SigViewer User Manual
Contents
1. 27 SigViewer User Manual Page iii 1 INTRODUCTION About SigViewer SigViewer enables users to Y Copy Signos RT images to a PC Y Enter new patients and copy them to a Signos RT device v Store view email and print exam and image information v Display the Signos RT screen on the PC for magnification and projection see Remote display page 25 v Connect directly to an ultrasound probe to control and display ultrasound imaging page 10 SigViewer displays information on three different tabs The review tabs displays saved images A Device tab appears when a Signos RT is connected page 8 A Scanning tab appears when an ultrasound probe is directly connected to the PC page 17 Buttons for switching between the tabs are located in the top right corner of the SigViewer window and in the menu A Sig Viewer EERS IN Menu as Patient Exam Database H Scar tab switching Patients and Exams View by Patient wi buttons Patients P Exams Family Name Given Names EMR Id DOB Sex Date 058 11681 14 07 1934 Female E 8 01 2007 3 50 AM EMR ZW 0549 2 05 1995 Male I VSV851092 15 11 1954 Male Anderson EMR WQ 0795 11 02 1989 Male Anderson EMR NEO 1999 11 03 1962 Male Chondroyiannis j 10 04 1945 Female Clark i 598 66479 28 12 1924 Female Clark i UMJ023540 4 02 1921 Female Collins 25 05 1999 Male 98 Anderson Thomas EMR NEO 1999 8 01 2007 3 50 AM A Image mages lb Measuremen2. updates for SigViewer and prompt you to update software when required Editing Options If checked Ask when deselecting an exam that is in editing mode will prompt the user when an exam that is open for editing 1s deselected by the user to confirm the user intends to close the exam and accepts they will not be able to undo changes to the exam P03629 Rev 2 11 0 SigViewer User Manual Page 4 Ultrasound Options Scan Timeout mins secs ss 0 30 Fetal Charts No Tables Selected X Fig 2 3 Ultrasound Options Scan Timeout Enable a user to set an automatic scan timeout for scanning mode This option is only relevant for users who use the PC to control scanning Fetal Charts This option allows the chart used for fetal biometry measurements to be set The following charts are available gt ASUM Australasian Society for Ultrasound in Medicine Policies and Statements D7 Statement on Normal Ultrasonic Fetal Measurements Revised May 2001 gt BMUS British Medical Ultrasound Society Ultrasound 2009 17 3 161 167 Fetal size and dating charts recommended for clinical obstetric practice gt Hadlock Hadlock F et al Estimating Fetal Age Computer Assisted Analysis of Multiple Fetal Growth Parameters Radiology 152 1984 pp 497 501 Hadlock F et al Fetal Crown Rump Length Re evaluation of Relation to Menstrual Age 5 18 weeks with High Resolution Real Time Ult
3. AM Hall Lilly 295 46488 22 11 1965 Female 22 01 2012 11 02 PM Liu Noah WFY423318 26 05 1911 Male 19 01 2012 7 12 AM Taylor Cameron ZMX829214 18 03 1907 Male 4 01 2012 3 50 PM Scott Brooke EMR MM 0271 3 07 2004 Female 4 01 2012 3 50 PM EMR ZW 0549 2 05 1995 Male 8 01 2007 3 50 AM Anderson Thomas EMR NEO 1999 11 03 1962 Male 98 Anderson Thomas EMR NEO 1999 8 01 2007 3 50 AM A Image 1 Measurements Fig 4 5 View by Exam P03629 Rev 2 11 0 SigViewer User Manual Page 12 CO c oi E Wi E o En e E Oo o Viewing images in the selected exam When an exam is selected Fig 4 6 the exam toolbar shows gt The patient name and EMR electronic medical record identifier gt The date and time of the exam gt The text annotation of the current image Click the annotation to open a menu containing predefined annotations to apply to the image or to launch a Text Annotation window for editing the annotation image name The left pane at the bottom of the screen shows gt A thumbnail gallery of all images in the open exam The selected image is shown in the right pane The number of image columns can be varied between 1 and 2 using the arrow buttons The measurement values for the selected image except if only one thumbnail column is being viewed in which case the measurements are shown directly on the image bebes EI again to revert to the normal view The Patients and Exams area can
