ACUSON P500 2.0 Getting Started

SIEMENS Healthineers Getting Started ACUSON P500'™ Ultrasound System, Release 2.0 Product and System Training HC US MSC S SET Unrestricted C Siemens Medical Solutions USA, Inc. 2017 . Objectives SIEMENS Healthineers Access the Help Menu Describe Transducer Management Demonstrate Patient Registration Explain Exam Presets Examine Back-up and Restore Presets Discuss ECG Set-up and Use .--- HC US MSC S SET Page 2 | Unrestricted @ Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: The objectives for the Getting Started discussion are: Access the Help Menu Describe Transducer Management Demonstrate Patient Registration Explain Exam presets Examine Back-up and Restore Presets Discuss ECG Set-up and Use Access the Help Menu SIEMENS Healthineers Help SIEMENS 1 / 506 . . 78.7% - BARCODE Patient Bookmarks 8. ACUSON P500 Diagnostic Ultrasound SIEMENS System Exam Instructions for Use Clinical Applications Guide System Reference ACUSON P500 Review Diagnostic Ultrasound System Instructions for Use JUS Report Browser Config Find Find Again Zoom In Zoom Out Help DICE Med Dyn R MuluHertz Position 10:3 MHZ HC US MSC S SET Page 3 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: The Systems has an on-board help menu that contain an electronic copy of the owners manual. Press the Help Key on the Control Panel to access. Use the pointer to open the specific folders or utilize the search function. Objectives SIEMENS Healthineers Access the Help Menu . Describe Transducer Management Demonstrate Patient Registration Explain Exam Presets Examine Back-up and Restore Presets Discuss ECG Set-up and Use .--- HC US MSC S SET Page 4 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: The objectives for the Getting Started discussion are: Access the Help Menu Describe Transducer Management Demonstrate Patient Registration Explain Exam presets Examine Back-up and Restore Presets Discuss ECG Set-up and Use Connecting and Disconnecting Transducers SIEMENS Healthineers MTM -D ...... ....... Transducer Transducer locked unlocked HC US MSC S SET Page 5 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: To connect a transducer: 1. Make sure the locking lever on the right side of the ultrasound system is in the unlocked position. 2. Insert the transducer connector into the port, taking care to align the connector for a smooth fit. 3. Push the locking lever to the locked position. The system detects the transducer and displays the transducer name on the image screen. To disconnect a transducer: 1. Push the locking lever to the unlocked position. 2. Firmly grasp the transducer connector and carefully pull it straight out from the transducer port. 3. Store the transducer in its protective carrying case. If the user purchased the optional integrated Smart Cart, a multi-transducer module (MTM) is included. The user can connect up to three transducers to the ultrasound system. The connecting and disconnecting transducers procedures are the same for the module and the ultrasound system When transducer connectors are connected or disconnected from the system, there may be some resistance due to the special shielding material inside the connectors. This is normal for these transducers. Protective Transducers Holders SIEMENS Healthineers 1 Point of attachment 2 Tab 3 Support 4 Holder 4 3 2 Example of transducer holders. HC US MSC S SET Page 6 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: The transducer holders on the side of the optional cart are interchangeable and replaceable. After connecting a transducer to the ultrasound system, place the transducer in the protective holder attached to the control panel platform. Transducer holders have variable sizes both in depth and diameter. To remove a transducer holder 1. Locate the tab underneath the holder. The tab extends below the point of attachment to the cart. 2. Press the tab against the holder and pull the holder downward. To install a transducer holder 1. Press the tab against the holder. 