ACUSON Freestyle Ultrasound System Quick Reference Card

SIEMENS Healthineers SIEMENS Freeze Save Gar Depth Colo TGC Tools Exams Needle V Start here ACUSON Freestyle siemens.com/Freestyle ACUSON Freestyle™ Series Ultrasound System Quick Reference Guide – Release 4.0 Introduction This Quick Reference Guide contains brief descriptions and instructions for the functions most commonly used on the ACUSON Freestyle™ Series ultrasound system. This supplement contains both standard and optional features. This guide is not a substitute for the system User Manual. Contents ACUSON Freestyle ACUSON Freestyle Series Overview and Basics System Controls Probe Controls Operating Imaging Parameters Back View of System Screen Layout System Setup User-programmable List of Exams Basic Scanning Steps Preparing the Probe in a Sterile Sheath Entering Patient Data B-mode Options SIEMENS Color Options Measurements Text Data and Image Management Siemens Technologies 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 ACUSON Freestyle Series Overview and Basics System Controls SIEMENS Control Bar Soft Keys Dual Rotary Controls Power Inner Rotary / On/Off Switch ACUSON Freestyle Push Button Control Outer Rotary Control Lower Panel Trackball and Soft Keys Trackball Keys Freestyle B-mode Color Data & Image Siemens Overview & Basics Options Options Measurements Text Management Technologies 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 ACUSON Freestyle Series Overview and Basics Probe Controls Probe On/Off LED/Index Marker +/– Probe Soft Keys G + Slider Control Probe Grip Probe Frequency Range / Index Marker Probe Middle Keys L13-5 Image Midline Marker Freestyle B-mode Color Text Data & Image Siemens Overview & Basics Options Options Measurements Management Technologies 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 ACUSON Freestyle Series Overview and Basics Operating Imaging Parameters ◾ Probe controls ◾ Trackball controls on the system or on a Slider control to highlight desired imaging compatible USB mouse or keyboard touchpad - parameter Pointer to highlight desired imaging - +/- soft keys to select or increase/decrease parameter - Left key to select or decrease - ◾ Rotary controls on the system Right key to select or increase - Outer rotary to highlight desired imaging - parameter ◾ Control bar on the system Inner rotary / Push button Control to select Press to select desired imaging parameter - - or increase/decrease Use Inner rotary control / Push button Control, - probe soft keys, Trackball keys or touchpad keys to increase/decrease Freestyle B-mode Color Text Data & Image Siemens Overview & Basics Options Options Measurements Management Technologies 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 ACUSON Freestyle Series Overview and Basics Operating Imaging Parameters Note: ◾ Probe slider control mimics the function of the ◾ Probe soft keys mimic the functions of the Outer rotary control on the system Inner rotary control on the system To move the highlight up the list, push Plus corresponds to clockwise rotation of the - - upward on the slider, away from the probe Inner rotary control footprint Minus corresponds to counterclockwise - To move the highlight down the list, push rotation of the Inner rotary control - downward on the slider, toward the probe footprint Freestyle B-mode Color Data & Image Siemens Overview & Basics Options Options Measurements Text Management Technologies 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 ACUSON Freestyle Series Overview and Basics Back View of System Probe Battery Charging Indicator: Probe Battery Green Light – Fully Charged Amber Light – Battery Charging Probe Battery Charger Bays Probe Adapter Cable Connector Hand Grip Service Port VESA Mount Location Wired Ethernet Networking Connector Power Cable Connector Two USB Ports Probe Battery 15-pin VGA Tilt Stand Connector Output Probe Holders Freestyle B-mode Color Measurements Text Data & Image Siemens Overview & Basics Options Options Management Technologies 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 ACUSON Freestyle Series Overview and Basics Screen Layout Probe Battery Charge Level (appears when battery is in charging bay) Each Bright Dash = 20% Charge Patient Name, ID, Institution Name, PATIENT HOSPITAL Probe and Exam Type, 03-JUN-2014 05:20:08 PM L8-3 2014.06.03.17.18.11 MSK Gen Freeze Date, Time Image Settings and Frame 3.5cm G 9 Clip Rate (Image Settings and SC 2 SF 4 Frame Rate can be configured PP 4 Save 5546 to be hidden under the Setup 16 Hz Orientation Marker Gain menu) Depth Color Imaging Parameters Depth Marker TGC Tools Exams ANL 0.0 dB Needle V Wireless Signal Quality Meter Setup Pment Measure Vice Setup Menu External Antenna in range View (appears after an image Networking Status Patient Registration is stored) Average Noise Probe Battery and System Measurement Menu Level (ANL) Display AC/Battery Status Freestyle B-mode Color Measurements Text Data & Image Siemens Overview & Basics Options Options Management Technologies 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 ACUSON Freestyle Series Overview and Basics System Setup ACUSON Freestyle Serial Number: 000112 System Information System The System Setup Menu is Software Release: VA40A License: MdnDKFY9Ecl%14ds Display easily navigable through the Subsystems Installed Options menus. LCD LO150X1LG91 ACUSON Freestyle Elite Probes MAX2 31 Needle Visualization FLASH 20160729.161422 DICOM PF 20160422.165436 Wireless Networking Admin DSP 20141022.1439 Artis Patient Synchronization UI BEZEL Helpdesk SYSBAT 01819.03 PRBMS PROPS PRBCY Exams PRBSN DICOM Batteries Status Charge Level Charge Cycle System AC 100% 121 Left Charger Bay Empty Right Charger Bay Empty Active Probe Scan Freestyle B-mode Color Overview & Basics Options Options Measurements Text Data & Image Siemens Management Technologies 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 ACUSON Freestyle Series Overview and Basics System Setup ◾ Press SETUP > SYSTEM to view the following: Battery management information for the: - Serial Number System, Left Charger Bay, Right Charger Bay - Software Release and Active Probe displayed (all menus display - battery information) License - Subsystems ◾ Select SETUP > SYSTEM to modify Date and - Installed Options Time: - - ACUSON Freestyle™ Series Ultrasound Scroll to Date, Left click and modify - System options: External Antenna Scroll to Time, Left click and modify - (VESA Mount), DICOM (Storage, Commit, MWL, MPPS & Media), Enhanced Needle ◾ System does not automatically adjust for Visualization, Wireless Networking, daylight savings time Auto Send (can only use w/DICOM (w/ MPPS) selected) ACUSON Freestyle™ Elite Ultrasound System - options: Artis Patient Synchronization, External Antenna (Artis Mount) Freestyle B-mode Color Data & Image Siemens Overview & Basics Options Options Measurements Text Management Technologies 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 ACUSON Freestyle Series Overview and Basics System Setup – Display ACUSON Freestyle Serial Number: 000112 Display System Hide Image Settings after .. ............................ ...................... 2 sec. Image Size- Enable Sleep Mode after .... 5 min Large Display .................. Enable Menu Timeouts 5 sec Cine Playback Use international keyboard -I All Probes D Activate Scroll when freezing Capture Quality Admin Brightness Video Out- Helpdesk User Selected Keys LD DICOM natural B-Mode 1 ..... Save Show test pattern Exams ............... B-Mode 2. Wide Language Color 1 Save English DICOM Batteries Status Charge Level Charge Cycle System AC 100% 121 Left Charger Bay Empty Right Charger Bay Charged 100% 33 Active Probe Discharging 13% N/A Scan Freestyle B-mode Color Overview & Basics Options Options Measurements Text Data & Image Siemens Management Technologies 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 ACUSON Freestyle Series Overview and Basics System Setup – Display ◾ Select SETUP > SYSTEM > Display to configure default settings for the following options: Display Description When Checked Hide Image Hides image settings and frame rate on screen display until an imaging Settings after … parameter is changed Select, from the drop-down menu, the time (2–10 seconds) image settings and frame rate will be displayed after a parameter change Initial recommendation: check to hide image settings and frame rate to simplify the screen display Enable Sleep System will enter power saving Sleep Mode when inactive Mode after … Press Sleep Mode time (5–30 minutes) from the drop-down menu Initial recommendation: uncheck during procedures Freestyle B-mode Color Data & Image Siemens Overview & Basics Options Options Measurements Text Management Technologies 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 ACUSON Freestyle Series Overview and Basics System Setup – Display Display Description When Checked Enable Menu Automatically removes pop-up menus after a specified time Timeouts … Select the time interval (5–30 seconds) from the drop-down menu Initial recommendation: check to automatically remove pop-up menus Use International Enable international on-screen keyboard Keyboard If unchecked, the standard on-screen keyboard will display Initial recommendation: uncheck if diacritical marks are not required Activate Scroll Scroll will be highlighted after Freeze is selected when freezing If unchecked UnFreeze will be highlighted after Freeze is selected Initial recommendation: check to enable quick Scroll function after the image is frozen Freestyle B-mode Color Measurements Text Data & Image Siemens Overview & Basics Options Options Management Technologies 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 ACUSON Freestyle Series Overview and Basics System Setup – Display Display Description When Checked User Selected The 3rd and 10th imaging parameter controls are user-programmable in Keys B-mode, only the 3rd imaging parameter control is user-programmable in Color B-Mode 1 Select the 3rd imaging parameter (either Print, Text, Save, Wide or Needle V) that will display in B-mode from the drop-down list When Wide is selected, trapezoidal imaging is displayed B-Mode 2 Select the 10th imaging parameter (either Print, Text, Save, Wide or Needle V) that will display in B-mode from the drop-down list Color 1 Select the 3rd imaging parameter (either Print, Text, Save, Wide or Needle V) that will display in Color from the drop-down list Initial recommendation: B-mode 1: Save, B-mode 2: Wide, Color 1: Save Freestyle B-mode Color Text Data & Image Siemens Overview & Basics Options Options Measurements Management Technologies 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 ACUSON Freestyle Series Overview and Basics System Setup – Display Display Description When Checked Image Size Select either Small, Medium or Large from the drop-down list Image will occupy more space on the monitor screen as image size is increased Cine Playback Set the length of time for multi-frame cine loop playback Capture Quality Set the quality of images captured in JPEG format Brightness Monitor brightness recommended default setting is 50% Freestyle B-mode Color Data & Image Siemens Overview & Basics Options Options Measurements Text Management Technologies 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 ACUSON Freestyle Series Overview and Basics System Setup – Display Display Description When Checked Video Out Video Out options: DICOM GSDF (Default Setting): Video output calibrated to the luminance characteristics specified in DICOM Part 14: Grayscale Standard Display Function Video quality depends on connected monitor SIEMENS LD: Provides a grayscale correction for the Siemens Large Display connected to a compatible Artis system utilizing LUT selection DICOM 14 Gamma Model with a 0.45 cd/sqm Luminance Minimum Note: This setting was optimized for the Siemens Large Display monitor based on the Siemens-authorized installation kit and may not be suitable for other monitors or configurations SIEMENS LD NATURAL: Provides a grayscale correction for the Siemens Large Display connected to a compatible Artis system utilizing the DICOM 14 Gamma Model with a 0.28 cd/sqm (natural) Luminance Minimum Note: This setting was optimized for the Siemens Large Display monitor based on the Siemens-authorized installation kit and may not be suitable for other monitors or configurations Freestyle B-mode Color Measurements Text Data & Image Siemens Overview & Basics Options Options Management Technologies 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 ACUSON