4. bladder volume using three caliper measurements from two images Choose Scan Start Sequence and select a sequence option to begin running the sequence When a sequence is running a Sequence Panel will replace the Exam Information Panel to instruct you what type of scan to perform Fig 6 9 Fig 6 9 Start Sequence gt Next skips to the next step in the sequence gt Previous returns to the previous step in the sequence gt Repeat repeats the sequence from the first step All images from the original sequence are saved Only one image may be saved to each step but a scan can be redone at each step until a satisfactory image is obtained Each image is automatically labeled with the sequence step The required measurement shapes that need to be correctly positioned appear as appropriate If completing the sequence would mean that the number of images in the active exam would exceed the maximum allowed 50 an error message will appear allowing you either to open a new exam or to cancel the sequence Probe Information Choose Scan Probe Information to display information on the connected ultrasound probe Probe Information dh Probe Information Hardware Revision 1 0 Seral Number 034567 Software Version 2 6 0 15883 Bootloader Version 2 6 0 15883 CPLD Version d Transducer Information Transducer Type Sector 3 5 MHz Hardware Revision 5 0 Serial Number 000101 Fig 6 10 Probe Information P03629 Rev 2 11 0 Sig
5. to Factory Presets to restore any deleted system defined presets and restore factory default presets for each transducer User defined presets will not be affected Manage scan settings Scan gt Scan Settings gt Manage Presets will open the Manage Presets screen where you can copy edit rename and delete scan presets Fig 6 3 System presets are locked and unable to be changed but can be copied or saved as a user preset that can be changed Use the Copy button to create a copy of an existing scan preset Use the Save As button at the bottom of the screen to save the preset to a different user preset You will be prompted to name your preset when you save it Customizing scan presets User presets can be adjusted by clicking any of the Manage Presets tabs and adjusting settings The Main tab contains the most commonly adjusted settings Fig 6 4 with other tabs for Advanced settings Fig 6 5 M Mode Fig 6 6 Doppler Fig 6 7 and Annotations Fig 6 8 For a complete description and definition of scan settings refer to Appendix 1 of the Signos RT User Manual P03629 Rev 2 11 0 o Ge jJ Fig 6 2 Diagnostic Area D 53 5 Default Large Vessel 53 5 D Lung 53 D Lung 53 5 D Aorta S3 DN Aorta 53 5 Bladder 53 Bladder 53 5 Bladder Auto 53 DN Bladder Auto 53 5 DN Abdomen 53 Abdomen 53 5 Obstetric early 53 Obstetric early 53 5 Obstet
6. Toggle Icon Fig 5 6 B mode scan with PW Doppler Fig 5 7 PW Doppler trace line and gate Quick adjustments The Scan Tool Bar provides icons for quickly adjusting common settings such as Gain and Depth for all modes and Doppler Gain and Doppler pulse repetition frequency for PW Doppler To adjust other scan parameters select Advanced Settings which will open another panel containing the advanced scan parameters P03629 Rev 2 11 0 SigViewer User Manual Page 19 Movies Sig Viewer is able to save the last 32 frames of a B mode scan as a movie for later playback SigViewer also has a Scan Review mode that enables users to scroll through the last 32 frames one image at a time and then save any of the last 32 images Entering Scan Review Mode Scan review mode is entered by selecting the Review icon The movie pause play button can be used to control playback of the review frames Clicking the right part of the pause play button pops up a control that allow the user to scroll through single frames single images can be saved by clicking on the Save icon HM Movies can be saved by clicking on the Save Movie icon Ka Recommended ultrasound transmission gel Signostics recommends the use of Aquasonic 100 Ultrasound Transmission Gel manufactured by Parker Laboratories INC Fairfield New Jersey 07004 A sample is provided with the system Recommended ultrasound probe sterile sheaths Where fluid contamination is possible su