2. Align the support on the holder with the attachment slot on the system and slide the holder upwards until it snaps into place. Probe Saver Feature SIEMENS Healthineers Configuration General z General 1 Patient ID General 2 Custom Keys Save an image of the Patient screen after registering a patient. Display Patient Exam Hide Patient Banner Soft Keys M&R Report Common Mode Exam Text Annotation Body Marker Delete Body Marker on Unfreeze Wireless Delete Text on Unfreeze Network Review Service Body Marker Location Upper Right . Lower Right Clip Store Archive Arrow Size Small (Type2) Authorization Report Patient Registration Long Form Printer Barcode Utility Transmit Power Stress Echo Browser eSieScan Reduce Transmit Power when Transducer not in use Off Off 5 secs .................................. Config 1 min 3 mins 5 mins Help 10 mins Save Cancel HC US MSC S SET Page 7 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: The systems has a feature called Probe Saver which reduces transmit power automatically when a probe is idle for a set period of time. Once the transducer is placed on the skin and tissue is recognized, the power automatically adjusts to normal scanning. This feature is not-enabled when the system ships from the factory. To set-up this feature- Select Config on the Control Panel / General 2. Under Transmit Power, select the preferred time and press Save. Probe Saver Feature SIEMENS Healthineers ... ACUSON $1012016 09.18 56 ACUSON SIEMENS 03/03/2016 09:19:30 ACUSON SIEMENS 09 19:53 VF 10-5 VF 10-5 VF 10-5 Small Parts Small Parts Small Parts Tx Power 100% Tx Power 100% Tx Power 1.00% MI 1.20 MI 1.20 MI 0.18 TIS 0.3 TIS 6.53º TIS <0.1 TIB 0.3 SC 2 TIB 0.3 TIB <0.1 SC 2 SC 2 DTCE High Dyn R 80 dB DTCE High DTCE High THI 8.0 MHZ Dyn R 80 dB Dyn R 80 dB 0 dB THI 8.0 MHZ 0 GB 28 fps 0 dB 28 fps 28 fps 3.5 cm 3.5 cm HC US MSC S SET Page 8 | Unrestricted @ Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: This is an illustration of the Probe Saver feature. Notice, the first image on the left, illustrates active scanning. The middle image illustrates no scanning mode. The third image illustrates the decreased transducer power. This feature will only work if it is activated in the system. This is especially useful for the ICE transducer or during interventional procures where the transducer is left idle for some time. Objectives SIEMENS Healthineers Access the Help Menu Describe Transducer Management Demonstrate Patient Registration Explain Exam Presets Examine Back-up and Restore Presets Discuss ECG Set-up and Use .--- HC US MSC S SET Page 9 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: The objectives for the Getting Started discussion are: Access the Help Menu Describe Transducer Management Demonstrate Patient Registration Explain Exam presets Examine Back-up and Restore Presets Discuss ECG Set-up and Use : Patient Registration Form SIEMENS Healthineers . To register a patient press Patient ....... Patient Exam Review Report Browser Config Help HC US MSC S SET Page 10 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: Patient displays the patient registration form. This is where patient data, exam type and transducer are selected. The user can also start the exam without registering a patient and then update the patient information at any time before ending the exam. To register a patient and begin an exam: 1. Press PATIENT on the control panel . Patient Registration Form SIEMENS Healthineers Register New Patient Register New Patient D New Patient Patient Demographics D New Patient Patient Demographics Edit Patient Data Last Name Patient ID DEdit Patient Data Last Name atient ID First Name Date of Birth DD MM YYYY Age First Name Date of Birth DD MM 1 YYYY Age Mi Pre Suf Gender Male Female · Other Pre Sut Gender Male Female · Other Height cm BSA Height cm BSA Weight kg BP mmHg Weight kg BP mmHg Exam Exam Transducer CH5-2 Accession No. Transducer P4-2 Accession No. Exam Abdomen Indication Exam EM Indication Medical Information Medical Information Additional Info Date · LMP DD MM YYYY EDC DD MM YYYY Fetal Age Gravida Para Additional Info Aborta Ectopic Order Information Order Information Performing MD Referring MD Performing MD Referring MD Sonographer Sonographer