ACUSON Sequoia™ Ultrasound System Overview Quick Reference Guide | VA25 Software Release

ACUSON Sequoia ultrasound system Quick Reference Guide VA25 SW Release siemens-healthineers.com/ultrasound SIEMENS Healthineers 2 At Siemens Healthineers, our mission is to enable healthcare providers to increase value by empowering them on their journey towards expanding precision medicine, transforming care delivery, and improving patient experience, all enabled by digitalizing healthcare. An estimated five million patients worldwide everyday benefit from our innovative technologies Table of contents and services in the areas of diagnostic and System Overview 3 therapeutic imaging, laboratory diagnostics and Getting Started 14 molecular medicine as well as digital health and 2D and M-mode 26 enterprise services. Color and Spectral Doppler 46 We’re a leading medical technology company with Measurements and Reports 66 over 120 years of experience and 18,500 patents Text, Body Markers and Arrows 76 globally. With over 50,000 employees in more than Data and Image Management 86 70 countries, we’ll continue to innovate and shape Modality Compare 100 the future of healthcare. Care and Cleaning 102 System Overview 3 1. Flat Panel Display Monitor 7 2. Touch Screen 1 3. Power On / Off (hibernation) 4. Control Panel (height and swivel adjustable) 2 ACUSON Sequoia 5. Retractable Keyboard 3 8 4 6. 4 Transducer Ports 9 7. 2 USB Ports 5 8. Gel Warmer 6 ACUION Sepmile 9. Accessory Box (optional – Printer / 10 CD /DVD / Fusion Tracker Box) 10. Wheel Lock 11. Swivel Wheels 11 System Overview System Overview 4 12. Articulating Arm (tilt, swivel, raise, lower) 13. Storage Tray 14. Rear Handle 12 15. Rear Storage Bin 16 16. 2 USB Ports 17 17. Transducer Holders 13 18 18. Cable Hanger 14 19. Air Filter 19 15 SIEMENS Healthineers ACUSON Sequela Power on and Hibernation mode 5 1. Press the Power key to turn the system on or to enter the system shutdown 1 menu 2. Select Shut Down to turn the system off 20 3. Select Restart to reboot the system Update Caliper 4. Select Hibernate to enter hibernation mode which allows the system to power ABC Dual on in approximately 30 seconds System Shutdown A full Shutdown is recommended every 24 hours or 20 hibernates to maintain optimal performance. Hibernates Remaining: 20 Complete Data Transfer 4 3 2 Hibernate Restart Shut Down Cancel System Overview System Overview 6 Control Panel 1. Power 2. Soft Key Rotary Controls 1 2 G 3. DGC Controls 3 4. Contrast Contrast VT PW CW 20 5. Elastography 4 5 6 7 8 9 10 Update 11 x ... x 6. 3D / 4D Caliper 7. M-mode ABC Image Dual (zson 8. Pulsed Wave Doppler / Freeze Continuous Wave Doppler 9. Color Doppler 10. 2D Mode 11. Depth 12. Forward / Backward 7 13. Delete G 14. Text, Body Marker, Arrow TIT 15. Caliper Contrast VT PW CW 20 16. Left / Right Set Keys 17 Update 16 16 x ... x 17. Update 15 19 AV Caliper 18 18. Trackball 12 13 14 ABC 20 Image Dual 22 19. Clip 23 Freeze 20. Image 21 21. Freeze 22. Dual 23. Zoom System Overview System Overview 8 Monitor Screen Layout 1. Imaging Status Indicator Frozen 1 2 3 7 2. Auto TEQ 4 6 14L5 Carotid 3. InFocus 1 Rt Prox CCA PS=47.9 cm/s TIB:1.08 5 ED=7.5 cm/s TIC:0.59 RI=0.84 TIS:0.30 MI:0.39 4. Orientation Marker 16fps 95% 8 2D H High 5. Image Display 5dB/DR65 13 C Mid 6. Measured Results OdB/ General PRF 3968 D (movable) 11 PW Low . GS.1:5 PRF 3906 7. Imaging Parameters 9 F 137 4cm 19mm 60º 10 8. Color Scale Indicator -60 -40 5.20 9. Depth Indicator cm/s 20 10. Doppler Angle Indicator ............................ 16 Inverted 3.9 sec 11. Thumbnail Display AAAA Set Set 12. Trackball Functions 13 x Total: 55 12 13. Delete Image 14 14. Status Icons Touch Screen Layout 9 1 2 3 1. Login / logoff 5C1 DAX 4 10L4 18L6 Abdomen 18 Workflow 2. System User Manual 6 Patient 20 5 3. System Configuration 7 Imaging 4. Transducers 8 L/R Flip UID Flip Biopsy Review Off Timer 5. Imaging Modes 9 Report 6. Patient Registration 10 End Exam 7. Imaging Menu 8. Review 11 Live Dual 17 9. Report 12 13 Harmonics 16 10. End Exam Compounding Auto TEQ 19 11. Print 14 Clarify Frequency Line Density DR InFocus Off On 15 H Mid 2 60 dB 12. Full Screen 13. Pointer 16. Blue Highlighting = Active Selection 14. Additional Selections 17. Gray Highlighting = Available Selection 15. Rotary Soft Keys 18. Workflow Applications 19. Page Navigation System Overview System Overview 10 Dual-option Keyboard Text Body Marker Arrow Exam Package Abdomen Patient Title Text Imaging Review Report End Exam Tab W R P Caps Lock S ID F G H Enter .. . Shift X C B M Delete N Z Ctrl Alt #+- Clear Screen Select Line Text Size Home Set Home Retractable Keyboard Digital Keyboard – To access, press ABC on the control panel and select Keyboard icon. Connecting Transducer 11 1. Ensure the lever lock is in the left, unlocked position 2. Align the connector and press into 3 the transducer port (an audible click 1 2 ensures the transducer is connected) 3. Place the lever into the right, locked position System Overview System Overview 12 Wheel Locks 1. Pressing the left green pedal places the wheels in a swivel lock position to enable steering 2. To lock the wheels, press the right red pedal 3. Both pedals can be aligned to place the system in a neutral position and unlock the wheels 13 System Overview Getting Started 14 Patient Registration – Manual New Patient Preregister 1. Select Patient on the Touch Screen Patient 1. Select Patient on the Touch Screen Patient 2. Enter patient information 2. Enter patient information 3. Select Exam type 3. Select Exam type 4. Select Start Study 4. Select Preregister to add the patient to the worklist for later selection Tip: Transducer and Exam can also be selected from the Touch Screen after patient registration by selecting the Imaging tab. Patient Registration 15 Worklist Local Database Patient Exam Patient Name Patient ID Procedure Date & Time Accession No Last Name PATIENT 1 Exam 3 First Name 2 Middle Name Requested Procedure Patient ID Date of Birth M D YYYY Gender O Male O Female O Other Request ID Age Accession No Height cm Comments Weight kg BP mmHg BSA Institution History Institution Name LMP M D YYYY Gravida Performing Physician DOC @ M D YYYY Aborta Referring Physician EDD @ IM D YYYY Para Operator Clinical Age @ Weeks Days Ectopics No. Fetuses Short Form 4 Refresh Clear All Start Study Preregister Getting Started Getting Started 16 Patient Registration – Worklist 1. Select Patient Patient 2. Select Worklist on the Imaging Screen, if necessary 3. Select the desired patient or search by Name, Procedure, Patient ID, etc. 4. Select Start Study System must be connected to a HIS / RIS server to access patient worklist. Patient Registration 17 Local Database 2 Worklist 3 Q Patient Exam Patient Name Patient ID Procedure Date & Time Accession No Last Name PATIENT 2 PATIENT 2 Exam Thyroid 2222 4/24/2020 12:1 3 PATIENT 3 3333 4/24/2020 12:1 ... First Name PATIENT 4 4444 4/24/2020 12:1 .. Middle Name Requested Procedure Patient ID 2222 Date of Birth 02 02 2002 Gender O Male O Female O Other Request ID Age 18 Years Accession No Height cm Comments Weight kg BP mmHg BSA Institution History Institution Name LMP M D YYYY Gravida Performing Physician DOC . M D YYYY Aborta Referring Physician EDD IM D YYYY Para Operator Clinical Age Weeks Days Ectopics No. Fetuses Short Form Refresh 4 Start Study Cancel Getting Started Getting Started 18 Edit Study 1. Select the Patient key Patient 2. Select Correct on the image screen 3. Modify desired data fields 4. Select OK Patient Registration 19 Local Database Worklist Q Patient Exam Patient Name Patient ID Exam Date & Time Accession No Last Name PATIENT 111 Exam First Name 3 Middle Name Requested Procedure Patient ID 1111 Date of Birth 01 01 2001 Gender O Male O Female O Other Request ID Age A study is currently active. 