Freestyle Series Overview and Basics System Setup – Display Display Description When Checked Video Out Show test pattern: Test Pattern for Gamma Correction between Artis monitor and ACUSON Freestyle Series monitor Language Select a language for the screen display using the drop-down list Reboot to activate the selection Freestyle B-mode Color Measurements Text Data & Image Siemens Overview & Basics Options Options Management Technologies 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 ACUSON Freestyle Series Overview and Basics System Setup – Probes ACUSON Freestyle Serial Number: 000112 Probes System Enable Probe Keys Lock I Enable Probe Middle Keys. Freeze Display Enable Probe Localization Alerts ........................................... Low Enable Automatic Freeze Probes Restrict wireless operation to checked probes Name Serial Number Last Used Admin L8-3 200451 28-SEP-2016 10:41 L13-5 100200 27-SEP-2016 15:43 Helpdesk C5-2 100203 26-SEP-2016 10:38 L13-5 0005 29-AUG-2016 15:20 Exams L8.3 200449 29-AUG-2016 15:18 Wireless DICOM Batteries Status Charge Level Charge Cycle System AC 100% 121 Left Charger Bay Empty Right Charger Bay Charged 100% 33 Active Probe Discharging 13% N/A Scan Identify Connect Disconnect Freestyle B-mode Color Overview & Basics Options Options Measurements Text Data & Image Siemens Management Technologies 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 ACUSON Freestyle Series Overview and Basics System Setup – Probes ◾ Select SETUP > SYSTEM > Probes to configure default settings for the following options: Probes Description When Checked Enable Probe Keys Disables probe keys and displays a lock icon Lock To temporarily unlock controls, press the probe’s plus key, then the minus key, then the plus key (or the reverse: minus, plus, minus keys) OR move finger up and down length of slider until keys are activated Probe controls will lock again after a short period of inactivity Initial recommendation: uncheck to control imaging parameters from probe Enable Probe Enables probe middle keys Middle Keys … Select one of the following functions: Freeze, Print, Color, Clip, Save, Wide, or Needle V from the drop-down list Initial recommendation: uncheck to avoid unintended operation Freestyle B-mode Color Measurements Text Data & Image Siemens Overview & Basics Options Options Management Technologies 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 ACUSON Freestyle Series Overview and Basics System Setup – Probes Probes Description When Checked Probe Localization If unchecked, Alerts 1. An audio alert from the probe and a message alert on the system will activate if the probe and system are separated by too great a distance. Return the probe to the system to deactivate alerts. 2. An audio alert from the probe and a message alert on the system will activate if the system is powered down and the probe is still connected. Remove the probe battery to deactivate alerts. Select Low or High from drop-down menu When Low is selected, visual and/or audible notifications will occur with these conditions: A study is closed; The probe is turned off; The console is turned off When High is selected, visual and/or audible notifications will occur with these conditions: Probe inactivity; A study is closed; The probe is turned off; The console is turned off Note: When High is selected, Enable Automatic Freeze is automatically selected and cannot be manually deselected Initial recommendation: check Low to aid in locating probe Freestyle B-mode Color Measurements Text Data & Image Siemens Overview & Basics Options Options Management Technologies 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 ACUSON Freestyle Series Overview and Basics System Setup – Probes Probes Description When Checked Enable Automatic Freezes the image when imaging is inactive for 3 minutes Freeze Preserves battery power and aids in probe localization for High localization alert Initial recommendation: uncheck during procedures Restrict wireless Restricts wireless operation to checked probes when multiple ACUSON operation to Freestyle Series systems are utilized checked probes Restricting one probe to one system is allowable Pop-up will appear if unapproved probe connection is attempted Select Connect to add probe to approved list of probes Freestyle B-mode Color Data & Image Siemens Overview & Basics Options Options Measurements Text Management Technologies 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 ACUSON Freestyle Series Overview and Basics System Setup – Admin ACUSON Freestyle Serial Number: 000112 -Admin System Enable Print with Save Area Measurement Enable small print size Point-to-Point O Continuous Trace Display Enable Freestyle Mobile Link Enable Clip Storage ....... 2 sec. Study Anonymity Probes Enable Automatic Study Management Exclude Patient Id Exclude Patient Name I Enable Artis Patient Synchronization Admin Helpdesk Exams DICOM ~Batteries Status Charge Level Charge Cycle System AC 100% 121 Left Charger Bay Empty Right Charger Bay Charged 100% 33 Active Probe Discharging 12% N/A Scan Freestyle B-mode Color Overview & Basics Options Options Measurements Text Data & Image Siemens Management Technologies 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 ACUSON Freestyle Series Overview and Basics System Setup – Admin ◾ Select SETUP > SYSTEM > Admin to configure default settings for the following options: Admin Description When Checked Enable Print with Prints to a compatible Black and White printer Save Initial recommendation: uncheck if a printer is not connected Enable small print Enables small paper print size size Defaulted to large paper print option Enable Freestyle Enables communication between the ACUSON Freestyle Series system and Mobile Link the ACUSON Freestyle mobile link app from a Windows® tablet Microsoft Windows 8.1 When enabled, the symbol appears or higher Note: For informational purposes only Not intended for diagnostic use Freestyle B-mode Color Data & Image Siemens Overview & Basics Options Options Measurements Text Management Technologies 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 ACUSON Freestyle Series Overview and Basics System Setup – Admin Admin Description When Checked Enable Clip A movie clip is stored when Clip is selected on an unfrozen