ACUSON SC2000 Volume Imaging System Turnover Workbook

SIEMENS SIEMENS Total 52 5: 11 C: 41 V: 0 000 User Services usa.siemens.com/education ACUSON SC2000 Volume Imaging System Turnover Workbook Answers for life. Turnover Workbook | SC2000 User Services. Driven by More. More: Our philosophy for a lifelong improvement through continuing education and consulting. Working closely with you, we develop your personalized education and consulting strategy and support you and your staff with our comprehensive User Services to help gain: • More: Routine Confidence • More: Clinical Expertise • More: Superior Performance More: Personalized training, education, and consulting services from Siemens Healthcare Customer Services. For your leading edge in medical care. User Services. Driven by More. More: Personalized More: More: Superior More: Clinical Performance Routine Expertise Confidence 2 Turnover Workbook | SC2000 I Contact Information Summary Welcome to Siemens Healthcare Discover. Try. Buy. on webShop Siemens Healthcare is dedicated to helping you Do you want to “Discover. Try. Buy.” options, accessories, get the most out of your investment throughout and clinical education to make the most of your the entire product life cycle and beyond. Our goal imaging equipment? Discover images, case studies, is to enable you to take technology further, and video demonstrations with the latest clinical profitability higher, and patient care to the next applications. Try advanced applications utilizing level. Find the information, resources, and tools free software trials. Buy applications, coils, clinical you need to get the most out of your recent education, and accessories, conveniently at any time. investment and stay up-to-date. Visit Visit www.usa.siemens.com/webShop today! www.usa.siemens.com/Welcome2Healthcare. Clinical Training and Siemens Training Centers Continuing Education Siemens Clinical Education Training Center – TDC2 Siemens Customer Care Center: 110 MacAlyson Court Call 1-800-888-7436 Cary, NC 27511 • Troubleshooting assistance • Immediate assistance for software applications and workflow issues • For Tech Support press option 2 / for applications support, press option 3 • Press the * key or enter the last six digits of your Functional Location Number Functional Location Number ______________________ • Press 7 for ultrasound Serial Number ___________________________________ Clinical Education Offerings: Call 1-888-221-8010 (follow the prompts) IP Address System ________________________________ • Classroom Training (Offerings, Registration & Scheduling) IP Address PACS __________________________________ • Educational Symposia • On-site Training • Printed Self-studies • Virtual Education (Offerings & Registration) • Workshops & Fellowships Visit www.usa.siemens.com/clinicaleducation for more information regarding the current Siemens Clinical Training and Continuing Education portfolio. 3 Turnover Workbook | SC2000 II Contents I Contact Information Summary ............................................................................................... 3 II Contents .............................................................................................................................. 4 III Course Agenda .................................................................................................................... 7 Day 1 ................................................................................................................................ 7 Day 2 (Morning)................................................................................................................. 7 Day 2 (Afternoon) .............................................................................................................. 7 IV Course Objectives ................................................................................................................ 8 Learning Objectives ............................................................................................................ 8 1. Overview of the SC2000 System........................................................................................... 9 1.1 Objectives .................................................................................................................... 9 1.2 Front of the system....................................................................................................... 9 1.3 Back of system............................................................................................................ 10 1.4 Input/Output Panel ..................................................................................................... 11 1.5 Ergonomics ................................................................................................................ 12 1.6 On Screen Information................................................................................................ 13 1.7 Keyboard.................................................................................................................... 17 2. 2D Optimization ................................................................................................................ 21 2.1 Objectives .................................................................................................................. 21 2.2 TEQ™ Ultrasound Technology...................................................................................... 21 2.3 TEQ Technology Levels of Control................................................................................ 21 2.4 Overall Gain ............................................................................................................... 22 2.5 On Screen Controls ..................................................................................................... 22 2.6 Image Width............................................................................................................... 22 2.7 LCD Display ................................................................................................................ 23 2.8 System Console .......................................................................................................... 23 3. M-mode ............................................................................................................................ 27 3.1 Objectives .................................................................................................................. 27 3.2 Activation .................................................................................................................. 27 3.3 Dynamic Range........................................................................................................... 27 3.4 LCD............................................................................................................................ 28 3.5 Size Key (F8) .............................................................................................................. 28 4. Color Doppler .................................................................................................................... 29 4.1 Objectives .................................................................................................................. 29 4.2 Types of Color............................................................................................................. 29 4.3 Activation .................................................................................................................. 30 4.4 Adjusting Color Box .................................................................................................... 31 4.5 Color Gain.................................................................................................................. 31 4.6 On Screen Controls ..................................................................................................... 31 4.7 LCD Controls............................................................................................................... 32 4.8 Scale.......................................................................................................................... 33 4 Turnover Workbook | SC2000 4.9 Baseline ..................................................................................................................... 33 4.10 Invert....................................................................................................................... 33 4.11 MultiHz .................................................................................................................... 34 4.12 Transmit Power......................................................................................................... 34 4.13 Image Knob.............................................................................................................. 34 5. Pulsed Wave Doppler.......................................................................................................... 35 5.1 Objectives .................................................................................................................. 35 5.2 Cursor Activation........................................................................................................ 35 5.3 PW Gain ..................................................................................................................... 35 5.4 On Screen Optimization .............................................................................................. 35 5.5 LCD Controls............................................................................................................... 35 5.6 PW DTI/Tissue Doppler ................................................................................................ 36 5.7 CW DopplerActivation................................................................................................. 37 5.9 Pedoff/Aux CW Doppler .............................................................................................. 37 6. Image Management........................................................................................................... 39 6.1 Objectives ................................................................................................................. 39 6.2 Data View .................................................................................................................. 39 6.3 Study Review.............................................................................................................. 39 6.4 Navigating Study Review............................................................................................. 40 6.5 Study Restart.............................................................................................................. 42 6.6 Export Study............................................................................................................... 42 6.8 Delete Study............................................................................................................... 43 6.9 Clearing the Job Queue............................................................................................... 43 6.10 Eject CD/USB............................................................................................................. 43 7. Protocols ........................................................................................................................... 45 7.1 Objectives .................................................................................................................. 45 7.2 Protocol Advantages ................................................................................................... 45 7.3 Creating a Protocol .................................................................................................... 45 7.4 Modifying a Protocol .................................................................................................. 45 7.5 Scanning with a Protocol............................................................................................. 45 7.6 Features not supported by protocols............................................................................ 45 8. Calculations....................................................................................................................... 47 8.1 Objectives .................................................................................................................. 47 8.2 Accessing measurements ............................................................................................ 47 8.3 Perform measurements............................................................................................... 47 8.4 Editing measurements ................................................................................................ 48 8.5 Generic measurement tools ........................................................................................ 49 8.6 Navigating measurements labels ................................................................................. 50 8.7 Available mesurement packages.................................................................................. 51 8.8 Freeze, cine, ED, ES, ED/ES split................................................................................... 51 5 Turnover Workbook | SC2000 8.9 RDA ........................................................................................................................... 51 8.10 Worksheets and patient reports ................................................................................. 51 8.11 Editing worksheet data ............................................................................................. 52 8.12 eSie Measure............................................................................................................ 53 9. Stress Echo ........................................................................................................................ 55 9.1 Objectives .................................................................................................................. 55 9.2 Review Physio control ................................................................................................. 55 10. Backup and Restore.......................................................................................................... 57 11. Transducer Disinfectants .................................................................................................. 59 Appendix A: How to Export a Study to USB.............................................................................. 64 Appendix B: How to Export a Study to CD/DVD ........................................................................ 69 Appendix C: Teaching File ...................................................................................................... 73 Appendix D: Creating a New eSieScan Protocol ....................................................................... 77 Appendix E: Modifying an eSieScan Protocol ........................................................................... 85 Appendix F: Scanning with eSieScan Protocols ........................................................................ 89 Appendix G: eSie Left Heart Package ...................................................................................... 95 Appendix H: Stress Echo with View Control ........................................................................... 101 Appendix I: Stress Echo Without View Control ....................................................................... 111 Appendix J: Backup and Restore ........................................................................................... 121 Appendix K: Transducer Disinfectants ................................................................................... 