lighter background and the left button to darken Note Factory defined imaging presets were created using default settings of the brightness and contrast controls of the monitor Adjusting the brightness and contrast controls on the m...

Page 159: ...ss the two Contrast buttons located to the right of the Brightness buttons The system restores the factory default setting of 86 for Contrast 3 Press and hold the Degauss button for 15 seconds or until the system displays a notification message The button is located on the left front underside of the monitor The message notifies you that the OSD Main Menu is locked Note To unlock the monitor setti...

Page 160: ...nd the first test pattern in the sequence displays on the screen 2 Observe the cross hatch display and note any differences from the correct display described above 3 Press the Degauss button located on the underside of the monitor to scroll through each test pattern in the sequence Compare each test pattern with the correct display described above and note any differences such as missing colors o...

Page 161: ...nnected before the image is frozen the system will display an error message and it will be necessary to reset the system before continuing to use it You can connect up to three transducers to the ultrasound system with one transducer being the active transducer The names of the transducers currently connected to the system display on the Image task card Transducer ports 1 Three 260 pin ports for a...

Page 162: ...pward from the connector 2 Insert the connector pins into the system port and turn the lock on the transducer connector clockwise until it locks in position This secures the connector in position and ensures the best possible contact 3 Place the transducer in the transducer holder To disconnect an array transducer Caution To avoid damaging the transducer cable do not pull on the cable to disconnec...

Page 163: ... have small or large diameter handles or for specialty transducers such as endocavity transducers After connecting a transducer to the system place the transducer in the protective holder attached to the control panel platform There is also a holder for the coupling agent gel Transducer Holders The transducer holders on the sides of the control panel are interchangeable and replaceable Transducer ...

Page 164: ... tab extends below the point of attachment to the ultrasound system Squeeze the tab towards the holder and pull the holder downward 2 Attach the transducer cable hook to the transducer holder Note Ensure that the cable hook is oriented toward the cup side of the transducer holder before mounting the transducer holder onto the ultrasound system a Align the widest part of the open area on the cable ...

Page 165: ... to display a scrolling ECG waveform on the image screen Note The Physio inputs are Defibrillation Proof However in the event of defibrillation while using the Physio function the Physio inputs may become saturated overloaded An ECG pattern may not be visible for up to 30 seconds After this time the Physio function should return to normal operation To connect the Physio cables Connect the six pin ...

Page 166: ... guarantee the performance and safety of the devices listed in the System Reference If in doubt consult the Siemens service department or your local Siemens representative Caution To ensure proper grounding and leakage current levels it is the policy of Siemens to have an authorized Siemens representative or approved third party perform all on board connections of documentation and storage devices...

Page 167: ...d wire connection to the ultrasound systems equipotential connector Ensure that the protective ground wire is connected to a qualified protective ground connection independent of the existing system s ground connection via the power cable The peripheral equipment is located at least 1 5 meters 1 8 meters 6 feet in Canada and the U S A outside of the patient environment A patient environment is def...

Page 168: ...meters 1 8 meters 6 feet in Canada and the U S A around patient and ultrasound system 2 Ultrasound system 3 Peripheral equipment EN XXXXX and IEC XXXXX 4 Peripheral equipment power 5 Printer data cable 6 Additional Protective Ground 7 Ultrasound system power Example of a peripheral equipment connection and patient environment ...

Page 169: ...e An off board documentation device has a data cable connecting it to the ultrasound system but is connected to AC power separate from the ultrasound system An off board documentation device is located separately for example on a table next to the ultrasound system Up to three documentation devices in total may be connected to the ultrasound system All installed documentation devices may be contro...

Page 170: ...monitor Keyboard You can slide the keyboard out away from the control panel when in use and back under the control panel when not in use Height Adjustment Control You can adjust the height of the monitor control panel and keyboard by pressing the Height Adjustment control and pulling up or pushing down Note When two on board peripheral devices are installed the Height Adjustment control is locked ...

Page 171: ...disk Local Database To assign the print function to a PRINT STORE key 1 Press the Presets key located on the keyboard or select the Presets shortcut button at the bottom of the screen 2 Select the Print Store menu on the left of the screen The system displays the Print Store menu In the Print Routing section on the upper right of the screen the system displays a graphic for each PRINT STORE key Un...

