S Family Classic System Overview and Image Management

System Overview and Image Management Course for the ACUSON S Family You should now be able to: Identify the parts and location of controls on the S Family system. Access a study to review Export and Import Studies Annonymize a study Create a teaching file Delete Patient exams Upon successful completion of this course, you will be able to: Identify the parts and location of controls on the S Family system. Access a study to review Export and Import Studies Annonymize a study Create a teaching file Delete Patient exams   The following are trademarks of Siemens Medical Solutions USA, Inc. (syngo is a trademark of Siemens AG): ACUSON S2000™ ultrasound system Advanced SieClear™ spatial compounding TEQ™ ultrasound technology Clarify™(VE) vascular enhancement technology Color SieScape™ panoramic imaging DTI™ Doppler tissue imaging capability Dynamic TCE™ tissue contrast enhancement technology ErgoDynamic™ imaging system design SpaceTime™ resolution control SieClear™ multi-view spatial compounding SieScape™ panoramic imaging 3-Scape™ real-time 3D imaging MultiHertz™ multiple frequency imaging In this section we will become familiar with the layout of the system. We will also review the hardware componets of the S Family systems. Highly portable, user-friendly and versatile to accommodate a variety of exams   Easy height adjustment control for monitor, control panel, and keyboard   Natural and extended reach zones:   What you reach comfortably   What you reach with minimal effort Integrated rear handles Shelf for supplies and/or patient information 3 high density MP connectors One-handed connect/disconnect Six transducer/gel holders   Offers five locking positions (Center, 2 Right, 2 Left)   Designed to improve workflow, easy to learn, and use   Simple, intuitive user interface:   Home-base design minimizes repetitive hand motions Directive backlighting   Designed for efficiency:   Conducive to motor-memory learning   Context sensitive:   40 clearly labeled rotaries and buttons   You can connect multiple transducers to the ultrasound system, with one transducer being the active transducer Three micro-pinless (MP) ports for array transducers Continuous wave transducer port CD/DVD-R drive is located on the left side   2 USB ports located just behind the on/off button Designed to maintain system memory for a maximum of 1 hour   Takes about 2 hours to recharge the battery   Located under the storage bin cover, within a recess on the right rear panel of the ultrasound system. The storage bin cover must be removed to access the battery pack. Battery Pack Replacement Battery Pack Replacement Checklist TitleChecklist TypeChecklist ContentRemove Cover - Step 1HTMLGrasp the cover by the top right edge, above the battery location, and gently pull to unsnap the first of four fastener pins from its receptacle.  Support the cover near each fastener as you pull, working downward and toward the left, until the cover is removed Remove Battery - Step 2HTMLWith the storage bin cover removed, locate the battery pack within the recess on the right rear panel; the battery pack is attached to the ultrasound system by a connector at the end of a cable; the battery is also secured within the recess by hook and loop fastener Remove Battery - Step 3HTMLGrasp the battery pack within the recess and gently pull the battery pack to release the hook and loop fastener Remove Battery - Step 4HTMLSupport the connector housing attached to the battery cable and pull the connector straight out of the connector receptacle to disconnect the battery Install Battery - Step 5HTMLOrient the battery pack connector at the end of the battery cable with the receptacle on the ultrasound system, located within the battery recess; firmly push them together Install Battery - Step 6HTMLTurn the battery pack so that the hook and loop fastener on the battery pack is toward the battery recess in the right rear panel, and press the battery pack into the recess, connecting the hook and loop fastener on the battery pack with the hook and loop fastener in the recess Install Battery - Step 7HTMLPosition the battery wires so they are neatly stored within the battery recess All exterior parts of the ultrasound system, including the control panel, transducers, and biopsy devices, should be cleaned and/or disinfected as necessary or between uses   Clean each component to remove any surface particles   Disinfect the components to kill vegetative organisms and viruses System Surface System Surface Checklist TitleChecklist TypeChecklist ContentStep 1HTMLPower off the ultrasound system and unplug the power cord from the power outlet Step 2HTMLUse a clean gauze pad or lint-free cloth, lightly moistened with a mild detergent, to wipe the surface of the ultrasound system Step 3HTMLTake particular care to clean the areas near the trackball and the slide controls Step 4HTMLEnsure these areas are free of coupling agent (gel) and any other visible residue Step 5HTMLEnsure that cleaning solution does not seep into the control panel, keyboard, or any other openings Step 6HTMLAfter cleaning, use a clean, lint-free cloth to dry the surface Step 7HTMLReconnect the ultrasound system power cord into the power outlet Holders for Transducers and Gel