TruDR® Touch Software User Manual
Contents
1. Sound Eklin Page 37 Chapter 8 Transferring Studies to SoundBank or Storage continued Transferring DICOM Batch to SoundBank or Storage 1 If you wish to send a group of selected studies from a specific time frame enter the start and end date of these studies in the display at the top of the Batch Send Options window The DICOM image transfer will send these studies listed in the queue all at once Status DICOM S Study Dat PatientNa Client Na Study Vet Modalities Count SuccessC Error C neset seieaea om Tags 2 Click the Start Store button to begin DICOM image transfer Sound Eklin Page 38 Chapter 8 Transferring Studies to SoundBank or Storage continued Confirm Storage of a Study Confirm the study successfully sent to SoundBank a Storage Station or to the Review Station 1 On the Patient Screen the Archive field will show a server name e g SOUND SERV1 2 Hold the mouse over the server name to show a pop up window with the transfer data AP The pop up box displays how many images have been transferred and the date and time of the transfer The information is color coded for easy reference If only one study appears it will be highlighted in blue and the color coding will not appear Green Box Image transfer complete Red Box Image transfer failed Notice the Secondary Transfer field Secondary Transfer documents the number of studies sent to another PACS system besides the main archi2. 5100 Stile CrCd 80 034 5100 Tibia 80 01 225 Due to variability between x ray generators optimal techniques may vary somewhat from the values printed above Sound Eklin Page 44 Appendix A Digital Radiography Technique Charts continued Juvenile Equine MinXRay HF8015 TR80 and TR90 at a distance of 24 6 month old kVP Seconds mAs Distal Extremity all views 80 004 060 Radius 1 80 00 07 5 Elbow 80 00 AJ 75 S fleLM 80 008 X 12 Stfie CdECrMO 80 040 150 Stifle CdL CrLO 80 0410 150 Stifte C Cd 80 0410 150 Tibia 80 005 J 075 6 12 months old kVP Seconds mAs Distal Extremity all views 80 005 075 Radius 1 1 80 006 090 Elbow 80 X 000 X 090 S fle LM 80 jodo 150 Stifle CdL CrMO 80 0122 180 Stifle CdL CrLO 80 0122 180 Stifle Cr Cd 80 0415 225 Tibia 80 ooe X 090 Due to variability between x ray generators optimal techniques may vary somewhat from the values printed above Sound Eklin Page 45 Appendix A Digital Radiography Technique Charts
3. Ga Ld ld Ld C ca Cs id d lad a edit delete new acquire protocol review server folder actions exit Patient ID Patient Hame Gemer Last Hame One Day 24 hours f Set As Default Refresh Patient ID Patient Mod Date Owner Deseriptian Study Date Count Archive Sec Transfer 09012013 Demo 9 2 2013 Sound Eklin I of Forelimb OF 212013 5 06 PM 3 Edit the information as needed If the patient is from an owner previously entered owner can be selected from owner list on the left hand side 4 Click the appropriate Save button see page 5 Creating a New Study for an Existing Patient Create a new study for a patient previously entered in TruDR 1 Search for a patient in the Patient Screen by entering the Patient ID the Patient Name or the Owner Last Name The Patient List will automatically filter as you type 2 Select a patient by clicking on the name in the Patient List 3 Click the New button to create a new study a La d EE d aed a acquire protocol review server folder actions exit Patient ID Patient Name Owner Last Hame One Day 24 hours Set As Default Refresh Patient ID Pathent Mod Date Owner Description study Date Count Anchive Sec Transfer l t 2013 6 45 AM 09047013 Demo 9 4 2013 ed IN 4 Select the anatomy and the view from the Anatomy Screen see page 7 Sound Eklin Page 6 Chapter 4 Creating Radiographs Choosing Anatomy and Positioning Choose the anatomy and posi
4. TruDR Touch Software User Manual YOUR IMAGE IS OUR BUSINESS sound eklin a VCA ANTECH company TruDR Touch Software Table of Contents TruDR Touch Software User Manual important Safety Information iesus r ass eae REYaRUREERC ESSE D PE ov v s ie i LS SENE T LIT i WANIE soo iasaosito slad st k zi dan o TM EN E Msc EPIRI kc 8 O ae ERE CUM i Lin m Te i DISPO A MU T e ii sJor lepgro juio o ccc iii Chapter 1 Opening TruDR Touch Software eoooooooo osovo osovo ooo osovo ovos ooo 1 Chapter 2 Adding USTs s is inutovnet cis s osol inok i rn an z id ne 2 Chapter 3 Patient Information i iceeesuveusVessssu taris bodk k bera e eb koala oi 4 Searching and Adding Patients 52557 rea Va ERRPE T Y ONES vod VA VERE a vo va TERR OVE EI FEKT QE VP eV 4 Editing an Existing Patient s Information ooooooooooooooooo o ooo ooo ovos ooo ce 6 Creating a New Study for an Existing Patient eooooooooosooooo ooo ooo ooooooocce 6 Chapter 4 Creating Radiograplhis 2 22 aoa oo i dovs cev o e ind VESPERE a bv d n boda o 7 Choosing Anatomy and Positioning ooooooooooosoooo osovo ooo ooo osovo ooo 7 Acquiring Radiographs eseseseccecececoecececescecesoccecececoececececcecececeececececcececesoeo 9 Cropping a R diographi ssesosval ciz t ca
5. K HAMC LACIMA DOE 1381 A LA IKA HOLE TT Bucek Ken 8 Click the Save button save to return to the worklist or the Save Acquire or Save Protocol button to begin acquiring radiographs Sound Eklin Start Date End Date Thursday September 05 2013 Thursday September 05 2013 Patient Hamo Patient ID Birth Date Weight Sex Patient Species Patient Breed Owner Hame Owner Address Breed Oener Hime Owner Adres Owner Phone Gener Phone Schedule Page 18 Chapter 5 Protocols Using Protocols Shoot a series of X rays in a preset order which automatically advances to the next shot after each shot taken 1 From the Patient Screen select the Patient and click Protocol Or from the Patient Screen select New and then click the Protocol link on the Anatomy Selection screen Or from the Add Patient or Edit Patient screen click Save Protocol To Add a Patient see page 2 x Sound Eklin Sound Eklin Page 19 Chapter 5 Protocols Using Protocols continued 2 Press a Protocol button to begin that Protocol lad lad patient anatomy Protocols LIP Coe freee void luce L Lene Urt baute Lite Ara 3 The Acquisition Screen will display a Protocol Overlay consisting of Next Shot Information Patient Information and Protocol Information subsections as seen in the next image lad had al Lad aed Ld Lad ad boj Lad led Lad lad lt I patient views a
6. Study Dat Patient Na Client Na Study Vet Modalities Count SuccessC Error C Sound Eklin Page 35 Chapter 8 Transferring Studies to SoundBank or Storage continued This will store all the studies that were taken since your last transfer and clear the queue If any studies are missing you can transfer them individually see the following section 4 Status box displays transfer results When the status box states completed your images have successfully transferred to the DICOM server Click the Red close button in the upper right corner to close the screen 3 20 2012 2 47 00 Pm Sending store request Abstract Syntax Digital XRay Image Storage Presentation 1 2 840 10008 5 1 4 1 1 1 1 Transfer Syntax implicit Vr Little Endian 1 2 840 10008 1 2 3 20 2012 2 47 00 PM Store Confirmation SUCCESS fie C Program Files x86jSoundiTruDR Captures2012 3 20 371PT 17 DicomSendi mages 1 2 840 114387 2267161016 51372 16956 41314 6064 3 20 2012 2 47 00 PM Result Store Success for file Program Files x86 Sound TruDR Captures 20423 20 37 1PT 17 DicomSendimages 1 2 840 114387 2267161016 51377 16956 4114 606475152 3 20 2012 2 47 00 PM Releasing association 3 20 2012 2 47 00 PM State changed AssociationEstablished to AwaitingAReleaseResponse 3 20 2012 2 47 00 Pm State changed AssociationEstablished to AwaitingTransportConnectionCloselndication 3 20 2012 2 47 00 PM State changed AwaitingTransportConnectionCioseInd