7. Viewer User Manual Page 23 7 OTHER FUNCTIONS Printing To print the current image select Printing from the image tool bar and then select Print View from the menu Patient and exam information will appear on a print preview screen If the image is zoomed Print View will show only the zoomed section To print all of the images in the open exam select Printing from the image tool bar and then select Print Exam from the menu A print preview screen will appear Fig 7 1 Patient exam and measurement shape information will appear on each printed page Print Save As Email Full Page Portrait v 4lmages per page Patient Name Thomas Anderson Examination Date 8 01 2007 3 50 AM Sex Male Date OfBirth 11 03 1962 EMR Id EMR NEO 1999 image im 1 Sem SE image Time 25 02 2013 11 A Fig 7 1 Print Preview Use menu options to gt Print the images to a printer fax or other output Save the images to a PDF file Email the images The images are attached as a PDF file Change magnification Scroll through the images Change page orientation Select the number of images per page Select paper size VV ON ON ON ON ON V Change how duplex M mode and PW Doppler images are displayed P03629 Rev 2 11 0 SigViewer User Manual Page 24 Remote display It is possible to display information from Signos RT on your computer screen Connect your Signos RT to your computer via USB and press Remote Display on the Sele
8. a B mode image with a line down the centre of the image showing the position of the M mode line of sight Fig 5 4 The line is a locating aid assisting the user to align the tissue of interest With the B mode scan running clicking the Toggle Icon will freeze the B mode image and commence generating the M mode trace Fig 5 5 Changing back from the M mode trace to the B mode positioning is via clicking the Toggle Icon again M mode images show a stationary interface as a straight line on the trace Heart rates can be measured using the BPM menu Fig 5 4 Positioning scan for PW Doppler Imaging M mode PW Doppler images can record fluid motion over time With PW Doppler mode selected starting a scan will initiate a B mode image with a line and a gate down the center of the image The line and gate are a locating aid assisting the user to align the tissue of interest Fig 5 6 The gate position can be moved up and down and widened via the mouse or touch screen With the B mode scan running clicking the Toggle Icon will freeze the B mode image and commence generating a PW Doppler trace Fig 5 7 Changing from the PW Doppler trace back to the B mode positioning scan is via clicking the Toggle Icon A trace depicting fluid velocity is displayed on the image Fig 5 5 M Note PW Doppler does not provide absolute velocity doo MNOGE MACE measurements It only provides an indication of relative or changes in velocity
9. aging modes Warning v Check the connecting cable connectors and system housings before use for cracks or fraying Do not use if damaged Signos RT employs three separate imaging modes known as B mode M mode and PW Doppler mode Changing imaging modes The current imaging mode is indicated in the vertical scan toolbar Change by clicking on the icon and selecting the new imaging mode otarting and Stopping a Scan Click the Freeze icon or the scan button on the probe to begin scanning The scanned image will constantly be updated on the screen When actively scanning click the freeze icon or scan button to stop and save the scan image The last scanned image will be retained on the screen and in the exam B mode Imaging Signos RT generates conventional sector shaped B mode images of underlying anatomy For probe orientation the Scan Button on the probe corresponds to the Flip Icon on the display The convention is for the Scan Button to be on the patient s right side for transverse scans and superior for sagittal or coronal scans Fig 5 2 with a white dot flip icon on the image to denote scan button position Flip Icon Fig 5 2 B mode scans with correct probe orientation Fig 5 3 B mode scan showing field of view and orientation P03629 Rev 2 11 0 SigViewer User Manual Page 18 M mode Imaging M mode images can record tissue motion over time Toggle Icon With M mode selected starting a scan will initiate
10. also be hidden by clicking the icon next to the text annotation as Anderson Thomas EMR NEO 1999 8 01 2007 3 50 AM Images Je a E Image 1 Image 2 Image 3 Image 4 Measurements nt information anaging exam and Fig 4 6 Viewing images Editing images in the selected exam Buttons at the bottom of the Image pane can be used to edit exam images Fig 4 6 If the Sig Viewer window is not large enough to display all the buttons a drop down arrow will appear click this arrow to view all buttons or re size the Sig Viewer window You will be prompted to confirm that you wish to edit exams an exam in editing mode will show an asterisk after the exam date time Any changes you make to an exam in editing mode can be undone or redone using the le Undo and le Redo icons in the exam tool bar P03629 Rev 2 11 0 SigViewer User Manual Page 13 Measurements Menu L TP The measurement menu allows you to add and delete measurement shapes Measurement information 1s displayed in the Measurements box in the bottom left corner of the SigViewer window You will need to position each shape before a measurement value will appear Callipers Insert a caliper measurement Narrow Insert an arrow indicator LI Polygon Insert a polygon measurement e Ellipse Insert an ellipse measurement Vv V WV Bladder Volume Insert a bladder volume measurement will add an outline bordering the bladder after you c