127 6 Turnover Workbook | SC2000 III Course Agenda Day 1 Initial system setup by Clinical Specialist Schedule 1-2 volunteer studies • Routine exam • Adaptive ergonmics • System introduction Scheduled Patient Exams (Please schedule at least one of each exam type) • System customization • Image optimization • Calculations • Workflow End of day review • Input from sonographers trained • Input from reading physicians • Install status • Review plan for day 2 Day 2 (Morning) 3 exams with open discussion Day 2 (Afternoon) 2 exams with open discussion Review: Questions and Answer Sonographers and Clinical Spcialist complete training forms and checklist Review system customization Review service and Customer Care Center contact protocol Discuss follow-up 7 Turnover Workbook | SC2000 IV Course Objectives The purpose of this training session is to provide you with the skills and knowledge to operate your ACUSON SC2000 SYSTEM. Learning Objectives After completing this training session, you will be able to: • Identify parts and location of controls on the SC2000 system. • Optimize images using all of the features and functions on the system. • Explain InFocus technology • Optimize M-mode • Optimize the color Doppler using all of the features and functions on the SC2000 • Optimize the pulsed and continuous wave Doppler using all of the features and functions on the SC2000 • List the steps needed in order to archive patient data. • Apply the steps required to review, import, export and delete patient studies. • Identify the available calculations in order to customize measurements, and measurement groups. • Demonstrate how to access and modify a Report/ Worksheet. • Integrate eSie Measure strategies into your workflow. • Create and demonstrate ESie Scan protocols on the SC2000 system. • Configure a Stress Protocol (purchasable option) • Demonstrate how to perform a Stress Echo • Explain how the Stress Echo technology works 8 Turnover Workbook | SC2000 1. Overview of the SC2000 System 1.1 Objectives After this session, you will be able to: • Identify the key hardware and software features of the ACUSON SC2000 system • Correctly perform startup, shutdown, and reboot procedures • Identify parts and locations of controls on the ACUSON SC2000 system 1.2 Front of the system 17 1 16 3 1.5 14 4 13 12 5 6 7 1. User-adjustable high-resolution flat panel monitor 10. Physio panel ECG 2. Speakers located on the control panel 11. Transducer ports and transducer parking ports 3. CD/DVD drive 12. Transport lock for control panel 4. Transducer and gel holders 13. Cable hanger 5. Auxiliary continuous wave transducer port (CW2) 14. Front handle 6. USB port for footswitch connector or exporting images 15. Gel Warmer 7. Front swivel wheels 16. Control Panel with Alphanumeric Keyboard 8. Front brake with directional swivel lock 17. Power ON/OFF switch 9. Storage bin 9 Turnover Workbook | SC2000 1.3 Back of system Notes 8 1 6 2 5 3 4 1. Rear handle 2. Rear door (access to the input/output panel) 3. Rear swivel wheel 4. Circuit breaker 5. Location of equipotential connector 6. Cable hanger 7. Shelf 8. USB ports located on back of control panel 10 Turnover Workbook | SC2000 1.4 Input/Output Panel Notes 000 3 5 6 7 8 10 11 1. Ethernet Ports 2. USB Ports 3. HDMI Ports (out to an external monitor) 4. HDMI Port (out to a video recorder) 5. HDMI Port (in from a video recorder) 6. S-VIDEO port (out to a video recorder) 7. Composite video port (out to a video recorder ) 8. VGA port (out to an external monitor) 9. System Status (Siemens service use) 10. Disable battery (Siemens service use) 11. Power cord connector 11 Turnover Workbook | SC2000 1.5 Ergonomics Notes 1.5.1 Flat Panel Display (Monitor) SIEMENS • 21½“ monitor. • The monitor has a handle at the bottom that allows you the flexibility to be able to move it around • Fully articulating arm allows transition of the monitor for optimal ergonomic positioning toward, away and side to side. • Articulation independent of system and control panel. • Arm left/right swivel articulation approximately 130 degrees. • Arm locks for transport in two places. • Depending on user preference, use the Size key to adjust the image size. There are four options available. Size F8 1.5.2 Control Panel • The floating control panel allows infinite adjustments for operator comfort in standing and sitting positions. Control panel moves: Up/down in vertical ACUSON SC2000 • articulation (31.5-41.3 inches, 80-105 cm) relative to the floor which accommodates 95% of sonographers. • In/out for slide extension 7.1 inches or 18cm, with locking in any position • Side to side movement for left/right swivel articulation of approximately 90 degrees, independent of flat panel display (FPD). 12 Turnover Workbook | SC2000 1.5.3 Wheel Locking Notes Mechanism • The brakes are set from a foot pedal in the central section of the system front bumper as either unlocked, locked swivel, or locked. BS 1.5.4 Transducers Ports • Three patented micro- pinless transducer connectors (MP ports) for array transducers • Parking port for transducer when not in use • Continuous wave transducer port .. .... 1.5.5 USB Ports • The system has 7 USB ports • Two USB 2.0 ports on the control panel • Four USB 2.0 ports on the back of the system • One USB 2.0 port on the side of the system 1.6 On Screen Information 1.6.1 On Screen Control Icons SIEMENS SC2000 New Patient • Click the Patient Registration icon on the Onscreen controls to enter new patient demographics, request, workflow and exam information 13 Turnover Workbook | SC2000 Entry screen field Notes Patient Demographics Last Name Patient ID First Name Date of Birth MM/dd/yyyy Middle Name Age Sex Male Female . Other Request Information Referring Physician Institution Name Accession Number Performing Physician Request ID Operator Workflow Requested Procedure Workflow Cardiac LEVA HPISA Exam Information Transducer 6C1 HD BP /_ mmHg Exam Preset Abdomen Indication Height Weight Additional Information BSA Custom Information Custom Custom 2 • Choose long form from the patient folder. • Enter the patient demographics on the patient registration form. • Choose the desired workflow protocol or use the Cardiac (freeform) protocol. • Choose desired transducer. • Choose the exam type. • Click OK • Custom 1, Custom 2 - There are two customizable fields that can be added to the demographic page if necessary. • Use the tab key or cursor to advance through the fields on the demographic page. Pressing enter/return will start the exam. Data View (patient browser ) This is the hard drive of the system • Patient List • To get a list of completed patient exams click on Binocular Icon. System defaults to most recent patient study at the top and other patients in descending time order. SIEMENS YC2000 Review Only Review Image/Clip Review 14 Turnover Workbook | SC2000 Worklist Notes • To retrieve data for a pre-registered or scheduled patient stored on the local database • Double left click (select) the worklist icon to get a list of the scheduled patients. • Your system will be set up to Auto Query at a designated time interval. • If the patient is not there, type in last name and click network. • Highlight patient name and press start exam. This will open up the demographic page. • If a group of patients do not appear. Left click (select) network key to obtain a list of all scheduled patients. Highlight desired patient(s) or all and press save selected *MENS YC2000 ata View Patient's Last Name = Study Dele - 15 Turnover Workbook | SC2000 Cardiac Cardiac / Cardiac / 4V1c Acquisition Acquisition 1 3 Transducer 4V1c 56 fps / 160 mm Transducer 4V1c 38 bpm / NTHI General a --- 2D- Exam Prese Cardiac H4.3MHz / 7 dB 2D TEQ: 3 / Offset: 0 dB DR: 65 dB 1556 / 1556 4 2D C RTIE Level OFF Persistence Cropping Mode Full R-R Extended R - R Off TEQ level OFF 2 13 Review 2 e RTIE Level OFF f Real-Time Image Enhancement Capture Preview Off Movie Controls Go to ES ED-ES Split Go to ED Start / Stop Review 5 g Cine Total S: 1 C: 0 V: 0 1.6.2 On Screen Menus Left sided on screen menu. Use the cursor and click on the appropriate selection or use the up and down arrow carrots to toggle. 1. Control area 2. End exam. This is where changes can be made to transducers, exam 3. 2D image and data fields - This is the area for patient presets, persistence and image enhancement name and data field information 4. Task pane (eSieScan Workflow Protocols, Thumbnail and a. Transducer: Select which transducer is active. Measurement area) b. Exam Preset: Select the desired Preset for the exam type. • All captured images can be found in this area. Exam Presets can be customized and saved. 5. Home-base display area (Home-base Keys, Soft Keys and 2D: Displays selections for 2D-mode imaging. Scroll Wheel options) c. d. Persistence: Image smoothing over multiple frames e. TEQ Technology Levels of control - Automatic optimization of the B-mode gain at the push of a single button. f. Real Time Image Enhancement: Adjusts smoothing and contrast to enhance visualization of structures. g. Capture Preview: when enabled, retrospective capture is utilized, 10 beat max. You have the ability to review and edit the clip before capturing/saving. Notes 16 Turnover Workbook | SC2000 Data Fields Notes 1. Transmit Power/Mechanical 1 0dB / MI: 1.22 / TIS: 1.06 Index Cardiac / SC2000 ADULT* / 4V1c 2. Workflow Protocol /Exam Preset/Transducer 2 3. Frame Rate/Depth 4. Image Preset 3 21 fps / 160 mm Frequency 4 Gen Flow 5. 2D 6. Gain 5 H4.3MHZ 7. Dynamic Range 6 8. Image Enhancement/Space/ DR: 70 dB Time Med / T1 8 9 9. Edge/Delta E: +2 / D1 10. Map/Persistence/Tint M: 5 / P: 1 / T: 3 10 11. Color Doppler Setting/Color Frequency --- Color --- 12. Color Gain 11 CDV / 2.0MHZ 13. Space/Time/Edge 0 d 12 S1 /E: 0 13 ****Displayed fields are configurable in system settings 1.7 Keyboard 1.7.1 Control Panel Lighting When the ultrasound system is in use, most controls on the main control panel are supported by backlighting. • Green: The control is active (in use). • White: The control is inactive, but available for use. • No illumination: The control is not available during the active function 1.7.2 Control Panel Layout Controls are logically grouped based on mode. • Left side controls are for 2D imaging. • Right side controls are for Doppler 17 Turnover Workbook | SC2000 1.7.3 Home base design Notes Clip Store RES FRINE Control RES Gain, Freeze, DVR Cine Calc/Caliper DVR Image TEQ Store • TEQ • Measurement • RES • FRINE wheel • Clip store • Time • Retrospective vs. prospective • Capture preview • DVR • Image store 1.7.4 Trackball 3 4 1 Pronty 2) The action of the track ball and soft keys depend upon the active task. 1. Trackball 2. Trackball Controls • Update (Top left) • Refreshes 2D-mode or color flow data during Doppler acquisition • Select (Bottom left) • Equivalent to the left mouse button on a personal computer 18 Turnover Workbook | SC2000 Notes • Priority (Top right) • Cycles through the activated imaging mode and displays the associated track ball controls and menus and 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 (Bottom left) • Cycles through the imaging mode tools controlled by the trackball. EXAMPLE: During 2D imaging, press NEXT to activate the position or size the field of view. When the trackball is assigned to the pointer function, NEXT is equivalent to the right mouse button on a computer. 3. Soft Keys • Four soft keys, context sensitive • Changes with mode or function • Functions appear on screen • Available (white) • Unavailable (no light) 4. Scroll Wheel • Used to scroll through the images. 1.7.5 LCD • The LCD panel provides functions based on the current system state or operating mode • Rotary knobs are mode-specific (push and rotate) and user-defined • LCD (above the knobs) displays labels and functions 19 Turnover Workbook | SC2000 1.7.6 Physio controls Notes Physio on / Off ECG' / Aux / Resp Marker : On / Off Invert F13 Select 20 FOV Physio The Physio controls of the system are located under the F13 or Physio key. • To Activate the Physio module, press the Physio key. The soft keys will now control the functions of the Physio module. • Marker: This controls the R wave marker. It can be wither on or off. • On or off function allows the EKG trace on or off the image. • The ECG / Aux-Changes the input from the 3-lead ECG cable to a cable inserted in the auxiliary connection to the stress echo cable. • Invert will invert the trace • Use the LCD control to adjust the following: • Gain • Sweep Speed Sweep Gain 50 1 Position • Position Baseline Invert Scale 20 Turnover Workbook | SC2000 2. 2D Optimization 2.1 Objectives Notes This section explains the features and functions available on the ACUSON SC2000 system that will enable you to optimize the 2D image After this session, you will be able to: • Optimize images using all of the features and functions on the system. • Explain InFocus Technology • 2.2 TEQ™ Ultrasound Technology • Tissue Equalization Technology (TEQ) is the automatic optimization of the B-Mode gain at the push of a single button. • TEQ optimizes the master gain, DGC and lateral gain (LGC) • Optimization results in uniformity of the soft tissue brightness over the entire image and suppression of thermal noise in areas where there is no signal present is independent of current user gain settings • Helps in standardizing image quality across users • Improves workflow and reduces exam time 2.3 TEQ Technology Levels of Control • Manual - No automatic update on any image changes (i.e. Static TEQ) • Semi-Dynamic - Updates only on system setting changes • MHz • Exit strip modes • Space-time/ASC Level • RES, Image Width • Focus Mode • Tx Power • Focus position • Unfreeze • Display depth • B-mode update in strip modes • Dynamic - Updates on major image changes along with system setting changes Acquisition • The change in imaging plane or view is Transducer 4V1c significant enough to warrant a gain Exam Preset Cardiac update. Change threshold has been optimized during internal clinical scans 2D • The user changes a system setting (listed Persistence previously) Once activated, TEQ technology control gain TEQ level OFF 2 3 • will stay in effect (for all 3 levels) until – RTIE Level OFF • The user presses the TEQ technology control button again. The gain is re- optimized following this event Capture Preview Off • The user adjusts the gain knob or DGC, which will incrementally override the optimized setting • The user double left clicks (selects) the TEQ control button to turn it off • In this case the master gain and DGC values revert to the user- selected values prior to entering TEQ control • Lateral gain reverts to the system lateral gain • The screen icon disappears • The user recalls a preset with TEQ control Off or switches transducers • TEQ Set (TEQ Offset) : Found on the first soft key. Can be used to override the level of Auto Gain. • Turn the overall gain to the desired level and press TEQ (Offset) SET 21 Turnover Workbook | SC2000 2.4 Overall Gain • Adjust using the FRINE wheel when live Gain Beze | C cine 2.5 On Screen Controls • Adjust using 2D knob when frozen • Persistence (point and click) • Controls how rapidly an image appears to change over time. Use lower levels for rapidly changing anatomy. • A type of frame averaging • Use higher levels to provide a smoother image for slow moving structures. Cardiac 10/23/2013 9:44:47 AM OdB / MI: 1.18 / TIS: 1.07 Cardiac / Cardiac / 4V1c Acquisition Transducer 4V1c 0.69 m/s 22 fps / 180 mm Exam Preset Cardiac n / Gen Flow H4.3MHZ / 13 dB 2D |C TEQ: 1 / Offset: 0 dB DR: 60 dB Persistence TEQ level OFF 1 2 3 0.69 m/s P. 1 Priority CDV / 2.0MHZ Transparency 0 dB ON Capture Preview Off Review • Real-Time Image Enhancement • Adjusts smoothing and contrast to enhance visualization of structures. Acquisition 2.6 Image Width Transducer 4V1c Exam Preset Cardiac Use left click (select) method anywhere on 2D image, defaults to size Right click (next) to toggle between size and position, left click (select) to set. 2D Persistence TEQ level OFF 1 2 RTIE Level OFF Real-Time Image Enhancement Capture Preview Off 22 Turnover Workbook | SC2000 2.7 LCD Display Notes 1 2 3 4 5 6 1. Space/Time • Controls balances line density (resolution) and frame rate. Increasing the resolution, or line density, results in a slight decrease in frame rate. Increasing the frame rate results in a slight loss of line density. 2. Edge • Distinguishes the contours of an image by increasing the level of edge detection. 3. Delta • Takes two areas of like echogenicity and enhances the difference between them. 4. Capture Time ** • Rotate knob to easily change from capturing 1-30 beats for Prospective and 1-10 beats for Retrospective. • Rotate knob to easily change from capturing 1-30 seconds for Prospective and 1-10 seconds for Retrospective. 5. Maps • Select a post-processing curve to assign echo amplitudes to gray levels 6. Tint • Similar to B color with additional grayscale tints • Change the color of the image by adding colors to the gray in an image. 