7. bazy A bap es 2 Once in the Default Display tool you can rotate 90 left rotate 90 right flip and reverse the image to achieve the desired orientation Sound Eklin Page 13 Chapter 4 Creating Radiographs Applying a Default Image Orientation continued ad Dm Set Default Orientation For Shot Stile LM Left kej ad left right led Lal flip reverse cocco Set Default Orientation For Shot Stifle LM Gi G left right led Lal flip reverse 3 f you are satisfied with the changes click Save If you want to cancel the operation click Cancel Sound Eklin Page 14 Chapter 4 Creating Radiographs Applying a Default Image Orientation continued You must hold the plate in the same orientation in order to achieve consistent default display orientation OE V J Ipatient wies anatomy review crop reverse bt righ fiip end action signal battery m xt Shot Information Patient Information Stifle Name Demo LM Dener Sound Eklin Left ROK ZDOUEE IO eaa m bpr A ee ee ee v a Sound Eklin Page 15 Chapter 4 Creating Radiographs continued Urgent DICOM Send Send images to eFilm SoundBank or Storage before ending the study 1 While in the Acquisition or Review Screen click the Send button py ud dad Gil Ca d lad E Led Gd bad Cad Ed lad uid i patient views anatomy review zoom W L crop reverse left right flip send actio
8. continued Small Animal MinXray 80 15 SID 26IN 66CM Centimeters 1 10 11 15 16 25 26 30 nl Cl 48 8 80 seconds 006 0413 026 050 MinXray 90 20 SID 26IN 66CM Centimeters 1 10 11 15 16 25 26 30 kp 80 seconds 006 006 040 020 MinXray 100 30 SID 26IN 66CM Centimeters 1 10 11 15 16 25 26 30 kp 1 8 490 poo 100 seconds 006 006 006 010 Due to variability between x ray generators optimal techniques may vary somewhat from the values printed above Sound Eklin Page 46 Appendix B Assembly Instructions for Rayence 1210cw Handle f f Ac Handle Assembly 1 TEE TE gt f 7 zony ig l 0o f i M i iy i 1 if k iy A ff j F Fr y j i n i i Fy li b J s f n j pU si af m T Y ff if pe m T i fi if Po i k T m L1 i Ti Fi rad T j fa off fa ff ooo ie Af Lg a li Lock ST I L I if Ga i CH J J LOCE aim Conform slide direction with Lock indication Handle Assembly 2 ss o Conform slide direction with a Lock indication Sound Eklin Page 47 Appendix C Wireless Rayence 1210cw Plate Functionality 1 To turn the plate ON locate the red p
9. right motion Crop the images as needed see pages 11 12 If vou need to reshoot vour X ray press the hand switch and fire again lad had lid Les id bad U Lad Lad boj Led led bi lad lt patient views anatomy review zoom W L crop reverse left right flip send actions signal battery Next Shot Information Patient Information Fetlock of Forelimb Name Demo DLPMO Owner Sound Eklin Left iet Arar an Detur Aue Aw TRAP md Patent Dema Owner Sung im Rent Bage comnts Click the Views button lad to change views Click the Anatomy button lal if another anatomy is needed Click the Review button iin to review Wireless Signal Strength is indicated by this icon s signal O NOU Battery Life is indicated by this icon ll battery Sound Eklin Page 10 Chapter 4 Creating Radiographs continued Cropping a Radiograph Remove unwanted portions of the radiograph 1 Make adjustments before shooting the next radiograph To do so click the Action button Lad Click the Crop button in the Acquisition Screen AP The new image will appear lighter after clicking the crop button Based on the crop selection the image will be windowed and leveled again lad had lid Les id bad U Lad Lad boj Led led bi lad lt Il patient views anatomy review zoom W L crop reverse left right flip send actions signal battery Next Shot Information Patient Information Fetlock of Forelimb Name Demo DLP
10. 1 i 3 Click the Review button i a 4 Select a thumbnail in the left hand pane to load the image into the review pane on the right The selected image is highlighted by a yellow box rd LL ed Lid Ld d E Lad lal boj kod d Lad lai close acq anatomy zoom magnify W L crop reverse left right flip send actions Sound Eklin Vet Rec John Smith Img 1 2 Demo Sound Ekiin Anatomy Sufie View LM DOB Lateralty RIGHT 3 Acq Dt 09 02 2013 Acq Tm 17 17 21 000000 Sound Eklin Page 30 Chapter 6 Managing Studies Reviewing a Study continued lad Li ad lud b Lad Ld Led al boj Led cd Lad lai close acq anatomy zoom magnify W L crop reverse left right flip send actions mg WEO invert Anatomy Stifle i V HEP LI Laterality RIGHT ER EET E lt N v lus a nnim Eu a 4 i LU LAJ 1 a a f UNLLA UL i DEGREE C ELE el z fcnn alaaa E RR ua Review the images by using the following techniques Zoom In Select this action and click on the area of the image you wish to zoom in Zoom Out Select this action and click the area of the image you wish to zoom out Magnify Select this action and click and hold on the image moving the cursor to the desired area to be magnified Window Level Select this action and drag the cursor across the image to adjust the window and level settings Crop Select this action and drag a box from corner to corn
11. 2 Appendix E Technical Support Shipping Address Sound Eklin 6359 Paseo Del Lago Carlsbad California 92011 USA Technical Support Office hours Weekdays 8 00 A M 5 00 P M Pacific Time Emergency 24 hour support is available Telephone 800 268 5354 option 3 Website www soundeklin com Sound Eklin Page 53 e S gt z O C4 3 EX OU O mU NS NS a g o a EEEE I COMME ooo E GO 9 VA aj o 2g8 2H T HE eos S228 2 X Z cvs Q O 25 a gt ab S U os ENT i 83 puxg g E A 250 5 gt z i e lt 2 em o ut T F 83 5 s T 0 A V 23 un o un
12. Align the generator 26 inches from the plate using the light beam to fill the entire capture area defined on the plate If the generator is aligned perpendicular the lieht will form a rectangle with even sides filling the capture area The image capture area is highlighted by a white box with the dotted cross hairs in the middle 3 From the Acquisition Screen press the hand switch halfway down to prep and all the way down to expose the X ray machine AP Proper Two Stage Hand Switch Technique 1 To Prep push the hand switch halfway down 2 Wait until the Generator is ready to fire i e prep light on the X ray machine is illuminated etc 3 To expose push the hand switch completely down lad bad Mil d Ld Lad Lad boj Led ed kd lad lt patient views anatomy review zoom W L crop reverse left right flip send actions signal battery Fetlock of Forelimb Name Demo DLPMO Owner Sound Eklin Next Shot Information Patient Information Left Conine lham digan gula deus f pyjama dii ms emn Calter Gere j Germi last kam Sound Eklin Pace 9 Chapter 4 Creating Radiographs Acquiring Radiographs continued 4 The image will appear in approximately 5 seconds Use the Use Left Right Flip Reverse ROI or Crop buttons to make orientation adjustments before shooting the next shot Ld kad Lad bed Lad Led W L crop reverse left right flip AP Window and level with finger in up and down left or
13. DICOM location as a telemedicine server Archive Server Designates the DICOM location as an archive server 6 Click the Save button Save to save the current information Sound Eklin Page 41 Chapter 9 Adding and Editing a DICOM Location continued 7 Click the Verify button Verify to verify that you can connect to the DICOM Server eo Save Ad server Delete serer verity Configuration DICOM Server Settings DICOM Serve AE Title ACQ_EFILM SOUNDEKLINPACSO Tech Support Settings P Address 0 0 i e iere 8 Asmiley face KD will appear when you have verified the connection to the DICOM Server If a frowning face appears please contact Sound Eklin Technical Support 1 800 268 5354 9 Click the Patient button s to return to the Patient Screen Sound Eklin Page 42 Chapter 10 Reporting You can generate the following reports from within the TruDR software and export them to the desktop in either a PDF or XLS format Radiology Report Study Dates Number of images study Patient Name BodyPartExamined and Laterality AHAA Report Patient ID Patient Name Date of Study Study Description Technician Name Vet Name Number of images study Study Summary Month Year Number of studies Number of total captures lad Ld Ld Ld L2 Eu Ces Lad La ad Gal edit delete mew acquire protocol review server folder actions exit Patient ID Patient Hame Oami sy manage LL L
