ACUSON NX3™ Series Ultrasound System, Overview External Features

System Overview of External Features      ACUSON NX3 Series Ultrasound Systems  Identify external features   Locate transducer ports, power panel, and standby mode   Describe connection of peripherals   Summarize cleaning procedures Upon successful completion of this course, you will be able to: System height: 144.7 - 158.6 cm / 57 - 62.4 in System width: 54 cm / 21.3 in System depth: 92.3 cm / 36.3 in System weight: 75 kg / 165 lbs •  Height-adjustable control panel* to 11 cm •  Lock lever located under control panel                  Swivel right or left +/- 80°                                                                          Tilt 15° up and 80° down   Integrated gel warmer with 3 heat setting levels To clean: Disconnect warmer power cable and remove warmer from system Remove the bottom cap (arrow) Clean with a lint free cloth and a mild detergent wipe Dry warmer completly before re-attaching           Power Supply cord hanger                                                                                     Transducer cable hangers CD / DVD read / write drive avaliable Compatible with: 650 MB, 700 MB, and 790 MB CD-R 650 MB and 700 MB CD-RW 4.7 GB single layer DVD 8.5 GB single side double layer DVD The system supports data export file formats:  RTF, PDF, TIFF, AVI, JPG, and DICOM                            Unlocked position                                        Locked position                           (FREE)                                                           (LOCK)   The air filter is located at the front of the system and should be cleaned weekly Unplug the system and access the filter by grasping the air filter tray and pulling it out of the system To clean, gently remove the filter from system and rinse with running water and allow to completely dry before re-inserting the filter ​ Inserting the air filter before it is completly dry can damage the system The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages.   All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved.   ACUSON Sequoia is a trademark of Siemens Medical Solutions USA, Inc.   Copyright © Siemens Healthcare GmbH, 2019 Please note that the learning material is for training purposes only!   For the proper use of the software or hardware, please always use the Operator Manual or Instructions for Use (hereinafter collectively “Operator Manual”) issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training.   The Operator Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Note: Some functions shown in this material are optional and might not be part of your system. The information in this material contains general technical descriptions of specifications and options as well as standard and optional features that do not always have to be present in individual cases.   Certain products, product related claims or functionalities described in the material (hereinafter collectively “Functionality”) may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. Complete the self verification section below to verify that you have performed the appropriate tasks. Review the information below to learn more about the user interface.   User Interface Layout Learn more about user interface controls. Slide NumberText BlocksCalloutsAudio ScriptImage File1Monitor LayoutCalloutsTask LightMicrophone On / Off LEDMicrophoneMonitor On / Off LEDTask light On / Off LEDMonitor brightness Up / DownMonitor MenuThere is a task light located on the left side of the handle at the bottom of the imaging screen that can provide additional lighting for the keyboard or to the user in the darkened scan room. The task light is easily turned on or off with the control switch located on the right side of the screen housing if not required. Overall monitor brightness can be adjusted with controls located on the right side of the monitor housing. You can use the Up Down controls to adjust the brightness or, if other visual adjustments are required, such as contrast, the Monitor menu key is located beside the Up Down keys. The monitor also has a built in microphone located at the bottom of the screen. When the microphone is engaged or ON, the LED light will be ON; when the microphone is inactive or OFF, the LED will not be illuminated. The microphone is user-programmable and can be turned off or turned on automatically. To program the microphone, go to Presets and then Customize Keys. Also note that the microphone control can be programmed under one of the user-defined keys on the control panel, this is another option to manage microphone operation during scanning. 2Touch Screen LayoutCalloutsMode Indicators / displayAdvenced features display optionsUSB ports (2)Touch screen selections displaySoft keys selection displayRotary keys associated with soft key menuWhen viewing the touch screen, the active mode will be indicated by mode indicators at the top of the screen. In this example the active mode is 2D. Any advanced features, that are active or available, will be displayed to the right of the mode indicators at the top of the touch screen. Touch screen imaging controls will be back-lit in blue when active, white when available, and grayed out when unavailable. Soft key selections are displayed at the bottom of the touch screen just above their respective rotary keys. Push the rotary key down and then turn the key clockwise or counterclockwise to adjust the selected parameter. 2 USB ports are located on the right side of the touch screen for ease of use. Connecting a USB to the system allows for transfer of images, clips, volumes, presets, reports, or service log files. 