2.8 System Console Dynamic Range • Use the Dynamic range toggle to control the levels of gray in the image • Increase dynamic range to include more grays into your image. This will result in a softer look. Increasing dynamic range will add subtle information with minimal noise and more real data. • Decrease dynamic range for a more contrast look. Be cautious not to decrease your dynamic range too much as real information may be lost. • Use the highest setting as appropriate to the patient. • Dynamic Range and gain are used inversely. Increasing DR will require reduction in overall gain. MultiHz • Use the MultiHertz toggle to cycle through available frequencies • Toggle up to increase frequency, toggle down to decrease frequency. • Multiple imaging frequencies are available in 2D imaging including fundamental frequencies, native tissue harmonic frequencies and contrast imaging frequencies. • Example of Available frequencies on the 4V1c: LVO, H4.3, H4.0, H3.0, H2.25, 3.5. • Use higher frequencies for superior resolution. • Use lower frequencies for penetration. • Native tissue harmonic imaging frequency will be preceded by the letter H. The frequency range will be dependent upon the active transducer. 23 Turnover Workbook | SC2000 Live Dual Notes • Accessed via the Dual control on the control panel • Ability to display color and B-mode on separate sides • Separate Cine control for both sides • Update key in Live Dual • When frozen, the update key will allow you to toggle back and forth between the two images in order to access the cine buffer for each Zoom • Zoom is a read/write zoom feature. It is enlarging the image by increasing the size of the pixels • Activate Zoom by depressing Zoom knob • Rotate Zoom knob clockwise to enlarge image and counterclockwise to decrease image size • Used when in PW Doppler and want the image zoomed- renal arteries, carotids, valves • The image can be pan/zoomed by using the track ball while zoom is active. This is a post processing feature. Images can be enlarged when you are frozen, in cine or in review. • If other modes have been used while in zoom, you will push the zoom knob once to activate and then again to deactivate. While active, turn the knob to change the size. • Exit Zoom by depressing the Zoom knob twice. RES • Reformats image concentrating scanning elements into a smaller area of interest. RES • Increases image size of area of interest. • Increases frame rate. • Increases detail resolution. • RES enlarges the image by reformatting the picture while Zoom enlarges the size of the pixels Soft key functions • Four soft keys, context sensitive • Changes with mode or function • Functions appear on screen • Active (green) • Available (white) 800 • Unavailable (no light) 24 Turnover Workbook | SC2000 Image Knob Notes • Allows easy access to customized image presets • To access:press Image knob • Rotate to select desired preset • Note: Presets are specific to imaging modes. • Your Clinical Specialist will set up the settings under this knob. Examples may be: • General • High Contrast • Soft • Penetration • TDP • Contrast agent Mode specific image presets 2D Color Doppler PW 4D 4D Color Transmit Power Transmit Power Gain Transmit Power Transmit Power Depth MultiHz Dynamic Range MultiHz MultiHz 2D FOV Size Dynamic Range Scale Dynamic Range Dynamic Range Focus position Scale Baseline Space/Time Scale Dynamic Range Baseline Invert Volume Enhance Baseline MultiHz Invert Gate Size Volume Imaging Enhancement Invert Space/Time Space/Time Edge Enhancement Volume and Reference Plane Maps Space/Time Edge Enhancement Gate Filter Volume and Reference Plane Tints Gate Gray Map Filter Gray Map Volume Size and Position Filter Image Enhancement Edge Enhancement Tint Edge Enhancement Map Oersistence Color Volume Enhancement Priority Priority Transparency Transparancy Persistence Persistence Color Volume Size • Each mode has different things that can be saved to a preset that will allow for quick and easy optimization of the image through the Image Knob Focus • Focus is positioned by rotating the focus knob. • On certain transducers, IN Focus coherent technology alleviates the need for manual positioning of the focal area. • Focus knob will not light up if IN Focus is in use. 25 Turnover Workbook | SC2000 IN Focus Notes • Dynamically focus at every point in the image; gathering and processing unique information resulting in superior image quality and image uniformity; improves workflow by eliminating the need to continuously move the focal zone • In Focus is a proprietary Siemens technology which enables us to focus the entire field of view at all depths without requiring focal zone that is needed in conventional focus. • On all cardiac transducers use IN Focus coherent imaging (**The 9L4 uses sequentially focusing and allows user to adjust the far field focus Depth • Image depth may be adjusted by rotating the depth knob on the control panel. O • Image depth is displayed on the image screen and will be captured in stored/printed images. 51 fps / 180 mm 41 bpm / NTHI General -2D --- H4.3MHZ / 10 dB TEQ: 1 / Offset: 0 dB DR: 60 dB S1 E: 0 P. 1005 / 1005 Clip store • Acquires and saves a clip or volume to the system’s hard disk. • The saved data displays in the thumbnail panel, if enabled. RES • This control flashes green while the clip store function is in progress. An audible tone indicates the start and end of acquisition. 26 Turnover Workbook | SC2000 3. M-mode 3.1 Objectives Notes This section explains the features and functions available on the ACUSON SC20000 system that will enable you to optimize the M-mode display After this session, you will be able to: • Optimize the M-mode 3.2 Activation • To activate M-mode press the M knob. • Use the Trackball to adjust the M-mode cursor line position. • Adjusting M-mode Gain • Rotate M knob or FRINE wheel to increase/decrease M-mode Gain during real-time imaging. RES • Rotate 2D knob to increase/decrease both M-mode and 2D-mode reference image gain 3.3 Dynamic Range • Allows the user to increase or 51 fps / 180 mm decrease the number of gray levels 41 bpm / NTHI General available for the M-mode image. 2D- H4.3MHz / 10 dB • M-mode Dynamic Range adjustments TEQ: 1 / Of DR: 60 dB are independent of 2D imaging Dynamic Range adjustments. P: 1 1005 / 1005 27 Turnover Workbook | SC2000 3.4 LCD Notes 1 2 3 4 5 6 1. Blank 2. Edge • Distinguishes the contours of an image by increasing the level of edge detection. 3. Delta (DELTA amplification) • Adjust to increase or decrease the level of differentiation in echo levels, which increases or decreases the contrast within the image. 4. Sweep • Rotate to adjust sweep speed for M-mode. 5. Map • Select a post-processing curve to assign echo amplitudes to gray levels. 6. Tint • Change the color of the image by adding colors to the gray in an image. Note: Sweep Speed, Map and Tint can be adjusted on a live, frozen or Cine image. • Press the M knob to exit M-mode and return to the 2D image or press the 2D knob to exit all active modes and return to 2D imaging only 3.5 Size Key (F8) • Changes 2D vs. strip mode size • 1/3 2D 2/3 trace Size • ½ 2d ½ trace F8 • 2/3 2D 1/3 trace • SBS • Trace only 28 Turnover Workbook | SC2000 4. Color Doppler 4.1 Objectives Notes This section explains the features and functions available on the ACUSON SC20000 system that will enable you to optimize color Doppler After this session, you will be able to: • Optimize color Doppler using all of the features and functions on the ACUSON SC2000 system 4.2 Types of Color The ACUSON SC2000 system offers three color Doppler settings • Color Doppler Velocity (CDV) 10/23/2013 9:44:35 AM OdB / MI: 1.18 / TIS: 1.07 Cardiac / Cardiac / 4V1c 0.69 m/s 22 fps / 180 mm 43 bpm / Gen Flow H4.3MHZ / 13 dB TEQ: 1 / Offset: 0 dB DR: 60 dB S1 0.69 m/s E: +1 P. 1 Color --- CDV / 2.0MHz 0 dB • Standard color • Applies color to the velocity and direction of blood flow within the region of interest. The benefit of CDV is excellent sensitivity to flow with direction and velocity information. • Doppler Tissue Velocity (DTV) 10/23/2013 9:45:30 AM OdB / MI: 1.19 / TIS: 0.98 Cardiac / Cardiac / 4V1c 0.08 m/ 31 fps / 180 mm 42 bpm / General --- 2D --- H4.3MHz / 13 dB TEQ: 1 / Offset: 0 dB DR: 60 dB S1 0.08 m/s E: +1 P: 1 -Color --- DTV / H2.75MHZ 3 dB • Applies color to the mean velocities of tissue in the ROI. • Can be used for timing. 29 Turnover Workbook | SC2000 Notes • Doppler Tissue Energy (DTE) 10/23/2013 9:46:31 AM ardiac / 4Vic 4 bpm / General TEQ: 1 / Offset 0 de DR. 60 0 02 m/s .5 dB / DR: 65 dB • Applies color to the Doppler signal energy returning from the tissue. • DTE enhances the myocardium. • DTE enhances the signal of the tissue. This is helpful if you have a subtle wall motion abnormality to bring out the signal in the tissue. • Color Doppler Energy (CDE) 10/23/2013 10:05:24 AM 23 fps / 40 mm Gen Flow -- 2D- H9.0MHz / 1 dB TEQ: 1 / Offset: 0 dB DR: 68 dB ASC: 7 0.19 m/s E: 0 5 dB / DR. 25 dB • Displays the intensity of the Doppler signal • Independent from velocity and angle to flow • Higher sensitivity to low velocities 4.3 Activation Activation of color types D : Pos / Size CDV / DTV / DTE / CDE Set TEQ Offset 2D FOV C ROI Select Pos Size • Use the soft keys to cycle between: • Color Doppler Velocity • Doppler Tissue Velocity • Doppler Tissue Energy • Doppler Tissue Energy • Color Doppler Energy • Active mode will be displayed in green. 30 Turnover Workbook | SC2000 4.4 Adjusting Color Box Notes • Press C knob to activate color Doppler. • Color Box is ready to position/size • To adjust Color Box size use Right/Next key; toggles between position/size • Priority key will allow toggling between 2D/ CD adjustments • Use right click (next) • To adjust 2D image while in color Doppler • Turn the 2D knob or use TEQ 4.5 Color Gain • Rotate C knob to increase/decrease color Doppler gain during real-time imaging 4.6 On Screen Controls Persistence Cardiac 10/23/2013 9:44:47 AM DdB / MI: 1.18 / TIS: 1.0 Cardiac / Cardiac / 4Vic Acquisition Transducer 4V1c 0.69 m/s 22 fps / 180 mm Exam Preset Cardiac 45 bpm / Gen Flow -2D --- 2D |C H4.3MHz / 13 dB TEQ: 1 / Offset: 0 dB Persistence DR: 60 dB TEQ level OFF 1 2 3 0.69 m/s Priority 2 CDV / 2.0MHZ Transparency O dB Capture Preview Off Review VO • Adjusts the time that color data remains in the region of interest. • Frame averaging • “Adds history” to the current image. • Affects temporal resolution • Perceived persistence is independent of frame rate. • May reduce hemodynamic information. • Helpful with difficulty detecting flow • Lengthens the display of color on the screen. • Smoothes color display. 31 Turnover Workbook | SC2000 4.7 LCD Controls Notes 1 2 3 4 5 6 1. Space Time • Controls priority for spatial or temporal resolution. • “S” preference toward spatial resolution. • “T” preference toward temporal resolution. • Linked 2D-mode SpaceTime control settings. • Optimize for clinical application. • Spatial emphasis – anatomical detail: • Intramural coronaries. • Multiple small jets. • Shunts • Temporal emphasis – flow physiology: • Regurgitant jets. • Stenotic jets. • Pulmonary vein flow. Note: Increasing spatial resolution decreases temporal resolution. Increasing temporal resolution decreases spatial resolution. 2. Edge • Two-dimensional smoothing of echoes. • Smoothes flow borders. • Maintains appearance of fluidity at higher SpaceTime control settings. • Affects the spatial resolution. • Use low edge settings for large vessels: • General cardiac flow patterns. • Use high edge settings for anatomical detail: • Small vessels or shunts. 3. Filter • Three filter levels: • “1” is a low filter showing background flow & jet. • Use filter 1 to pick up low flows better. • “2” is a medium filter highlighting the jet. • Filter 2 is the most practical across a range of studies. • “3” is a high filter rejecting motion & preserving background flow. • Use filter 3 to eliminate “flash artifact”. • Increase or decrease level as needed. 4. Capture Time ** • Rotate knob to easily change from capturing 1-30 beats for Prospective and 1-10 beats for Retrospective. • Rotate knob to easily change from capturing 1-30 seconds for Prospective and 1-10 seconds for Retrospective. 32 Turnover Workbook | SC2000 5. Map Notes • The Acuson SC2000 has a 0.68 m/s Default- 9.68 m/s selection of a color Doppler 0.68 m/s 0.68 m/ mean velocity maps and 0.68 m/s 0.68 m/s velocity variance maps Velocity maps 0.68 m/s 0.68 m/ 0.68 m/s ............. • • 1-5, A and S Map_1 (Map 1 in 1:2) 0.68 m/s 0.68 m/s New! Non Directiona Map . 2 0.68 m/s 0.68 m/s Map A .. {Brighter version (New! ASE Map) Of Map 2 in 1.2) Map 3 (Map 3 in 1.2) 0.68 m/s Map 5 in 1. Made closer to Map in 1.2) Sequoia ) ... ............................................... • Velocity-Variance maps Default ..... • VAR 1-VAR 3 0.68 m/s ......... 0.00 m/s 0.68 m/s • Personal choice • Range or threshold set by operator. • Push to get VV map options (3) ---.... -------- 0.68 m/s ...... 0.68 m/S. 0.68 m/s Var Map 1 Var Map 2 Var Map 3 4.8 Scale • Pulse Repitition Frequency (PRF) • Represents the mean velocity at the sample area toward or away from the transducer. • Adjusts the velocity scale of color Doppler (M/sec). • Press the toggle up or down to adjust the velocity scale • White box indicates maximum velocity 4.9 Baseline • The system updates the position of the baseline. Indicator of 0 velocity. • Shifts baseline up or down to increase proportion of display in favor of direction of flow • Allows for lower scale setting (larger spectral waveform) without aliasing • Toggle key up or down to adjust the color, pulsed or continuous wave baseline. 4.10 Invert • The invert key will change the orientation of the Color Doppler Velocity display. • Reverses colors or spectral analysis above and below baseline as determined by transducer location and direction of blood flow. 33 Turnover Workbook | SC2000 4.11 MultiHz Notes 51 fps / 180 mm 41 bpm / NTHI General Review Cadence Dual 2D H4.3MHZ / TEQ. Pioct: 0 dB DR: 60 dB DAR E: 0 1005 / 1005 • Independent 2D-mode & Color Doppler frequency. • Select highest frequency providing sufficient penetration. • Slightly higher frequency for flows in smaller structures. • Lower frequency for best penetration. • Optimize for application and patient. 4.12 Transmit Power • Display available in all modes 2D, Color and Doppler; MI, TIS, TIB, TIC • Low MI frequencies optimized for LVO Contrast Imaging • FDA governs and manufacturers are required to meet government guidelines; Siemens adheres to all federal guidelines 4.13 Image Knob • In color Doppler imaging, each preset has been optimized with image settings optimized to flow state • Allows easy access to customized image presets • To access • Press Image knob • Rotate to select desired preset S/N: 400131 Version: VA16D Date: Tuesday, May 03, 2011 / 13:54 • Your Clinical Specialist will set up the Uringwn 11050309064-5062 03/03/2011 1:54:31 PM Cardat 008 / ME 1.11 TIS: 12/ 119:12 25 fps / 170 mm settings under this knob. Examples may Cardac' / PISA 16.25 MG be: Calor • General • Low flow • Coronary • PISA 34 Turnover Workbook | SC2000 5. Pulsed Wave Doppler 5.1 Objectives Notes This section explains the features and functions available on the ACUSON SC2000 system that will enable you to optimize pulsed wave Doppler After this session, you will be able to: • Optimize the Pulsed Wave Doppler using all of the features and functions on the ACUSON SC2000 system 5.2 Cursor Activation • Push the PW Knob to activate the cursor • Place the cursor at desired depth of interest. • Push the PW Knob again to display spectral analysis • Use track ball to adjust curser position 0. 00 • Pressing the pulsed wave control again or pressing the 2D control takes you out of pulsed wave Doppler and back to 2D only imaging. 5.3 PW Gain • Adjust the PW gain during real-time imaging by using the FRINE Wheel • Rotate PW knob to increase/decrease pulsed wave Doppler gain while frozen. 