14. DIO Right Front Mavicular DPRL PADIMO Breeds nm m RM T e LI Mowe First Right Front Fetlock PAPR_PADIO Hove x Right Front Fetlock STANDING L M Right Front Foot D4SPRZOL PLDIMO tr Right Front Foot D45PR30M PLDILO Right Front Foot D amp 5PR PADIO Delete Right Front Foot DASPRASL PADIMO Right Front Foot DASPRASM PLEILO Reptile 9 Repeat step 6 throush 8 as necessary 10 Click the Unlink button Unlink gt to remove any shots from the Shots Linked to Protocol box 11 Select a shot in the Shots Linked to Protocol box and change the order using the Move Up Move Down Move First and Move Last buttons Move Up Moves your protocol shot up one shot in the series Move Down Moves your protocol shot down one shot in the series Move First Moves your protocol shot from its location to the first shot in the series Move Last Moves your protocol shot from its location to the last shot in the series 12 Click the Save button sae to save your protocols 13 Click the Patient button 24 to return to the Patient Screen If you have forgotten to save your protocols a Save dialogue box will appear Click the Yes button to save your changes and return to the Patient Screen o Do you want to save changes 9 hno acm Sound Eklin Page 24 Chapter 5 Protocols continued Editing Existing Protocols Edit current Protocols to customize them to your shot seri
15. DLPMO Left Calcaneous D PL T Right Front Foot DP Left Calcaneous DLPMO 12105 Right Front Foot DMPLO Left Calcaneous DMPLO 12105 CIE Right Front Foot D65PR PADIO L Left Calcaneous 1210W Shots Study Types Protocol Left Fetlock of Forelimb Right Fetlock of Forelimb menie Left Fetlock of Hindlimb Right Fetlock of Hindtimb Left Carpus Right Carpus Left Tarsus Right Tarsus Keeneland Repository 2013 Right Forefoot Lameness 1620PE 2520 2530W Left Carpus SKY DROW 4030 Left Cspine LE RT C1 C2 4336R Left Cspine LE RT C2 C3 Left Cspine LE RT C3 C4 4343R Left Cspine LE RT C4 C5 Test Left Cspine LE RT C5 C6 Test CIE Left Cspine LED RTV C1 C2 Left Cspine LED RTV C2 C3 B x sas o oom aTe Reptile Page 28 Chapter 6 Managing Studies Adding New Images to an Existing Study Add new images to an existing patient s study 1 Search for a patient in the Patient Screen by entering the Patient ID the Patient Name or the Owner Last Name The Patient List will automatically filter as you type 2 Click the Acquire button lad Ld lud kd Lad bou le ad LL lad aad add edit delete daj acquire protocol review server folder actions Patient ID Patient Name Gener Last Name Ore Day 24 hours E Set As Default Refresh Patient ID Patient Mod Date Dunner T m X 09012013 Demo 9 2 2013 Sound Ekln Stifle Check Up 9 2 7013 5 17 PM 9 2 2013 5 12 PM This will take you to the Views Screen using the anatomy you se
16. FM Left Campus FLEXED LM t Carpus XED LM Keeneland Repository 2009 Right Carpus SKY DROW Right Forefoot Lameness Right Front Fetlock DP 1520PE Right Front Fetlock DMELO Left Capine LE RT C1 C2 520E Right Front Fetlock DLPMO Loft Cspine LE RT C2 C3 Right Front Fetlock FLM Left Cspine LE RT C3 C4 2530W Right Front Fetlock DSLM Left Cspine LE RT C4 C5 4030 Right Hind Fetlock OF Left Cspine LE RT C5 C keen Right Hind Fetlock DMPLO Left Cspine LED RTV C1 C2 Right Hind Fetlock DLPMO Left Cspine LED RTY C2 C3 4343R Right Hind Fetlock LM Left Cspine LED RTY C3 C4 Test Right Tarsus DMPLO Left Cspine LED RTV C4 C5 Test CIE Right Tarsus CrCa Left Cspine LED RTY C5 C6 T Right Tarsus LM Left Elbow CrCa Breeds Right 5tifle LM a me Reptile NT RE a 5 1 1 Sound Eklin Page 26 Chapter 5 Protocols Renaming Protocols continued 4 Rename the protocol in the text box and click the OK button when finished Enter new name for protocol OK Lo 5 Restart the software by clicking Exit from the Main Patient Screen ad lad iod Ld ecd Ed Cs lad ed ld aad delete fure acquire protocol review server folder actions exit Patient ID Patient Hame Oener Last Name One Day 24 hours 7 Set As Default Refresh Archive Sec Transfer Study Date 3 ii 201 j 5 1 7 PM S 9 2 2013 5 12 PM Patient ID Patient Mod Date Owner Em 09012013 Demo 9 31 2013 3 Sound Ekl
17. MO Owner Sound Eklin Left Sound Eklin Page 11 Chapter 4 Creating Radiographs Cropping a Radiograph continued 2 Frame the desired image dragging from upper left corner to lower right hand corner of the touchscreen with finger tod lad had lid Ces Gid Ld Ld Ld ad boj Lad Led Lil lad lt I patient views anatomy review zoom W L crop reverse left right flip send actions signal battery Fetlock of Forelimb Name Demo DLPMO Owner Sound Eklin Left r Next Shot Information Patient Information 3 The image will enhance once it is cropped The image will perform an ROI based on crop size 4 Re crop the image if necessary before taking the next radiograph by repeating the steps Sound Eklin Pace 12 Chapter 4 Creating Radiographs continued Applying a Default Image Orientation If after acquiring an image the default display of the image is not the desired orientation you can change the default orientation using the default display tool 1 From the Acquisition screen after acquiring an image click the Actions 4 button and then click the Default Display button lad bad lal ad bad Ld Lad ad boj kad led Lad lad S ll patient wires anatomy pavit room WL crop reverse Let right flip send actions signal battery t Next Shot Information 5 revert P r Patient Information Stifle Hame Demo LM Owner Sound Eklin i ral Lef v rie r A a domini Num Fem o ee rd Dm
18. Page 17 Chapter 4 Creating Radiographs Creating a Study Using Modality Work List continued 5 Select the Patient from the populated list 7 a patient Work List Server Patient ID Patient Name Modality VS6 E Select by Scheduled Start Date Create Study 6 Click the Create Study button Create Study 7 Fillin any additional information for your patient in the Work List Create Study Dialogue box patient Work List Server Patient ID Patient Name Modality v Select by Sched Start Date Thursday Sept4l Patient ID 1217A Patlent Name KLEPPER HALO Patient Hime Patio CLEMMDNS HIST AIA a o tt Owner Last Name LEPPER KLEPRIB HALO TII iu Species Canine Fritz er m ERAUHPrEdeu amp IMES BARRIA TEDOY TEIA BARRINGTON ST 1344 Liven Wie CHIA Fritz Jennifer JA ERUWIR KIKI TAT h g Jla Dusty iA gt hove biam eA Haia POE 114 Owner First Name FRANK amp LOU Breeds Study Description A ether Love Cameron E Fris Karen Wetebryer Study Types Abdomen BREWER MICHAIL biajia Jaime Leve Cason Tech Tech Teit LES PL TALLY Vet Vet Test s lumi HARA STEFHE CTITECEHUM Welght SA 910949241706 Convert to kg TT Martin Lightning 9A Matin Duane a es VIA Retriever Love ameton FREDERICK eeo enaaj Save Acquire Save Protocol save J canet per Mind FREDERICK SALLY JACK COO BiTA
19. a blue box 3 Click the Folder button Ld ad led d Ld ad d Cs Gad Ld ld ad edit delete reme acquire protocol review server folder actions exit Expert ARI Overlay Burnin One Day 24 hours Set As Default Re ra Hang Patient ID Patient Mod Date Owner 09012013 Demo 9 2 2013 Desc ription meu rs Study Date 1 Archive Sec Transfer Create DICOM Dir 9 2 2013 5 17 PM Stifle ada nicom views 9 2 2013 5 12 PM Sound Eklin Select 4 Select either the DICOM or JPEG image format from the Export As drop down menu 5 When selecting the DICOM option from Step 4 click the Add DICOM viewer check box only if the computer does NOT have a full DICOM viewer already installed Annotation Burning Anonymize Images Repository Format Create DICOM DIR Imprints annotations made to saved images Strips all client and clinic information from the images Places images ina repository folder format Adds a DICOM directory to quickly import all images into a PACS system Sound Eklin Page 33 Chapter 7 Exporting Images to a Folder continued 6 When selecting the JPEG format from Step 4 select the Overlay Burning options from the drop down menu AB The default option is set to None None Does not show overlays on the JPEG image Detail Shows a detailed DICOM overlay on the JPEG image shows Image Number Manufacturers Model Number Study ID Image Anatomy View Position Image Laterality Extended Columns X Rows Te