OK Cancel OK Cancel HC US MSC S SET Page 11 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: Registering a Patient using the Patient Registration Form: Click New Patient, if necessary. If OB, GYN, Early OB or EM Exam Types are selected, the LMP, EDC, Fetal Age, Gravida, Para, Aborta, Ectopic fields will be displayed under Medical Information. Enter the required information in the registration form, press TAB to select the next entry . Note: A barcode reader can be used to insert the following information in the registration forms: patient name and identification, performing physician, and sonographer. To enter information using a barcode reader, position the pointer in the required entry and then scan the barcode, if specified in configuration settings. To close the patient registration form and save the patient data, choose a method: • Click OK. • Press 2D. • Press the control assigned to the print/store function. The system saves the patient data and activates real-time imaging. If the print/store control was selected, the system also captures an image of the completed form. To close the patient registration form without saving your entries, click Cancel. Register Patient from Browser SIEMENS Healthineers Patient Browser Show Files 2 weeks old Y Source Media [D:] Local Disk Disk Space: 0.7GB/ 87.9GB Patient Browser Y Search Patient Queue Patient Last Name Date: from 06/10/2014 Patient ID 06/10/2014 Search Clear Search New Study Exam Study List Total Studies: 4(6) 2) Restart Patient Name Patient ID Date/Time Clips/Images MB Archived X Close Study TEST111, 29.09-2014_08.52.31 30/09/2014 06:44 016 3.4 HD,USB .................... Review TEST111, 29_09_2014_08_52_31 29/09/2014 09:19 0.0 HD TEST111, 29_09_2014_08_52_31 29/09/2014 08:52 0.0 HD 0.0 HD COLOR DOPPLER, 29_09_2014_08 44 50 29/09/2014 08:44 18.2 HD Report Browser Config Help 0 Scrolling Export Delete Output Device PC Printer: Sony UP-D25MD Send HC US MSC S SET Page 12 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: Registering a Patient using the Patient Browser: Note: Close the current exam before registering a patient using the patient browser. 1. Press BROWSER on the control panel. The system displays a list of all patient studies saved in the selected location. 2. Select another location from the Source Media list, if necessary. 3. Select the patient name from the study list and then click New Study. The system displays the information for the selected patient in the registration form. 4. Edit the entries, if necessary, and then click OK to begin the exam. Register Patient using Worklist SIEMENS Healthineers Vorklist Worklist Search - JDICOM Patient Browser how Files D New Patient -233-8 Worklist Search Show All Source Media [D:] Local Disk Disk Space: 2.6GB/ 87.9GB Patient Browser Search D Edit Patient Data Patient Last Name Date from 25/03/2015 US Only V This system only Patient Last Name Date: from 25/03/2015 Worklist Patient ID to 26/03/2015 Search Clear Search Queue Search Clear Search Worklist @ Worklist Patient ID to 25/03/2015 Patient Name Patient ID Study Description Study List Accession Numbe Date/Time Total Studies: 41(41) D New Study Santa Claus 35942226 Santa's (hopefully) last study desci 81179 20150325/185012 Patient Name Patient ID Date/Time Clips/Images MB Archived 78239856 Julie's fourth study description 82961 20150325/175012 Restart 25-03-2015_10_27 45 25/03/2015 10:27 0.0 HD nta's fourth study desciption 68621 20150325/175012 MP 32515 25/03/2015 10:07 0/4 5.5 HD,USB X Close Study 00416868 Mary's third study description rd study description 76630 20150325/165014 24_03_2015_17_18_34 24/03/2015 17:18 0/4 0.0 Unarchived Wird study description study description 19793 20150325/165012 24_03_2015_17_16_05 24/03/2015 17:16 0.0 HD 78239856 Retrieving the worklist ... bristudy description 's third study description 23327 23327 20150325/165011 32415 24/03/2015 16:11 0/6 8.3 HD,USB 47312131 Avis's third Avis's third id study description study description 64816 20150325/165010 24_03_2015_11_24_59 24/03/2015 11:24 3/15 54.8 HD 27062472 Dagwood's d's third study description 93420 