Home

X-Porte User Guide

1. M 311 Welcome to the X Porte User Guide Welcome to the X Porte User Guide 2 About the X Porte User Guide The X Porte User Guide is intended for a user familiar with ultrasound It does not provide training in sonography ultrasound or clinical practices Before using the X Porte ultrasound system you must complete such training Document conventions e Warning introduces precautions that prevent injury or death e Caution introduces precautions that prevent damage to the equipment e Numbered and lettered steps in procedures must be performed in order e Bulleted lists in procedures can be performed in any order e The step in a single step procedure begins with For a description of labeling symbols that appear on the product see the X Porte Product Information amp Safety Guide Getting help In addition to the X Porte User Guide the following are available e Visual Guide videos See Visual Guide videos on page 25 e X Porte Product Information amp Safety Guide e On system version of the user guide tap MORE and then tap Help e X Porte Getting Started Guide e Service manual About the X Porte User Guide 3 e FUJIFILM SonoSite Inc Technical Support Main 31 20 751 2020 English support 44 14 6234 1151 French support 33 1 8288 0702 Europe Service Center German support 49 69 8088 4030 Italian support 39 0
2. 4 Connect a USB memory stick see USB devices on page 23 5 Inthe patient list select the check box next to one or more exams 6 Tap Export USB A list of USB devices appears Archiving and exporting 307 7 Select the USB memory stick If you want to hide patient information deselect Include patient information on images and video clips 8 Tap Export The files are finished exporting approximately five seconds after the USB animation stops Removing the USB memory stick or turning off the system while exporting may cause exported files to be corrupted or incomplete To stop in progress exporting tap Cancel The column of the patient list indicates whether the system has exported the exam To export patient exams automatically to a USB memory stick 1 Make sure that automatic export is enabled See To specify export options on page 70 2 Insert a USB memory stick into a USB port on the side of the system 3 Endthe exam Related topics ds e 70 pls o erdw REPRE D RR ie BE mere mnrnmeN Raver 87 Printing images 222222222 s e RR RR RR RR IRR cece reels esse esse 301 SS A A O O 294 Worksheets and reports ooooccccccccccccccccccccccccccccccccncccn cnn cnn 286 Saving images and video CPS coco e tin co celsius trips 178 Archiving and exporting 308 DVR recording You can record video displayed on the clinical monitor to a USB memory stick inserted into the DVR USB port Clips save as MP4 files
3. 1 Adjust imaging controls to the new settings 2 Tap Save Exam Type Save Exam Type If this control is hidden tapping More Controls displays it 3 Inthe Save User Defined Exam window select the exam type and tap Update The current settings overwrite the previously saved settings Customizing exam types 177 Saving images and video clips You can save images and video clips to internal storage The system plays a sound if Beep Alert is on see Audio settings on page 39 and the Save in Progress icon ES briefly appears on the clinical monitor The system limits the maximum number of images and video clips that you can save for an individual exam and warns you when this limit is reached You can also save a labeled frame from a video clip See Labeling during review on page 198 To review saved images and video clips for the current patient tap REVIEW For patients whose exams have ended then you must go to the Patient List by tapping REVIEWand then Patient List See Reviewing on page 294 You can also save images from cine while the system is frozen Saving images To avoid mixing images saved from multiple patients make sure that the patient ID is displayed before you save an image See Entering patient information on page 76 and Display Information settings on page 57 To save an image If the Save Image or Save Image amp Calcs control is not available configure the system to display it S
4. Controls in Doppler 164 Controls in scrolling Doppler Note Some controls appear only when the image is frozen See Controls in frozen scrolling Doppler on page 173 a PATIENT TRANSDUCERS amp EXAMS REVIEW WORKSHEETS Doppler Volume 6 ay 14 Scale Angle ro Gate Wall 2604Hz Correct 0 Size imm Filter Low Auto Measure Invert on Baseline 2 E y Save Display Sweep Exam Type Format Speed Slow Update bed More FREEZE Controls in Doppler 165 PW TDI Select PW pulsed wave Doppler CW continuous wave Doppler or PW TDI Tissue Doppler Imaging CW and PW TDI are available only in the Cardiac exam type Available in Live Frozen p V Scale Sets the pulse repetition frequency PRF Tap this control and then tap Up or Down Controls in Doppler 166 Available in Adjusts the Doppler speaker volume Tap this control and then tap Up to increase the volume or Down to decrease the volume Gate Size Tap Up to increase the gate size Tap Down to decrease the gate size Controls in Doppler 167 Helps to filter out echoes from low frequency signals Tap to select the strength of the filter Low Med or High Available in Sweep Speed Sets the sweep speed Tap this control and then select the speed Slow Med or Fast Available in e Frozen pow qq o Tap the control to toggle between the D line and the trac
5. X Porte Ultrasound System User Guide Legal Notices Manufacturer FUJIFILM SonoSite Inc 21919 30th Drive SE Bothell WA 98021 USA T 888 482 9449 or 425 951 1200 F 425 951 1201 EC Authorized Representative Emergo Europe Molenstraat 15 2513 BH The Hague The Netherlands Australia Sponsor FUJIFILM SonoSite Australasia Pty Ltd Suite 9 13a Narabang Way Belrose New South Wales 2085 Australia Caution United States federal law restricts this device to sale by or on the order of a physician SonoMB SonoSite Steep Needle Profiling X Porte and the SonoSite logo are registered and unregistered trademarks of FUJIFILM SonoSite Inc in various jurisdictions DICOM isa registered trademark of the National Electrical Manufacturers Association All other trademarks are the property of their respective owners Patents US 8 216 146 US 8 213 467 US 8 147 408 US 8 137 278 US 8 088 071 US 8 066 642 US 8 052 606 US 7 819 807 US 7 804 970 US 7 740 586 US 7 686 766 US 7 604 596 US 7 591 786 US 7 588 541 US 7 534 211 US 7 449 640 US 7 169 108 US 6 962 566 US 6 648 826 US 6 575 908 US 6 569 101 US 6 471 651 US 6 416 475 US 6 383 139 US 6 364 839 US 6 203 498 US 6 135 961 US 5 893 363 US 5 817 024 US 5 782 769 US 5 722 412 AU 730822 AU 727381 CA 2 372 152 CA 2 371 711 CN 98108973 9 CN 98106133 8 CN 97113678 5 DE 69831698 3 DE 69830539 6 DE 69730563 5 DE 602004027882
6. 1 On the Presets settings page tap User Profile 2 Deselect Show Learn Button Importing and exporting When you import or export from the Presets settings page you import and export all labels exam types user accounts and system settings except for connectivity settings Presets settings 66 To import or export When you import from the Presets settings page all system preferences on the system are replaced with the imported preferences When you export from the Presets settings page all system preferences on the USB memory stick are replaced with the exported preferences 1 Insert a USB memory stick 2 On the Presets settings page do either of the following e Toimport labels exam types user accounts and system settings tap Import and then tap Yes Select the desired USB memory stick and then tap Import Import All labels exam types user accounts and system settings are replaced with those from the USB memory stick e Toexport labels exam types user accounts and system settings tap Export and then tap Yes Select the desired USB memory stick and then tap Export Presets settings 67 A copy of all labels exam types user accounts and system settings saves to the USB memory stick Passwords for user accounts are encrypted Related topics abe net SCR EET EDO 194 S CUNO up Ie SV atelier is ieee rco hei cst A 29 nar gle ere A A 129 Presets settings 68 System Informati
7. arning Verify that the hospital supply voltage corresponds to the power supply voltage range arning Plug the system only into a grounded hospital grade outlet arning Use only power cords provided by FUJIFILM SonoSite with the system Caution Do not use the system if an error message appears on the clinical monitor Note the error code and turn off the system Call FUJIFILM SonoSite or your local representative Caution When using AC power position the system to allow easy access to disconnect it To turn on the system The system can be powered by the internal battery or by AC power 1 If you are operating the system using AC power connect the AC power cord to the stand and then connect the AC power cord to a hospital grade outlet 2 Press the power button Getting started 6 The power button is green while the system is on even if the system is in sleep mode see on page 59 To turn off the system Press the power button Clinical monitor The clinical monitor displays the ultrasound image as well as details about the exam and system status Doe John Middle 6 Dec 2012 11 03 SonoSite HFL50xp 15 6 MSK MI 08 TIS 02 3 Clinical monitor layout 1 Patient header Measurement and calculation area Selected transducer exam type and MI and TI values Rh O N Imaging mode or modes controls selected Getting started 7 System status area 5 6 Depth scale 7 Ultrasound image 8
8. e WPA or WPA2 Wi Fi Protected Access The following fields appear o Authentication If you select PERSONAL the Passphrase field appears enter the WPA Shared Key entry used in configuring the router o Encryption Encryption protocol for the router o Authentication Type Select one of the following o EAP TLS Extensible Authentication Protocol Transport Layer Security The following fields appear o User Name Name of designated user Client Certificate Select from the list of client certificates installed on the system Private Key One of a pair of keys public and private that is provided only to the requestor and never shared Private Key Password A unique combination of letters and symbols that allows user access Certification Authority Validates the authentication server or certificate authority The list is populated by wireless certificates that you have imported See Optional To import or delete wireless certificates on page 90 Select the desired certificate from the list o EAP PEAPVvO Extensible Authentication Protocol Protected Extensible Authentication Protocol The following fields appear o o o User Name Name of designated user Password A unique combination of letters and symbols that allows user access Certification Authority Validates the authentication server or certificate authority The list is populated by wireless certificates that you have imported See DICOM 96 Optional
9. Labels You can customize predefined labels create new labels delete labels and set the preference for clearing labels when unfreezing images To manage predefined labels Each exam type supports up to 35 predefined labels 1 On the Presets settings page tap Labels 2 Tap an exam type and do any of the following e Tocustomize a label tap it and edit the text in the text box at the top of the form Tap Apply Presets settings 61 e Tocreate a new label tap an empty label and type the new label in the text box Tap Apply e Todelete a label tap the X next to the label e Toreset labels to the factory default tap Reset e Toselect a new exam type tap Exam Type Exam Type To specify label retention when unfreezing You can specify that all labels be cleared from an image when you unfreeze the image 1 On the Presets settings page tap Labels 2 Select Clear Labels on Unfreeze Exam types The system displays both system defined and user defined exam types organized by transducer You cannot share user defined exam types among transducers Presets settings 62 To manage exam types 1 On the Presets settings page tap Exam Types 2 Tap the transducer that includes the exam type you want to manage Note If the transducer that includes the exam type you want to manage does not appear make sure that the transducer is connected to the system 3 Do any of the following User defined
10. Orientation marker Touch panel The touch panel is where you adjust settings select the exam type transducer and imaging mode enter patient information and more As you adjust the image settings or controls the results appear on the clinical monitor When an image is frozen the touch panel displays an outline of the image You interact with the touch panel the same as with many other touchscreen devices e Swipe Move your finger quickly across the panel Faster than dragging e Drag Move one or two fingers across the panel usually to move an object from one location to another e Tap Quickly touch the panel once for example to activate a control e Double tap Quickly touch the panel twice with one or more fingers e Pinch or spread Slide two fingers together or apart on the panel Use these gestures to perform these actions Gesture Jacon O S Swipe Steer D line linear transducers only p Steer color box linear transducers only D Scroll through pages in forms such as the patient form worksheets and thumbnails in Review C sepeser nen O poen NIN pe Getting started 8 Gesture Action jMeebimesM m OOS eeose CS AAA object such as the Color box or the Doppler gate O oeenn O Move labels pictograms and transducer marker Move through frames in the cine buffer Move controls to the Controls bar Pan a frozen zoomed 2D image panning is disabled if measurements or
11. Osaka University Ultrasound in Obstetrics and Gynecology July 20 1990 99 100 Gestational Sac GS Hansmann M et al Ultrasound Diagnosis in Obstetrics and Gynecology New York Springer Verlag 1986 Nyberg D A et al Transvaginal Ultrasound Mosby Yearbook 1992 76 Gestational sac measurements provide a fetal age based on the mean of one two or three distance measurements however Nyberg s gestational age equation requires all three distance measurements for an accurate estimate Tokyo University Gestational Weeks and Computation Methods Ultrasound Imaging Diagnostics 12 1 1982 1 Head Circumference HC Chitty L S and D G Altman New charts for ultrasound dating of pregnancy Ultrasound in Obstetrics and Gynecology 10 1997 174 191 Table 5 182 Hadlock F et al Estimating Fetal Age Computer Assisted Analysis of Multiple Fetal Growth Parameters Radiology 152 1984 497 501 Measurement references 278 Hansmann M et al Ultrasound Diagnosis in Obstetrics and Gynecology New York Springer Verlag 1986 431 Humerus HL Jeanty P F Rodesch D Delbeke J E Dumont Estimate of Gestational Age from Measurements of Fetal Long Bones Journal of Ultrasound in Medicine 3 February 1984 75 79 Occipito Frontal Diameter OFD Hansmann M et al Ultrasound Diagnosis in Obstetrics and Gynecology New York Springer Verlag 1986 431 Tibia Jeanty
12. at the top of the current list and then tap the desired list a Under d D Ratio tap Fem Hd femoral head An ellipse with calipers appears b Position and resize the ellipse by dragging its calipers c Tap Baseline The baseline appears automatically d Position the baseline by dragging its caliper Small Parts calculations 258 Acute Care calculations arning To avoid incorrect calculations verify that the patient information date and time settings are accurate arning To avoid misdiagnosis or harming the patient outcome start a new patient form before starting a new patient exam and performing calculations Starting a new patient form clears the previous patient s data The previous patient s data will be combined with the current patient if the form is not first cleared See Entering patient information on page 76 The Acute Care calculations are part of the licensed Acute Care feature Results from Acute Care calculations appear in the Acute Care worksheets See Worksheets and reports on page 286 You can perform any of the following calculations in any exam type Distance measurements are in mm ina Measurement name imaging mode Abdominal Aorta Maximal aortic diameter 2D Obstetrical Yolk Sac 2D Pelvic Gestational Sac 2D Myometrial Thickness 2D CRL 2D BPD 2D Fetal HR M Mode Adnexa e Right Ovarian Cyst 2D e Left Ovarian Cyst 2D Acute Care calculations
13. 1 On the Administration Login settings page log in as a user with administrative privileges 2 Tap New CA 3 Under User Information fill in the Name Password and Confirm text boxes Administration settings 34 To ensure security choose a password that contains uppercase characters A Z lowercase characters a z and numbers 0 9 Passwords are case sensitive 4 Optional In the User box type the user s name This information appears by default in the User field in the patient form and on the clinical monitor 5 Optional Select Administration Access to allow access to all administration privileges 6 Tap Save 7 Tap Done To modify a user 1 On the Administration Login settings page log in as a user with administrative privileges 2 Under User List select the user 3 Make changes to the Name User or Administration Access entries 4 Tap Save 5 Tap Done Administration settings 35 To change a user password 1 On the Administration Login settings page log in as a user with administrative privileges 2 Under User List select the user 3 Type the new password in the Password and Confirm text boxes 4 Tap Save 5 Tap Done To allow users to change their password 1 On the Administration Login settings page log in as a user with administrative privileges 2 Under User List tap Administrator 3 Select Password Changes Administration settings 36 4 Tap Save 5 T
14. 391 452 TVA 220 PHT Velocity Time Integral VTI in cm Reynolds Terry The Echocardiographer s Pocket Reference 2nd ed School of Cardiac Ultrasound Arizona Heart Institute 2000 383 VTI sum of abs velocities n where Auto Trace distance cm blood travels with each ejection period Velocities are absolute values Measurement references 274 Obstetrical references Amniotic Fluid Index AFI Jeng C J et al Amniotic Fluid Index Measurement with the Four Quadrant Technique During Pregnancy The Journal of Reproductive Medicine 35 7 July 1990 674 677 Average Ultrasound Age AUA The system provides an AUA derived from the component measurements from the measurement tables Estimated Date of Delivery EDD by Average Ultrasound Age AUA Results are displayed as month day year EDD system date 280 days AUA in days Estimated Date of Delivery EDD by Last Menstrual Period LMP The date entered into the patient information for LMP must precede the current date Results are displayed as month day year EDD LMP date 280 days Estimated Fetal Weight EFW Hadlock F et al Estimation of Fetal Weight with the Use of Head Body and Femur Measurements A Prospective Study American Journal of Obstetrics and Gynecology 151 3 February 1 1985 333 337 Hansmann M et al Ultrasound Diagnosis in Obstetrics and Gynecology New York Springer Verlag 1986 154
15. Cardiac calculations settings To specify cardiac measurement names 1 On the Calculations settings page tap Cardiac 2 Under TDI Walls select a name for each wall 3 Tap Done Calculations settings 40 Obstetrics calculations settings Specifying gestational age and growth analysis To specify gestational age and growth analysis 1 On the Calculations settings page tap OB 2 Select the desired authors or select None in the measurement lists under Gestational Age and Growth Analysis Selecting a gestational age author places the associated measurement in the calculations list 3 Toreset the authors for the Gestational Age and Growth Analysis measurement lists to the factory default tap Reset Creating custom obstetrics measurements You can create up to five custom measurements that appear in the obstetrics calculations lists in the list of custom measurements in Calculations settings and in the obstetric report You can create custom measurements on the system or in the X Porte OB Custom Table Editor a Microsoft Excel file available at www sonosite com You can associate table data with a custom measurement only if you create the measurement in the OB Custom Table Editor Calculations settings 41 arning When you create remove or import a custom obstetric measurement the system clears all saved measurements and calculations for the current patient To create custom obstetrics measurements on the
16. In Doppler or M Mode tapping the control toggles between the trace and the 2D pane Available in Needle Profiling Enhances linear structures within a selected angle range and can facilitate needle guidance See Visualizing needles on page 190 Orientation Sets the image orientation allowing you to align the image with the transducer Tap to select the orientation Upper Right Upper Left Lower Left Lower Right ue fere m Controls in 2D 133 Optimizes the image by adjusting a collection of settings such as focal zones aperture size frequency center and bandwidth and waveform In general use the left hand Average optimization Use the right hand Difficult optimization if the exam requires additional penetration Tap to switch between the two optimization settings ue fere ean A Displays side by side 2D images for which you can adjust some controls for example Depth and Gain independently Tap this control to turn it on highlighted icon or off dimmed icon With Dual on tapping the right hand or left hand image or tapping Update makes the image active See Dual on page 128 Available in de Hem Controls in 2D 134 en AutoGain Sets levels for the AutoGain control adjusting to the positive side brightens images when you tap AutoGain adjusting to the negative side makes images darker when you tap AutoGain See Gain on page 188 The co
17. P F Rodesch D Delbeke J E Dumont Estimate of Gestational Age from Measurements of Fetal Long Bones Journal of Ultrasound in Medicine 3 February 1984 75 79 Transverse Trunk Diameter TTD Hansmann M et al Ultrasound Diagnosis in Obstetrics and Gynecology New York Springer Verlag 1986 431 Growth analysis tables Abdominal Circumference AC Chitty Lyn S et al Charts of Fetal Size 3 Abdominal Measurements British Journal of Obstetrics and Gynaecology 101 February 1994 131 Appendix AC Derived Hadlock F et al Estimating Fetal Age Computer Assisted Analysis of Multiple Fetal Growth Parameters Radiology 152 1984 497 501 Jeanty P E Cousaert and F Cantraine Normal Growth of the Abdominal Perimeter American Journal of Perinatology 1 January 1984 129 135 Also published in Hansmann Hackeloer Staudach Wittman Ultrasound Diagnosis in Obstetrics and Gynecology Springer Verlag New York 1986 179 Table 7 13 Measurement references 279 Biparietal Diameter BPD Chitty Lyn S et al Charts of Fetal Size 2 Head Measurements British Journal of Obstetrics and Gynaecology 101 January 1994 43 Appendix BPD Outer Inner Hadlock F et al Estimating Fetal Age Computer Assisted Analysis of Multiple Fetal Growth Parameters Radiology 152 1984 497 501 Jeanty P E Cousaert and F Cantraine A Longitudinal Study of Fetal Limb Growth Ame
18. To import or delete wireless certificates on page 90 Select the desired certificate from the list Archiver Required fields are marked with asterisks Name Network host name for an archiver Alias Personalized name for an archiver AE Title Archiver DICOM Application Entity Title Images Defines how images are sent to the archiver RGB uncompressed Mono uncompressed or JPEG Image Type List of archiver image types based on capture mode IP Address Unique identifier for the archiver Port Device port number IP port 104 is typically assigned for DICOM Ping Tap to determine whether the IP address is accessible The system displays OK or Failed Exclude Video Clips If the check box is selected only images no video clips are transferred Available only if Image Type is set to Ultrasound Include CDA Select this check box to send the CDA report to the archiver DICOM 97 Include SR Select this check box to send the Structured Report to the archiver Educational Select this check box to associate the archiver with the Educational routing select See Routing selections on page 106 Printer Required fields are marked with asterisks Name Network host name for a printer Alias Personalized name for a printer IP Address Unique identifier for the printer Port Device port number IP port 104 is typically assigned for DICOM AE Title Printer DICOM Application Entity Title Ping Se
19. eee ee et tall Peete ttt eet te A PRAY Eee vere SEE eee ee dec E ge 139 Controlsin Color oo er LEER ICM rdotennsa cota sid 142 Vi Gontrols in frozen Golf ox torrcvreso thee etek arte od 148 Controls ih MMOG moore Eee e e terete e ee 151 Controlsiin frozen M MOU sederek t code dds eater de eb babel ee ihn 155 Controls in Doppler aee RII ERE el Een 157 Grace d DANG 157 Controls in frozen D liriese 25er A ee Mun Um 162 Controls in scrolling Doppler 2 22 05 2 et eol eilcikeR ei pie Bi pililei uiri 165 Controls in frozen scrolling Doppler 00 2 2 2 e cece eee c cece cc cece cece ceeeeeeees 173 Customizing exam types 000 00 nn 176 Saving images and video clips Luuuuuuuuuuutsssesssssse sees 178 SAVING IMAGES is vee cea riscos eerte reet eas ee baee cA daa eee erre dir 178 Saving video clips ees venere teer ere mee ne E ode i RA MI e ee el 179 Viewing the cine buffer iiuuuuussssssssssssssssssssssss es e eR Reese sees essere 181 Managing internal storage space sssuuuusssseessssssss s e I RR RR rere rel 182 ZOOMING Lesern entier cash teh sae ec eee seed dla ad ene A 183 Ii rao DEED REPE ELE 186 Adjusting depth and gain uuuuuuuuuuuuueeeeessessess s e RR RR rere eres 188 AA A ERE EAE eO E Ee 188 E MA poo EE E E 188 Visualizing needles 000 rt eit a ini er id 190 Needle size and angle _ 2 22 22 ee
20. tap Acute Care Acute Care If this control is hidden tapping More Controls displays it 2 Do the following for each measurement you want to take a Select the calculation list that contains the measurement l To select a calculation list tap at the top of the current list and then tap the desired list b Tap the measurement name c Position the calipers by dragging If a Doppler measurement drag the caliper to a peak systolic waveform and tap Next A second caliper appears Drag the second caliper to the end diastole on the waveform Acute Care calculations 262 d Save the measurement Tap Save or Save Set under the measurement name Related topics Worksheets and TEPONS sscolcosaitceni ceiba cie sra 286 Cardiac Colculattole da a ld e a 225 Obstettios calculations x ao id ii PREISE 250 Acute Care calculations 263 Measurement references The following are the publications and terminology used for each calculation result Terminology and measurements comply with American Institute of Ultrasound in Medicine AIUM published standards Cardiac references Acceleration ACC in cm s Zwiebel W J Introduction to Vascular Ultrasonography 4th ed W B Saunders Company 2000 52 ACC abs delta velocity delta time Acceleration Time AT in msec Oh J K J B Seward A J Tajik The Echo Manual 2nd ed Lippincott Williams and Wilkins 1999 219 Aortic Valve Area AVA by Continuity Equati
21. 259 e cagon Measurement name imaging mode Calculates a gestational age See Obstetrics calculations on page 250for related information Uses the selected gestational age table See Calculations settings on page 40 Non Obstetrical Pelvic Endometrial Stripe 2D Uterine Fibroid 2D Adnexa Right Ovarian Size 2D e Length Width Height Right Ovarian Cyst Resistive index Doppler Adnexa Left Ovarian Size 2D e Length e Width Height Left Ovarian Cyst Resistive index Doppler Volume is calculated in ML after Length Width and Height measurements are taken Gallstone 2D Acute Care calculations 260 Meuse Measurement name imaging mode Gallbladder Wall 2D CBD 2D Transverse Gallbladder 2D Longitudinal Gallbladder 2D Renal Urinary Right Kidney 2D Tract e Kidney Stone e Renal Cyst Left Kidney 2D e Kidney Stone e Renal Cyst Bladder 2D e Width e Height e Length Bladder volume is calculated in ML after Width Height and Depth measurements are taken Cardiac TR VMAx Doppler Aortic Root 2D Thoracic Aorta Diameter 2D IVC e Maximum Diameter 2D Acute Care calculations 261 a Measurement name imaging mode NEN e Minimum Diameter 2D Soft Tissue MSK Tissue Thickness 2D Subcutaneous Collection Diameter 2D Ocular Eye e Right ONSD 2D e Left ONSD 2D To perform an Acute Care calculation 1 Ona frozen image
22. Down to select a setting 3 2 1 0 1 2 0r 3 The positive range increases the number of grays displayed and the negative range decreases the number of grays displayed Available in Controls in 2D 137 Save Exam Type See Customizing exam types on page 176 ue fere Measures the distance from the skin line to a specified point on the image For instructions see Measuring on page 202 ue fere Provides tools that let you place text pictographs and arrows onto an image See Labeling images on page 194 Controls in 2D 138 Available in e Frozen Available in Controls in frozen 2D The following controls are available only in frozen 2D Distance Measures the distance between two points See Measuring on page 202 Available in ue fere NC Controls in 2D 139 Ellipse Uses an ellipse to measure a region s circumference or area See Measuring on page 202 Lets you trace manually to measure an irregular shape See Measuring on page 202 Calcs See About calculations on page 211 Controls in 2D 140 Available in ES Acute Care The Acute Care calculations are part of the licensed Acute Care feature See Acute Care calculations on page 259 Available in Related topics A meaner NONE 119 A ct doc eh tela ete Aa let ELLE C UU 129 Controls in Color 2 00 2 2 c cece e eee eee cece aaa DALALDALA
23. FUJIFILM SonoSite batteries with the system The battery charge indicator on the base of the stand blinks while the battery is charging The battery charging indicator is steady when the battery is fully charged Icons in the connectivity status area on the clinical monitor show the power and battery status The battery is partially charged The length of the blue bar indicates the level of battery charge If Beep Alert is on see Audio settings on page 39 the system beeps when the bat tery charge is below 14 The system is on AC power only and no battery is installed The system is on AC power and the battery is charged The length of the blue bar indicates the level of the battery charge Transporting the system If you need to transport the system make sure to observe the following e Collapse the clinical monitor See To collapse the clinical monitor on page 11 e Towheel the system push forward on the bar on the platform platform instead of pushing down ward on the bar or pushing the clinical monitor Caution Make sure to turn the battery switches to the Off position before transporting the system for shipping Open the battery compartment door located at the base of the stand and urn the three battery switches to the Off position Getting started 13 Battery switches in off positions Accessories and peripherals The system supports various accessories and peripherals See the X Porte Product I