20. a or where approved for the usage Risk of electric shock Do not open Caution To prevent electric shock match wide Caution To reduce the risk of electric shock do blade of plug to wide slot Insert fully not remove cover No user serviceable parts inside Refer servicing to qualified service personnel This symbol is to alert the user to important operating and maintenance service instructions in this manual and literature accompanying the product This symbol is to alert the user to the presence of uninsulated dangerous voltages inside the product s enclosure that may constitute a risk of electric shock Sound Eklin Page iii Chapter 1 Opening TruDR Touch Software Open the TruDR Touch Software to begin the process of taking a radiograph 1 Double tap the TruDR icon K on the desktop This will load the TruDR software for acquiring digital radiographs 2 Enter the user name and password when the login screen appears The default login is User Name admin Password admin The software will load directly into the Patient Screen if the Remember Me box is checked User Mame admin 1 sound eklin Lu d T begin enter your user name and passerord Sound Eklin Page 1 Chapter 2 Adding Users Add veterinarians and technicians to TruDR 1 Click the Manage button in the Patient List Screen To access the Manage screen the user needs to have Administ
21. apter 5 Protocols Adding New Protocols continued 8 Click the Link button Link to add the shot to the Shots Linked to Protocol box sound oklin 9 patient dmport export les eo Editing protocol Right Forefoot Lameness Shots for Species Filter by aisi Sus Shots linked to protocol Right Front me Equine Right Front Foot LM i Right Front Fetlock DPRL PADIMO en Right Front Fetlock DPAL PADIMO Large Right Front Fetlock DPRM_PADILO 12105 UnLink Right Front Fetlock DPRM PADILO 12105 CIE Right Front Fetlock DSLM 1210W Move Up Right Front Fetlock FLEXED DP a tat Front Fetlock FLEXED L M Shots Right Front Fetlock FLEXED LM Study Types Move Down Right Front Fetlock FLM Protonot Right Front Fetlock LM Left Fetlock of Forelimb Right Fetlack of Forelimb Left Fetlock of Hindlimb Right Fetlock of Hindlimb Left Carpeus Right Ca Right Front Foot DLPMO pus Right Front Foot DMPLO Left Tarsus Right Front Foot DP addidi tene M Front Fost DR PADINO Keeneland Repository 2007 Right Front Foot DPRM_PADILO Right Forefoot Lameness Right Front Font FLEXED LM 1620PE EAE EFATE DOR LM J520E Right Front Foot PASDPR PADIO Right Front Foot PAPR_PADIO 2530W Right Front Navicular D 5PR PADIO 4030E Right Front Havieular D65PR4565L_ PAD 4334R Right Front Navicular D65PR4565M PAL Right Front Mavicular DLPMO 4343R Right Front Havicular DMPLO Test Right Front Mavicular DP Test CIE Right Front Mavicular DPR_PA
22. chnigue Institution Name Physician of Record Patients Name Patient ID Patient Breed Description Patients Birth Date Patients Sex Acguisition Number Acguisition Date Acquisition Time Summary Shows a summary DICOM overlay on the JPEG image shows Image Number Image Anatomy View Position Image Laterality Extended Institution Name Physician of Record Patients Name Patient Breed Description Patients Birth Date Patients Sex Acquisition Date Acquisition Time 7 Click the Select button Export As DICOM M Overlay Burnin None Anonymize Images LI Create DICOM Dir Add DICOM Viewer Select 8 Select a location to save the images Images are saved to a selected location in a folder with the animals name and the clients last name e g Trigger Smith Sound Eklin Page 34 Chapter 8 Transferring Studies to SoundBank or Storage Transfer the studies from the Acquisition Station to the Storage Review Station You must have your acquisition modality and your storage review station networked Please contact your local IT person for any networking needs and Sound Eklin tech support for configuring DICOM Server for the Mark 1210cw 1 Connect the acquisition modality to your network 2 To bring up the Store Files to DICOM Server screen Click the Server button 4 on the Patient Screen 1 2 840 114387 95876791 NEW SOUNDEKLI 9 jemo Sound Eklin John Smith Study Instance UID DICOM S
23. cy if e The power supply cord or plug has been damaged e Objects have fallen or liquid has been spilled into the unit e The unit has been exposed to rain e The unit shows signs of improper operation e The unit has been dropped or damaged in any way Place the unit on a fixed level surface strong enough to support its weight Do not place it on a moveable cart that could tip over System will become unresponsive when exposed to Electrostatic Discharge ESD or Electrical Fast Transient EFT conditions This is the normal response to these environmental conditions Please restart the system to return to normal operation USB ports are for keyboard and mouse only User is responsible for evaluating the system with any devices connected to this port for compliance to IEC 60601 1 1 Ethernet port is not to be used during acquisition User is responsible for evaluating the system with any devices connected to this port for compliance to IEC60601 1 1 The customer is responsible for the disposal of the medical device Disposal activities must follow the regulations especially controlled industrial waste of the country where the device is used Page ii Specifications Operation Environment 15 C to 35 C 30 to 75 RH 70 to 106kPa pressure Storage Transport 10 C to 55 C 15 to 80 RH 70 to 106kPa pressure Power Requirements 100 240 VAC 5 6A 50 60Hz Weight net 41 lbs CAUTION Applicable for USA Canad
24. d SetasDefaut Refresh ra 090713045 DEMO 9 2 2 Sound Eklin Select report type Starting Date 9 3 2013 Ending Date 9 4 2013 e Generate Report Once in the reporting menu select the report that you would like to run Select the range of dates you would like the report to cover Then click Generate Report Generate Report The requested report will be generated and displayed The report can be exported to PDF or XLS to the desktop by clicking the Save PDF or Save XLS button Sound Eklin Page 43 Appendix A Digital Radiography Technique Charts Adult Equine MinXRay HF8015 TR80 and TR90 at a distance of 26 Adult 1 000 lbs kVP Seconds mAs Distal Extremity all views 80 0 06 0 90 Radius 1 80 006 090 Elbow 8 020 130 StfeLM 80 joao 150 Stile Cd CrMO 80 034 5100 Stile Cd CrlO 80 034 5100 Stile C Cd 80 034 540 Tibia I 015 225 Large Adult kVP Seconds mAs Distal Extremity all views 80 006 090 Radius 80 008 120 Elbow 80 026 390 Stfe LM 80 015 4225 Stile Cd CrMO 80 034 5100 Stile Cd CrlO 80 034
25. er to trim any unwanted image data Reverse Select this action to reverse the selected image Left Select this action to rotate the selected image 90 degrees left Right Select this action to rotate the selected image 90 degrees right Flip Select this action to flip the selected image Send Select this action to send the acquired images before ending the study Sound Eklin Pace 31 Chapter 6 Managing Studies Reviewing a Study continued Actions Invert Select this action to invert the selected image Revert Select this action to return the selected image to its original saved state Overlay Select this action to toggle the overlays Delete Select this action to delete the selected image ROI Select this action and drag a box from corner to corner to apply a new window level value based on the selected area Close End Study Select this action to End an active study or Close a completed study and navigate back to the Patient Screen DU BOWE Acquire Select this action to Acquire additional images into the current study k Sound Eklin Page 32 Chapter 7 Exporting Images to a Folder Export images from a study to a folder to save on a computer thumb drive etc 1 Search for a patient in the Patient Screen by entering the Patient ID the Patient Name or the Owner Last Name The Patient List will automatically filter as you type 2 Select a patient and a study The patient and study are highlighted in