19 Years Accession No Height cm Comments Weight kg BP mmHg BSA Institution History Institution Name LMP M D YYYY Gravida Performing Physician DOC . M D YYYY Aborta Referring Physician EDD M D YYYY Para Operator Clinical Age Weeks Days Ectopics No. Fetuses Short Form Correct 2 Refresh 4 OK Cancel Getting Started Getting Started 20 Transducer /Study 1. Select Imaging ? 10L4 Thyroid 2 2. Select the transducer on Patient General Abdomen Breast Thyroid Testis MSK the Touch Screen 1 Imaging 3 3. Select the desired Exam Carotid Arterial Venous Review Edit preset Report End Exam Trapezoid Live Dual Harmonics Compounding Auto TEQ Tarity Frequency Line Density DR InFocus Stear Transducer Gesture Control 21 Transducer gesture control allows the transducer to be 14L5 selected by double-tapping the handle. 5C1 Transducers with gesture control will display a semi- circular icon next to the transducer on the Touch ACUSON Screen: • 5C1 • 9C3 • DAX • 7L2 • 10L4 • 14L5 • 18L6 • 5V1 • 9EC4 • 9VE4 Getting Started Getting Started 22 Store, Print, and Clip Store 1. Press Freeze 2. If desired, roll trackball for Update frame-by-frame CINE review Patient X ... x 3. Press Image to save a static Caliper Clip 5 Imaging image Review 2 4. Press the printer icon on ABC 3 Image Report the Touch Screen to save and print1 End Exam 5. Press Clip to acquire and 1 Freeze save a clip 4 1 A compatible printer must be connected Tip: Clip Store length is adjustable on the Touch and assigned to the print function in Screen during live scanning. the Configuration menu before using selection. Review and End Exam 23 1. Select Review Review ? Review 2. Select the desired layout Patient Review on the Touch Screen Imaging 2 Single Select Multiple Select 1:1 2:1 4:1 Compare 4 Review 3. Rotate Page to move between images Report Select All Select None 6:1 9:1 16:1 5 End Exam 4. Select Compare to drag Flag Delete Image(s) Protocol Text Sort By Off Time syngo WI specific thumbnails into the review layout Copy to Film 5. Select End Exam to end the study Page 15 of 15 3 Getting Started Getting Started 24 Restart an Exam 1. Select Patient on Patient Registration the Touch Screen 2 Local Database Worklist Q Patient Exam Patient Name Patient ID Exam Date & Time Accession No Patient Last Name PATIENT 1 Exam Abdomen PATIENT 1 123456 Abdomen 7/15/2020 12:5 ... Unknown 20.07.15-12:5 ... Abdomen 7/15/2020 12:5 ... First Name Unknown 20.07.15-12:4 ... 7/15/2020 12:4 ... Middle Name Requested Procedure Unknown 20.07.15-11:4 .... 7/15/2020 11:4 ... 3 Patient ID 123456 01 2. Select Local Unknown 20.07.15-11:4 ... 7/15/2020 11:4 ... Date of Birth 04 1977 Unknown 20.07.07-16:1 ... 7/7/2020 04:13 ... Gender . Male Female . Other Request ID Unknown 20.07.07-14:0 ... 7/7/2020 02:05 ... Database Age 43 Years Accession No PEDABD 20.06.26-18:0 ... Abdomen 6/26/2020 06:0 ... VASCULAR 20.06.24-14:2 ... Arterial 6/24/2020 02:2 ... Height Comments PEDECHO 20.06.23-16:0 ... Cardiac 6/23/2020 04:0 ... Weight 3. Select to highlight ECHO 20.06.23-14:2 ... Cardiac 6/23/2020 02:2 ... BP MODELS 20.06.19-13:0 ... Abdomen 6/19/2020 01:0 ... BSA patient study from MODEL4 20.06.18-11:3 ... Abdomen 6/19/2020 11:3 ... MODEL2 20.06.17-14:3 ... MSK 6/18/2020 06:3 ... Institution History MODEL2 20.06.17-14:3 ... MSK 6/18/2020 05:4 ... list MODEL4 20.06.18-11:3 ... Abdomen 6/18/2020 11:3 ... Institution Name LMP M D YYYY Gravida MODEL3 20.06.18-11:2 ... Abdomen 6/18/2020 11:2 ... Performing Physician DOC M D YYYY Aborta MODEL2 20.06.17-14:3 ... Abdomen 6/17/2020 02:3 ... Referring Physician EDD D YYYY Para 4. Select Append MODEL1 20.06.17-11:5 ... Abdomen 6/17/2020 11:5 ... Operator Clinical Age Weeks Days Ectopics Unknown 20.06.09-15:0 ... 6/9/2020 03:05 ... No. Fetuses Unknown 20.05.08-14:3 ... 5/8/2020 02:30 ... Study P-0006 05/07/20 5/7/2020 11:27 ... Unknown 20.05.05-13:4 ... 5/5/2020 01:48 ... Unknown 20.05.05-12:2 ... 5/5/2020 12:25 ... Short Form Unknown 20.05.01-13:3 ... 5/1/2020 01:34 ... Refresh Append Study Load To Review New Study Cancel 4 5. Select Start Study Patient Registration 25 Local Database Worklist Patient Exam Patient Name Patient ID Exam Date & Time Accession No Last Name PATIENT 1 Exam Abdomen First Name Middle Name Requested Procedure Patient ID 123456 Date of Birth: 01 04 1977 Gender @ Male Female Other Request ID 43 Years Click Cancel to select a different patient or study. Age Accession No Height Comments Weight BP BSA Institution History Institution Name LMP M D YYYY Gravida Performing Physician DOC M D YYYY Aborta Referring Physician EDO M D YYYY Para Operator Clinical Age Weeks Days Ectopics No. Fetuses Short Form Refresh Start Study Cancel 5 Tip: Images, clips and volumes can be added to a closed study within 24 hours. Getting Started 2D and M-mode 26 Control Panel X Y Z Contrast VT 30 M CW C 2D Update x ... X Caliper Clip Depth 4 Y Delete ABC PO Dual Image Zoom Freeze 27 2D Control Panel Controls Function Enters / exits 2D-mode or adjusts overall 2D gain / brightness 2D Rotate to adjust overall gain Manually adjusts gain / brightness at depth DGC Default all slide pods in the center, slide pod(s) to increase / decrease brightness Magnifies the image Rotate to increase or decrease image magnification Press to activate Zoom ROI (region of interest) for magnification and increased frame rate (HD Z) Note: Zoom available on live and frozen image Depth Adjusts the scanning depth Toggle up / down to adjust depth Displays two separately acquired images side by side Dual Press Dual to activate and toggle between images Press the 2D key to exit 2D & M-mode 2D and M-mode 28 2D Control Panel 2D Control Panel Controls Function Increases the line density /frame rate Press Set key and roll trackball to size sector 2D Sector Width Press Set key and roll trackball to position Press Set key to Set Note: Not available on linear transducers 2D Touch Screen 29 5C 7L2 10L4 18L6 Breast