Holders for Transducers and Gel Checklist TitleChecklist TypeChecklist ContentStep 1HTMLRemove the holder from the ultrasound system Step 2HTMLReach under the holder to locate the tab on the holder; he tab extends below the point of attachment to the ultrasound system Step 3HTMLSqueeze the tab towards the holder and pull the holder downward Step 4HTMLClean the holder under running water, using a mild detergent and dry with a lint-free cloth Step 5HTMLReattach the holder to the ultrasound system Step 6HTMLAlign the support on the holder directly below the point of attachment on the ultrasound system and firmly push upwards until the holder snaps into place Trackball Trackball Checklist TitleChecklist TypeChecklist ContentStep 1HTMLRotate the trackball bezel counterclockwise and lift up to remove the trackball bezel from the control panel Step 2HTMLPlace one hand over the exposed trackball Step 3HTMLReach under the control panel directly beneath the trackball assembly until you locate the trackball release Step 4HTMLPress the trackball release until the trackball lifts up and you can remove the trackball from the trackball assembly Step 5HTMLClean the bezel and trackball with a cotton swab or lint-free pad moistened with mild detergent solution Step 6HTMLClean the inside of the trackball assembly using a cotton swab moistened with mild detergent solution Step 7HTMLAllow the trackball components to completely dry before reassembly Step 8HTML Reinstall the trackball and replace the trackball bezel: Place the trackball inside the trackball assembly Place the trackball bezel over the trackball Rotate the trackball bezel clockwise until it snaps into position Approved Disinfectants Approved Disinfectants Tab TitleTextApproved Pre-Cleaners Page 1 Approved Pre-Cleaners Page 2High-Level Disinfectants Page 1High-Level Disinfectants Page 2 The ultrasound system has removable, washable air filters   The filters must be cleaned regularly to maintain proper system cooling; check the air filters weekly, and clean as needed   Clean and reinstall both air filters according to the following instructions Back Panel Air Filter Back Panel Air Filter Checklist TitleChecklist TypeChecklist ContentStep 1HTMLPower off and unplug the power cord from the power outletStep 2HTMLLocate the air filter tray in the back panel and pull the tray out of the ultrasound system Step 3HTMLRemove the air filter from the tray Step 4HTMLRinse the air filter with running water and allow the filter to completely dry to hasten drying, you may gently shake the filter, or blot the filter with a clean, lint-free cloth Caution: Do not insert a wet filter as this can damage the system Step 5HTMLReplace the air filter into the tray, positioning the filter flat side down, with the angled Corners fitting into the back of the tray. The filter will fit into the back corners of the tray only if the filter is positioned flat side down. Step 6HTMLPress the filter against the hook and loop fasteners on the tray Step 7HTMLSlide the air filter tray back into the ultrasound system Step 8HTMLPlug the power cord into the power outlet Input Output Panel Air Filter Input Output Panel Air Filter Checklist TitleChecklist TypeChecklist ContentStep 1HTMLPower off and unplug the power cord from the power outlet Step 2HTMLOpen the door to the input/output panel; locate the filter tab near the lower door hinge 1. Input/output panel 2. Door to input/output panel 3. Input/output panel air filter Step 3HTMLGrasp the filter by its tab and pull it out of the slot Step 4HTMLRinse the air filter with running water and allow the filter to completely dry Caution: Do not insert a wet filter as this can damage the system Step 5HTMLSlide the air filter back into the ultrasound system, taking care to orient the flat side of the filter towards the left and to place the edges of the filter within the filter slot Step 6HTMLClose the door to the input/output panel Step 7HTMLPlug the power cord into the power outlet Patient demographics ESC - Escape F1 - Report F2 - Patient Browser F3 - Film Sheet F4 - System Configuration F5 - Help F6 - Hide Name F7 - Home/Set Home (for Text) F8 - Image Size (for 2D) F12 - DVR F13 - Physio Control (ECG, Aux) 4 power settings Standby Shutdown Restart Cancel The QuikStart (standby) feature for portable studies decreases the time required to power the system by placing the ultrasound system in a standby status The system can maintain the standby status for approximately one hour when the system's power cord is not plugged into the power supply To place the system in a standby status: Briefly press and then release the power on/off switch to power off the ultrasound system Select the Standby button on the displayed System Shut Down dialog box Wait approximately 20 seconds after the system powers off before powering on or unplugging the ultrasound system To power off the system: Briefly press and then release the power on/off switch to power off the ultrasound system Select the Shut Down button on the displayed System Shut Down dialog box If the system is transferring images, then it will wait until the transfer is complete to power off Wait approximately 20 seconds after the system powers off before powering on the ultrasound system Keyboard , DGC, Power, and Sound LED