image Storage … If unchecked, the Clip control is replaced by the Save control and only static images will be stored Select clip length (2–60 seconds) from the drop-down menu Longer clips require additional processing time, the Clip and Save controls will dim while the clip is being saved and remain dim during processing Clip and Save cannot be selected while saving and processing image data Initial recommendation: check if clip store is required Freestyle B-mode Color Measurements Text Data & Image Siemens Overview & Basics Options Options Management Technologies 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 ACUSON Freestyle Series Overview and Basics System Setup – Admin Admin Description When Checked Enable Pop-up Dialog box will appear when system storage reaches 20% remaining, Automatic Study the option to decrease patient study database to 70% of available storage and Management delete oldest eligible studies will be given Select OK or Cancel, selecting OK will automatically delete the oldest studies IF: 1. Study is > 5 days old AND contains no image data 2. Study is > 5 days old AND was successfully archived 3. Study was created by Modality Worklist Server or Freestyle Mobile Link device AND the studies contain no image data Dialogue box will appear when system storage is 100% full Select OK or Cancel, selecting OK will automatically delete the oldest studies Save / Clip will be unusable until studies are deleted Freestyle B-mode Color Data & Image Siemens Overview & Basics Options Options Measurements Text Management Technologies 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 ACUSON Freestyle Series Overview and Basics System Setup – Admin Admin Description When Checked Enable Artis ACUSON Freestyle Series will query patient exam study status on the Artis Patient system Synchronization New patient and exam will be automatically loaded on to ACUSON Freestyle systems patient data from the Artis system If the exam is ended on the Artis, the ACUSON Freestyle Series will automatically end exam and transfer any images to PACS, if a default PACS has been setup Instructions to trigger a worklist query: 1. Power on Freestyle probe 2. If worklist not found, ACUSON Freestyle Series will continue to query every 60 seconds Note: Integration is with NEW Artis systems only Freestyle B-mode Color Measurements Text Data & Image Siemens Overview & Basics Options Options Management Technologies 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 ACUSON Freestyle Series Overview and Basics System Setup – Admin Admin Description When Checked Area Select either Point-to-point or Continuous trace Measurement Enables Point-to-point area measurements Enables Continuous trace area measurements Initial recommendation: check for Continuous trace Study Anonymity Select before saving images to remove patient name and/or ID from image Initial recommendation: uncheck Freestyle B-mode Color Measurements Text Data & Image Siemens Overview & Basics Options Options Management Technologies 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 ACUSON Freestyle Series Overview and Basics System Setup – Helpdesk ACUSON Freestyle Serial Number: 000112 Helpdesk- System Service Information Connect external keyboard to activate data entry Save Display Clear Probes Admin Cancel System Update Helpdesk Export Log Files Exams Study Utilities Service Utilities DICOM Batteries Status Charge Level Charge Cycle System AC 99% 121 Left Charger Bay Empty Right Charger Bay Empty Note: Siemens service Active Probe representative may access additional system information Scan in Helpdesk menu Freestyle B-mode Color Overview & Basics Options Options Measurements Text Data & Image Siemens Management Technologies 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 ACUSON Freestyle Series Overview and Basics System Setup – Exams ACUSON Freestyle Serial Number: 000112 Exams System Exams C5-2 L13-5 L8-3 I General Depth: 14cm Wide: Of Display Abdominal Gain: 9 Near Gain: 8 EMSK PostProc: 7 Dyn. Range: 1 Nerve Compound: 2 Speckle: 8 Probes OB/Gyn LIR Reverse: Left M-Line: Off Small Parts Color: Off Priority: 3 Vascular C Persist: 1 Admin C Gain: 9 dUser C Filter: 1 C Scale: 0 8000000 C Box: Mid Color Map: Vel1 Helpdesk Needle V: Off (20") Exams DICOM ~Batteries Status Charge Level Charge Cycle System AC 99% 121 Left Charger Bay Empty Right Charger Bay Empty Active Probe Scan Delete Rename Activate Freestyle B-mode Color Overview & Basics Options Options Measurements Text Data & Image Siemens Management Technologies 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 ACUSON Freestyle Series Overview and Basics User-programmable List of Exams ◾ Exams can be turned On or Off under Exam Type Exams Exit Exams SETUP > SYSTEM > Exams then go to Exams > User MVascular P Gen Save Exam ◾ Nerve Gen, Abd Gen, MSK Gen, SP (Small Parts) Arterial Exam Presets Carotid Gen and V Gen are selected as defaults Page Vn Diff Vn LwExtr ◾ Click the “+” box to display the drop-down list of V Gen EVn Sup Exam Presets available under each Exam Type and Vn UpExtr Nerve Gen B MNerve use the checkboxes to select the desired Exams D-MMSK MSK Gen ◾ When a single Preset under the “+” drop-down list is @ Abdominal B MUser checked, only the Preset name will be displayed on MGeneral Abd Gen the imaging screen BWOB/Gyn B M Small Parts User ◾ When the limit of eight Presets is exceeded and two Breast Deep General or more Presets under the Exam Type drop-down list r Gen are checked, the display will convert to the Exam Type Sup Small Parts Thyroid ◾ Select Scan to exit and then select Exams. Select S Page and turn the Inner rotary control clockwise to display the next page or counterclockwise to Note: Factory Default Probe Settings return to the previous page Displayed Freestyle B-mode Color Overview & Basics Options Measurements Text Data & Image Siemens Options Management Technologies 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 ACUSON Freestyle Series Overview and Basics System Setup – DICOM ◾ Select SETUP > SYSTEM > ACUSON Freestyle Serial Number: 000112 DICOM- System DICOM to configure default Alias IP AE Title Port Type settings for the following Display options: Probes DICOM Information Admin Freestyle AE Title – - drop-down menu Helpdesk Freestyle