5.4 On Screen Optimization • Persistence • Temporal smoothing process • Lower persistence setting provides crisper spectral Doppler display • Higher persistence setting provides better fill-in, softer spectral Doppler display • High PRF indicator will display on the right of the screen when in High PRF 1 2 3 4 5 6 5.5 LCD Controls 1. Gate • Improves sensitivity by increasing flow sample volume. • Affects spatial resolution and frame rate. • Clinical Applications • Increase gate settings. • Intramural coronary flow. • Shunt flow. • Tissue Doppler 2. Edge • Spatial smoothing process • Edge setting of +1 provides crisper spectral Doppler display • Edge setting of 0 provides better fill-in, softer spectral Doppler display 35 Turnover Workbook | SC2000 3. Filter Notes • Used to reduce noise and wall motion artifact • Low filter settings provide minimum reduction of signal • High filter settings provide maximum rejection of low level, low velocity signals • May affect appreciation of spectral broadening • Eight filter levels (1-8), increasing incrementally 4. Sweep Speed • Sweep Speed adjusts temporal axis of Doppler display. • Faster sweep speeds facilitates time measurements, • Duration, Slope, Diastolic pressure and diastolic pressure over diastolic time. • Rotate the sweep speed rotary knob to adjust the sweep speed for strip modes. • Using a high sweep speed will result in fewer cardiac cycles being displayed on the Doppler strip. • Using a low sweep speed will result in a greater number of cardiac cycles being displayed on the Doppler strip. • Note: Sweep speed may be adjusted during real-time or on a frozen PW or CW Doppler strip. 5. Map • Post processing maps will enhance Doppler aesthetics by grayscale assignment. • The maps range from lower to higher contrast (maps 0-7) • Changing the map does not affect data content • Available in active, freeze and Cine • This may be helpful if the acquired strip is too “dark” or too “bright” 6. Tint • Change the color of the image by adding colors to the gray to the spectral Doppler display. 5.6 PW DTI/Tissue Doppler Gate Size PW DTI Set TEQ Offset Update Update 2D FOV PW Gate Select Position To access PW DTI use the soft key menu to toggle between DTI and PW Doppler 36 Turnover Workbook | SC2000 5.7 CW DopplerActivation Notes • Push the CW Knob to activate the cursor • Place the cursor at desired depth of interest. • Push the CW Knob again to display spectral analysis • Use track ball to adjust cursor position. • Pressing the CW control again or pressing the 2D control takes you out of CW Doppler and back to 2D only imaging. 5.8 CW Gain • Adjust the CW gain during real-time imaging by using the FRINE Wheel • Rotate CW knob to increase/decrease CW Doppler gain while frozen. 5.9 Pedoff/Aux CW Doppler Accessing the aux CW requires a transducer change 37 Turnover Workbook | SC2000 Notes 38 Turnover Workbook | SC2000 6. Image Management 6.1 Objectives Notes This section explains how to utilize the image management features on the ACUSON SC2000 system. After this session, you will be able to: • Apply the steps required to review, import, export and delete patient studies. 6.2 Data View • Patient List • To get a list of completed patient exams click on SIEMENS SC2000 Binocular Icon. System defaults to most recent patient study at the top and other patients in Review Only descending time order. Review • Headers and Fillers Image/Clip Review • Patient list can be sorted using headers and filters. • To use filters: Type search information into filter and Left click (select) search • NOTE: To return to entire patient list Clear filter and Left click (select) search • To use headers: Click on column to sort patients using the header category (CSS only-instruct customer how to use this per workflow needs) • Type into filter then Left click (select) search 6.3 Study Review • Studies can be reviewed while performing an exam or by opening a study in Dataview. Gives you the ability to re-measure, re-annotate, delete images, zoom images, and capture edits with a new static image Note: If you need to pick up a transducer to take more images, you should restart. Otherwise, review will allow you to edit your exam. • Find desired patient. Double left click (select) to launch into review • From Dataview, double click left (select) on a study from the study list to launch study review. • Will say review only in upper left corner. SIEMENS SC2000 • To enter study review: From the open Wo study go to the imaging pane and select review from the menu. Review Only • Images can be formatted on the screen in multiple ways. Review 39 Turnover Workbook | SC2000 Double click left (select) on SN: 401369 Version: USO_ETCLATEST_SC2000_10_INTEG53_RELEASE Date: Wednesday, Augus: 28. 2013 / 13:34 Notes • any image to bring that image to full screen review. Double click left (select) on the full screen image to return to quad review • Use the Up/Down arrows in the left sided user interface to scroll through the study. • To change the number of images in the display, left click (select) on the image display format icon. A drop down list will let you chose the number of images displayed. SC200 • In multi-image formats the side interfaces will collapse. A small triangle will appear at Review Only each edge of the screen and a single left Review click (select) will return the menu and Image/Clip Review readjust image format size. Page 2 of 6 Show All Sync Free Form Full R-R Playback Speed 100% • To delete images from review; single right click (next) on an image and single left click (select) on delete image. • In image review; images can be exported to AVI or a teaching file of images can be created. [See Appendix C: Teaching File] Note: All Step by Steps can be located online at: http://usa.healthcare. siemens.com/education/med-imag-therapy/clinicaltraining/ultrasound/ ultrasound-clinical-apps Acquisition 6.4 Navigating Study Review Transducer 6C1 HD V Exam Preset Abdomen • You can review images, volumes, and clips during an exam or after an exam is completed. The review 2D Persistence screen displays all available images, volumes, and TEQ level clips. The task pane also displays images, volumes, OFF 2 3 and clips as thumbnails. RTIE Level | OFF • To enter review, Select Review from the menu at the Capture Preview Off left Review 40 Turnover Workbook | SC2000 Notes • The default for review is quad screen. • Use the drop-down menu to choose the format for Acquisition Review your images to be displayed Image/Clip Review Page 1 of 1 Show Sync Free Fo Playback Speed 100 LVA RVA • To see additional pages of the study point and Left click (select) on the page Review number in the study review menu. Image/Clip Review Page 2 of 2 JPG PAVI Show All Syno Free Form Playback Full.R.R Playback S 100% S/N: 400121 Version: VA15A Date: Wednesday, November 03, 2010 / 12:32 • Expand your review image field by selecting the small triangle Free Form in the middle of Playback Speed 100 % LVA 19/195 FRM the edge of each side Select All Page Up/Down • Exporting AVI/JPEG files to USB drive • Left click (select) desired images. A blue box will appear around desired images. • Once image(s) are selected left click (select) jpeg/avi icon • Use drop down menu to find USB drive • Select anonomize check box (if desired) • Left click (select) ok • AVI/Jpeg box will dissapear when export Review is complete Image/Clip Review Page • Left click (select) check mark to exit review 2 of 6 PG and close study 7 AV Show All Sync Free Form Playback Full R-R Payback Speed 100% 41 Turnover Workbook | SC2000 6.5 Study Restart Notes • Re-start allows additional images to be added real-time. • To restart a study and acquire new images: ORIC • Left click (select) to highlight pt On lower lt singleleft click (select) pt DER • folder icon to launch • Brings you to demographic screen • Only lower 2 blinds in pt demo screen Opens Patient Folder can be edited • Left click (select) OK • Study screen opens • Thumbnails will display 6.6 Export Study [See Appendix A: How to Export a Study to USB.] [See Appendix B: How to Export a Study to CD/DVD.] Note: All Step by Steps can be located online at: http://usa.healthcare. siemens.com/education/med-imag-therapy/clinicaltraining/ultrasound/ ultrasound-clinical-apps 6.7 Suitcase Icon X • The status or suitcase icon is located at the top right. This icon allows you to check the progress of any studies being sent to the network or CD/DVD, USB media. • Left click (select) suitcase ICON to check progress Status Patient Name Transfer Type Total No. Of Objects Instances Progress Resou All All All Completed Unknown File Export 2 2 100% Client • Status • Select Media or Network Tab SIEMENS w SC2000 Job View Status Patient Name Transfer Type Total No. Of Objects Instances Progress Resource Connection T_ All All Media Completed Unknown File Expo 2 100% Client Network Print DataDeletion Message REDEat All Eject Resume Detela 42 Turnover Workbook | SC2000 6.8 Delete Study Notes • You can delete patient data that is stored on the ultrasound system (the local database). When you delete patient data, the system removes all contents of the selected study • Studies can be deleted one at a time or in batches. • To delete selected patient data stored on the ultrasound system • Access the data view screen. • Left click (select) desired patient(s). Use shift key to select consecutive patients. Use CTRL to select non consecutive patients. • Left click the Delete selected item (paper shredder) icon. Deletes selected item(s). 08/07/2013 12:50:06 PM • Deletion message Warning X Selected objects may not be completely archived yet. They will be lost irreversibly! Continue anyway? Yes No • If desired left click (select) to refresh the current dataview , this will remove the studies from view that were just deleted. • If there are studies remaining in the suitcase, they cannot be deleted 6.9 Clearing the Job Queue • Left click (select) suitcase icon • Left click (select) desired patient(s) • Left click the delete (paper shredder) icon 6.10 Eject CD/USB • Use eject icon at bottom of screen 43 Turnover Workbook | SC2000 Notes 44 Turnover Workbook | SC2000 7. Protocols 7.1 Objectives Notes This section explains how to use eSie Scan protocols on the ACUSON SC2000 system. After this session, you will be able to: • Create and demonstrate how to use eSie Scan protocols on the SC2000 system. 7.2 Protocol Advantages • Brings continuity to studies performed. • All users in a lab can perform the same study protocol. • Views are not forgotten or left out. • Studies performed can be ICAEL ready. • Reduces keystrokes and study time. • Modes auto-launch. • Capture times pre-determined. • Automatic measurement initiation. • Automatic view labeling. • Automatic application entry. • Automatic capture setting changes. • Lessens risk of injury from repetitive motion. • Reduces learning curve on the system. • 7.3 Creating a Protocol • [See Appendix D: Creating a New eSieScan Workflow Protocol] • Note: All Step by Steps can be located online at: http://usa. healthcare.siemens.com/education/med-imag-therapy/ clinicaltraining/ultrasound/ultrasound-clinical-apps 7.4 Modifying a Protocol • [See Appendix E: Modifying a Protocol] • Note: All Step by Steps can be located online at: http://usa. healthcare.siemens.com/education/med-imag-therapy/ clinicaltraining/ultrasound/ultrasound-clinical-apps 7.5 Scanning with a Protocol • [See Appendix F: Scanning with eSieScan Protocols] • Note: All Step by Steps can be located online at: http://usa. healthcare.siemens.com/education/med-imag-therapy/ clinicaltraining/ultrasound/ultrasound-clinical-apps 7.6 Features not supported by protocols • RES/zoom • DTI • Annotations (outside label name) • eSie Left Heart 45 Turnover Workbook | SC2000 Notes 46 Turnover Workbook | SC2000 8. Calculations 8.1 Objectives Notes This section explains how to use the available measurement and calculation packages on the ACUSON SC2000 system. After this session, you will be able to: • Identify the available calculations in order to customize measurements, and measurement groups. • Demonstrate how to access and modify a Report/ Worksheet. • Integrate eSie Measure strategies into your workflow. 8.2 Accessing measurements • Click on ruler in homebase • Measurement labels are mode- dependent and grayed out when RES unavailable • Select either a general measurement or a measurement series • Individual measurements are selected by positioning cursor over specific measurement and pressing Select key. A checkmark will be displayed when measurement is completed • Measurement Series is a predefined sequence of measurements ie: Ao/LA, LV. When a measurement is completed the system anticipates the next measurement in the series. 8.3 Perform measurements The system copies the measured results for labeled measurements to the worksheets and patient reports. Generic measurements display only on the image. • Perform an Generic measurement • Activate the measurement function. • Select a measurement tool in the task pane. • Position the calipers on the image and complete the measurement by pressing the Select key. • Perform a labeled measurement • Activate the measurement function. • Select a measurement group from the drop-down M Mode list in the task pane. M Mode Aorta Aortic Valve Coronary Arteries Diastology Left Atrium Left Ventricle Mitral Valve Pulmonary Artery Pulmonary Valve Pulmonary Veins Right Atrium Right Ventricle Shunts Tricuspid Valve 47 Turnover Workbook | SC2000 Select a measurement label. Notes • PIN POAT D 34 434A1 13 AM • The measurement function displays a green arrow next to the measurement label in the task pane, activates the required tool for the label, and positions the first caliper on the center of the image, Doppler spectrum, or M-mode sweep. • Position the calipers on the image and complete the measurement by pressing the Select key and positioning the second caliper if applicable. Image store or pressing Select will save the measurement to the report. • Reposition an anchored caliper • Press the Select Set soft key to activate the first caliper for repositioning. • Press NEXT to activate the other caliper for repositioning. • Reposition and anchor the activated caliper. 8.4 Editing measurements You can edit or delete measurements. The measurement results immediately update after you reposition a measurement caliper. If you exit the measurement function, such as unfreezing the image, you can edit the value of any labeled measurement within the worksheet. • Select / Edit a completed measurement • Press Select Set soft key to select a completed measurement on the image. • The selected measurement caliper will be green • Press the Next key to toggle to a adjoining caliper set to reposition. • Reposition and anchor the selected caliper. 48 Turnover Workbook | SC2000 Notes • Edit a trace measurement • To edit an incomplete trace measurement: • Press Backspace or the backup soft key on the keyboard to remove each segment of the trace. • To edit a completed 2D trace measurement: • Select a completed trace measurement. • Press Backspace or the backup soft key on the keyboard to remove each segment of the trace. • You can use the trackball for Spectral Doppler and the backspace or undo key for 2D. • To redo a trace in either 2D and EDV ANC = 0 ml Doppler and keep the initial anchor pm / NTHI Gene point use the clear trace soft key • Delete a completed measurement on the image • Press the Select Set soft key to select a completed measurement. Press the Delete Set soft key to delete the measurement value from the image. 8.5 Generic measurement tools 3 9 1. Measure a distance 2. Measure the circumference and area of a structure. 3. Measure an ellipse. 4. Measure an angle. 5. Velocity and Pressure Gradient 6. Trace :Velocity Time Integral (VTI) Peak Pressure Gradient (PkPG), Mean Pressure Gradient (MnPG) 7. Caliper Pair:Velocity (V), Pressure Gradient (PG) for each caliper. 8. Delta Caliper Pair: Difference in velocity at the two caliper positions (dv), time duration between the two caliper positions (dT), Heart Rate, Slope, Pressure Half Time (P1/2T). 9. M-Mode Delta Caliper Pair: Distance, time duration between the two caliper positions: Slope, Heart Rate (dT->). 49 Turnover Workbook | SC2000 8.6 Navigating measurements labels Notes • When you select a measurement label in the task asurements pane: Adult Echo • A green arrow displays next to the measurement Left Ventricle label. 2D D M • The required tool is automatically activated. CT PLAX da • The caliper displays in the center of the image, RVD d PLAX Doppler Spectrum or M-mode sweep. IVS d PLAX LVID d PLAX LVPW d PLAX PLAX 3 IVS s PLAX LVID s PLAX LVPW s PLAX A4C Volume LV Area d A4C LV Major d A4C LV Area s A4C LV Major s A4C LV Minor d A4C LV Minor s A4C A2C Volume LV Area d A2C LV Major d A2C LV Area s A2C • After you complete a measurement, a checkmark is Measurements displayed next to the measurement label. Adult Echo Left Ventricle 2D M CT PLAX da RVD d PLAX IVS d PLAX LVID d PLAX LVPW d PLAX IVS s PLAX LVID s PLAX LVPW s PLAX 14C Volume LV Area d A4C LV Major d A4C LV Area s A4C LV Major s A4C LV Minor d A4C LV Minor s A4C A2C Volume LV Area d A2C • If a measurement label has been completed and a checkmark displays next to the label, you can select the label and measure again. • The patient report displays the mean value when multiple measurements exist. 