17_03_2015_15_03_59 20150325/165008 17/03/2015 15:03 0.0 HD 69725837 Cancel cel third study description 91956 20150325/165007 MAX P. 3171502 17/03/2015 14:16 0/28 27.3 HD,USB MAX P. 3171502 17/03/2015 12:33 0/0 0.0 HD Scheduled Procedure(s) JULIE, 31715 17/03/2015 11:14 0/31 31.4 HD,USB Code Value Description State 09_03_2015_10_19_41 09/03/2015 10:19 0/0 0.0 HD Suspended SPLEEN SCREEN SHOT, 3915 09/03/2015 09:39 0/6 3.0 HD,USB 03_03_2015_13_58_28 03/03/2015 13:58 0/0 0.0 HD Code (Value/Meaning) 3315 03/03/2015 12:46 1/17 42.2 HD,USB 22715 27/02/2015 10:16 35/18 495.7 HD,USB Code Value 3969 Mas 109 Santa's (hopefully) last sched action item code seq meaning O Scrolling 24_02_2015_14_50_23 24/02/2015 14:50 0/25 25.8 HD,USB WKS. 2241501 24/02/2015 11:13 0.0 HD 58 JDICOM Status : Ping Echo Select Cancel Export Delete Output Device DICOM Store: SDX10 Send HC US MSC S SET Page 13 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: Registering a Patient using a Worklist: Note: A worklist server must be defined and enabled in the configuration settings. To query the worklist server for patients: 1. Press PATIENT or BROWSER on the control panel. Note: When the worklist is configured and Patient is pressed, the worklist is automatically entered and retrieved when connected to the network. 2. Click Worklist on the menu and then enter the search criteria. • Select the first, middle, or last name of the patient or physician; patient identification, requested procedure identification, or accession number. Note: Enter the first three characters of the patient identification code to display a list of the saved patient information. • Enter a specific date or date range for the scheduled procedures in the search results. • Select the required check box to search for scheduled procedures: o US Only searches all ultrasound systems. o This system only searches only this ultrasound system. 3. Click Search. 4. Select the required patient name and then click Select. To exit without selecting a patient name, click Cancel. 5. Edit the entries in the registration form, if necessary, and then click OK to begin the exam. Note: Patient demographic information cannot be edited when retrieved from a worklist. Editing Patient Information SIEMENS Healthineers Edit Patient Data Register Edit Patient Data D New Patient Patient Demographics D New Patient Patient Demographics Edit Patient Data Last Name Claus Patient ID 35942226 Edit Patient Data Last Name Claus Patient ID 35942226 First Name Santa Date of Birth 07 03 / 1919 Age 96 Y First Name Santa Date of Birth 07 03 1919 Age 96 Worklist Mi Pre Suf Gender Male Female @Other Worklist Mi Pre Suf Gender Male Female @ Other Height 154 cm BSA m2 Height 154 cm BSA m2 Weight 98.0 kg BP 0 O mmHg Weight 98.0 kg BP 0 0 mmHg Exam Exam Transducer VF10-5 Accession No. 81179 Transducer VF10-5 Accession No. 81179 Exam Small Parts Indication Santa's only admitting diagnosis Exam Small Parts Indication Santa's only admitting diagnosis Medical Information Medical Information Additional Info Additional Info Order Information Order Information Performing MD Biscotti,Fran,H,Miss,MD Referring MD Yakta, Melvin, C,Dr,MD Performing MD Biscotti,Fran,H, Miss,MD Referring MD Yakta, Melvin, C,Dr,MD Sonographer Sonographer OK Cancel OK Cancel HC US MSC S SET Page 14 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: Editing Patient Information You cannot edit patient data after the study is closed or exported. To edit patient information during an exam: 1. Press PATIENT on the control panel. 2. Click Edit Patient Data. 3. Enter the required information in the registration form. 4. Click OK. Or, click Cancel to discard the entries. Restarting an Exam SIEMENS Healthineers Register Restart Patient Browser D) New Patient Patient Demographics Patient Browser D) Edit Patient Data Last Name TEST B Patient ID 11_06_2017_13_26_32 First Name Date of Birth DD / MM / YYYY Age ¿9 Queue MI Pre Suf Gender Male Female @ Other ............. E Worklist Height cm BSA m2 New Study Weight ko BP mmHg Exam Restart Transducer No Transducer Accession No. X Close Study Exam OB Indication Medical Information Date O LMP OVF DD / MM / YYYY EDC DD / MM / YYYY Fetal Age w Gravida Para Additional Info Aborta Ectopic Order Information Performing MD Referring MD Sonographer Scrolling Cancel HC US MSC S SET Page 15 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: Restarting an Exam for a Registered Patient You can add images, reports, measurements, annotations, and body markers to an existing exam. To restart an exam: 1. Press BROWSER on the control panel to display the study list. 2. Select the required location from the Source Media list, if necessary. 