DICOM Port – Exams - drop-down menu Freestyle AE Title -Freestyle DICOM Port- FREESTYLE112 104 DICOM Batteries Status Charge Level Charge Cycle System AC 99% 121 Left Charger Bay Empty Right Charger Bay Empty Active Probe Scan New Delete Edit Freestyle B-mode Color Measurements Text Data & Image Siemens Overview & Basics Options Options Management Technologies 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 ACUSON Freestyle Series Overview and Basics Basic Scanning Steps 1. Press the power switch to ON 7. Stay within 3 meters / 10 feet of the system 2. Tilt the monitor for best viewing angle 8. Maintain an unobstructed line-of-sight (top of the screen should be at or below between the probe and the system eye level) 9. Check the Wireless Signal Quality Meter 3. Start procedure with fully charged batteries (best signal quality obtained with 4–6 bars) (use on-screen indicators to check charge and Average Noise Level (best image quality status) obtained with ANL of 0.0–0.3 dB) indicators 4. Remove a battery from the charger bays and as a guide to maintaining a good link insert into probe 10. Select Patient soft key to enter study 5. Simultaneously press and hold the +/- probe information and select Exam soft keys to power on the probe 11. Select Scan to save and exit Study 6. Release probe soft keys when audio signal Information menu is heard 12. Select Unfreeze to begin 2D imaging Freestyle B-mode Color Measurements Text Data & Image Siemens Overview & Basics Options Options Management Technologies 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 ACUSON Freestyle Series Overview and Basics Basic Scanning Steps 13. If desired, make adjustments to Depth, Gain 21. Select View to view saved frames or clips or other imaging parameters 22. Or while in view mode, select Next to view 14. Select Save to store a static image during the next image real-time scanning 23. Also while in view mode, if desired, List to 15. Select Clip to store a movie clip during see Study List of completed exams real-time scanning 24. Select Scan to exit View mode 16. Select Freeze to freeze an image 25. Select SETUP > STUDY LIST to view 17. If desired, select Scroll to scroll back completed studies frame-by-frame 26. Highlight a study and select Export to send 18. Select Save to store a static image after study to a USB drive or to a DICOM network freezing 27. Select Close > Study Completed to close the 19. If desired, select Cine to play scroll memory exam, images will automatically transfer to in a repeating loop PACS if a default PACS has been established 20. If desired, select Print to print to a compatible video printer Note: Do not expose probe directly to X-ray radiation. Doing so may cause probe to degrade or fail permanently Freestyle B-mode Color Data & Image Overview & Basics Options Options Measurements Text Siemens Management Technologies 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 ACUSON Freestyle Series Overview and Basics Preparing the Probe in a Sterile Sheath Instruction for using the CIVCO Latex-Free Wireless Ultrasound CIV-Flex™ Probe Cover (CIVCO Product Number: 610-1212) 1. Insert fully charged probe battery into probe 2. Simultaneously press and hold the +/- probe soft keys to power on the probe 3. Open sterile probe cover and line the bottom of the cover or probe footprint with an appropriate amount of gel 4. Poor imaging may result if no gel or too little gel is used, too much gel may cover probe controls resulting in decreased probe control sensitivity Freestyle B-mode Color Overview & Basics Options Options Measurements Text Data & Image Siemens Management Technologies 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 ACUSON Freestyle Series Overview and Basics Preparing the Probe in a Sterile Sheath 5. Insert probe into cover, making sure to 8. Secure with yellow adhesive tape position probe controls on same side as 9. yellow adhesive tape so that flap will not Secure with a rubber band just above the interfere with probe controls probe footprint to keep gel in place 10. Secure with a second rubber band just below 6. Remove protective liner from yellow adhesive tape probe controls to keep cover taut over controls 7. Pull cover tightly over the probe face to 11. Single glove technique recommended for remove wrinkles optimal probe control sensitivity Freestyle B-mode Color Measurements Data & Image Siemens Overview & Basics Options Options Text Management Technologies 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 ACUSON Freestyle Series Overview and Basics Entering Patient Data ◾ Select PATIENT to enter Study Information ◾ Enter Birthdate in YYYY-MM-DD format using menu the Birthdate Menu OR enter numbers into ◾ Last Name, First Name, Middle Name, the Birthdate Menu using a USB compatible Patient ID, Accession, Diagnosis, Comments keyboard and then select OK 1. Enter data using a USB-compatible keyboard ◾ Select Gender from the drop-down list OR the on-screen keyboard ◾ Select an Exam preset from the drop-down list 2. Select OK to enter the data into each field ◾ Enter Height and Weight in imperial or metric Note: If a Patient ID is not entered, the system units using a USB compatible keyboard OR the will generate one based on date and time Height and Weight Menus if a keyboard is not connected Note: When a USB keyboard, a USB mouse or a wireless USB mouse is NOT connected to the system, the on-screen keyboard will automatically activate Freestyle B-mode Color Text Data & Image Siemens Overview & Basics Options Options Measurements Management Technologies 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 ACUSON Freestyle Series Overview and Basics Entering Patient Data ◾ Institution, Physician, Operator ◾ Worklist (optional if configured under the 1. Use the Trackball to select the arrowhead to Setup menu and connected to a DICOM the right of the data field server) 2. Select New from the drop-down menu and 1. Select PATIENT to enter Study Information the on-screen keyboard will appear menu 3. Use the on-screen or USB-compatible 2. Select WORKLIST to display the Worklist keyboard to enter the data Query menu 4. Select OK to enter the data into the field and 3. Select Query to search the DICOM Worklist add it to the drop-down list server or use the on-screen or