panel Doppler Controls D Controls Home base Depth Focus Color “C”, PW, and CW modes: Push to activate mode Dial to adjust mode gain 3D/4D volume imaging X, Y, and Z located together Dedicated Doppler controls: Baseline, Scale, Invert 0/60° rotary - Angle Correction Quick push to go between 0/60° Dial to get a specific degree other than 0 or 60 Dual Format Review 2D, 4D, and M-mode rotaries: Push to activate mode Dial to adjust mode gain Multi-Hertz - Quick Frequency adjustments Dynamic Range - Quick contrast adjustments Image knob presets - 2D, CDV, CDE Menu Control Four soft keysContext sensitive Heads up display Functions vary depending on mode Thumbwheel for scrolling Trackball controls: Will control the green object on the image screen (arrow, color box, gate, etc.) Priority, Next, Select, Update Annotating is available at anytime within any mode by beginning to type on the keyboard The Text menu and Active Text cursor can be activated one of two ways: Press Freeze (system can be preset to automatically enter Text Menu) Press the Space Bar or Text Key located on the QWERTY Keyboard Delete text options are available on the home base Soft Keys after activating the Text Menu A library of commonly used words can be created to improve annotation workflow Typing the first letter of an Auto-Complete word will display the entire word Use the Tab Key to accept annotation recognized by the Auto-Complete function When the Text key is activated, Rotary knobs now represent A,B,C,D,Text The LED Display (A,B,C,D,Text) correlates to the text keys on the keyboard and provides access to the on-screen text menu Cycling through the A, B, C, D Text options can be achieved by: Continually selecting the desired Text Key on the Qwerty keyboard Turn the desired Rotary knob Press the Rotary knob to place the annotation on screen Text can be repositioned on the image screen when a word or series of words is highlighted in green Place the Text Bar in the word or series of words Double-click the Select key (highlights the word(s) in green) Roll the track ball to reposition word(s) Click the Select key to lock word(s) in place Replace Text Place the Text Bar within a word Click the Select key once, the entire word will highlight white Word will be replaced when typing begins Note: to replace or overwrite text, at least one character of text must be overlapped by the new text Both annotations and pictograms can be customized for the user within the system configuration menu under the body markers and text. Four soft keys Context sensitive Heads up display Functions vary depending on mode   Thumbwheel for scrolling   Trackball controls: Will control the green object on the image screen (arrow, color box, gate, etc.) Priority, Next, Select, Update   Priority Key Priority Key Cycles through the activated imaging modes and displays the associated trackball controls, menus, soft keys, and other controls. EXAMPLE: If 2D-mode and Color are activated and 2D-mode is the priority mode, press PRIORITY to activate the controls associated with color imaging. Next Key Next Key Cycles through the imaging mode tools currently controlled by the trackball. EXAMPLE: During Color imaging, press Next to position or size the Color ROI--when the trackball is assigned to the pointer function, Next is equivalent to the right mouse button on a computer. Update Update Refreshes 2D-mode or color flow data during Doppler acquisition. (Also updates the opposing side when in dual mode). Select Select When the trackball is assigned to the pointer function, the Select key is equivalent to the left mouse button on a personal computer. Soft Keys Soft Keys Four soft keys, context sensitive Changes with mode or function Button functions on screen Active (green) Available (white) Unavailable (no light) Scroll Wheel Scroll Wheel Used to scroll through images, adjust Clarify VE levels, or adjust D Gate Size. Softkey and Trackball Status Display Softkey and Trackball Status Display Checklist TitleChecklist TypeChecklist Content2DHTML Soft Key Displays Trackball Status  ColorHTML Soft Key Displays Trackball Status  DopplerHTML Soft Key Displays Trackball Status  CalcsHTML Soft Key Displays Trackball Status   Image Store: Can store static image to Local Database and preset archiving device Image Store/Print: Can store static image to Local Database and preset archiving device Clip Store: Can store prospective or retrospective clips to Local Database and preset archiving device DVR: Can record study to Digital Video Recorder   FRINE wheel: Freeze, cine and gain Discreet and Continuous loop Dedicated feature controls TEQ technology (2D, PW) Calcs   Depth Focus Color “C”, PW, and CW modes: Push to activate mode Dial to adjust mode gain 3D/4D volume imaging X, Y, and Z located together   Dedicated Doppler controls: Baseline, Scale, Invert 0/60° rotary - Angle Correction Quick push to go between 0/60° Dial to get a specific degree other than 0 or 60 Dual Format Review 2D, 4D, and M-mode rotaries: Push to activate mode Dial to adjust mode gain Multi-Hertz Quick Frequency adjustments Dynamic Range Quick contrast adjustments Image knob presets: 2D, CDV, CDE Menu Control   With 2D-mode active, rotate DEPTH.   Note:  Maximum and minimum depth selections depend on the tranducer. Should be placed at your area of interest or slightly below.  