24. LALALA DALALDALA La aLaaa 142 COMMONS ND AMA 157 COomnolsu M MOJE oto stele ec eae b ies EE icit eee nhl tenes edie teen his 151 ogni acd tuse ci Sata A 110 Controls in 2D 141 Controls in Color To specify which controls appear in the Controls bar see Imaging controls on page 129 Some controls appear only when the image is frozen See Controls in frozen Color on page 148 PATIENT TRANSDUCERS amp EXAMS WORKSHEETS MORE Y Learn Scale Wall Steering 0 2525Hz Filter Med Hide Invert Color Flow State Med CA v Save o Video Exam Type Clip Settings FREEZE Controls in Color 142 Allows you to select Color Color Power Doppler CPD or Variance On the P21xp transducer in the Cardiac exam type Variance is available instead of CPD CPD shows amplitude and is useful for very low flow states Variance displays a color map that shows regurgitant jet turbulence The highest velocities appear as green ue Rem NENNEN Flow State Lets you adjust the sensitivity of color parameters or settings to enhance the flow state The system initially selects a setting based on the exam type e High optimizes for high flow states such as cardiac The High setting minimizes flash artifacts e Medium optimizes for medium flow states such as abdominal or arterial flow e Low optimizes for low flow states such as breast or musculoskeletal For a more precise setting adjust the Scale control Availabl
25. M et al Ultrasound Diagnosis in Obstetrics and Gynecology New York Springer Verlag 1986 431 University of Tokyo Shinozuka N FJSUM et al Standard Values of Ultrasonographic Fetal Biometry Japanese Joumal of Medical Ultrasonics 23 12 1996 885 Measurement references 276 arning The gestational age calculated by your FUJIFILM SonoSite system does not match the age in the aforementioned reference at the 20 0 cm and 30 0 cm abdominal circumference AC measurements The implemented algorithm extrapolates the gestational lage from the slope of the curve of all table measurements rather than decreasing the gestational age for a larger AC measurement indicated in the referenced table This results in the gestational age always increasing with an increase in AC Biparietal Diameter BPD Chitty L S and D G Altman New charts for ultrasound dating of pregnancy Ultrasound in Obstetrics and Gynecology 10 1997 174 179 Table 3 Hadlock F et al Estimating Fetal Age Computer Assisted Analysis of Multiple Fetal Growth Parameters Radiology 152 1984 497 501 Hansmann M et al Ultrasound Diagnosis in Obstetrics and Gynecology New York Springer Verlag 1986 440 Osaka University Ultrasound in Obstetrics and Gynecology July 20 1990 98 University of Tokyo Shinozuka N FJSUM et al Standard Values of Ultrasonographic Fetal Biometry Japanese Joumal of Medical Ultrasonics 23 1
26. Osaka University Ultrasound in Obstetrics and Gynecology July 20 1990 103 105 Shepard M J V A Richards R L Berkowitz et al An Evaluation of Two Equations for Predicting Fetal Weight by Ultrasound American Journal of Obstetrics and Gynecology 142 1 January 1 1982 47 54 Measurement references 275 University of Tokyo Shinozuka N FJSUM et al Standard Values of Ultrasonographic Fetal Biometry Japanese Journal of Medical Ultrasonics 23 12 1996 880 Equation 1 Gestational Age GA by Last Menstrual Period LMP The gestational age derived from the LMP date entered on the patient information form Results are displayed in weeks and days and is calculated as follows GA LMP System date LMP date Gestational Age GA by Last Menstrual Period LMPd Derived from Established Due Date EDD Same as GA by EDD The gestational age derived from the system derived LMP using the Established Due Date entered on the patient information form Results are displayed in weeks and days and is calculated as follows GA LMPd System Date LMPd Last Menstrual Period Derived LMPd by Established Due Date EDD Results are displayed as month day year LMPd Estab DD Estab DD 280 days Gestational age tables Abdominal Circumference AC Hadlock F et al Estimating Fetal Age Computer Assisted Analysis of Multiple Fetal Growth Parameters Radiology 152 1984 497 501 Hansmann
27. PHT To select a calculation list tap at the top of the current list and then tap the desired list 3 Drag the first caliper to the peak A second caliper appears 4 Position the second caliper a In MV drag the caliper along the E F slope b In AV drag the caliper to the end diastole 5 Save the calculation Tap Save under the measurement name To calculate Isovolumic Relaxation Time IVRT 1 Ona frozen Doppler spectral trace tap Calcs Cardiac calculations 240 Calcs If this control is hidden tapping More Controls displays it 2 On the MV MR calculation list tap IVRT gt To select a calculation list tap at the top of the current list and then tap the desired list A vertical caliper appears 3 Drag the caliper to the aortic valve closure A second vertical caliper appears 4 Drag the second caliper to onset of mitral inflow 5 Save the calculation Tap Save under the measurement name To calculate Delta Pressure Delta Time dP dT To perform the dP dT measurements the CW Doppler scale must include velocities of 300 cm s or greater on the negative side of the baseline See Controls in Doppler on page 157 1 Onafrozen CW Doppler spectral trace tap Calcs Calcs If this control is hidden tapping More Controls displays it 2 On the MV MR calculation list tap dP dT Cardiac calculations 241 To select a calculation list tap at the top of the current list a
28. al Correlation of peak Doppler frequency with lumen narrowing in carotid stenosis Stroke 3 1982 386 391 Area Reduction 1 A2 cm2 A1 cm2 100 where A1 original area of the vessel in square cm A2 reduced area of the vessel in square cm Percent Diameter Reduction Handa Nobuo et al Echo Doppler Velocimeter in the Diagnosis of Hypertensive Patients The Renal Artery Doppler Technique Ultrasound in Medicine and Biology 12 12 1986 945 952 Diameter Reduction 1 D2 cm D 1 cm 100 where D1 original diameter of the vessel in cm D2 reduced diameter of the vessel in cm Pressure Gradient PGr in mmHG Oh J K J B Seward A J Tajik The Echo Manual 2nd ed Lippincott Williams and Wilkins 1999 64 4 Velocity Peak E Pressure Gradient E PG E PG 4 PE Peak A Pressure Gradient A PG A PG 4 PA2 Peak Pressure Gradient PGmax PGmax 4 PV2 Mean Pressure Gradient PGmean Measurement references 283 PGmean 4 Vmax Pulsatility Index PI Kurtz A B W D Middleton Ultrasound the Requisites Mosby Year Book Inc 1996 469 PI PSV EDV V where PSV peak systolic velocity EDV end diastolic velocity V mean flow velocity throughout the entire cardiac cycle Resistive Index RI Kurtz A B W D Middleton Ultrasound the Requisites Mosby Year Book Inc 1996 467 RI abs Velocity A Velocity B Velocity A in measurements wh
29. calculation computes other results in addition to VTI See Measurements required to complete Cardiac calculations on page 225 1 Ona frozen Doppler spectral trace tap Calcs Calcs If this control is hidden tapping More Controls displays it 2 On the MV MR AV LVOT AI TV TR or PV calculation list tap VTI E at the top of the current list and then tap the desired list To select a calculation list tap 3 Drag the caliper to the start of the waveform and tap Set 4 Using your finger trace the waveform To make a correction trace backward on the dotted line 5 Complete the trace and tap Close 6 Savethe calculation Tap Save under the measurement name To calculate Right Ventricular Systolic Pressure RVSP 1 Ona frozen Doppler spectral trace tap Calcs Calcs If this control is hidden tapping More Controls displays it Cardiac calculations 239 2 On the TV TR calculation list tap TR VMax 3 Position the caliper by dragging 4 Savethe calculation Tap Save under the measurement name To adjust the RA pressure see Cardiac To adjust the RA pressure on page 287 Changing the RA pressure from the default 5 affects the RVSP calculation in the patient report To calculate Pressure Half Time PHT in MV AI or TV 1 Ona frozen Doppler spectral trace tap Calcs Calcs If this control is hidden tapping More Controls displays it 2 On the MV MR AV LVOT AI or TV TR calculation list tap
30. calipers e Toresize drag the calipers the empty handle or both To measure circumference or area by tracing 2D 1 Ona frozen image tap Trace If this control is hidden tapping More Controls displays it A caliper appears 2 Drag the caliper to the start point and then tap Set 3 Drag the caliper around the area you want to trace To make a correction trace backward on the dotted line 4 Do one of the following e Tosavethe measurement and close the trace tap Save e Toclosethe trace tap Close Measuring 204 To perform a Target Depth measurement 2D You can measure the distance from the skin line to a specified point on the image 1 On a2D image tap Target Depth If this control is hidden tapping More Controls displays it A dotted line appears from the skinline and with a single caliper at the end 2 Dragthe caliper to the desired location Basic measurements in M Mode To measure distance and time M Mode You can measure distance in centimeters and measure time in seconds 1 Ona frozen M Mode trace tap Distance Time INE Distance Time If this control is hidden tapping More Controls displays it A caliper appears 2 Drag the caliper to the desired location A second caliper appears 3 Drag the second caliper to the desired location Measuring 205 To measure heart rate M Mode 1 On a frozen M Mode trace tap Heart Rate WO Heart Rate A vertical caliper ap
31. determines the measurements you must perform to obtain an EFW calculation Individual selections for Hadlock s EFW equations 1 2 and 3 are not determined by the user The selected equation is determined by the measurements that have been saved to the patient report with priority given to the order listed above d The Growth Analysis tables are used by the Report Graphs feature Three growth curves are drawn using the table data for the selected growth parameter and published author Growth tables are available only with a user entered LMP or EDD To measure gestational growth 2D For each 2D Obstetrical measurement except AFI the system saves up to three individual measurements and their average If you take more than three measurements the earliest measurement is deleted 1 Make sure that the Obstetrics exam type is selected 2 On the patient form select LMPor EDD Select Twins if twins 3 Ona frozen 2D image tap Calcs Calcs If this control is hidden tapping More Controls displays it 4 Do the following for each measurement you want to take a Select the calculation list that contains the measurement l To select a calculation list tap at the top of the current list and then tap the desired list For twins there are two sets of calculation lists Each list in one set is labeled Twin A and each list in the other set is labeled Twin B Obstetrics calculations 253 b Tap the measurement name The cal
32. exam types only To rename the exam type tap the exam type name and type a new name User defined exam types only To delete the exam type tap X To show or hide the exam type in the transducer amp exam types list tap the check box next to the exam type in the column To rearrange the exam type tap it and then tap Up or Down To return to the transducer and exam types list tap Transducer 4 Tap Done Presets settings 63 User profile settings To specify a startup mode You can specify what mode the system will be in when you start it end an exam or log in 1 On the Presets settings page tap User Profile 2 Select an option in the Startup section e Start Select Screen Displays the home screen which offers you the option of scanning enter ing patient information select a transducer and exam type or viewing visual guides e Scanning Displays the 2D imaging screen e Transducer Exam Select Displays the options for selecting transducers and exam types e Patient Info Displays the patient form To automatically query the worklist from a bar code scanner You can specify that the system query the worklist for patient information when you scan a patient ID bar code 1 On the Presets settings page tap User Profile 2 Select Bar Code Auto Query Presets settings 64 To program the footswitch You can specify the function of the left and right footswitches None Save Video Clip Recor
33. fractional thickening calculation reference 267 Index 329 Invert control isovolumic relaxation time calculation reference IVRT J JPEG format K keyboard L Label control in 2D in Color labels in review place predefined setup Labels last menstrual period derived by due date calculation reference left atrium aorta calculation reference 145 240 267 240 71 138 147 198 194 61 61 235 276 267 Index 330 left ventricular dimension fractional shortening calculation reference left ventricular end volumes calculation reference left ventricular mass calculation reference left ventricular posterior wall fractional thickening calculation reference left ventricular volume biplane calculation reference left ventricular volume single plane calculation reference logging in login administrator user logs clear export LVd LVOT LVs M line M Mode 270 268 268 270 269 269 37 32 33 73 73 234 235 234 121 121 Index 331 M Mode measurements 205 Manual Trace control 174 Mark Out control 200 mean velocity calculation reference 270 measurements 2D 203 about 202 assigning to calculations 210 delete measurements 203 Doppler 206 M Mode 205 mitral valve area calculation reference 270 mode data 5f monitor Y More controls reset 65 moving the system 13 MPPS servers 101 MPSS discontinuing 306 Index 332 MSK worksheets 289 MV area
34. in mmHG Oh J K J B Seward A J Tajik The Echo Manual 2nd ed Lippincott Williams and Wilkins 1999 64 PGr 4 Velocity Peak E Pressure Gradient E PG EPG 4 PE2 Peak A Pressure Gradient A PG APG 4 PA Peak Pressure Gradient PGmax PGmax 4 PV Mean Pressure Gradient PGmean PGmean Average of pressure gradients Duration of flow Measurement references 271 Pressure Half Time PHT in msec Reynolds Terry The Echocardiographer s Pocket Reference 2nd ed School of Cardiac Ultrasound Arizona Heart Institute 2000 391 PHT DT 0 29 where DT deceleration time Proximal Isovelocity Surface Area PISA in cm Oh J K J B Seward A J Tajik The Echo Manual 2nd ed Boston Little Brown and Company 1999 125 PISA 2nr where 211 6 28 r aliasing radius Qp Qs Reynolds Terry The Echocardiographer s Pocket Reference 2nd ed School of Cardiac Ultrasound Arizona Heart Institute 2000 400 Qp Qs SV Qp site SV Qs site SV sites will vary depending upon the location of the shunt Regurgitant Fraction RF in percent Oh J K J B Seward A J Tajik The Echo Manual Boston Little Brown and Company 1999 125 RF RV MV SV where RV Regurgitant Volume MV SV Mitral Stroke Volume Measurement references 272 Regurgitant Volume RV in cc Reynolds Terry The Echocardiographer s Pocket Reference School of Cardiac Ultrasound Arizona H
35. in the summary information Arterial and cardiac reports Arterial To modify the ICA CCA ratio 1 Display the arterial report preview 2 Tap Summary 3 Select measurements for the ICA CCA ratio for both the right and left sides from the Ratio list Cardiac To adjust the RA pressure 1 Display the cardiac report preview 2 Tap Summary 3 Select the desired value from the RA list Changing the RA pressure from the default value of 5 MmHG affects the RVSP calculation result Obstetrics reports The Obstetrics calcs reports have a space for signing printed reports Worksheets and reports 287 To display the Obstetrics Twins report preview 4 Inthe Obstetrics report preview do one of the following e Todisplay an individual twin report preview tap Twin A or Twin B e Todisplay both twins in one report preview tap Compare To fill out the Obstetrics anatomy checklist You can document reviewed anatomy 1 In the Obstetrics report preview tap Anatomy Checklist 2 Do any of the following e Select the check boxes e Enterthe Fetal Lie e Enterthe Plac Location and select the grading method 0 I II or III from the corresponding list e Select a Gender To complete the Obstetrics biophysical profile Inthe Obstetrics report preview select values under Biophysical Profile The total is calculated when values are selected NST non stress test is optional Obstetrics graphs You can display Obstetrics graph
36. is an extension of 2D It provides a trace of the 2D image displayed over time A single beam of ultrasound is transmitted and reflected signals are displayed as dots of varying intensities creating lines across the screen See on page 110 PATIENT TRANSDUCERS amp EXAMS WORKSHEETS MORE V 2 Related topics M Mode imaging 121 M Mode imaging 122 Color imaging Color imaging shows the presence velocity and direction of blood flow toward and away from the transducer In Color mode the area within the highlighted box displays blood flow in color See on page 110 PATIENT TRANSDUCERS amp EXAMS WORKSHEETS MORE Y 9 p earn Rec Related topics Colorimaging 123 CONTO IT QOD sles isc acer er pip id sean 142 Color imaging 124 D line the D line appears You can position the D line adjust the gate size or correct When you tap on page 110 the angle of the D line before you display the Doppler trace See PATIENT TRANSDUCERS amp EXAMS REVIEW WORKSHEETS MORE A 9 Related topics D line 125 Doppler imaging Doppler imaging is a display of a spectrum of flow velocities over time The amplitude of the signal is indicated as a shade of gray Doppler imaging can be used to display any type of movement including blood flow and tissue movement Pulsed wave PW pulsed wave Tissue Doppler Imaging PW TDI and continuous wave CW Doppler are available CW Doppler is not range spe
37. labels exist on the frozen zoomed image tanti m i L Sie Une E it With two or more fingers double tap to freeze or unfreeze Double tap with one finger in the zoom box to zoom E tap with one finger on a live zoomed image to unzoom or Sample volume size spread ME Resize color or zoom box Onscreen keyboard You can enter text into text boxes for example on the patient form using the onscreen keyboard Getting started 9 To enter text using the onscreen keyboard 1 Tapa text box for example in the patient form The onscreen keyboard appears 2 Tap keys as needed Onscreen keyboard 1 Alpha keys Tap and hold the alpha keys to reveal options for selecting accented versions of the characters Shift key Changes alphabet keys to uppercase and international characters Jumps to previous text box Advances to next text box Spacebar Displays keys for numbers symbols and special characters Closes the keyboard Starts a new line or advances to next text box o AN DP aA KF W m Deletes character on left side of pointer Adjusting the height and angle arning Lock the wheels whenever the system is unattended or stationary Getting started 10 arning To avoid possible injury from an unexpected clinical monitor collapse during system transport collapse the clinical monitor before system transport see To collapse the clinical monitor on page 11 To raise or l
38. measurements are completed If any one of these parameters results in an EDD greater than what the Obstetrical calculation tables provide the EFW is not displayed Note If you change the calculation author during the exam the common measurements are retained Obstetrics calculations 250 Results from system defined obstetrical measurements and table authors Calculation Gestational Available authors result a measurements Gestational Age Hadlock Hansmann Osaka Tokyo U U Em E B EL jen En EL Obstetrics calculations 251 Calculation Gestational Available authors result OB measurements Estimated HC AC FL Hadlock 1 Fetal Weight BPD AC FL Hadlock 2 EFWy AC FL Hadlock 3 BPD AC Shepard BPD TTD APTD FL Tokyo U Ratios HC AC Campbell FL AC Hadlock FL HC Hadlock Amniotic Fluid Q1 Q2 Q3 Q4 Jeng Index Growth Tablesd HC AC Campbell Obstetrics calculations 252 a The Gestational Age is automatically calculated and displayed next to the Obstetrical measurement you selected The average of the results is the AUA Only measurements of the same type are averaged b For Tokyo U APTD and TTD are used only to calculate EFW No age or growth tables are associated with these measurements c The Estimated Fetal Weight EFW calculation uses an equation that consists of one or more fetal biometry measurements The author for the Obstetrical tables which you choose on a system setup page
39. needed to obtain the desired ultrasound image The system transmits ultrasound energy into the patient s body to obtain ultrasound images as listed below For the intended transducer and imaging modes for each exam type see Selecting a transducer and exam type on page 20 Abdominal imaging applications You can assess the liver kidneys pancreas spleen gallbladder bile ducts transplanted organs abdominal vessels and surrounding anatomical structures for the presence or absence of pathology transabdominally You can evaluate and perform interventional abdominal procedures and evaluate blood flow in abdominal organs Arterial and venous imaging applications You can assess the carotid arteries deep veins and arteries in the arms and legs superficial veins in the arms and legs great vessels in the abdomen and various small vessels feeding organs for the presence or absence of pathology Cardiac imaging applications You can assess the cardiac valves the great vessels heart size cardiac function hemodynamic assessment and surrounding anatomical structures for the presence or absence of pathology You can use the ECG option to display the patient s heart rate ECG is available only on the cardiac exam type on the P21xp transducer arning To prevent misdiagnosis do not use the ECG trace to diagnose cardiac rhythms The FUJIFILM SonoSite ECG option is a non diagnostic feature Gynecology and infertility imaging applicatio
40. on a computer running Windows eFilm Lite is included with the DICOM licensed feature To start eFilm Lite image viewer after exporting exams 1 Insert the USB memory stick into your computer USB settings 71 2 Display the USB memory stick s contents 3 Double click eFilmLite bat eFilmLite bat starts the executable file in the eFilmLite folder The eFilmLite folder contains the eFilm Lite software and related files See also the eFilm Lite User s Guide a PDF file in the eFilmLite folder Related topics A E O T 23 Archiving and exporting iiiiiuuuuusssssssssssssssssssssese see RR esses esses esse 303 Setting up the system 0 2 e cece cece cece e Rm ceecceceeeeeeeeeeeees 29 USB settings 72 Logs On the Logs settings page you can view the following logs e User Collects information about user logins and user creation as well as information about when the log was exported or cleared e DICOM Collects network errors and events typically to support diagnostics see DICOM on page 87 e Assert Collects processor exceptions and software generated assertions to support diag nostics The assert log is visible only to users with administrative privileges e System Collects errors and events to support diagnostics The system log is visible only to users with administrative privileges The logs are text files that you can open in a text editing application for example Notepad or TextEdit You can e
41. perform calculations See About calculations on page 211 To freeze the image Do either of the following e Tap FREEZE e With two or more fingers double tap the touch panel Additional features appear on the image Note You can also configure the footswitch to freeze see User profile settings on page 64 Freezing 186 WORKSHEETS 458 To unfreeze the image Do either of the following e Drag or swipe the Slide to Unfreeze slider to the right e With two or more fingers double tap the touch panel Related topics Freezing 187 Adjusting depth and gain Depth Depth refers to the depth of display You can adjust the depth in all imaging modes except M Mode trace and Doppler trace The vertical depth scale on the touch panel lists all available depth levels for the current transducer The intervals depend on the active transducer To adjust the depth As you adjust the depth the depth value appears in a rectangle in the lower right corner of the image area or upper right corner if the image orientation is upside down Note The depth value in the lower right corner of the clinical monitor is always the total acquired depth of the unzoomed image When you zoom this value stays the same Do either of the following on the touch panel e Tapamarker on the depth scale e Drag the depth scale Gain Gain refers to amplifying the intensity of the returning sound waves on the screen d
42. previous patient s data will be combined with the current patient if the form is not first cleared See Entering patient information on page 76 The Arterial calculations that you can perform are listed in the table below In the Arterial exam you can also calculate ICA CCA ratio volume volume flow and percent reduction See Volume calculation on page 215 Volume flow calculation on page 217 and Percent reduction calculations on page 220 Calculation list Measurement name Right Proximal Middle Distal Bulb Proximal Middle Distal Arterial calculations 222 e Proximal e VA CCA Proximal Middle Distal Bulb e Proximal e Middle e Distal ECA e Proximal e VA Calculation results for each measurement include s systolic and d diastolic To perform an Arterial calculation 1 Ona frozen Doppler spectral trace tap Calcs Calcs Arterial calculations 223 2 Do the following for each measurement you want to take a Select the calculation list that contains the measurement name To select a calculation list tap ES at the top of the current list and then tap the desired list b Drag the caliper to the peak systolic waveform and tap Next A second caliper appears c Drag the caliper to the end diastole point on the waveform d Tap Save or Save Set under the measurement name Arterial calculations 224 Cardiac calculations arning To avoid incorrect cal
43. save automatically to internal storage If this option is deselected the video clip saves to internal storage and trim controls are not available 3 Tap Done To capture and save a video clip 1 Make sure that video clips settings are set as desired See To set video clips controls on page 179 2 Tap Save Video Clip Note You can also configure the footswitch to save a video clip see User profile settings on page 64 If Clip Method is set to Retrospective the system captures presaved frames for the number of seconds you specify in the Time list and if Beep Alert is on see Audio settings on page 39 beeps when acquisition is complete If Clip Method is set to Prospective the system beeps if Beep Alert is on see Audio settings on page 39 captures frames for the number of seconds you specify in the Time list and then beeps again Tap Stop Video Clip to end capture before the number of seconds specified in the Time list Saving images and video clips 180 If Preview Video Clip is selected in Video Clip Settings the video clip automatically begins playing on the clinical monitor 3 Optional Preview Video Clip only Trim the video clip a Tap e b Dragthe trim sliders to remove frames from the left or right sides of the video clip c Tap Save Save Note Tapping Done discards the video clip Viewing the cine buffer While imaging X Porte always retains a certain number of frames in the c
44. see User profile settings on page 64 2 Scanthe patient s bar code The system queries the worklist and imports the information into the patient form To enter patient information from the worklist 1 Tap PATIENT AA PATIENT 2 Tap Worklist Entering patient information 80 3 To sort the worklist tap a column heading to sort by By default the worklist sorts in ascending order 4 Do any of the following e Toselect one or more procedures for the patient tap the procedure or procedures You can select multiple procedures only for the same patient e Torequery the server for an updated worklist tap Update 5 Tap Select The system populates the patient form Patient information from the worklist is uneditable To retur to the patient form without selecting a procedure tap Back To view scheduled procedures The patient information that you import from the worklist includes scheduled procedures Entering patient information 81 On the patient form see the following lists under Scheduled Procedures e Name Scheduled procedures e Protocol Protocol for the selected procedure e Meaning Definition of the selected procedure To change the procedure You can select a procedure different from the scheduled procedure 1 Under Performed Procedure on the patient form select the desired procedure from the Code list The definition of the procedure appears in the Meaning field 2 If you want to modify
45. system 1 End the current exam 2 On the Calculations settings page tap OB 3 Inthe OB Custom Measurements area tap Ow New 4 Inthe Name box type a unique name 5 Inthe Type list select the desired measurement type 6 Tap Save Save To create custom obstetrics measurements in the OB Custom Table Editor Before you use the OB Custom Table Editor make sure that your system meets the minimum requirements for the editor and specify the language for the editor see Setting up custom obstetric tables on page 44 Note The language of the OB Custom Table Editor must match the language of the X Porte system on which you import the measurements 1 On the Setup First tab of the OB Custom Table Editor click the Age User Table to which you want to add a measurement 2 Inthe Measurement Name cell type a unique name of up to six characters Calculations settings 42 Note If you create a custom measurement with a name that matches the name of a custom measurement already on the system the system overwrites the custom measurement on the system with the new custom measurement when you import it 3 Inthe Measurement Type cell select the desired measurement type 4 Enter table data Once you ve created custom measurements in the custom table editor you can export the editor to a USB memory stick and then import the custom measurements from the editor onto the system see Exporting and importing custom obstetric tables and me
46. tables Note The system does not support password protected USB memory sticks Make sure that the USB memory stick you use does not have password protection enabled Caution To avoid damaging the USB memory stick and losing patient data from it observe the following Do not remove the USB memory stick or turn off the ultrasound system while the system is exporting Do not bump or otherwise apply pressure to the USB memory stick while it is in a USB port on the ultrasound system The connector could break Caution If the USB icon z does not appear in the system status area on the clinical monitor the USB memory stick may be defective or password protected Replace the USB memory stick To connect a USB memory stick for importing or exporting Insert the USB memory stick into a USB port see About the system on page 5 gt The USB memory stick is ready when the USB icon appears onscreen To view information about the device see USB settings on page 70 USB devices 23 To disconnect a USB memory stick Disconnecting the USB memory stick while the system is exporting to it may cause the exported files to be corrupted or incomplete 1 If exporting wait at least five seconds after the USB animation icon stops 2 Remove the USB memory stick from the port USB devices 24 Visual Guide videos The Visual Guide library contains animated 3D videos that describe scanning techniques terminolog
47. the Calculations settings page tap Tables 4 Tap Import Te Import 5 Select the USB memory stick that contains the CSV file and then tap Import Calculations settings 46 Import The system restarts Deleting custom obstetric tables You cannot delete system defined obstetric tables 1 On the Calculations settings page tap Tables 2 Select Gestational Age or Growth Analysis and then select the Measurement and Author for the table you want to delete 3 Tap Delete Related topics Cadiac calculations cero SEED RDORRRSARAREA I PRAERR4 eG R d Gad X i pida POR PAR PRe iR 225 Obsteties calculallolis dies 250 Seltirig O Lea suceso E duxi wa ence EE DIDi du adi docc TE O 29 Calculations settings 47 CDA Report settings When you select Include CDA on the DICOM Archivers configuration page the ultrasound system archives the patient report in DICOM Encapsulated CDA Clinical Document Architecture format using the profile you specify on the CDA Report settings page Some CDA report settings appear in the patient report see Displaying reports and worksheets after the exam has ended on page 292 For example the Custodian Provider Organization Name appears in the report s banner You can configure up to four CDA profiles on the system To display the CDA Report settings page 1 Tap MORE and then tap System Settings MORE W 2 Tap CDA Report in the list on the left CDA Report To configu
