ACUSON P500™ Ultrasound System Control Panel and Function Overview Video

In this section we will give you an overview of the acuson P 500 system control panel. The control panel provides access to system features, an workflow tasks. A touch pad provides access to the onscreen functions. The keys and controls are logically arranged to require a minimum of hand and eye movements. The control panel also includes customizable keys. We will begin the control panel overview by starting on the upper left side with the power on off control. The system is powered on and off by pressing the on off button. The control panel becomes backlit when powered on. The backlighting increases when a control becomes active. The system powers up in less than 30 seconds. The softkey controls are located across the top of the control panel. These keys correspond to imaging parameters settings. A selection of measurement methods, and also allow you to perform review functions. The monitor displays the functions assigned to each key. The alphanumeric keyboard can be used to enter text needed for patient registration or anatomic identification on images. The keyboard also includes special function keys such as clear screen text or body markers. The depth gain compensation or DC is located on the upper right of the control panel. This control allows for compensation of the signal due to absorption of sound waves. The deeper the sound travels, the more absorption occurs, resulting in an image that appears darker in the far field. To compensate for this, you can adjust the dog to create an image with an even brightness. The behavior of the dog slide pots can be customized on the display tab of the configuration menu. You can select whether or not the dog curve changes when flipping the image and when the dog curve displays or if the curve displays on the image death being used or the maximum image depth. Located on the right side of the system is the death Zoom push Rotary button. To change the image in depth, rotate the control. Pressing the button activates or deactivates the zoom function. When Zoom is active, there are four green brackets at the corners of the image. Rotating the control changes the image magnification. The direction of how the depth and zoom DOB functions can be changed on the custom keys page of the configuration menus. The clockwise or counterclockwise rotation can be assigned to either increase or decrease the depth of magnification factor depending on your preference. Located to the right of the measure button, the Clips store button saves Essanay clip when pressed. This key can be configured for the length of capture, the type of capture an, the compression used in the Clip Store page of the configuration menu. Compression can be set at low, medium and high. The capture types available are perspective where the acuson P 500 system captures the clip as it occurs. The retrospective option captures a clip that has already been imaged. Clip length allow selection of either time beat or are wave only to determine how the system captures the clip. This button can also be programmed to capture an image on the Custom Keys page of the configuration menu. The print store one and print Store 2 buttons can be programmed on the Custom Keys page of the configuration menus. Simply select the desired function from the pull down menu using one of the select keys. Click save. The freeze button color changes depending on its state. Bright blue indicates a frozen image, while a dim button indicates alive image. The TEQ button or tissue equalization technology automatically adjusts the image during real time image Ng. The mode button labeled 2D is the dual function button. Rotating the outer portion increases or decreases the overall brightness or overall gain of the image. Pushing the button in the center return due to 2D image Ng from other modes such as color Doppler or M Mode. Pressing the center of the C button activates the color Doppler velocity mode to increase or decrease the overall color gain, rotate the outer portion of the button. To move the region of interest or ROI, simply move your finger over the touch pad. To change the size, click the button next to the touch pad, changing the function from position to size, then use a pinch like motion on the touch pad. Take note the center icon on the monitor indicates a change in the button function when pressed. The functions available during color are located at the bottom of the monitor and adjusted using the soft keys located on the control panel. The color ROI is an overlay on the 2D image of the Doppler information. This allows you to adjust parameters for each portion of the image. Here you see the active color parameters with the real time image to change whether you are adjusting the 2D image or the color ROI. Press the central button on the round soft key. Now the 2D parameters are active. Another method to determine the active mode is through the color change of the icon located in the upper left of the monitor. The active mode displays as a lighter blue. This function is also available on the frozen image. Activating the color Doppler Energy mode is done by pressing the soft key that corresponds to the CD CD key. To exit color, simply press the center of the C or 2D button. The M mode button behavior can be programmed to bypass the cursor mode to activate M mode when pressing the central button. Check the bypass cursor mode box on the display page of the configuration menu. For this demonstration, we will leave the bypass cursor mode unchecked. Pressing the center of the M button activates an mode cursor mode. This allows you to align the M mode cursor before activating M mode. To move the M line, simply use the touchpad. There are two methods to activate the M mode. Tracing an reference image, you can either press the center