Page 172: ... save your settings To assign the store function to a PRINT STORE key 1 Press the Presets key located on the keyboard or select the Presets shortcut button at the bottom of the screen 2 Select the Print Store menu on the left of the screen The system displays the Print Store menu In the Print Routing section on the upper right of the screen the system displays a graphic for each PRINT STORE key Un...

Page 173: ...ing screen or Review task card Note Images saved in the ultrasound image output format with or without overlays can be recalled for measurements after the examination ends To choose an output format for images 1 Press the Presets key located on the keyboard or select the Presets shortcut button at the bottom of the screen 2 Select the Print Store menu on the left of the screen The system displays ...

Page 174: ...or display 1 Press the Presets key located on the keyboard or select the Presets shortcut button at the bottom of the screen 2 Select the Basic System menu on the left of the screen 3 Select the Image Text Editor button at the top of the screen The system displays the Image Text Configuration dialog box 4 Select the required image type from the View Name drop down box at the top of the dialog box ...

Page 175: ...torage 1 Press the Presets key located on the keyboard or select the Presets shortcut button at the bottom of the screen 2 Select the Print Store menu on the left of the screen 3 Select the Configure Store tab The system lists all devices destinations that have been configured for data transfer 4 Select the required destination from the Store Server column and then select the required timing optio...

Page 176: ...left of the Configure Printers tab Timing of the print During Exam System prints when film sheet is full according to selected layout End of Exam System prints when examination ends Disabled System prints when user accesses the Filming screen and then selects the Expose Film Task button Media Size Paper film size Layout Film sheet page layout such as 4 1 four images per printed page Orientation La...

Page 177: ...of the image screen 2 Select Service 3 Select the Configure Local Printer button on the upper right of the screen The system displays the Windows Printers window which includes an icon for each connected printer that has a Windows printer driver 4 Roll the trackball to position the trackball pointer over the icon for the required printer and then press the NEXT key The system displays a pop up men...

Page 178: ...elect Color Balance from the Color Adjust drop down box at the top of the tab and enter the following values recommended by Siemens Field for the Color Balance selection Value Recommended for High Speed Printing Cyan Red 0 Magenta Green 0 Yellow Blue 1 5 Select Lightness from the Color Adjust drop down box and enter the following values recommended by Siemens Field for the Lightness selection Valu...

Page 179: ...e selection Value Recommended for High Quality Printing Cyan Red 0 Magenta Green 0 Yellow Blue 5 5 Select Lightness from the Color Adjust drop down box and enter the following values recommended by Siemens Field for the Lightness selection Value Recommended for High Quality Printing Sharpness 14 Dark 2 Gamma 5 Light 15 6 Select the Gray Balance tab and enter the following values recommended by Sie...

Page 180: ...4 System Setup 4 36 1 I N S T R U C T I O N S F O R U S E ...

Page 181: ...Correcting Registration Data 10 Study Type Selection 11 Transducer Selection 11 Selecting an Imaging Mode 12 Optimizing the Image 12 Printing and Storing Images 13 Images in the Review Task Card 13 Storing and Viewing Clips 13 Storing Clips 14 Viewing Clips 15 Printing and Storing Images from Clips 15 Activating the Measurement Function 16 Using the Patient Report 16 Accessing a Patient Report 16 ...

Page 182: ...5 Beginning an Examination 5 2 1 I N S T R U C T I O N S F O R U S E ...

Page 183: ... registered patients in the Scheduler which is located on the system s hard disk and accessed from the patient browser If a HIS RIS Worklist server is not connected to the system then the system automatically removes the patient data for the pre registered patient from the Scheduler when the patient is registered Note You can schedule a patient and procedure s using a connected HIS RIS Worklist se...

Page 184: ...it information in the PATIENT section and INSTITUTION section of the form Note The patient name Last Name First Name and Middle Name combined is limited to 60 characters 5 Select a transducer and study type from the EXAM section of the form 6 For OB or GYN examinations select OB or GYN from the Study field drop down menu and then enter clinical specific data into the HISTORY section 7 To pre regis...

Page 185: ...ient Registration form from the screen and displays the Image task card The system stores an image of the entered registration data to the system s hard disk 9 To begin the examination using the entered registration data select OK at the bottom of the Patient Registration form You can also select the Patient Registration shortcut button at the bottom of the screen or press the Patient key on the k...