11. as Monday 25i March 2013 iue SH 3 5 MHz Scan Mode B Mode Gain 10 dB Image Dimensions 504 x 324 Pixels Far Gain 60 dB Image Resolution 3106 ppm x 3106 ppm Gain Delay Transfer Curve 0 Gain Rate Image Flipped No Imaging Profile Bidirectional Scanning Image Post Processing Fig 4 8 Image information tabs P03629 Rev 2 11 0 SigViewer User Manual Page 15 Exporting images To export one image from an exam select the image in the thumbnail gallery and right click on it and select Export Image You may choose to export patient and exam information about the image Fig 4 9 Any information selected will be displayed at the top or bottom of the image when the file is opened You may also choose how duplex images are exported Duplex images refer to M mode and PW Doppler images that have an associated B mode image Select file name to save image to CAUsers M JserName Documents Anderson Thomas EMR NEO 1999 Image 2 png Image Output Options v Patient name V Image date time 4 Measurement shapes 4 Measurement text 4 Image annotation Image File Format Fig 4 9 Export Image Still images will be exported as JPG PNG or DICOM files depending on the option set When movie clips are exported they will be exported as AVI or DICOM files depending on the option set Alternatively highlight the image you wish to export and select Patient Copy Image or right click Copy Image to simply copy
12. ch as during ultrasound guided fluid drainage of vascular access the ultrasound probe shall be covered with an appropriate sterile sheath which will promote asepsis and minimize cleaning Signostics recommends the use of Eclipse Probe Cover Latex Free 38 03 by Parker Laboratories INC Fairfield New Jersey 07004 Warning v Be aware of latex allergy Some commercially available probe covers contain latex Refer to the US FDA alert title Medical Alert Allergic Reactions to Latex Containing Medical Devices issued March 29 1991 P03629 Rev 2 11 0 SigViewer User Manual Page 20 6 SCAN MENU The scan menu appears when the Scan tab is showing and enables users to Manage Scan Setting presets gt Run scan sequences gt Display Probe Information Scan Settings The Scan gt Scan Settings menu enables users to gt Choose Manage Presets to create edit or delete presets see Manage scan settings gt Choose Default Presets to set the default preset for each S3 Default Z Sector 3 5 MHz S3 5 Default Lok Ge jJ Fig 6 1 Default Presets transducer Fig 6 1 Select the desired preset from the drop down list provided Press OK to apply changes gt Choose Diagnostic Area to define which system defined presets appear Fig 6 2 You may select between General Medical Vetennary Veterinary Physiotherapy or Obstetric Press OK to apply changes Choose Revert
13. ct USB Function screen If not already open SigViewer and the Remote Display window will launch automatically Your Signos RT will not respond to any keyboard commands or mouse clicks made on your PC Close the Remote Display window on the PC to return to the Device tab If a Signos RT is already connected to the PC launch Remote Display by pressing the button on the right side of the SigViewer Device tab see Fig 3 4 page 8 Note this mode is primarily intended for reviewing images Although a scan can be performed while connected to a PC in remote display mode please be aware that SignosRT only conforms to CISPR11 RF Emissions Class A while scanning in this configuration Refer to the Signos RT User Manual for further details Recovering information Recovery mode Your Signos RT will enter Recovery Mode if it cannot start correctly A blue screen will appear asking you to connect the device to a PC loaded with Sig Viewer and connected to the Internet When the Signos RT is connected SigViewer will try to repair the software If this does not work you may need to send an error report page 26 Repairing databases If the database your Sig Viewer is using has become corrupt and unusable a message box will appear when you launch Sig Viewer SigViewer can repair the database by regenerating the information but any patient details for patients without linked exams will be lost Patient details can be re loaded by synchronizing a devic
