ACUSON P500, 2.0 eSieScan Workflow Protocols

SIEMENS Healthineers eSieScan™ Workflow Protocols ACUSON P500™ Ultrasound System, Release 2.0 Product and System Training Speaker Notes: This is a presentation on set-up and use of eSie Scan workflow protocols. Objectives SIEMENS Healthineers Define Protocols Summarize eSieScan workflow protocols benefits Build eSieScan workflow protocols Utilize eSieScan workflow protocols HC US MSC S SET Page 2 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Defining Protocols SIEMENS Healthineers Guided clinical workflow which is SIEMENS based on a pre-defined checklist = == ACUSON P500 SIEMENS HC US MSC S SET Page 3 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: A protocol is a guided clinical workflow which is based on a pre-defined checklist. Objectives SIEMENS Healthineers Define Protocols Summarize eSieScan workflow protocols benefits Build eSieScan workflow protocols Utilize eSieScan workflow protocols HC US MSC S SET Page 4 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 eSieScan Workflow Protocols Benefits SIEMENS Healthineers Guides new users P4-2 61.3 Cardiac Routine Echo Tx Power 100% MI 0.74 PLAX TIS 0.9 2D Thumbnail Standardizes exams TIB 0.9 PLAX LV 2.2 MHZ PLAX 3541 Hz 2D AVILA 2D Flow Med AOd eSie Scan cm'S LAs diam Automation 0 dB 14 fps PLAX 2D PLAX LV 2D DIS 68 bpm Diastole Systole . Flexibility when needed PLAX 20 PLAX AV MV Zoom PLAX Color PLAX MV C Color PLAX AV C PLAX MV CI RVIT LEVIT RVIT 19 cm Color RVIT C Pause Edit Delete View HC US MSC S SET Page 5 | Unrestricted @ Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: here are several benefits to using eSieScan™ workflow protocols during an exam. Examples of advantages that lead to the benefits include: 1. Guides new users (new to the system or new employees) • Learn system faster • Learn standardized protocols faster • Fewer keystrokes • Focus on the patient/exam instead of system controls • Reduce call backs for missed Views 2. Standardizes exams • Ensures required diagnostic information is acquired • Streamlines the accreditation process • Consistency in export order/reading order 3. Automation • Mode Progression • Fewer keystrokes • Reduce call backs for missing Views • Annotation • Fewer keystrokes • Correctly labeled images • Body markers • Reduce time manipulating Body Markers • Correct transducer marker location • Measurements • Required measurements completed • Stores to Report – less searching during dictation 4. Flexibility when needed • Manual Advancement, Skip Views • Adapt exam to fetal movements, bowel gas, missing organ • Less time waiting/struggling for “just the right” View • Variations in anatomy - assess other areas first • Pause and Resume (within or at the end of exam) • Evaluate pathology • Change Protocols during an exam • Incidental findings • Acquisition order and export order can be different • Easier adoption for new users • Customizable to meet specific needs • Adaptable to differing preferences Objectives SIEMENS Healthineers Define Protocols Summarize eSieScan workflow protocols benefits Build eSieScan workflow protocols Utilize eSieScan workflow protocols HC US MSC S SET Page 6 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Factory Default Protocol SIEMENS Healthineers One factory default is available; Configuration eSieScan General 1 Protocols it may serve as a template or as General 2 Routine Echo Protocol Name Custom Keys PLAX Display PLAX Routine Echo PLAX an example to refer to when Exam PLAX Soft Keys PLAX Rename M&R PLAX Report RVIT V Automatically ends when all views completed. customizing a protocol Text Annotation RVIT Body Marker RVIT PSAX AV At End Protocol Wireless PSAX AV Remain in acquisition Network PSAX IAS Service PSAX TV . Enter Review Clip Store PSAX TV Archive RVOT Enter Report Authorization RVOT RVOT PV Printer PSAX LV BASE Barcode PSAX LV MID PAP Utility PSAX APEX Stress Echo Apical 4ch eSieScan Apical 4ch Add Protocol Apical 4ch Apical 4ch Add View Apical 4ch Apical 4ch Copy Apical 5ch Default Apical 5ch Delete Apical 2ch Export Import Save Cancel HC US MSC S SET Page 7 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: The Right Control Panel has a drop-down menu of the eSieScan protocol that is available. There is one factory default available on the ACUSON P500™ ultrasound system release 2.0. It may serve as template or as an