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ACUSON NX3™ Series Ultrasound Systems Quick Reference Guide Release 2.0

This quick reference guide provides an overview of the system, starting an exam, major modes, measurements and calculations, text arrow and pictograms plus data and image management for the ACUSON NX3™ Ultrasound System Release 2.0.

ACUSON NX3 Ultrasound System ACUSON NX3™ Series Ultrasound System Release 2.0 Quick Reference Guide SIEMENS siemens.com/nx3 Healthineers HOOD05162002871230 Contents 2 System Overview 3 ACUSON NX3 Elite Ultrasound System Getting Started 8 2D Mode and M-mode 12 Color and Spectral Doppler 24 ACUSON NOC3 Bis Measurements and Calculations 38 ACUSON NX3 Elite Text, Arrows and Pictograms 48 Data and Image Management 54 ----- HOOD05162002871230 L4g System Overview 3 Control Panel 1. Power ON/OFF (QuikStart Standby Mode) 2. Patient Study Controls 3. User-defined Keys 4. Soft Key Rotary Controls 4 5. Alphanumeric Keyboard 10 1 6. Text, Arrows and Pictograms 3 New Patient Exam Review Report 7. Major Modes 2 7 11 8. Angle, Steer, Select Depth / Zoom Focus 12 T CW 3014D Upeate : Vanwy: TGO 12 9. TGO Image Optimization 6 8 9 HD Zoom Dual 13 10. DCG Controls Print Store 1 Print Store 2 Clip Store X 11. Depth, Zoom, Focus N Ctrl END Video Alt 5 14 ESC 12. UD (User-defined Key), Dual Caliper 15 13. Print, Store and Clip 14. Freeze 15. Home Base Controls HOOD05162002871230 System Overview System Overview 4 Home Base Area Update / View 1. Left Set 2. Right Set 3. Update / View 3 4. Escape 5. Caliper 6. Trackball (CINE review) 1 2 7. Wrist Support 6 4 S 5 ESC x.X.x Calip 7 HOOD05162002871230 L4g Status Icons 5 1. Select Key 2. Update Key SIEMENS Healthineers ACUSON NX3 17 3. Trackball VF16-5 Thumbnails| Patientinfo | Results C-Vascular -1 dB THI 12.3 MHZ 4. Escape Key DR 55 dB Edge 1 Persist 2 RIS 4 Map F 5. Caps Lock Tint 1 ASC 3 DTCE Med DTO 1 6. Insert /Overwrite 29 fps BRACHIAL A P 100% MI 1.07 715 0.2 118 0.2 Images 37 Clips 1 X INS 1 2 3 4 5 6 A INS HOOD05162002871230 System Overview System Overview 6 Connecting Transducer SNBINDIS .... SNBINBIS ---------- Forgoune ..... ......... ........ $2800912895+ A IPX8 6] CH5-2 A IPX8 [ CH5-2 In the unlocked position, insert the transducer into Turn the lock clockwise until it locks into place. the port located on the front of the system. HOOD05162002871230 L4g HOOD05162002871230 Wheel Locks 7 C BLOCK Unlocked (wheels can swivel and roll). Locked (wheels cannot swivel and roll). HOOD05162002871230 System Overview Getting Started 8 Patient Registration New Patient Transducer and Exam can also be TIP selected from the Touch Screen after New Patient 1. Press patient registration by selecting Exam on the Control Panel. 2. Enter patient information. Patient Last Name First Name MI Pre Suf. Patient ID Date of Birth DD/MM/YYYY Sex . Male . Female o Unknown Age Height [cm] Weight [kg] BSA (m2) BP [mmHg] 3. Select the Transducer and Exam type and select OK. Exam Transducer CH5-2 Exam Abdomen HOOD05162002871230 L4g Edit Study 9 1. Press Patient Registration – Worklist New Patient 2. Use the keyboard to edit patient information. 1. Press 3. Select OK to save. 2. Enter patient information to search. 3. Select Worklist at the upper left side of the form •Select US (Ultrasound) Search •Select the study and press Select •Select OK to begin the study. System must be connected to a HIS / RIS server to access patient worklist. HOOD05162002871230 Getting Started Getting Started 10 Transducer / Study Control Panel and Touch Screen 3. To change transducers during an exam, New Patient press Exam, then select on the Touch Screen or 1. Select press the user-defined key assigned to the . transducer. 2. Select a transducer and QuickSet from the Touch Screen. 4. To change QuickSets during a study, press Exam on the control panel and select the Quickset from the Touch Screen. Exam QuickSet BP10-3 * Abdomen Early OB EM Fetal Echo GYN OB P-Vascular Renal CH5-2 Urology Venous 1/1 > Close HOOD05162002871230 Store, Print, Review and End Exam 11 Review Print Store 1 Print Store 2 Clip Store Select Review 1. Press FTTTTTT to acquire and save the clip. 4. Press then , Clip Store 2. Press to freeze the clip / image frame. •Press to view 1x1 format Select Freeze 3. If desired, roll trackball for frame-by-frame •Rotate to move between images. CINE review. Select •Press to save a static image. 