O Workflow Patient 2D Imaging L/R Flip U/D Flip Biopsy Off Timer Review Report End Exam Speed of Sound c=1446 Trapezoid E Live Dual 2 Harmonics Compounding Auto TEQ Clarify Frequency Line Density DR InFocus Steer Off On Mid 1 65 dB 10 0 10 2D & M-mode 2D and M-mode 30 UltraArt UltraArt allows the user to select preferred image parameter settings by choosing an image from several choices before they are applied. Select UltraArt to choose from available selections. Off 2 2D Touch Screen 31 2D Controls Function Allows the user to select preferred image parameter settings by choosing an image from several choices before they are applied UltraArt Settings are Off, 1, 2, and 3 Note: Available on live or frozen image Increases contrast and lateral resolution, reduces noise and clutter Harmonics Select to activate / deactivate Note: Available on live image only Enhances contrast resolution and boundary detection Compounding Select to activate / deactivate Adjust compounding level by rotating the Line Density soft key Note: Available on live image only 2D & M-mode 2D and M-mode 32 2D Touch Screen 2D Controls Function Displays linear or trapezoid image format Trapezoid Select to activate / deactivate Note: Available on live image only, available on linear transducers only Activates two simultaneous images in dual format Live Dual Select to activate / deactivate Press C (color Doppler) to display color Doppler on one of the images Automatically and continuously optimizes gain, DGC and suppresses Auto TEQ noise in real time Select to activate / deactivate Adjusts orientation on the image screen U/D and R / L Flip Select to activate / deactivate Note: Available on live or frozen image LAg 33 Changing the sound speed per the body type or pathology improves spatial and contrast resolution Speed of Sound Select to choose level Note: Speed of Sound settings and adjust-ability is preset and transducer dependent Capture Type and Selects the type and length of clip capture Clip Length Select prospective or retrospective capture and clip length Displays a count-up timer in the lower right corner of the imaging Timer screen Select to activate / deactivate Biopsy Enables biopsy needle guide function with angle selection Select to activate and choose from available angles (1–5, A & B) Image Size Adjusts the size of the displayed image on the monitor Select to choose size (1–5) 2D & M-mode 2D and M-mode 34 Panoramic Imaging 1. Select the Workflow key Workflow 5. Use Panoramic review controls after 2. Select Panoramic completing the acquisition to size, Panoramic rotate, pan, zoom or measure the 3. Press the Update key to acquire image the image Acquire 6. Use the Cine function to recall single 4. Press Freeze to end acquisition, frames for review Unfreeze to reactivate acquisition or the Update key Pause 7. Select Exit to exit Panoramic imaging to Pause / Continue as desired Tip: Available in Power Doppler. 5V1 1816 General 5C1 1 Workflow 35 Patient 2D Panoramic Imaging Flex Ruler Restore Redisplay 7 Exit Review Report Best Fit 5 End Exam 5 6 Cine Rotate Pan Set 2D & M-mode 2D and M-mode 36 InFocus InFocus technology dynamically focuses the image Press the InFocus soft key to InFocus at all depths, resulting in improved contrast activate adjustable focal zones. resolution, lateral resolution and image uniformity. 18L6 18L6 Thyroid Thyroid TIB:0.35 TIB:0,34 TIC:0.94 TIC:0.91 TIS:0.39 TIS:0.34 MI:1.0 MI:0.86 42fp 42fps 95% 95% 20 2D H High H High 0dB/DR65 0dB/DR65 3.5cm 3.5cm InFocus On InFocus Off 2D Soft Keys 37 2D Controls Function Dynamically focuses the image at all depths, resulting in improved contrast resolution, lateral resolution and image uniformity InFocus / Focal Zones Press the InFocus soft key to activate adjustable focal zones Rotate to adjust focal zone position Balances between resolution and penetration Frequency Use higher frequency range for increased resolution Use lower frequency range to increase penetration Note: Available on live image only Enhances contrast resolution and boundary detection Rotate to increase / decrease level of compounding when compounding Line Density is enabled Rotate to balance between resolution and frame rate when compounding is disabled Note: Available on live image only 2D & M-mode 2D and M-mode 38 2D Soft Keys 2D Controls Function Adjusts number of gray shades displayed DR Rotate clockwise for a softer/ grayer image (Dynamic Range) Rotate counterclockwise for more contrast Note: Available on live or frozen image Steers the field of view (FOV) Steer Rotate to steer left, center or right Note: Available on live image only, available on linear transducers only Adjusts the level of acoustic energy delivered to the patient Transmit Power Rotate to increase / decrease (applies to all active imaging modes) Note: Available on live image only, changes mechanical and thermal indices 39 Frame averaging – determines the number of frames combined into the final image Persist Rotate clockwise to increase frame averaging Rotate counterclockwise to demonstrate motion Selects a processing curve that assigns echo amplitudes to gray shades Maps Rotate to select desired Map Note: Available on live and frozen image Colorizes the gray-scale image Tint Rotate to select desired Tint Note: Available on live and frozen image 2D & M-mode 2D and M-mode 40 M-mode Control Panel Y Contrast VT 30 M CW C 2D Update x ... X Caliper Clip 4 Y Delete ABC PO Dual Image (zoom Freeze 41 M-mode Controls Function Enters / exits M-mode or adjusts overall M-mode gain Press to activate / deactivate M (M-mode) Rotate to adjust overall M-mode gain Roll trackball to position M-line Note: Available on live image only Adjusts the size or position of the M-mode cursor M-mode Cursor Press left or right Set keys to move between modes Note: Available on live image only Enters / exits color M-mode With color Doppler (C) activated, press M (M-mode) Color M-mode Position M-line and Press M Press M to exit Note: Only available with cardiac transducers 2D & M-mode 2D and M-mode 42 M-mode Touch Screen ? 