14. d Patient Editing existing patients To edit details for an existing patient first select the patient s name from the Patients pane Double click the patient s name or select Patient Exam Database gt Edit patient to open a window similar to Fig 4 3 To assign exam information to a different patient e g you have an exam with an Unidentified patient label that you wish to assign a name select the exam click the patient name in the Exam Toolbar and select Set Change Exam Patient from the menu The Select Patient for Current Exam window will open Fig 4 4 where you may select from the existing patient list This window also has an Add New Patient button which allows you to add information for a new patient see Fig 4 3 P03629 Rev 2 11 0 SigViewer User Manual Page 11 CO c E x Oo E P 4 D c mIRC NNI ON Patient Search Family Name e Given Names EMR ld DOB Sex 058 11681 14 07 1934 Female EMR ZW 0549 2 05 1995 Male VSV851092 15 11 1954 Male Anderson Max EMR WQ 0795 11 02 1989 Male Anderson Thomas EMR NEO 1999 11 03 1962 Male Chondroyiannis Jorja 10 04 1945 Female Clark Emily 598 66479 28 12 1924 Female Clark Tahlia UMJ023540 4 02 1921 Female Collins Dylan 25 05 1999 Male Collins Isabella 3 10 1932 Female Gonzalez Lauren 610 83886 1 01 1933 Female Add New Patient Fig 4 4 Select Patient for Exam Deleting patient information To delete a patient entry
15. e see Signos RT User Manual for cleaning and disinfection instructions gt You have suitable ultrasound transmission gel available Y The patient is positioned appropriately and you have access to the anatomy to be scanned gt The SigViewer application has detected the ultrasound probe and displays the Scan Tab see Fig 5 1 d jr D X eil Menu 7 gy amp Patient Exam Database Scan n Jevicd A Review Scan tab as Unidentified 2 07 2014 3 20 PM GJ Er Probe Battery Start Scan l C O n Toggle B Mode S3 5 Default M Gain dp Depth 18 cm Fig 5 1 Scan Tab P03629 Rev 2 11 0 SigViewer User Manual Page 17 Default Settings Each transducer defaults to a set of preset scan settings at initialization which provide appropriate setting for general scanning The settings are set to values which should be adequate for average patients and the depth is set to the maximum depth The user is able to modify the default preset and create new customized presets see Scan Settings Scan settings cannot increase acoustic output level ensuring the device always operates with safe acoustic output levels Entering exam and patient information Patient data may be set before beginning a scan or added at any later time Enter patient data by clicking the patient name and selecting Set Change Exam Patient Select from the stored list of patients or click the Add New Patient box to create a new patient Im
16. e with the relevant patient information with the repaired database For further information please contact Signostics Customer Support page 26 P03629 Rev 2 11 0 SigViewer User Manual Page 25 Help Send error report This utility should be used only when requested by your Customer Support representative If you are experiencing problems please obtain a valid case number a six digit number by contacting Customer Support in your country Customer Support may request you to send through log files If the problem is with your Signos RT first plug it in to your PC and select Menu gt Maintenance gt Send Error Report Enter the case number given to you by Customer Support and press Transmit Data transmitted to Signostics will contain device specific information and may contain patient information No images are transmitted All data received by Signostics will be treated in confidence with the sole purpose of resolving the device problem Signostics Customer Support Free call within Australia 1800 SIGNOS 1800 744 667 For further details see Contact information page 2 SigViewer software updates You can manually check for SigViewer updates using the Menu gt Maintenance gt Check for Sig Viewer Updates About Menu About launches a window describing the SigViewer software The Details button will launch the Attributions Help page P03629 Rev 2 11 0 SigViewer User Manual Page 26 A q mee 26 Annotat