USB- compatible keyboard to enter search data Note: If data was previously entered it can be selected from the drop-down list 4. Highlight the desired patient name in the response list Select SCAN to exit Study Information menu 5. Select Create to enter the data into the - and scan the new patient Study Information menu Freestyle B-mode Color Options Measurements Text Data & Image Siemens Overview & Basics Options Management Technologies 1 2 3 B-Mode Options ◾ Gain adjusts the overall B-mode gain ◾ TGC allows adjustments to Near Gain, Mid Gain and Far Gain, select Auto to return to the TGC default setting ◾ Tools activates the Tools menu for secondary-level image adjustments in B-mode (refer to table below for options available in B-mode Tools) Note: Needle V, Text, Save and Print functions are available under the Tools menu B-mode Tools Image Settings Description (levels displayed to the right of the Display (Levels) image will change as Image Settings are adjusted) PostProc PP (1–10) Post-processing selects a grayscale curve that assigns Available on live or echo amplitudes to grayscale levels, recommended frozen B-mode settings, based on anatomical site, are stored in factory (or Color) image default presets Dyn. Range dB (50, 55, 60) Dynamic Range adjusts grayscale levels Available on live or The higher the level, the softer the appearance frozen image Freestyle B-mode Color Overview & Basics Options Measurements Text Data & Image Siemens Options Management Technologies 1 2 3 B-Mode Options B-mode Tools Image Settings Description (levels displayed to the right of the Display (Levels) image will change as Image Settings are adjusted) Compound SC (1–4) Spatial Compounding combines steering angles for Available on live image improved contrast resolution and border detection, higher levels increase number of angles Speckle SF (1–9) Speckle Filter applies image filters to remove speckle Available on live or and enhance edges, recommended settings, based on frozen image anatomical site, are stored in factory default presets L/R Reverse Left/Right Reverse Switches image orientation on the screen, index Available on live image marker moves from the left side of the image to the right side of the image Freestyle B-mode Color Options Options Text Data & Image Siemens Overview & Basics Measurements Management Technologies 1 2 3 B-Mode Options B-mode Tools Image Settings Description (levels displayed to the right of the Display (Levels) image will change as Image Settings are adjusted) M-Line Mid-Line Displays depth marker at image midline Available on live image Wide Displays trapezoid image format Available on live image and linear probes only Exit Tools Exit Tools Menu Freestyle B-mode Color Options Options Measurements Text Data & Image Siemens Overview & Basics Management Technologies 1 2 Color Options ◾ C Gain adjusts the overall color Doppler velocity gain or Power Doppler gain ◾ C Box adjusts the up/down position of the color box ◾ Tools activates the Tools menu for secondary-level image adjustments in color (refer to table below for options available in Color Tools) Note: Needle V, Wide Text, Save and Print functions are available under the Tools menu Color Tools Image Settings Description (levels displayed to the right of the Display (Levels) image will change as Image Settings are adjusted) Color Map Vel (1) or Steps through multiple Color maps, one Velocity map Available on live or Pow (1–2) and two Power maps are available frozen image C Scale cm/s Color Scale adjusts the pulse repetition frequency (PRF) Available on live image Freestyle B-mode Color Options Measurements Text Data & Image Siemens Overview & Basics Options Management Technologies 1 2 Color Options Color Tools Image Settings Description (levels displayed to the right of the Display (Levels) image will change as Image Settings are adjusted) C Filter CF (1–4) Color Filter adjusts the color flow high pass filter, lower Available on live image settings will pass through lower frequency flow signals C Persist CP (0–3) Higher Color Persistence levels produce a smoother Available on live image looking image and may help with weak flow, but may have an appearance of lower frame rates Vel Invert Vel 1i Inverts the Velocity color map graphic bar and shifts Available on live or the color map orientation from red (towards the probe) frozen image to blue (towards the probe) Priority Pri (1–4) Higher Priority settings give greater weight to Color Available on live image signals, use with weaker flows or to fill in flow near vessel walls Exit Tools Exit Tools Menu Freestyle B-mode Color Overview & Basics Options Measurements Text Data & Image Siemens Options Management Technologies 1 2 3 4 Measurements ◾ Select MEASURE to display the measurement tools ◾ Select either DISTANCE, ELLIPSE or AREA Measurements How to Perform Distance 1. Highlight DISTANCE, press Left Trackball key to select and roll Trackball to position the first cursor 2. Press Left Trackball key to anchor the first cursor 3. Roll Trackball to position the second cursor 4. To complete the measurement, press Left Trackball key once Note: Selecting any key (except Unfreeze) will complete the measurement prior to activating the function selected 5. Selecting Unfreeze will delete the measurement and unfreeze the image Freestyle B-mode Color Options Measurements Text Data & Image Siemens Overview & Basics Options Management Technologies 1 2 3 4 Measurements Measurements How to Perform Ellipse 1. Highlight ELLIPSE, press Left Trackball key to select and roll Trackball to position the cursor at the area of interest 2. Press Left Trackball key to display the ellipse To reposition the ellipse: 3. Place cursor inside ellipse 4. Press and hold Left Trackball key and roll Trackball to move ellipse To change ellipse size and shape: 5. Place cursor outside ellipse 6. Press and hold Left Trackball key and roll Trackball towards or away from ellipse 7. Ellipse size and shape is determined by the position of the cursor outside the ellipse – release Trackball key and reposition the cursor outside the ellipse to make adjustments 8. To complete the measurement, press Left Trackball key twice Note: Selecting any key (except Unfreeze) will complete the measurement prior to activating the function