5V1 18L6 Cardiac Workflow Patient 2D M Mode Physio Imaging Review Report End Exam Harmonics Sweep Speed Angle 100 mm/s Reset 43 M-mode Controls Function Full Screen Trace / Split Screen Trace / Changes the M-mode display format Full Screen 2D Select the desired format to activate Increases contrast and lateral resolution, reduces noise and clutter Harmonics Select to activate / deactivate Note: Available on live image only Sharpens the appearance of the M-mode sweep Edge Increase for more sharpness Decrease for less sharpness 2D & M-mode 2D and M-mode 44 M-mode Soft Keys M-mode Touch Screen Controls Function Balances between resolution and penetration Frequency Use higher frequency range for increased resolution Use lower frequency range to increase penetration Note: Available on live image only Selects a processing curve that assigns echo amplitudes to gray shades in the M-mode sweep Map Rotate to select desired Map Note: Available on live and frozen image Colorizes the M-mode sweep Tint Rotate to select desired Tint Note: Available on live and frozen image 45 Adjusts the number of gray shades displayed in the M-mode sweep DR (Dynamic Range) Rotate clockwise for a softer/ grayer sweep Rotate counterclockwise for more contrast Note: Available on live or frozen image Adjusts the scrolling speed of the M-mode sweep Sweep Speed Increase to display fewer cardiac cycles Decrease to display more cardiac cycles Note: Available on live and frozen image Views the M-mode sweep based on patient anatomy, independent of transducer orientation utilizing angle rotation Angle Rotate to adjust angle Note: Available only on Cardiac transducers 2D & M-mode Color and Spectral Doppler 46 Color Doppler Control Panel X Y Contrast VT 30 M CW C 2D Update x ... X Caliper Clip 4 Y Delete ABC PO Dual Image (zoom Freeze 47 Color Doppler Controls Function Enters / exits color Doppler or adjusts overall color Doppler gain C Press to activate / deactivate color Doppler mode (Color Doppler) Rotate to increase / decrease color Doppler gain Note: Available on a live image only Adjusts the color ROI Increase frame rate by decreasing the color ROI width or depth Color Box Size / Position Press Set to alternate between Size / Position Roll the trackball to resize or reposition color ROI Note: Available on a live image only Color & Spectral Doppler Color and Spectral Doppler 48 Color Doppler Touch Screen ? 5C1 DAX 10L4 18L6 Abdomen D Workflow Patient 2D Color Imaging L/R Flip U/D Flip Biopsy Review Off Report End Exam 2D + Color 2D Only Color Only Invert Kidney Aorta Live Dual Low General High Color Power ::: Filter Frequency Line Density Scale 3 Mid = 3 1179 Hz 49 Color Doppler Controls Function Alternates between color and power Doppler modes Color (Doppler) and Select Color to apply colors based on velocity and direction of flow Power (Doppler) Select Power to apply colors based on flow amplitude Note: Available on live image only Color Display Modes Turns color display or 2D image off when in color Doppler Select to activate desired format Reverses the colors depicting forward and reverse flow in the color ROI and the color bar Invert Select to activate / deactivate Note: Available on live or frozen image Displays two live images side-by-side with and without color Doppler Live Dual Select to activate / deactivate Note: Available on live image only Color & Spectral Doppler Color and Spectral Doppler 50 Power Doppler Touch Screen ? 5C1 5V1 10L4 18L6 Abdomen D Workflow Patient 2D Color Imaging L/R Flip U/D Flip Biopsy Review Off Report End Exam 2D + Color 2D Only Color Only Invert Slow Kidney Aorta Live Dual Dir Power Low General High Color Power ::: Filter Frequency Line Density Scale 3 Mid E 417 Hz Color Doppler Controls Function 51 Applies color based on flow amplitude and direction of flow (towards Directional Power or away from the transducer) Select Dir Power to activate / deactivate when Power menu is active Color Doppler parameter optimization for specific flow types or anatomy specific applications Color Doppler Flow Presets Select from Low, General, High and a variety of anatomy specific settings (e.g. Kidney, Aorta, Ovary); A “Slow” selection is available in power Doppler and Directional power Doppler dependent upon the transducer and preset selected Color & Spectral Doppler Color and Spectral Doppler 52 Color Doppler Soft Keys Color Doppler Controls Function Balances between resolution and penetration independent of the 2D frequency Use higher frequency range for increased resolution Use lower frequency range to increase penetration Frequency Select Manual to manually change frequency Select Auto to have the system automatically change frequency based on the color Doppler ROI depth position Note: Available on live image only; Auto Color availability is transducer and preset dependent Selects a processing curve that assigns the velocity / velocity variance (Color) or flow amplitudes (Power) to a range of colors Map Rotate to select desired Map Note: Available on live and frozen image 53 Adjusts the level of acoustic energy delivered to the patient in color Doppler mode Tx Power (Transmit Power) Rotate clockwise to increase power Rotate counterclockwise to decrease power Note: Available on live image only, changes mechanical and thermal indices Adjusts spatial averaging (smoothing) for color flow Smooth Increase for flow sensitivity Decrease for color spatial resolution Note: Available on live image only Adjusts the pulse repetition frequency (PRF) Scale Rotate clockwise to increase PRF Rotate counterclockwise to decrease PRF Note: Available on live and frozen image Adjusts the range of flow velocities displayed above and below the Baseline baseline Rotate to adjust the baseline of the active mode Color & Spectral Doppler Color and Spectral Doppler 54 Color Doppler Soft Keys Color Doppler Controls Function Prioritizes the display of grayscale or color flow data Priority Increase for greater vessel color fill Decrease to prioritize grayscale and less vessel color fill Adjusts the time that the color flow data remains in the ROI before being replaced by another color Persist (Persistence) Increase for greater vessel color fill Decrease to increase temporal resolution Note: Available on live image only Adjusts the color wall filter Filter Increase to reduce motion artifacts Decrease to increase sensitivity to low flow states Note: Available on live image only 55 Color & Spectral Doppler Color and Spectral Doppler 56 Spectral Doppler Control Panel X Contrast VT 30 M PW CW C 2D Update x ... x Caliper Clip 4 Y Delete PO ABC Dual Image (zoom Freeze 57 Spectral Doppler Controls Function Enters / exits spectral Doppler or adjusts overall spectral Doppler gain PW (pulsed wave) Doppler Press to enter/ exit and CW (continuous wave) Roll trackball to position Doppler gate Doppler Press PW / CW to activate the strip Rotate PW / CW to adjust overall spectral Doppler gain Alternates between the Doppler spectrum and the 2D image Update Press once to alternate between Doppler/ 2D Note: Available on live image only Color & Spectral Doppler Color and Spectral Doppler 58 Spectral Doppler Touch Screen ? 