26. es 1 Click the Actions button to access the Manage button g in the Patient Screen b AP To access the Manage screen the user needs to have Administrative rights Changing items in the Manage Screen other than Users and Protocols may cause your system to function improperly If you are concerned about making changes in the Manage Screen please contact Technical Support at 1 800 268 5354 add led ld Ld C2 Ea Es add La lad uad Dec Transfer 2 Click on the Plus Sign next to the Protocols list to show the existing protocols 3 Select a Protocol to edit from the left side menu make changes and click Save E Specie jene Editing protocol Left Fetlock of Hindlimb Shots for Species Filter by Estara TP Shots linked to protocol Show All Feline POETER E E Equine Left Hind Fetlock LM wink Loft Abdomen LAT Left Hind Fetlock DLPMO Left Calcaneous D PL d Large Left Hind Fetlock DP Left Calcanecus DLPMO 12105 Left Hind Fetlock OMPLO UnLink Left Calcaneous DMPLO 12105 CIE Left Calcaneous DP 1210W Move Up np e als Shots mw Carpus D25M PALO Study Types Move Down Left Carpus D30PR DOIO Left Carpus D35L PAMO Bir ies Move First J Left Carpus DS5L_PAMO Left Fetlock of Forelimb Jm A Left Carpus D DM PALO Right Fetlock of Forelimb m J EMEN a DOK 2 arpus DSOPR Left Carpus DLPMO Left Carpus DMPLO Right Fetlock o
27. f Hindlimb Left Carpus Left Carpus DP Right Carpus 1 lana RE Dp Left Tarsus Left Carpus FLEXED D70PR DDIO Right Tarsus Rename Left Carpus FLEXED D8O0PR DD4O Left Carpus FLEXED DPR BEI Keeneland Repository 2009 U X Right Forefoot Lameness 1820PE 2520E 2530W Left Carpus FLEXED L M Left Carpus FLEXED LM Left Carpus FLM Left Carpus LM Left Carpus PD Left Carpus SKY DROW 4030 Left Cspine LE RT C1 i Gm Left Cspina LE RT CI C3 3 Left Cspine LE RT C3 C4 3343R Left Cspine LE RT C4 C5 Test Left Cspine LE RT C5 C Left Cspine LED RTV C1 C2 Test CIE Left Cspine LED RTV C2 C3 Breeds M tiet Reptile Closing the software and re opening is required to save protocol database changes Sound Eklin Page 25 Chapter 5 Protocols continued Renaming Protocols Rename current protocols 1 Click the Actions button ard to access the Manage button d in the Patient Screen AP To access the Manage screen the user needs to have Administrative rights Changing items in the Manage Screen other than Users and Protocols may cause your system to function improperly If you are concerned about making changes in the Manage Screen please contact Technical Support at 1 800 268 5354 add led Ld GA lad Ead Es uad Ld ad lu Patient ID Patient Hame Dami manage One Day 24 hours Set sDefaut Ref Led hone Patient ID Patient Mod Date Owner Description s fad
28. filtered search fields 1 Search for a patient in the Patient Screen by entering the Patient ID the Patient Name or the Owner Last Name The patient list will automatically filter as you type AB Patient list is displaved based on the User Selected Default 2 f you do not see the patient you are searching for click the Add button Or press the Enter key on the keyboard to bring up the Add Patient Screen 3 Enter the patient s information Patient Name and Last Name are required fields When entering patient name and last name DO NOT use special characters such as amp Special characters and symbols can cause problems in the patient name fields Sound Eklin Page 4 Chapter 3 Patient Information Searching and Adding Patients continued 4 Click one of the Save buttons s Save Acquire Saves the current patient then opens the Anatomy Selection Screen Save Protocol Saves the patient and brings you to the Protocol Selection Screen Save Add Saves the current patient and remains in the Add Patient Screen Save Saves the current patient and returns you to the Patient Screen f Sound Eklin amp TruDR Sound Eklin Page 5 Chapter 3 Patient Information continued Editing an Existing Patient s Information Edit an existing patient s information for future DICOM tagging AP Previous exam information cannot be changed 1 Select a patient to edit from the Patient Screen 2 Click the Edit button
29. ging items in the Manage Screen other than Users and Protocols may cause your system to function improperly If you are concerned about making changes in the Manage Screen please contact Technical Support at 1 800 268 5354 2 Click on the Plus Sign next to the Protocols List to show the existing protocols 3 Select the Protocols menu from the left side of the screen to load the Protocol Screen Navigate to Species Equine 1210W Protocol 12105 CIE n1210W Shots Study Types a Left Fetlock of Forelimb Right Fetlock of Forelimb teft Fetlock of Hindlimb Mos Fetlock of Hindlimb Left Carpus Right Carpus Left Tarsus Right Tarsus likaeneland Repository 2009 1620PE 2520E 2530W 4038E 4335R 4343R Test Test CIE Breeds Reptile Avian Vd ete eaput e E papa rjr eu MT ee ee EE t qe 4 Enter the name of your new protocol in the Protocol Name field Sound Eklin Page 22 Chapter 5 Protocols Adding New Protocols continued 5 Click the Save button 6 Filter the shots as necessary by selecting the Filter by Laterality drop down menu Shots for Species Filter by Laterality Shots linked to protocol Show All 12105 n 12105 CIE U 41210 Shots Study Types u Protocol Left Fetlock of Forelimb Right Fetlock of Forelimb Left Fetlock of Hindlimb Right Fetlock of Hindlimb Left Carpus Right Carpus Left Tarsus Right Ta
30. ication to Ide 3 20 2012 2 47 00 PM Association closed 3 20 2012 2 47 01 PM Completed a rms H nans a nonn u ns n Ta M T M id Sound Eklin Page 36 Chapter 8 Transferring Studies to SoundBank or Storage continued Transferring Individual Studies to SoundBank or Storage Transfer the studies from the Acquisition Station to the Storage Review Station 1 Search for a patient s study by entering the Patient ID the Patient Name or the Owner Last Name The Patient List will automatically filter as you type 2 Select a patient by clicking on the patient name in the Patient List field 3 Click the Server button dd Led d d C Ead s d LA lad lul add edit delete new acquire protocol review server folder actions DICOM Server 539 95548 2 e Patient ID Patient Name One Day 24 hours Y Set As Default Mod Date 9 2 2013 Owner Sound Eklin Patient ID Patient 09012013 Demo Description Study Date SStifle Check Up 9 2 2013 5 17 PM Stifle 9 2 2013 5 12 PM 4 Click the Start Store button to begin DICOM image transfer Delete Selected Clear Finished Start Store Cancel eset seecea Mesi Taes 5 Status box displays transfer results When the status box states completed your images have successfully transferred to the DICOM server Click the Red close bu
31. in Deleting Protocols Delete current protocols 1 Click the Actions button Led to access the Manage button fagin the Patient Screen A To access the Manage screen the user needs to have Administrative rights Changing items in the Manage Screen other than Users and Protocols may cause your system to function improperly If you are concerned about making changes in the Manage Screen please contact Technical Support at 1 800 268 5354 Ed Cd Ld Ed CI Ed Es d Ca d a delete new acquire protocol review server folder actions exit Patient ID Patient Hame Ceres manage a One Day 24 hours Set As Default Refresh Patient ID Patient Mod Date Owner Description 5 had work list Count Archive Sec Transfer NENNEN 090213045 DEMO 9 2 2 Sound Eklin SPA A da Sound Eklin Page 27 Chapter 5 Protocols Deleting Protocols continued 2 Click on the Plus Sign next to the Protocols List to show the existing protocols 3 Select the Protocol to delete from the left side menu click the Delete button v Species 4 Click the Yes button to permanently remove the protocol AN Dein 5 Restart the software by clicking the close button in the upper right corner Sound Eklin Chal Editing protocol Right Forefoot Lameness Shots for Species Filter by Laterality rar Shots linked to protocol Show All b Equine Right Front Foot LM Left Abdomen LAT Us Right Front Foot