48. the Code list tap Edit and do one of the following Note Required fields are marked with asterisks e Add an item Tap Add New and then fill in the Code Code Scheme Name and Meaning fields and then tap Save e Delete an item Select the item and then tap Q Updating and querying the worklist The worklist automatically updates if set up for an automatic worklist query see DICOM on page 87 You can also manually update the worklist and you can query the worklist server for a matching patient procedure The following table shows the parameters used for worklist queries You set parameters on the worklist configuration page see DICOM on page 87 Query Parameters Manual Patient Manual Update Automatic Query Query from Worklist Update Patient Data Date Range Entering patient information 82 Manual Patient Manual Update Automatic Query Query fom Worklist a Automatic Query On Off 1 O CO To manually update the worklist 1 On the patient form tap Worklist Worklist 2 Tap Update Update To perform a manual query 1 On a new patient form do any of the following e Fill in any of the following fields for the query Last First Middle Accession or ID The query is on the characters you enter For example Smith returns Smith Smithson Smithy e Under Additional Worklist Query Parameters specify any of the following o Modality Select a procedure type from the list US Ultra
49. the sheath 5 Check for and eliminate air bubbles between the face of the transducer and the sheath Air bubbles between the face of the transducer and the sheath may affect the ultrasound image 6 Inspect the sheath to ensure that there are no holes or tears About transducers 18 Related topics HOMO CNIS SS pga ces ig aado itp A DEDERE ca Sasaasaus AA LIRE SS LE 27 Selecting a transducer and exam type ocn 20 About transducers 19 Selecting a transducer and exam type arning To prevent misdiagnosis or harm to the patient use the correct transducer for the application The diagnostic capability differs for each transducer exam type and imaging mode Transducers are developed to specific criteria depending on their physical application These criteria include biocompatibility requirements Understand the system s capabilities prior to use Before scanning you select a transducer and exam type To select a transducer and exam type 1 Do one of the following e Onthe start select screen tap SELECT if present To set up the start select screen see User profile settings on page 64 e Tap TRANSDUCERS amp EXAMS at the top of the touch panel TRANSDUCERS amp EXAMS Cards for the available transducers appear see Connecting transducers on page 15 2 On the card for the appropriate transducer do one of the following e Double tap the exam type e Tapthe exam type and then tap SCAN ortap Cancel to ca
50. to specify the period of inactivity before the system automatically turns off Related topics SUNG UD MIS PA oO O 29 Power and Battery settings 59 Presets settings The Presets settings page has settings for general preferences brightness labels exam types and user profile settings You can export and import these settings To display the Presets settings page 1 Tap MORE and then tap System Settings MORE W 2 Tap Presets in the list on the left Presets General preferences To set general preferences Onthe Presets settings page select from the following lists Note Changing Doppler Scale or Units clears all measurements and calculations for the current exam Doppler Scale Select cm s or kHz Thermal Index TIS TIB orTIC The default setting is based on exam type OB exam is TIB and all others are TIS Units Units for patient height and weight in cardiac exams in ft Ibs or cm m kg Auto Save Patient Form When this option is on the system saves the patient form as an image in the patient s exam Presets settings 60 Brightness You can adjust the brightness of the clinical monitor or the touch panel to compensate for the level of light in the room in which the system is located To adjust brightness Do either or both of the following on the Presets settings page e Drag the Monitor Brightness slider The range is 0 10 e Drag the Touch Panel Brightness slider The range is 2 10
51. weight calculation reference 275 measurements 252 exam append 297 archive 305 delete 296 display of information 304 export 307 routing 106 exam types customizing 176 delete 62 modifying 177 select 20 setup 62 export and import 307 connectivity settings 51 exam types 62 Index 326 OB calculation tables femur length calculation reference fetal trunk cross sectional area calculation reference Flow State control follicles measuring footswitch setup freeze Freeze control gain gain sliders gel gestational age calculation reference measurements measuring setup tables 43 278 278 143 248 65 186 186 188 189 18 276 251 253 41 276 Index 327 gestational sac calculation reference 278 growth analysis setup 41 tables 279 growth analysis tables 252 guest login 38 gynecological calculations 247 gynecology intended uses 27 H head circumference calculation reference 278 heart rate 77 calculation reference 267 gestational 254 measure 245 Hide Color control 145 hip angle 257 ratio 258 home position 198 Index 328 HR 245 humerus length calculation reference 279 images and video clips archive 303 delete 299 export to USB 307 file formats 70 review 297 verifying transfer 303 imaging 110 color 123 controls 129 M Mode 121 infertility intended uses 27 intended audience 3 intended uses 27 interventional intended uses 27 interventricular septeum
52. 1 short axis area diastole Epi A2 short axis area diastole Endo a long or semi major axis d truncated semi major axis from the widest short axis diameter to mitral annulus plane t myocardial thickness Left Ventricular Mass in gm for M Mode Oh J K J B Seward A J Tajik The Echo Manual 2nd Edition Boston Little Brown and Company 1999 39 LV Mass 1 04 LVID PWT IVST LVID 0 8 0 6 Measurement references 268 where LVID Internal Dimension PWT Posterior Wall Thickness IVST Interventricular Septal Thickness 1 04 Specific gravity of the myocardium 0 8 Correction factor Left Ventricular Volume Biplane Method in ml Schiller N B P M Shah M Crawford et al Recommendations for Quantitation of the Left Ventricle by Two Dimensional Echocardiography Journal of American Society of Echocardiography September October 1989 2 362 2 re where V Volume in ml a Diameter b Diameter n Number of segments n 20 L Length i Segment Left Ventricular Volume Single Plane Method in ml Schiller N B P M Shah M Crawford et al Recommendations for Quantitation of the Left Ventricle by Two Dimensional Echocardiography Joumal of American Society of Echocardiography September October 1989 2 362 Measurement references 269 where V Volume a Diameter n Number of segments n 20 L Length i Segment Left Ventricular
53. 17 e You should follow current medical practice for volume flow calculation applications e The accuracy of the volume flow calculation largely depends on the user e Thefactors identified in the literature that affect the accuracy are as follows o Usingthe diameter method for 2D area o Precisionin placing the caliper o Difficulty ensuring uniform insonation of the vessel For more information about the considerations and degree of accuracy for volume flow measurements and calculations see the following reference Allan Paul L et al Clinical Doppler Ultrasound 4th Ed Harcourt Publishers Limited 2000 36 38 To calculate volume flow 1 If measuring the diameter instead of using the sample volume size perform the 2D measurement a On a frozen full screen 2D image or duplex image tap Calcs Calcs If this control is hidden tapping More Controls displays it b Onthe Volume Flow calculation list tap Diam To select a calculation list tap ES at the top of the current list and then tap the desired list c Position the calipers by dragging d Tap Save under the measurement name 2 Perform the Doppler measurement Volume flow calculation 218 a If full screen imaging start and then freeze the Doppler spectral trace b On the Volume Flow calculation list tap TAM or TAP A vertical caliper appears c Drag the vertical caliper to the beginning of the waveform A second vertical caliper appears If calipers are
54. 2 1996 885 Cisterna Magna CM Mahony B P Callen R Filly and W Hoddick The fetal cisterna magna Radiology 153 December 1984 773 776 Crown Rump Length CRL Hadlock F et al Fetal Crown Rump Length Re evaluation of Relation to Menstrual Age 5 18 weeks with High Resolution Real Time Ultrasound Radiology 182 February 1992 501 505 Hansmann M et al Ultrasound Diagnosis in Obstetrics and Gynecology New York Springer Verlag 1986 439 Osaka University Ultrasound in Obstetrics and Gynecology July 20 1990 20 and 96 Tokyo University Gestational Weeks and Computation Methods Ultrasound Imaging Diagnostics 12 1 1982 1 24 25 Table 3 Measurement references 277 Femur Length FL Chitty L S and D G Altman New charts for ultrasound dating of pregnancy Ultrasound in Obstetrics and Gynecology 10 1997 174 179 Table 8 186 Hadlock F et al Estimating Fetal Age Computer Assisted Analysis of Multiple Fetal Growth Parameters Radiology 152 1984 497 501 Hansmann M et al Ultrasound Diagnosis in Obstetrics and Gynecology New York Springer Verlag 1986 431 Osaka University Ultrasound in Obstetrics and Gynecology July 20 1990 101 102 University of Tokyo Shinozuka N FJSUM et al Standard Values of Ultrasonographic Fetal Biometry Japanese Journal of Medical Ultrasonics 23 12 1996 886 Fetal Trunk Cross Sectional Area FTA
55. 2 9475 3655 Spanish support 34 91 123 8451 Asia Service Center 65 6380 5589 Printed in the U S About the X Porte User Guide 4 Getting started arning Do not use the system if it exhibits erratic or inconsistent behavior Such behavior indicates a hardware failure Contact FUJIFILM SonoSite Technical Support About the system X Porte is a portable software controlled device that acquires and displays high resolution real time ultrasound images Features available depend on your system configuration transducer and exam type X Porte front view 1 Clinical monitor 2 Touch panel 3 Platform 4 Hook 4 5 Transducer connector 6 Locking wheel 4 7 Height adjustment pedal 8 Basket 9 USB ports 3 10 Power button X Porte rear view 1 Ports on dock left side 2 Power cord connector 3 Battery charge indicator 4 Ports on dock right side Getting started 5 A license key is required to activate the software See the X Porte Product Information amp Safety Guide Basic operating steps 1 Connect a transducer See About transducers on page 15 2 Tum on the system See Turning on the system on page 6 3 Select the transducer and exam type or use the default selections See Selecting a transducer and exam type on page 20 4 Optional Enter patient information See Entering patient information on page 76 5 Scan See Scanning on page 110 Turning on the system
56. 236 MV flow rate calculation reference 271 N Needle Guide control 136 Needle Profiling control 133 needles visualize 190 network connect by Ethernet 88 connect wireless 88 status 58 verify connection 104 O obstetrics custom measurements setup 41 custom tables setup 44 intended uses 28 tables setup 44 Index 333 Obstetrics graphs 288 obstetrics calculations 250 setup 41 Obstetrics calculations table export 43 occipito frontal diameter calculation reference 279 Orientation control 133 ovaries measuring 248 P password administrator 32 changing 38 user 36 Patient control 76 patient header 57 patient information edit 84 enter from worklist 80 Index 334 enter manually form patient list patient report peak velocity percent diameter reduction percent reduction calculations peripherals Picto control pictographs PISA calculation reference platform raising or lowering ports power delay preferences Presets control pressue half time calculation reference pressure gradient calculation reference 76 76 294 292 238 221 220 14 197 197 233 212 11 12 59 60 60 212 271 Index 335 pressure half time 240 print 301 Procedure Mode control 137 PW control D line 158 scrolling 166 PW TDI control D line 158 scrolling 166 Q Qp Qs 243 calculation reference 272 R ratio measurements 252 record clips 309 references calculations 264 regurgitant fraction ca
57. 3 DE 602004023816 3 DE 60034670 6 DE 60029777 2 EP 1589878 EP 1552792 EP 1180971 EP 0875203 EP 0815793 EP 1180970 EP 0881492 ES 2229318 ES 159878 ES 1552792 ES 0881492 FR 158978 FR 1552792 FR 1180970 FR 0881492 FR 0875203 FR 0815793 GB 158978 GB 1552792 GB 1180971 GB 1180970 GB 0881492 GB 0875203 GB 0815793 IT 1589878 IT 1552792 IT 0881492 IT 0815793 JP 4696150 KR 532359 KR 528102 NO 326814 NO 326202 Copyright 2013 FUJIFILM SonoSite Inc All rights reserved P14645 01 C 0086 Contents Welcome to the X Porte User Guide _ 2 2 2 000 o once cence eect eee ees 1 About the X Porte User Guide _ 2 2 22 2 00 eee eect eeeeeees 3 Document conventions certe eee dl d elite tee oe eat eae 3 Getting A rere ea eta cll ate tar a cents fees lt Tes 3 Getting started ic dA RU eme uaa o iu 5 SS A O OL S tases Noch E A has oe ADDIT 5 T rning on thie systelm 2 e eed ers pede ede Dg eu Le id ii Ee sande 6 CII Cal MONITOR eec eee eoe e eo e EE SO ell 7 a AAA O D EE RAUS 8 Adjusting the height and angle oooocccccccccccccccccccccccccnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnns 10 POMS aia ht pe P G 12 Battery charge Indicators etorri ltd il i te 12 Transporting the System vui d a Mo EA AN afk te 13 Accessories and peripherals 22 2 2 2222 cece cece cece cece cece cece cece cc ccceeeeeeeeeesseeeees 14 About trarisducers eos o
58. B to toggle between Twin A and Twin B screens If the Twin A B control does not appear tap Back and make sure that the Twins check box is selected e NT Credential Obstetrical exam A combination of letters and numbers representing an Nuchal Translucency NT credential ID number For example P 12345 Facility e Institution e Department ID e User e Reading Doctor e Referring Doctor Acute Care Worksheets If the Acute Care Worksheets licensed option is installed on your system the patient form displays these fields which also appear in the patient s Acute Care worksheet e MR Medical record number e Clinical Category The exam s clinical category Entering patient information 78 e Exam Visit Initial or Repeat e Primary Obtaining Interpreting The primary person obtaining or interpreting the images e Secondary Obtaining Interpreting The secondary person obtaining or interpreting the images e Additional Obtaining Interpreting Any additional person obtaining or interpreting the images Routing Selection When you associate one or more routing selections with an exam the system reflects the routing selections in the patient report and in the Acute Care worksheet if the Acute Care Worksheets licensed option is installed See Worksheets and reports on page 286 If you have specified a DICOM archiver as an Educational archiver setting routing selections in the patient form affects how exams are archived For mor
59. D LVOT area ACS M Mode ACS LVET M Mode LVET Calculation list Measurement name imaging mode Results MV E F Slope M Mode E F SLOPE EPSS M Mode EPSS Calculation list Measurement name imaging mode Cardiac calculations 226 Calculation list Measurement name imaging mode Results e E Doppler e A Doppler e PHT Doppler e MV VTI Doppler MR e dP dT CW Doppler dP dT Calculation list Measurement name imaging mode Results Cardiac calculations 227 Calculation list Measurement name imaging mode Results LV Vol A4Cd 2D LV Area A4Cs 2D EF A2Cd 2D CO A2Cs 2D SV CI SI Biplane d Biplane s Calculation list Measurement name imaging mode Results LV Mass Epi 2D LV Mass Endo 2D Epi Area Apical 2D Endo Area D Apical Calculation list Measurement name imaging mode Results AVILVOT AI e VMAX Doppler Cardiac calculations 228 Calculation list Measurement name imaging mode Results VTI LVOT Vmax VMAX Doppler PGmax VTI Doppler Vmean LVOT D 2D PGmean LVOTD AI PHT PHT Doppler Al slope Calculation list Measurement name imaging mode Results TV TR TR VMax Doppler Vmax PGmax E Doppler E A Doppler EPG A Cardiac calculations 229 Calculation list Measurement name imaging mode Results aM o TV VTI Doppler VTI Vmax PGmax Vmean PGmean Calculation list Measurement n
60. Dimension LVD Fractional Shortening percent Oh J K J B Seward A J Tajik The Echo Manual Boston Little Brown and Company 1994 43 44 LVDFS LVDD LVDS LVDD 100 where LVDD Left Ventricle Dimension at Diastole LVDS Left Ventricle Dimension at Systole Left Ventricular Posterior Wall Fractional Thickening LVPWFT percent Laurenceau J L M C Malergue The Essentials of Echocardiography Le Hague Martinus Nijhoff 1981 71 LVPWFT LVPWS LVPWDYLVPWD 100 where LVPWS Left Ventricular Posterior Wall Thickness at Systole LVPWD Left Ventricular Posterior Wall Thickness at Diastole Mean Velocity Vmean in cm s Vmean mean velocity Mitral Valve Area MVA in cm2 Reynolds Terry The Echocardiographer s Pocket Reference 2nd ed School of Cardiac Ultrasound Arizona Heart Institute 2000 391 452 MVA 220 PHT Measurement references 270 where PHT pressure half time Note 220 is an empirical derived constant and may not accurately predict mitral valve area in mitral prosthetic heart valves The mitral valve area continuity equation may be utilized in mitral prosthetic heart valves to predict effective orifice area MV Flow Rate in cc sec Reynolds Terry The Echocardiographer s Pocket Reference 2nd ed School of Cardiac Ultrasound Arizona Heart Institute 2000 396 Flow 6 28 r2 Va where r radius Va aliasing Velocity Pressure Gradient PGr
61. Displays the ECG trace ECG is available only on the cardiac exam type on the P21xp transducer See ECG on page 311 Tap this control to display ECG options MA NENNEN Save Exam Type See Customizing exam types on page 176 Controls in Doppler 172 Available in Provides tools that let you place text pictographs and arrows onto an image See Labeling images on page 194 Controls in frozen scrolling Doppler The following controls are available only in frozen scrolling Doppler Velocity Displays velocity measurements See Basic measurements in Doppler on page 206 Available in e Frozen Lo A Controls in Doppler 173 Time See To measure time duration Doppler on page 207 Available in Lets you trace manually to measure an irregular shape See Measuring on page 202 Controls in Doppler 174 Calcs See About calculations on page 211 ue fere IC WO Heart Rate Provides calipers to measure heart rate Available in Related topics Imaging controls a 2 000222 o eee cons 129 Controls in Color 2 02 2 22 c eee eee eee ccc ee cece cece cece eecceeceeeeesseceeetseeeseeeees 142 Gonmtolsu NL NOG ES 012 o e o e ea uberi 151 CONTA IM a aca aL en Treen eee 131 Doppler iMagidQ oooccccccccccccccccccccccccc cnn 126 SEND AA A A ae cs pee es Soa aaon 110 EDI RE a ME ee T PS 125 Controls in Doppler 175 Customizing exa
62. I The CO and CI calculations require Stroke Volume and Heart Rate calculations Cl also requires Body Surface Area BSA After the measurements are saved the result appears in the patient report 1 CI Only Fill in the Height and Weight fields on the patient form The BSA is calculated automatically See Entering patient information on page 76 2 Calculate SV See To calculate Stroke Volume SV or Stroke Index SI on page 244 Cardiac calculations 245 3 Calculate HR See To measure Heart Rate HR on page 245 To measure a Tissue Doppler Imaging TDI waveform 1 Ensure that TDI is on See Controls in Doppler on page 157 2 On afrozen Doppler spectral trace tap Calcs Calcs If this control is hidden tapping More Controls displays it 3 Do the following for each measurement you want to take a On the TDI calculation list tap the measurement name l To select a calculation list tap at the top of the current list and then tap the desired list b Position the calipers by dragging c Save the calculation Tap Save under the measurement name Cardiac calculations 246 Gynecological calculations arning To avoid incorrect calculations verify that the patient information date and time settings are accurate arning To avoid misdiagnosis or harming the patient outcome start a new patient form before starting a new patient exam and performing calculations Starting a new patient form clears t
63. M appears in the system status area on the clinical monitor 2 Tap REVIEW REVIEW 3 Tap Patient List _ a 4 Select the check box next to one or more exams 5 Tap Archive The system removes any status markers J Archiving and exporting 305 To manually request storage commitment 1 Tap REVIEW REVIEW 2 Tap Patient List _ o 3 Select the check box next to one or more exams 4 Tap SCommit To discontinue MPPS for an exam You can discontinue MPPS for an exam before completing the exam On the patient form tap Discontinue i Archiving and exporting 306 Exporting exams Caution To avoid losing data from or damaging the USB memory stick do not remove the USB memory stick or turn off the ultrasound system while exporting In addition do not bump or apply pressure to the USB memory stick while it is connected to the system The connector could break You can export patient exams if they are ended and if the system administrator has not disabled USB export See Ending the exam on page 85 and Administration settings on page 31 Exams include images video clips and the patient report A USB memory stick is for temporary storage of images and clips Archive patient exams regularly To export patient exams manually to a USB memory stick 1 Specify the file format for exported images See USB settings on page 70 2 Tap REVIEW REVIEW 3 Tap Patient List
64. NT o e Tap End Exam in imaging in review or in worksheets The system returns to the startup loca tion as specified in User Profile settings see User profile settings on page 64 ES Entering patient information 85 If End Exam isn t visible in imaging specify that it appears as one of the four custom controls See User profile settings on page 64 Related topics AA E 51 As AAA A A ISA 87 Routing selections es ccc atic ccc dd decades 106 Woneshesis and repo ico iaciisl 286 Entering patient information 86 DICOM Using data in the Digital Imaging and Communications in Medicine DIC OM standard the ultrasound system can do the following e Transfer patient exam data to an archiver DICOM printer or storage commitment server See Archiving and exporting on page 303 e Import patient data from a worklist See Entering patient information from the worklist on page 80 e Export exam data as DICOMDIR files to a USB storage device See USB settings on page 70 DICOM is a licensed feature The system conforms to the DICOM standard as specified in the X Porte DICOM Conformance Statement available at www sonosite com The X Porte DICOM Conformance Statement provides information about the purpose characteristics configuration and specifications of the network connections supported by the system The system connects over a local area network LAN to the following e Picture Archive and Communica
65. O o e eco Aaa edd eese Pe eee 15 ConnectindgtransduCcers vereor E LL Lcd eeu 15 Preparing transdll6ers iac c ARA edi oie e LAM 17 Selecting a transducer and exam type 0000000 cnn cnn nc 20 USB devices ooo eoi E Lebe uui dif nue Pett unde 23 USB Memo SUCKS ertet omen tn semis ven ceras tartas ctr 23 Visual Guide videos Ru cae se deen ie tata 25 Intended USES estrato de ASE OTR be BR ASTER MSE EAE Cea A ARATRI AAA AT Reo a 27 ContraindiCallOns usse whe eter essveedder yt E nek Adey tebe et ted cee didn ad ds wey she nt Hen 28 Setting up the system ooo e cece cece eeeceececceceeeeeees 29 Administration settings _ 00 000000 o ccc cece ec cece ccc e cece eeeeeeeeeeeeeeeeeeeeees 31 About secunty Settings sx eec EI A BS RE DAD t tee INE 31 Managing the Administrator account lsssssssssssssssssssssssssss sse e essen neis 32 Protecting patient information sce ccce e e I Eee Ree A nan 33 Adding and managing user accounts 2 22 22 cece eee cece eee e ee ceeeeecceeceeeeeeees 34 LOMO EIN pester ease tense IN ISA A A LP 8 ted TT 37 Audio settihgS er tei emt id tridente 39 Calculations settings isuuuuuuuuuuuuueeeeeeeeeseeeesse ee e RR RR RR rrr rere 40 Cardiac calculations settings c neces elite E treo pide 40 Obstetrics calculations settings 2 2 2 e cece cece cece cc ccc cece cece Renner 41 CDA Report settings sinend a ae aa e cece eee eeeeeeeeec
66. S E o ook see os sean A AA eL E E SAA 142 Bo uu eet EcSonccDegdoU moi apu Here e 3osdinohiA super dcs SE 157 Controls dM Mode ic ES Id 2 A X Gu nem Add 4 ni P ARR doe doy eR TES 151 Controls in 2D RR RR RR ERRORI 131 EIOS A NN e E ee eae eee eM ALI PI ISP M e SiS LM RED T a Sew omen ELA 60 Imaging controls 130 Controls in 2D To specify which controls appear in the Controls bar see In Is on page 129 Some controls appear only when the image is frozen See on page 139 a PATIENT TRANSDUCERS amp EXAMS REVIEW WORKSHEETS MORE Y LEARN Rec i D E IN Ve SonoMB Range 0 Any CS ae ba asin Orientation Profiling Off Turns Tissue Harmonic Imaging THI on and off Controls in 2D 131 Tap this control to turn it on highlighted icon or off dimmed icon Available in only certain exam types ue fere ICI SonoMB Turns SonoMB multi beam imaging technology on and off SonoMB technology enhances the 2D image by viewing a target from multiple angles and then merging or averaging the data to improve overall image quality and to reduce noise and artifacts Available only in certain exam types Tap this control to turn it on highlighted icon or off dimmed icon Available in Update Controls in 2D 132 Updates the image In Dual tapping the control switches the active side from left to right or right to left
67. See Controls in frozen D line on page 162 PA PATIENT TRANSDUCERS amp EXAMS REVIEW WORKSHEETS MORE Y 9 Learn Rec Doppler L 4 L P T Angle M Gate Steering 0 Correct 0 Size 1mm Target Depth ph AT 3 e O Video Display o Clip Settings Format Update Controls FREEZE Controls in Doppler 157 Select PW pulsed wave Doppler CW continuous wave Doppler or PW TDI Tissue Doppler Imaging CW and PW TDI are available only in the Cardiac exam type lt 7 Steering Linear transducers only Determines the angle of the D line Available in Controls in Doppler 158 d lt p Angle Correct Available only in PW Doppler Corrects the angle Tap this control and then drag the slider or select a setting 0 60 or 60 You can also adjust the angle by tapping the double headed arrows on the D line See Scanning on page 110 ie pr Gate Size Tap Up to increase the gate size Tap Down to decrease the gate size Available in Zoom Magnifies the image See Zooming on page 183 Controls in Doppler 159 Available in Save Exam Type See Customizing exam types on page 176 ue Frozen o 4 Video Clip Settings See To set video clips controls on page 179 Available in ve em 3 1 Display Format Controls in Doppler 160 Lets you control the format of the 2D and sweeping images Tap thi
68. Velocity 173 Video Clip Ssettings 160 Volume 167 Wall Filter 167 Zoom 159 M Mode 151 Display Format 153 Index 322 Distance Time 155 Dynamic Range 152 ECG 152 Heart Rate 155 Save Exam 152 Sweep Speed 153 Update 154 cross sectional area calculation reference 265 crown rump length calculation reference 277 D Date and Time control 55 date and time setup 55 deceleration time in msec calculation reference 266 delta pressure delta time 241 depth 188 depth scale 188 DICOM 87 archivers 97 associate devices 102 Index 323 configuration pages configure devices locations log MPPS printers storage commit worklist Display Format control Display Information control display setup Distance control in 2D in Color Doppler scale setup Doppler measurements dP calculation reference 91 92 93 73 101 98 99 100 160 57 o7 139 148 60 206 266 Index 324 dT Dual control dual imaging DVR recording USB port e Film Lite image viewer E Ea ratio calculation reference ECG ECG control in 2D in M Mode effective regurgitant orifice calculation reference ejection fraction calculation reference elapsed time in msec calculation reference Ellipse control estimated data of delivery calculation reference AUA estimated date of delivery calculation reference LMP 241 134 128 309 23 71 266 311 311 152 266 267 267 140 275 270 Index 325 estimated fetal
69. You can copy the recordings to another device You cannot record video if the system administrator has selected Disable USB Export in Administration setups See Administration settings on page 31 To record to the DVR 1 Make sure that a USB memory stick is inserted into the DVR USB port The DVR USB port is located on the rear of the stand s dock and is labeled DVR Only See Ports on page 12 2 Tap Rec at the upper right of the touch panel Rec Note You can also configure the footswitch to record see User profile settings on page 64 The system begins recording to the USB memory stick in the DVR port and displays a flashing recording indicator Note If Rec is not available check to make sure that the DVR has a USB memory stick inserted and that the USB memory stick is not full 3 To stop recording tap Rec or end the exam Rec To copy DVR recordings to another device 1 After you stop recording remove the USB memory stick from the DVR 2 Insert the USB memory stick into another device for example a personal computer DVR recording 309 3 Display the USB memory stick s contents and copy the recordings MP4 files to the device DVR recording 310 ECG ECG monitoring requires an optional FUJIFILM SonoSite ECG module ECG is available only on the cardiac exam type on the P21xp transducer arning To prevent misdiagnosis do not use the ECG trace to diagnose cardiac rhythms The FUJIFILM Son
70. a patient report You can view and edit the report preview and worksheets at any time until the exam has ended After the exam has ended you can view the patient report see Displaying reports and worksheets after the exam has ended on page 292 The value for a calculation appears in the report only if the calculation is saved The pound symbol indicates a value that is out of range for example too large or small Calculation values that are out of range are not included in derived calculations for example mean Calculations appear in the order that they were saved When you archive or export the exam the report is included in the exam If they are licensed on your system Acute Care worksheets and MSK worksheets are available See Acute Care and MSK worksheets on page 289 Report preview To display the report preview 1 Tap WORKSHEETS WORKSHEETS 2 Arterial or Cardiac exam Tap Summary or Calculations in the Report Preview list The mean of the detail entries is used in the summary You can switch between these views as needed To exit the report preview and return to imaging tap Done Worksheets and reports 286 To delete calculation values from the report preview 1 Display the report preview 2 Arterial or Cardiac exam Tap Calculations 3 Select the value and then tap Delete Del Deleting some measurements also deletes related measurements Deleted measurements are not included