Page 186: ...y the Patient Browser screen 2 Select the Scheduler icon to display scheduled procedures 3 Double click a procedure step Alternatively select a procedure step and then select Register from the Patient menu at the top of the screen The system exits the Patient Browser screen and displays the Patient Registration form The system populates the fields of the Patient Registration form with the data for...

Page 187: ...ique identifier starting with the system date and time This ID code displays on the image screen If there is not enough space for the entire code to display on the image screen a portion of the code is displayed followed by three dots Date of Birth Patient s date of birth using the date format selected in the system presets When you enter or change this value the system calculates and displays val...

Page 188: ...stem recalculates and displays values for Date LMP IVF and Age wks days Age wks days The system automatically calculates and displays the fetal age in weeks and days if a value already exists for Date LMP IVF Enter the fetal age in weeks and days When you enter or change this value the system calculates and displays values for Date LMP IVF and EDC No Fetuses The system assumes a single fetus unles...

Page 189: ... Int op Vas Intraoperative Vascular MSK Musculoskeletal Neo Head Neonatal Head OB Obstetrics Ped Abd Pediatrics Abdomen Ped Hip Pediatrics Hip Pelvis Pelvis Penile Penile Prostate Prostate PV Art Peripheral Vascular Arterial PV Ven Peripheral Vascular Venous Renal Renal Sup MSK Superficial Musculoskeletal TCD Transcranial Doppler TCD Detailed Transcranial Doppler Detailed Testis Testis Thyroid Thy...

Page 190: ...u can begin a new study Images stored before you correct registration data may contain incorrect image text such as the original incorrect patient name Note Registration data received from a connected HIS RIS Worklist server cannot be corrected using the Patient Registration form To display and edit the current Patient Registration form 1 Press the Patient key located on the keyboard or select the...

Page 191: ...at the bottom of the screen The system displays the Patient Registration form containing data for the current patient examination 2 Select New Study at the top of the form 3 As necessary update entries in the Study and Transducer fields of the form and then select OK in the Patient Registration form to begin a new study The system ends the study in progress begins the new study and displays the Im...

Page 192: ...pectrum Color Color displays in a 2D mode image Power Power detects and assigns color to the energy generated by the reflections of blood flow in a 2D image Optimizing the Image You can activate each mode of operation using the mode controls located on the control panel Mode specific menus and selections display on the left of the screen in the Image task card Each imaging mode has a mode dependen...

Page 193: ... the type of image printed The image is also stored to the local database Note Images printed that are not also stored during the active study are not displayed in the Review task card To store an image during an active study Press the PRINT STORE key assigned to the storing function The system stores the image to the local database Images in the Review Task Card You can review stored images using...

Page 194: ... system displays a counter representing the VOL CLIP SAVE key on the lower right of the screen The counter indicates the number of times clips were stored during the current study The system removes the counter from the screen when clip acquisition and storage is complete Specify the length for stored clips by selecting a capture definition from the Protocol group box To acquire and store a clip o...

Page 195: ...ointer over the clip and then press the UPDATE VIEW key twice in quick succession The system automatically plays back the stored clip continuously in the forward direction 3 To change the playback speed roll the trackball to the Rate Indicator on the clip bar below the graphic and press the SELECT key The system cycles through the available playback speeds Printing and Storing Images from Clips No...

Page 196: ...t report for the current examination can be viewed at any time during the patient examination or after the report is saved To access a patient report 1 Press the Report key located on the keyboard or select the Reports shortcut button at the bottom of the screen after completing the labeled measurement The system displays the patient report 2 If the patient report has more content than can be view...

Page 197: ... Patient Report screen The system sends all portions of the patient report to the connected laser printer To print the patient report as a screenshot displayed portion only Press the PRINT STORE key assigned to the printing function The system sends a request for the displayed portion of the patient report to the printer configured for miscellaneous images The system also stores the patient report...

Page 198: ...g fastest rewind method Rewind Forward videotape without viewing fastest forward method Fast Forward Locate the next unrecorded section on the videotape Blank Search Reset the counter tape position The counter is displayed to the left of the Reset Counter selection The counter format is hours minutes and seconds hh mm ss Reset Counter Manually enter a tape position in hours minutes and seconds usi...

Page 199: ...f the screen or Press the Patient key on the keyboard select New Patient enter data for another patient and select the OK button at the bottom of the Patient Registration form to register the new patient and begin a new examination or Press the Patient key on the keyboard select New Study update fields as required and select the OK button at the bottom of the Patient Registration form to begin a n...