3. Select the patient name in the study list and then click Restart. The system displays the information for the selected patient in the registration form. 4. Edit the entries, if necessary, and then click OK to restart the exam. 1. Press PATIENT on the control panel. 2. Click Edit Patient Data. 3. Enter the required information in the registration form. 4. Click OK. Or, click Cancel to discard the entries. Begin Exam without Registering Patient SIEMENS Healthineers Register New Patient 2D System Serial Number : PP3008 ACUSON SIEMENS 13:13:13 D New Patient Patient Demographics CH5-2 Edit Patient Data Last Name Transducer CH5-2 Exam EM Physio Tx Power 100% First Name MI 0.68 Worklist TIS 0.4 Patient ID LMP MM DD YYYY TIB 0.4 ASC 1 Date of Birth . . . . MM DD YYYY EDC MM DD YYYY DTCE Med Gender Male Female · Other Fetal Age W d Dyn R 80 dB Biopsy THI 3.6 MHZ 0 dB 27 fps < General. Before closing the exam, press patient again, the edit patient data to enter patient information. Select or Change an Exam Preset SIEMENS Healthineers Exam Exam Selection Exam Selection Edit Exams Transducer Exam CH5-2 Abdomen Patient GYN . OB Default Exam Pelvis Early OB Review EM Report Browser Config Help HC US MSC S SET Page 17 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: Exam displays a list of transducers connected to the ultrasound system and the supported exam types for the selected transducer. You can activate another transducer or select another exam. If the systems is connected to a Smart Cart with the multi-transducer module up to three transducers will be displayed. To select or change the exam type during an exam: 1. Press EXAM to enter Exam Selection. • The system displays the connected transducers and the exam types supported by the active transducer. 2. Select the required transducer, if necessary, and then click the exam type. • The system activates the transducer and the imaging settings assigned to the selected exam. The system includes the following factory-defined exams: • Abdomen • Breast • Cardiac • OB (Obstetrics) • Early OB (Early Obstetrics) • GYN (Gynecology) • CV (Cerebrovascular) • PV-Arterial (Peripheral Vascular, Arterial) • PV-Venous(Peripheral Vascular, Venous) • Small Parts • MSK (Musculoskeletal) • Pelvis • Renal • EM (Emergency Medicine) • Ped Abdomen Create, Edit, Delete a User-defined Exam SIEMENS Healthineers Return to B-mode before saving a User-defined Exam MANDATORY REVIEW & UNDERSTANDING MANDATORY Exam Edit Exams Exam Edit Exams O Exam Selection Exam Selection Transducer Exam Exam Edit Exams Custom Exam THYROID2 Edit Exams Transducer Custom Exam VF10-5 CV* Name CV Small Parts Default Name VF10-5 CV. Small Parts Default THYROID Breast Breast Create Rename PV-Arterial Overwrite Rename PV-Arterial PV-Venous PV-Venous MSK MSK EM EM Set Default et Default Restore Settings Delete Restore Settings Delete HC US MSC S SET Page 18 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: Customizing Exams Users can create, edit, and delete user-defined exams. The system supports up to 32 user-defined exam types. A default exam type can be assigned to a selected transducer. With the 2.0 release, the user can overwrite the factory default settings. They can always be restored at anytime To create a user-defined exam: 1. During imaging, adjust the imaging settings required for the new exam. 2. Exit to B-mode before saving the exam. 3. Press EXAM and then click Edit Exams. 4. Enter a name for the exam, and then click Create. 