71. ailable depend on transducer See Selecting a transducer and exam type on page 20 An asterisk next to an exam type indicates that it is a system defined exam type see Customizing exam types on page 176 e BP Cardiac or Arterial exam Blood Pressure e HR Cardiac or Arterial exam Heart Rate Enter the beats per minute Saving the heart rate using a measurement overwrites this entry e Height Cardiac exam The patient height in feet and inches or meters and centimeters To change the units see Presets settings on page 60 e Weight Cardiac exam The patient weight in pounds or kilos To change the units see Pre sets settings on page 60 Entering patient information 77 e BSA Cardiac exam Body Surface Area Automatically calculated after you enter height and weight e Twins Obstetrical exam Select the Twins check box to display Twin A and Twin B meas urements on the calculations menu and for access to Twin A and Twin B screens for previous exam data e LMP or EDD Obstetrical or Gynecology exam In an Obstetrical exam select LMP or EDD and then enter either the date of the last menstrual period or the established due date In a Gyne cology exam enter the date of the last menstrual period The LMP date must precede the current system date e Previous Exams Obstetrical exam Displays fields for five previous exams The date for a pre vious exam must precede the current system date For twins select Twin A
72. ails for the patient exam This information appears in the patient report After you begin a new patient form all images video clips and other information you save during the exam are linked to that patient You can enter patient information by e Entering the information manually See To enter patient information manually on page 76 e Importing information from a DICOM worklist server See To enter patient information from the worklist on page 80 e Scanning a patient bar code and obtaining patient information from a worklist server See To enter patient information from the worklist with a bar code scanner on page 80 e Scanning a patient bar code to obtain the patient ID See Bar Code Scanner User Guide Entering patient information manually To enter patient information manually 1 End the previous exam see Ending the exam on page 85 2 Tap PATIENT A PATIENT 3 Tapa text box and fill in the fields See Patient form fields on page 77 4 Tap Done Entering patient information 76 Patient form fields The patient form fields available depend on exam type In some fields you can enter symbols and special characters See To enter text using the onscreen keyboard on page 10 Patient e Last First Middle Patient name e ID Patient identification number e Date of Birth e Gender e Accession Enter number if applicable e Indications Enter desired text Exam e Exam The exam types av
73. ame imaging mode Results VMAX Doppler PV VTI Doppler VTI AT Doppler Vmax PGmax Vmean PGmean AT Cardiac calculations 230 Calculation list Measurement name imaging mode Results LVOT Diam 2D HR Doppler AV VTI Doppler Calculation list Measurement name imaging mode Results A Doppler NMax P Vein time Adur Doppler VMax TADOBPSE S D ratio D Doppler VMax Calculation list Measurement name imaging mode Results PISA Radius Color aao MR VTI Doppler ERO Ann Diam 2D MV MV VTI Doppler Regurgitant Volume Regurgitant Fraction VMax Cardiac calculations 231 Calculation list Measurement name imaging mode Results iaa Calculation list Measurement name imaging mode Results LVOT Diam 2D RVOT D 2D LVOT VTI Doppler RVOT VTI Doppler Calculation list Measurement name imaging mode Results Sep e Doppler E MV e ratio Sep a Doppler Lat e Doppler Lat a Doppler Inf e Doppler Inf a Doppler Cardiac calculations 232 Calculation list Measurement name imaging mode Results Ant e Doppler Ant a Doppler a You can enter the HR measurement on the patient form by Doppler measurement See To measure Heart Rate HR on page 245 or by M Mode measurement See To measure heart rate M Mode on page 206 b Performed at 300 cm son the negative side of the baseline c Specified o
74. ancy American Joumal of Obstetrics and Gynecology 141 7 Dec 1 1981 759 762 FL HC Ratio Hadlock F P R B Harrist Y Shah and S K Park The Femur Length Head Circumference Relation in Obstetric Sonography Journal of Ultrasound in Medicine 3 October 1984 439 442 Measurement references 281 HC AC Ratio Campbell S Thoms Alison Ultrasound Measurements of the Fetal Head to Abdomen Circumference Ratio in the Assessment of Growth Retardation British Journal of Obstetrics and Gynaecology 84 March 1977 165 174 General references x or S D Ratio x abs Velocity A Velocity B where A velocity cursor B velocity cursor x Acceleration Index ACC Zwiebel W J Introduction to Vascular Ultrasonography 4th ed W B Saunders Company 2000 52 ACC abs delta velocity delta time Elapsed Time ET ET time between velocity cursors in milliseconds Hip Angle d D Ratio Graf R Fundamentals of Sonographic Diagnosis of Infant Hip Dysplasia Journal of Pediatric Orthopedics Vol 4 No 6 735 740 1984 Morin C Harcke H MacEwen G The Infant Hip Real Time US Assessment of Acetabular Development Radiology 177 673 677 December 1985 Percent Area Reduction Taylor K J W P N Burns P Breslau Clinical Applications of Doppler Ultrasound Raven Press N Y 1988 130 136 Measurement references 282 Zwiebel W J J A Zagzebski A B Crummy et
75. ann Hackeloer Staudach Wittman Ultrasound Diagnosis in Obstetrics and Gynecology Springer Verlag New York 1986 182 Table 7 17 Head Circumference HC Chitty Lyn S et al Charts of Fetal Size 2 Head Measurements British Journal of Obstetrics and Gynaecology 101 January 1994 43 Appendix HC Derived Hadlock F et al Estimating Fetal Age Computer Assisted Analysis of Multiple Fetal Growth Parameters Radiology 152 1984 497 501 Jeanty P E Cousaert and F Cantraine A longitudinal study of Fetal Head Biometry American J of Perinatology 1 January 1984 118 128 Table 3 Also published in Hansmann Hackeloer Staudach Wittman Ultrasound Diagnosis in Obstetrics and Gynecology Springer Verlag New York 1986 176 Table 7 8 Head Circumference HC Abdominal Circumference AC Campbell S Thoms Alison Ultrasound Measurements of the Fetal Head to Abdomen Circumference Ratio in the Assessment of Growth Retardation British Journal of Obstetrics and Gynaecology 84 March 1977 165 174 Ratio calculations FL AC Ratio Hadlock F P R L Deter R B Harrist E Roecker and S K Park A Date Independent Predictor of Intrauterine Growth Retardation Femur Length Abdominal Circumference Ratio American Journal of Roentgenology 141 November 1983 979 984 FL BPD Ratio Hohler C W and T A Quetel Comparison of Ultrasound Femur Length and Biparietal Diameter in Late Pregn
76. ap Done To delete a user 1 On the Administration Login settings page log in as a user with administrative privileges 2 Select the user under User List 3 Tap o 4 Tap Yes 5 Tap Done Logging in If user login is required the user login screen appears when you turn on the system See To require user login on page 33 To log in as a user 1 Tum on the system Administration settings 37 2 Inthe login screen type your user name and password and then tap OK To log in as guest Guests can scan save images and clips view worksheets and access Help and Visual Guide videos Guests cannot access patient information or system settings except Monitor Brightness and Touch Panel Brightness When you log in as a guest the system always displays the 2D imaging screen no matter which startup mode is specified in User Profile settings see User profile settings on page 64 1 Tum on the system 2 Inthe login screen tap Guest To change your password You can change your password only if the administrator has enabled password changes See To allow users to change their password on page 36 1 Tum on the system 2 Inthe login screen tap Change Password 3 Type your old and new passwords confirm the new password and then tap Change Related topics Set rig UD HIG SY StCM A UpNSESRES ELOR MAIS MAROE I MM aE Regi 29 Administration settings 38 Audio settings On the Audio settings page
77. asurements on page 45 To delete a custom obstetric measurement 1 End the current exam 2 On the Calculations setup page tap OB 3 Inthe OB Custom Measurements area tap o next to the measurement you want to delete 4 Tap Yes to confirm the deletion The measurement and its associated table is removed from the system Viewing obstetric calculation tables You can view obstetric calculation tables on the system including tables you ve imported using the OB Custom Table Editor You cannot modify or delete default system defined obstetric calculation tables To view obstetric calculations tables 1 On the Calculations setup page tap Tables Calculations settings 43 2 Select the desired table type and measurement author Setting up custom obstetric tables You can use the X Porte OB Custom Table Editor a Microsoft Excel file available at www sonosite com to set up custom obstetric gestational age and growth analysis tables After you enter custom tables in the editor you export the tables toa USB memory stick and then import the tables onto the X Porte system See Exporting and importing custom obstetric tables and measurements on page 45 Before you use the X Porte OB Custom Table Editor make sure that your computer meets the following minimum requirements Windows e Windows Vista 32 bit or 64 bit or later e Microsoft Excel 2007 or later configured to enable all macros and to trust access to the VBA
78. bel that you want to replace the added label with e Toplace text manually and add a predefined label type text in the field at the top of the form tap in the field again and then tap one or more predefined labels Tap Done e Toclear text or predefined labels tap Clear Clear e Toundo changes and return to the image tap Cancel e Toundo changes and return to 2D imaging tap 2D 3 Drag the text label to the desired location 4 Make changes as needed e Toedit the text select it in the Label list and tap Edit Labeling images 195 e Toremove the text select it in the Label list and tap Delete de e Toremove all text labels tap Remove All Text in the Label list Arrows You can add an arrow graphic to point out a specific part of the image The system deletes arrows from the image when you zoom pan or unfreeze the image To place an arrow on an image 1 Tap Label D Label If this control is hidden tapping More Controls displays it 2 Tap Arrow 3 Position and orient the arrow Labeling images 196 e To position the arrow drag it e Toorient the arrow drag the circle s edge To remove the arrow select it and then tap Delete in the Arrow list Pictographs The pictograph set available depends on transducer and exam type Each pictograph you place includes a transducer orientation icon To place a pictograph on an image 1 Tap Label If this control is hidden tapp
79. ble check cable and wireless connections Restart the system if you changed configuration If the problem continues see your system administrator The connection status of the devices appears in the Status column e Failed DICOM cannot communicate with the device e Success DICOM can communicate with the device e Unknown The device does not support the C ECHO for example Verify query command DICOM 104 Related topics A xA E lee B84 gga DDR EE RD ane TIER eee 73 Entering patient information 000 2 222 000000 iadaaa nee rell 76 Worksheets and TepOorte a caceecaccnaueseaesagcegudeuestanenieaceessaueeinnssioreiaedseages 286 CDA Report settings scnis stre eee deo A de 48 PACT ING MACAPA AAA a A C MdL 303 Network Status settings ooooccccccccccccccccccccccccccccccccccccccccnnccnncnccnccnncccnccnns 58 Connectivity Settings A 51 Ftouting seleotlDfiGz sacco ote ttn nt aes ec one UOI U Epic clot ub S Sue Ace LAE 106 DICOM 105 Routing selections Routing selections let you control where patient exams are archived You can associate one or more routing selection with an exam The system supports three routing selections e Diagnostics e Educational Accreditation e Procedural You can associate the Educational Accreditation routing selection with a DICOM archive device see Specifying educational DICOM archivers on page 107 Associating routing selections with exams When you associate one
80. c intended uses 27 CDA profiles 48 CDA Report control 48 CI 245 cine buffer 181 Cisterna Magna calculation reference 277 clinical monitor 7 CO 245 Color control 142 Color mode about 123 controls 142 connectivity setup 51 controls 2D 131 Acute Care 141 Index 318 AutoGain Adjust Distance Dual Dynamic Range ECG Ellipse Label Needle Guide Needle Profiling Procedure Mode Save Exam Type Sector SonoMB Target Depth THI Trace Update Video Clip Settings Zoom 135 139 134 137 Sd 140 138 136 133 137 138 135 132 138 131 140 132 135 139 Index 319 Color 142 Acute Care 149 Calcs 149 Distance 148 Flow State 144 Hide 145 Invert 145 Label 147 Save Exam Type 146 Scale 143 Show 145 Steering 144 Target Depth 147 Trace 148 Video Clip Settings 146 Zoom 146 customize 65 Doppler Acute Care 164 Index 320 Angle Correct Auto Measure Auto Trace Baseline Calcs D line Calcs scrolling CW CW scrolling Display Format Display Format scrolling Distance Ellipse Gate Size D line Gate Size scrolling Heart Rate Invert Label Manual Trace PW 171 171 174 170 164 175 158 166 160 170 162 163 159 167 175 171 162 174 158 Index 321 PW scrolling 166 PW TDI 158 PW TDI scrolling 166 Save Exam Type 160 Save Exam Type scrolling 172 Scale 166 Steering 158 Sweep Speed 168 Target Depth 161 Time 174 Trace 163 Update 168
81. cific See on page 110 PATIENT TRANSDUCERS amp EXAMS REVIEW WORKSHEETS MORE W 2 LEARN Rec Related topics Doppler imaging 126 pc TP EET 128 CAMAS DO ICG a ee e e Lo 157 BERE E T 125 Doppler imaging 127 Dual Dual displays side by side 2D images The system displays independent image information for each image for example Depth color maps and orientation markers You can switch between the two images and adjust some controls for example Depth and Gain independently You can view frames in the cine buffer for both images independently Dual is available in 2D and in Color See on page 112 FA PATIENT TRANSDUCERS amp EXAMS WORKSHEETS MORE W pz 19 Lear Related topics Dual 128 Imaging controls The imaging controls let you adjust the image and related parameters label Zoom and more For each imaging mode you can place your favorite and most used controls in the Controls bar located on the right side of the touch panel You can place controls for the frozen image as well as for the live image The remaining controls are still accessible in the More Controls window Available controls depend on the imaging mode system configuration and whether the image is live or frozen To access a control in the More Controls window 1 Tap More Controls 2 If necessary tap the imaging mode for example 2D at the top of the More Controls window The control for the active imaging mo
82. culations 249 Obstetrics calculations arning Make sure that you have selected the Obstetrics exam type and the OB author for the Obstetrical calculation table you intend to use See Obstetrics calculations settings on page 41 arning To avoid incorrect obstetrics calculations verify with a local clock and calendar hat the system s date and time settings are correct before each use of the system The system does not automatically adjust for daylight savings time changes arning Prior to use verify that Obstetrical custom table data entries are correct The system does not confirm the accuracy of the custom table data entered by the user arning To avoid incorrect calculations verify that the patient information date and time settings are accurate arning To avoid misdiagnosis or harming the patient outcome start a new patient form before starting a new patient exam and performing calculations Starting a new patient form clears the previous patient s data The previous patient s data will be combined with the current patient if the form is not first cleared See Entering patient information on page 76 In X Porte you can calculate gestational age fetal heart rate middle cerebral artery and umbilical artery blood flow velocities You can select authors for Obstetrical calculations See Obstetrics calculations settings on page 41 and Measurement references on page 264 EFW is calculated only after appropriate
83. culations verify that the patient information date and time settings are accurate arning To avoid misdiagnosis or harming the patient outcome start a new patient form before starting a new patient exam and performing calculations Starting a new patient form clears the previous patient s data The previous patient s data will be combined with the current patient if the form is not first cleared See Entering patient information on page 76 arning Moving the baseline scrolling or inverting the trace while frozen clears the displayed results In the Cardiac exam you can perform the following calculations Measurements required to complete Cardiac calculations Note These tables are organized to show calculation results The order of items in the calculation lists on the system may differ somewhat Calculation list Measurement name imaging mode Results Diastole 2D or M Mode RVWd 2D or M Mode RVDd 2D or M Mode IVSd 2D or M Mode e LVDd 2D or M Mode e LVPWd 2D or M Mode Systole LVEDV e RVWs 2D or M Mode IVS e RVDs 2D or M Mode LVPWFT Cardiac calculations 225 Calculation list Measurement name imaging mode Results e VSs 2D or M Mode e LVDs 2D or M Mode e LVPWSs 2D or M Mode HR needed for CO amp CI If measurements taken in M Mode Calculation list Measurement name imaging mode Results Ao 2D or M Mode q LA 2D or M Mode p TTE LVOT D 2D LVOT
84. d Freeze Save Image or Print 1 On the Presets settings page tap User Profile 2 Select options from the Footswitch L and Footswitch R lists To configure custom controls By default the four controls that appear next to the Freeze control in live imaging are Auto Gain Save Image Save Video Clip and End Exam You can specify the function of these controls 1 On the Presets settings page tap User Profile 2 Select options from the Program Control A Program Control B Program Control C and Program Control D lists The selected options for Program Control A and Program Control B appear to the left of the Freeze control on the touch panel The selected options for Program Control C and Program Control D appear to the right of the Freeze control on the touch panel To reset controls You can reset the More Controls window to the factory default Presets settings 65 If you have moved controls from the More Controls window to the Controls bar resetting the controls removes them from the Controls bar Similarly resetting the controls moves controls you have moved from the Controls bar to the More Controls window 1 On the Presets settings page tap User Profile 2 Tap Reset More Controls To show or hide the Learn button You can specify that the system hide the Learn button on the touch panel If you hide the Learn button you can still access the visual guides by selecting Learn from the More menu
85. de on page 155 P PATIENT TRANSDUCERS amp EXAMS REVIEW WORKSHEETS MORE 4 DA LEARN Rec Ili Dyn Range 0 D M N M MODE m Label DOPPLER a i LAE ut Save Sweep Exam Type Speed Slow Update FREEZE Controls in M Mode 151 Dyn Range Adjusts the grayscale range Tap the control and then tap Up or Down to select a setting 3 2 1 0 1 2 or 3 The positive range increases the number of grays displayed and the negative range decreases the number of grays displayed ECG m Displays the ECG trace ECG is available only on the cardiac exam type on the P21xp transducer See ECG on page 311 Tap this control to display ECG options Available in Controls in M Mode 152 See Customizing exam types on page 176 Available in Sweep Speed Available when displaying the M Mode trace Sets the sweep speed Tap this control and then select the speed Slow Med or Fast Available in Display Format Lets you control the format of the 2D and sweeping images Tap this control and then tap the specified format e 1 3 2D 2 3 Sweep e 1 2 2D 1 2 Sweep e 2 3 2D 1 3 Sweep Controls in M Mode 153 e Side by Side e Full 2D Full Sweep You can adjust the images independently of each other To make an image active tap it or tap Update Available in Provides tools that let you place text pictographs and arrows onto an image Se
86. de is blue Multiple imaging modes are available if one of them includes another For example because 2D is a subset of M Mode you can choose from both 2D and M Mode controls when scanning in M Mode 3 Tapthe control 4 f necessary close the control tap the X in the upper left corner of the control or tap anywhere in the More Controls window To close the More Controls window tap More Controls or tap anywhere outside the More Controls window To place controls in the Controls bar 1 Start the imaging mode whose controls you want to place see Scanning on page 110 2 If placing controls for frozen imaging freeze the image see To freeze the image on page 186 3 Tap More Controls Imaging controls 129 The More Controls window appears 4 Do the following for each imaging mode available e At the top of the window tap the imaging mode for example 2D Note Multiple imaging modes are available if one of them includes another For example because 2D is a subset of M Mode you can choose from both 2D and M Mode controls when scanning in M Mode e Drag each control to the Controls bar into the desired position You can drag the control up or down to another position or you can drag it back into the More Controls window You can place up to seven controls in the Controls bar To close the More Controls window tap More Controls or tap anywhere outside the More Controls window Related topics CORTO
87. dera io ie wi ibenc b beri te el 248 Measuring ollicles 2 eec Tee zt toc e oo te eet 248 Obstetrics calculations eui e IIR e aee Ed pid piiter 250 Small Parts calculations _ 2222 22 esses nnne 257 Acute Care calculations occ cc 259 Measurement references o 264 Cardiac Terererces xt 04s cnet eres tans cep A mes coasters A oe 264 Obstetrical reterenCes 4 veste tese moet uer itte e do Rose ce AE TRU Ute Be 275 General references eas teretes tet eeeter dest rre bte edente dre o 282 Worksheets and reports occ ccoo cnc cnn nn cnc 286 REDON PIeVIEW n certet a croacia toro edo mida ois A EE Au E UAE arnt 286 Acute Care and MSK worksheets 2 222 222 eee 289 Printing reports and worksheets 00000020 c cece cece cc ccc cece cece RR e e esses sere 291 Displaying reports and worksheets after the exam has ended Lususuuuuuus 292 Reviewing steune cosas danuan cede satus eedadenir sabbbed dahon eaut eer EE rds d 294 PallentliStt sorore ce Botnet REA D Veh IN BO Laan Bef nt TSANG SS nts is ne AT Ns 294 Reviewing images and video clips 0 2 2 cece cece cece cece ccc ce cece cc ccccecceeeeeees 297 Printing images oca eer oe tte o tc eR 301 Archiving and exporting uttuuusssssssssssssssssssss esses sese 303 ArchiVIDQ eXalTlS siria ned sees alt Us Lee 303 Export exams cast E act OE enc OE a Rog tet BB tea Ete Reine ES 307 DVR recording 4er reet peli A AAA peri e arborea 309 EGG m
88. e Controls in Color 147 Controls in frozen Color The following controls are available only in frozen Color Distance Measures the distance between two points See Measuring on page 202 Ellipse Uses an ellipse to measure a region s circumference or area See Measuring on page 202 Available in e Frozen Controls in Color 148 Lets you trace manually to measure an irregular shape See Measuring on page 202 Available in Calcs See About calculations on page 211 Available in Acute Care The Acute Care calculations are part of the licensed Acute Care feature See Acute Care calculations on page 259 Available in Controls in Color 149 Related topics o as iac cio O 129 Controls in Doppler oooooocccccccccccccccccccco ccoo nn e ccc ce eee ceeeccseseeeeeees 157 Controls in M Mode 22 22 cee cece e cece cece cceececceeeccceeeceeeetesceeeseseeetseeees 151 CONOS IDA tee da a ON EROS RERUMS 131 Sa o cur ecc A EIN pes 123 SCANNING e 110 Controls in Color 150 Controls in M Mode In M Mode imaging you can adjust the following controls in addition to most of the 2D controls the 2D controls are available in M line see M line on page 120 and Controls in 2D on page 131 To specify which controls appear in the Controls bar see Imaging controls on page 129 Some controls appear only when the image is frozen See Controls in frozen M Mo
89. e Update Available in ue Frozen Controls in Doppler 168 Controls in Doppler 169 m My Display Format Lets you control the format of the 2D and sweeping images Tap this control and then tap the specified format e 1 3 2D 2 3 Sweep e 1 2 2D 1 2 Sweep e 2 3 2D 1 3 Sweep e Side by Side e Full 2D Full Sweep You can adjust the images independently of each other To make an image active tap it or tap Update Available in e Frozen Baseline Sets the baseline position Tap this control and then tap Up or Down Available in tive Frozen Controls in Doppler 170 Invert Switches the displayed direction of the flow helping reduce the need of repositioning the transducer Tap this control to turn it on highlighted icon or off dimmed icon Available in Correct Corrects the angle Tap this control and then drag the slider or select a setting 0 60 or 60 You can also adjust the angle by tapping the double headed arrows on the D line See Scanning on page 110 ue Frozen AA Auto Measure Controls in Doppler 171 Specifies the Doppler trace setting for measurements Tap this control and then tap Off Peak time average peak or Mean time average mean After you tap Peak or Mean in live imaging you can choose between Above Below or All to control the display relative to the baseline Available in e Frozen y y
90. e Labeling images on page 194 Update Tap the control to toggle between the trace and the 2D pane Controls in M Mode 154 Available in Controls in frozen M Mode The following controls are available only in frozen M Mode rH Distance Time Available when displaying the M Mode trace Provides calipers to measure distance in centimeters and measure time in seconds See Basic measurements in M Mode on page 205 Available in Available when displaying the M Mode trace Provides calipers to measure heart rate See Basic measurements in M Mode on page 205 Available in tive Frozen Related topics Controls in M Mode 155 M Mode IMAGING si otuna tata bett idoddanewaui sep Ehbil titia y pia lle LE cc 121 Imaging controls siuiuussssssssssssssssslssssssssssss sss CAGES DEEE sess r nn 129 i rite nero ro ERR RR TENER ERN 142 Bo EE E EE 157 Controls In SD cerrarse ses etastacsas ncecateces sededaneasiscaeksetisaacaaiensa pd 131 SCANNING ANNETTE eR 110 LETTO NP EE CER ANAL ERROR CELOS A S SEE 120 Controls in M Mode 156 Controls in Doppler In Doppler imaging you can adjust controls in D line see Controls in D line on page 157 and in scrolling Doppler see Controls in scrolling Doppler on page 165 To specify which controls appear in the Controls bar see Imaging controls on page 129 Controls in D line Note Some controls in D line appear only when the image is frozen
91. e the results from automatic tracing include the following e Velocity Time Integral VTI e Peak Velocity Vmax e Mean Pressure Gradient PGmean e Mean Velocity on Peak Trace Vmean e Pressure Gradient PGmax e Cardiac Output CO e Peak Systolic Velocity PSV e Time Average Mean TAM e x or Systolic Diastolic S D e Pulsatility Index PI e End Diastolic Velocity EDV Measuring 209 e Acceleration Time AT e Resistive Index RI e Time Average Peak TAP e Gate Depth The automatic trace tool must be used to calculate the TAM Assigning measurements to calculations You can assign a measurement to a calculation that includes that measurement type When you assign a measurement to a calculation a checkmark appears next to the measurement indicating that it has been successfully saved To assign a measurement to a calculation 1 After performing the measurement select it and tap Calcs Calcs If this control is hidden tapping More Controls displays it Note If Calcs is unavailable the measurement is unavailable for saving to a calculation A calculation list appears along with a list of additional available lists 2 Tapthe desired calculation list 3 Tapthe desired measurement name in the calculation list 4 Save the measurement Tap Save under the measurement name A checkmark appears next to the measurement name Measuring 210 About calculations arning To avoid inco
92. e 76 Entering patient information from the worklist 0 0 0000 00 00 c cece cece e cece eee e eee eee 80 Editing patient information o Stee Soe oe BEE RB 84 Ending theexam T 22203252 saacheete ees centeasstecut irte att n ae aaea E 85 DICOM oU NU IANUE net eh nes 87 Configuring the system for DICOM transfer o ooccccccccccccccccccccccccccccccccccccccccccccncoos 87 Connecting to the netWorK ecc zt E ee ge tte E E e ue ee eR 88 DICOM configuration pages ooocccccccccccccccccccccccccccccccccccccccccccccccncnnn nn nn cnn 91 Routing Selections RESI RAEI EOS NI PSE RES eius 106 Associating routing selections with exams 00 0 0 eee cece cece ee eeeeeeeeeee 106 Specifying educational DICOM archivers 00 0 e cece enne 107 SCANNING ei noe eles ex EEEIEE ET EEE ETETE EAEE EE EE ad ade es Lp TU 110 MEETS 110 un EH 110 Dual 33 eed e S a e UM ast ROLE PRA il ee Gnd PISS L EAS ee a 112 Doppler cpt ex sees ae ease tees nara as shh een AT CIENT 114 MiIMOd H U 116 AI IA 119 LBIn mE 120 M Mode imaging ec tre I plu ee v ellc ed eI e rior Inc Sirllblit tus ud 121 Golor imaging seco cere or TA AE iu ute etis 123 PE cT 125 Doppler imaging Lats LE c TD ey 126 Dual REOR E D RE 128 Imaging conttols eerte e TEE 129 Controls IMAO rrue ar A D IARE UDREMARIDRALIISS 131 Goritrols InHTOZern 2D
93. e an arrow on an image on page 196 o Fora pictograph see To place a pictograph on an image on page 197 Note If you play a video clip the system removes labels applied to the current frame e Coveran existing label tap Labels and then tap Mark Out The system places a black rec tangle on the image o Toreposition the Mark Out box drag it o Toresize the Mark Out box drag the round handle at the corner of the Mark Out box o Todelete the Mark Out box select the Mark Out box in the Mark Out list and then tap Delete The system displays the image or video clip in full screen mode 5 Tap Save Labeling images 200 The system saves the labeled image to the exam 6 Tap Done to exit labels and return to review Related topics Revi WNG 2s sc cacscetwcecevasadstiadadabestissanictdesacaades Presets settings 02020 ccccceccesscceeeseessecessenees secs Labeling images 201 Measuring X Porte offers several types of measurements You can perform independent measurements or you can perform a measurement and then assign it to a calculation See Assigning measurements to calculations on page 210 If you want to save a measurement you must assign it to a calculation which saves results to the patient report or you can save the image with the calipers displayed If you prefer to start within a calculation see About calculations on page 211 Calipers You perform most measurements by usi