of the M button or press the update button located at the top of the touch pad. To increase or decrease the overall M mode gain, rotate the outer portion of the button. The functions available for the M mode tracing are located at the bottom of the monitor and adjusted using the soft keys located on the control panel. Notice the functions available for the key surrounding the touch pad. You can adjust parameters on both the Mo tracing and the two D reference image. Here you see the active M mode parameters with a live tracing. To change whether you were adjusting the Mo tracing or the real time 2D reference image, press the update key above the touch pad. Now the 2D parameters are active. Another method to determine the active mode is through the color change of the icon located at the upper left of the monitor. This function is also available on the frozen image. To exit, simply press the center of the M or the 2D button. The post wave or PW button behavior can be programmed to bypass the cursor mode to activate the PW tracing when pressing the central button. Check the bypass cursor mode box on the display page of the configuration menu. This can be useful when imaging in an emergency situation to help shorten the exam. For this demonstration, we will leave the bypass cursor mode unchecked. You can also select the units of measurement used to determine the speed of sampled blood flow. Simply select the frequency or velocity radio button for your preferred method. For this demonstration, we will select velocity and the Doppler frequency velocity line pressing the center of the W button activates the cursor. This allows you to align the cursor and sample gate before activating the PW tracing. To move the cursor and sample gate, simply use the touch pad. There are two methods to activate the PW tracing and two D reference image. You can either press the center of the PW button or press the update button located at the top of the touch pad. To increase or decrease the PW tracing overall gain, rotate the outer portion of the button. The functions available for PW are located at the bottom of the monitor an adjusted using the soft keys located on the control panel. Notice the functions available for the keys surrounding the touchpad. You can adjust parameters on both the PW spectrum and the two D reference image. Here you see the active PW parameters with a live tracing or waveform spectrum. To change whether you are adjusting the PW waveform spectrum or the real time 2D reference image, press the update button. Now the 2D parameters are active. Another method to determine the active mode is through the color change of the icon located at the upper left of the monitor. This function is also available on the frozen image. To exit, simply press the center of the PW or the 2D button. The spectral tracing direction can be moved above or below the baseline using the invert button. The function changes the scale units on the right of the tracing and displays invert above the 2D reference image depth. When pressing invert during a real-time acquisition of a spectral tracing, the audio signal also changes. You can also invert the color display. To change the color displayed for flow towards and away from the transducer, press the invert button. The usual convention for color flow is to have flow away from the transducer display blue and the flow towards the transducer display as red. Remember blue away red towards or Bart. The invert function can be done on a real time or frozen tracing. The angle Rotary button allows you to adjust the flow angle during spectral Doppler imaging to change the angle in 60 degree increments, press the center button to adjust the angle in one degree increments, use the outer Rotary button. The pulse repetition frequency or per F can be adjusted via the key labeled scale. This function is available in the pulse wave and color Doppler velocity modes when using the simultaneous mode, the scale soft key changes only the active mode. To change the active mode, press update the icon located in the upper left of the monitor indicates the live mode. The baseline key moves the Doppler baseline up or down. You can adjust the baseline to compensate for aliasing. EU D1 and UD2 button can be programmed to perform specific functions. This is done on the Custom Keys page of the configuration menu. The patient button opens the new patient and edit patient data page. The exam button opens the exam selection page that allows you to select both the transducer an exam pre set. You can also enter a custom exam pre set on this page by selecting edit exams. Select the exam type and enter a name into the custom exam name box. Click create an. The preset appears in the exam section of the page. If you wish to rename the preset click on the exam and type in the new name. You cannot alter or rename a factory preset. Pressing the review button allows you to view the current exam, create a slideshow or teaching file available functions appear on the bottom of the monitor. Pressing the report button opens the report screen where you can view the results, exam, description, graphs, images, a summary and close the study. The browser function allows you to view a list of patient studies, start a new exam, restart a saved exam, and delete studies. The patient browser also provides access to the job queue and the work list. You can also export patient studies to external media and network servers and import studies from external storage such as a USB. Pressing the config button opens a menu of available pages where you can customize the acuson P 500 system. A few things you can customize include the display of the soft keys and the text and body markers available for each exam type. The help Key opens the user manual, where you can view information on the use of the acuson P 500 system.