5V1 18L6 5C1 GYN Workflow Patient 2D PW Imaging 10 + Review Report Auto Trace Auto Trace Above Baseline End Exam Invert Mid Live/Live Auto TEQ HPRF Gate Size Sweep Speed Baseline Scale Angle Correct 2 mm 67 mm/s 1595 Hz 60 0 60 59 Spectral Doppler Controls Function Allows the user to select preferred Doppler display settings UltraArt Settings are Off, 1, 2, and 3 Note: Available on live or frozen image Full Screen Trace / Split Screen Trace / Changes the spectral Doppler display format Full Screen 2D Select the desired format to activate Reverses the Doppler spectrum (negative values display above the baseline) Invert Select to activate / deactivate Note: Available on live or frozen image Automatic tracing and display of PW Doppler measurements Select to activate / deactivate Auto Trace Select settings for data above, below or on both sides of the baseline Note: Available on live or frozen image Color & Spectral Doppler Color and Spectral Doppler 60 Spectral Doppler Touch Screen Spectral Doppler Controls Function Optimizes spectral Doppler gain, baseline, scale and dynamic range automatically on freeze Auto TEQ With Doppler spectrum active, select to activate / deactivate Note: Available on live image only Displays both the 2D image and spectral Doppler tracing in real-time Live / Live (Triplex) Select to activate / deactivate Note: Available on live image only Sharpens the appearance of the Doppler sweep Edge Increase for more sharpness Decrease for less sharpness Adjusts the volume of the Doppler function Volume Press + or - to adjust level 61 DTI Activates the Doppler Tissue imaging feature for cardiac exams (Doppler Tissue imaging Select to activate / deactivate capability) Note: Available on live image only Color & Spectral Doppler Color and Spectral Doppler 62 Spectral Doppler Soft Keys Spectral Doppler Controls Function Adjusts sample volume size Gate Size Rotate clockwise to increase size Rotate counterclockwise to decrease size Note: Available on live image only Adjusts the scrolling speed of the Doppler spectrum Sweep Speed Increase to display fewer cardiac cycles Decrease to display more cardiac cycles Note: Available on live and frozen image Adjusts the range of velocities displayed Baseline Rotate to adjust the baseline of the active mode Note: Available on live or frozen image 63 Adjusts the pulse repetition frequency (PRF) Scale Rotate clockwise to increase PRF Rotate counterclockwise to decrease PRF Note: Available on live image only Adjusts the PW Doppler angle Angle Correct Rotate to adjust the steering angle or press to cycle through 60 / 60 / 0 degrees Note: Available on live image only, available only on linear transducers Adjusts the PW Doppler angle Steer Rotate to adjust the steering angle Note: Available on live image only, available only on linear transducers Balances between resolution and penetration independent of the 2D frequency or color frequency Frequency Use higher frequency range for increased resolution Use lower frequency range to increase penetration Note: Available on live image only Color & Spectral Doppler Color and Spectral Doppler 64 Spectral Doppler Soft Keys Spectral Doppler Controls Function Adjusts the spectral Doppler signal filter Filter Increase to reduce motion artifacts Decrease to increase sensitivity to low flow states Note: Available on live image only Adjusts number of gray shades displayed DR Rotate clockwise for a softer/ grayer spectrum (Dynamic Range) Rotate counterclockwise for a blacker/whiter spectrum Note: Available on live or frozen image Selects a processing curve that assigns echo amplitudes to gray shades in the Doppler spectrum Map Rotate to select desired Map Note: Available on live and frozen image 65 Colorizes the Doppler spectrum Tint Rotate to select desired Tint Note: Available on live and frozen image Color & Spectral Doppler Measurements and Reports 66 Unlabeled Measurements 1. Press Caliper x ·· · x Caliper 4. Press Set to anchor 2. To change the measurement type choose 5. Roll the trackball to position the second from the available displayed options or select caliper More for additional measurement types 6. Press Set to complete the measurement 3. Roll the trackball to position the first caliper 7. Roll the trackball to activate additional caliper sets Unlabeled measurements do not enter into Tip: Measurements can be performed on frozen, the exam report. CINE and stored images. -- ? Default Exam Package 67 Carotid Patient Right Left Color Display Auto Trace Above Baseline = Imaging Review Prox CCA Prox ICA Prox ECA Bulb Subclav A Vert A Report Mid CCA Mid ICA Mid ECA End Exam Dist CCA Dist ICA Dist ECA 2 × q RI 2 H -- + RI-S/D Heart Cycle Vol Flow D-Trace Acceleration Velocity Time Heart Rate More Clear Screen Last Caliper Cine Angle Correct 5.1 sec Hide Results 60 60 0 60 % Distance Ratio Area Ratio Angle eSie Calcs Vol Flow 2 %Stenosis-D Volume More Measurements & Reports Measurements and Reports 68 Labeled Measurements 1. Press Caliper x ·· · x Caliper 6. Press Set to complete the measurement, send the labeled value(s) to the patient report 2. Select the desired measurement label and / or activate additional measurements 3. Roll the trackball to position the first caliper 7. Select Exam Package to display additional 4. Press Set to anchor labeled measurement packages 5. Roll the trackball to position the second caliper Tip: The measurement label can be selected before or after calipers are placed. ? Exam Package 69 Default 7 Carotid = Patient Right Left Color Display Auto Trace Above Baseline = Imaging Review Prox CCA Prox ICA Prox ECA Bulb Subclav A Vert A Report 2 Mid CCA Mid ICA Mid ECA End Exam Dist CCA Dist ICA Dist ECA RI H -- + RI-S/D Heart Cycle Vol Flow D-Trace Acceleration Velocity Time Heart Rate More Clear Screen Last Caliper Cine Angle Correct 5.1 sec 600 60 0 60 Hide Results Measurements & Reports Measurements and Reports 70 Edit Measurements (Labeled and Unlabeled) Edit Completed Measurement 1. Select the Last Caliper soft key to activate calipers and cycle between caliper sets Last Caliper 2. Press Update to toggle between active calipers Update 3. Press Delete on the control panel to delete the active measurement Delete 4. Select Clear Screen soft key to delete all measurements and annotations Clear Screen 5. Rotate Undo to edit a trace measurement Undo Reposition Measurement Results 71 1. Move an active caliper over the MDA results (a blue outline will appear around the outside of the MDA area) 2. Press the Set key to “pick up” the MDA result box 3. Drag the MDA Results to the new location 4. Press the Set key again to place the MDA Results Measurements & Reports Measurements and Reports 72 Report Review the Report 1. Select Report to enter/ exit report page Report 2. Select Store Report to capture the report as an image(s) Store Report 3. Select Print Report on the imaging screen or the printer icon on the Touch Screen to send to connected external printer 4. Select Export to PDF to save report to a USB Export to PDF 5. To edit the report, select Edit Report and then roll the trackball to the desired measurement Edit Report to edit Only labeled measurements appear on the report. An * appears for any edited measurement. SIEMENS Healthineers Patient Report 73 Patient History Angle 60 60 Carotid Lt Dist CCA Images PS 77.47 cm/s Last 