5. Press END on the keyboard to end the study. Print Store 1 •Press to save and print. A compatible printer must be connected and assigned to the print function in the Print Store 2 Starting a new patient also ends Presets menu before the print function TIP a current exam. becomes active. Print Store 1 and 2 are customized in the Presets menu. HOOD05162002871230 Getting Started 2D Mode and M-mode 12 2D Control Panel Control Panel Controls Function Brightness Mode 2D Press to enter / exit 2D mode. Rotate to adjust overall 2D gain / brightness. One-button image optimization TGO (TGO™ Tissue Grayscale Press to optimize the overall image displayed. Optimization Technology) Press twice to deactivate. Note: Available on live image only. Manually adjusts gain / brightness at depth DGC Default all slide controls in the center. Note: Available on live image only. Adjusts the focal zone Focus Rotate to move up / down and press to activate multiple focal zones. Note: Only available with certain transducers. HOOD05162002871230 L4g Adjusts the scanning depth and magnifies the image 13 Rotate clockwise / counter-clockwise to increase / decrease depth. Depth / Zoom Press to activate zoom. Rotate to change region of interest (ROI) size and press to activate. Press again to exit zoom. Note: Zoom available in live or frozen images. Displays a high density zoom HD Zoom Press to activate. Rotate the Depth / Zoom to increase / decrease ROI. Press Depth / Zoom or HD Zoom to activate. Displays two separately acquired images side-by-side Dual Press Dual to activate and toggle between images. Press the 2D key to exit. HOOD05162002871230 2D Mode and M-mode 2D Mode and M-mode 14 2D Touch Screen Touch Screen Controls Function Controls the TGO gain offset TGO Gain* Select to adjust up / down. Note: TGO must be active to adjust. Displays linear or trapezoid image format Trapezoid Select to activate / deactivate. Note: Available on live image only. Available on linear transducers only. Defaults to SieClear 2 upon activation. Displays four separately acquired images 4B Select to activate and add each image. Note: Available on live image only in 2D and Color Doppler. Image optimization presets Image Presets* Select to view available image presets. Note: Available on live image only. Customizable in a user-defined exam only. HOOD05162002871230 L4g Increases contrast and lateral resolution. Reduces noise and clutter. 15 THI (Tissue Harmonic Imaging) Select to activate / deactivate. Note: Available on live image only. SieClear (SieClear™ Multi-view Spatial Enhances contrast resolution and boundary detection Compounding)* and Increase for more compounding. AdvSieClear (Advanced Decrease for less compounding. SieClear™ Spatial Note: Available on live image only. Settings are transducer Compounding)* and mode dependent. Sharpens the contours of a structure Increase for more sharpness. Edge* Decrease for less sharpness. To deactivate, select zero. Note: Available on live image only. Balances line density (spatial resolution) and frame rate RS (Resolution / Speed)* Increase to improve image detail. Decrease to improve frame rate. Note: Available on live image only. *Configurable for the soft key rotary controls and/or touch screen user interface. HOOD05162002871230 2D Mode and M-mode 2D Mode and M-mode 16 2D Touch Screen Touch Screen Controls Function DTCE (Dynamic TCE™ Tissue Reduces speckle and enhances tissue contrast Contrast Enhancement Settings are Low, Medium and High. Technology)* Note: Available on live or frozen images. Split Activates two simultaneous images in dual format Select to activate / deactivate. DTO (DTO™ Dynamic Tissue Activates level of gain compensations. Reduces bright whites. Optimization Technology) Increase to reduce whites. ClarifyVE Decreases artifacts, increases contrast resolution and boundary (Clarify™ Vascular detection in structures with flow Enhancement (VE) Press to activate / deactivate. Technology) Note: Available on live imaging only. HOOD05162002871230 L4g Adjusts levels of sensitivity when using ClarifyVE 17 