Page 200: ...5 Beginning an Examination 5 20 1 I N S T R U C T I O N S F O R U S E ...

Page 201: ...atures 6 Color Doppler Features 7 Power Doppler Features 7 M Mode Features 8 Ensemble Tissue Harmonic Imaging 8 Clips 8 Post Processing Features in Freeze Frame or CINE 9 Optional Features 10 Mobile QuikStart for Portable Studies Standby 10 Extend Performance Technology 10 Clarify VE 10 SieScape Panoramic Imaging 11 Color SieScape Panoramic Imaging 11 SieClear Multi View Spatial Compounding 11 TEQ...

Page 202: ...ange and Accuracy 19 Clinical Measurements Range and Accuracy 19 2D Mode Measurements 20 Doppler Measurements 21 M Mode Measurements 22 Mixed Mode Measurements 22 Image Display 23 System Requirements 25 Power Supply Requirements 25 Possible Combinations with Other Equipment 25 Leakage Currents 26 Audio Video and Data Transmission Connections Input and Output Signals 26 Video Standard 26 Environmen...

Page 203: ...rating Software Multi language support User programmable system presets User Defined exam type feature for defining up to 10 specific exam transducer and image parameter settings per exam type Supports DICOM file format Processing Power Integrated Crescendo Multi Dimensional Image Processor to process voluminous amounts of digital data enabling innovative real time display technologies GigaProcess...

Page 204: ...hock attenuation features Compact and lightweight industrial design Large steering handle for portability and maneuvering Transducer holders and cable management Transducer Technology Wideband MultiHertz multiple frequency transducer technology Hanafy Lens transducer technology Virtual Format Imaging feature allows image displays in linear sector steered and trapezoidal format 2 0 to 13 0 MHz imag...

Page 205: ...ts General 2D Imaging Features Field of view FOV format adjustment 256 gray shade display Up to 16 choices for magnification in frozen CINE or real time imaging 0 25 cm to 28 cm depth of view display CINE memory capacity up to 30 seconds of CINE capture Acquired 2D mode frame rates up to 500 fps Up to five 2D mode transmit frequencies per transducer Quad signal parallel processing Linear array tra...

Page 206: ...and high PRF Doppler Doppler grayscale and colorization tint maps Spectral invert User selectable frequency kHz or velocity m s display format Wall filter selections 20 Hz to 1 600 Hz Adjustable Doppler Gate size from 0 1 cm up to 4 0 cm depending on the transducer Flow angle correction on real time or frozen images with velocity readout update PRF range from 100 Hz to 52 000 Hz Doppler signal pro...

Page 207: ...velocity maps and three velocity variance maps VV Up to 512 color samples per color data line Up to 512 2D mode lines plus 256 color lines Power Doppler Features Power mode On Off control Background Power Doppler on and off selection Power Gain from 20 dB to 20 dB in one decibel increments Independent controls for power gain PRF invert baseline resolution frame rate persistence priority and smooth...

Page 208: ...easurements Ensemble Tissue Harmonic Imaging Standard with System Available for the VF13 5 VFX13 5 VF10 5 VFX9 4 VF7 3 EC9 4 C5F1 C7F2 C5 2 CX5 2 CH4 1 CH6 2 P10 4 PX4 1 EV9F4 and PH4 1 transducers Up to five THI transmit frequencies per transducer Clips Standard with System Prospective capture of motion image data Variable clip length 1 second to 10 minutes Compressed JPEG Lossy format DICOM form...

Page 209: ... pictograms Color Zoom pan Color Map Color invert Color baseline shift Color display on off Color priority Measurements annotations and pictograms Doppler Baseline shift Spectral dynamic range Gray map Doppler tint map Angle correction Spectral invert Measurements annotations and pictograms Sweep speed M mode Dynamic Range Gray Map M mode tint map Measurements annotations and pictograms Sweep spee...

Page 210: ... C7F2 Abdomen Renal Available during the following imaging modes 2D mode Color Power Doppler using the update style D Lv 2D Frz THI and 3 Scape with Power mode using Auto Sweep only for C7F2 only Not compatible with Biopsy CCAI Clarify CPS SieScape or THI Clarify VE Optional Available on all imaging transducers Clarify vascular enhancement technology Clarify VE is an optional feature that can decr...