17. ending to a DICOM Genver nennen nnns 16 Deleting an exam sus circ sete land dene neck tun ein HU Saee e p Danes dte Rioni re bpsa de Nut omesee b Desud ete 16 Elle DEEN 17 VS VIO UI E 17 Default SLUM NR RT UR 18 Entering exam and patient Imtormmaton nnee 18 DIVAS un Le 18 CHANGING IMAGING ue e EE 18 Starting and Stopping a Dean 18 B mode Imaging nennen nnne nnn nnns 18 M mode Imaging PRENNE ROO 19 PW Doppler Imagomg nnn 19 COUCH SOUS dn E 19 Ville T 20 Entering Scan Review Mode nennen 20 Recommended ultrasound transmission gel 20 Recommended ultrasound probe sterile sheaths 20 cost MODE a 21 EEN 21 Manage scan settings E 21 Customizing scan presets ssssssesssssssseeene aE aara Eni 21 Loading a elici EE 22 Sele Re 23 PODS UO MA MOM EE 23 SigViewer User Manual Page il P03629 Rev 2 11 0 T QOlherf hcliOlS uiuis anos ENEE 24 milio m T U E 24 Remote display 25 Recovering Imtormaton nennen 25 Recovery mode sssssssssssssseee eene nennen nnns nhan n nns nna rins nna nnn rss 25 Re W iee 25 gl m A 26 Send enor repo erse E 26 SigViewer software updates mnes 26 e NER ee e 26 d em
18. ent back to Signostics for regulatory tracking purposes Please register your device to ensure you receive all software updates Al applied software updates will be logged for regulatory purposes Information will not be distributed to any third party Product Serial Number ABAD113000073A Mame Organisation Email Address Address Cty State Province Post Zip Code Country Phone Number Do not send me any information about new products or offers Mandatory Fields Fig 2 5 Device Registration P03629 Rev 2 11 0 SigViewer User Manual Page 6 3 SYNCHRONIZING WITH YOUR SIGNOS RT What is synchronizing Synchronizing describes the process of transferring patient data and images between the Signos RT and PC New patient data entered on the PC will be copied onto the Signos RT New patient data exams and associated images will only be copied from the Signos RT to the PC New exams and associated images will not be pushed from the PC onto the Signos RT Any edits to existing exams on either the PC or Signos RT will be updated during synchronization How to synchronize Use the USB connection cable in the Signos RT package to connect Signos RT to a USB port of a PC Click File Transfer on the Signos RT screen and if SigViewer is installed on the PC then SigViewer will launch automatically After connecting your Signos RT to a PC you will be prompted to synchronize the device Fig 3 1 You may bypass this ste
19. er since you last synchronized A message box will appear giving options to resolve the conflict by asking which version if any to transfer If an error occurs during synchronization then the details will be displayed in red text in the Messages box An error may occur if a file cannot be copied Signostics recommends that you synchronize regularly with your Signos RT to avoid conflicts P03629 Rev 2 11 0 SigViewer User Manual Page 9 4 MANAGING EXAM AND PATIENT INFORMATION Patient and Exam overview A patient is an individual whose details may be saved in SigViewer An exam describes a single interaction e g appointment between a patient and Signos RT user A patient may have one or more linked exams Exams consist of up to 50 different ultrasound images Fig 4 1 shows the relationship between patients exams and images Image 1 Exam 1 Image 2 Image 3 Patient A Exam 2 Exam 3 D Patient B Exam 2 Patient C d S x o Fig 4 1 Schematic relationship between patients exams and images E D I Exams are identified by patient name different exams linked with the same patient are identified by exam F date and time If you do not enter patient details for an exam the exam will be linked with an Unidentified patient Unidentified patient exams are identified by exam date and time The SigViewer database s physical equivalent is a filing cabinet The filing cabinet would consist of a collection of fo