Rotate clockwise to increase sensitivity. ClarifyVE Levels* Rotate counterclockwise to decrease sensitivity. Select a higher level to increase / Select a lower level to decrease. Note: Available on live imaging only. Frame averaging – determines the number of frames combined into the final image Persist (Persistence)* Increase for more frame averaging /Decrease to demonstrate motion. To deactivate, select 0. Note: Available only on live image when SieClear is set to Off. Adjusts orientation on image screen U/D Flip (Up / Down flip) Select to switch between orientations [up(U) or down(D) R/L Flip (Right / Left flip) and right(R) or left(L)]. Note: Available on live or frozen image. Selects type of clip capture Chronology: Prospective, Retrospective. Clip Capture >> Acquisition Rate: Normal, High. Trigger Type: Time Capture, Beat Capture, Rwave Capture. Note: Available on live image only. *Configurable for the soft key rotary controls and/or touch screen user interface. HOOD05162002871230 2D Mode and M-mode 2D Mode and M-mode 18 2D Soft Keys Soft Key Controls Function Adjusts acoustic energy delivered to the patient Rotate clockwise to increase power. P (Transmit Power) Rotate counterclockwise to decrease power. Note: Available on live image only. Changes Mechanical (MI) and Thermal (TIS, TIB) Indices. Adjusts number of gray shades displayed DR (Dynamic Range)* Rotate clockwise for a softer / grayer image. Rotate counterclockwise to increase contrast. Note: Available on live or frozen images. Balances between resolution and penetration MultiHertz (MultiHertz™ Multiple Use higher frequency to increase resolution. Frequency Imaging) Use lower frequency to increase penetration. Note: Available on live image only. HOOD05162002871230 L4g Processing curves that assign echo amplitudes to gray shades 19 Map Maps A – I are from low to high contrast. Maps 1 – 3 are customizable maps (Modify Map). Note: Available on live or frozen images. Colorizes the grayscale image Tint Press and rotate for tints from 0 – 15. Note: Available on live or frozen images. Adjusts image orientation in 90 degree increments Rotate Rotate to adjust. Note: Available on live image only. *Configurable for the touch screen controls and/or soft rotary keys. HOOD05162002871230 2D Mode and M-mode 2D Mode and M-mode 20 M-mode Control Panel Control Panel Controls Function Enters / exits M-mode and adjusts overall M-mode gain Press to activate / deactivate. M (M-mode) Roll the trackball to position the M-mode cursor. Rotate to adjust overall M-mode gain. Note: Available on live image only. Alternates between 2D/ M-mode formats on the Touch Screen Update / View Press to move between modes. Note: Available on live image only. Enters / exits color M-mode With Color Doppler activated, press M (M-mode). Color M-mode Place cursor and Press M. Press M to exit. Note: Only available with cardiac transducers. HOOD05162002871230 L4g M-mode Touch Screen 21 Touch Screen Controls Function Changes the display format to full M-mode Full M Press to activate / deactivate. Note: Available on live or frozen image. Adjusts the scrolling speed of the M-mode sweep Sweep Speed* Increase to display less cardiac cycles. Decrease to display more cardiac cycles. Note: Available on live or frozen image. Sharpens the contours of a structure in the M-mode sweep Increase for more sharpness. Edge* Decrease for less sharpness. To deactivate, select 0. Note: Available on live image only. *Configurable for the soft key rotary controls and/or touch screen user interface. HOOD05162002871230 2D Mode and M-mode 2D Mode and M-mode 22 M-mode Soft Keys Soft Key Controls Function Adjusts Frequency for 2D image and M-mode strip MultiHertz (frequency) Rotate clockwise to increase resolution. Rotate counterclockwise to increase penetration. Note: Available on live image only. Processing curves that assign echo amplitudes Maps to gray shades in the M-mode sweep Map choice is displayed from low to high contrast. Note: Available on live or frozen image. Colorizes the M-mode sweep Tint Press and rotate for tints from 0 –15. Note: Available on live or frozen image. Adjusts number of gray shades displayed in the M-mode sweep DR (Dynamic Range)* Rotate clockwise for a softer / grayer sweep. Rotate counterclockwise for increased contrast. Note: Available on live or frozen image. *Configurable for the touch screen controls and/or soft rotary keys. HOOD05162002871230 23 HOOD05162002871230 2D Mode and M-mode Color and Spectral Doppler 24 Color Doppler Control Panel Control Panel Controls Function Enters / exits color Doppler or adjusts overall color Doppler gain C (Color Doppler) Press to activate / deactivate color Doppler mode. Rotate to increase / decrease color Doppler gain. Note: Available on live image only. Applies colors based on flow amplitude Power (Power Doppler) Select Power to activate / deactivate. Rotate to increase / decrease power Doppler gain. Note: Available on live image only. Adjusts the color ROI Increase frame rate by decreasing the color ROI width or depth. Color Box Size / Position Press Set to alternate between Size / Position. Roll the trackball to resize or reposition color ROI. Note: Available on live image only. Steers the Color ROI Steer Toggle the Steer key left / right to steer. Note: Steering Angle is transducer dependent. Available only on linear transducers. HOOD05162002871230 Color Doppler Touch Screen 25 Touch Screen Controls Function Flow state optimization presets Flow* Choices are Low, Medium, High. Select desired preset to optimize flow state. Note: Available on live image only. Reverses the colors depicting forward and reverses flow in the color ROI and the color bar Invert Select to activate / deactivate. Note: Available on live or frozen image. Balances line density (spatial resolution) and frame rate RS (Resolution / Speed)* Increase for image detail. Decrease to increase frame rate. Note: Available on live image only. *Configurable for the soft key rotary controls and/or touch screen user interface. HOOD05162002871230 Color and Spectral Doppler Color and Spectral Doppler 26 Color Doppler Touch Screen Touch Screen Controls Function Adjusts spatial averaging (smoothing) for color flow Smooth* Increase for flow sensitivity. Decrease for color spatial resolution. Note: Available on live image only. Adjusts the time that the color flow data remains in the ROI before being replaced by another color Persistence* Increase for greater vessel color fill. Decrease to increase temporal resolution. Note: Available on live image only. Adjusts the color wall filter Filter* Increase to reduce motion artifacts. Decrease to increase sensitivity to low flow states. Note: Available on live image only. HOOD05162002871230 L4g 27 Prioritizes the display of grayscale or color flow data Priority* Increase for greater vessel color fill. Decrease to prioritize grayscale and less vessel color fill. Note: Available on live image only. Turns color display off image when in color Doppler Display Select to activate / deactivate. Note: Color ROI remains on image. *Configurable for the soft key rotary controls and/or touch screen user interface. HOOD05162002871230 Color and Spectral Doppler Color and Spectral Doppler 28 Color Doppler Soft Keys Soft Key Controls Function Adjusts the color Doppler frequency independent of the 2D frequency MultiHertz (frequency) Rotate to increase / decrease. Note: Available on live image only. Selects a processing curve that assigns the velocity / velocity variance (for Color) or flow amplitudes (for Power) to a range of colors Maps Maps choices are A – I. Note: Available on live or frozen image. Acoustic energy delivered to the patient in color Doppler mode P (Transmit Power) Increase / decrease to adjust the transmit power. Note: Available on live image only. Changes Mechanical and Thermal Indices displayed. HOOD05162002871230 L4g Adjusts the pulse repetition frequency (PRF) 29 Scale Increase / decrease to adjust the PRF. Note: Available on live image only. Adjusts the range of flow velocities displayed above and below the baseline Baseline Move up / down to adjust the baseline of the active mode. Note: Available on live image only. HOOD05162002871230 Color and Spectral Doppler Color and Spectral Doppler 30 Spectral Doppler Control Panel Control Panel Controls Function Enters / exits spectral Doppler or adjusts overall spectral Doppler gain D (pulsed wave) Doppler Press to activate / deactivate. and