50 Turnover Workbook | SC2000 8.7 Available mesurement packages • Default measurements are grouped in a dropdown MT SCHO PROTOCOL ECHO CH' INTH Da list. ECHO CF /NTH Ce • This can be found under the measurement tools in PLAK COLORDOC) IGOT / 1633 the user configuration menu. • The factory default of this dropdown list is grouped by anatomy in alphabetical order. This order can be LV VOLUME EFIA!! customized to user or lab preference. • The measurement graphical user interface is shared with eSie scan protocols and thumbnails. • Use the dropdown menu on the top right of the thumbnail display to change active display (arrow). 8.8 Freeze, cine, ED, ES, ED/ES split • To get to end diastole or end systole, freeze the image, then press the soft key for ED or ES. The system will automatically take you to the desired cardiac cycle. A third soft key option ED/ES Split; will enable a split screen image with diastole and systole both displayed for the same cardiac cycle. • Freeze the image and use the : “Go to ED” and “Go to ES” soft keys for the system defined frame • Freeze the image and use the ED/ES Split soft key for a split screen image of the system defined frames. • Freeze the image and use the freeze wheel to manually scroll to desired frame. 8.9 RDA • To move the RDA (Results display area) • Place the cursor on the RDA, press and hold select, “drag and drop”. • Feature is “set and forget” for each mode and defaults to lower left when making measurements from the review screen. 8.10 Worksheets and patient reports • You can view completed, labeled measurements and patient data in the worksheets and patient report. • The Cardiac worksheets and patient report display the mean value of all measurements for each label. The Vascular worksheets and patient report display the maximum value for each label. Note: You can edit measured results only in the worksheets • To view a worksheet or patient report: • Press Report on the keyboard. Rupert Fam Help L/R UD DVR Physio F10 F99 F12 F13 • Select the required measurement group from the Template drop-down list, if necessary. For example, select Adult Echo or Carotid. • The system displays tabs for the worksheets associated with the selected template. • Click the required tab. For example, click Left Atrium or Left Ventricle. 51 Turnover Workbook | SC2000 • There are several displays of the report and worksheet. Use the icons to select the desired information that you would like to review. (Report only, Worksheet only, Worksheet and Report) Report and ---- Worksheet == Display ----------- Report Only Display Worksheet Only Display 8.11 Editing worksheet data Use the worksheets to edit the measured results, comments, or patient history EMINE SC2008 Patent Folder Report and Warlaheet Repect 25012011 Exam Left Ventricle |Left Atrium | volumeses | Right ventricle | Right Atriums | Mitral valve | Ao/Aortic Valve | Tricuspid valve | Pulmonary Valve | Pulmonary veins | Diastology | PESA | LVA/RVA | Stress Eche-LVA | Arteries | Shunts | M- Dastole (cm) Systole (cm) tvS % thick 441 % 1.96 LVPw % Thck LVID LYPW IVS 6. PLAX 1.36 1.54 LV Major, SCLAX 1.14 1.39 LV Major, max Close eichhof 106 19 105. 70 36.44 LY EF 73.8 66.5 LV % FS 36.0 26.0 LY SV 79.02 69.26 m LV ET LY SE LY IVCT LV CO 6.425 5.575 Mmin LY IVRT LY bom Myocardial Performance Index MV Close-Open Duration mec ALL TE LV Mass LY MP LY Mass/Ht PSAX Diastole Systole IVS LVID chord cm LVPW chord cm LVID pap cm LVPW pap cm LY Area pap LV Epi area gap LY Minor Rad pap LV Mean Wall Thickness PRAX Cubed Teichho!! LV EF Template Adult Etho 52 Turnover Workbook | SC2000 Notes • To edit worksheet data • View the required worksheet. • Single left click (select) the required measured result. • The system displays up to five measured results. When there are more than five results, the system displays an arrow for viewing additional results. • Enter a new value or delete existing values, and then press Enter. • To edit comments or history details for the patient history, add or revise the required information in the Comments and the History text boxes on the Patient or Exam tab. 8.12 eSie Measure • Using Knowledge Based Workflow, eSie Measure provides automatic measurements for measurement Adult Eche group or series; can be performed in Diastology cine or stored images and is applicable to 2D, M-mode and PW/CW Doppler • ECG must be on to utilize 2D D M • To launch eSie measure- • Press the Gain/Freeze/Cine button 0 Mird hflow and then rotate the button to the MV E Vmax desired frame. Press Calcs key. Press the eSie Measure Icon located MY A Vmax • next to the series to be measured. MVDT • System will display up to 3 measurement for each calc in strip mode. • Edit eSie measure- • Press the Next/Rt key to toggle through and reposition each caliper one by one; the system will automatically update the results based on the changes made. Press the select set key to jump to each series of measurements made. • Deleting automeasurements • Press the Delete Key as soon as the measurement is performed if you would like to erase the auto measurements and measure manually; Press the Next Key or Select Set key to activate a specific measurement (it will turn green) then press delete. This will only delete the measurements that are selected. • Entering results into report • Use Select/Lt key to enter measurement or press on Image Store • Deleting results from report • (Please refer to the Measurements and Calculation section.) [See Appendix G: eSie Left Heart Functions] • Note: All Step by Steps can be located online at: http://usa.healthcare. siemens.com/education/med-imag-therapy/clinicaltraining/ultrasound/ ultrasound-clinical-apps 53 Turnover Workbook | SC2000 Notes 54 Turnover Workbook | SC2000 9. Stress Echo 9.1 Objectives Notes This section explains how to use the stress echo package on the ACUSON SC2000 system. After this session, you will be able to: • Demonstrate how to perform a Stress Echo • Explain how the Stress Echo technology works 9.2 Review Physio control The Physio controls of the system are located under the F13 or Physio key. • To Activate the Physio module: • Press the Physio key. The soft keys will now control the functions of the Physio module. • Marker: This controls the R wave marker. It can be with either on or off. • On or off function • Allows the EKG trace on or off the image. • The ECG / Aux-Changes the input from the 3-lead ECG cable to a cable inserted in the auxiliary connection to the stress echo cable. • Invert will invert the trace. [See Appendix H: Stress Echo with View Control] [See Appendix I: Stress Echo without View Control] Note: All Step by Steps can be located online at: http://usa.healthcare. siemens.com/education/med-imag-therapy/clinicaltraining/ultrasound/ ultrasound-clinical-apps 55 Turnover Workbook | SC2000 Notes 56 Turnover Workbook | SC2000 10. Backup and Restore [See Appendix J: Backup and Restore] Notes Note: All Step by Steps can be located online at: http://usa.healthcare. siemens.com/education/med-imag-therapy/clinicaltraining/ultrasound/ ultrasound-clinical-apps 57 Turnover Workbook | SC2000 Notes 58 Turnover Workbook | SC2000 11. Transducer Disinfectants [See Appendix K: Transducer Disinfectants] Notes 59 Turnover Workbook | SC2000 Notes 60 Turnover Workbook | SC2000 Notes 61 Turnover Workbook | SC2000 Notes 62 Turnover Workbook | SC2000 Notes 63 Turnover Workbook | SC2000 Appendix A: How to Export a Study to USB 64 ACUSON SC2000™ volume imaging ultrasound system- Export Study to USB 1. From the Dataview screen, left click / select to highlight the desired patient(s). ALL Patent O Barted by Booty Dalt, Body Tres TEST. PATENT 4 TEST, PATENTS 1 TEST, PATIENT2 1301000447 TEST, PATENT I STRESS, VALVE COLORS I STRESS, VALVE COLORA STRESS, VALVE COLORO I STRESS, VAMLE COLOR] STRESS, VALME COLOR Esumme Sirens Vanes STRESS. VALVES versine Bress Viaves TEST, STRESS VALVE Bert Stress Vales TEST, PATIENTS ntanes Manter iistance Creston Dare imitare Creston Tive Arching State "Deste Position Type - Series Description: Cardiac. Series Instance CID: 1.2.12:2.1107.5.5.10.401020.30000013070313435929000000854 44254PM Rav Dita 2. Select the export icon at the bottom of the Dataview screen. TEST PATENT] TEST PATENTE 1 TEST, PATIENT -- + STRESS, VALVE COLDIN | STRESS, VADE COLORI I STRESS VAVLE COLORE | STREER, LADIES --- 1 TEST. STHEB8 VALVE .............. ///////// / / // - Batiret Destim Tine 44214PM 3. The export screen has 3 options; (CD/DVD, File System (USB Drive), and Network) the system will default to the last option used. . Fie tyuter target capacty hutsese Page 1 of 3 SIEMENS www.usa.siemens.com/healthcare 4. Insert your USB drive into a port located behind the right side of the keyboard. Select the File System tab. Dita Collects Cardas 07/03/0013 Carhar Cantar Fil Sxxlen 02030083 Cardie Cantar Evertape Stress values Eserste Stress Valves Evertme Stress Vaters Benne Stress Valves antaren Creston Tine Archiving Shee Dents P Instance UD: 1.9.12.2.1107.5.5.10.491990.300000150750134959;9600000554 4 8254 PM 5. Click on the “Yellow Folder” icon and select your drive from the list. There is an option to create and name a new destination folder by selecting the “Yellow Star” icon. The system will create a destination folder by default. Target FA\ Removable Disk (F:) My Network Places Define Export Close Target == F. Removable Disk (F:) New Folder My Network Places Define Export Close 6. Export progress can be viewed in the Job View (Suitcase) window. Job View Status Patient Name Time Transfer Type Total No. Of Objects Instances AN Media Running TEST 2013-07-03 16:53_. Create CHITEMP Network Print DataDeletion Message Repeat Al Eject Page 2 of 3 SIEMENS www.usa.siemens.com/healthcare 7. Once the export is complete safely remove your USB drive by selecting the “Eject” icon from the Dataview or Job View window. TEST, PATIENT 4 TEST, PATIENTS | TESE. PATENTE 1301000442 12000011 TEST, PATIENT 1301800300 STRESIL VALVE COLORS STRESS VALVE COLORA ( STRESS, VACHE COLORS STRESS, VALE COLORO 1301030932 STRESS, VACHE COLOR 1307000315 STRESS VALVES 13870007211 TEST, STHEDE VALVE Mag Tide 4 42 841M4 Page 3 of 3 SIEMENS www.usa.siemens.com/healthcare Turnover Workbook | SC2000 68 Turnover Workbook | SC2000 Turnover Workbook | SC2000 Appendix B: How to Export a Study to CD/DVD 69 ACUSON SC2000™ volume imaging ultrasound system- Export Study to CD/DVD 1. From the Dataview screen, left click / select to highlight the desired patient(s). TEST. PATENT 4. TEST, PATENTS TEST, PATIENT2 TEST, PATIENT I STRESS, VALVE COLORS 1STRESS, VALVE COLORA STRESS, VALVE COLORO STRESS, VALLE COLOR) I STRESS, VALVE COLOR STRESS. VALVES TEST, STRESS VALVE TEST, PATIENTS instance Creston Dans. mitare Creston Tas - Series Description: Cardiac. Series Instance CID: 1.2.12.2.1107.5.5.10.401920.30000013070313435929600000854 44254PM 2. Select the export icon at the bottom of the Dataview screen. TEST. PATENT 4 | TEST PATENTS TEST, PATENTE È TEST, PATENT + STRESS, VALVE COLDIN 1 STRESS, VADE COLORS 1 STRESS VAILE COLORE TEST STHEBB VALVE 4.4214PM 3. The export screen has 3 options; (CD/DVD, File System (USB Drive), and Network) the system will default to the last option used. SIEMENS Page 1 of 2 www.usa.siemens.com/healthcare 4. Insert a blank disc into the CD/DVD drive; located in the center of the keyboard. Select the CD/DVD tab. SIEMENS SC2000 Export Data Collection Patient Descript Instances [] TEST, PATIEN ... Cardiac 2KB. instance(s) File System etwork CD/DVD i Target capacity suitable Profile Demonstration Medium Target CD (700MB) Autostart Local burning software Remove previous temporary Define Export Close 5. From the dropdown menu chose “Standard” for a DICOM only study export or “Demonstration” for DICOM and DICOM showcase viewer. Data Collectionm 01/01/0013 Ciritic 01439/20113 Carax Fistivor CDDVD 01/33/2013 01/010013 Cardxc Target capacity suticae 01:03/2013 60 5M 23 6MB 01/03/2013 Target CD pabME Exercise Stiens Valves Exercise Ser Vil's Evere Sent Viales 1236 Autostwt 01032019 Evertise Sbeas valves 6. CD/DVD will eject when finished. Progress can be viewed in the Job View (Suitcase) window. SIEMENS SC2000 Job View Status Patient Name Time Transfer Type Total No. Of Objects Instances Progress Resource ALL All All Media Running TEST 2013-07-03 16:53:. Create CITEMP Network Print DataDeletion Message Ropout All Eject RasurDO Delate SIEMENS Page 2 of 2 www.usa.siemens.com/healthcare Turnover Workbook | SC2000 72 Turnover Workbook | SC2000 Appendix C: Teaching File 73 Creating a teaching file 1. Teaching files are created from image review; either while performing a current study or opening a study in review mode from DataView. Note: Hide Name must be turned on before you start the study. 2. Left click (select) any image that you wish to include in the teaching file. The image will border will turn blue. S/N: 401369 Version: USD_ETCLATEST_SC2000_10_ INTEG53_RELEASE Date: Wednesday, August 20. 2013 / 13:34 wwww Onity 59 FRM fees 3. If entire study or multiple images are to be selected, use the review format to include more images for quicker selection. SIEMENS Page 1 of 2 www.usa.siemens.com/healthcare 4. You can use the “Select All” tool for an entire review page. 5. Entire review page is selected. If desired, use the “Page Up/Down” to select more pages. 6. When all desired images are selected, left click (select) the teaching file icon, on the upper left of the screen. The Teaching File menu will display. You can create a name for your file. Note, the system does not like special characters between words but will accept underscore: NAME_YOUR_TEACHING_FILE SIEMENS SC200 Wo Review Only Review Image/Clip Review Page Show Sync Playback Playback Speed 7. After naming your file; left click (select) on “Create New.” SIEMENS Page 2 of 2 www.usa.siemens.com/healthcare Turnover Workbook | SC2000 76 Turnover Workbook | SC2000 Appendix D: Creating a New eSieScan Protocol 77 ACUSON SC2000™ volume imaging ultrasound system- Creating a new eSieScan Workflow Protocol 1. Press F4 key on the top row of the keyboard. This will open user configuration menu. 2. Select eSieScan Protocols. On the left will be the factory default protocols. S/N: 400088 Version: VA15A Date: Monday, November 22, 2010 / 14:26 Acquisition Measurements System Settings Networking / Printing Applications .Sie Scan Protocols Configuration Non-Stress Echo Cardiac Limited Adult Echo Add Protocol Protocol Name MY ECHO PROTOCOLI Complete Adut Echo Volume Adult Echo Add Stop Default Capture Settings . Pediatric Echo Adult Echo Protocol Add View Clp Capture Prospective Copy Clips Per Capture Remove Capture Length · beats Hide Time secs Capture Delay Apply To Protocol Top . Display Step Name on Image Up Down Bonom 3. Select Add Protocol. S/N: 40008 Acquisition Measurements 'SieScan Protocols Configuration Non-Stress Echo Cardiac Limited Adult Echo Add Protocol Complete Adult Echo Voume Adult Echo Add Soi Pediatric Echo Aduft Echo Protocol Copy Remove Hde Top Up SIEMENS Page 1 of 6 www.usa.siemens.com/healthcare 4. Enter a protocol name in the Add Protocol dialog box. Protocol Name: Default Capture Settings Cip Capture Prospective Clips Per Capture: Capture Length . beats Add Protocol Captu Protocol Name: Adult Echo Protocol Protocol Type. Non-Stress Echo 2D Stress Echo 4D Stress Echo OK Cancel 5. Select the protocol type and then click OK. The system adds the protocol to the bottom of the protocol list. Protocol Name. Default Capture Settings Cip Capture Prospective Clips Per Capture: 1 Capture Length · beats: Add Protocol Captul Protocol Name: Adult Echo Protocol Protocol Type. . Non-Stress Echo 2D Stress Echo 4D Stress Echo OK Cancel 6. To reposition the workflow protocol in the list, click Top, Up, Down, or Bottom:  All workflow protocol lists, for example, on the menu and patient registration form, display the protocols in the selected sequence AI Cardiac Complete Acut Echo Add Protocol Limited Adult Echo Volume Adult Echo Add Sto Pedatnc Echo 4D Pham Stress 4 Stage Add Vier 20 Exerase Stress 2-Stage +2D Pharm Stress 4-Stage Copy E MYECHO PROTOCOL Remove Hido Top Up Down Bottom SIEMENS Page 2 of 6 www.usa.siemens.com/healthcare 7. Modify the Default Capture Settings, if necessary:  Note: These clip capture settings apply to the entire protocol