3Control Panel Layout (page 1 of 2)CalloutsPower On / OffWOrkflow controlsUser-defined (UD) keysTactile keyboardDGC controlsMode keysImage controlsFreezeHomebaseThe control panel has a simple, intuitive user interface that could potentially reduce your keystrokes by 28%. The control panel is designed for ergonomic efficiency and enables motor-memory learning as system functions are grouped together for ease of use. The Power key is located in the top left corner of the control panel and is used for turning the system On or Off or to place the system into standby mode. Workflow keys for New Patient, Exam, Review, and Report, are conveniently located next to 5 user-defined keys seen just above the tactile keyboard. Special functions can be assigned to the user-defined keys under the Presets, then choose Customize Keys and then Key Function. For example, Transducer selection, field of view options like Trapezoid, up down Flip and left right Flip, are all options that can be assigned to a user defined key if desired. The right side of the control panel contains most functions related to imaging such as the DGC controls, mode selection keys, depth, zoom, and freeze. We will go into more detail on the available imaging controls and the homebase function keys next. 4Control Panel Layout (page 2 of 2)CalloutsImage mode keysDoppler angle optionsSelect keyCW, Power Doppler, 3D / 4D optionsTGO activationDepth / Zoom / HD ZoomDualUser-defined keyPrint Store / Clip Store optionsLooking at the right side of the tactile keyboard, we find all the keys necessary to optimize your image on the control panel. The imaging modes Two D, M-mode, Color, Power Doppler, Pulse Wave, Continuous Wave, and 3D/4D are accessed with the rotary keys at the top of the imaging area. Press the selected rotary key to engage or disengage the mode and turn the key clockwise or counterclockwise to increase or decrease the mode gain. Below the imaging mode keys are the Doppler options for Power and Continuous Wave as well as the 3D/4D advanced application key. The Angle key is a dual-function control that can be rotated or pressed to adjust the spectral Doppler angle. In a cardiac study the angle key rotates Anatomical M-mode. During 3D/4D imaging, this angle control rotates the volume around the “x” axis. For linear array transducers, the Steer control has multiple functions: While in Two D mode, Steer controls the Two D image to the left or to the right While in Doppler mode, Steer control positions Doppler cursor While in M-Mode mode, Steer control positions the M-mode cursor When color Doppler is active, Steer control steers the color region of interest to the left or right The Select key located next to the Homebase area allows the user to highlight a selection or cycles through available selections when rotated; pressing the Select control either adjusts the setting for the highlighted selection or activates the highlighted selection. For example, when in the Review menu, pressing Select toggles the full-screen display format with the most recently selected display format; rotating the Select control pages through the stored images. The active function of the Select key displays next to the status icon at the bottom of the imaging screen. Tissue Gain Optimization or TGO is a one-button image optimization feature. Pressing TGO automatically adjust the image brightness for the tissue type being imaged by equalizing the overall image gain. TGO is also available for use during spectral Doppler. Use of TGO with Doppler will optimize the selected Doppler parameters. Doppler parameters can be user-configured under Presets, Display, Doppler / M-mode and Doppler Auto Optimization. Rotating the Depth Zoom control changes the imaging depth. Pressing Depth Zoom activates Zoom to magnify the image. Rotating the control while in Zoom or HD Zoom changes the magnification level. High density or HD zoom increases the image size, detail resolution and frame rate within the zoomed region of interest. During 3D/4D imaging, pressing HD Zoom displays the single volume image on the screen. Rotating the Focus rotary key positions the focal zones in the image; pressing the control key changes the number of focal zones that can be adjusted. Pressing Dual displays two separately acquired images, side-by-side. The user-defined control next to the Dual key can be customized under Presets , then choose Customize Keys and then user defined Key. A variety of functions can be customized to this user defined key similarly to the user defined Keys 1-5 located just above the tactile keyboard. Print Store 1 and Print Store 2 are configured for the preferred destination under Presets then Customize Keys and then choose either Print/Store 1 or Print/Store 2. The Clip Store can be configured to store a volume, a clip or a single image under the Presets then the Customize Keys and then select choose the Clip Store Key. The Freeze key sits just below the print / store options to the right of the Homebase area. 5Homebase LayoutCalloutsEscape keyLeft Set keyUpdate / ViewRight Set keyCaliper activation TrackballWrist supportThe Homebase area contains the Trackball, Select keys, Escape, Measurements, and Update key along with a wrist support for the system operator. The Set keys here are all mode-dependent and confirm the selection of a specific function or command. For example, you can use them to anchor calipers or to select a menu item or image graphic. The trackball is located in the center of the Homebase area and allows the user to position measurement markers, text, or image graphics such as the color region of interest. The active function of the trackball displays next to the status icon at the bottom of the imaging screen. On Freeze, the trackball defaults to the Cine function. The Escape key exits the currently displayed mode, function or page and reactivates the previous mode, function or page. The active function of the Escape key displays next to the status icon at the bottom of the imaging screen. Caliper activates the measurement menu. During the measurement function, pressing Caliper toggles between the measurement marker with the Measurement menu. The Update key function is mode-dependent. Some examples of update include a mixed-mode when there is a Doppler sweep, the accompanying Two D and the color image. The update key can be used to toggle between the Doppler sweep to reposition the cursor and the color to reposition the region of interest When using a Dual screen format the Update key can be used to toggle between the live and frozen “sides” of the imaging screen For editing measurement calipers, the Update key will cycle the user through each caliper set or individual caliper point. During 3D/4D imaging, the update key starts or cancels the acquisition process Please note, the Update key active function always displays next to the status icon at the bottom of the imaging screen. If you would like to change