5. The system saves the settings and adds the new exam to the list under the default exam type it was created from. To edit a user-defined exam: 1. During imaging, adjust the imaging settings required for editing the exam preset. 2. Exit to B-mode before overwriting the exam 3. Press EXAM and then click Edit Exams. 4. Select a transducer from the list, if necessary. 5. Select the required exam. 6. To overwrite the selected exam with the current imaging settings, click Overwrite and then click Yes. 7. To rename the selected exam, enter the exam name and then click Rename. 8. To change the default exam for the selected transducer, select the required exam and then click Default. 9. To delete a user-defined exam, click Delete. Objectives SIEMENS Healthineers Access the Help Menu Describe Transducer Management Demonstrate Patient Registration Explain Exam Presets . Examine Back-up and Restore Presets Discuss ECG Set-up and Use .--- HC US MSC S SET Page 19 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: The objectives for the Getting Started discussion are: • Describe the transducer management • Demonstrate Patient Registration • Explain exam presets • Recognize how to back-up and restore exam presets • Discuss ECG set-up and use Back-up and Restore Presets SIEMENS Healthineers Configuration Service General 1 -System Information SIEMENS General 2 Custom Keys ACUSON Display SIEMENS Exam PP3008 Service Software Soft Keys Version: VADOA (0.9.5) M&R Report System: VADOA (0.9.5) Service Software P500 PP1111 Text Annotation System Internal: 0.9.5 VADOA 10.8.3_P1) Body Marker S/N: PP3008 [20150108 16:10:39] Wireless P/N: 10785577 [20150108 16:10:39] OS Configuration: 0.0.7 ACUSON-P500 654322 Network Framework: 0.10.6 [20150108] Service Platform Software: 0.18.9 [20150108] VATOA (1.0.1) Clip Store PIMS: 0.8.36 [20150108] Archive URE: 0.8.21 [20150108] Authorization Printer Barcode Utility Service Remote Remote Application Support Restore Factory Settings Save Cancel HC US MSC S SET Page 20 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: Save system configuration settings and user-defined exam settings to a USB storage device and retrieve the saved files. To back-up or restore configuration settings: 1. Press CONFIG and then click Service. 2. Click Service to access the settings in the service software. 3. Delete none from the Password box and then select OK to display the user-configurable settings. 4. Click Backup & Restore. 5. Insert the USB storage device into the USB port Back-up Presets SIEMENS Healthineers Backup Name Description Backup Presets Y P500 License Info[1.00.000]20141124105125 License Information Y P500 M&R User Defined[1.00.000]20141124105125 M&R User Defined Values Y P500 Service Image[1.00.000]20141124105125 Service Images The backup completed successfully. Y P500 Service Log[1.00.000]20141124105125 Service Logs 7P500 System Preset[1.00.000]20141124105125 Preset Area er of Files: 64 Y P500 User-Defined Exam[1.00.000]20141124105125-User Total Size: 2019004 Bytes Defined Exam related items VP500 Wireless[1.00.000]20141124105125 Network wireless setting Select all Clear all Destination [G:] OK Backup Close HC US MSC S SET Page 21 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: 3. Select USB in the Destination drop-down box to back up the user-defined settings to a USB drive. 4. Select the check box for each required file type and then select Backup. The system displays a completion message when the process is finished. 5. Select OK. To exit and not save changes, click Cancel. 6. Click Exit. Or, click Home. You can save system configuration settings and user-defined exam settings to a USB storage device and retrieve the saved files. File Type Descriptions Each file type saves a specific set of system settings: Restore Presets SIEMENS Healthineers Restore Name Description Restore Presets ck Restore Y P500 License Info[1.00.000]20141124105125 License Information Select Y P500 M&R User Defined[1.00.000]20141124105125 M&R User Defined Values SELECT P500 Service Image[1.00.000]20141124105125 Service Images The restore completed successfully. SELECT Y P500 Service Log[1.00.000]20141124105125 Service Logs Number of Files: 64 Y P500 System Preset[1.00.000]20141124105125 Preset Area Total Size: 2019004 Bytes V P500 User-Defined Exam[1.00.000]20141124105125-User Defined Exam related items P500 Wireless[1.00.000]20141124105125 Network wireless setting Select all Clear all Destination [G:) OK Restore Close HC US MSC S SET Page 22 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: To restore exam presets: 1. Click Restore. 