selected 9. Selecting Unfreeze will delete the measurement and unfreeze the image Freestyle B-mode Color Options Options Measurements Text Data & Image Siemens Overview & Basics Management Technologies 1 2 3 4 Measurements Measurements How to Perform Area If Continuous Trace is selected in the Admin menu > Area Measurement 1. Highlight Area and press Left Trackball key to select 2. Roll Trackball to position the cursor at the starting point 3. Press the Left Trackball key to anchor the cursor 4. Roll Trackball to trace the area 5. Edit the trace by pressing the Right Trackball key repeatedly 6. Leave a small gap between the finishing point and starting point 7. To complete the measurement, press the Left Trackball key twice Note: Selecting any key (except Unfreeze) will complete the measurement prior to activating the function selected 8. Selecting Unfreeze will delete the measurement and unfreeze the image Freestyle B-mode Color Options Measurements Text Data & Image Siemens Overview & Basics Options Management Technologies 1 2 3 4 Measurements Measurements How to Perform Area If Continuous Trace is unchecked in the AdmiN > Area Measurement menu, a Point-to-point measurement is available: 1. Highlight Area and press Left Trackball key to select 2. Roll Trackball to position the first point 3. Roll the Trackball and press the Left Trackball key to set additional points 4. Edit the points by pressing the Right Trackball key repeatedly 5. To complete the measurement, press the Left Trackball key twice Note: Selecting any key (except Unfreeze) will complete the measurement prior to activating the function selected 6. Selecting Unfreeze will delete the measurement and unfreeze the image Next Skips to and highlights the previous measurement Delete Deletes the highlighted measurement Delete all Deletes all measurements Freestyle B-mode Color Options Options Measurements Text Data & Image Siemens Overview & Basics Management Technologies 1 2 3 Text ◾ The Text key is available during real-time imaging or under the Tools menu, Text is also available when the image is frozen ◾ Select Text to add labels or a Pointer to the image ◾ Last text label used appears at the top of the text list Text and Pointer Steps Enter Text 1. Highlight a text label and press Left Trackball key to activate 2. Use the Trackball to position the highlighted text label 3. Press Left Trackball key to set text position on screen Freestyle B-mode Color Data & Image Siemens Overview & Basics Options Options Measurements Text Management Technologies 1 2 3 Text Text and Pointer Steps New 1. Select New to create a new text label 2. Use the on-screen or USB-compatible keyboard to type a new text label 3. Select OK to add to the text list Note: Up to 64 text labels can be created To delete text label from the list: 1. Using the Trackball, place the arrow on the text label 2. Press the Right Trackball key to open the confirmation box 3. Select OK from the confirmation box Freestyle B-mode Color Data & Image Siemens Overview & Basics Options Options Measurements Text Management Technologies 1 2 3 Text Text and Pointer Steps Pointer 1. Select Pointer to point to an area of interest on the imaging screen 2. Use Trackball to position and use the Inner rotary control to rotate Pointer 3. Press Left Trackball key to set Pointer Clear Deletes all Text and Pointers on the current image Exit Text Closes the Text menu Freestyle B-mode Color Data & Image Siemens Overview & Basics Options Options Measurements Text Management Technologies 1 2 3 4 5 6 7 Data & Image Management ◾ Delete images from an Active Case ◾ Close a Study 1. Select View 1. When image is frozen, select Close to end 2. Turn Inner rotary control, select Next or the current study, images will automatically use Push Button control to view images transfer to PACS, if a default PACS has been established 3. Select DELETE to remove the image from the study 4. Select OK from the confirmation box Freestyle B-mode Color Text Data & Image Siemens Overview & Basics Options Options Measurements Management Technologies 1 2 3 4 5 6 7 Data & Image Management ◾ Edit Patient Study Information ◾ Restart Study 1. Select SETUP > STUDY LIST 1. Select SETUP > STUDY LIST 2. Select study to highlight 2. Highlight a closed study to restart 3. Select EDIT 3. Select EDIT 4. Type in new patient name or other patient 4. Select Open data to be edited 5. Select OK 5. Select OK 6. Study restarts and images, clips and data 6. New patient information will be displayed in can be added Study List Freestyle B-mode Color Measurements Data & Image Siemens Overview & Basics Options Options Text Management Technologies 1 2 3 4 5 6 7 Data & Image Management ◾ View a Closed Study 6. Turn Inner rotary control, Push Button 1. Select STUDY LIST under SETUP menu control (or click on image) to view highlighted thumbnail in full screen 2. Select column head to sort Study List by Patient Name, Date or ID 7. Select Next to cycle through images 3. Select study to highlight and view 8. Select Panel to view in a different format thumbnail images on the right side of the (available formats are 1 x 1, 2 x 2, 5 x 3) screen 9. Select More to view more, smaller images 4. Turn Inner rotary control once, use Push 10. Select Fewer to view fewer, larger images Button control once to highlight first thumbnail image 11. Select Delete to remove the highlighted image from the study 5. Turn Outer rotary control (or select the up or down arrowhead) to scroll through the 12. Turn Inner rotary control to once to return to 1 x 1 format thumbnails 13. Select List to return to the Study List 14. Select Scan to exit Freestyle B-mode Color Measurements Text Data & Image Siemens Overview & Basics Options Options Management Technologies 1 2 3 4 5 6 7 Data & Image Management ◾ Delete Patient Studies from Study List To delete multiple studies Note: Once a study has been deleted, 1. Select STUDY LIST under SETUP menu it cannot be recovered. 