unless different clip capture settings are defined for individual steps, stages, or views in the protocol S/N: 400088 Version: VA15A Date: Monday, November 22, 2010 / 14:26 Acquisition System Setor "Belcan Protecals Configuration Non Stress Echo Cardac Dieted Ada Echo Add Protocol MY ECHO PROTOCOL * Complete Adut Echo Protocol Name · Volume Adult Echo Add Step Default Capture Settings - Pediatric Eche Cip Cacare Prospect Copy Clips Per Captae Remove Capture Langer Apply To Protocol 8. To apply the default capture settings to all steps in the protocol, click Apply Protocol. Protocol Name: MY ECHO PROTOCOL Default Capture Settings Cip Capturo Prospective Cips Per Capture: 1 Capture Length beats 2 Time secs Capture Delay ms Apply To Protocol Display Step Name on Image 9. Adding a step in the protocol:  Click add step (When building the protocol, you have the option to add step or copy a step. If you select copy, everything will be duplicated, including measurements) S/N: 4000 Acquisition Measurements .Sin Scan Protocols Configuration Non-Stress Echo Cardiac Limited Adult Echo Add Protocol Complete Aduit Echo - Volume Adult Echo Add Stip Pediatric Echo Agut Echo Protocol Copy Hide TUp Up Down SIEMENS Page 3 of 6 www.usa.siemens.com/healthcare 10. Enter name of the step (i.e. PLAX) This will appear in the upper right corner of the image screen. e Sie Scan Protocols Configuration Non-Stress Echo Cardiac Limited Adult: Echo Add Protocol tap Name: Nowy Step + Complete Adut Echo Volume Adult Echo Add Stop # Pedetnc Echo Step Senings - MY ECHO PROTOCOL Add View New Step Step Capture Settings Copy Clip Capture Prospective Remove Clips Per Capture Capture Length › beats Time SeCS Capture Delay. Image Settings Automatic Transducer Change None Active Modes " Color PW " CW = M moda 11. Click appropriate box if you do not wish have step name displayed. Protocol Name: NEW PROTOCOL -Default Capture Settings Clip Capture: Prospective Clips Per Capture: 1 Capture Length: Beats lime secs Capture Delay: ms Apply to Protocol Display Step Name on Image 12. Determine modes (i.e. 2D, Color, PW, etc.) for this step. You would also indicate a transducer change if applicable. e Sie Scan Protocols Configuration Non-Stress Echo Cardiac + Limited Adult Echo Add Protocol Step Name Now Step Complete Adut Echo # Volume Adult Echo Step Sezings Montoromonts 3 Pedetric Echo MY ECHO PROTOCOL Add Vien Step Capture Settings New Step Copy Clip Capture Prospective Remove Clips Per Capture: Capture Length · beats Time secs apture Delay. : ms mage Settings Automatic Transducer Chenoa None ctive Modes .. 40 & Cojor PW . CW a M-modo 13. Adding measurements to the step:  Click the measurement tab for the current view  Measurements will be available for the modes selected e Sie Scan Protocols Configuration Non-Stress Echo * PSAXTR(2D.C.CW) PSAXPV(2D.C) Add Protocol Stp Nam How Step PV[2D.C.CW) Parastema(40) Parastema(4D.C) Measurements A4CLV(20) AAC MV[2D.C) A4C MV(2D.C.PW) Copy Application Adult Echo A5C ADV(2D] 20.PW A5C AOV(2D.C) Remove Imaging Mode(s) ASC ADV(2D.C.CW) Measurement Group Tricuspid Valve A5C AoV(2D.C.CW) A5CLVOT(2D.C.PW) A4C TW(20.C] TR Vmax (Sie) AAC TW(2D.C.PW) ce Add Measurement TR VTI A4C TR(2D.C.CW) TV Annd, A4C A2CLV(20) TV Annd A/P A3C(20) TV Area, Planim ABC MV(2D.C) << Add Store Image TVE Vmax A3C ADV(2D.C) TV A Vmax Apical LV[4D) TV Accel Slope Apical MV(40.0) TV Decel Slope Apical AoV(4D.C) Der AI TVDT BUBBLES(20) TV Vn TV VTI, Tips Subcostal IC(2D) Subcostal IVC(2D.C) TV VTI, Annulus Adult Echo Protocol TV Vmax E New Step(2D.PW) TV Mean Grad - PLAX Ao d (Senes) eSie Measure Manual SIEMENS Page 4 of 6 www.usa.siemens.com/healthcare 14.  Choose measurement group and available options will be below. You may choose a series of measurements or individual measurements  Highlight the measurement or series then select Add Measurement tSitScan Protocols Configuration Non-Stress Echo PSAXTR|2D.C.CW) PSAX PV(20.C) Add Protocol Step Name New Stop PV[2D.C.CW) Parastema(4D) Add Stop Stro Sedirigi Parastema(4D.C) Measurement A4CLV(20) Add Views A4C MV(2D.C) A4CMV(2D.C.PW) Copy Applcation Adult Echo A5C ADV(20) A5C AoV(2D.C) 20.PW Remove + ASC ADV(2D.C.CW) Measurement Group incuspid Valve A5C ADV(2D.C.CW) A5CLVOT(2D.C.PW) AAC TV(2D.C] TR Vmax(eSie) A4C TW(2D.C.PW) << Add Measurement TR VTI + A4C TR(2D.C.CW) TV Annd, A4C TV Annd AP A2CLV(20) A3C(20) TV Area, Planim A3C MV(2D.C) << Add Store Image TVE Vmax A3C ADV(2D.C) TV A Vmax Apical LVESD) TV Accel Slope Apical MVM4D.C] TV Decel Slope TVOT Apical AoV(4D.C) Clear Al BUBBLES(20 TV VTI Subcostal IC(2D) TV VTI, Tips Subcostal NC|2D.C) TV VTI, Annulus TV Vmax =Adut Echo Protocol = New Step(20 PW) TV Mean Grad PLAX Ao d (Senes) F eSie Measure @ Manual 15. You may also add additional image store options if needed to capture images of several measurements under one step. eSie Scan Protocols Configuration Non-Stress Echo PSAXTR(2D.C.CW) PSAX PW(2D.C) Add Protocol PV[2D.C.CW) Parastema(4D) Add Step Parastema(4D.C) Measurements + A4CLW(20) AAC MV(2D.C) A4C MV(2D.C.PW) Copy Application Adult Echo A5C ADV(2D] A5C ADV[2D.C) Remove Imaging Mode(s) 2D. PW + A5C AoV(2D.C.CW) Measurement Group incusold Valve + A5C AoV(2D.C.CW) A5CLVOT(2D.C.PW) A4C TW(2D.C] TR Vmax (Sie) AAC TW(2D.C.PW) << Add Measurement TR VTI TV Annd, A4C + A4C TR(2D.C.CW) TV Annd A/P AZCLW(20) ABC(20) TV Area, Plenim A3CMV(2D.C) Add Store Image TVE Vmax A3C ADV(2D.C) TV A Vmax TV Accel Slope Apical LW[4D) Apical MV(40.0] TV Decel Slope Apical AoV(4D.C) Clear All TVDT BUBBLES(20) Bottom TV Vn TV VTI, Tips Subcostal IC(2D) Subcostal IC[2D.C) TV VTI, Annulus TV Vmax Adult Echo Protocol E New Step(2D,PW) TV Mean Grad PLAX And /Senesi eSie Measure C Manual 16. **If there is an eSie Measurement option for the measurements you have chosen, be sure to indicate if you would like to do this measurement manually. Otherwise, it will automatically default to eSie Measure. eSitScan Protocols Configuration Non-Stress Echo PSAXTR(2D.C.CW) PSAXPW(2D.C] dd Protocol Step Name New Step PV[2D.C.CW) Parasteme(4D) Add Step Parastema(4D.C) Measurements - AACLV(20) A4C MV[2D.C) AAC MV(2D.C.PW) Copy pplication dut Echo A5C ADV(20) ASC ADV(2D.C) Remove maging Mock(s) 2D,PW A5C AoV[2D.C.CW) Measurement Group: · ASC AoV(2D.C.CW) Tncuspid Valve A5CLVOT(2D.C.PW) AAC TW(2D.C) TR Vmax(eSie) A4C TW(2D.C.PW) << Add Measurement TR VTI AACTRIZD.C.CW) TV And, A4C + A2CLV(20) TV And A/P A3C(20) TV Area, Planim A3C MV(2D.C) << Add Store Image TVE Vmax A3C ADV(2D.C) TV A Vmax TV Accel Slope Apical LW4D) TV Decel Slope Apical MV(4D.C) Apical AoV(4D.C) Clear All TVDT Buttom TV VTI BUBBLES(20) Subcostal IC[2D) TV Vn, Tips TV VTI, Annulus Subcostal WC(2D.C) TV Vmax Adult Echo Protocol = New Step(2D,PW) TV Mean Grad PLAX Ao d (Senes] eSie Measure / Manual SIEMENS Page 5 of 6 wwww.usa.siemens.com/healthcare 17. Continue to add and copy steps until your protocol is finished. .SieScan Protocols Configuration Non-Stress Echo PSAXTR(2D.C.CW) PSAXPIT Add Protocol Nep Name Now Step PV[2D.C.CW) Parastema(4D) Add Step Step Songs Parassema(4D.C) Measurements + AACLWO A4C MV(2D.C) AAC MV(2D.C.PW) Copy Application Adult Echo A5C ADV(2D) ASC AoV(2D.C) Remove Imaging Mode(s) 2D.PW A5C ADV[2D.C.CW) Measurement Group: Incuspid Valve + A5C AbV(2D.C.CW) A5CLVOT(2D.C.PW) TR Vmax (eSie) A4C TW(20.C] A4C TW(2D.C.PW] << Add Measurement TR VTI TV Annd, A4C AACTRIZD.C.CW) TV Ann'd A/P AZC LW(20) TV Area Planim A3C(20) Top TVE Vmax A30 MV[2D.C) Up c'« Add Store Image TV A Vmax A3C AoV(2D.C) TV Accel Slope Apical LV(AD) Apical MVI4D.C) Door TV Decel Slope Apical AoV(4D.C) Clear AI TVDT BUBBLES(20) Buttom TV VTI TV VTI, Tips Subcostal IVC(2D) TV VTI Annulus Subcostal NC[2D.C) TV Vmax Adut Echo Protocol TV Mean Grad Now Step(2D,PW) PLAX Ao d (Series] · eSie Measure @ Manual 18. Click Apply then OK to save your changes. Non-Stress Echo Cardiac EB Limited Adult Echo Add Protocol Protocol Name: NEW PROTOCOL E Complete Adult Echo - Volume Adult Echo Add Step Default Capture Settings Pediatric Echo Adult Echo Protocol Add View Clip Capture Prospective NEW PROTOCOL Copy Clips Per Capture 1 Remove Capture Length Beats Time Hide ecs Capture Delay. 0 ms Apply to Protocol Top Up Display Step Name on Image Down Bottom Requested Procedure Mapping OK Apply Cancel Help SIEMENS Page 6 of 6 www.usa.siemens.com/healthcare Turnover Workbook | SC2000 84 Turnover Workbook | SC2000 Appendix E: Modifying an eSieScan Protocol 85 ACUSON SC2000™ volume imaging ultrasound system- Modifying an eSieScan protocol Acuson 1. Highlight protocol you wish to modify. AL Cardiac Complete Acut Echo Add Protocol Limited Adult Echo Volume Adult Echo Ald Stop Ped atnc Echo 4D Pharm Stress 4-Stage Add View 20 Exercise Stress 2-Stage 2D Pharm Stress 4-Stage Copy MY ECHO PROTOCOL Remove #do Top Up Down Bottom 2. Choose copy. Al Complete Adut Echo Add Protocol Limited Adul Echo Volume Adult Echo Add Stop Ped atric Echo 4D Pharm Stress 4.Stage Add Vier 20 Exercise Stress 2-Stage 2D Pharm Stress 4-Stage Copy MY ECHO PROTOCOL Remove Hide Top Up Down Bottom 3. Rename the protocol. e SieScan Protocols Configuration All My Echo Protocol (1) My Echo Protocol Add Protocol Protocol Name: My Echo Protocol ( 1 ) Cardiac HFWORKFLOW ACCEL Add Step Default Capture Settings Adult Echo Protocol Limited Adult Echo Add View Clip Capture: Prospective # Complete Adult Echo Volume Adult Echo Copy Clips Per Capture: 1 Pediatric Echo 1-4D Pharm Stress 4-Stage Remove Capture Length: Beats 2D Exercise Stress 2-Stage Time secs # 2D Pharm Stress 4-Stage Hide Vascular Capture Delay 0 ms Carotid RETRO 2 Apply to Protocol # Demo Adult Echo Ile SieScan Protocol Demo Top Display Step Name on Image Down Bottom Requested Procedure Mapping OK Apply Cancel Help SIEMENS Page 1 of 2 www.usa.siemens.com/healthcare 4. Add, edit, or delete steps, modes, settings, measurements, and clip capture parameters as needed. S/N: 400088 Version: VA15A Date: Monday, November 22, 2010 / 14:26 Acquisition Measurements System Settings Networking / Printing Appalcations 15+Scan Protocols Configuration Non Stress Echo Cardas Linsted Aagt Echo Protocol Name MY ECHO PROTOCOL Compilate Aout Echo - Volume Adult Echo Add Stip Default Capture Settings Pediatric Echo Adit Echo Fro Clp Caçare Prospective Copy Cips Per Captas Capture Large Cacere Dela Apply To Protocol Top OK Cancel 5. Choose apply, then ok. Sie Scan Protocols Configuration sBumae maske Non-Stress Echo Cardiac Limited Adult Echo da Protocol: Protocol Name MY ECHO PROTOCOLE Complete Adut Echo Volume Adult Echo Add Stap Default Capture Settings Pediatric Echo Adult Echo Protocol Clp Capture: Prospective Copy Cips Par Capture Remove Capture Length 2 Hide Time Capture Delay Apply To Protocol TOO . Display Step Name on image 6. You have the ability to hide the factory default once you have modified. The protocol name would then be grayed out. tuscan Protocols Configuration + My Echo Protocol (1) . My Echo Protocol Add Protocol Protocol Name My Echo Protocol !!) Default Capture Settings Aout Echo Protocol Limited Adit Echo Clp Capture Prospective Clips Per Cacexe Remove Capture Langt 20 Exercise Stess 2-Stage Time Vescalar RETRO 2 Apply to Protocol - Display Step Name on mag- Dove Botom OK SIEMENS Page 2 of 2 www.usa.siemens.com/healthcare Turnover Workbook | SC2000 88 Turnover Workbook | SC2000 Appendix F: Scanning with eSieScan Protocols 89 ACUSON SC2000™ volume imaging ultrasound system- Scanning with eSieScan protocols 1. Go to the patient demographic page via the new patient key. 2. Click on the drop down menu next to workflow. SIEMENS W. SC2000 S/N: 400631 Version: USD_ETCLATEST_SC2000_3.0_INTEG49_RELEASE Date: Monday, June 10, 2013 / 07:27 Patient Folder Report and Worksheet Patient Demographics Last Name Patient ID First Name Date of Birth MM/dd/ yyyy Middle Name Age Sex Male Female . Other . Request Information Referring Physician Institution Name SIEMENS HEALTHCARE Accession Number Performing Physician Request ID Operator Workflow Workflow Cardiac OLVA ORVA OPISA Exam Information Transducer 4V1c mmHg Exam Preset Cardiac Indication Height Inches Weight Additional Information BSA - Custom Information Custom 1 Custom 2 OK Cancel Proregister Shot Form Page 1 of 5 SIEMENS www.usa.siemens.com/healthcare 3. Select the eSieScan protocol you would like to use. Patient Folder Patient Demographics Last Name PROTOCOL First Name Middle Name Request Information Referring Physician Accession Number Request ID ee87odbe-0043-45 Workflow Requested Proceduto Exam Information Transducer 4 Exam Preset Cardiac Height inches Weight lbs BSA Custom Information Custom 1 OK Cancel 4. If not selected from the demographic page, click on the carrot in the upper left corner when live imaging:  Select protocol from the drop down menu Cardiac Cardiac Adult Echo Protocol Acquisition Limited Acuit Echo ZD Exprelou Stress 2-Stage Vascular RETRO 2 20 Page 2 of 5 SIEMENS www.usa.siemens.com/healthcare 5. Once you select a protocol and begin imaging, the protocol will load on the right side of the screen. S/N: 400631 Version: USD_ETCLATEST_SC2000_3.0 INTEG49_RELEASE Date: Friday, June 07, 2013 / 17:17 Adult Echo Protocol PROTOCOL 130607044744484 06/07/2013 5:17:16 PM 003 / MI: 1.23 / TIS: 1.29 New Step / Cardiac / 4Vic .Sie Scan Prom Adult Echo Protocol Acquisition Transducer 56 fps / 130 mm - New Step NTHI General -20- RVAW d H4.3MHZ / 2 GB RVD d 20 DR: 65 GB 1572/ 1613 LVos RUAWS Review Store Image Store Image OPLAXd D Store Image , MLVOT Systolic Store Image 6. To start the protocol, click on resume protocol. You may pause and resume the protocol as much as you would like during the exam. 4Vic MY ECHO PROTOCOL ECH 14. 25 MHZ . PLAXOO) -6 GB / DR: 65 dD PLAX COLOROD.C) LVM-MODECD,MI . PVPWIRD.C.PW) LV SWEEPQD) LAS BUBBLE STUDYL .. LV VOLUME EF(40) 7. A green triangle will appear next to the step name when you begin. After you complete a step, there will be a check mark next to it and the green arrow will move to the next step. 4Vic 61 fps / 160 mm MY ECHO PROTOCOL / NTHI Ganeral H4 25 MHZ - PLAXOOI 11 cB / DR: 65 dD 223 / 225 RVD &. PLAX 100 IVS &. PLAX LVIO a, PLAX LVPW d. PLAX Story Image IVB & PLAX LVID & PLAX LVPW E. PLAX Stare Image PLAX COLORGDC) LVMAIODECOMI . PVPW22D.C.PW) LV SWEEPCO) IAS BUBBLE STUDYL LV VOLUME EF(43) 24 cm 71 bpm Page 3 of 5 SIEMENS www.usa.siemens.com/healthcare 8. To redo a step, press the step name with the white arrow cursor. The picture you originally acquired will be saved along with the new one. ic 61 Ips / 160 mm MY ECHO PROTOCOL ECHO CF /NTH Gener 2D 14.25 MHZ PLAXED) do / DR: 65 dD PLAY COLORDO.C) LV M-MODEG.D.M) PVPWOD.C.PW LV SWEEPGO) LAS BUBBLE STUDYL LV VOLUME EF(AD) 9. To skip a step, click on the next desired step. The green arrow will move forward and the skipped steps will not have a check mark. Adult Echo Protocol Pause Protocol › PLAX LV(2D) PLAX LV(2D) PLAX LV(2D,C) PLAX AOVILA(2D,M) " AOILA Store Image › PLAX MV(2D.M) › PLAX LV(2D,M) PLAX TV(2D) PLAX TV(2D,C) PSAX MV PSAX PAP PSAX APEX PSAX PAP(2D,C) PSAX AV(2D) PSAX AV(2D,C) PSAX PV(2D,C) PSAX PV(2D,C,CW) PSAX TV(2D,C) PSAX TV(2D,C,CW) A4C(2D) A4C(2D) A4C MV(2D,C) > A4C MV(2D,C.PW) > A4C MV(2D,C,CW) DTI LAT DTI SEPTAL A5C AoV(2D) End Protocol 10. To skip a measurement within a step, press the delete set soft key option. A red X will appear next to the skipped measurement. 0 / MI: 0.50 5: 08/08:37 19 fps / 160 mm MY ECHO PROTOCOL 4Vic CHO CF' / General 2D 19 fps / 160 mm MY ECHO PROTOCOL H4.25 MHZ PLAXOO) ECHO CF' / General 11 GB / DR: 65 GB >PLAX COLORDOC) 1 PV Vmer = 0.80 m/s -Color- CDV / 2.0 MHZ > LVM-MODECOM) H4.25 MHZ PLAXOO) PY PK Grad = 25 mmHg -0.5 GB PVPWGD.C.FW) 2 PR ed Vel = 0.85 ml 11 dB / DR: 65 dB VI PLAX COLORED,C) PR ed Grad = 2.9 mmHs 3.5 mm / 1.75 MHZ ... Color -.. 