example to refer to when customizing a protocol. Creating an eSieScan Worflow Protocol SIEMENS Healthineers SieScan 1. Select Config Configuration Protocols General 1 General 2 Routine Echo Protocol Name 2. Select eSieScan Custom Keys Routine Echo Display Exam Soft Keys Rename 3. Select Add Protocol M&R Report V Automatically ends when all views completed. Text Annotation Body Marker -At End Protocol Wireless Remain in acquisition Network Service Enter Review Clip Store Enter Report Archive Authorization Printer Barcode Utility Stress Echo Add Protocol eSieScan dd View Copy Default Delete Export Import Save Cancel HC US MSC S SET Page 8 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: To create or modify the existing factory protocol, select Config > eSieScan and modify as needed. Protocols can be exported or imported. To import an existing protocol, place USB device into one of the USB port and press Import. Select the protocol to import and press Import and then Save. To export a protocol, select the protocol to export and press Export. Protocols and views can be viewed, created, copied, deleted or moved. eSie Scan protocols are available only on the Adult Cardiac exam. Creating an eSieScan Workflow Protocol SIEMENS Healthineers eSieScan 4. Enter a new protocol name, Protocols Routine Echo Protocol Name select Rename to confirm New Echo Protocol New Echo Protocol Rename Automatically ends when all views completed. A 5. Select the last step of the -At End Protocol- . Remain in acquisition Enter Review protocol, the options are: Enter Report Remain in acquisition, Enter Review or Enter Report Add Protocol dd View Copy Default Delete 6. Select Add View Export Import Save Cancel HC US MSC S SET Page 9 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes (cont.) 4. . Enter a new protocol name, select Rename to confirm 5. Select the last step of the protocol, the options are: Remain in acquisition, Enter Review or Enter Report 6. Select Add View Creating an eSieScan Workflow Protocol SIEMENS Healthineers . eSieScan 7. Type in desired name, select Protocols Routine Echo E New Echo Protocol PLAX View Text & Body Marker Rename to confirm PLAX 2D View PLAX Rename Automatic Mode Change @ 2D C Color C CDE CDTE Color DT 8. Choose desired Automatic C PW CCW CM-Mode PW DTI C Dual C Split Measurements Mode Change Label1 Label2 Label3 Exam Label Cardiac None Add Protocol Cardiac Package 9. Repeat with each view Add View Copy Press Measure to resume Delete Export Import 10. Select Save Save Cancel HC US MSC S SET Page 10 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes ( cont.) 7.. Type in desired name, select Rename to confirm 8. Choose desired Automatic Mode Change 9. Repeat with each view 10. Select Save Integrate eSie Measure™ Workflow Acceleration SIEMENS Healthineers Package into Protocols eSieScan Protocols 1. Choose Measurement Routine Echo View Text & Body Marker E New Echo Protocol PLAX Teichholz PLAX 2D View PLAX AOV Color PLAX Teichholz Label for eSieScan integration PLAX Teichholz Rename Automatic Mode Change - select Cardiac in Exam C 2D C Color C CDE C DIE C Color DT C PW C CW CM-Mode C PW DTI drop-down menu @ Dual Split Measurements Label1 Label2 Label3 Exam Label Cardiac 2. Select Imaging Mode (2D, V Imaging Mode Add Protocol 2D Package M, or PW) the corresponding dd View Mitral Valve Copy AVILA measurement package will be Delete Aortic Valve Pulmonary Valve Export Import Single Plane available to select in the Teichholz(2D) Bi-Plane Simpson BP Save Cancel Simpson SP Package drop-down menu Mod.Simpson Bullet Cubed(2D) THI Clarify VE DTCE Gibson(2D) MultiHertz Focus Position HC US MSC S SET Page 11 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: To build a protocol, select Add Protocol. It will load View1. To rename the view, select just below view and type in desired name. If the customer wanted to have a mode change the options are given below the header Automatic Mode Change. Automatic Mode Change options: 2D, Color, CDE, DTE, Color DTI, PW, CW, M-MODE, PW DTI, Dual and Split. The measurement options are Label1, Label2, and Label 3 which selects the first, second and third measurement labels. Integrate Text & Body Marker into eSieScan Protocol SIEMENS Healthineers eSieScan Select Text & Body Marker tab Protocols Routine Echo PLAX Teichholz View Text & Body Marker B New Echo Protocol Type in desired Text