i ion Rev * Clip Store General 1 Image Store Display Exam Selection SIEMENS Review Patient Browser Configuration Identification Revistew Exa m Exam Patient Data Edit Patient Data Report Help Show Files Source Media Disk Space: Disk space: 0.5GB 87.9GB 0.5GB O.SGB 187.9GB O.SGB 0.5GB 187.9GB O.SGB 87.9GB 2 weeks old Local Disk 2D HD Review PW 0811012015 08/10/2015 16:06:38 08/10/2015 08/10/2015 16:06:36 06_ 08_10_201s_1s_44_12 08/10/201 s 15:51 228 08110/201 s 08/10/2015 13:31 06/10/201 s 1622742 06/10/201 s 14:25:39 08/10/201 s 16:07:00 06/10/201 s 06/10/201 s 14:26:15 06/10/201 s 14:26:21 08/10/201 s 08/10/201 s 16203:06 08/10/201 s 16:03:14 08/10/201 s 16:05:00 08110/201 s 16:05:12 08/10/2015s 16207:02 08/10/201 s 16:06:50 08/10/201 s 16:07:12 08/10/2015 16:47 06/101201 s 14:25:54 06/101201 s 08/10/201 s 15:51 06/10/201 s 14226:05 06110/201 s 14:26:33 08110/2015 08/10/2015 16:31 08/10/201 s 155940 08/10/201 s 16:M07 08/10/201 s 1620240 0810/201 s 08/10/201 s 14:02:44 08/10/201 s 160449 08/10/201 s 16:05:23 08110/201 s 1620640 08/10/201 s 1422607 08/10/201 s 16:0648 06/10/201 s 1426:15 08110/201 s 1620245 08/10/201 s 16:06:30 08110/201 s 16:04:38 08/10/201 s 16:07:1 08/10/201Ss 16:05:13 06/10/201 s 14:25:43 08/10/201 s 15:51 2 06110/201 s 14:26:24 08/10/201 s 16:moo11 08110/201 s 16:M:01 08110/201 s 1620703 08/10/201 s 14226:07 08110/201 s 15:51 232 08/10/2015s 16:06:53 08110/201 s 155942 08/10/2015s 08/10/201 s 16:03:10 06110/201 s 14:26:17 08/10/2015 16:34 08/10/201 s 1620647 08/10/201 s 16:05:503 08/10/201 s 16:04:57 06/10/201 s 1422546 08110/201 s 16:M02 08/10/2015 16:44 08110/201 s 222 08/10/201 s 15:51 223 08110/2015 15:51 06110/201 s 14:26:10 08/10/201 s 16203001 08/10/201 s 16:05:218 08/10/201 s 16:04436 08/10/2015 16:30 08/10/201 s 16:02:52 08/10/201 s 155947 06/10/201 s 14:2600 06110/201 s 14:26:30 06/10/201 s 14226001 06110/201 s 08110/2015s 08' 10/201 s 08110J2015 s 14:26:22 s 14:25:53 Exam SIEMENS SIEMENS General I 08.1101201 S 08/10/2015 16:06:51 Custom Keys Configu "06:46 PW Search Exam fic Information 20.1 PV•ArteriaI Color Display General I General I General 1 General 2 Configuration Exam Selection uratio New Patient VFIO-5 CH5-2 p4-2 Organ ization Authorization Orga n ization DGC Monitor Monitior Depth and Zoom Knob Direction Position VF104 Display 35.1 The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be thority. Offenders will be General I General 2 General 1 Transducer General I General 2 Patient ID Abdomen — PV-Arterial EM Last Name patient Last Name Date: from Compression: Medium Hight High Authorization LOW Custom Exam Custom Keys Depth and Zoom Knob Direction Abdomen Tx Power 100% Indications 0000000 Physio Edit Exams liable for damages. Select all Queue Custom Keys Custom Results General I General 2 General 1 Tx Power 100% Hospital Name Increase Depth 20 minutes Counterclockwise CounterclIockwise Clockwise V DGC Invert with Image Invert Screen Saver Delay ACUSON image Edit Exams Organ ization power 100% First Name DGC Date of Birth Monitor Ml 0.87 Select all PV.ARTLRIALI Physio 2D Browser Abdomen Tint Display VFIO-5 Search Clear Search Custom Keys Patient ID patient ID patient Data Ml Ml 0.76 Ml 0.85 Ml 0.86 Ml 0.79 Ml 0.82 Ml 0.70 Ml 087 Tx Power 100% Increase Depth Hospital Name Counter-clockwise ACUSON Ddestinication Settings Settin Physio CV-CUSTOM SIEMENS DGC Curve Display Time Out Ml 094 Counter•CIockwise Counter•C10Ckwise 0.4 System Power Off Increase Zoom 2 hours Exam Description Display Right Gender Gate other Custom Keys All names and data of patients, parameters and configuration dependent designations are fictional and examples only. TISO.7 TISOA TIBOS TISOS TIS TISOA2 TISO.2 TISOS2 TISOA7 TIB0.2 TIBO.7 New Study Ml Hospital Name Capture Type: 20 minutes V DGC Invert with Image Invert Retrospective Petrospective Screen Saver Delay ACUSON 0.7 TIS OS BP (mmHg) (mmHg) Soft Keys Soft YS Ml 066 TIB TIS Regional Settings Counter-clockwise Small Parts System Increase Zoom Study List Total studies: 7(7) Display Tx Power 100% Tx power 100% 2.7 MHz TIBO.I TIE 0.1 TIB R•wave only . wave only only R•wave delay: R•wave delay. Map m sec Manual. 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Invert Screen Medium Touchpad Travel Speed Off set By Tap on Anatomy Description 13 Ctn 13 4.5 cm 1.0 mm 13 cm guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. Scrolling Browser 01 16 Z Simult Medium — .20 Touchpad Travel Speed e on set By Tap — 20 Measure Retu m to Simult Dual 16 cm Z Size Measure Clip Store Measure Clip Store Image Store Measure Imaging Dual Baseline Scalen Scale Baseline Screen Scalen Smooth Baseline Clip Store In Delete Print Preview Export Restart Ex p!? print Report Not Active Export PDF Output Device Angle Cancel Find Tint Find Again Zoom Out ACUSON P500 and TEQ technology are trademarks of Siemens Medical Solutions USA, Inc. 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