94. e eee cece cece cece ccc ccc cece I RR RR RR e ee e reser 193 vii Labeling images posse IE S PO Sa TI 194 I ETE RE TER ane de 194 PINON PEE 196 A REM 197 Setting the home position 02 2 cece cece cece cece ccc I RR IRR cccccccceeeeeeees 198 Labeling dung TeView s 2 lt 2cc20 2 2422csceare dan stoadas jh ssseebesed syheededea M BOONE TAEAE 198 Measuring AAA A ees yen hts oi te Mele te OS IES SPAS OE Sat op 202 AAA A S 202 Viewing and deleting measurement results ooocccccccccccccccccccccccccocccccocccccocococoos 203 Basic measurements InZ D uso 223 entre bil sh ek vei tese rl distr s 203 Basic measurements in M Mode ecu eei ede se ee 205 Basic measurements in Doppler 2 22222 0220 cece cece ccccce eee cccccccceeeeeeecessseeees 206 Assigning measurements to calculations 2 2 22 2 20 e eee e eee eeeeeeeeeeees 210 About calculations erp REM pe eue 211 OVOIVIGW It ose eset esee dh oc mA M e e red LARA AA e yin e hos FE nu 212 Volume calculation eec ber son EIN Se roi 215 Volume flow calculation oci NEMESIS 217 Percent reduction calculations occ cc ccoo eee 220 Arterial Calculations 0 oet e lo Lada n 222 Cardiac calculations or RR hacees sug eed dited seh UIN RMIeES 225 viii Gynecological calculations _ 0 0002 c occ e cece ee esses sse 247 MEASURING ULES cesta toon ett Sear ty ete AE RE A PALA OD MAT E Ni 247 Measuring OVANES etae rd
95. e in Controls in Color 143 Sets the pulse repetition frequency PRF Tap this control and then tap Up or Down ue fere a Helps to filter out echoes from low frequency signals Tap to select the strength of the filter Low Med or High ue fere C Steering Linear transducers only Determines the angle of the color box see Color imaging on page 123 saving work in repositioning the transducer If adding Doppler see Controls in Doppler on page 157 Controls in Color 144 Available in Invert Switches the displayed direction of the flow helping reduce the need of repositioning the transducer Tap this control to turn it on highlighted icon or off dimmed icon Invert is unavailable when Color is set to CPD ue fee a Hide Color O Show Color Shows and hides color For example you may want to hide color temporarily to view vascular plaque Controls in Color 145 Available in Zoom Magnifies the image See Zooming on page 183 Available in Save Exam Type Clip Settings Controls in Color 146 See To set video clips controls on page 179 Available in Measures the distance from the skin line to a specified point on the image For instructions see Measuring on page 202 Provides tools that let you place text pictographs and arrows onto an image See Labeling images on page 194 Available in ue fer
96. e information see Routing selections on page 106 e Procedural e Diagnostics e Educational Accreditation Scheduled Procedure Procedure fields are available only if the DICOM worklist feature is licensed and configured See DICOM on page 87 e Scheduled Procedure Name e Scheduled Procedure Protocol Protocol for the selected procedure e Scheduled Procedure Meaning Definition of the selected procedure e Performed Procedure Code Desired procedure e Performed Procedure Edit Enables you to modify the Code list e Performed Procedure Meaning Definition of the performed procedure Entering patient information 79 e Additional Worklist Query Parameters Modality Procedure types e Additional Worklist Query Parameters Requested Procedure ID The procedure ID Entering patient information from the worklist Using the worklist you can import patient information from the Hospital Information System or Radiology Information System DICOM worklist is a licensed feature The worklist is available after you do the following e Connect the system to the network e Configure the system for DICOM transfer e Select a worklist server for the active location See DICOM on page 87 To enter patient information from the worklist with a bar code scanner You can specify that the system query the worklist for patient information when you scan a patient ID bar code 1 On the User Profile setup page select Bar Code Auto Query
97. e system are replaced with imported data To export connectivity settings 1 Connect a USB memory stick see USB devices on page 23 2 Onthe Connectivity settings page tap DICOM Setup 3 Tap Config 4 Tap Export 5 Select the USB memory stick and then tap Export Connectivity settings 53 All configurations on the USB memory stick are replaced with exported data Five seconds after the exporting completes you can safely remove the USB memory stick and use it to import the data onto another X Porte system Related topics Entering PaveniiinmiornallOm lt lt lt scdoeco eeceve ness acaaguacececereencadesacassesaccetecsaeedasacd 76 NEWS eat eno e e dado 58 bleoo EMEN M w 87 Seti IME Sy SL eITI c ccs eset cope IIS X ROI Occ circ nda REN RE ER edu e Pri IDEE EE 29 Connectivity settings 54 Date and Time settings arning To obtain accurate obstetrics calculations an accurate date and time are critical erify that the date and time are accurate before each use of the system To display the Date and Time settings page 1 Tap MORE and then tap System Settings MORE W 2 Tap Date and Time in the list on the left DEMI TS To set the date and time On the Date and Time settings page do the following e Inthe Date boxes type the current year month and day e Inthe Time boxes type the current time in hours and minutes e Toobtain the system time from a time
98. e top of the current list and then tap the desired list a Tap the measurement name b Drag the caliper to the trace starting point and then tap Set c Trace the desired area To make a correction trace backward on the dotted line Percent reduction calculations 220 d Complete the trace and then do one of the following e Tosave the measurement and close the trace tap Save e Toclose the trace tap Close The percent area reduction result appears on the clinical monitor and saves to the patient report To calculate percent diameter reduction 1 Ona frozen 2D image tap Calcs Calcs If this control is hidden tapping More Controls displays it 2 On the Diameter Reduction calculation list do the following for D1 and then for D2 To select a calculation list tap at the top of the current list and then tap the desired list a Tap the measurement name b Position the calipers by dragging c Save the measurement The percent diameter reduction result appears on the clinical monitor and saves to the patient report Percent reduction calculations 221 Arterial calculations arning To avoid incorrect calculations verify that the patient information date and time settings are accurate arning To avoid misdiagnosis or harming the patient outcome start a new patient form before starting a new patient exam and performing calculations Starting a new patient form clears the previous patient s data The
99. eart Institute 2000 396 455 RV ERO MR VTI Right Ventricular Systolic Pressure RVSP in mmHg Reynolds Terry The Echocardiographer s Pocket Reference School of Cardiac Ultrasound Arizona Heart Institute 1993 152 RVSP 4 Vmax TR RAP where RAP Right Atrial Pressure S D Reynolds Terry The Echocardiographer s Pocket Reference 2nd ed School of Cardiac Ultrasound Arizona Heart Institute 2000 217 S velocity D velocity where S velocity Pulmonary vein S wave D velocity Pulmonary vein D wave Stroke Index SI in cc m Mosby s Medical Nursing amp Allied Health Dictionary 4th ed 1994 1492 SI SV BSA where SV Stroke Volume BSA Body Surface Area Measurement references 273 Stroke Volume SV Doppler in ml Oh J K J B Seward A J Tajik The Echo Manual 2nd ed Lippincott Williams and Wilkins 1999 40 59 62 SV CSA VTI where CSA Cross Sectional Area of the orifice LVOT area VTI Velocity Time Integral of the aortic valve Stroke Volume SV 2D and M Mode in ml Oh J K J B Seward A J Tajik The Echo Manual 2nd ed Boston Little Brown and Company 1994 44 SV LVEDV LVESV where SV Stroke Volume LVEDV End Diastolic Volume LVEDSV End Systolic Volume Tricuspid Valve Area TVA Reynolds Terry The Echocardiographer s Pocket Reference 2nd ed School of Cardiac Ultrasound Arizona Heart Institute 2000 55
100. ececesceeeees 48 Connectivity settings esre d c cece cece cece cece cceeeeeeeeeeeeeees 51 Importing and exporting connectivity settings 000 00 2 e cece eee eeeeeee eens 51 Date and Time settings 00000 ccc e cece ee eeeeeeeeceeeseeeeees 55 Display Information settings 0 00000002 c ccc c cece ccc ccc cc ccc ccc ccc cece esses sess 57 Network Status settings 0 0 00000 c coco e essere nns 58 Power and Battery settings o ooooccoococccccccccccccccccco ee 59 PresetsiSettinQS gt see arr a e tr DI ende da A dni buone tested 60 General preferences s coco ata 2 8 thoes Sess ea Us ee eid pen 60 Bglitrigss 2d wx deutet e achte ue seriada ra bees ec dea pedddes seals 61 Labels 11 E UE NK 61 gt te tase ees ett tees r asus nse eda theses vested umts eie seb xe es cae 62 Userprofile settings ves ccce e tor Ee A as e cd dee oA 64 Importing and exporting 2 esse bec onmi teer litt llb ine Rib t ld eid 66 System Information settings 0 00000000000000 0000000000000 e cece nenne 69 USB settings roo tie paces ins athe ees cones nei Uti UM esu Lr tare 70 Limitations of IPEGTONN AL course ALA Tote hd 71 eFilmiEiteimage viIewer eee Reife hieme pl ssh stesesvddedaded ssishbese deed 71 E ERE ERES 73 Entering patient information uuuuuuuuuuuuuuuuuuusssssssssss es RR RR eene 76 Entering patient information manually 002 eee eee cece cece eeeeeeeeeeee
101. ect 20 transporting the system 13 tricuspid valve area calculation reference 274 turn system on or off 6 U unfreeze 186 Update control 132 Index 340 USB devices ports settings USB memory stick export to user add new login setup user log uses intended uterus measuring Velocity control velocity time integral calculation reference video capture 23 23 70 307 34 33 34 73 27 247 173 239 274 309 Index 341 instructional 25 Video Clip Settings control 135 video clips capturing 180 play 299 record 309 saving 179 visual guide videos 25 volume 39 volume calculations 215 volume flow calculations 217 Ww Wall Filter control 144 wheel locking 11 wireless certificates delete 90 import 90 wireless connectivity 88 Index 342 worklist query update worklist servers worksheets accessing post exam printing zoom Zoom control in 2D in Color 80 82 82 100 289 292 291 183 139 146 Index 343 Sonosite FUJIFILM P14645 01 HARTE
102. ect the Ethernet cable to the Ethernet port on the back of the dock see Ports on page 12 With the system on the LAN link light green LED next to the Ethernet connector indicates physical connection to the network To connect to the network wirelessly Wireless connectivity is a licensed feature 1 Tap MORE and then tap System Settings MORE W 2 Tap Connectivity in the list on the left DICOM 88 Connectivity 3 On the Connectivity setup page tap DICOM Setup 4 Tap Config 5 Tap Location 6 Tap New and complete the fields on the DICOM Location configuration page Required fields are marked with asterisks See DICOM on page 87 E 7 Select Wireless on the Location configuration page 8 Tap Wireless Configuration 9 Complete the wireless connectivity fields Required fields are marked with asterisks See DICOM on page 87 DICOM 89 10 Tap Save d The wireless icon indicates the status of the wireless connection the number of white bars indicates the strength of the connection Optional To import or delete wireless certificates If your security scheme requires it you can import wireless certificates The system supports the following file types CER PFX and PVK Caution To avoid losing data from or damaging the USB memory stick do not remove the USB memory stick or turn off the ultrasound system while exporting In addition do not bump or apply pressure
103. ee To configure custom controls on page 65 Do either of the following e Tosaveonly the image tap Save Image Saving images and video clips 178 e Tosave the image and to save the current calculation to the patient report tap Save Image amp Calcs Note You can also configure the footswitch to save see User profile settings on page 64 Saving video clips To set video clips controls 1 Tap Video Clip Settings ES Video Clip Settings If this control is hidden tapping More Controls displays it 2 Set the following as desired e Clip Method Prospective captures frames after you tap Save Video Clip The system captures frames for the number of seconds you specify in the Time list Retrospective captures frames from presaved data available before you tap Save Video Clip The system captures presaved frames for the number of seconds you specify in the Time list S Restrospective is selected in Video Clip Settings the system displays US in the system status area The system displays in the system status area when you save a video clip prospectively If Saving images and video clips 179 e Clip Type Time captures based on number of seconds Select the time duration from the Time list ECG captures based on the number of heart beats Select the R Wave Count e Preview Video Clip Select this option to automatically play and optionally trim a captured video clip the video clip does not
104. ennes 29 Display Information settings 57 Network Status settings The Network Status settings page displays information on system IP address location subnet mask default gateway and the Ethemet MAC address To display the Network Status settings page 1 Tap MORE and then tap System Settings MORE W 2 Tap Network Status in the list on the left Network Status Related topics Connectivity settings iiiiissssssssssssssssssssssssssssssss esses sess se essen 51 pes E T EE 87 29 Network Status settings 58 Power and Battery settings On the Power and Battery settings page you can specify the period of inactivity before the system goes into sleep mode or turns off To display the Power and Battery settings page 1 Tap MORE and then tap System Settings MORE W 2 Tap Power and Battery in the list on the left Power and Battery To specify power settings Onthe Power and Battery settings page select from the following lists e Sleep Delay Select Off or 5 or 10 minutes to specify the period of inactivity before the system goes into sleep mode The system will automatically turn off if it is in sleep mode and the battery charge level drops below 1496 Note The system will not sleep if you are in Procedure mode see Controls in 2D on page 131 or if the system is archiving or exporting exams e Power Delay Select Off or 15 or 30 minutes
105. ent when Needle Profiling is on Using movement and fluid injection verify the needle tip location and trajectory Needle Profiling enhances linear structures within a selected angle range on the ultrasound plane Linear structures outside the selected angle range or the ultrasound plane such as a bent needle may be less apparent Note that linear structures are enhanced only in an outlined portion of the image The area outside the outline remains unchanged X Porte features Steep Needle Profiling technology which can facilitate needle guidance during catheter placement and nerve block procedures This technology enhances linear structures within an outlined area on the screen Linear structures are best enhanced when perpendicular to the angle guide Visualizing needles 190 Image with Steep Needle Profiling on The area within the green trapezoidal outline is the enhancement area Steep Needle Profiling is available in 2D full screen imaging only and on the following exam types Visualizing needles 191 Hp 5 ov o Y v v sepa v pee Jo ee qq To use Steep Needle Profiling basic steps 1 In 2D imaging tap Needle Profiling Needle Profiling If this control is hidden tapping More Controls displays it 2 Ensure that the target is within the enhancement area that is within the outline and that the needle when inserted will approach the angle guide dashed line perpendicularl
106. ere A velocity cursor B velocity cursor x Time Averaged Mean TAM in cm s TAM mean mean Trace Time Averaged Peak TAP in cm s TAP peak peak Trace Volume Vol Beyer W H Standard Mathematical Tables 28th ed CRC Press Boca Raton FL 1987 131 Volume Bladder Dicuio M et al Measurements of urinary bladder volume comparison of five ultrasound calculation methods in volunteers Arch Ital Urol Androl 2005 Mar 77 1 60 2 Measurement references 284 Volume Flow VF in ml m Allan Paul L et al Clinical Doppler Ultrasound 4th ed Harcourt Publishers Limited 2000 36 38 One of the following depending on the Live Trace setting VF CSA TAM 06 VF CSA TAP 06 Volume Follicle Raine Fenning N et al Ultrasound in Obstetrics amp Gynecology 2008 Volume 31 Issue 6 John Wiley amp Sons Ltd 691 696 Volume Ovarian Balen A H Laven J S Tan S L Dewailly D Ultrasound assessment of the polycystic ovary international consensus definitions Human Reproduction Update 2003 Vol 9 No 6 pp 505 514 Volume Uterine Wiener J J and Newcombe R G Measurements of uterine volume a comparison between measurements by ultrasonography and by water displacement J Clin Ultrasound 1992 20 7 457 460 Measurement references 285 Worksheets and reports The system collects patient information calculation results and worksheet findings into
107. ers 17 Caution To avoid damage to the transducer use only gels recommended by FUJIFILM SonoSite Using other gels can damage the transducer and void the warranty If you have questions about gel compatibility contact FUJIFILM SonoSite or your local representative Caution Clean transducers after each use See the X Porte Product Information amp Safety Guide Gel Use acoustic coupling gel on the transducer during exams Although most gels provide suitable acoustic coupling some gels are incompatible with some transducer materials FUJIFILM SonoSite recommends Aquasonic gel and provides a sample with the system For general use apply a liberal amount of gel between the transducer and the body For interventional use apply a transducer sheath Sheaths arning Use market cleared sterile transducer sheaths and sterile coupling gel for ransrectal transvaginal or guided needle procedures Do not apply the transducer sheath land coupling gel until you are ready to perform the procedure After use remove and discard the single use sheath and clean and disinfect the transducer using a FUJIFILM SonoSite recommended high level disinfectant To apply a transducer sheath 1 Place gel inside the sheath Make sure that the gel is at the end of the sheath 2 Insert the transducer into the sheath 3 Pull the sheath over the transducer and cable until the sheath is fully extended 4 Secure the sheath using the bands supplied with
108. etail See Limitations of JPEG format on page 71 The image format affects both still images and video clips For optimal DICOM image quality select RGB image format and low compression 3 Multimedia Export only Select a sort order from the Sort By list USB settings 70 4 Select Auto Export to enable automatic export of ended exams See also To export patient exams automatically to a USB memory stick on page 308 5 DICOM Export only Select any of the following e Include eFilm Lite to include a copy of the eFilm Lite image viewer with exams that you export to a USB memory stick See eFilm Lite image viewer on page 71 e Include CDA to export the CDA report See CDA Report settings on page 48 e Include SR to export the Structured Report 6 Tap Done Limitations of JPEG format When transferring or exporting images in JPEG format the system uses lossy compression Lossy compression may create images that have less absolute detail than BMP format and that don t render identically to the original images In some circumstances lossy compressed images may be inappropriate for clinical use For more information on using lossy compressed images consult the industry literature eFilm Lite image viewer You can include a copy of the eFilm Lite image viewer with exams that you export to a USB memory stick in DICOM format see To specify export options on page 70 eFilm Lite lets you view DICOM formatted images
109. fore starting a new patient exam and performing calculations Starting a new patient form clears the previous patient s data The previous patient s data will be combined with the current patient if the form is not first cleared See Entering patient information on page 76 The volume calculation involves three 2D distance measurements Height Width and Length You can calculate volume on one two or all three distance measurements After any measurement is saved the result appears on the clinical monitor and in the patient report The volume calculation is available in the following exam types Abdomen Arterial Breast Gynecological Musculoskeletal Nerve Small Parts Superficial For a list of exam types on each transducer see Selecting a transducer and exam type on page 20 To calculate volume Dothe following for each image you need to measure a On the frozen 2D image tap Calcs Calcs If this control is hidden tapping More Controls displays it b Onthe Volume 1 Volume 2 or Volume 3 calculation list do the following for each measurement you need to take i Tap the measurement name ii Position the calipers by dragging Volume calculation 215 ili Save the measurement Volume calculation 216 Volume flow calculation arning To avoid incorrect calculations verify that the patient information date and time settings are accurate arning To avoid misdiagnosis or harming the patient outcome
110. g the gain too high when using Needle Profiling as unnecessarily high gain can cause artifacts in the image Also respiratory and cardiac movement in the image may cause bright pulsating artifacts Visualizing needles 193 Labeling images You can label live frozen or saved images You can label in full screen 2D full screen trace dual or duplex You can place text including predefined labels arrows and pictographs To set preferences for labels including predefined text labels see Presets settings on page 60 TIP If you select Clear Labels on Unfreeze in the Presets setup page the system clears all labels from an image when you unfreeze the image Text You can add text manually or add a predefined label Note If you zoom or pan an image the system removes text labels and arrows from the image To place text on an image 1 Tap Label D Label If this control is hidden tapping More Controls displays it 2 Tap Text and do any of the following e To specify that text and predefined labels connect when you enter them instead of being placed separately tap Tap to insert text and predefined labels sep arately e To place text manually tap in the field at the top of the form type text and then tap Done Labeling images 194 e Toadd one or more predefined labels tap them and then tap Done TIP To replace a label you ve added with another label tap the added label and then tap the la
111. g the patient outcome start a new patient form before starting a new patient exam and performing calculations Starting a new patient form clears the previous patient s data The previous patient s data will be combined with the current patient if the form is not first cleared See Entering patient information on page 76 The Small Parts calculations include hip angle and hip ratio In the Small Parts exam you can also calculate volume and percent reduction See Volume calculation on page 215 and Percent reduction calculations on page 220 To calculate hip angle 1 On afrozen 2D image tap Calcs Calcs If this control is hidden tapping More Controls displays it 2 Do the following under Right Hip and again under Left Hip To select a calculation list tap E at the top of the current list and then tap the desired list a Under Hip Angle tap Baseline A baseline with calipers appears b Position the baseline by dragging the calipers c Tap Line A alpha line Small Parts calculations 257 Calipers for Line A appear d Position Line A by dragging calipers and tap Save e Tap Line B beta line Calipers for Line B appear f Position Line B by dragging calipers and tap Save To calculate hip ratio 1 Ona frozen 2D image tap Calcs Calcs If this control is hidden tapping More Controls displays it 2 Dothe following under Right Hip and again under Left Hip To select a calculation list tap
112. given set Tap Save Set e Save all performed measurements in the calculation Tap Save All Save All e e Save both the selected measurement and the image Tap Save Image 8 Calcs If the Save Image amp Calcs control is not available configure the system to display it see User profile set tings on page 64 To redo or delete a saved measurement 1 On afrozen image tap Calcs or for the Acute Care calculations tap Acute Care About calculations 213 Acute Care If these controls are hidden tapping More Controls displays them 2 Inthe calculation list that contains the measurement do one of the following e Toredo perform the measurement again To save the new measurement tap Save under the measurement name The new measurement saves to the patient report and appends the new measurement to the calculation list e Todelete tap Delete under the measurement name The measurement last saved is deleted from the patient report If it is the only measurement the result is deleted from the report Some measurements can be deleted directly from the report preview See Worksheets and reports on page 286 Related topics FON COPAN UU esp no osc A AA 186 About calculations 214 Volume calculation arning To avoid incorrect calculations verify that the patient information date and time settings are accurate arning To avoid misdiagnosis or harming the patient outcome start a new patient form be
113. gress image transfers You can associate up to four archivers per location DICOM 91 Printer Configuration for DICOM printers for printing images You can associate up to two printers per location Storage Commit Configuration for storage commitment servers devices that take responsibility for and provide receipt of content sent by the ultrasound system Worklist Configuration for worklist servers devices that contain scheduled patient procedure data You can import the data into the patient form see Entering patient information on page 76 MPPS Configuration for MPPS servers devices that coordinate detailed information about the exam performed You can associate one MPPS server per location To configure a new location or device Note Changing the configuration can require a system restart 1 Tap MORE and then tap System Settings MORE W 2 Tap Connectivity in the list on the left Connectivity 3 On the Connectivity setup page tap DICOM Setup 4 Tap Config d Conf 5 From the DICOM list select a configuration page 6 Tap New DICOM 92 7 Complete the configuration setup fields and tap Save To delete a location or device 1 On the proper configuration page select the name from the list of locations or devices 2 Tap Delete 3 Tap Yes to confirm the deletion 4 Tap Done Configuration setup fields Location Required fields are marked with asterisks Name Unique
114. he previous patient s data The previous patient s data will be combined with the current patient if the form is not first cleared See Entering patient information on page 76 The Gynecological calculations include measurements for uterus ovaries and follicles In the Gynecological exam you can also calculate volume see Volume calculation on page 215 Measuring uterus You can measure uterus length L width W height H and endometrial thickness If you measure length width and height the system also calculates the volume To measure uterus 1 On the frozen 2D image tap Calcs Calcs If this control is hidden tapping More Controls displays it 2 On the Uterus list do the following for each measurement you want to take To select a calculation list tap ES at the top of the current list and then tap the desired list a Inthe Uterus list tap the measurement name b Position the calipers by dragging Gynecological calculations 247 c Save the measurement Measuring ovaries You can take up to three distance D measurements on each ovary The system also calculates the volume based on the three measurements To measure ovaries 1 On the frozen 2D image tap Calcs Calcs If this control is hidden tapping More Controls displays it 2 On the Ovary calculation list do the following for each measurement you want to take To select a calculation list tap at the top of the current list and t
115. he values in the Age weeks and Age days columns must increase A graphical representation of the values you enter appears to the right of the cells in each tab 6 Save the data Exporting and importing custom obstetric tables and measurements To export custom obstetric tables and measurements from the OB Custom Table Editor When you export custom tables from the editor all content from all tabs including custom measurements is included in the exported CSV file 1 Insert aUSB memory stick into your computer Calculations settings 45 2 Click Export on any tab in the editor 3 Inthe Please Select the Export File Folder window navigate to the USB memory stick and click OK You cannot change the file name of the exported file Note Do not modify the exported CSV file The system will not import data from the CSV file if the file has been modified To import custom obstetric tables and measurements On import the system updates the custom tables and custom measurements arning When you create remove or import a custom obstetric measurement the system clears all saved measurements and calculations for the current patient arning Prior to use verify that custom table data entries are correct The system does not confirm the accuracy of the custom table data entered by the user 1 Endthe current exam 2 Insert the USB memory stick that contains the exported CSV file into a USB port on the side of the system 3 On
116. hen tap the desired list a Tap the measurement name under Right Ovary or Left Ovary b Position the calipers by dragging c Save the measurement Measuring follicles On each side you can save up to three distance D measurements per follicle for up to ten follicles The system can display up to eight measurements at once If you measure a follicle twice the average appears in the report If you measure a follicle three times the average and a volume calculation appear in the report Volumes are derived based on one distance two distance and three distance measurements Gynecological calculations 248 To measure follicles 1 On the frozen 2D image tap Calcs Calcs If this control is hidden tapping More Controls displays it 2 On the Follicle Right if measuring the right side or Follicle Left if measuring the left side calculation list do the following for each measurement you want to take To select a calculation list tap at the top of the current list and then tap the desired list a Tap the measurement name The measurement names appear under 1 2 3 and so on to pertain to the 10 follicle calculations available b Position the calipers by dragging c Under the measurement name tap Save Set or to measure another follicle tap Next A number appears before the measurement name and on the image For the first measurement 1 is used For the second measurement 2 is used and so on Gynecological cal
117. ials of Echocardiography Le Hague Martinus Nijhoff 1981 71 IVSFT IVSS IVSD IVSD 100 where IVSS Interventricular Septal Thickness at Systole IVSD Interventricular Septal Thickness at Diastole Isovolumic Relaxation Time IVRT in msec Reynolds Terry The Echocardiographer s Pocket Reference School of Cardiac Ultrasound Arizona Heart Institute 1993 146 time a time b Left Atrium Aorta LA Ao Feigenbaum H Echocardiography Philadelphia Lea and Febiger 1994 206 Figure 4 49 Measurement references 267 Left Ventricular End Volumes Teichholz in ml Teichholz L E T Kreulen M V Herman et al Problems in echocardiographic volume determinations echocardiographic angiographic correlations in the presence or absence of asynergy American Joumal of Cardiology 1976 37 7 LVESV 7 0 LVDS3y 2 4 LVDS where LVESV Left Ventricular End Systolic Volume LVDS Left Ventricular Dimension at Systole LVEDV 7 0 LVDD3y 2 4 LVDD where LVEDV Left Ventricular End Diastolic Volume LVDD Left Ventricular Dimension at Diastole Left Ventricular Mass in gm for 2D Schiller N B P M Shah M Crawford et al Recommendations for Quantification of the Left Ventricle by Two Dimensional Echocardiography Journal of American Society of Echocardiography September October 1998 2 364 LV Mass 1 05 5 6 A1 a d t 5 6 A2 a d where A