Push knob for multiple simultaneous focal zones.   Multiple focal zone options are dependent upon transducer, frequency, and Adv. SieClear settings.   Compare in different planes Can switch back and forth post freeze Measure across dual images (or do SieScape)   The Menu Control allows you to navigate through on-screen functions-- activate features, use drop-down menus, and adjust the settings by depressing the Menu Control and rotating Clockwise or Counter-Clockwise   Press the Menu Control to confirm the setting and disengage control   To access the page where all of the studies stored on the system reside press Patient browser key or Click Patient Browser on the toolbar To close the Patient Browser, select Close Browser from the Patient menu at the top of the Patient Browser or Press Patient Browser on the keyboard Patient Browser Hierarchy Database Patient Study Series What is it? Series Level DICOM definition Contains images and Structured Reporting data 3 directories available in the patient browser Local database (hard drive) Scheduler (worklist) CD-R 2 methods of starting a new patient - Manually entering patient data or Using the Scheduler (worklist) Select Patient Registration   Enter Patient Information   Use the Tab key or the arrow and select to choose your options   Be sure to select proper Transducer   Be sure to select proper Exam Type   Select OK or take an image   Double-click Scheduler   Select the Patient Folder from the Scheduler list of patients (make sure that you are not in the Local Database)   Double click the exam to be done   This will bring you to the Patient Demographics page   Select the Patient level Type the first letter of the last name List of patients will automatically jump to the first patient starting with “T” To select an item of patient data (such as a patient folder): Roll the trackball to the item and then press the Select key on the control panel To select nonconsecutive items of patient data: Press and hold the Ctrl key on the keyboard for each selection To select consecutive items of patient data: Select the first item, press and hold the Shift key on the keyboard, and then select the last item The sorting function is available for the Tree View layout The Sort menu selections include DB date/time, pt name To view the sorting option currently in use - select the Sort menu at the top of the patient browser To enable a sorting option: Select an option from the Sort menu at the top of the patient browser   To reverse the sorting order Select Reverse Order from the Sort menu at the top of the patient browser   To sort patients by name Select a storage location, such as Local Database, and then select Patient Name from the Sort menu at the top of the patient browser Press Patient Browser (F2) to open the Patient Browser Select the Patient Name and single click on the exam folder Click on the Patient drop-down menu and select Register Select the transducer and operator initials Click OK: Previous images will be displayed on the Thumbnails below You can now begin taking images Note: Restart is available at all times. New images can be added to the existing patient exam Select Patient Browser Select Local Database Select appropriate Patient folder Double click on the Exam folder This will bring you to the review page Press Patient Browser (F2) to open the Patient Browser Select the Patient Exam Select the Send To icon Select Destination Select Send Note: This can be done before closing the study. Tip: Closing a study will automatically send to PACS if the system is preset to “Send on study close.” Insert the CD-R/DVD Press Patient Browser (F2) to open the Patient Browser Click on CD-R Click on Import Icon Select patient data stored on the local database Select the Transfer drop-down menu Select Export to off-line Select Path pull-down menu E:/export Click Ok You can enable and disable protection for patient data that is stored on the Local Database Protection prevents deletion, correction, or rearrangement from the patient browser Select Protect from the Edit menu at the top of the patient browser OR Press the Next key on the control panel and then select Protect from the displayed shortcut menu Select Remove Protection from the Edit menu at the top of the patient browser or Press the Next key on the control panel and then select Remove Protection from the displayed shortcut Press Patient Browser (F2) to open the Patient Browser Click on Local Database Click the Patient Name Click on the image folder Click on Patient drop-down menu and select De-Identify Rename the exam Click OK Note: De-Identified study will then appear in the local database. The original exam will also still be in the local database Press Hide Name on the keyboard: The system shows or hides information identifying a patient during an examination Available only during imaging and volume review Steps to Correct Patient Data Steps to Correct Patient Data Checklist TitleChecklist TypeChecklist ContentStep 1HTMLEnter Patient Browser and select the patient exam that was completed under the incorrect patient name.Step 2HTMLSelect De-Identify from the Patient menu dropdown list. Step 3HTMLSelect OK when the Dummy Name Box appears. Step 4HTMLA new exam will appear in the local database named "Anonymous Patient".  