77.47 Summary Comments ED 32.59 cm/s ₿2.59 RI 0.58 0.58 S/D 2.38 2.38 Angle 60 60 3 Lt Bulb PS 63.04 cm/s Last 63.04 5 ED 35.80 cm/s 35.80 RI 0.43 0.43 S/D 1.76 1.76 Angle 60 60 Lt Prox ECA PS 112.73 cm/s Last 112.73 FD 25 64 cm/s 25 64 Summary Collapse All 4 Export to PDF 2 6 2 Store Report Transfer Report 3 Print Report Edited Value * Measurements & Reports Measurements and Reports 74 Report Import Images into the Report 1. Select Report key to enter/ exit report page Report 2. Select Images on the Imaging Screen 3. Select the display format on the imaging screen 4. Roll the trackball to the thumbnail image and press the Set key to transfer to the images section 5. To delete the image from the report, place the cursor over image and click the “X” in Tip: Up to 20 images can be stored to the the upper right corner of the image Summary. SIEMENS 75 Healthineers Patient Report Patient History 3 2x2v Carotid 4 10L4 1014 Carobid Carobid 2 mages 18:0.76 TIB-D 25 TIC:1.43 TIC.D.89 T15:0,76 MI1.07 TIS:0.25 Mi:1.15 Summary Comments 271p9 521ps 95% 20 H High 2dB/DR60 -208/DR60 1540 General Carotid 1014 Carotid TIB:0.70 TIC:1.63 TIB:0.70 T15.0.70 TIC:1.53 MI:1.09 TIS:0.70 MI:1.09 20fps 95% 20fps 95% 20 20 H High -20B/ DR60 H High 9B/DR60 c=1540 c= 1540 C Pra General PRF 2976 Edit Report Collapse All Export to PDF Store Report Transfer Report Print Report Measurements & Reports Text, Body Markers and Arrows 76 Text Text located under the Title tab Text Body Marker Exam Package Arrow will not be changed as often, Thyroid e.g., RIGHT or LEFT, while text Patient Title Text located under the Text tab will Imaging change more often. Review RIGHT SAG THYROID SUP LOBE Text Replace Fields (1–4) will Report LEFT TRV ISTHMUS MID NODE replace the text when selecting End Exam MIDLINE 2 NECK INF 5 different text from the same 1 PARATHYROID MEDIAL field on the same line. 3 LATERAL Selecting choices from Additional 4 Text (5) will add to the line of text rather than replacing text. Clear Screen Select Line Text Size Home Set Home To move the text, place the cursor in the text and press the Set key. Text Replace (1–4) Additional Text The line of text becomes blue and can be moved anywhere in the Image Screen. Modifying Text from an 77 ? Text Body Marker Exam Package Arrow Active Exam Thyroid Patient 1. Select Review Title Text SAG 4 Imaging 2. Select the desired image 1 Review RIGHT SAG THYROID SUP LOBE to display Report LEFT TRV ISTHMUS MID NODE 3. Press ABC End Exam MIDLINE NECK INF ABC 4. Select overwrite icon PARATHYROID MEDIAL LATERAL 5. Enter the word over the area (the text will overwrite in a black box) Clear Screen Select Line Text Size Home Set Home 6. To reposition the edited text, press the Set key twice to activate the text 7. Press Image to save the modified text Text, Body Markers & Arrows Text, Body Markers and Arrows 78 Text Modifying Text from a Patient Registration Local Database Worklist Closed Exam 2 Patient Exam Patient Name Patient 10 Exam Date & Time Accession No Last Name PATIENT 1 Exam PATIENT 1 4/24/2020 12:1 ... 1. Select Patient on the PT 20.04.22-104 ... 3 4/22/2020 10:4 ... First Name Unknown 20.04.22-10:4 ... 4/22/2020 10:4 ... Micdie Name Requested Procedure Touch Screen Unknown 20.04.20-10:0 .... 4/20/2020 10:0 ... Patient ID 1111 Unknown 20.04.13-12:1 .... 4/13/2020 12:1 ... Date of Birth 01 01 2001 Unknown 20.04.13-10:5 ... 4/13/2020 11:5 ... Gender . Male . Female o Other Request ID Unknown 20.03.04-14:0 ... 3/4/2020 02:02 ... Age 19 Years Accession No 3/4/2020 01:56 ... 2. Select Local Database Unknown 20.03.04-13:5 ... Comments Unknown 20.03.04-11:1 ... 3/4/2020 11:11 ... Height Weight Unknown 20.03.04-10:4 ... 3/4/2020 10:48 .... Unknown 20.03.04-10:1 .... 3/4/2020 10:16 ... BP Unknown 20.03.04-10:1 ... 3/4/2020 10:12 ... USA 3. Select to highlight Unknown 20.03.04-10:0 ... 3/4/2020 10:02 ... Unknown 20.03.04-09:5 ... 3/4/2020 09:53 ... Institution History patient study from list Unknown 20.03.04-09:3 ... 3/4/2020 09:35 ... Unknown 20.03.04-09:2 ... 3/4/2020 09:27 ... Institution Name LMP D YYYY Gravida Unknown 20.03.03-15:4 ... 3/3/2020 03:44 ... Performing Physician DOC D YYYY Aborta Unknown 20.03.03-14:4 ... 3/3/2020 02:43 ... Referring Physician EDD D YYYY Para 4. Select Append Study Unknown 20.03.03-14:3 .... 3/3/2020 02:30 .... 3/3/2020 02:25 ... Operator Clinical Age days Ectoplas Unknown 20.03.03-14:2 ... No. Fetuses Unknown 20.03.03-14:2 ... 3/3/2020 02:20 .... Unknown 20.03.03-14:1 .... 3/3/2020 02:16 ... 5. Select Start Study Unknown 20.03.03-14:0 3/3/2020 02:07 .. Unknown 20.03.03-12:4 ... 3/3/2020 12:49 ... Short Form FGY, FGH, 20.03.03-12:1 .... 3/3/2020 12:13 ... 4 Append Study Load To Review New Study Cancel Refresh 6. Select Review 79 ? Text Body Marker Exam Package Arrow Thyroid 7. Select the desired image 1 Patient display Title Text SAG 9 Imaging 8. Press ABC 6 Review RIGHT SAG THYROID SUP LOBE Report 9. Select overwrite icon LEFT TRV ISTHMUS MID NODE End Exam MIDLINE NECK INF 10. Enter the word over the area (the text will PARATHYROID MEDIAL overwrite in a black box) LATERAL 11. Press Image to save the modified text Clear Screen Select Line Text Size Home Set Home Tip: Text can be modified on a closed study within 24 hours and will appear as an added image. Text, Body Markers & Arrows Text, Body Markers and Arrows 80 Text Icons Controls Function Controls Function 121 Activates /deactivates text cursor ABC and the text Touch Screen menu Delete Deletes text at the cursor Sets default position for the text Set Home cursor Select Line Moves the cursor between separate text lines Positions the cursor at the home Home location Displays the next or previous page, when available Q Temporarily hides text Activates Caps Lock functionality Deletes all text, pictograms or Caps Lock on the digital QWERTY keyboard Clear Screen arrows Text Size Changes the size of the text 1 Text 81 1. Press the ABC key on Text Body Marker Arrow 3 Exam Package ABC the control panel Thyroid Patient 2. Select the desired Title Text 4 Imaging annotation on the Touch 2 Review RIGHT SAG THYROID SUP LOBE Screen Report LEFT TRV ISTHMUS MID NODE 3. Select Exam Package to End Exam access text from a different MIDLINE NECK INF exam type PARATHYROID MEDIAL LATERAL 4. Select the Keyboard icon on the Touch Screen to activate / deactivate the digital QWERTY keyboard Clear Screen Select Line Text Size Home Set Home Text, Body Markers & Arrows Text, Body Markers and Arrows 82 Body Markers 1. Press the ABC key on the control panel ABC 2. Select the Body Marker tab 3. Select the desired Body Marker from the Touch Screen 4. Use the Body Marker widget on the Touch Screen to adjust transducer orientation / position 5. Press Set to anchor 6. Press the Trackball soft key on the Control Panel to toggle between Transducer Marker Trackball Trackball and Body Marker for repositioning Body Marker Transducer Marker 7. Press Delete on the control panel to delete the Body Marker Tip: Body Marker options can be customized in the System Configuration Menu. Exam Package 83 ? Text 2 Body Marker Arrow Thyroid = Patient Y Imaging Review an Report 3 End Exam 4 6 Clear Screen Trackball Transducer Marker Cine Transducer Marker On Fr 74 Text, Body Markers & Arrows Text, Body Markers and Arrows 84 Arrows 1. Press the ABC key on the control panel ABC 2. Select the Arrow tab on the Touch Screen 3. Use the Arrow widget to adjust arrow orientation and tail length 4. Roll the trackball to position 5. Press Update to add additional arrows 6. Press Delete on the control panel to delete the last arrow or Clear Screen to delete all markings 7. Press Previous Arrow to cycle through multiple arrows 8. Press ABC to exit Arrow function Tip: Unlimited arrows can be added. ABC ? 