118. igned for DICOM Ping Tap to determine whether the IP address is accessible The system displays OK or Failed DICOM 101 Associating devices with locations For each location select which devices archivers and printers you want to receive the data that you transfer which archivers you want to designate as an MPPS or storage commitment server and which worklist server you want to receive data from Once these selections are complete select the location you want to use Note Changing the configuration requires a system restart To associate devices with a location The devices must be configured before you can associate them See To configure a new location or device on page 92 1 Tap MORE and then tap System Settings MORE W 2 Tap Connectivity in the list on the left Connectivity 3 On the Connectivity setup page tap DICOM Setup 4 Inthe Location list select the location of the system 5 Inthe list of devices select the check box next to one or more archivers printers or worklist servers You can select a maximum of two printers four archivers and one worklist server for each location Only one archiver can be selected to receive in progress transfers Selected devices have a check mark in the left hand column 6 If you want to use the MPPS service associate the MPPS server with the archiver DICOM 102 a Select the check box of the MPPS server that you want MPPS servers appear near
119. ime calculation reference 264 acceleration calculation reference 264 accessories 14 acute care calculations 259 Acute Care control 141 acute care worksheets 289 Administration control 31 administrator 32 amniotic fluid index calculation reference 275 measurements 252 Index 314 Angle Correct control annotate See labels Ao Aortic Valve Area calculation calculation reference archive exams archivers DICOM educational procedural arrow graphic arterial calculations arterial intended uses assert log audio Auto Trace control AutoGain Adjust control AutoGain control 159 194 235 242 264 303 97 107 107 196 222 27 73 39 174 135 189 Index 315 AV area 236 AVA 242 average ultrasound age calculation reference 275 B battery 12 biparietal diameter calculation reference 277 body surface area calculation reference 265 brightness 61 C Calcs control 212 calcs worksheet arterial 287 cardiac 287 obstetrical 287 calculations about 211 acute care 259 arterial 222 cardiac 225 Index 316 cardiac setup 40 delete 213 gynecological 247 obstetrics 250 obstetrics setup 41 percent reduction 220 redo 213 references 264 save 213 settings 40 small parts 257 volume 215 volume flow 217 calipers 202 cardiac calculations setup 40 cardiac index calculation 245 calculation reference 265 Index 317 cardiac output calculation 245 calculation reference 265 cardia
120. ine buffer You can move forward and backward in the cine buffer The system clears the cine buffer when you unfreeze the image You can view frames in the cine buffer in Dual See Dual on page 112 To view frames in the cine buffer 1 Freeze the image 2 Do either of the following e Drag the slider Right moves forward and left moves backward e Tap O Q to move forward or backward through frames one at a time Saving images and video clips 181 The current frame number appears on the touch panel The frame number changes as you move forward or backward Managing internal storage space 35 The save available icon E in the system status area shows the percentage of space available in internal storage To receive alerts when storage is near capacity see Connectivity settings on page 51 If you try to save an image or video clip when space is low the system alerts you that internal storage is low and prompts you to delete archived or storage committed patient exams If memory is full the system displays the Memory Full icon MIN Related topics PRU settings ME E A RUOTE IA 39 Depos tg toes o A O uer 294 Archiving and exporting iiiiiiusussssssssssssssssssssssse s ee RR e se ess esses sess 303 Saving images and video clips 182 Zooming You can zoom in ona 2D image in 2D M Mode Doppler and Color imaging You can freeze or unfreeze the image or change the imaging mode while zooming When
121. ing More Controls displays it 2 Tap Picto 3 Tap the desired pictograph and then tap Done 4 Drag the pictograph to the desired location Labeling images 197 5 Position and orient the transducer orientation icon e To position the icon drag it e Toorient the icon drag the circle s edge To remove the pictograph select it and then tap Delete in the Picto list W 00 Delete Setting the home position The home position is the position in which the system places labels by default To reset the home position 1 Place text on an image 2 Dragthe label to the desired home position 3 Tap Set Home in the Label list Labeling during review You can label images during review You can also label a frame from a video clip during review To review images and video clips 1 Tap REVIEW and then do either of the following Labeling images 198 REVIEW e Review the current exam e Review acompleted exam Tap Patient List In the patient list select the exam and then tap Thumbnails To label in review 1 In Review tap the image or video clip you want to label To view the previous or next image or video clip tap Prev or Next 2 Video clips only Tap Qo and then drag the slider to the frame you want to label 3 Tap Labels Labeling images 199 4 Do one of the following e Place the label o Fortext see To place text on an image on page 194 o Foranarrow see To plac
122. iper tool may change depending on the measurement selected but the position remains constant c Position the calipers by dragging d Tap Save under the measurement name To measure heart rate M Mode or Doppler 1 Make sure that the Obstetrics exam type is selected 2 Ona frozen M Mode or Doppler trace tap Calcs Calcs If this control is hidden tapping More Controls displays it 3 Tap HR on the following calculation list e For M Mode the HR calculation list or if twins the Twin A HR list or Twin B HR list e ForDoppler the Doppler Measurements list or if twins the Twin A Doppler Measurements list or Twin B Doppler Measurements list A vertical caliper appears E 4 Drag the vertical caliper to the peak of the heartbeat To select a calculation list tap at the top of the current list and then tap the desired list A second vertical caliper appears 5 Drag the second vertical caliper to the peak of the next heartbeat 6 Tap Save under the measurement name Obstetrics calculations 254 To calculate the S D ratio RI or PI of the Middle Cerebral Artery MCA or Umbilical Artery UmbA Doppler 1 Make sure that the Obstetrics exam type is selected 2 On the patient form select LMPor EDD Select Twins if twins 3 Ona frozen Doppler spectral trace tap Calcs Calcs If this control is hidden tapping More Controls displays it 4 Do the following for each measurement you need to take a Onthe D
123. isplay Increasing the gain brightens the image Decreasing the gain darkens the image There are two ways to adjust gain automatically and by using the gain sliders Adjusting depth and gain 188 To adjust gain automatically Tap AutoGain Note The AutoGain control is present only if enabled as a custom control See User profile settings on page 64 ES The system automatically balances the gain each time you tap this control You can adjust the Auto Gain level by using the AutoGain Adjust control see Controls in 2D on page 131 To adjust gain by using the gain sliders Draga slider left or right to decrease or increase the gain respectively e In Color or Doppler drag the C Color or the D Doppler gain slider at the bottom of the touch panel e In 2D or M Mode tap the gain slider or the M M Mode gain slider at the bottom of the touch panel Two additional sliders appear o The upper slider adjusts the near gain of the 2D image controlling the display inten sity in the near field nearer to the transducer o Themiddle slider adjusts the far gain of the 2D image controlling the display inten sity in the far field further from the transducer o Thelower slider adjusts the overall gain Note Near and Far correspond to the time gain compensation TGC controls on some other ultrasound systems Adjusting depth and gain 189 Visualizing needles arning To avoid incorrect needle placem
124. ity or integrity of the information or unauthorized uses or disclosures of the information The Administration settings page includes security settings that help you to meet the applicable security requirements listed in the HIPAA standard Users are ultimately responsible for ensuring the security and protection of all electronic protected health information collected stored reviewed and transmitted on the system Administration settings 31 Managing the Administrator account To log in as Administrator The default Administrator login name is Administrator If you don t have the administrator password contact FUJIFILM SonoSite See Getting help on page 3 Any user with administrative privileges can log in as an administrator 1 On the Administration Login settings page type the login name of a user with administrative privileges in the Name text box 2 Type the password for the login name in the Password text box 3 Tap Login dn To log out as Administrator Doone of the following e Tapany other settings page e Turn off or restart the system To change the administrator password 1 On the Administration Login settings page log in as a user with administrative privileges 2 Under User List tap Administrator 3 Type the new password in the Password text box and in the Confirm text box Administration settings 32 To ensure security choose a password that contains uppercase characters A Z l
125. lculation reference 272 regurgitant volume calculation reference 273 report preview 286 Index 336 review Review control right ventricular systolic pressure Right Ventricular Systolic Pressure calculation reference routing selections S D calculation reference save Save Exam Type control in 2D in Color in M Mode Scale control scanning scheduled procedures Sector control security setup 297 303 239 273 106 273 178 138 146 152 143 110 81 135 31 29 Index 337 sheaths 18 Show Color control 145 SI 244 sleep delay 59 small parts intended uses 28 SonoMB control 132 sound 39 Steep Needle Profiling 190 Steering control in Color 144 in Doppler 158 storage commit servers 99 storage commitment 306 storage internal 182 Stroke Index 244 Volume 244 stroke index calculation reference 273 stroke volume calculation reference 274 Index 338 superficial intended uses SV Sweep Speed control system information location log setup System Information control Target Depth control in 2D in Color TDI technical support text enter label thermal index TI 28 244 168 69 51 73 29 69 138 147 246 194 60 Index 339 THI control 131 tibia calculation reference 279 Time control 174 Tissue Doppler Imaging waveform 246 touch panel 8 Trace control in 2D 140 in Color 148 transducers about 15 and exam type 20 connect 15 sel
126. lect to determine whether the IP address is accessible The system displays OK or Failed Model List of Agfa Codonics and Kodak printer models If your model is not listed choose a generic model at the end of the list Film Size Film sizes supported by the printer Film Type Film medium supported by the printer DICOM 98 Destination Location film is placed after it is printed Format Number of columns and rows in the image printout Orientation Film layout Settings Defines how images are sent to the printer either as Color RGB or Monochrome images Copies Number of copies to print for each image Priority Importance of the print job Max Maximum density of the black value in hundredths of optical density OD Min Minimum density of the white value in hundredths of optical density OD Border Density of the areas surrounding and between film images in hundredths of optical density OD Empty Empty image density in hundredths of optical density OD Magnification Type of interpolation used during printing Configure Printer specific configuration value If using generic printer settings no configuration strings are available Storage Commit Required fields are marked with asterisks DICOM 99 Name Unique network name for the ultrasound system Default is SonoSite Alias Name that identifies the network location of the ultrasound system AE Title DICOM Application En
127. m types You can customize or define any exam type to use your favorite settings When you select the new exam type that is the user defined exam type the system automatically uses the settings you specified The system displays user defined exam types along with the original exam types in the transducer selection lists You can customize up to five exam types for each exam type transducer combination For example you can customize five different exam types for Abdomen on the P21xp transducer and five different exam types for Abdomen on the C60xp transducer You can rename delete export show hide reorder and import user defined exam types See Presets settings on page 60 To customize an exam type 1 Select a transducer and exam type see Selecting a transducer and exam type on page 20 2 Adjust imaging controls to your favorite settings You can set gain AutoGain adjust depth dynamic range image orientation sweep speed color settings color Doppler type Doppler invert Doppler angle correct wall filter level scale baseline audio volume level optimization and trace settings 3 Tap Save Exam Type Save Exam Type If this control is hidden tapping More Controls displays it 4 Inthe Save User Defined Exam window tap New Customizing exam types 176 5 Type aname for the exam type in the Exam box and then tap Save The exam type must have a unique name To modify a user defined exam type
128. maging the selected image inherits the settings of the previously selected image 3 Adjust controls as needed See Controls in 2D on page 131 and Controls in Color on page 142 Tap Dual again to turn it off Scanning 112 To view frames in the cine buffer in Dual You can view independent cine buffers for side by side images in Dual 1 Tap Dual When Dual is on the control is highlighted Dual 2 Do either of the following to make an image active e Tap the right hand or left hand image e Tap Update to switch between the right hand and left hand images o Update If this control is hidden tapping More Controls displays it 3 Tap FREEZE 4 Do any of the following e Dragthe slider Right moves forward and left moves backward e Tap O or to move forward or backward through frames one at a time The current frame number appears on the touch panel The frame number changes as you move forward or backward Scanning 113 e Tap the right hand or left hand image or tap Update to switch between the right hand and left hand images Doppler 1 Tap Doppler D DOPPLER The D line appears 2 Do any of the following as needed e Adjust controls as needed See Controls in Doppler on page 157 e Position the D line by dragging Scanning 114 e Adjust the gate size by pinching or spreading e Correct the angle Tap the double headed arrows on the D line a
129. ments in Doppler After the measurements are saved the result appears in the patient report 1 Ona frozen 2D image tap Calcs Calcs If this control is hidden tapping More Controls displays it 2 Do the following to measure from LVOT D and again to measure from RVOT D a From the Qp Qs calculations list select LVOT D or RVOT D To select a calculation list tap ES at the top of the current list and then tap the desired list b Position the calipers by dragging c Save the calculation Tap Save under the measurement name 3 Ona frozen Doppler spectral trace tap Calcs 4 Do the following to measure from LVOT VTI and again to measure from RVOT VTI a From the Qp Qs calculations list select LVOT VTI or RVOT VTI b Tap Set to start the trace c Using your finger trace the waveform Cardiac calculations 243 To make a correction trace backward on the dotted line d Tap Close to complete the trace e Save the calculation Tap Save under the measurement name For information on the automatic trace tool see To trace automatically Doppler on page 208 To calculate Stroke Volume SV or Stroke Index SI The SV and SI calculations require a measurement in 2D and a measurement in Doppler SI also requires Body Surface Area BSA After the measurements are saved the result appears in the patient report 1 SI Only Fill in the Height and Weight fields on the patient form The BSA is calculated automatically See Ente
130. n about working with controls see Imaging controls on page 129 2D 1 Do one of the following e Tap2D e In Transducers amp Exams tap SCAN 2 Adjust controls as needed See Controls in 2D on page 131 Color 1 Tap Color C COLOR The color box appears Scanning 110 C 2 Position and resize the color box as needed e To position do either of the following o Drag the box o With two or more fingers drag anywhere on the touch panel e Toresize do either of the following o Pinch or spread the box o Drag its handle c A green outline shows that the status of the change is active On the clinical monitor the current outline remains in gray until you stop moving or release your finger e To steer linear transducers only do either of the following o Swipe left or right o TapSteering and select an angle LI Steering 3 Adjust controls as needed See Controls in Color on page 142 Scanning 111 Dual Dual is available in 2D and in Color 1 Tap Dual When Dual is on the control is highlighted Dual If this control is hidden tapping More Controls displays it 2 Do either of the following to make an image active e Tap the right hand or left hand image e Tap Update to switch between the right hand and left hand images O Update If this control is hidden tapping More Controls displays it When you switch between images in live i
131. n the cardiac patient report To calculate Proximal Isovelocity Surface Area PISA The PISA calculation requires a measurement in 2D a measurement in Color and two measurements in Doppler spectral trace After all measurements are saved the result appears in the patient report 1 Measure from Ann D a Ona frozen 2D image tap Calcs Calcs If this control is hidden tapping More Controls displays it b On the PISA calculation list tap Ann D To select a calculation list tap at the top of the current list and then tap the desired list c Position the calipers by dragging d Save the calculation Tap Save under the measurement name 2 Measure from Radius a On a frozen Color image tap Calcs Cardiac calculations 233 b On the PISA calculation list tap Radius c Position the calipers by dragging d Save the calculation Tap Save under the measurement name 3 Ona frozen Doppler spectral trace tap Calcs 4 Dothe following to measure from MR VTI and again to measure from MV VTI a Onthe PISA calculation list tap MR VTI or MV VTI b Drag the caliper to the start of the waveform and tap Set to start the trace c Using your finger trace the waveform To make a correction trace backward on the dotted line d Tap Close to complete the trace e Save the calculation Tap Save under the measurement name To measure LVd and LVs 1 Ona frozen 2D image or M Mode trace tap Calcs Calcs If this control i
132. ncel Scrolling the list of exam types displays any hidden items You can also select the exam type on the patient form See Entering patient information on page 76 Selecting a transducer and exam type 20 Imaging modes and exam types on transducers Imaging mode Exam 2D PW CW Transducer type M Mode CPD Color Doppler Doppler Obstetrics Musculoskeletal Small Parts Gynecology imo Eee s Obstetrics PN Ophthalmic EE Selecting a transducer and exam type 21 Imaging modes and exam types on transducers Imaging mode Exam 2D PW CW Transducer type M Mode CPD Color Doppler Doppler P21xp we CI ICI CS AC E CO O X 3 3 1 For the cardiac exam type PW TDI is also available The system uses Variance Color Doppler instead of CPD for the cardiac exam type on the P21xp transducer Related topics bou trans UCA A desa 15 Me A A A aa E ETE 2r Selecting a transducer and exam type 22 USB devices You can use the USB ports on the system for connecting devices such as a USB printer ora USB memory stick For a list of supported devices see the X Porte Product Information amp Safety Guide The USB port at the back of the system labeled DVR Only is for DVR recording only See DVR recording on page 309 USB memory sticks You can use a USB memory stick to export patient exams import and export logs and setup configurations and to import custom obstetric calculation
133. nd an exam the system saves the patient report with all measurements and calculations performed during the exam including Acute Care or MSK worksheet data if available To display the report after the exam has ended 1 Tap REVIEW REVIEW 2 Tap Patient List ii 3 Select an exam 4 Tap Thumbnails 5 Tap Report Report The system displays the read only report and any associated worksheets 6 Tap Done to return to the patient list Worksheets and reports 292 Related topics SA ae aetna crite RR A E E a A 294 lee m 87 EentenngipatientinterTmalloite sisstessisu a a EO ULL DEAE ERO E 76 Printing images 0 2 2 2 eee cee eee cece cece cece cece IR cece cece cece cece ce esl lese l sella 301 Acute Care calculations 22 22 2222 2 e eee cece ee cece eee AADAL LALALALA LLa Lao anana 259 Cardiac Calculations se seein Si tee econ a dE A 225 Obstettics calculations sueco eoe Decio eiii 250 Archiving and exporting 20 0222222 eee cece cece cece cece cnn 303 Worksheets and reports 293 Reviewing You can review images and video clips from both current and completed exams 35 Caution If the save available icon ES does not appear in the system status area internal storage may be defective Contact FUJIFILM SonoSite Technical Support See Getting help on page 3 Patient list The patient list organizes saved image
134. nd then do either of the fol lowing o Tap 60 0 or 60 o Drag the round handle circularly Note You can also correct the angle by using the Angle Correct control See Controls in Doppler on page 157 Correcting the D line angle e Tosteer the D line do one of the following o Swipe left or right o TapSteering dr m Scanning 115 L j j T Steering 3 To display the spectral trace do the following a Tap Start or Update O Update b Do any of the following e Tap Stop and Start to stop and start the spectral trace e Tap Sweep Speed and then tap a sweep speed Fast Medium or Slow d Sweep Speed If this control is hidden tapping More Controls displays it e Activate the trace or the 2D image by tapping them or tap Update to toggle between the trace and the 2D pane If this control is hidden tapping More Controls displays it e Adjust controls as needed See Controls in Doppler on page 157 M Mode 1 Tap M Mode Scanning 116 The M line appears 2 Drag the M line to the desired position 3 To display the M Mode trace do the following a Adjust the depth as needed See Adjusting depth and gain on page 188 b Tap Start or Update o Update If this control is hidden tapping More Controls displays it Scanning 117 c Do any of the following e Tap Stop and Start to stop and start the M Mode trace e Tap Sweep Speed a
135. nd then tap a sweep speed Fast Medium or Slow If this control is hidden tapping More Controls displays it e Activate the trace or the 2D image by tapping them or tap Update to toggle between the trace and the 2D pane Oo Update If this control is hidden tapping More Controls displays it 4 Adjust controls as needed See Controls in M Mode on page 151 Related topics Dopplerimaging sse a A E E e a e 126 Hi o EE EAE E p EE E A MEE EE I E EEEE EEE A 123 M Mode imaging 2222222 aaan aaora nadoda aaa adana cece cece cece cee eeeeeeeeeees 121 o A A se aia tu EE 119 II ne ee ene eee eee eR Teen ee ee mee eee ee ee eee eee eee meee 128 CONOS Im2Bkox cc e ee earn no ao ee e 131 Controls MA 142 Sao o AAA A A 157 COMAS 2 es ll el Eo 151 AA A A II SE 120 E AE A AR 125 Scanning 118 2D imaging 2D is the system s default imaging mode The system displays echoes in two dimensional view by assigning a brightness level based on the echo signal amplitude See on page 110 fm PATIENT TRANSDUCERS amp EXAMS WORKSHEETS MORE Y 9 Toca Rec m More Controls Related topics 2D imaging 119 M line When you tap the M line appears You can drag the M line to the area of interest before you display the M Mode trace See on page 110 WORKSHEETS MORE Y Y earn Rec A PATIENT TRANSDUCERS amp EXAMS 2 Related topics M line 120 M Mode imaging Motion mode M Mode
136. nd then tap the desired list A horizontal dotted line with an active caliper appears at 100 cm s 3 Drag the first caliper along the waveform at 100 cm s A second horizontal dotted line with an active caliper appears at 300 cm s 4 Drag the second caliper along the waveform at 300 cm s 5 Save the calculation Tap Save under the measurement name To calculate Aortic Valve Area AVA The AVA calculation requires a measurement in 2D and two measurements in Doppler After the measurements are saved the result appears in the patient report 1 In 2D measure from LVOT a Ona frozen 2D image tap Calcs Calcs If this control is hidden tapping More Controls displays it b On the AV LVOT AI calculation list tap LVOT D i To select a calculation list tap at the top of the current list and then tap the desired list C Position the calipers by dragging d Save the calculation Tap Save under the measurement name 2 In Doppler measure LVOT Vmax or VTI and then measure AV Vmax or VTI Cardiac calculations 242 e For VMAX see To measure peak velocity on page 238 From the AV LVOT AI calculation list select VMAX under AV and place calipers at the sample site e For VTI see To calculate Velocity Time Integral VTI on page 239 From the AV LVOT AI cal culation list select VTI under AV and place calipers at the sample site To calculate Qp Qs The Qp Gs calculation requires two measurements in 2D and two measure
137. network name for the ultrasound system The default is SonoSite DICOM 93 Alias Name that identifies the network location of the ultrasound system AE Title DICOM Application Entity Title Port Device port number IP port 104 is typically assigned for DICOM DHCP If desired select to enable Dynamic Host Configuration Protocol The IP Address Subnet Mask and Default Gateway fields become unavailable IP Address Unique identifier of the ultrasound system location Cannot be between 127 0 0 0 and 127 0 0 8 Subnet Mask Identifies a network subdivision The default value is 255 255 0 0 Default Gateway IP address where network connects to another network Cannot be between 127 0 0 0 and 127 0 0 8 Transfer Images Specify when to transfer images during or at end of exam JPEG Compression Select High Medium or Low A high compression has a smaller file size but less detail For best image quality select Low See Limitations of JPEG format on page 71 Wireless Select if configuring a wireless location The following fields are available for wireless network connections Profile Name Name of the profile set for this location For each wireless location you can have up to 10 profiles Network Name SSID Network Name Service Set Identifier for the router DICOM 94 Security Policy Security type that authenticates the network e Open No security e WEP or Shared WEP The following fields appear o Encr
138. nfiguration page Exams are printed only at the end of an exam You can also manually archive exams The Archive in Progress icon El is animated when patient exams are archiving Pending exams are archived starting at the top of the patient list To verify that exams transferred 1 Tap REVIEW REVIEW 2 Tap Patient List Archiving and exporting 303 m The column shows the status of exam transfer Patient exam is archived oS En Patient exam is archive suspended Network connection settings may be wrong see Con necting to the network on page 88 or there may be a network or server problem The exam needs to be manually archived see To manually archive exams on page 305 e ES Storage commitment was successful 0 e EW store commitment for this exam is suspended Exams with no status markers are pending archiving To display information about an exam You can display information about an exam including transfer details 1 Tap REVIEW REVIEW 2 Tap Patient List 3 Inthe patient list select the exam 4 Tap Info Archiving and exporting 304 To manually archive exams 1 Verify the following e Thecorrect location is selected See Connectivity settings on page 51 e Ifthe system is connected to a network via an Ethernet connection the LAN link light green LED next to the Ethernet connector is on P TA e Fora wireless connection the wireless connected icon M
139. nformation amp Safety Guide for a list of compatible products Getting started 14 About transducers Connecting transducers To connect a transducer to the TTC The Triple Transducer Connect TTC is a three transducer module that lets you simultaneously connect up to three transducers to the ultrasound system The TTC is standard with the system 1 Pull the transducer latch handle up and rotate it clockwise 2 Insert the transducer connector into one of the three TTC connector ports on the bottom of the TTC 4 Press the latch handle up securing the transducer connector to the TTC About transducers 15 To connect a transducer to the system without a TTC If the TTC is not installed on your system you can connect one transducer directly to the system 1 Pull the transducer latch up and rotate it clockwise 2 Insert the transducer connector into the transducer port underneath the stand platform 3 Make sure that the connector is firmly seated and then turn the latch handle counterclockwise About transducers 16 Preparing transducers arning Some transducer sheaths contain natural rubber latex and talc which can cause allergic reactions in some individuals SonoSite recommends that you identify your latex and alc sensitive patients and be prepared to treat allergic reactions promptly arning Some gels and sterilants can cause an allergic reaction on some individuals About transduc
140. ng calipers that you drag into position The active caliper has a round highlighted handle To activate calipers Tapthe caliper To switch between calipers Do either of the following e Tapeither caliper e Tap Switch beneath the measurement result on the left side of the touch panel a e Tap the caliper under Measure Measuring 202 Viewing and deleting measurement results The current measurement result appears on the left side of the touch panel under Measure To assign it to a calculation see Assigning measurements to calculations on page 210 If you perform multiple measurements tapping an entry under Measure highlights the corresponding calipers on the image To delete a measurement Tapthe measurement under Measure and then tap Delete Basic measurements in 2D To measure the distance between two points 2D 1 Ona frozen image tap Distance Oo Distance A caliper appears If this control is hidden tapping More Controls displays it 2 Drag the active caliper to the first point 3 Drag the other caliper to the second point 4 As needed tap and drag each caliper until it is precisely positioned To measure circumference or area using an ellipse 2D 1 Ona frozen image tap Ellipse Measuring 203 Ellipse If this control is hidden tapping More Controls displays it An ellipse with three calipers appears 2 Position and resize the ellipse e To position drag the