Page 211: ...ny additional attachments Color SieScape imaging is a combination of real time SieScape imaging and real time Power mode acquisition All Power information is preserved during image acquisition and the peak of the signal is saved for the Color SieScape image On screen reference and speed indicators enhance imaging technique Pause and reverse during acquisition Zoom and pan capabilities SieClear Mul...

Page 212: ...nd images Multi Planar Reformatting MPR provides a view of each segment of the volume as an arbitrary slice The Auto Sweep method for volume acquisition is a mechanically driven single sweep acquisition across the area of interest Auto Sweep is available for the fourSight 4D transducers C5F1 C7F2 EV9F4 Real time reconstruction during free hand acquisition Simultaneous acquisition of 2D mode and Po...

Page 213: ... Hip VF10 5 CPS All except Fetal Echo Obstetrics Pediatrics Abdomen and Pediatrics Hip Cadence Contrast Agent Imaging CCAI is an optional system feature with wide band harmonic imaging technology designed for use with contrast agents The CCAI option includes the following techniques Contrast Pulse Sequence CPS or Ensemble Contrast Imaging ECI for assessment of perfusion Agent Detection Imaging ADI...

Page 214: ...ape Panoramic Imaging option Color SieScape Panoramic Imaging option requires SieScape Panoramic Imaging software SieClear Multi View Spatial Compounding option 3 Scape Real Time 3D Imaging option TEQ Technology option Spectral TEQ Ultrasound Technology option TEQ Technology for Doppler Cadence Contrast Agent Imaging option Cadence Contrast Pulse Sequencing CPS Technology option Clarify vascular e...

Page 215: ...CINE and real time images include distance ellipse and trace 2D measurement packages include distance area circumference volume stenosis and volume flow General 2D mode Measurements Distance Depth Circumference using a Trace or Ellipse method Area using an Ellipse or Trace method Volume and Stenosis Volume Flow using an Area or Diameter method with a Doppler measurement General M mode Measurements...

Page 216: ... Musculoskeletal exams Gynecology All general measurements Patient demographic data for previous exam date clinical age EDC Gravida Para Aborta Ectopics LMP 2D mode measurement labels for cervix length 1 6 cyst right and left 1 6 follicle right and left endometrium ovary prevoid and postvoid bladder uterus kidney uterine artery arcuate artery ovarian artery Doppler measurement labels for uterine a...

Page 217: ...r measurement labels including fetal aorta MCA ovarian artery uterine artery umbilical artery fetal HR M mode measurement labels including fetal HR Amniotic fluid compound measurement with quantitative technique for assessing the amniotic fluid volume Patient Report includes the following for OB composite calculations 2D mode measurements that calculate GA measurements for non GA 2D measurement ra...

Page 218: ...art structures Fetal Echo measurement labels for Doppler for valves ventricles arteries and veins Fetal Echo measurement ratios for 2D mode LV percentage of fractional shortening and for Doppler mitral valve E A and Tei Index Fetal Heart Rate The patient report includes input for fetal heart assessment Urology All general measurements and calculations Measurement labels for Penile Pelvis and Prost...

Page 219: ... cm Tol D Linear transducer 5 of the distance or 1 5 mm whichever is greater assuming 1540 m sec speed of sound Curved transducer 8 of the distance or 1 5 mm whichever is greater assuming 1540 m sec speed of sound Trace Area 0 560 cm2 Tol A 6 of the area or 1 5cm2 whichever is greater assuming minimal operator error in tracing the desired object and assuming 1540 m sec speed of sound Time Slow Swe...

Page 220: ... Tol D1 D2 Tol D2 2 π 6 D1 Tol D1 D2 Tol D2 2 Trace Circumference 0 85cm D Tol D D Tol D Trace Area 0 450 cm2 A Tol A A Tol A Stenosis by Area 100 A1 A2 A1 100 A1 Tol A1 A2 Tol A2 A1 Tol A1 100 A1 Tol A1 A2 Tol A2 A1 Tol A1 Stenosis by Diam 100 D1 D2 D1 100 D1 Tol D1 D2 Tol D2 D1 Tol D1 100 D1 Tol D1 D2 Tol D2 D1 Tol D1 Amniotic Fluid Index AFI D1 D2 D3 D4 D1 Tol D1 D2 Tol D2 D3 Tol D3 D4 Tol D4 D...