3 PV Vmax = 0.81 m/s PV PK Grad = 2.7 mmHg 14 dB / DR. 70 Swep: 50 CDV / 2.0 MHZ 4 PR +d Vel = 0.01 m's Time (sec): 10 -0.6 GB PVPW(2D.C.PW) PR ed Grad - 0.0 mmHa LY SWEEPQO) PW LAS BUDDLE STUDY! ...... LV VOLUME EFILOS 3.5 mm / 1.75 MHz PVVmax 14 dB / DR: 70 PR ed Vel Sweep: 50 Time ( Sec): 10 Store Image 100 LV SWEEPQO) IAS BUBBLE STUDY(. LV VOLUME EF(40) Cine Cale Page 4 of 5 www.usa.siemens.com/healthcare SIEMENS 11. Press Review Key to review images. To delete an image Press the next key (right click) on image; Select delete option Review Cadence Dual Dyn R MultiHz 12. The protocol will automatically pause when the following occurs:  You go into review mode  You initiate a mode or measurement not in the protocol The heading will read resume protocol. S/N: 400631 Version: USD_ETCLATEST_SC2000_3.0_INTEG49_RELEASE Date: Friday, June 07, 2013 / 17:13 Adult Echo Protocol PROTOCOL OdB / MI: 1.17 / TIS: 1.26 130507044744484 06/07/2013 5:13:26 PM Adult Echo Protocol / Cardiac / 4Vlc .SieScan Protocol Adult Echo Protocol Acquisition Transducer New Step Exam Preset Store Image 2D Store Image . A PLAXd D Store Image >MLVOT Systolic Store Image 13. Once the protocol is finished, you may continue scanning or press end protocol. Scan Protecel fps / 160 mm MY ECHO PROTOCOL "INTH General -20 14.25 MHZ PLAXO 11 dB / DR: 65 dB PLAX COLOROD.C) 1507 / 1633 100 LV M-MODEGDM) PVPWIZD.C.PW) LV SWEEPGO) IAS BUBBLE STUDY! LV VOLUME EF(AD) 14. Once you have ended, you will not be able to restart the protocol but you will be able to continue capturing more images. Page 5 of 5 SIEMENS www.usa.siemens.com/healthcare Turnover Workbook | SC2000 Appendix G: eSie Left Heart Package 95 ACUSON SC2000™ volume imaging ultrasound system- eSie Left Heart Package 1. Enter eSie LH from either a saved clip in review or from cine / . freeze. My Echo Protocol New PLAX LVL201 PLAX LVRDI PLAK LYRO.C 20 TEQ: 2/ Omet 1 . PLAK ABVILAROMI . PLAXLVRD,MI PLAITYOU PEAK MV or PEAK PAP PSAX APCT PRAX PAPDO CI PEAX AVROI PSAX AVOD.CI PCAX PVPD.CI . PSAX PVDO.C.CW) PEAX TVDO.C . PSAX TV.ID.C.CW) MACOO A4C MVOD.C) . MC MYDD C.CW) . OTILAT Movie Controls ED ES SALE! . OTI DOPTAL Start / stop Cine . ASCLVOTOD.c.PM) 2. The system will choose the last complete cardiac cycle. You have the ability to scroll to any cardiac cycle in the cine loop or saved image. Wa My Echo Protocol New My Echo Protocol New / ECHO CF- 14V18 Acquisition Transducer 4V16 58 bpm / WPA / 160 mm 2D TEQ : 2% Ofser DR. 65 dB Cropping Mode Full R.R Extended R-R Movie Contr Go to ED Go to ES ED.ES Split Start / STOP 3. Right-click the image and then left click (select key) eSie Left Heart on the menu. Cardiac Acquisition Transducer 51 fps / 180 mm 45 bpm / NTHI General --- 2D --- 2D TEQ: 1 / Offset: 0 dB S1 E: 0 P: 1 341 / 341 RTIE Level OFF Cropping Mode Extended R - R Review Movie Controls Go to ED Go to ES ED.ES Split Start / Stop Cine SIEMENS Page 1 of 5 www.usa.siemens.com/healthcare 4. The program displays end diastole and end systole in a side-by-side format and the measured results. The ED and ES images display the detected contours and major axes of the left ventricle and left atrium in green. DdB / MI: 1.10 / TIS: 1.21 10/23/2013 9:52:17 AM Cardiac / Cardiac / 4V1c LV EF A4C = 60.3 % LV EDV A4C = 143.8 m LV ESV A4C = 57 ml 51 fps / 180 mm LA EF A4C = 57.9% 43 bpm / NTHI General LA EDV A4C = 21.1 ml --- 2D --- LA ESV A4C = 50.2 ml H4.3MHz / 9 dB TEQ: 1 / Offset: 0 dB DR: 60 dB S1 E: 0 P: 1 1375 / 1478 Go to ES A4C / A2C Go to ED Manual 5. Use the select key or image store to enter the data into the report package. Image Store SIEMENS www.usa.siemens.com/healthcare Page 2 of 5 6. Entered data and traces will become white. 10/23/2013 9:52:37 AM ™ Cardiacy avfc Cardiac / Cardiac LV EF A4C = 60.3 % LV EDV A4C = 143.8 m Left Heart LV ESV A4C = 57 ml 51 fps / 180 mm 43 bpm / NTHI General meSie Left Heart A4C A ESV A4C = 50.2 ml H4. 3MHZ / 9 dB LV Area d A4C Offset: 0 dB DR- 60 dB LV Area s A4C LA Area d A4C LA Area s A4C 1478 LV Area d A2C LV Area s A2C LA Area d A2C LA Area s A2C 7. To make a change in the traced volumes; hover the mouse on the area to be changed. The trace will become yellow with red pivot points. 10/23/2013 9:53:33 AM OdB / MI: 1.10 / TIS: 1.21 Cardiac / Cardiac / 4V1c LV EF A4C = 60.6 % LV EDV A4C = 144.9 ml LV ESV A4C = 57 ml LA EF A4C = 57.9 % 51 fps / 180 mm LA EDV A4C = 21.1 ml 43 bpm / NTHI General LA ESV A4C = 50.2 ml --- 2D --- H4.3MHz / 9 dB KEQ: 1 / Offset: 0 dB DR: 60 dB S1 E: 0 P: 1 1375 / 1478 8. Delete a trace with the soft key menu or drag a pivot point or yellow trace line to a new desired location. OdB / MI: 1.10 / TIS: 1.21 10/23/2013 9:54:27 AM Cardiac / Cardiac / 4V1c LV EF A4C = 60.6 % LV EDV A4C = 144.9 ml LV ESV A4C = 57 ml LA EF A4C = 57.9 % 51 fps / 180 mm 43 bpm / NTHI General ERy A4C = 21.1 ml LA ESV A4C = 50.2 ml --- 2D --- H4.3MHz / 9 dB TEQ: 1 / Offset: 0 dB DR. 60 dB S1 E: 0 P: 1 1375 / 1478 Delete Trace Select Cine Cale SIEMENS Page 3 of 5 www.usa.siemens.com/healthcare 9. There is an instant change to the volume in the data box. Left click to end adjustment, press select or take an image store to enter the new volume data. OdB / MI: 1.10 / TIS: LV EF A4C = 60.6 % Cardiac / Cardiac / 4V1c LV EDV A4C = 144.9 ml LV ESV A4C = 57 ml 51 fps / 180 mm LA EF A4C = 57.9 % LA EDV A4C = 21.1 ml 43 bpm / NTHI General LA ESV A4C = 50.2 ml --- 2D --- H4.3MHZ / 9 dB TEQ: 1 / Offset: 0 dB DR: 60 dB S1 E: 0 P: 1 1375 / 1478 10. Area length line can be adjusted with a left click to drag and left click to drop. OdB / MI: 1.10 / TIS: 1.21 Cardiac / Cardiac / 4V1c LV EF A4C = 60.6 % LV EDV A4C = 144.9 ml LV ESV A4C = 57 ml LA EF A4C = 57.9 % 51 fps / 180 mm 43 bpm / NTHI General LA EDV A4C = 21.1 ml -- 2D --- LA ESV A4C = 50.2 ml H4.3MHz / 9 dB TEQ: 1 / Offset: 0 dB DR: 60 dB S1 E: 0 P: 1 1375 / 1478 ly-f+ Ly 11. To chose another cardiac cycle (if available), use the scroll beats knob on the keyboard to dial to a previous cardiac cycle. Diastolic image will show a change. 10/23/2013 10:02:35 AM rdiac / 4V1c LV ESV A4C = 49 ml 54 fps / 170 mm 45 bpm / NTHI General A ESV A4C = 54.2 ml --- 2D --- H4.3MHZ / 8 dB TEQ: 1 / Offset: 0 dB DR: 65 dB S1 Scrol Boots Map Tint w. Cine Cale SIEMENS Page 4 of 5 www.usa.siemens.com/healthcare 12. Use the Recalculate soft key to reprocess this new cardiac cycle. Go to ES Recalculate Go to ED Manual Cine Calc Select 13. Note: For best results do not zoom or decrease your depth so that the algorithm can see the other cardiac chambers to determine 4Ch or 2Ch. If eSie Left Heart chooses the wrong view, use the 3rd soft key to toggle between the A4C and A2C. **Must have a ECG trace to use any eSIe Measurement Go to ES A4C / A2C Go to ED Manual 14. To exit eSie Left Heart either unfreeze or press the 2D knob. SIEMENS Page 5 of 5 www.usa.siemens.com/healthcare Turnover Workbook | SC2000 Appendix H: Stress Echo with View Control 101 ACUSON SC2000™ volume imaging ultrasound system- Stress Echo With View Control . 1. Start a new patient. Under cardiac workflow, select your customized exercise or dobutamine protocol. Click OK to begin imaging. Workflow Cardiac Cardiac Limited Adult Echo Complete Adult Echo Volume Adult Echo 4D Pharm Stress 4-Stage 2D Exercise Stress 2-Stage 2D Pharm Stress 4-Stage 2. Connect your treadmill ECG slave cable and change Physio F13 to AUX if applicable. Physio F13 3. Orientation note* Right sided interface is for acquiring images, Left sided interface is for selecting and shuffling images. 4. When you are ready to begin the stress protocol, click on resume protocol in the upper right corner task pane. (A fixed region of interest will appear.) eSieScan Protocol 2D Exercise Stress 2-Stage Resume Protocol Rest Post Page 1 of 8 SIEMENS www.usa.siemens.com/healthcare 5. A green arrow will appear next to the active stage and active view name. Post A4C (2D) A2C (2D) PLAX (2D) PSAX (2D) Accept Stage Resume Capture End Capture 6. Press clip store to begin acquisition of the configured number of clips. Clip Store RES OVR SIEMENS www.usa.siemens.com/healthcare Page 2 of 8 7. Images will automatically appear for selection. To select, single click on the desired view; a blue square will frame the image of the selected view. To unselect simply single click on the image again. To recapture, single click on the view name on the right sided interface. (Note : New images will replace previously acquired images!) 8. After all views have been acquired and selected for a given stage; you may single click on stress review to see the selected images. Exercise Stress 2-Slug pu flevwww LVA RVA 9. To start the next stage, single click on the right side of the screen on the next stage. If applicable a timer will start. 2D Exercise Stress 2-Stage Pause Protocol Y Rest ¥>PLAX (2) ¥>PSAX (2) ¥A4C (2) VIA2C (2) Accept Stage Post Page 3 of 8 SIEMENS www.usa.siemens.com/healthcare 10. Press clip store to begin your continuous acquisition and acquire all of your post images. Press clip store again to stop/pause acquisition. Clip Store RES DVR AP 11. Use the scroll wheel at home base to advance through all of the images. A green arrow will appear next to the active image. (Note: Baseline parameters are applied uniquely for each view.) Y Post ¥ A4C (2D) A2C (2D) PLAX (2D) PSAX (2D) 12. Press clip store again to stop/pause acquisition. Gain Clip Store RES DVR Ap Page 4 of 8 SIEMENS www.usa.siemens.com/healthcare 13. A progress bar will appear on the right side task pane of show available capture space. eSieScan Protocol 2D Exercise Stress 2-Stage Pause Protocol Rest Post A4C (2D) A2C (2D) PLAX (2D) PSAX (2D) Accept Stage 5 % Pause Capture End Capture 14. When you are finished capturing, press select to disengage ROI. . 15. Select End Capture on the right hand task pane to be put into review/selection mode. eSieScan Protocol 2D Exercise Stress 2-Stage Pause Protocol Rest Post A4C (2D) A2C (2D) PLAX (2D) PSAX (2D) Accept Stage 5 % Pause Capture End Capture . Page 5 of 8 SIEMENS www.usa.siemens.com/healthcare 16. Select view name from the menu to review images captured. Stress Echo Selection Page 22 of 26 Stage Post / AAC 2 V A2C PLAX PSAX 17. Point and left click to select image, right click on this image to label it with the appropriate view name. (Multiple post images can be selected per view if desired.) -- Ferite 00 18.  On the left task panel, click each View name to automatically move to the first post images captured of each view.  Use the Page control to move through the remaining images of each view. Using the Select key, choose the images to be saved.  A checkmark will appear beside the view name once the image(s) have been selected. View names can be changed by pressing the Next key (right click) for a menu of view names Stress Echo Selection Page 22 of 26 Stage Post ¥ A4C VA2C PLAX PSAX SIEMENS Page 6 of 8 www.usa.siemens.com/healthcare 19. Select all post images then Stress Review Viewing options include: 1. Hide/show overlays. 2. Viewing layouts.  1only,1X1, 2X2, 4X2, 4X3 3. Sort Stress Echo  Sort by stage Selection  Sort by view Stress Review 4. Playback Mode. Page 1 of 1  Full R-R 2  Systole only Sort Sort By Stage Diastole only 3  5. Brightness and contrast. Playback Mode 4 Full R-R Brightness 50 of 100 5 Contrast 50 of 100 20. The left hand menu will allow you to view images by view or stage 1 and also let you change playback mode. If multiple images were selected per view, click on the dog ear in the upper right corner of the images to cycle through selections. 2D Pharm Stress 4-Stage Baseline 10:16:39 eak 10:26:46 50 FPS LAX 50 FPS 66 BPM 00:01:03 72 BPM MI: 0.9 MI: 0.9 Acquisition Stress Echo Stress Review Page 1 of 1 Sort Sort By Stage Playback Mode Full R-R Brightness 50 of 100 Contrast 50 of 100 1:70 1:70 Baseline 10:19:59 Peak 10:27:28 A4C 45 FPS 1/2 A4C Review 72 BPM MI: 1.0 00:01:45 MI: 1.0 LVA RVA SIEMENS www.usa.siemens.com/healthcare Page 7 of 8 21. Press the check mark on left hand side to close exam. Stress Echo Review 22. Helpful Hints:  At anytime during the stress exam, you can pause the protocol by selecting Pause Protocol on the right hand task pane.  To make a measurement, point and left click on the image you wish to measure. Pause playback then press the Measure Key on the keyboard.  Two timers are available and can be displayed in review. The first timer starts as soon as Accept Stage is pressed. The other timer is activated manually and is located in the lower left hand portion of the screen.  Do not use scroll wheel to change pages. Use menu knob or page up/down keys on keyboard. SIEMENS www.usa.siemens.com/healthcare Page 8 of 8 Turnover Workbook | SC2000 110 Turnover Workbook | SC2000 Appendix I: Stress Echo Without View Control 111 ACUSON SC2000™ volume imaging ultrasound system- Stress Echo Without View Control 1. Start a new patient. Under cardiac workflow, select your . customized exercise or dobutamine protocol. Click OK to begin imaging. Workflow Cardiac Cardiac Limited Adult Echo Complete Adult Echo Volume Adult Echo 4D Pharm Stress 4-Stage 2D Exercise Stress 2-Stage 2D Pharm Stress 4-Stage 2. Connect your treadmill ECG slave cable and change Physio F13 to AUX if applicable. Physio F13 3. Orientation note* Right sided interface is for acquiring images, Left sided interface is for selecting and shuffling images. 4. When you are ready to begin the stress protocol, click on resume protocol in the upper right corner task pane. (A fixed region of interest will appear.) eSieScan Protocol 2D Exercise Stress 2-Stage Resume Protocol › Rest Post SIEMENS Page 1 of 8 www.usa.siemens.com/healthcare 5. A green arrow will appear next to the active stage and active view name. y Post A4C (2D) 1 A2C (2D) PLAX (2D) PSAX (2D) Accept Stage 5 % Resume Capture End Capture 6. Press clip store to begin acquisition of the configured number of clips. Gain Clip Store RES OVR www.usa.siemens.com/healthcare SIEMENS Page 2 of 8 7. Images will automatically appear for selection.To select, single click on the desired view; a blue square will frame the image of 9. To start the next stage, single click on the right side of the screen the selected view. To unselect simply single click on the image on the next stage. If applicable a timer will start. again. To recapture, single click on the view name on the right sided interface. (Note: New images will replace previously acquired images!) > PLAK DO > Past 10. Press clip store to begin your continuous acquisition and acquire all of your post images. Press clip store again to stop/pause acquisition. 8. After all views have been acquired and selected for a given stage; you may single click on stress review to see the selected images. O Exercise Stress 2-Stage Staal Eche Sres Review Pape TUIRR Brightraza of 10 Contrant 12.57 83 11. A progress bar will appear on the right side task pane to show available capture space. Review LYA RVA SIEMENS Page 3 of 8 www.usa.siemens.com/healthcare 9. To start the next stage, single click on the right side of the screen on the next stage. If applicable a timer will start. 2D Exercise Stress 2-Stage Pause Protocol Y Rest ¥>PLAX (2D) ¥>PSAX (2) ¥>A4C (2) ¥ > A2C (2) Accept Stage Post 10. Press clip store to begin your continuous acquisition and acquire all of your post images. Press clip store again to stop/pause acquisition. Gain Clip Store RES DVR 11. A progress bar will appear on the right side task pane to show available capture space. SieScan Protocol 2D Exercise Stress 2-Stage Pause Protocol Rest Post A4C (2D) A2C (2D) PLAX (2D) PSAX (2D) Accept Stage. 6 % Pause Capture End Capture SIEMENS Page 4 of 8 www.usa.siemens.com/healthcare 12. When you are finished capturing, press select to disengage ROI. 0 13. Select End Capture on the right hand task pane to be put into review/selection mode. eSieScan Protocol 2D Exercise Stress 2-Stage Pause Protocol >Rest y Post A4C (2D) A2C (2D) PLAX (2D) PSAX (2D) Accept Stage 5 % Pause Capture End Capture 14. All images in this protocol will be labeled as the first view name. EXEC PLAX Acquisition Stress Echo Page Stage PLAY Playback Mode Sytalk anly Syna Made Loop Aligned Brightness 003:069 Contract 58 of 100 Stress Review Review PLAX PLAX 003/069 SIEMENS Page 5 of 8 www.usa.siemens.com/healthcare 15. Point and left click to select image, right click on this image to label it with the appropriate view name. (Multiple post images can be selected per view if desired.) Unknoam 16. Page through the images using the page up/page down keys on the keyboard or through the menu knob. W R O S D G TH 2 C Shit SIEMENS www.usa.siemens.com/healthcare Page 6 of 8 17. Select all post images then Stress Review Viewing options include: 1. Hide/show overlays. 2. Viewing layouts.  1only,1X1, 2X2, 4X2, 4X3 3. Sort Stress Echo  Sort by stage Selection  Sort by view Stress Review 4. Playback Mode. Page 1 1 of 1  Full R-R 2  Systole only Sort Sort By Stage Diastole only 3  5. Brightness and contrast. Playback Mode Full R-R Brightness 50 of 100 5 Contrast 50 of 100 18. The left hand menu will allow you to view images by view or stage 1 and also let you change playback mode. If multiple images were selected per view, click on the dog ear in the upper right corner of the images to cycle through selections. 