2. Select the USB storage device connected to the system from the list. 3. Select the check box for each desired file type and then click Restore. Restore Presets SIEMENS Healthineers Message from webpage 7421X Software restore will begin upon reboot, shutdown all applications before beginning software restore process. 1 00.000 OK HC US MSC S SET Page 23 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: To restore exam presets: 4. To delete all existing user-defined exams on the system and add new user-defined exams: • Select the Clean User-defined Exam(s) on System check box in the Options section. • Select the user-defined exams in the UD Exams – Removable Media section. • Click Restore. 5. To add user-defined exams to the system without deleting existing user-defined exams: • Select the user-defined exams in the UD Exams – Removable Media section. • Click Restore. 6. Click OK to prompt boxes confirming successful restore 7. Click Close. • The system displays a message that power must be cycled to the system for completion of the operation. 8. Click OK to restart the ultrasound system. Objectives SIEMENS Healthineers Access the Help Menu Describe Transducer Management Demonstrate Patient Registration Explain Exam Presets Examine Back-up and Restore Presets . Discuss ECG Set-up and Use .--- HC US MSC S SET Page 24 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: The objectives for the Getting Started discussion are: Access the Help Menu Describe Transducer Management Demonstrate Patient Registration Explain Exam presets Examine Back-up and Restore Presets Discuss ECG Set-up and Use : Connecting the ECG SIEMENS Healthineers O ---- HC US MSC S SET Page 25 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: 1. Connect the ECG cable to the ECG port. 2. Connect the ECG leads to the patient. 3. Tap Physio Settings and then tap the required setting: • ECG displays and ECG trace • Aux ECG displays an auxiliary ECG trace • Aux Signal displays an auxiliary signal trace • The system displays the selected trace on the imaging screen. 4. To activate the respiratory trace during an ECG trace, tap Resp. 5. To adjust the gain of the trace, tap Gain and then select the required setting. 6. To adjust the vertical position of the trace, tap Position and then select the required setting. 7. To vertically invert the trace, tap Invert. 8. To remove the trace, tap the required trace. 9. To exit the ECG function, tap Return. Note: The ECG pattern may not be visible for up to 30 seconds before the ECG trace displays on the screen. The ECG is for timing purposes only. Note: The external ECG cable kit that ships with the physiology unit contains the BNC cable and connector adapters used to attach various peripheral equipment to the ultrasound system. ECG Configuration Settings SIEMENS Healthineers Lead Type II ECG Display Respiration display : ...... 3 Lead ECG Display Aux ECG Display Aux Signal Display Respiration Display Indicate R-Wave Lead Type I Indicate R-Wave Lead Type ! Lead Type II pm ......... HC US MSC S SET Page 26 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: There are several physio management display options: ECG, Respiratory, Auxiliary displays. The user can indicate R-Wave and select which lead drives the ECG, type I or II. A simultaneous display of the ECG trace and a respiratory trace is avaialble. Physio Controls SIEMENS Healthineers Physio ECG Resp Aux ECG AuxSignal ECG Resp 2D 2D 2D 2D 2D 2D ECG Aux ECG ECG Aux ECG ECG Aux ECC ECG Aux ECG ECG Aux ECG Physio Settings Resp AUX Resp Aux Signal Signal Resp Aux Resp Signa Resp Aux Signal SECG AUX ECG ECG Gain Position Gain Position Gain Position ......... O 0 0 O 0 32 ECG Aux ECG Invert Trigger Invert Trigger Invert