2. Enter a checkmark in front of each study to delete To delete a single study 3. Select DELETE to remove checked studies 1. Select STUDY LIST under Setup menu 4. Select OK All from the confirmation box 2. Select to highlight study 3. Select DELETE to remove single study To delete ALL studies 4. Select OK from the confirmation box 1. Select STUDY LIST under Setup menu 2. Select checkmark to check all studies 3. Select DELETE to remove ALL studies from the list 4. Select OK All from the confirmation box Freestyle B-mode Color Measurements Text Data & Image Siemens Overview & Basics Options Options Management Technologies 1 2 3 4 5 6 7 Data & Image Management ◾ Export Study to DICOM Network 7. Select LIST to display Patient Study List, 1. Select STUDY LIST under SETUP menu Select DELETE to remove the selected patient study from the export queue, select 2. Select study to highlight CANCEL to remove all studies from the 3. Select EXPORT export queue 4. Export options given, by system, based on 8. Curved arrow displays on Study List after study successful export 5. Select OK to begin export 6. Export List shows status of export, indicating number of images sent out of total Freestyle B-mode Color Measurements Data & Image Siemens Overview & Basics Options Options Text Management Technologies 1 2 3 4 5 6 7 Data & Image Management ◾ Export Study to USB drive in JPEG ◾ Create User-defined Preset 1. Connect compatible USB drive into USB port 1. Activate desired probe 2. Select STUDY LIST under SETUP menu 2. Select Exams, select a study type and then 3. Select study to highlight select a study preset 4. Select EXPORT 3. Change desired imaging settings 5. Select PC Viewable 4. Select Exams 6. Select OK to begin export 5. Select Save Exam 7. Export List shows status of export, indicating 6. Select SETUP > SYSTEM > Exams then go to number of images sent out of total Exams > User to rename 8. Curved arrow displays on Study List after 7. Using the Trackball, place the arrow on successful export the “+” in front of User and press the Left Trackball key to display the drop-down list of user-defined presets Freestyle B-mode Color Options Options Measurements Text Data & Image Siemens Overview & Basics Management Technologies 1 2 3 4 5 6 7 Data & Image Management 8. To rename exam preset, highlight exam ◾ Delete User-defined Preset name and press RENAME, type in new 1. Select SETUP > SYSTEM > EXAMS name. 9. Select to highlight desired user-defined 2. Using the Trackball, place the arrow on preset the “+” in front of User and press the Left Trackball key to display the drop-down list 10. Select RENAME of user-defined presets 11. Use the on-screen or USB-compatible 3. Select to highlight desired user-defined keyboard to enter a customized preset preset name 4. Select DELETE 12. Select OK to replace the u Exam# system- generated name with a customized preset 5. Select Yes in the confirmation box name 6. Select SCAN to exit 13. Select SCAN to exit Note: Up to 64 different user-defined presets can be created Freestyle B-mode Color Measurements Data & Image Siemens Overview & Basics Options Options Text Management Technologies 1 2 3 Siemens Technologies ◾ Wireless Probe ◾ Full Field Focus Able to scan up to 3 m (10 ft) away from the Pixelformer™ Image Processing Architecture - - main unit automatically focuses at each pixel for Freedom from cable weight and torque on uniform focusing throughout the entire - the hand and wrist field-of-view Freedom from cable contamination in the ◾ Frequency - sterile field Automatically adjusts the ultrasound - frequency for greatest resolution and optimal penetration for the selected depth setting Freestyle B-mode Color Overview & Basics Options Options Measurements Text Data & Image Siemens Management Technologies 1 2 3 Siemens Technologies Enhanced Needle Visualization ◾ Intensifies the brightness of the SIEMENS needle for enhanced needle Freeze visibility for in-plane and out-of- Clip plane techniques Save Gar ◾ Enhanced Needle Visualization Depth Press to turn is located in the B-mode and Color Color Needle TGC Tools menu and can be selected Tools Visualization for display in the list of Imaging Exams ON/OFF Parameters as Needle V under ANL. 6.0 4 Needle V SETUP > SYSTEM > Admin > User Selected Keys ACUSON Freestyle ◾ For optimal needle visualization, select the graphic display that is most perpendicular to the needle path For out-of-plane technique: For in-plane technique: Note: The graphic display guide turn to select horizontal graphic turn right or left for two position can be saved in a User- which appears as a dotted line angle positions on either defined Preset at the bottom of the screen side Freestyle B-mode Color Measurements Data & Image Siemens Overview & Basics Options Options Text Management Technologies 1 2 3 Siemens Technologies ◾ Three Built-in Safeguards to Locate Wireless 3. Locate probe by selecting IDENTIFY under Probes SETUP > SYSTEM > PROBES to activate the 1. When Probe Localization is enabled under probe audio alert, select IDENTIFY again to the SETUP > SYSTEM > Probes menu and deactivate alert the system is in the Freeze mode, an audio Note: Probe must be powered on to locate alert from the probe and a message alert on the system will activate if the probe and system are separated by too great a distance, return the probe to the system to deactivate alerts 2. An audio alert from the probe and a message alert on the system will activate if the system is powered down and the probe is still connected, remove the probe battery to deactivate alerts Freestyle B-mode Color Overview & Basics Options Options Measurements Text Data & Image Siemens Management Technologies The products/features mentioned in this document may ACUSON Freestyle and Pixelformer image processing not be commercially available in all countries. Due to architecture are trademarks of Siemens Medical Solutions regulatory reasons their future availability cannot be USA, Inc. guaranteed. Please contact your local Siemens organization for further details. Images used in this guide are for educational purposes only. They have been modified or compressed and may not reflect the actual image quality of the system. Siemens Healthineers Headquarters Legal Manufacturer Siemens Healthcare GmbH Siemens Medical Solutions USA, Inc. Henkestr. 127 Ultrasound 91052 Erlangen 685 East Middlefield Road Germany Mountain View, CA 94043, USA Phone: +49 9131 84-0 Phone: +1-888-826-9702 siemens.com/healthineers siemens.com/ultrasound CC US 4393 1116 iPDF | © Siemens Medical Solutions USA, Inc., 2016 siemens.com/healthineers