32. lected from the original study This is shown in the description field Are you sure you want to add radiographs to the study acquired on 9 2 2013 5 17 00 PM for Demo 3 You will be prompted to make sure you want to add images to the existing study If you want to add images to this study click the Yes button If you meant to create a new study for this patient click the Create New Study Create New Study If you do not want to perform either of these functions click the Cancel button Cancel patient anatomy review Equine Right Stifle Right LM Right CD4 CRLO Right CD CR Right CDL CRMO Right FLEXED LM Right CRPR CHI e AMD Right Cal Erw Right PA Right CD30L CRMO ehh copRts RO Right FLEXEDL M Right STANDING L M LL Wl O 53 Page 29 Sound Eklin Chapter 6 Managing Studies continued Reviewing a Study Change the layout or delete any unwanted images before the study is archived on SoundBank or Storage 1 Select a patient by clicking on the name in the Patient List 2 Click on the Study from the list on the right lad Ld Ld kd Li Ead C ad LL lad ad folder actions exit add edit delete acquire protocol review server Patient ID Patient Name Damer Last Name One Day 24 hours Set As Default Refresh Count rehi Sec Transi Description Study Date Patient ID Patient Mad Date Owner Stifle Check Up 9 2 2013 5 17 PM 09012013 Demo 9 2 2013 Sound Eklin Stifle 9 2 2013 5 12 PM
33. natomy review zoom WIL crop reverse left right flip send actions signal battery r Next Shot Information Patient Information Fetlock of Forelimb Name Demo LM Owner Sound Eklin Left Protocol Infomation Name Left Fetlock of Forelimb sot vs KE OAO Linn Sound Eklin Page 20 Chapter 5 Protocols Using Protocols continued 4 Shoot the first image The software will automatically advance to the next shot in the protocol series The shot number in the Protocol Information Bar keeps track of the shot sequence while the Shot Information for the next image appears in the upper left Next Shot Information Fetlock of Forelimb LM Left Protocol Information Name Left Fetlock of Forelimb Shot 1 5 M 4 D gt M m 9 Use the Protocol Information bar to repeat a shot skip a shot restart the protocol move to the last shot in the protocol or stop the protocol Move to the first shot in the protocol series Repeat the previous shot Skip to the last shot in the protocol series Kd q b Skip to the next shot gt gt E Stop the protocol 6 Click the Review button to open the Review screen see page 30 Sound Eklin Page 21 Chapter 5 Protocols continued Adding New Protocols Create new protocols for your individual studies 1 Click the Actions button lado access the Manage button RE the Patient Screen A To access the Manage screen the user needs to have Administrative rights Chan
34. not to place any weight on the detector use protective tunnel IPXO per IEC 60529 Type B per IEC 60601 1 e You must allow 10 cm or 4 inches of unobstructed clearance around the unit Do not place the unit on a bed sofa rug or similar surface that could block the ventilation slots If the component is placed in a bookcase or cabinet there must be ventilation of the cabinet to allow proper cooling e Keep the component away from radiators heat registers stoves or any other appliance that produces heat e Keep the component away from flammable materials e The unit must be connected to a power supply only of the type and voltage specified on the side panel of the unit Page i Important Safety Information continued Disposal Sound Eklin A A Connect the component to the power outlet only with the supplied power supply cable or an exact eguivalent Do not modify the supplied cable in any way Do not attempt to defeat grounding and or polarization provisions Do not use extension cords Do not route the power cord where it will be crushed pinched bent at severe angles exposed to heat or damaged in any way Pay particular attention to the power cord at the plug and where it exits the back of the unit The power cord should be unplugged from the wall outlet if the unit is to be left unused for a lone period of time Immediately stop using the component and have it inspected and or serviced by a qualified service agen
35. ns mMenal battery Next Shot Information Fetlock of Forelimb DLPMO Owner Sound Eklin Left Name Demo m kA EET m i am i 2 A prompt will appear on the screen confirming the images already acquired in the study have been sent to the configured DICOM destination Study has queued to send to DICOM server Sound Eklin Patient Information Page 16 Chapter 4 Creating Radiographs continued Creating a Study Using Modality Work List Use Practice Management Software to send the information via Modality 1 Use your Practice Management Software to create a modality worklist 2 Click the Actions button Lad then click the Worklist button bad Sound kika g lad patient Work List Server Patient ID VS6 Select by Scheduled Start Date Start Date Thursday September 05 2013 Patient Hame Patient ID Birth Date Patient Name Modality Get Worklist Create Study End Date Thursday September 05 2013 Weight Sex Patient Species Patient Breed Owner Hamo Owner Address Qwner Phone Schedule 3 Check the Select by Scheduled Start Date box to filter the worklist by date range 4 Click the Get Worklist button Get Worklist gt populate a list of all patients sent from your Practice Management Software You can also search for a patient by entering the patients information and clicking the Get Worklist button Sound Eklin
36. oooooo eene eere 38 Confirm Storage ol a SEU ociatisssusEaesv oda dead iius ov sh k n co n Ebr pads 39 Chapter 9 Adding and Editing a DICOM Location cccccccccccccccccccccccccceccccsccccecs 40 Chapter 10 REDON LIIS 1 9229431402 PE RUE E 93ER EXE QURE LPEEE TION E EUTSROTOPPPPMER V dU SOUPEUEUFIS GU POR 43 Radiologv ReDOFL iuusesdc at vex ain dd ut id i dod PRESE IP Paso Rb T EPUM 43 AHAA RODOFG prorreiris ereinen n e 6 43 cultfe Ec nr T 43 Appendix A Digital Radiography Technique Charts cccccccccccccccccccccccccccecccecccces 44 Adult EOUMO ooi err REOR ePi nn a 44 Juvenile EGUuniGusoii ntuto cos t hosrod cio Side p da EENET o vt io nn 45 SPI TT s bu a b suda st bin nhl b do A dob 46 Appendix B Assembly Instructions for Rayence 1210cw Handle eese 47 Appendix C Wireless Rayence 1210cw Plate Functionality eee rne 48 Signal and Battery SU engllY 1 2 a eekosa ns da ia din ns REP PX VE 49 Appendix D Technique and Positioning Guide eooo osovo osovo ooo osovo ehe 50 Poson DISLANICE cig pire von on o ED M I 51 ToO Edree ofa DISTANCE iasce cesis sors nasi da Ol ns pr dee ud DS oi ina 51 TOO Small oE a icius c e M 51 Ideal Technique and Distance is6 s 60is0 v Tad d odd bos Vodka b k