141. not positioned precisely the calculation result is inaccurate d Drag the second vertical caliper to the end of the waveform and tap Done e If you need to reposition either caliper tap it or tap its name in the calculation list to make it active drag it where desired and then tap Done f Tap Save under the measurement name Results appear on the clinical monitor and save to the patient report Volume flow calculation 219 Percent reduction calculations arning To avoid incorrect calculations verify that the patient information date and time settings are accurate arning To avoid misdiagnosis or harming the patient outcome start a new patient form before starting a new patient exam and performing calculations Starting a new patient form clears the previous patient s data The previous patient s data will be combined with the current patient if the form is not first cleared See Entering patient information on page 76 Percent reduction calculations are available in the following exam types Abdomen Arterial Musculoskeletal and Small Parts For a list of exam types on each transducer see Selecting a transducer and exam type on page 20 To calculate percent area reduction 1 Ona frozen 2D image tap Calcs Calcs If this control is hidden tapping More Controls displays it 2 Inthe Area Reduction calculation list do the following for A and then for A2 To select a calculation list tap ES at th
142. ns You can assess the uterus ovaries adnexa and surrounding anatomical structures for the presence or absence of pathology transabdominally or transvaginally You can assess blood flow in pelvic organs transabdominally and transvaginally Interventional department imaging applications You can use the system for ultrasound guidance in biopsy and drainage procedures vascular line placement peripheral nerve blocks amniocentesis and other obstetrical procedures Intended uses 27 Obstetrical imaging applications You can assess the fetal anatomy viability estimated fetal weight fetal heart rate fetal position gestational age amniotic fluid and surrounding anatomical structures for the presence or absence of pathology transabdominally or transvaginally You can evaluate the blood flow of the fetus placenta umbilical cord and surrounding maternal structures Color Power Doppler CPD and Color Velocity Doppler CVD imaging tools are intended to evaluate the blood flow of the fetus placenta umbilical cord and surrounding maternal structures in all cases including high risk pregnancies High risk pregnancy indications include but are not limited to multiple pregnancies fetal hydrops placental abnormalities maternal hypertension diabetes and lupus CPD and Color imaging tools are not intended as a sole means of diagnosis nor as a sole method of high risk pregnancy screening arning CPD or Color images can be used as an adj
143. ntrol is only available if AutoGain is on see Gain on page 188 Tap this control and then drag the slider the range is 6 to 6 or tap 3 0 or 3 The AutoGain Adjust control is disabled when you perform any action that turns off AutoGain such as changing depth Available in ue Frozen EE NEN VAN Sector Available only in the Cardiac exam type Specifies the sector width Tap this control and then tap Narrow Medium or Full Available in Clip Settings Controls in 2D 135 See Saving video clips on page 179 ie rn AAA A Needle Guide Turns needle guidelines on and off For more information including a list of transducers that are needle guide capable and important safety information see the transducer s user guide and the SonoSite Bracket and Needle Guide User Guide Available in ECG Displays ECG trace options ECG is available only on the cardiac exam type on the P21xp transducer See ECG on page 311 Available in Controls in 2D 136 LJ Procedure Mode Allows you to view the image uninterrupted for example during a needle insertion procedure When this control is enabled the following are disabled e Dialog boxes or other system elements that block the image e Sleep mode and automatic power off Tap this control to turn it on highlighted icon or off dimmed icon Available in Adjusts the grayscale range Tap the control and then tap Up or
144. oSite ECG option is a non diagnostic feature arning To avoid electrical interference with aircraft systems do not use the ECG cable on aircraft Such interference may have safety consequences Caution Use only accessories recommended by FUJIFILM SonoSite with the system Connecting an accessory not recommended by FUJIFILM SonoSite can damage the system To monitor ECG 1 Select the cardiac exam type on the P21xp transducer See Selecting a transducer and exam type on page 20 2 Connect the ECG cable to the ECG port ECG on the ultrasound system ECG monitoring turns on automatically Note The ECG signal may take up to one minute to restabilize after defibrillator use on a patient ECG 311 ECG port 3 Tap ECG ECG If this control is hidden tapping More Controls displays it 4 Do any of the following in the ECG Settings window e Todisplay the ECG trace select Show e Toadjust the value of the ECG gain drag the Gain slider e Tosetthe ECG scroll speed select Slow Medium or Fast under Sweep Speed Note If the Doppler or M Mode trace is active the ECG scroll speed matches the sweep speed for the trace e Tomove the ECG trace up or down vertically on the image tap Up or Down under Position 5 Tap Done ECG 312 ECG 313 Index 2 2D imaging mode 119 2D measurements 203 A AAo 235 abdominal circumference calculation reference 276 abdominal intended uses 27 acceleration t
145. on in cm2 Reynolds Terry The Echocardiographer s Pocket Reference 2nd ed School of Cardiac Ultrasound Arizona Heart Institute 2000 393 442 A A K VN where A A valve area A LVOT area V LVOT velocity V A_ valve velocity LVOT Left Ventricular Outflow Tract AVA PV yo IPV45 CSA LVOT LVOT AVA VTI vo VTI ag CSA LVOT LVOT Measurement references 264 Body Surface Area BSA in m2 Grossman W Cardiac Catheterization and Angiography Philadelphia Lea and Febiger 1980 90 BSA 0 007184 Weight 425 Height0 725 Weight kilograms Height centimeters Cardiac Index Cl in I min m2 Oh J K J B Seward A J Tajik The Echo Manual 2nd Edition Boston Little Brown and Company 1999 59 Cl CO BSA where CO Cardiac Output BSA Body Surface Area Cardiac Output CO in l min Oh J K J B Seward A J Tajik The Echo Manual 2nd ed Lippincott Williams and Wilkins 1999 59 CO SV HRy 1000 where CO Cardiac Output SV Stroke Volume HR Heart Rate Cross Sectional Area CSA in cm Reynolds Terry The Echocardiographer s Pocket Reference 2nd ed School of Cardiac Ultrasound Arizona Heart Institute 2000 383 CSA 0 785 D2 Measurement references 265 where D diameter of the anatomy of interest Deceleration Time in msec Reynolds Terry The Echocardiographer s Pocket Reference 2nd ed School of Cardiac Ult
146. on settings The System Information settings page displays system hardware and software versions patents and license information See also Software licensing in the X Porte Product Information amp Safety Guide To display the System Information settings page 1 Tap MORE and then tap System Settings MORE W 2 Tap System Information in the list on the left System Information Related topics SUING UO Ie SY Sii E 29 System Information settings 69 USB settings On the USB settings page you can view information about connected USB devices including space availability You can also specify a file format and options for images and video clips in patient exams that you export to a USB memory stick and you can enable automatic export of ended exams To display the USB settings page 1 Tap MORE and then tap System Settings MORE W 2 Tap USB in the list on the left USB To specify export options 1 On the USB settings page select an Export Type e DICOM Export creates DICOMDIR files readable by a DICOM reader DICOM is an optional feature e Multimedia Export organizes files in a standard folder structure Video clips export in MJPEG video saved as AVI To view them FUJIFILM SonoSite recommends Windows Media Player or QuickTime 7 0 or later 2 Select an Image Format for your export type For JPEG image format also select a JPEG compression A high compression has a smaller file size but less d
147. oppler Measurements calculations list tap the measurement name under MCA or UmbA b Position the calipers e ForS D RI drag the first caliper to the peak systolic waveform Tap Next and then drag the second caliper to the end diastole on the waveform e ForS D RI PI drag the caliper to the beginning of the desired waveform and tap Set Trace the desired area and then tap Close If calipers are positioned imprecisely the calculation result is inaccurate 5 Save the calculation Only one calculation S D RI or S D RI PI can be saved Required measurements for MCA or UmbA Calculation Section Measurement list heading name Doppler Measurements Systolic Obstetrics calculations 255 Calculation Section Measurement list heading name Diastolic S D RI Systolic Diastolic S D RI PI Systolic Diastolic S D RI UmbA Systolic Diastolic S D RI PI Calculation requires a trace measurement Related topics Cardiac calculations 2 2222 22 cece ee cece eee eee ccc e ccc LALALALA LLALLA L aLaaa 225 Galeulations SD TS cnc keacinnssiennacissguctitingsscnesktiense a a e EA Ee 40 Worksheets and reports oc ose io onte o tesi 286 Acute Care calculations ecce dass 259 Obstetrics calculations 256 Small Parts calculations arning To avoid incorrect calculations verify that the patient information date and time settings are accurate arning To avoid misdiagnosis or harmin
148. or more routing selections with an exam the system reflects the routing selections in the patient report and in the Acute Care worksheet if the Acute Care Worksheets licensed option is installed See Worksheets and reports on page 286 You can associate an exam with a routing selection during an exam or after ending an exam To associate a routing selection during an exam 1 Tap PATIENT fl PATIENT 2 Select one or more routing selections in the Routing Selection section of the patient form To associate a routing selection after an exam When you change the routing selection after an exam has ended the system updates the patient report 1 Tap REVIEW Routing selections 106 REVIEW 2 Tap Patient List 3 Select the check box next to the exam and then tap Route Exam d Route 4 Select one or more options in the Routing Selection section Specifying educational DICOM archivers When you associate the Educational Accreditation routing selection with a DICOM archiver the System archives exams associated with the Educational Accreditation routing selection to that archiver Archivers that are not specified as educational are procedural billing archivers The system archives exams associated with the Diagnostic and Procedural routing selections to these archivers If you do not specify an archiver as an educational archiver exams associated with the Educational Accreditation routing selection are also sent to the
149. ower the platform While pressing down the height adjustment pedal grasp both sides of the platform and push down or pull up to the desired height To lock a wheel Press down the lever on the wheel To unlock the wheel press up on the bottom of the lever To adjust the clinical monitor angle Grasping the clinical monitor on both sides tilt or rotate it To adjust the touch panel angle Grasping the sides of the touch panel pull it forward or push it backward to the desired angle To collapse the clinical monitor Always collapse the clinical monitor before system transport 1 Adjust the touch panel angle to the lowest position 2 Grasping the clinical monitor on both sides align it squarely above the touch panel 3 Fold the clinical monitor downward over the touch panel Getting started 11 Clinical monitor collapsed for system transport Ports The system provides ports for USB digital video in audio in DVR E SATA unsupported and Ethernet Ports on the dock 1 USB 2 Digital video in 3 Audio in 4 DVR recording USB and upgrade 5 E SATA unsupported 6 USB 7 Ethernet Battery charge indicator arning Connect the system to AC power when the battery charge is low Getting started 12 arning Periodically check to make sure that the battery charges fully If the battery fails o charge fully contact SonoSite Technical Support see Getting help on page 3 Caution Use only
150. owercase characters a z and numbers 0 9 Passwords are case sensitive 4 Tap Save Protecting patient information To require user login You can set the system to require a user name and password at startup If you require user login you also need to set up user accounts See Adding and managing user accounts on page 34 1 On the Administration Login settings page log in as a user with administrative privileges 2 Select On from the User Login list 3 Tap Done To hide patient information You can choose not to display the patient name and ID number on the clinical monitor and to remove it from exported images and video clips 1 On the Administration Login settings page log in as a user with administrative privileges 2 Tap Administrator in the User List 3 Select Disable Patient Header 4 Tap Save Administration settings 33 see To disable export and recording of patient data You can prevent users from exporting patient data to USB memory sticks and from recording video displayed on the clinical monitor to a USB memory stick inserted in the DVR see DVR recording on page 309 1 On the Administration Login settings page log in as a user with administrative privileges 2 Tap Administrator in the User List 3 Select Disable USB Export 4 Tap Save see Adding and managing user accounts You can add up to 20 user accounts including the default Administrator account To add a new user
151. pears If this control is hidden tapping More Controls displays it 2 Drag the caliper to the peak of the heartbeat A second vertical caliper appears 3 Drag the second caliper to the peak of the next heartbeat Saving the heart rate measurement to the patient report overwrites any heart rate entered on the patient form Basic measurements in Doppler The basic measurements that you can perform in Doppler imaging are Velocity cm s Pressure Gradient Elapsed Time x Ratio Resistive Index RI and Acceleration You can also trace a waveform manually or automatically For Doppler measurements the Doppler scale must be set to cm s See Presets settings on page 60 To measure Velocity cm s and Pressure Gradient Doppler 1 Ona frozen Doppler spectral trace tap Velocity Ba Velocity Measuring 206 A single caliper appears If this control is hidden tapping More Controls displays it 2 Drag the caliper to a peak velocity waveform This measurement involves a single caliper from the baseline To measure Velocities Elapsed Time x Ratio Resistive Index RI and Acceleration Doppler 1 Ona frozen Doppler spectral trace tap Velocity Velocity A single caliper appears If this control is hidden tapping More Controls displays it 2 Drag the caliper to a peak systolic waveform 3 Tap Velocity A second caliper appears 4 Drag the second caliper to the end diastole on the waveform To measure
152. procedural billing archiver If an exam is associated with more than one routing selection the system archives it to both the procedural billing archiver and to the educational archiver To specify an educational archiver Note If you specify an archiver as an educational archiver exams that aren t associated with a routing selection will not transfer to any archiver You can associate an exam with a routing selection once the Routing selections 107 exam has ended See To associate a routing selection after an exam on page 106 1 Make sure that the system is configured for DICOM transfer See DICOM on page 87 2 Tap MORE and then tap System Settings MORE W 3 Tap Connectivity Connectivity 4 On the Connectivity system setup page tap DICOM Setup 5 Tap Config g 6 From the DICOM list select the Archive configuration page for the archiver 7 Select Educational 8 Tap Done Routing selections 108 Related topics A pete thee aici oedema eeepc NR ER RR ERREUR 294 EJ eis s eR age eee eee eee eee A epee eee ET 87 Entenng pabiepnbintermiatidiie tesis ere ADM LU ELA EE Ads 76 Routing selections 109 Scanning X Porte offers four different imaging modes 2D see 2D on page 110 Color see Color on page 110 Doppler see Doppler on page 114 and M Mode see M Mode on page 116 You can also view 2D or color images in Dual see Dual on page 112 For informatio
153. project object model see Excel Help for instructions Mac OS e Mac OS X 10 5 Leopard or later e Microsoft Excel 2011 or later To specify the language of the OB Custom Table Editor Onthe Setup First tab in the editor select a language from the Please Specify Language list The language selected must match the language of the X Porte system on which you import the tables To set up custom obstetric tables in the OB Custom Table Editor You can set up custom tables of up to 120 entries age tables or 210 entries growth tables Calculations settings 44 Entries in the table editor cannot be negative and cannot contain slashes asterisks brackets commas or semicolons arning Prior to use verify that custom table data entries are correct The system does not confirm the accuracy of the custom table data that you enter 1 Open the editor in Excel 2 Mac OS only Click Enable Macros 3 On the Setup First tab click the Growth or Age table that you want to edit 4 Enter a unique name with a maximum of 24 characters in the Author field You cannot use author names that occur in system defined OB calculation tables 5 Do one of the following e Growth tables Enter values in the Weeks Min Mid and Max fields Values in the Weeks column must increase e Age tables Enter values in the Value Age weeks Age days Range weeks and Range days fields Values in the Value column and the totals of t
154. rasound Arizona Heart Institute 2000 453 time a time b Delta Pressure Delta Time dP dT in mmHg s Otto C M Textbook of Clinical Echocardiography 2nd ed W B Saunders Company 2000 117 118 32 mmHg time interval in seconds E A Ratio in cm sec E A velocity E velocity A E Ea Ratio Reynolds Terry The Echocardiographer s Pocket Reference 2nd ed School of Cardiac Ultrasound Arizona Heart Institute 2000 225 E Velocity Ea velocity where E velocity 7 Mitral Valve E velocity Ea annular E velocity also known as E prime Effective Regurgitant Orifice ERO in mm Reynolds Terry The Echocardiographer s Pocket Reference 2nd ed School of Cardiac Ultrasound Arizona Heart Institute 2000 455 ERO 6 28 r2 Va MR Vel where r radius Va aliasing velocity Measurement references 266 Ejection Fraction EF percent Oh J K J B Seward A J Tajik The Echo Manual 2nd ed Lippincott Williams and Wilkins 1999 40 EF LVEDV LVESV LVEDV 100 where EF Ejection Fraction LVEDV Left Ventricular End Diastolic Volume LVESV Left Ventricular End Systolic Volume Elapsed Time ET in msec ET time between velocity cursors in milliseconds Heart Rate HR in bpm HR 3 digit value input by user or measured on M Mode and Doppler image in one heart cycle Interventricular Septum IVS Fractional Thickening percent Laurenceau J L M C Malergue The Essent
155. re a CDA profile Required fields are marked with asterisks 1 On the CDA Report settings page tap Config d 2 On the CDA Report page tap New CDA Report settings 48 3 Tochange the profile name type a new profile name in the System Author ID box Each profile name must be unique 4 Complete the fields in the Custodian Provider Organization and Author Authenticator Organization sections 5 Toenter information about the authenticator select Include in the Authenticator section and complete the fields in the Authenticator section 6 Tap Save To specify a CDA profile Onthe CDA Report settings page select a profile from the Active Configuration list To delete a CDA profile 1 On the CDA Report settings page tap Config 2 Select the CDA profile you want to delete in the CDA List and tap Delete CDA Report settings 49 Related topics CDA Report settings 50 Connectivity settings On the Connectivity settings page you specify the system location and specify options for alerts when internal storage is full You can also import and export connectivity settings You can also manage wireless certificates and specify settings for DICOM which is an optional feature See DICOM on page 87 To display the Connectivity settings page 1 Tap MORE and then tap System Settings MORE W 2 Tap Connectivity in the list on the left Connectivity To specify the system location The location
156. rea To make a correction trace backward on the dotted line 3 Tap Save under the measurement name to save the calculation and close the trace Cardiac calculations 237 4 Onthe LV Mass calculation list tap Apical 5 Positioning the calipers measure the ventricular length 6 Save the calculation Tap Save under the measurement name To measure peak velocity For each cardiac measurement the system saves up to five individual measurements and calculates their average If you take more than five measurements the most recent measurement replaces the oldest measurement If you delete a saved measurement from the patient report the next measurement taken replaces the deleted one in the patient report 1 Ona frozen Doppler spectral trace tap Calcs Calcs If this control is hidden tapping More Controls displays it 2 On the MV MR TV TR TDI or P Vein calculation list do the following for each measurement you warnt to take To select a calculation list tap at the top of the current list and then tap the desired list a Tap the measurement name b Position the calipers c Save the calculation tap Save or Save Set 3 If you want to take additional measurements tap either of the following and then position the calipers e Next to advance to the next item in the calculation list e The measurement name in the calculation list Cardiac calculations 238 To calculate Velocity Time Integral VTI This
157. rican Journal of Perinatology 1 January 1984 136 144 Table 5 Also published in Hansmann Hackeloer Staudach Wittman Ultrasound Diagnosis in Obstetrics and Gynecology Springer Verlag New York 1986 176 Table 7 8 Estimated Fetal Weight EFW Brenner William E D A Edelman C H Hendricks A standard of fetal growth for the United States of America American Joumal of Obstetrics and Gynecology 126 5 November 1 1976 555 564 Table Il Hadlock F et al In Utero Analysis of Fetal Growth A Sonographic Weight Standard Radiology 181 1991 129 133 Jeanty Philippe F Cantraine R Romero E Cousaert and J Hobbins A Longitudinal Study of Fetal Weight Growth Journal of Ultrasound in Medicine 3 July 1984 321 328 Table 1 Also published in Hansmann Hackeloer Staudach and Wittman Ultrasound Diagnosis in Obstetrics and Gynecology Springer Verlag New York 1986 186 Table 7 20 Femur Length FL Chitty Lyn S et al Charts of Fetal Size 4 Femur Length British Journal of Obstetrics and Gynaecology 101 February 1994 135 Hadlock F et al Estimating Fetal Age Computer Assisted Analysis of Multiple Fetal Growth Parameters Radiology 152 1984 497 501 Jeanty P E Cousaert and F Cantraine A Longitudinal Study of Fetal Limb Growth American Journal of Perinatology 1 January 1984 136 144 Table 5 Measurement references 280 Also published in Hansm
158. ring patient information on page 76 2 Measure LVOT a Ona frozen 2D image tap Calcs Calcs If this control is hidden tapping More Controls displays it b From the AV LVOT AI calculation list tap LVOT D To select a calculation list tap E at the top of the current list and then tap the desired list c Position the calipers at LVOT area by dragging d Save the calculation Tap Save under the measurement name 3 Measure from aorta Doppler See To calculate Velocity Time Integral VTI on page 239 From the AVILVOT AI calculation list select VTI under AV Cardiac calculations 244 For information on the automatic trace tool see To trace automatically Doppler on page 208 To measure Heart Rate HR Heart Rate is available in all cardiac packages The Heart Rate is not calculated using the ECG trace 1 Ona frozen Doppler spectral trace tap Calcs Calcs If this control is hidden tapping More Controls displays it 2 On the CO calculations list tap HR To select a calculation list tap ES at the top of the current list and then tap the desired list A vertical caliper appears 3 Drag the first vertical caliper to the peak of the heartbeat A second vertical caliper appears The active caliperis highlighted green 4 Drag the second vertical caliper to the peak of the next heartbeat 5 Save the calculation Tap Save under the measurement name To calculate Cardiac Output CO or Cardiac Index C
159. rrect calculations verify that the patient information date and time settings are accurate arning To avoid misdiagnosis or harming the patient outcome start a new patient form before starting a new patient exam and performing calculations Starting a new patient form clears the previous patient s data The previous patient s data will be combined with the current patient if the form is not first cleared See Entering patient information on page 76 arning To avoid misdiagnosis or harming the patient outcome do not use single calculations as sole diagnostic criteria Use calculations in conjunction with other clinical information In X Porte you can perform calculations whose results save to the patient report See Worksheets and reports on page 286 There are three kinds of calculations e Basic calculations that are available in multiple exam types o Volume calculations o Volume Flow calculations o Percent reduction calculations e Specialized calculations that are specific to one exam type o Arterial calculations o Cardiac calculations o Gynecology calculations o Obstetrical calculations o Small Parts calculations e Acute Care calculations included with the Acute Care worksheets licensed feature About calculations 211 Overview Calculations are accessed from the calculation lists which you display by tapping the Calcs control for basic and specialized calculations or Acute Care control for Ac
160. s and video clips in patient exams You can sort the patient list view and delete exams edit patient information and append images and video clips to an existing exam From the patient list you can also export exams to a USB memory stick select a routing selection to associate with an exam or archive exams to a DICOM archive server See Related Topics Column headings in the patient list indicate e Name Patient name e ID Patient ID e Date Time The date and time of the exam E e Aw The user who performed the exam O3 Cx ET e The archive status of the exam e La export status of the exam The number of images and video clips saved with the exam Reviewing 294 To display the patient list 1 Do one of the following e Tap REVIEW and then tap Patient List REVIEW e Tap Patient and then tap Patient List AA PATIENT To sort the patient list By default the patient list is sorted by date and time with the most recent patient listed first You can re sort the patient list Tapthe column heading that you want to sort by Tap it again to sort in reverse order To select all exams in the patient list Tap Select All da To deselect all exams tap Clear All Reviewing 295 To delete an exam 1 Inthe patient list select the check box next to one or more exams 2 Tap Delete To view exam information 1 Tap the exam in the patient list 2 Tap Info To edit patient informa
161. s control and then tap the specified format e 1 3 2D 2 3 Sweep e 1 2 2D 1 2 Sweep e 2 3 2D 1 3 Sweep e Side by Side e Full 2D Full Sweep You can adjust the images independently of each other To make an image active tap it or tap Update Available in Update Updates the image In Dual tapping the control switches the active side from left to right or right to left In Doppler or M Mode tapping the control toggles between the trace and the 2D pane Available in NL Controls in Doppler 161 Measures the distance from the skin line to a specified point on the image For instructions see Measuring on page 202 Provides tools that let you place text pictographs and arrows onto an image See Labeling images on page 194 ue fere Controls in frozen D line The following controls are available only in frozen D line Distance Measures the distance between two points Controls in Doppler 162 See Measuring on page 202 Available in Ellipse Uses an ellipse to measure a region s circumference or area See Measuring on page 202 Lets you trace manually to measure an irregular shape See Measuring on page 202 Controls in Doppler 163 Calcs See About calculations on page 211 Available in E Acute Care The Acute Care calculations are part of the licensed Acute Care feature See Acute Care calculations on page 259 Available in
162. s hidden tapping More Controls displays it 2 On the LV calculation list tap the name of the first measurement you want to take To select a calculation list tap at the top of the current list and then tap the desired list 3 Position the calipers by dragging Cardiac calculations 234 4 If you want to take additional measurements tap either of the following and then position the calipers e Nextto advance to the next item in the calculation list e The measurement name in the calculation list If you need to redo a measurement select the measurement name and tap Delete 5 Savethe calculation Tap Save Set under the measurement name The system saves all on screen measurements for the calculation To measure Ao LA AAo or LVOT Diam 1 Ona frozen 2D image or M Mode trace tap Calcs Calcs If this control is hidden tapping More Controls displays it 2 On the Ao LA calculation list tap the measurement name To select a calculation list tap at the top of the current list and then tap the desired list 3 Position the calipers by dragging 4 Savethe calculation Tap Save under the measurement name To calculate LV Volume Simpson s Rule 1 On afrozen 2D image tap Calcs Cardiac calculations 235 If this control is hidden tapping More Controls displays it 2 Do the following for each measurement a Onthe LV Vol calculation list tap the desired view and phase To select a calcula
163. s if the LMP or EDD text boxes are filled in the patient form and if a Growth Analysis author has been selected for the measurement see Obstetrics calculations settings on page 41 To display Obstetrics graphs 1 Tap WORKSHEETS Worksheets and reports 288 WORKSHEETS 2 Tap Graphs 3 Inthe Graphs list select the desired measurement and author The graph for the selected measurement appears For twins both measurement sets are plotted on the same graph 4 Optional Tap Save to save the current graph page as an image that you can review as part of the exam See Reviewing on page 294 5 Optional Tap Print Page to print the current graph page Tap Done to return to live imaging Acute Care and MSK worksheets Acute Care and MSK Musculoskeletal worksheets are licensed features that include patient information text boxes and procedure information from the ultrasound system Acute Care Worksheets and reports 289 worksheets include results from measurements and calculations you perform from the Acute Care calculation lists To display an Acute Care or MSK worksheet 1 Tap WORKSHEETS WORKSHEETS 2 Tap Acute Care Worksheets or MSK Worksheets 3 Tap a worksheet in the list To exit the worksheet and return to imaging tap Done To edit an Acute Care or MSK worksheet You can edit worksheets on the system until the exam has ended 1 Enter information in the worksheet e Indications 9 Ac