2D Pharm Stress 4-Stage Baseline 10:16:39 Peak 10:26:46 PLAX 50 FPS 1/2 LAX 50 FPS 66 BPM 00:01:03 72 BPM MI: 0.9 MI: 0.9 Acquisition Stress Echo Stress Review Page 1 of 1 Sort Sort By Stage Playback Mode Full R-R Brightness 50 of 100 Contrast 50 of 100 1:70 1:70 Baseline 10:19:59 Peak 10:27:28 A4C 45 FPS 1/2 A4C 45 FPS Review 72 BPM 00:01:45 69 BPM LVA RVA SIEMENS Page 7 of 8 www.usa.siemens.com/healthcare 19. Press the check mark on left hand side to close exam. Stress Echo Review 20. Helpful Hints:  At anytime during the stress exam, you can pause the protocol by selecting Pause Protocol on the right hand task pane.  To make a measurement, point and left click on the image you wish to measure. Pause playback then press the Measure Key on the keyboard.  Two timers are available and can be displayed in review. The first timer starts as soon as Accept Stage is pressed. The other timer is activated manually and is located in the lower left hand portion of the screen.  Do not use scroll wheel to change pages. Use menu knob or page up/down keys on keyboard. SIEMENS www.usa.siemens.com/healthcare Page 8 of 8 Turnover Workbook | SC2000 120 Turnover Workbook | SC2000 Appendix J: Backup and Restore 121 ACUSON SC2000™ volume imaging ultrasound system- Back up and restore 1. Back Up- Left Click (Select) the Wrench Icon. 1C2000 Acquisition Measurements eSieScan Protocols System Settings Networking and Printing Clinicarcations System Option Regional Settings Monitor- Date/Time Settings Screen Saver Delay Audio- Speaker Volume Regional Setting Minutes Restore Defaults Eject DVDICD Monitor Settings View Training Material Enable Screen Lock Change Screen Lock Password External video device Mode & NTSC @ PAL C VGA @ CartoSound VGA Restore Defaults 2. Navigate horizontally to the System Settings Tab and left click (Select). EMENS SC2000 Acquisition Measurements eSieScan Protocols System Settings Networking and Printing Clinical Applications System Options -Regional Settings Monitor Audio Date/Time Settings Screen Saver Delay Speaker Volum Regional Settings Minutes Restore Defaults Eject DVDICD Monitor Settings View Training Material Enable Screen Lock Change Screen Lock Password External video device 3. Navigate vertically to the Service blind and left click (Select). Acquisition Measurements eSieScan Protocols System Settings Networking and Printing Clinical Applications System Options Regional Settings Monitor Audio Date/Time Settings Screen Saver Delay Speaker Volume 60 Minutes Regional Settings Restore Defaults Eject DVD/CD Monitor Settings View Training Material Enable Screen Lock Change Screen Lock Password External video device Mode ® NTSC C PAL C VGA CartoSound VGA Restore Defaults Service Footswitch Patient Folder DVR Image/Clip Store OK Apply Cancel Hob SIEMENS Page 1 of 5 www.usa.siemens.com/healthcare 4. Chose the Backup / Restore icon with a left click (Select). Acquisition Measurements eSieScan Protocols Networking and Printing Clinical Applications System Options Service System Information ervice Options Serial Number 401235 Install Software ... Product Version VA30A Service Image ... MAC Address 00-15-67-24-F9-CA [Primary) 00-15-67-24-F9-CB [Primary) Local Service ... 50-46-50.4B-C0-19 [Primary) Network Speed ... Audit Trail Export ... Version Details .... Licenses ... Event Log MNP Connection Details_ Backup and Restore ... Shut Down System .. Remote Access Options Remote Service Remote Application Support Footswitch Patient Folder DVR Image/Clip Store OK Apply Cancel Help 5. Backup window will display; The default is the backup tab and all data. Acquisition Measurements SieScan Protocols Networking and Printing Clinical Applications System Options Service achine and Restore System Information Backup Restore 401235 Product Version VA30A Settings to Back Up Select All Exam and Image Presets MAC Address 00-1E-67-24-F9-CA [Primary) Patient Folder Seaings 00-1E-67-24-F9-CB (Primary) SieScan Protocols 50-46-5D-4B-C0-19 [Primary) System Settings Service Diagnostics Acquisition Semings Clinical Applications Version Details ... Local Printer Configuration Roaming Profiles Network Configuration Settings Event Log ... Service Settings Measurement Settings Backup and Restore ... Footswitch Semings Shut Down System ... Remote Access Options Available Media Remote Service ... Name of Backup Set Remote Application Support Backup is in progress ... "Exam and Image Presets"in progress ... Footswitch Backup Cancel Patient Folder DVR Image/Clip Store OK Apply Cancel Help 6. Name backup if desired. Acquisition Measurements eSieScan Protocols Networking and Printing Clinical Applications System Options Service Jackie and Restore System Information Backup Restore Serial Number 401235 Product Version VA30A Settings to Back Up Select All Exam and Image Presets MAC Address 00-1E-67-24-F9-CA [Primary) Patient Folder Semngs 00-1E-67-24-F9-CB (Primary) SieScan Protocols 50-46-50-4B-C0-19 [Primary] System Semings Service Diagnostics Acquisition Semings Clinical Applications Version Details ... Local Printer Configuration Roaming Profiles Network Configuration Settings Event Log ... Service Settings Measurement Settings Backup and Restore ... Footswitch Semnas Shut Down System .. -Remote Access Options Available Media Remote Service ... Name of Backup Set Remote Application Support Backup is in progress ... "Exam and Image Presets"in progress ... Footswitch Backup Cancel Patient Folder DVR Image/Clip Store OK Apply Cancel Help SIEMENS Page 2 of 5 www.usa.siemens.com/healthcare 7. Insert CD-R, DVD-R or USB, and select Backup. 10. Navigate vertically to the Service blind and left click (Select). SIEMENS SC2000 Acquisition Measurements eSieScan Protocols Networking and Printing Clinical Applications System Options Service System Information Ser Backup Restore Serial Number 401235 Select Al Product Version VA30A Settings to Back Up Exam and Image Presets MAC Address 00-15-67-24-F9-CA [Primary) Patient Folder Semings 00-1E-67-24-F9-CB [Primary) @SieScan Protocols 50-46-5D-4B-C0-19 [Primary] System Settings Service Diagnostics Acquisition Semngs Clinical Applications Version Details ... Local Printer Configuration Roaming Profiles Network Configuration Settings Event Log .. Service Settings Measurement Settings Backup and Restore ... Footswitch Semnas Shut Down System .. Remote Access Options Probable Media Remote Service ... Name of Backup Set Remote Application Support Backup is in progress ... "Exam and Image Presets"in progress ... Footswitch Backup Patient Folder DVR Image/Clip Store Apply 8. To Restore- Left Click (Select) the Wrench Icon. 11. Chose the Backup / Restore icon with a left click (Select). Acquisition Measurements eSieScan Protocols System Settings Networking and Printing Clinical cations System Options Regional Settings Monitor- Audio- Date/Time Settings Screen Saver Delay Speaker Volume Regional Settings 60 Minutes Restore Defaults Eject DVDICD Monitor Settings View Training Material Enable Screen Lock Change Screen Lock Password External video device Mode ® NTSC @ PAL C VGA @ CartoSound VGA Restore Defaults 9. Navigate horizontally to the System Settings Tab and left click (Select). 12. Left click (Select) the Restore tab. Chose the location of the backup media, CD/DVD, or USB drive. Acquisition Measurements eSleScan Protocols Networking and Printing Clinical Applications System Option Regional Setings- Monitor Date/Time Setings Screen Saver Delay Speaker Volume Regional Settings Minute Restore Defaults Eject DVDICD Monitor Settings ew Training Material Enable Screen Lock Change Screen Lock Password External video device Mode & NTSC @ PAL C VGA Restore Defaults Service Footswitch Patient Folder DVR Image/Clip Store OK Cancel Heb Page 3 of 5 SIEMENS www.usa.siemens.com/healthcare 10. Navigate vertically to the Service blind and left click (Select). Acquisition Measurements eSieScan Protocols System Settings Networking and Printing Clinical Applications System Options Regional Settings Monitor Audio Date/Time Settings Screen Saver Delay Speaker Volume 60 Minutes Regional Settings Restore Defaults Eject DVDICD Monitor Settings View Training Material Enable Screen Lock Change Screen Lock External video device Mode ® NTSC C PAL C VGA € CartoSound VGA Restore Defaults Service Footswitch Patient Folder DVR Image/Clip Store OK Apply Cancel Help 11. Chose the Backup / Restore icon with a left click (Select). Acquisition Measurements eSleScan Protocols Networking and Printing Clinical Applications System Options Service System Information Service Options Serial Number 401235 Install Software ... Product Version VA30A Service Image ... MAC Address 00-1E-67-24-F9-CA [Primary) 00-1E-67-24-F9-CB [Primary) Local Service ... 50-46-50.4B-C0.19 [Primary) Network Speed ... Audit Trail Export ... Version Details ... Licenses ... Event Log MNP Connection Details Backup and Restore ... Shut Down System. Remote Access Options Remote Service Remote Application Support Patient Fold ImageiClip Store OK Apply Cancel Help 12. Left click (Select) the Restore tab. Chose the location of the backup media, CD/DVD, or USB drive. SIEMENS Acquisition Measurements eSieScan Protocols Networking and Printing Clinical Applications System Options Service Backup and Restore System Information Ser Backup Restore Serial Number 401392 Product Version VA308 COEY MAC Address 00-15-67-6F-2A-A4 [Primary] 00-15-67-6F-2A-A5 [Primary USB -24 50-46-5D-4C- 1F-27 [Primary] Version Details ... Event Log Settings to Restore @ Select All Backup and Restore ... Shut Down System ... Remote Access Options Remote Service ... Remote Application Support Footswitch Restore Cancel Patient Folder DVR Image/Clip Store OK Apply Cancel Help SIEMENS Page 4 of 5 www.usa.siemens.com/healthcare 13. Chose the desired backup if there are multiple; usually this will be the most recent. Acquisition Measurements esleScan Protocols Networking and Printing Clinical Applications System Options Service System Information Backup Restore Serial Number 401392 Product Version VA308 Available Media MAC Address 00-1E-67-6F-2A-A4 [Primary) 00-1E-67-6F-2A-A5 (Primary] Backup Sets 50-46-50-4C. 1F-27 [Primary] 20130827092727 401392 INSTALL DAY 1 BUT 20130827151419_401392_INITIAL_INSTALL_DAY1 Version Details._. Event Log Settings to Restore P Select All Backup and Restore Service Diagnostics Measurement Settings ------- Shut Down System .. Footswitch Settings Exam and Image Presets Local Printer Configuration Remote Access Options Network Configuration Settings Patient Folder Settings Remote Service ... Roaming Profiles Service Settings Remote Application Support Footswitch Restore Cancel Patient Folder DVR Image/Clip Store OK Apply Cancel Help SIEMENS Page 5 of 5 www.usa.siemens.com/healthcare Turnover Workbook | SC2000 Appendix K: Transducer Disinfectants 127 SIEMENS SIEMENS Step 2: Edit Transducer Disinfectants ACUSON SC2000™ Ultrasound System Approved Pre-Cleaners and High Level Disinfectants for Transducers www.siemens.com/ultrasound Pre-Cleaners Pre-Cleaners 8V3 CW2 CW5 9L4 4V1c 4Z1c V5Ms 8V3 CW2 CW5 9L4 4V1c 4Z1c V5Ms Acend           Sani-Cloth AF     Alkazyme              Sani-Cloth HB  Alkydiol Spray 40           Sani-Cloth Plus     Ampholysine Plus              SaniZide  Asepti-Wipe             Savogerm   Asepti-zyme              Sekulyse  Asphene 381               Sekupoudre Spray        Sekusept Cavi wipes &          Super Sani-Cloth      Cavicide TheraCide        Cidalkan               Cidezyme Transeptic         Cleanisept Wipe Trionic D Wipe                T-Spray      Empower               T-Spray II Endozime         Virex II 256       Engarde           WEX-CIDE     Enzol        Erinox        Esculase        Exidine 4        Firstsinald        Hexanios G+R        Incidine        Instruzyme        Kleen-Aseptic        Manu-Klenz        Medallion        Medi-Prep        Metrizyme        M-Ytdesinfektion        Neodiol +        Orthozime        pH7Q        Preven’s D51        Key Quat-Stat        Approved  RBS-50         Not Approved Rivascop         Not Tested 2 ACUSON SC2000 Ultrasound System ACUSON SC2000 Ultrasound System 3 Pre-Cleaners Pre-Cleaners 8V3 CW2 CW5 9L4 4V1c 4Z1c V5Ms 8V3 CW2 CW5 9L4 4V1c 4Z1c V5Ms     Acend    Sani-Cloth AF        Alkazyme        Sani-Cloth HB        Alkydiol Spray 40        Sani-Cloth Plus               Ampholysine Plus SaniZide            Asepti-Wipe    Savogerm             Asepti-zyme   Sekulyse        Asphene 381        Sekupoudre        Spray Sekusept        Cavi wipes &        Super Sani-Cloth        Cavicide TheraCide         Cidalkan                  Cidezyme Transeptic    Trionic D Wipe            Cleanisept Wipe                  Empower T-Spray T-Spray II          Endozime      Virex II 256              Engarde  WEX-CIDE              Enzol   Erinox             Esculase        Exidine 4       Firstsinald          Hexanios G+R  Incidine              Instruzyme       Kleen-Aseptic         Manu-Klenz       Medallion   Medi-Prep            Metrizyme         M-Ytdesinfektion  Neodiol +              Orthozime        pH7Q        Preven’s D51  Key    Quat-Stat      Approved  RBS-50        Not Approved       Rivascop   Not Tested ACUSON SC2000 Ultrasound System 2 ACUSON SC2000 Ultrasound System 3 Important Notes These disinfectant compatibility tables only indicate that we have evaluated for compatibility with the materials in the manufacturing of Siemens Medical Solutions Not a Claim of Efficacy ultrasound transducers and not for their efficacy in bringing about the appropriate level of disinfection. The manfacturer of the solution should be consulted for information regarding the efficacy of each solution. Use Only Siemens Medical Solutions can take no responsibility for damage caused by using Approved Products non-approved cleaning products. Be certain you only use products approved and listed in this brochure. Notes on Some Very Common Chemicals Bleach (Sodium Hypochlorite) must not be used to soak transducers even in dilute Bleach solutions. Soaking transducers in bleach will cause damage. Wiping probes with a cloth dampened with <10% bleach solution is an acceptable pre-cleaning process. Transducers must not be soaked in Isopropyl Alcohol (IPA). This will cause damage to Isopropyl Alcohol the transducer. Wiping transducers with a cloth dampened with Isopropyl Alcohol is an acceptable pre-cleaning process. ACUSON SC2000 is a trademark of Siemens Medical Solutions USA, Inc. DS 0813 | © 08.2013, Siemens Medical Solutions USA, Inc. Global Siemens Headquarters Global Siemens Healthcare Headquarters Legal Manufacturer Siemens AG Siemens AG Wittelsbacherplatz 2 Healthcare Sector Siemens Medical Solutions USA, Inc. 80333 Muenchen Henkestrasse 127 Ultrasound 685 E. Middlefield Road Germany 91052 Erlangen Mountain View, CA 94043 Telephone: +49 9131 84-0 USA Germany Telephone: 1-888-826-9702 www.siemens.com/healthcare www.siemens.com/ultrasound On account of certain regional limitations of sales rights and service availability, we cannot guarantee that all products included in this brochure are available through the Siemens sales organization worldwide. Availability and packaging may vary by country and is subject to change without prior notice. Some/All of the features and products described herein may not be available in the United States. The information in this document contains general technical descriptions of specifications and options as well as standard and optional features which do not always have to be Local Contact Information present in individual cases. Siemens Medical Solutions USA, Inc. Siemens reserves the right to modify the 51 Valley Stream Parkway design, packaging, specifications and options Malvern, PA 19355-1406 described herein without prior notice. Please USA contact your local Siemens sales representative Telephone: +1-888-826-9702 for the most current information. www.usa.siemens.com/healthcare Note: Any technical data contained in this document may vary within defined tolerances. Global Business Unit Original images always lose a certain amount Siemens Medical Solutions USA, Inc. of detail when reproduced. Ultrasound 1230 Shorebird Way Mountain View, CA 94043 Order No. A914CX-CS-149-P1-4A00 USA Printed in USA 12-2013 | All rights reserved Telephone: +1-888-826-9702 © 2013 Siemens Medical Solutions USA, Inc. www.usa.siemens.com/healthcare Global Siemens Headquarters Global Siemens Healthcare Siemens AG Headquarters Wittelsbacherplatz 2 Siemens AG 80333 Muenchen Healthcare Sector Germany Henkestrasse 127 91052 Erlangen Germany Telephone: +49 9131 84-0 www.siemens.com/healthcare www.siemens.com/healthcare