CW (continuous wave) Roll trackball to position Doppler gate. Doppler Press D or CW to activate the strip. Rotate to adjust overall spectral Doppler gain. Note: Available on live image only. One button optimization of spectral Doppler gain, baseline, and scale TGO (TGO Technology) With Doppler spectrum active, press to activate. Press twice to exit TGO. Note: Available on live image only. Alternates between the Doppler spectrum and the 2D image Update / View Press to alternate between Doppler / 2D. Note: Available on live image only. HOOD05162002871230 L4g Adjusts the PW Doppler angle 31 Steer Toggle left / right to reverse the steering angle. Note: Available on live image only. Available only on linear transducers. Adjusts angle correction Angle Press to cycle through 60 / 0 / 60° angle selections. Rotate to adjust values in 1° increments. Note: Available on live or frozen image. HOOD05162002871230 Color and Spectral Doppler Color and Spectral Doppler 32 Spectral Doppler Touch Screen Control Panel Controls Function Enters / exits Duplex or Triplex mode Triplex Select to activate / deactivate Duplex / Triplex. Note: Available on live image only. Adjusts sample volume size Gate* Increase / decrease to adjust size. Note: Available on live image only. Reverses the Doppler spectrum (negative values display above the baseline) Invert Select to activate / deactivate. Note: Available on live or frozen image. Adjusts the scrolling speed of the Doppler spectrum Sweep* Increase to display less cardiac cycles. Decrease to display more cardiac cycles. Note: Available on live or frozen image. HOOD05162002871230 L4g Mutes the Doppler audio 33 Mute Select to activate / deactivate. Note: Available on live image only. Displays Full Screen Doppler Full D Select to activate / deactivate. Note: Available on live or frozen image. Adjusts the wall filter Filter* Rotate to adjust rejection of low frequency signals. Note: Available on live image only. Adjusts the sensitivity of the Trace tool when in Auto Stats Sensitivity* Increase for higher sensitivity. Choices are 1–5. Note: Available on live image only. Defines the interval for refreshing the 2D-mode image Update Rate* Select Off, 1 sec, 2 sec, 4, sec, 8 sec or EOS (End Of Sweep). Note: Available on live image only. *Configurable for the soft key rotary controls and/or touch screen user interface. HOOD05162002871230 Color and Spectral Doppler Color and Spectral Doppler 34 Spectral Doppler Touch Screen Touch Screen Controls Function Automatic trace and display of PW Doppler measurements Auto Stats* Select to activate / deactivate. Select settings for data above, below or on both sides of the baseline. Note: Available on live or frozen image. DTI (DTI™ Doppler Tissue Activates the Doppler Tissue imaging feature for cardiac exams Imaging Capability) Press to activate / deactivate. Note: Available on live image only. Adjusts the balance between the temporal and frequency T/F Res* resolution of the Doppler spectrum (Time / Frequency Increase to increase temporal resolution. resolution) Decrease to increase frequency resolution. Note: Available on live image only. *Configurable for the soft key rotary controls and/or touch screen user interface. HOOD05162002871230 L4g 35 HOOD05162002871230 Color and Spectral Doppler Color and Spectral Doppler 36 Spectral Doppler Soft Keys Soft Key Controls Function Adjusts the range of velocities displayed Baseline Increase / decrease to adjust the baseline. Note: Available on live or frozen image. Adjusts the pulse repetition frequency (PRF) Scale Increase / decrease to adjust the PRF. Note: Available on live image only. Adjusts number of gray shades displayed DR (Dynamic Range)* Rotate clockwise for a softer / grayer spectrum. Rotate counterclockwise for a greater contrast spectrum. Note: Available on live or frozen image. Adjusts spectral Doppler frequency independent MultiHertz (frequency) of the 2D or color frequency Increase / decrease to adjust. Note: Available on live image only. HOOD05162002871230 L4g Selects a processing curve that assigns echo amplitudes 37 to gray shades in the Doppler spectrum Map Select desired Map from A –H. Note: Available on live or frozen image. Colorizes the Doppler spectrum Tint Select desired Tint from 0 – 11. Note: Available on live or frozen image. *Configurable for the soft key rotary controls and/or touch screen user interface. HOOD05162002871230 Color and Spectral Doppler Measurements and Calculations 38 Unlabeled Measurements Perform Measurement 5. Roll the trackball to position the second caliper. 