37. ov io v ak ovo 52 Appendix E Technical SUPPOT Uxsosen casi st ri ed Vadis dir dad d da Qii dq ova hn RIS o SU ade MCI 53 SIIDBInS MOGI CSS cheeses seve solen cv ua Pa koho PURA r IT ot bi 53 Technical SUD DONE o5 vod EORR EFIE PO ESTERI ELI UREDSRURR EUN c OIM US 53 W ODSTO EUER EET T DI LI ULTIME 53 Sound Eklin Important Safety Information Note AP Read all the instructions before connecting or operating the component Warning O Caution A Sound Eklin Keep this manual so you can refer to these safety instructions There are no user serviceable parts inside Refer all servicing to qualified service personnel To reduce the risk of fire or electric shock do not expose the unit to moisture or water Do not allow foreign objects to get into the enclosure If the unit is exposed to moisture or a foreign object gets into the enclosure immediately disconnect the power cord from the wall Take the unit to a qualified service person for inspection and necessary repairs Heed all warnings and safety information in these instructions and on the product itself Follow all operating instructions e Clean the enclosure only with a dry cloth or a vacuum cleaner Clean the DR plate with a damp cloth Use no chemicals or alcohol e Installing 3rd party software is not acceptable e Protective bags can be used to protect the detector from biological contamination e Avoid pinching fingers in the cases e Do
38. ower button Press and hold the power button until you see the green power light turn on To turn OFF the plate press and hold the power button until the green power light turns off 2 Once the plate is turned on power on the Mark 1210cw console The TT Power button Power Light plate will take approximately 2 minutes to link to the 1210cw console During this time the blue LINK light will pulse intermittently When the plate has established a link the blue LINK light will blink rapidly 3 The 1210W plate is now linked to the console and ready for use Blue LINK Light Sound Eklin Page 48 Appendix C Wireless Rayence 1210cw Plate Functionality continued Signal and Battery Strength In the top right corner of the acquisition screen are two 2 icons B The signal and battery icons indicate to the user the amount of battery that remains in the plate as well as the signal strength of k the wireless link These icons change to 4 different values 25 x 50 75 and 100 If these icons are blank empty the plate is not signal battery linked Located at the bottom of the screen the taskbar will display a green Enabled icon when the plate is linked and ready to acquire i Fnabled i an image When the plate is not ready to acquire an image the taskbar will display a red Disabled icon The plate will go Disabled whenever the software is not in the acquisition sc
39. rative rights Changing items in the Manage Screen other than Users and Protocols may cause your system to function improperly If you are concerned about making changes in the Manage Screen please contact Technical Support at 1 800 268 5354 Sound Eklin Page 2 Chapter 2 Adding Users continued 3 Click the Add User button in the Acquisition Screen 4 Enter the User s name in the First Name and Last Name fields 5 Create a unique user name and password in the User Name and Password fields Suggested user name First initial of your first name plus last name e g jsmith for John Smith Passwords can be left blank for ease of use 6 Select a Group or Groups for each user by clicking Tech or Vet Each Group allows different permissions You may select multiple check boxes per user Tech User is added to the Tech pull down list has no access to the Manage features Vet User is added to the Vet pull down list has no access to the Manage features Admin Has full access to the Manage features Tech Support Should only be used by Sound Eklin Tech Support 7 Click the Save button Save to add the User 8 Repeat steps 3 through 7 to add additional Users AB Please note There must be at least one TECH active in the user menu Sound Eklin Pace 3 Chapter 3 Patient Information Searching and Adding Patients Search for existing patients or add new patients easily by using the
40. reen even if the plate is still linked to the console Next to the Enabled Disabled icon is a more accurate display of the Signal Strength and Battery Life of the plate Q Signal Strength a ss SS B Battery Life If the plate is not linked to the console this will display Link Lost Sound Eklin Page 49 Appendix D Technique and Positioning Guide Before acquiring radiographs with a Sound Eklin digital x ray system the following steps should be taken to ensure that each image acquired achieves optimal image quality Set the digital panel 26 inches 66 cm from the tape measure on the side of the x ray generator perpendicular to the generator with the beam centered on the capture area Adjust the collimator blades so that only the capture area is exposed This will ensure that each linge is taken at almost exactly 26 inches eliminating distance as a variable for inconsistent image quality 2 When acquiring a radiograph center the anatomical region of interest on the capture area of the digital panel and position the generator so that only the capture area is exposed by the light beam Sound Eklin Page 50 Appendix D Technique and Positioning Guide continued Position Distance Too Large of a Distance Below is an example of an image acquisition scenario demonstrating correct technique and positioning but with distance greater than an ideal scenario Notice that the distance from the digi
41. rsus Keeneland Repository 2009 Right Forefoot Lameness 1620PE 2520E 2530W 4030E 4336R 4343R Test Test CIE Breeds Reptile 7 Select the first shot from the Shots for Species list a T re Editing protocol Right Forefoot Lameness die Shots for Species Filter by Laterality Shots linked to protocol Feline Equine Right Front Foot LM Right Front Fetlock DPRL PADIMO eres Low CUL Right Front Fetlock DPRL PADIMO Large 3 Right Front Fetlock DPRM PADILO 12105 Right Front Fetlock DPRM PADILO 12105 CIE Hn b 1210W Shots Study Types Protocol Left Fetlock of Forelimb di Right Front Fetlock STANDING L M Right Fetlock of Forelimb Right Front Foot D4SPR30L PLDIMO Lf etek Hindi a me Right Fetlock af Hindlimb Right Front Foot D45PR45L_PADIMO Left Carpus Right Front Foot D6SPRASM PLDILO mist Right Front Foot DLPMO Right Carpus Right Front Foot DMPLO Left Tarsus Right Front Foot DP Right Tarsus ws ind os DPR PADIO Keeneland Repository 2009 Right Front Foot DPRM_PADILO Right Forefoot Lameness Right Front Foot FLEXED LM 1620PE sja Right Front Foot PASOPR PADIO Right Front Foot PAPR PADIO 2530W Right Front Navicular D4SPR PADIO 4030E Right Front Havicular D amp SPRAS amp SL PAD Pe Mh Front Navicular DSSPR4565M PAC 36R 4343R Test d mm Right Front Navicular DPR PADIO Right Front Navicular DPRL PADIMO Breeds 51 TET Reptile 1 Sound Eklin Page 23 Ch
42. s Allow Worklist no Demo Mode AIS Server no User Descriptions Sound Eklin Page 40 Chapter 9 Adding and Editing a DICOM Location continued a patient pecus Save Cancel Equipment Configuration DICOM Server Settings User Settings Application Settings Acquisition Settings AE Title Tech Support Settings IP Address DICOM Port Technical Support Description Disk Management Auto Send Server Update Management Archive Server Users Allow Worklist Demo Mode AIS Server User Descriptions scund eid Delete Server Verify e DICOM Servers SOUNDEKLINPACSO1 192 168 1 201 104 SoundBank Yes Yes He No 3 Click the Add button Add Server to add a new DICOM server Or if editing select the existing DICOM server from the DICOM Servers list on the Right 4 Enter the AE Title IP Address and Port number for your DICOM server OR if editing enter the corrected AE Title IP Address and Port number for your DICOM server Contact Sound Eklin Technical Support or the location you are sending the DICOM images for the appropriate DICOM provider information 5 Select additional information by choosing Yes from the drop down menus Only select the following options if you are directed to do so by a Technical Support representative Auto Send Server Automatically sends images to the selected DICOM location Allow Worklist Designates the DICOM location as a worklist modality Telemedicine Server Designates the