85 Text Body Marker Arrow Exam Package 2 Patient 4 Imaging Review Report 3 End Exam 5 Update X 6 7 Clear Screen Previous Arrow Text, Body Markers & Arrows Data and Image Management 86 Review Images Review Images on Current Study 1. Select Review on the Touch Screen Review 2. Select the desired layout on the Touch Screen 1:1 2:1 4:1 6:1 9:1 16:1 3. Rotate the Page soft key to view more images Page 8 of 8 4. Select Imaging or 2D to exit Imaging Review Images from a Closed Study 87 1. Select Patient on the Touch Screen Patient 2. Select Local Database on the Imaging screen 3. Select the desired study 4. Select Load to Review 5. Select the desired display format on the 1:1 2:1 4:1 Touch Screen 6: 9:1 16:1 6. Rotate the Page soft key to view more images Page 13 of 33 7. Select Imaging or 2D to exit Imaging Data & Image Management Data and Image Management 88 Review Images Patient Registration 2 Patient Registration Patient Browser Local Database Worldist Patient Patent Name Exars Date & Time Accession No Patient 1111 4124/2020 12:1 Last Nime WATIEN Append Study Load To Review New Study Cancel 20.04.22-104 ... 3 4122/2020 10:4- First Name 20.01.22-10:4 Requested Procedure Imaging Urk:ow 20:04.20-100 ... 4120/2020 10:0_ 4 Urknows 20.04.13.12.1. 4/13/2020 12:1_ Date of Birth Of 01 7001 Uirknown 20.04.13.105. 4/13/2020 115 Gender @ Male . femile Review Urknows 20.03.06-14:0. 344/2020 02:02 Urknown 20.03.06-13:5 ... 3/412020 01:56- 19 Years Accescion No 20.03.04-11:1 314/2020 11:11_ Commenti Report Unknows 20.03.06.10.4 ... 3/4/2020 10:48 ... Urknow 141000 10:16 20.03.04-10:1 ... 344/2020 10:12- End Exam Unknown 20.03.06.10.0 ... 34412020 10:02_ 20.03.04 095 ... 3/4/2020 09:53__ Inssituation history 20.03.06-09.3. 34412020 09:36. Urknow 20 0104 097 342020 09-27 lesstución Nima & 19 Urkhows 20.03.0)-154 332020 03:44 Performing Myocian Aberta 20.01.03.14:4 3/3/2000 00-43 3/3/2020 02:30 ... Baferring Meylician Tab Urknow 20.03.03.14:3._ W Urknows 20.03.03-14:2 ... 3/3/2020 02.25 ... Operator Chekcal Age Echopics X Urknows 20.01.05-14:2. VI2020 00-20 Caps Lock Enter Urknows 20.03.03-14:1 ... 303/2020 02:16- 20.03.03-14:0. 34312020 02-07 Urknows 20.03.03-12:4___ 3/3/2020 12:4). Short Form 4 Shift Z x C IN M Delete FGY.IGN 20.03.03.12.1 ... 3/3/2020 12:13 Append Study Lead To Review Cances Ctrl Alt Delete Images 89 Delete Images from a Current Study or in Review 1. Select Pointer from the Touch Screen 12 2. Select an image on the thumbnail panel to 2 highlight 13 3. Press the Delete button on the control panel or select Delete Image(s) from the Touch Delete Image(s) Screen 15 16 ALALA A 3 X Total: 55 Data & Image Management Data and Image Management 90 Export to Network 1. Select the patient name in the Patient Browser 2. Select the preconfigured destination icon or select transfer and choose the preconfigured PACS network destination name Tip: Images automatically send to PACS if the system is configured to send during the exam or at the end of the exam. Patient Transfer Edit View Filter Sort Options Help 91 Send to SYNGO Local Database test, 2 Scheduler Unknown [3000 JDICOM 1 € USB Unknown Unknown Unknown Unknown Unknown Unknown Patient name test, b Date of birth 5/30/2004 Patient ID 6551212 Patient Name Patient I ... |Study Descri ... = Study Date and .. = Instances |Work Stat .. test, b 6551212 4/25/2018 02:08:34 4 Current Filter: Off Data & Image Management Data and Image Management 92 Export Study to CD-R/DVD or USB in DICOM with Showcase Viewer 1. Insert CD-R/DVD or USB Patient Transfer Edit View Filter Sort Options Help 2. Select the patient name in the Patient Q Import Ctrl +1 Browser Eject from ... Nuance Data Transfer Status ... 3. Select Export with Acoustic Data under the Local Job Status ... Ctrl +L Transfer menu Network Job Status ... Ctrl +N Import from Off-line ... 4. Select the desired destination Export with Viewer ... 5. Select Export Export with Acoustic Data ... 3 Export to DVD in PC format Export to USB in PC format Tip: To export in DICOM with Showcase viewer, select Export with Viewer. Patient Transfer Edit View Filter Sort Options Help 93 Unknown 11 T DONE Local Database Unknown - DONE 2 11 J DONE 11 1 COMILOC Scheduler Unknown [1000] JDICOM 11 / DONE € USB Unknown 11 | DONE Unknown 11 1 DONE Unknown II I DONE Export To Destination Compression Qualit. abel on medium Medium Capacity Total Capacity Unknown USB 4 None 21.55 GB 28.63 GB 11 1 DONE Patient name Unknown atient ID 18.04.24-19:30:17-DST-1.3.12.2.1107.5.99.1.19222 Patient Name Patient I ... |Study Descri ... [Study Date and ... = Instances |Work St Unknown 18.04.24- 4/24/2018 07:30:17 4 11 Export Cancel Help 5 Current Filter: Off Data & Image Management Data and Image Management 94 Import from USB or CD-R/DVD 1. Insert CD-R/DVD or USB Patient Transfer Edit View Filter Sort Options Help Q Import Ctrl +1 2. Select Import from Offline under the Transfer menu Eject from ... Nuance Data Transfer Status ... 3. Select source Logical Name and Path Local Job Status ... Ctrl +L Network Job Status ... Ctrl +N 4. Select patient study Import from Off-line ... 