the location of the left or the right Set keys, the Escape, or the Caliper, this can be customized in system configuration under the Presets, then choose Customize Keys, then choose Key Function and Homebase Key. In summary, these are the topics that have been discussed:  We idenentied the external features of the ACUSON NX3 Showed the location of the transducer ports, power panel, and standby mode We covered where to connect peripherals We discussed important cleaning procedures for the ACUSON NX3 Thank you for your attention! Review the information below to learn more about: Transducer ports Power panel Standby mode. Ports, Power Panel, and Standby Mode Learn more about the available ports and standby mode. Slide NumberText BlocksCalloutsAudio ScriptImage File1Transducer Ports  CalloutsOptional Aux 1 and ECG portsUniversal transducer ports (4)Auxillary continuous wave (CW) port for cardiac option.The system has four universal transducer ports, one Auxiliary port for continuous wave Doppler and a port to connect to ECG. The Auxiliary port and ECG connector are located above the transducer ports to the left of the peripheral storage bay. 2Power PanelCalloutsMAINS sircuit breakerEquipotential connectorPower cord connectorMAINS voltage selectorStatus indicator lightsAccessory output voltage selectorThe power panel is located at the rear of the system near the floor - the power plug / cord for the system originates from this panel. The MAINS circuit breaker is located here along with the MAINS voltage selector, accessory voltage selector and equipotential connector. There is also a series of status indicators relating to the charge level of the battery pack. The battery pack and associated LEDs will be covered in the next slide. The power panel is located at the rear of the system near the floor - the power plug / cord for the system originates from this panel. 3Quick Start option / battery location QuickStart option allows the system to power-down and boot-up quickly Requires an on-board battery Battery must be charged for the system to enter into standby mode and utilize the QuickStart option System can remain in standby mode for approximately 30 minutes The QuickStart battery will continue to charge if the system is shut-down (plugged in) as long as the circuit breaker is in the ON positionCalloutsBattery locationThe ACUSON NX3 system has a QuikStart feature designed to reduce the time required for power-up and power-down by allowing the system to enter a specialized standby mode. This feature is very useful when performing exams at the portable at the bedside or emergency studies. QuickStart will boot-up in less than 15 seconds and power-down in approximately 10 seconds. QuikStart requires the use of an on-board battery pack which is located at the front of the system behind the body housing. Access or removal of the battery pack must be done by a certified Siemens Healthineers Service Representative. The system can remain in standby mode for more than 35 minutes if plugged into a power source. However, if the system is unplugged and on battery power, the system can remain in standby for approximately 30 minutes. A full recharge of the battery takes approximately 3 hours or 180 minutes. The battery charge level is indicated by blinking or solid green LED lights located at the rear of the system on the power panel. If the LED is green and blinking, this indicates that the battery is actively charging. A solid green LED indicates that the battery pack is fully charged Now, if the LED is not illuminated, the battery pack may not be installed. Please note, if a battery pack is installed on the ultrasound system and the LED is not illuminated, this could indicate a potential issue with the battery pack. In this case, please contact a certified Siemens Healthineers Service Representative. It is reccomended that a full shut-down of the ultrasound system is performed once every 24 hours to allow the system to complete a diagnostic check of the system’s hardware and software during the full-boot process. Now we will describe where peripherals can be used with the ACUSON NX3. Learn more about periperals below. Peripherals Learn more about peripherals. Slide NumberText BlocksCalloutsAudio ScriptImage File1Input / output panelCalloutsFour USB portsEthernet connnectionVGA (out) connectionDVI In / Out (four)Audio In / OutAccessory power outletAt the rear there is a panel that supports up to 4 USB ports for a printer or other storage device. There are three DVI ports for an external monitor, digital, or analog output. Two Audio In Out ports. There is an Ethernet port and One VGA Out port. There is one dedicated accessory power outlet. 2Footswitch option Two pedal layout User-programmable  Connection to the USB port is located at the rear of the system in the input / output panel A two pedal footswitch is also an option for the ACUSON NX3 system. The footswitch is user programmable. Options for programming include printing images to the external printer, store images to the system's hard drive, or freeze, and unfreeze the image. Using a footswitch can optimize workflow while adding additional user-defined capabilities to the system. Examples where the footswitch can improve workflow include: Interventional procedures where sterile gloves are being worn and keeps hands off keys on the control panel. During a stress echo, a footswittch option can allow the operator use of both hands for scanning or positioning the patient,to ensure timely capture for a diagnostic exam. A footswitch can be useful in pediatrics, obstretics and other exam types. 3External printerOne or two compatible, approved document devices can be integrated into the system cart: Black and white printer Color printer / DVR recorder This device is controlled from the system control panel keys(s). Without a printer, the area is a peripheral storage bin.Adding peripheral equipment such as a printer, to the ACUSON NX3 series can potentially increase workflow efficiency. Up to 2 compatible, approved documentation devices can be integrated into the system cart and controlled from the system control panel. These can be a black and white printer, a color printer or a DVR recorder. The system supports the following data export file formats RTF, PDF, TIFF, AVI, JPG and DICOM.