1. Press 6. Press to complete the measurement. x ... x 2. Select the desired measurement type and Press Caliper. Unlabeled measurements do not enter Distance Trace Length Area Angle A/B Ratio into the exam report. -- Auto Follicle Ellipse TIP Measurements can be performed on 3. Roll the trackball to position the first caliper. frozen, CINE and stored images 4. Press to anchor HOOD05162002871230 L4g Labeled Measurements 39 1. Press 3. Roll the trackball to position the first caliper. XoOsx 2. Roll the Trackball to select the desired Exam 4. Press to anchor type and measurement label and press Set. 5. Roll the trackball to position the second caliper. Thyroid Rt Lobe Lt Lobe 6. Press to complete and send the labeled Isthmus value(s) to the patient report. NOD 1 NOD 2 NOD 3 NOD 4 TIP The measurement label can be selected NOD 5 before or after calipers are placed. NOD 6 NOD 7 NOD 8 NOD 9 NOD 10 NOD 11 NOD 12 1/2 HOOD05162002871230 Measurements and Calculations Measurements and Calculations 40 Edit Measurements (Labeled and Unlabeled) Edit Completed Measurement 1. Press to activate calipers and cycle between active calipers. 2. Press Select Next on the Touch Screen to cycle between calipers sets. 3. Press Delete on the Touch Screen or press the key to remove active measurement. Select 4. Push Delete All on the Touch Screen to delete all measurements. 5. Rotate Undo/Redo or the Select key to edit a trace measurement. HOOD05162002871230 L4g Reposition Measurement Results 41 1. Press xoBOX 2. Rotate MDA Position and MDA Size to cycle through the available size and positions. HOOD05162002871230 Measurements and Calculations Measurements and Calculations 42 Report Review the Report Report 1. Press or Report on the Image screen to 6. Select Return to exit the Report. enter / exit report page. 7. To edit the report, roll the trackball to 2. Select a report heading for Data or Description. the desired measurement and edit. 3. Press Next to review additional measurements. 8. Press Summary to generate a revised Summary. 4. Select Send Report to send to connected external printer. Only labeled measurements appear on the report. An * appears for any edited 5. Press to store report as a thumbnail. measurement. -- Print Store 1 HOOD05162002871230 L4g 43 Report Summary Data Description 2 Indication Right Left 2 Data Description PI RI S/D Systole Diastole %Steno Labels PI RI S/D Systole (cm/s) Diastole %Steno (cm/s) (cm/s) Sis(%) (cm/s) sis(%) 1.14 0.57 2.35 62.6 26.7 CCA Mid 1.43 0.71 3.43 63.9 18.6 ICA Prox 1.38 0.71 3.40 63.2 18.6 ICA Mid Right Ratio Left Right Left 1.02 ICA/CCA(S) SYS DIAS 0.70 ICA/CCA(D) BP(mmHg) SYS DIAS 3 1/1 < Prev Next > Return 3 6 6 Page 1/2 Prev Next 4 Send Report Return Touch Screen Image Screen HOOD05162002871230 Measurements and Calculations Measurements and Calculations 44 Summary Review the Summary 1. Press to activate the measurement package. xooox Report 2. Press to enter / exit report page. 3. Select Summary on the Touch or Imaging Screen. 4. Select Export to USB to send to USB as a pdf file. 5. Select Print to print to a connected printer. 6. Select Exit to exit the Report. HOOD05162002871230 L4g 45 Summary 3 Letter Header Patient Data A Patient ID : 11_09_2015_01_26_45 Study Date : 11/09/2015 Sex: Age: Patient Name : * Referring MD : Performing MD : Sonographer : Indication : 4 5 Exam Specific Data A Export to USB Print Exam Type : C-Vascular 3P (Right) : / [mmHg] BP (Left) : / [mmHg] Result A Right Left PI RI S/D ystole (Cm/S) Diastole %Stenosis Labels Systole Diastole %Stenosis 1/1 (cm/s) 1% PI RI S/D (cm/S) (%) 1.14 0.57 2.35 (cm/s) 62.6 26.7 CCA Mid 1.43 0.71 3.43 63.9 18.6 ICA Prox 1.38 0.71 3.40 63.2 18.6 ICA Mid Exit Right Ratio Left 1.02 0.70 ICA/CCA(S) 6 ICA/CCA(D) Touch Screen Image Screen HOOD05162002871230 Measurements and Calculations Measurements and Calculations 46 Summary Import Images into the Summary 1. Press to activate the measurement package. 