43. svou o los tk entist r V cab no TETEN 11 Applying a Default Image Orientation cece cece ccc ccecccccecccceeccccsecccceecccseecees 13 Uroent DICOM SONG T Cr HM 16 Creating a Study Using Modality Work List ooooooooooooov s ooo eene eee 17 Chapter 5 PrOEOCOIS sviato n si vu raid dU slo ved ca Oki klas a e aid aa oa jo OPUS d DR PARES 19 SIE PFOLOCOIS core abc cose on oni 19 Adding New Protocols ccc v0 voy odp2 d VAR EPETE RETI ROTE r ARENE NATEN o vi Tonko 22 Editibe IEXISUING Proto Ol sessos o i osi t PI QE ERE da TAa PS i on ni RS P PU Ad d QN 25 Renaming PFOLOCOR S setae bcexeovsnvekint sup voxol ds ese nr o EE TAE 26 Deleting Protocol ssket sso ss oi KO PO OD o E M DUPN ENVOI EAS V 27 Chapter 6 Managing Studies i 2219439933492 0499 09999 4 UFQEPRE aka ki disk a in ddk ndadno doladit 29 Adding New Images to an Existing Study eeooooooooooo osovo osovo eroe 29 REVI WING a SEU Vos oos usas ea udo NENTANG 30 10192013 Sound Eklin TruDR Touch Software Table of Contents TruDR Touch Software User Manual continued Chapter 7 Exporting Images to a Folder ccceeeeeeeeeee eene 33 Chapter 8 Transferring Studies to SoundBank or StOrage cccccccccccccccccccccccccecccs 35 Transferring Individual Studies to SoundBank or Storage eee 37 Transferring DICOM Batch to SoundBank or Storage oeooooso
44. tal panel is greater than 26 and the collimator is exposing outside of the capture area The end result is an underexposed image Notice the gradient from the top of the image to the bottom This will occur when the digital panel is tilted at an obtuse angle from the generator In ideal conditions the digital panel is always exactly perpendicular to the generator Too Small of a Distance Below is an example of an image acquisition scenario demonstrating correct technique and positioning but with distance less than an ideal scenario om Notice that the distance from the digital panel is less than 26 and the collimator is not exposing the entire capture area The end result is an overexposed image Notice the lack of soft tissue around the bone When the entire capture area is not exposed the unexposed part of the image can cause the image processing to display a less than optimal image Sound Eklin Page 51 Appendix D Technique and Positioning Guide Position Distance continued Ideal Technique and Distance Below is an example of an image acquisition scenario demonstrating ideal technique positioning and distance X Notice that the distance from the digital panel is 26 and the collimator is only exposing the capture area There is no unexposed area inside the capture area and no area outside of the capture area is exposed The end result is an ideally exposed quality image Sound Eklin Page 5
45. tioning to automatically enhance and position the radiograph 1 Select the Tech and ordering Vet from the drop down menus Tech Jones Mike Vet Smith John 2 Click the touchscreen and select the appropriate anatomy ga Ez patient review Tech Study Description Jones Mike Vet Accession Humber Smith John IE Right Body Left Body a n a Right Farelimb Left Forelimb sl 1 ng Left Hindlimb Right Hindlimb a m Sound Eklin Pace 7 Chapter 4 Creating Radiographs Choosing Anatomy and Positioning continued 3 Click on the appropriate view button for the exposure This will bring you to the acquisition screen a bs patient review Tech Study Description Jones Mike gt Accession Number Vet Smith John de Wy U Right Forelimb Radius R Carpus R tindlimb Sound Eklin Page 8 Chapter 4 Creating Radiographs continued Acquiring Radiographs 1 Set the X ray generator according to the Sound Eklin Technique Chart using the appropriate KVP and mAs depending on the X ray generator A Due to variations between X ray generators optimal techniques may vary somewhat from the values printed on the Sound Eklin Technique Chart Users should be fully acquainted with State and local regulations governing radiation protection and the use of diagnostic X ray equipment as well as the manual for the X Ray Generator being used 2
46. tton in the upper right corner to close the screen c n al IRSE M Server le aj ver em et x AM Batch Send Options Start Date Tuesday March 20 20 End Date Tuesday March 20 20 Server Fusion VM Server Study Instance UID DICOM Study Dat Patient Ha Client M Study Vet Modalities Count SuccessC Error C eaa renia T TET Status logging to C Program Files x86 Sound TruDRidicomlog txt 3 20 2012 2 47 00 PM Sending store request Abstract Syntax Digital XRay Image Storage Presentation 1 2 840 10008 5 1 4 1 1 1 1 Transfer Syntax Implicit Vr Little Endian 1 2 840 10008 1 2 3 20 2012 2 47 00 PM Store Confirmation SUCCESS file C Program Files x86 Sound TruDR Captures 2012 3320 371PT 1 7 DicomSendimages 1 2 840 114387 2267161016 51372 16956 41314 6064 3 20 2012 2 47 00 PM Result Store Success for file C Program Files x85 Sound TruDR Captures 2012 3 201371PT 1 7 DicomSendimages 1 2 840 114387 2267161016 51372 16956 41314 606475154 3 20 2012 2 47 00 PM Releasing association 3 20 2012 2 47 00 PM State changed AssociationEstablished to AwaitingAReleaseResponse 3 20 2012 2 47 00 PM State changed AssociationEstabiished to AwaitingTransportConnectionCioseindication 3 20 2012 2 47 00 PM State changed AwaitingTransportConnectionCioselndication to Ide 3 20 2012 2 47 00 PM Association closed 3 20 2012 2 47 01 PM
47. ve ie Sound Serv2 9 4 2013 6 49 PM 9 4 2013 PM Sound Eklin Page 39 Chapter 9 Adding and Editing a DICOM Location Add DICOM server locations for sending images to SoundBank a Storage Station Radiologist etc 1 Click the Actions button Lado access the Manage button d in the Patient Screen AP To access the Manage screen the user needs to have Administrative rights Changing items in the Manage Screen other than Users and Protocols may cause your system to function improperly If you are concerned about making changes in the Manage Screen please contact Technical Support at 1 800 268 5354 sd led bud kd Le Ea Ces ad Ld lad lad add edit delete new acquire protocol review server folder actions exit Patient ID Patient Name Ownei z manage One Day 24 hours Set As Default Refresh gx Description Patient ID Patient Mod Date Owner 090213045 DEMO 9 2 2 Sound Eklin S worklist Count i Tu le AIS 2 Select Configuration and then DICOM from the Option Headers on the left side of the screen tea patient rem Save Add Server Delete Server Verity 59 Equipment Configuration DICOM Server Settings User Settings Application Settings DICOM Servers Acquisition Settings AE Title ACO EFILM Tech Support Settings IP Address 127 0 0 1 Port 4006 Technical Support Description EFILM Disk Management Auto Send Server Yes Update Management Archive Server ve User
48. worklist O07 13045 DEAN 47274 bind EKWI A z AIS ai 2 Click on the Plus Sign next to the Protocols List to show the existing protocols 3 Select the Protocol to rename from the left side menu Click the Rename button Species F spository 1 tu Editing protocol Keeneland Repository 2009 Shots for Species Filter by Cuire Shots linked to protocol Show All Feline ME C MEN nS E Equine Left Carpus DLP Link Left Abdomen LAT 4 Left Carpus DMPLO 1 m Left Calcaneous D PL E Large Left arpus FLM Left Calcaneous DLPMO 12105 Left Carpus SKY DROW UnLink Left Calcaneous OMPLO 12105 CIE Left Front Fetlock DP Left Calcaneous DP A Left Front Fetlock DMPLO Mave Up Left Calcaneous FLEXED LM e 1210 Left Front Fetlock DLPMO a Left Caleaneous LM Shots Left Front Fetlock FLM M Left Carpus D25M PALO Study Types Left Front Fetlock D5LM Move Down Left Carpus D30PR DDIO Left Hind Fetlock DP E Protocol Left Hind Fetlock DMPLO Left Fetlock of Forelimb a Left Hind Fetlock DLPMT near Fanani Right Fetlock of Forelimb j fed Lis ipei Left Fetlock of Hindlimb CA Turm E Right Fetlock of Hindlimb Loft Tarsus LM Left Carpus Left Stifle LM KE D30P amp DDIO i Left Stifle CaLCrMO 5 LEXED D70PR DDIO Might Carpus Left Stifle PA 5g lelt Carpur FLEXED DEOPR DDIO Left Tarsus Right Carpus DLPMO Left Carpus FLEXED OPAR DDIO vile MEE Carpus
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