2 5. Select OK Export with Viewer ... Export with Acoustic Data ... Export to DVD in PC format Export to USB in PC format Tip: Press and hold the Ctrl key on the keyboard to select multiple studies. Patient Transfer Edit View Filter Sort Options Help 95 Unknown =Local Database Unknown Import from Off-line X Scheduler Select object(s) which should be imported Logical Name F:\ 3 Path F:\Export PHANTOM2.CT.ABDOMEN_ABDOMENROUTINE_(ADULT).0003.00 PHANTOM2.CT ABDOMEN ABDOMENROUTINE_(ADULT).0003.00 @ PHANTOM2.CT.ABDOMEN_ABDOMENROUTINE_(ADULT).0003.00 PHANTOM2.CT.ABDOMEN_ABDOMENROUTINE_(ADULT).0003.00 PHANTOM2.CT.ABDOMEN D PHANTOM2.CT.ABDOMEN 4 MENROUTINE_(ADULT).0003.00 OMENROUTINE_(ADULT).0003.00 Q PHANTOM2.CT.ABDOMEN_ABDOMENROUTINE_(ADULT).0003.00 Q PHANTOM2.CT.ABDOMEN ABDOMENROUTINE_(ADULT).0003.00 @ PHANTOM2.CT.ABDOMEN_ABDOMENROUTINE_(ADULT).0003.00 @IPHANTOM2.CT.ABDOMEN_ABDOMENROUTINE_(ADULT).0003.00 @]PHANTOM2.CT.ABDOMEN ABDOMENROUTINE (ADULT).0003.00 OK Cancel Connect As .. Help 5 Data & Image Management Data and Image Management 96 Query /Retrieve from PACS 1. Select the search icon in the Patient Browser 2. Enter the patient search parameters 3. Select the desired study 4. Select Import Tip: Enter multiple parameters for a targeted query. Patient Transfer Edit View Filter, Sort Options Help 97 1 Patient Search Basic Search Patient Name: 111 Patient Name 2 From TO Node Patient ID Study Date SYNGO Date of Birth Study Time JE 1 COMILOC Sex Any Accession Number [1000] Modality Mammography Advanced Search Study Description V From To Study ID PPS Start Date V Referring Physician PPS Start Time Reporting Physician Body Part Exam Study Instance UID Performing Physician Series Instance UID Request Procedure ID Series Number Scheduled Procedure ID Series Description Approval Status Patien › Reporting Search Patient ID Patien Unkno Search Clear MAMO V Save Delete 111, 123; ID : 111; ; Other SR.US 3 1/23/2018 4 Import Import Job Status Image List Discard search results on close Close Help Found 1 patient matches. Data & Image Management Data and Image Management 98 Anonymize a Patient Study 1. Select Patient 4 Patient Transfer Edit View Filter So Register ... = 2. Select Patient Browser Load To Review 5 De-Identify 3. Select the desired study from the Local Database Upload to Siemens Film Task Status. Ctrl+P 4. Select Patient drop-down menu Expose Film Task Copy to Film Sheet Num Enter Show MPPS 5. Select De-Identify, enter a name and then select OK Search a. The system copies the study to a new patient folder Search Selected ... Close Browser Alt+F4 labeled with the new name entered and replaces the date of exam with the date when the patient- identifying information was removed from the file b. The Patient ID is Anonymous Tip: All patient-identifying information is removed from the exam, for example, images of the patient registration page and patient report. The new patient folder contains only images and clips from the exam. 99 Data & Image Management Modality Compare 100 3 Workflow 1. Import the study to the Local Database from source (CD/DVD/USB) or Query / Retrieve Fusion Panoramic Protocols 2. Register the patient 4 Modality Compare Physio CDx 3. Select Workflow 4. Select Modality Compare Reference Images Studies Date Study Description 5 Series [0] 12/20/2017 10:04 AM Breast 5. Select the required study 6. Select the reference images Images Select All Select None 7. Select OK 10 6 7 OK Cancel L4g 1. Select Images – Return to the 101 18L6 1014 5V1 4V1 Breast Workflow Patient Browser to select additional Patient 2D Modality Compare images for comparison Imaging Select Images Remove Image Exit 2. Remove Images – Removes Review 1 2 previously selected images Report Pan W 4096 2048 End Exam 3. Image – Rotate to change displayed reference image 5 6 4. Zoom – Rotate to magnify the Apply to All Reset to Default reference image Image Zoom 5. Pan – Slide your finger across the 25% area to reposition the reference 3 4 image 6. Window / Level – Slide your finger across the area to change the brightness / contrast the reference image Modality Compare Care and Cleaning 102 Cleaning and Disinfecting the System 1. Power off the system and unplug the power supply 2. Use a clean gauze pad or lint-free cloth, lightly moistened with a mild detergent, to wipe the surface of the system 3. Use a clean, lint-free cloth to dry the surface 4. As required, use an approved disinfectant wipe to disinfect the system and accessories 5. Plug the power cord into the power supply Tip: Ensure that fluids do not seep into any openings on the system. L4g Cleaning the Trackball 103 1. Rotate the ring around the trackball counter - clockwise and carefully lift the ring to remove Update 2. Remove the trackball 3. Clean the ring, trackball and trackball assembly with a cotton swab or lint-free pad moistened with a mild detergent solution 4. As required, use an approved disinfectant wipe to disinfect the ring, trackball and trackball assembly 5. After allowing the trackball components to completely dry place the trackball into the assembly 6. Place the ring over the trackball, aligning the tab with the point of attachment on the assembly, and rotate clockwise until the ring snaps into place Care & Cleaning Care and Cleaning 104 Cleaning the Air Filter 1. Power off the system and unplug the power supply 2. Push the air filter tray to release the locking mechanism and then pull the tray from the system 3. Rinse the air filter tray with running water and allow filter to completely dry 4. Slide the dry air filter back into the system 5. Plug the power cord into the power supply ACUSON Sequoia Tip: Air filter should be checked and cleaned weekly to maintain proper system cooling. 105 Care & Cleaning For the proper use of the software or hardware, please always The reproduction, transmission or distribution of use the Operator Manual or Instructions for Use (hereinafter this training or its contents is not permitted without collectively “Operator Manual”) issued by Siemens Healthineers. express written authority. Offenders will be liable This material is to be used as training material only and shall by for damages. no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does All names and data of patients, parameters and not necessarily reflect the latest version of the software and configuration dependent designations are fictional hardware available at the time of the training. The Operator and examples only. Manual shall be used as your main reference, in particular for All rights, including rights created by patent grant or relevant safety information like warnings and cautions. registration of a utility model or design, are reserved. Certain products, product related claims or functionalities Siemens Healthineers Ultrasound owns the rights to (hereinafter collectively “Functionality”) may not (yet) be all images. commercially available in your country. Due to regulatory Note: Some functions shown in this material are requirements, the future availability of said Functionalities in optional and might not be part of your system. any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most ACUSON Sequoia, Auto TEQ, Clarify, InFocus, UltraArt current information. and Virtual Touch are trademarks of Siemens Medical Solutions USA, Inc. Siemens Healthineers Headquarters Legal Manufacturer Siemens Healthcare GmbH Siemens Medical Solutions USA, Inc. Henkestr. 127 Ultrasound 91052 Erlangen, Germany 22010 S.E. 51st Street Phone: +49 9131 84-0 Issaquah, WA 98029, USA siemens-healthineers.com Phone: 1-888-826-9702 siemens-healthineers.com/ultrasound Published by Siemens Medical Solutions USA, Inc. · HOOD05162003123822 · 9260 0920 · ©Siemens Medical Solutions USA, Inc., 2020