Trigger Resp Aux Sign Resp Gain osition Gain Position Gain osition Resp Aux Signal 0 0 O O 10 0 Trigger Trigger Trigger HC US MSC S SET Page 27 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 For each exam, the default selection is illuminated in the bottom right hand corner of the key function. During an exam, change from the default settings by accessing the Physio Settings button located in the left panel controls of the monitor with a tap and then tap on the choice of display required: ECG, Aux ECG, respiratory, and Auxiliary Signal. To activate a respiratory trace during an ECG trace, tap RESP on the left panel controls and the respiratory trace will be displayed along with the ECG tracing on the image screen. To remove a trace, tap the option to remove and the selection will be removed from the imaging screen and the display will no longer illuminate. ECG Gain and Position SIEMENS Healthineers 2D 2D Gain 0 (default)/Position 32 (top) Gain ECG Aux ECG ECG Aux ECG 20 32 Resp Aux Signal = ECG Gain decreased/Position 16 (mid) O Gain Position O 0 4 cm Position Invert Trigger Gain increased/Position 0 (default) Resp Gain Position = 10 O Trigger O -12 0 HC US MSC S SET Page 28 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: When working with any of the physiology choices, there is the option to increase or decrease the gain and adjust the vertical position of the trace by sliding the scale provided with each option. Default settings are a Position of zero at the bottom of the image and the Gain at zero. ECG Invert and Return (exit) SIEMENS Healthineers 2D ECG Aux ECG Normal display ECG Invert Aux ECG Resp Aux 32 ECG Aux Gain Position Signal O O 32 Invert Trigger Position Resp 0 Inverted display Return Gain Position Trigger 10 0 Trigger X Position O Return 0 HC US MSC S SET Page 29 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: The user can invert the vertical display of the tracing. To exit the Physio settings, tap the Return key located at the bottom of the left panel controls. ECG Trigger SIEMENS Healthineers Trigger ECG Aux ECG Trigger Return Resp Stal ECG Trigger Gain Position 0 Delay Ch 1 50 msec Invert Trigger Delay 16 cm Return 0 msec Type Single Trigger Trigger Ch 2 Ch 1 Ch 2 Ch 2 Ch 1 Delay Delay Delay Delay Delay 50 mse 100 msec 0 msec 0 msec 16 cm 0 msec Trigger Return Trigger Return Type X BYRe HC US MSC S SET Page 30 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: The user can set the trigger to select the points in the cardiac cycle when the system refreshes the 2D image. The user can use a trigger delay to evaluate the function of the valves, wall motion, and dynamics of blood flow. To enable trigger, tap Trigger and then tap Trigger Type and select either Single or Dual to display one or two triggers. The system detects the R-wave and displays each trigger as a white, vertical line on the ECG trace. ECG Tips SIEMENS Healthineers No ECG trace Check ECG gain to ensure it is not set too low Check lead connection Ensure that the cables and adaptors/connectors are properly attached Ensure leads are on patient properly HC US MSC S SET Page 31 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 These are a few tips if the ECG trace does not display when activated. ECG Tips SIEMENS Healthineers Noisy ECG signal Check the gain is not set too high Inspect ECG placement and reposition if necessary Replace ECG electrode if dried out or expired HC US MSC S SET Page 32 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 These are a few tips if the ECG signal is too noisy. Summary SIEMENS Healthineers Access the Help Menu Describe Transducer Management Demonstrate Patient Registration Explain Exam Presets Examine Back-up and Restore Presets Discuss ECG Set-up and Use .--- HC US MSC S SET Page 33 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Speaker Notes: • Describe the transducer management • Demonstrate Patient Registration • Explain exam presets • Recognize how to back-up and restore exam presets • Discuss ECG set-up and use Questions HC US MSC S SET Page 34 | Unrestricted C Siemens Medical Solutions USA, Inc. 2017 Questions?