6. Roll the trackball to the desired image location x ... x in the Image section and press the Set Key to Report 2. Press to enter / exit report page. drop the image in report. 3. Select Summary on the Touch or Imaging Screen. 7. To Delete the image, move the cursor over the image and press Delete Image 4. Select the Display format from the Summary Page. TIP Up to 20 images can be stored to the 5. Roll the trackball to the thumbnail image and Summary. press the Set key to highlight. HOOD05162002871230 L4g 47 4 Thumbnails PatientInfo |Results 2x2 17 ACUSON NX3 01:51:19 Fr 11/09/201 ACUSON NX3 03:58:27 Fr. 11/09/201 11_09_2016_01_26 46 11_09_2016_01_26_45 VF12-4 VF12-4 C-Vascular C-Vascular 41 dB 13 de 4.0 MHZ 4.0 MHZ 4736 Hz 2248 HZ Filter 142 Hz Filter 1 Update Off Persist 2 DR 60 dB Map D Map A Tint 2 Priority 4 Sweep 3 Smooth 3 Oate 1.5 mm Flow M TIF Res F 13 fps Angle 60 * SC 21 fps DICE Low 18 ... . . ........ . TIS 6.6 TIB 1.6 P 100% MIO.06 19 ACUSON NX3 03:50:39 Fr 11/09/2015 ACUSON NX3 03:54:22 Fr 11/09/201 11_09_2015_01_20_45 11_09_2015_01_26_45 VP 12-4 VF 12-4 C.Vascular C.Vascular 4.0 MHZ THI 8.0 MMX 5 2248 Hz DR 60 do Filter 1 Edge 2 Persist 2 Persist 2 RIS 4 Map A Map H Priority 4 Tint 2 Smoothy 3 ASCB Flow M DICE Low 47 Fus SC > DICE Low 20 ............... Images 24 X HOOD05162002871230 Measurements and Calculations Text, Arrows and Pictograms 48 Text Icons Control Function T Activates / deactivates text cursor and text Touch Screen menu. Set Home Sets default position for text cursor. Position Home Postion Positions the cursor at the home location. Hide Text Temporarily hides text. Clear Screen Deletes all text, pictograms or arrows. Delete Line Deletes one line of text at the cursor. Delete Word Deletes the last word. HOOD05162002871230 INS / 49 OVR Inserts or overwrites text when text cursor is active. < 1/1 > Displays the next or previous page, when available. Caps Lock HOOD05162002871230 Text, Arrows and Pictograms Text, Arrows and Pictograms 50 Arrows 1. Press the Arrow or Text key on the keyboard. TIP Unlimited arrows can be added. 2. Select the Arrow tab on the Touch Screen. 3. Roll the trackball to position. 4. Turn Rotate or turn Select to change arrow direction. 5. Rotate Arrow Size to adjust arrow size. 6. Press Set to anchor. 7. Press New or Select to add another arrow. 8. Press Delete to delete the last arrow. 9. Press Delete All to delete all arrows 10. Press Select Arrow or Update to cycle through multiple arrows. 11. Press Exit to exit Arrow function. HOOD05162002871230 L4g Annotation Pictogram Arrow 2 51 3 4 Select 7 10 8 9 1/1 New Select Arrow Delete Delete All Exit 6 11 Arrow Size Rotate 5 3 9 HOOD05162002871230 Text, Arrows and Pictograms Text, Arrows and Pictograms 52 Pictograms Pictogram 1. Select from the keyboard. TIP Pictograms are customized in the Presets Menu by selecting Presets / Pictogram List. 2. Select the desired pictogram from the Touch Screen. TIP Pressing Clear Screen also deletes any text 3. Roll the trackball to position the transducer icon. or measurements on the image. 4. Press Rotate on the Touch Screen or rotate the key to rotate the transducer icon. Select 5. Press to anchor. 6. Press Delete on the Touch Screen or Clear Screen on the keyboard to delete the Pictogram. HOOD05162002871230 L4g 53 Annotation Pictogram Arrow ® 2 1/1 6 Delete Rotate 4 HOOD05162002871230 Text, Arrows and Pictograms Data and Image Management 54 Review Images Review Images on Current Study Review Images from a Closed Study Review 1. Press and press Select and 1. Select double-click a thumbnail. 2. Select a patient and press the key twice 2. Select 1X1 Format or press to change the to open. 1x1 display format. 3. Select 1X1 Format or press to change the 1x1 3. Rotate the Select key to view more images. display format. Review 4. Press or to exit. 4. Rotate the key 23 / 25 to view more images. 2D Select Review 5. Press or to exit. 2D HOOD05162002871230 L4g Review Images Restart an Exam 55 Delete Images from a Current Study or in Review 1. Select 1. Press to activate cursor. 