Page 221: ...xVel1 MxVel2 Tol MxVel2 MxVeln Tol MxVeln N Time Averaged Mean Velocity TAMn MnVel1 MnVel2 MnVelN N N Number of Velocities Averaged MnVel1 Tol MnVel1 MnVel2 Tol MnVel2 MnVeln Tol MnVeln N MnVel1 Tol MnVel1 MnVel2 Tol MnVel2 MnVeln Tol MnVeln N Time Averaged Minimum Velocity TAMin MinVel1 MinVel2 MinVelN N N Number of Velocities Averaged MinVel1 Tol MinVel1 MinVel2 Tol MinVel2 MinVeln Tol MinVeln N...

Page 222: ...N beats N Time for N beats Tol T N 1 2 3 4 or 5 N Time for N beats N Time for N beats Tol T N 1 2 3 4 or 5 Mixed Mode Measurements Mixed mode Measurements Range for Formula Minimum Value Maximum Value Volume Flow by Area TAMn is in cm s Area is in cm2 TAMn Area 0 06 l min TAMn Tol TAMn Area Tol A 0 06 TAMn Tol TAMn Area Tol A 0 06 Volume Flow by Diameter TAMn is in cm s Area is in cm2 TAMn πD2 4 0...

Page 223: ...ucer orientation icon indicates direction of the scan Up down invert for 2D Dual Seamless Dual and 2D image in mixed 2D M mode and 2D Doppler Transducer orientation icon indicates direction of the scan Image Formats Linear sector trapezoidal and steered linear Image Position Image can be offset vertically and horizontally Other Imaging Parameters Transmit power displayed as percentage Independent ...

Page 224: ... Gate Size Sweep Steer Reverse Dynamic Range Tint and Time Frequency Resolution Parameter menu selections for the following options SieClear TEQ Clarify VE and CCAI Active transducer and transmit frequency exam type active measurement method Measurement Label menu Measured Results Controls in group boxes for imaging formats and mixed mode updates styles SieScape option 3 Scape option on screen Bio...

Page 225: ...ed Siemens representative or approved third party Check with your sales representative WARNING Accessory equipment connected to the analog and digital interfaces must be certified according to the respective EN and IEC standards e g EN 60950 and IEC 60950 for data processing equipment and EN 60601 1 and IEC 60601 1 for medical equipment Furthermore all configurations shall comply with the system s...

Page 226: ...put Output Bi Directional Y C Video S video Mini Din X X 2 Channel Audio Right Left RCA type X X Modem J1 USB A X Ethernet RJ45 10BaseT 100BaseT X RS 232 port for VCR control COM1 9 pin D sub X Printer connector J5B J5A USB A X Parallel Port Printer 25 pin D sub X COM 2 VISTA 15 pin high density D sub X RGB s VISTA 15 pin high density D sub X Composite Video BNC type X ECG Trigger BNC type X Video...

Page 227: ...to 80 non condensing 10 to 95 non condensing Temperature System 10 C to 40 C 20 C to 60 C Array Transducers except C5F1 C7F2 EV9F4 10 C to 40 C 40 C to 60 C C5F1 C7F2 EV9F4 20 C to 40 C 5 C to 50 C Maximum Altitude Operation up to 3 050 meters 10 000 feet 5 050 meters 18 000 feet For systems with documentation devices installed Protective Measures Explosion protection This product is not designed ...

Page 228: ...tion against electrical shock Type B equipment Type BF for ECG connection Degree of protection against harmful ingress of water Ordinary equipment Degree of safety of application in the presence of a flammable anesthetic material with air or with oxygen or nitrous oxide Equipment not suitable for use in the presence of a flammable anesthetic mixture with air or with oxygen or nitrous oxide Mode of...

Page 229: ...stic Output Standards IEC 61157 Declaration of Acoustic Power AIUM NEMA UD 2 1998 Acoustic Output Measurement Standard for Diagnostic Ultrasound AIUM NEMA UD 3 1998 Standard for Real Time Display of Thermal and Mechanical Acoustic Output Indices on Diagnostic Ultrasound Equipment CE Declaration This product is provided with a CE marking in accordance with the regulations stated in Council Directiv...

Page 230: ...6 Technical Description 6 30 1 I N S T R U C T I O N S F O R U S E ...

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