164. server select Use Time on Time Server and enter the Server Address These options are available only if the DICOM licensed feature is enabled on the system Note If you select Use Time on Time Server you cannot edit the Date and Time f you want to edit the Date and Time deselect Use Time on Time Server first e Tospecify that the system automatically adjusts for daylight savings time changes select Day light Savings Time This option is available only if you select Use Time on Time Server e Select yourtime zone from the Time Zone list Date and Time settings 55 Related topics Setting up the system Date and Time settings 56 Display Information settings On the Display Information settings page you can specify which details appear on the clinical monitor during imaging To display the Display Information settings page 1 Tap MORE and then tap System Settings MORE W 2 Tap Display Information in the list on the left Display Information To specify details that appear on the clinical monitor On the Display Information settings page select settings in the following sections Patient Header Information that appears in the patient header including the Patient Name Patient ID Department ID User Institution and Date and Time Mode Data Imaging information for 2D Doppler Color or M Mode Related topics Setting up the system 2 2 222 e eee cece cece cece cece sn e eee ess e sse r
165. sound is the default o Requested Procedure ID Type a procedure ID 2 Tap Query Entering patient information 83 The worklist appears with the query results The number of results is in the lower right screen The time of the last query appears below the worklist 3 Highlight the patient procedure you want and then tap Select The system imports the information into the patient form Editing patient information You can edit patient information if the exam has not been archived or exported and if the information is not from a worklist To edit patient information 1 Tap PATIENT AA PATIENT 2 Make changes as desired 3 Tap Done 4 Do any of the following Entering patient information 84 e Tap Modify to save the changes to the current patient e Tap New to start a new patient exam e Tap Cancel to discard your changes Ending the exam Note Although you cannot add images and video clips to a patient exam that is ended you can automatically start a new patient exam that has the same patient information See To append images and video clips to a patient exam on page 297 When you end an exam the system resets imaging settings to the default settings for the selected exam type 1 Make sure that you have saved images and other information that you want to keep See Saving images and video clips on page 178 2 Do either of the following e Tap PATIENT and then tap End Exam AA PATIE
166. start a new patient form before starting a new patient exam and performing calculations Starting a new patient form clears the previous patient s data The previous patient s data will be combined with the current patient if the form is not first cleared See Entering patient information on page 76 Volume flow calculations are available in the following exam types Abdomen Arterial For a list of exam types on each transducer see Intended uses on page 27 Required measurements Calculation Measurement name Calculation list imaging mode result e Diam 2D Volume Flow e TAM or TAP Doppler Required if measuring the diameter instead of using the sample volume size Both a 2D and a Doppler measurement are required for the volume flow calculation For the 2D measurement you can do either of the following e Measure the diameter of the vessel This approach is more precise The measurement overrides the sample volume size e Usethe sample volume size If you do not measure the diameter of the vessel the system auto matically uses the sample volume size and Sample Volume appears in the calculation results The Doppler sample volume should completely insonate the vessel You can measure either the time average mean TAM or time average peak TAP To specify see Controls in Doppler on page 157 Considerations Consider the following factors when performing volume flow measurements Volume flow calculation 2
167. t to view the pre vious or next item To return to multi image display tap Thumbnails Reviewing 298 OO 00 Thumbnails 3 Video clips only Do any of the following e Topause the video clip tap Qo e To play the video clip tap Oo e Toselect a playback speed tap o e Tomove forward through frames one at a time tap o e Tomove backward through frames one at a time tap 4 Optional Do any of the following e Label an image or a frame from a video clip See Labeling during review on page 198 e View the report See Worksheets and reports on page 286 e Delete an image or video clip select the image or video clip and then tap Delete cR 5 Return to the patient list by tapping Patient List or return to imaging by tapping Done Reviewing 299 Related topics lus A yadauesactazeauahintaadaaosnncbecexauetsn today 194 Worksheets and reports 22 2 2222 e cece cece cece eee eee ccc ee ccc ceeeeceececeeeeeeees 286 Archivmo and OR OMIM RE E ET 303 ROYO ssec HONS e lso 106 A ic da eE TESES ALEINE 301 Saving images and video clips 2 0 e eee eeeeeeeeeeeeeeees 178 Reviewing 300 Printing images For information about printing worksheets and reports or about DICOM printing see Related topics To print while imaging 1 Make sure that the power button on the printer is in the On position 2 With the image displayed tap Print e Note You can also configure the foots
168. the end of the list b Select the check box of the archiver c Select the check box in the archiver s MPPS column 7 If you want to use the storage commitment service associate the storage commitment server with the archiver a Select the check box for the storage commitment server that you want Storage commitment servers appear at the end of the list b Select the check box for the archiver c Select the check box in the archiver s SC column 8 Complete any additional configuration tasks and then tap Done To disassociate devices with a location 1 Tap MORE and then tap System Settings MORE W 2 Tap Connectivity in the list on the left Connectivity 3 On the Connectivity setup page tap DICOM Setup DICOM 103 4 Inthe Location list select the location 5 Do any of the following e Todisassociate a printer archiver or worklist server select its check box e Todisassociate an MPPS server from an archiver select the check box for the MPPS server e Todisassociate a storage commitment server from an archiver select the check box for the stor age commitment server e Todisassociate an archiver from all servers deselect and then reselect its check box 6 Tap Done To verify the connection status of devices 1 On the Connectivity setup page tap DICOM Setup 2 Select the device you want to verify and tap Verify to confirm that the associated devices are connected If Verify is unavaila
169. time duration Doppler 1 Ona frozen Doppler spectral trace tap Time C Time A vertical caliper appears Measuring 207 If this control is hidden tapping More Controls displays it 2 Drag the caliper where desired 3 Drag the second caliper where desired To trace manually Doppler 1 Ona frozen Doppler spectral trace tap Manual Trace VEUEN Trace If this control is hidden tapping More Controls displays it A single caliper appears 2 Drag the caliper to the beginning of the desired waveform and tap Set If calipers are not positioned correctly the result is inaccurate 3 Drag the caliper to trace the waveform To make a correction trace backward on the dotted line 4 Tap Close The measurement results appear To trace automatically Doppler After tracing automatically confirm that the system generated boundary is correct If you are not satisfied with the trace obtain a high quality Doppler spectral trace image or trace manually 1 On a frozen Doppler spectral trace tap Auto Trace Measuring 208 Auto Trace If this control is hidden tapping More Controls displays it A vertical caliper appears 2 Dragthe caliper to the beginning of the waveform If calipers are not positioned correctly the calculation result is inaccurate 3 Drag the second caliper to the end of the waveform and tap Done The measurement results appear Automatic trace results Depending on the exam typ
170. tion Systems PACS archivers e Worklist servers e Modality Performed Procedure Step MPPS servers e DICOM printers e Storage commitment servers The system can transfer to one or more devices and connect to different networks depending on how you configure it The DICOM log collects network errors and events typically to support diagnostics see Logs on page 73 Configuring the system for DICOM transfer To configure the system for DICOM transfer you do the following tasks typically completed by a network administrator or PACS manager DICOM 87 1 Back up default DICOM configuration settings toa USB memory stick kept in a secure location You can revert to the default settings if necessary See Importing and exporting connectivity settings on page 51 2 Connect to the network See Connecting to the network on page 88 3 Complete the configuration pages for locations and devices See DICOM on page 87 4 Associate devices with locations See Associating devices with locations on page 102 Connecting to the network Before configuring the system for DICOM transfer you must connect to the network You can connect by Ethernet or wirelessly If you connect by Ethernet the X Porte ultrasound system must be connected to a standard Ethernet 10 100 1000 network To connect to the network by Ethernet Devices connected to the system s Ethernet port must comply with the IEC 60601 1 or IEC 60950 standards Conn
171. tion from the patient list You can edit patient information from the patient list instead of from the patient form if the exam is ended but has not been exported or archived 1 Tap the exam in the patient list 2 Tap Edit 3 Fill in the text boxes and tap Done Reviewing 296 To append images and video clips to a patient exam Although you cannot add images and video clips to a patient exam that is ended you can automatically start anew patient exam that has the same patient information Depending on your archiver the two exams appear as one study when exported or archived 1 Tap the exam in the patient list 2 Tap Append j A new patient form appears The form has the same information as the exam you selected Reviewing images and video clips You can review images and video clips in only one patient exam at a time The system displays images and video clips in the order in which they were saved Video clips play automatically after loading The load time depends on video clip length To review images and video clips 1 Tap REVIEW and then do either of the following REVIEW e Review the current exam Reviewing 297 e Review acompleted exam Tap Patient List In the patient list tap the exam and then tap Thumbnails 2 Do any of the following e Toview the previous or next image or video clip tap Prev or Next e Toview images or video clips full screen tap Full Screen Swipe left or righ
172. tion list tap at the top of the current list and then tap the desired list b Position the caliper at the mitral annulus and tap Set to start the trace c Using your finger trace the left ventricular LV cavity To make a correction trace backward on the dotted line d Complete the trace and tap Close e Adjust the axis as needed f Save the calculation Tap Save under the measurement name To calculate MV or AV area 1 Ona frozen 2D image tap Calcs If this control is hidden tapping More Controls displays it 2 On the Area calculation list tap MVA or AAV Cardiac calculations 236 E 3 Drag the caliper to where you want to begin the trace and tap Set To select a calculation list tap 4 Using your finger trace the desired area To make a correction trace backward on the dotted line 5 Doone of the following e Tosavethe measurement and close the trace tap Save e Toclosethe trace tap Close To calculate LV Mass 1 Ona frozen 2D image tap Calcs Calcs If this control is hidden tapping More Controls displays it 2 Dothe following for Epi and then for Endo a Onthe LV Mass calculation list tap the measurement name at the top of the current list and then tap the desired list To select a calculation list tap ES at the top of the current list and then tap the desired list b Drag the caliper to where you want to begin the trace and tap Set c Using your finger trace the desired a
173. tity Title IP Address Unique identifier of the storage commitment server Port Device port number IP port 104 is typically assigned for DICOM Ping Tap to determine whether the IP address is accessible The system displays OK or Failed Worklist Required fields are marked with asterisks Name Network host name for a worklist server Alias Personalized name for a worklist server AE Title Application Entity Title Worklist Today Yesterday today tomorrow All This Device Only Restricts the query to patient procedures that are scheduled for the system based on its AE Title Modality US Ultrasound is the default procedure type DICOM 100 IP Address Unique identifier for the worklist server Port Device port number IP port 104 is typically assigned for DICOM Automatic Query Turns automatic query on off Occurs Every In an automatic query length of time between automatic updates Start Time In an automatic query start time for the automatic update displayed in 24 hour time Ping Tap to determine whether the IP address is accessible The system displays OK or Failed MPPS Required fields are marked with asterisks Name Network host name for the MPPS server Alias Name that identifies the network location of the ultrasound system AE Title DICOM Application Entity Title IP Address Unique identifier of the MPPS server Port Device port number IP port 104 is typically ass
174. to the USB memory stick while it is connected to the system The connector could break 1 Tap MORE and then tap System Settings MORE W 2 Tap Connectivity in the list on the left Connectivity 3 On the Connectivity setup page tap Wireless Certificates A list of certificates on the system appears 4 Do one of the following DICOM 90 e Import certificates Connect the USB memory stick that contains the certificates see USB devices on page 23 Verify that the certificates on the system plus those on the USB memory stick do not exceed 20 certificates or 200K of memory Delete certificates if necessary Then tap Import Note Certificates on the USB memory stick replace certificates on the system e Delete certificates Select the certificates to delete and then tap Delete cR 5 Tap Done 6 Restart the system DICOM configuration pages The DICOM configuration pages are as follows Location Configuration for network settings including settings for a wireless network connection Also specifies which devices you want to associate with that network For example configure a location called Office and then associate a printer and archiver with it You can configure up to eight locations See Associating devices with locations on page 102 Archive Configuration for PACS archivers devices for storing patient exams images and clips Only one archiver per location can receive in pro
175. unctive method not as a screening ool for the detection of structural anomalies of the fetal heart and as an adjunctive method not as a screening tool for the diagnosis of Intrauterine Growth Retardation IUGR arning To prevent injury or misdiagnosis do not use this system for Percutaneous Umbilical Blood Sampling PUBS or in vitro Fertilization IVF The system has not been alidated to be proven effective for these two uses Small parts breast musculoskeletal nerve superficial and lung imaging applications You can assess the breast thyroid testicle lymph nodes hernias musculoskeletal structures soft tissue structures ophthalmic structures and surrounding anatomical structures for the presence or absence of pathology You can detect normal lung motion for the presence or absence of pathology You can demonstrate blood flow in superficial anatomical structures You can use the system for ultrasound guidance in biopsy and drainage procedures vascular line placement and peripheral nerve blocks arning To avoid injury to the patient use only an Ophthalmic exam type when performing imaging through the eye The FDA has established lower acoustic energy limits or ophthalmic use The system will not exceed these limits only if the Ophthalmic exam type is selected Contraindications The X Porte ultrasound system has no known contraindications Intended uses 28 Setting up the system System Settings is where
176. ute Care calculations typically on a frozen image Acute Care If these controls are hidden tapping More Controls displays them After you tap the control a calculation list appears on the left side of the touch panel If the measurement you want to perform is in a different list you can select that list see To select calculation lists on page 212 Tapping collapses the list contents Tapping o expands them After you select a measurement name it is highlighted and has Save and Delete controls and calipers appear on the image You position the calipers by dragging The measurement result appears beside the measurement name After you save measurements the calculation result appears on the clinical monitor If there are mutiple saved measurements for a calculation the system numbers them in the order they were completed in the calculation list on the left side of the touch panel To select calculation lists If the measurement you want to perform is in a different list you can select that list About calculations 212 l 1 Tap ES at the top of the current list 2 Tap the desired list To save calculation measurements When you save a measurement a checkmark appears next to the measurement indicating that the value has been saved With one or more measurements on the screen do any of the following e Save the selected measurement Tap Save under the measurement name e Save all the measurements in a
177. ute Care worksheets Select multiple indications or select Other Indications to enter additional information o MSK worksheets Enter indications in the Indications text box e Acute Care worksheets only Views Select options to reflect the views obtained Select Other Views to enter additional information e Acute Care worksheets only Findings You can make multiple selections in the Findings sec tion Select Other Findings to enter additional information Worksheets and reports 290 e Acute Care worksheets only Interpretation You can make multiple selections in the Inter pretation section Select Other Interpretations to enter additional information e MSK worksheets only Procedure Details and Conclusions You can make multiple selec tions in the Procedure Details and Conclusions section Enter comments in the Comments text box 2 Acute Care worksheets only To delete a calculation value select the value and then tap Delete 3 Tap Done Printing reports and worksheets You can print the current page of a report preview or worksheet or the entire report preview or worksheet To print a report preview or worksheet 1 Display the report preview or worksheet 2 Do one of the following e To print the entire report preview or worksheet tap Print All Dn Worksheets and reports 291 e Toprint the current page tap Print Page Displaying reports and worksheets after the exam has ended When you e
178. witch to print see User profile settings on page 64 To print a saved image from a current or ended exam 1 Make sure that the power button on the printer is in the On position 2 Tap REVIEW REVIEW Printing images 301 3 Do one of the following e Select the check box for an image from a current exam e Select an image from an ended exam Tap Patient List tap the exam tap Thumbnails and then select the check box for an image 4 Tap Full Screen 5 Tap Print Related topics Archiving and exporting liiiiiiuuuuuusssssssssssssssssssssss esses ss cece eee esses seu Pe NG ose caer NE RR ECC RR ROREM Worksheets and reporte eec c oeetesoceectunmeri EE PAROI EAEE aLL Printing images 302 Archiving and exporting The patient list organizes saved images and video clips in patient exams You can archive exams from the patient list toa DICOM archive server or print them toa DICOM printer You can export exams to a USB memory stick Archiving exams If you have configured the system for DICOM transfer the system automatically archives saved images and video clips along with the patient report to DICOM devices If you have configured the system to connect to a DICOM printer exams are also printed when they are archived The system archives images and video clips either during the exam or at the end of the exam depending on the settings you have chosen in the Transfer Images setting on the Location co
179. xport the logs to a USB memory stick and read them ona PC Log contents are saved as entries are generated The logs have limited space and overwrite existing content when full To display the Logs settings page 1 Tap MORE and then tap System Settings MORE 4 2 Tap Logs in the list on the left Logs Logs 73 To export a log Caution To avoid losing data from or damaging the USB memory stick do not remove the USB memory stick or turn off the ultrasound system while exporting In addition do not bump or apply pressure to the USB memory stick while it is connected to the system The connector could break 1 Connect a USB memory stick see USB devices on page 23 2 On the Logs settings page tap the log 3 Tap Export gt A list of USB devices appears 4 Select the appropriate USB memory stick and tap Export gt Export 5 Tap Yes to confirm the export Five seconds after the exporting completes you can safely remove the USB memory stick To clear a log 1 On the Logs settings page tap the log 2 Tap Clear to delete all text Logs 74 3 Tap Yes to confirm the deletion Related topics pero e YvY T t A K T 87 Setting up the system 0 22 e cece cece cece cc ccc cece ss mer rrr rrr rrr rrr rrr 29 Logs 75 Entering patient information The patient form lets you enter identification exam and clinical det
180. y e Tap Left or Right if you need to flip the image horizontally e TapShallow Medium or Steep to select a needle angle The needle angle sets the angle guide dashed angled line Linear transducer Use whichever setting best provides a perpendicular intersection with the angle guide Within the enhancement area the more perpendicular that a linear structure is to the angle guide the more it is enhanced Similarly the less perpendicular and more parallel that a linear structure is to the angle guide the less it is enhanced 3 Insert the needle toward the angle guide Visualizing needles 192 4 Optional Tap Off to turn off Needle Profiling Temporarily turning off Needle Profiling can help you identify artifacts and other structures not of interest Tap On to turn it on again Needle size and angle Use a 17 gauge to 25 gauge needle recommended Enhancement results can depend on the type and brand of needle used For more information consult the medical literature on needle visibility in ultrasound guided procedures You can angle the needle up to 50 from the transducer surface Beyond 50 the needle may be less enhanced Needle Profiling has little or no benefit to out of plane procedures Needle Profiling is intended for in plane procedures only 0 50 For best results angle the needle only up to 50 from the transducer surface 1 Needle 2 Transducer Additional recommendations Avoid settin
181. y and more Scanning is active while a video plays so you can practice scanning techniques in conjunction with the visual guides A Visual Guide video To play a Visual Guide video 1 Display the Visual Guide screen by doing one of the following e Tap LEARN on the startup screen e Inthe upper right corner of the touch panel tap LEARN or tap MORE and then tap LEARN depending on your setup To specify the location of this command see Presets settings on page 60 2 At the top of the Visual Guide screen tap a category for example Basics The current selection is highlighted Visual Guide videos 25 3 Tap a video selection in one of the cards that appear Tap the left and right controls to show additional cards The video player starts Tap Q to play your selection 4 Do any of the following e Restart or pause the video using the controls D at the bottom of the player e Tap the volume control O to mute the audio Tap again to unmute e Drag the volume slider to adjust the volume e Tap Hide to hide the player You can tap LEARN to show the player again e Tap another video in the list to play it e Tap LEARN to return to the Visual Guide screen Visual Guide videos 26 Intended uses The system is used with a transducer attached and is powered either by battery or by AC electrical power The clinician is positioned beside the patient and places the transducer onto the patient s body where
182. you can specify sound settings and adjust the volume for beeps and clicks To display the Audio settings page 1 Tap MORE and then tap System Settings MORE W 2 Tap Audio in the list on the left Audio To specify sound settings On the Audio settings page do either or both of the following e Select Button Clicks for keys to click when tapped e Select Beep Alert for the system to play sounds To adjust the volume for beeps and clicks On the Audio settings page drag the Beeps and Clicks Volume slider To mute the volume for Beeps and Clicks tap 9 To restore volume tap 9 Related topics Saving images and video clips 0 eee eee cece cece cece eceeecceccccccceccccccccccecees 178 Setariqg Up The SYSTEM iss ice knot adacacchsadnsacbebssededaaaiesiddederessaccaadannesetgeanmnseen 29 Audio settings 39 Calculations settings On the Calculations settings page you can specify measurement names that appear in the Tissue Doppler Imaging TDI calculations list and in the reports for cardiac exams You can select authors for obstetrics calculation tables and import custom obstetrics calculation tables You can also set up obstetrics custom measurements that appear in the obstetrics calculations lists and in the report for obstetrics exams To display the Calculations settings page 1 Tap MORE and then tap System Settings MORE W 2 Tap Calculations in the list on the left Calculations
183. you customize the system and set preferences Note Not all system settings are available if you log in to the system as a guest see Logging in on page 37 To display a settings page Tap MORE and then tap System Settings MORE W Tapping a settings page in the list displays its settings on the right side The active selection is highlighted Administration Calculations CDA Report Connectivity Setting up the system 29 y Date and Time L J Display Information Network Status Power and Battery Presets System Information Setting up the system 30 Administration settings On the Administration settings page you can configure the system to require users to log in and enter passwords Required login helps protect patient information You can also add and delete users and change passwords To display the Administration Login settings page 1 Tap MORE and then tap System Settings MORE W 2 Tap Administration in the list on the left Administration About security settings arning Healthcare providers who maintain or transmit health information are required by the Health Insurance Portability and Accountability Act HIPAA of 1996 and the European Union Data Protection Directive 95 46 EC to implement appropriate procedures to ensure the integrity and confidentiality of information and to protect against any reasonably anticipated threats or hazards to the secur
184. you specify in Connectivity settings represents the active location of the system Onthe Connectivity settings page select a location from the Location list To receive storage alerts Onthe Connectivity settings page select Internal Storage Capacity Alert The system displays a message if internal storage is near capacity when you end an exam Importing and exporting connectivity settings You can import and export all location and connectivity settings from and to another X Porte system These settings include DICOM configuration data for locations wireless settings archivers printers Connectivity settings 51 storage commit servers worklist servers and MPPS servers The system does not import IP addresses or AE titles when you import configuration data from another system Caution To avoid losing data from or damaging the USB memory stick do not remove the USB memory stick or turn off the ultrasound system while exporting In addition do not bump or apply pressure to the USB memory stick while it is connected to the system The connector could break To import connectivity settings 1 Connect the USB memory stick that contains the settings see USB devices on page 23 2 On the Connectivity settings page tap DICOM Setup 3 Tap Config 4 Tap Import 5 Select the USB memory stick and then tap Import Connectivity settings 52 Import The system restarts All configurations on th
185. you zoom in on an image the Zoom icon y appears on the image To zoom in live imaging 1 Tap Zoom Q Zoom A zoom box appears If this control is hidden tapping More Controls displays it 2 Size and position the zoom box over the area that you want to zoom Q e Tosize pinch or spread the box or drag e To position drag the box 3 Double tap in the zoom box ortap Zoom Q Zoom To exit zoom double tap in the zoom box or tap Unzoom Zooming 183 Unzoom To zoom in Color 1 Position the Color box over the area you want to zoom 2 Tap Zoom Zoom If this control is hidden tapping More Controls displays it The area in the box is magnified Note To change zoom magnification you must first shrink your color box To exit zoom double tap in the zoom box or tap Unzoom Unzoom To zoom in on a frozen image 1 Tap Zoom Zoom If this control is hidden tapping More Controls displays it 2 Do any of the following Zooming 184 e Tap 4x or 2x To unzoom tap Off e Drag the slider To unzoom drag the slider to 1 0 3 Optional Pan the image by dragging left right up or down Note You cannot pan the image if measurements text arrows or labels exist on the image Zooming 185 Freezing Before performing certain tasks such as viewing the cine buffer or measuring you stop live imaging or freeze the image When you freeze the image you can
186. yption Encryption key type 64 bit or 128 bit o Key index WEP key index 1 4 Network location where a specific key is stored o Key WEP key value used to encrypt data e RADIUS Remote Access Dial Up User Service 802 1x Key Exchange The following fields appear o Authentication Type Select one of the following o EAP TLS Extensible Authentication Protocol Transport Layer Security The fol lowing fields appear o User Name Name of designated user o Client Certificate Select from the list of client certificates installed on the sys tem o Private Key One of a pair of keys public and private that is provided only to the requestor and never shared o Private Key Password A unique combination of letters and symbols that allows user access o Certification Authority Validates the authentication server or certificate authority The list is populated by wireless certificates that you have imported See Optional To import or delete wireless certificates on page 90 Select the desired certificate from the list o EAP PEAPVO o User Name Name of designated user o Password A unique combination of letters and symbols that allows user access DICOM 95 o Certification Authority Validates the authentication server or certificate authority The list is populated by wireless certificates that you have imported See Optional To import or delete wireless certificates on page 90 Select the desired certificate from the list

X-Porte User Guide

Contents

Download Pdf Manuals

Related Search

Related Contents