2. Select exam from Local Disk. Select 2. Select an image on the thumbnail panel to 3. Select Reopen located below the list of highlight. exams on the right to restart exam. 4. Patient data screen will populate, press OK 3. Select × located below thumbnail panel to open study. and answer prompt “Yes” to Delete. Review 4. Or, press TIP Images, clips and volumes can be added to a closed study within 24 hours. 5. Press to activate cursor. Select 6. Highlight an image from the Imaging Screen 7. Press Delete on the Touch Screen or Delete from the imaging screen. 8. Answer the prompt “Yes” to Delete. HOOD05162002871230 Data and Image Management Data and Image Management 56 Teaching File 1. Select 7. To add images from multiple studies, follow steps 1– 4, then select the desired teaching file. 2. Select the exam from Local Disk. 8. Press Append to add the additional images. 3. Roll the trackball, highlight an image or clip and press the key. Repeat for all desired images. TIP Images and Clips stored in teaching 4. Press Teaching File on the Touch Screen. file removes all patient data. 5. Under Add Teaching File, name the file and press Close. 6. The teaching file is displayed in the Patient Browser. HOOD05162002871230 L4g Export Studies 57 Export Study to DICOM Network Export Study to CD-R /DVD in DICOM 1. Select the patient name in the Patient Browser. 1. Insert CD-R /DVD. 2. Under Network, select the desired 2. Select the patient name in the Patient Browser. Destination. 3. Select Local Disk from the Drop Down under 3. Select Send. Export / Import. 4. Select CD/DVD and select DICOM as the export Images automatically send to PACs format and select Export. TIP if the system is configured to send during the exam or at the end of the exam. Hold CTRL to select more than one TIP patient name. A showcase DICOM viewer will be burned onto the CD-R or DVD with the patient data if selected in the Presets Menu (Presets /Archive /CD/DVD) HOOD05162002871230 Data and Image Management Data and Image Management 58 Import / Export Studies Export Study to USB in PC Format (TIFF or AVI) Import Study from CD-R /DVD to Local Database 1. Insert USB. 1. Insert CD-R /DVD. 2. Select the patient name in the Patient Browser. 2. Select CD/DVD from Export / Import in the 3. Select USB and the Tiff /AVI export format. Patient Browser. 4. Select Export. 3. Select patient name on the CD/DVD. 4. Select Import. HOOD05162002871230 L4g Import Study from USB to Local Database 59 1. Insert USB. 2. Select USB from Export / Import in the Patient Browser. 3. Select patient name on the USB. 4. Select Import. HOOD05162002871230 Data and Image Management The products / features mentioned in this document may not be commercially available in all countries. Due to regulatory reasons their future availability cannot be guaranteed. Please contact your local Siemens Healthineers 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. ACUSON NX3, Advanced SieClear, Clarify, DTCE, DTI, DTO, MultiHertz, QuickSet, and TGO, are trademarks of Siemens Medical Solutions, USA, Inc. At Siemens Healthineers, our purpose is to enable healthcare providers to increase value by empowering them on their journey towards expanding precision medicine, transforming care delivery, and improving patient experience, all enabled by digitalizing healthcare. An estimated 5 million patients globally everyday benefit from our innovative technologies and services in the areas of diagnostic and therapeutic imaging, laboratory diagnostics and molecular medicine, as well as digital health and enterprise services. We are a leading medical technology company with over 170 years of experience and 18,000 patents globally. With more than 48,000 dedicated colleagues in 75 countries, we will continue to innovate and shape the future of healthcare. Siemens Healthineers Headquarters Legal Manufacturer Siemens Healthcare GmbH Siemens Medical Solutions USA, Inc. Henkestr. 127 Ultrasound 91052 Erlangen, Germany 685 East Middlefield Road Phone: +49 9131 84-0 Mountain View, CA 94043, USA siemens-healthineers.com Phone: +1-888-826-9702 siemens.com/ultrasound Published by Siemens Medical Solutions USA, Inc. · HOOD05162002871230 · Order No. A91US-535-1C-4A00 · Printed in Germany · 5661 0518.X HOOD05162002871230 · © Siemens Medical Solutions USA, Inc., 2018 ·

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