Select the Anonymous Patient folder. Step 5HTMLSelect Correct from the Edit drop down menu. Step 6HTMLSelect Yes to bypass all warning prompts. Step 7HTML Once this information is entered, select OK. Manually send this corrected exam to PACS from the local database After confirming the exam is in PACS under the proper name, delete the exam done with the incorrect Patient Name from the System ***Note**** Once complete, the individual images from the corrected exam will not have the patient’s HIPPA information on top. However, the folder itself will obtain all of the correct information in the PACS   During Active Exam Select Review from the menu at the left or Double-click a thumbnail Use the LED panel to choose the format for your images to be displayed 1x1 4x1 Side by side 6x1 8x1 Select the images to delete: (1) Press the Delete soft key (2) The selected images display a delete icon The image to be deleted will retain the blue border The deletion occurs when you end the exam To cancel the deletion, re-select the image and press the Delete soft key Select the image you would like to re-measure Press Calcs/Text soft key Gives to access to calipers Or use Measure button to measure using unlabelled or labeled (calculations) measurements Store new image as part of exam Choose the image with the incorrect annotation From the soft key menu choose Calcs/Text Press the Space Bar to activate text function Type new text on the screen Note: Incorrect text cannot be removed from a stored image. Use the X key to type over the incorrect text. From the menu on the left choose the Multiple Select icon Select the images you want in your selected set Select Compare to review your selected set High-Resolution Flat Panel Display Monitor:   IPS (in-plane switch) to allow best possible off axis viewing   Progressive scan flicker-free monitor   Variable positioning adjustments   Articulating arm adjustments:   Left and right swivel 80 degrees   Horizontal up to 30cm in either direction   Vertical up to 15cm Freeze before connecting and disconnecting transducers   If a transducer is disconnected before the image is frozen, the system will display an error message.   Select another transducer before continuing to use the system Connecting an Array Transducer Hold the transducer connector with the cable extending upward from the connector   Insert the connector into the system port and turn the lock on the transducer connector clockwise until it locks in position   This secures the connector in position and ensures the best possible contact   Place the transducer in the transducer holder   Disconnecting an Array Transducer Turn the lock on the connector housing counterclockwise until it unlocks   Firmly grasp the transducer connector and carefully remove it from the system port   Store each transducer in its protective carrying case Connecting the CW Transducer Align the connector key until it fits smoothly into the receptacle   Insert the connector into the system port until it locks in position   ↵ Disconnecting the CW Transducer Pull on the connector housing ring to disengage the locking mechanism, continue pulling on the ring to remove the connector from the system port   Store each transducer in its protective carrying case The brakes are set from a foot pedal on the central section of the system front bumper as: unlocked locked swivel locked. Locking the directional swivel of the front wheels Lift the center section of the front bumper from underneath firmly until the front wheels are locked in a forward position, using the top of your foot. Unlocking the swivel wheels Lift the center section of the front bumper from underneath firmly until it clicks once, using the top of your foot. Engaging the brakes Press the center section of the front bumper down firmly with your foot until the brakes lock into place. Select the link below to view a rear view image of the ACUSON S Family System.  Rollover the highlighted areas to view detail descriptions. Rear Panel ACUSON S Family System Rear Panel View Base ImageHotspotsText BlocksImage FileLeft Audio In, Channel 1 (from video recorder)Left Audio Out (to video recorder)Left Audio Out (to video recorder)Right Audio In, Channel 2 (from video recorder)Right Audio Out (to video recorder)S-Video OutS-Video InPhysio Trigger OutExternal Monitor Output (1280x1024)RS-232 COM 1 (disabled)System Status LEDsUSB-A ports: J5B (printer), J5A (printer, video recorder) Keyboard Clear Screen Activate/Deactivate Text Space Bar/Activate Text A, B, C, D Text Keys Arrow/Clear Arrow Pictogram/Clear Pictogram 1 2 3 4 5 6 7 Select Patient Browser Select Local Database Select Exam(s) that you want to delete Select the Delete icon If deleting multiple exams is desired:   Select the first Patient Folder that you wish to delete Press and hold the Shift Key (range of studies) Cntrl Key (individual studies) Select patient data stored on the local database: DICOM Format Archiving Select Archive to CD-R from the Transfer menu at the top of the patient browser Or   Select Archive to CD-R Icon   PC Format Archiving (JPEG and AVI) Select patient data stored on the local database   Select "Export to CD in PC Format" from the Transfer menu at the top of the patient browser