Annotation PLAX 2D Text Annotation PLAX AOV Color PLAX Teichholz PLAX Teichholz PLAX Teichholz Body Marker Location Home Position Customize the Location by placing the cursor in the Apply to all Views PLAX Teichholz desired location BodyMarker Cardiac List Transducer Marker Location Angle Select List to view Body Marker Add Protocol Add View Options Copy +5 in -- Delete Select Angle to modify Export Import transducer position Save Cancel HC US MSC S SET Page 12 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: • To integrate text and the body marker into the eSieScan protocol follow the steps: • Select Text & Body Marker tab • Type in desired Text Annotation • Customize the Location by placing the cursor in the desired location • Select List to view Body Marker Options • Select Angle to modify transducer position Modifying an eSieScan Protocol SIEMENS Healthineers Configuration eSieScan 1. Highlight the protocol General 1 Protocols General 2 Routine Echo Protocol Name Custom Keys 2. Select Copy Display Routine Echo Exam Soft Keys Rename M&R 3. Rename the protocol V Automatically ends when all views completed. Text Annotation Body Marker At End Protocol - Wireless Remain in acquisition 4. Add, edit, or delete steps, Network Service · Enter Review Clip Store Archive Enter Report modes, settings and Authorization Printer Barcode measurements Utility Stress Echo Add Protocol eSieScan Add View 5. Select Save Copy Default Delete Export Import Save Cancel HC US MSC S SET Page 13 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: Modifying an eSieScan protocol: 1. Highlight the protocol you wish to modify 2. Choose Copy 3. Rename the protocol 4. Add, edit, or delete steps, modes, settings and measurements as desired 5. Select Save Objectives SIEMENS Healthineers Define Protocols Summarize eSieScan workflow protocols benefits Build eSieScan workflow protocols Utilize eSieScan workflow protocols HC US MSC S SET Page 14 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Utilize eSieScan Workflow Protocols SIEMENS Healthineers 1. Select Cardiac from the Exam drop- down menu 2D System Serial Number : 390102 ACUSON SIEMENS 590 P4-2 Cardiac Tx Power 100% Echo MI 0.86 TIS 0.8 TIB 0.8 Siescape esteScan DTCE Low Dyn R 75 dB 2. Select eSieScan from the Left Panel ....... THI 3.6 MHZ ...... : 0 dB Biopsy Visual 51 fps 0 bpm Control and then LUR Flip UND Flip Full Size Trapezold Dual Split Print Clear Edge TEQ Gain Focus Nu ... THE DICE Dyn R MultiHertz Focus Tx Power Focus Pol. Low 75 GB 3.6 MHZ Map Focus Post. HC US MSC S SET Page 15 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: Select Cardiac from the Exam drop-down menu and then select eSieScan. Afterwards select the desired workflow protocol from the drop-down menu. Utilize eSieScan Workflow Protocols SIEMENS Healthineers 3. Select the desired workflow SIEMENS protocol from the drop-down menu 4. Select the first view, a blue highlight box will highlight the view ACUSON PS 5. Begin acquiring images SIEMENS ..... :: ... ::::::::::::: HC US MSC S SET Page 16 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: Select the desired workflow protocol from the drop-down menu. Select the first view, a blue highlight box will highlight the view. Begin acquiring images. Utilize eSieScan Workflow Protocols Tips SIEMENS Healthineers To skip a view, use the cursor or touch the view to go SIEMENS to the desired view Once the view has been acquired, the box around the view will be grayed out ACUSON 7300 The box around the view will remain white until that view has been acquired and saved SIEMENS Various eSieScan protocol functions available on-the- fly: Pause, Edit, Delete View, Print, Clear, Delete, Copy View, Rename View and Exit HC US MSC S SET Page 17 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes; To skip a view, use the cursor or touch the view to go to the desired view. Once the view has been acquired, the box around the view will be greyed out. The box around the view will remain white until that view has been acquired and saved. Summary SIEMENS Healthineers Define Protocols Summarize eSieScan workflow protocols benefits Build eSieScan workflow protocols Utilize eSieScan workflow protocols HC US MSC S SET Page 18 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Questions HC US MSC S SET Page 19 | Unrestricted @ Siemens Medical Solutions USA, Inc. 2017 Questions?