20. first select the patient s name from the Patients pane Select Patient Exam Database gt Delete Patient from the menu to delete patient information and all associated exams You will be asked to confirm your delete request This action cannot be undone Exam information Selecting exams By patient Select the desired patient in the Patients pane Use the scrollbar to scroll up and down the list alternatively begin typing the patient s name in the Patient Search text box to display names matching the typed text The patients can be ordered by Family Name or EMR Id in either ascending or descending order by clicking on the column titles for the matching columns Selecting a patient will bring up a list of associated exams in the Exams pane The exams are listed by date and time The order of the exams may be reversed by clicking on the Date column title Select an exam to view its images at the bottom of the screen By exam Search through all exams by moving to the View by Patient drop down box in the Exams pane and select View by Exam A list of all exams on the PC will appear in the top left pane ordered by date Select an exam to view its images as shown in Fig 4 5 H i Bl Device n Menu as Patient Exam Database ef Device de Patients and Exams View by Exam Exams D Date M Family Name Given Names EMR Id DOB Sex 10 02 2012 6 14 AM EMR ZW 0549 2 05 1995 Male 6 02 2012 2 24 PM Ormanno Thomas YVI586815 16 07 1925 Male 30 01 2012 6 43
21. ion presets ccccccceecceeeeeeeeeeeaeeeeeeees 22 Apply Update 8 Automatic Synchronization ceeeeeeeeeeees 9 Automatically backup card information 9 Automatically check for Software Updates 8 B EE ele 23 B Mode maging scnco 18 C OO ee 14 card Se BET Y cosines uis nrn T 9 Change Exam Patient 11 Change e E 18 Check for Updates 0 0 0 0 ccceeeesssssseeeeeeeees 8 compatibility 00 cceessseeeeseeeeeeeeeeeeeeeeeeeaas 3 EI E spernere See synchronization contact information eee 2 COD DIS Ib ee 2 Customer Support 26 D dat aD TE 4 Ir E 25 Delete after Synchronization 9 Delete all measurements 14 Delete NEE 14 Delete the selected measurement 14 Device Information 8 Device Options Cr 8 Device tab eren See tab E email T4 E 24 COCE PO EEN 26 S CARERE EE 10 Ee 7 9 16 E GEN 13 jua P 24 BEE 12 EENHEETEN 16 G uui NN 15 H hard drive location eruere eene 4 P03629 Rev 2 11 0 SigViewer User Manual l Image Information 15 Scan Settings cccccccccccceceeeeeeeeesseeeeees 15 images EE 13 54910 EE 16 DT 16 humppaa sorserien enna 13 imaging mode asah cncenccoe
22. ked whether you wish to delete exam and patient information e Delete Nothing no information is deleted e Delete Exams exam information is deleted e Delete Exams and Patients exam and patient information is deleted Remote Display will display the Signos RT screen on the connected PC see page 25 oynchronization In the Synchronization pane are gt Two buttons at the top e Start synchronization allows you to synchronize Signos RT a second or subsequent time after connection e Stop synchronization allows you to halt synchronization before it is complete gt Two progress bars in the middle e Overall Progress gives the current position within the complete synchronization process e Operation Progress gives the current position within the current copying process see below gt The Messages box at the bottom e The information in blue is always visible and gives you an indication of the current stage of the synchronization process these are the stages referred to in the Operation Progress bar e If Show details is checked detailed information is displayed in black about each patient and exam that 1s synchronized Synchronization is complete when the Overall Progress bar reaches the end or when the Synchronization completed message appears in the Messages box Synchronization conflicts A conflict may occur during synchronization if the same patient or exam information has been edited on both Signos RT and SigView
23. lders with each folder labeled with the patient information The clinician would use an ultrasound system during a patient appointment exam print out the images of interest and store them in the corresponding patient folder P03629 Rev 2 11 0 SigViewer User Manual Page 10 The SigViewer screen When SigViewer is launched a screen similar to Fig 4 2 will appear with patients exams and images identified in different window panes T E SigViewer M Patient Exam Database I Device Scar Review n Menu ET t b x amp n A Patients and Exams View by Patient T Patients Pp Family Name i EMR Id DOB ex Date 058 11681 14 07 1934 emale 8 01 2007 3 50 AM Patie nts EMR ZW 0549 2 05 1995 Exa ms VSV851092 15 11 1954 pane Anderson EMR WQ 0795 11 02 1989 pane d EMR NEO 1999 11 03 1962 ale 10 04 1945 Clark 598 66479 28 12 1924 Clark ahlia UMJ023540 4 02 1921 25 05 1999 Exam Image Information pane pane Measurements Fig 4 2 The SigViewer screen Patient information Adding new patients Select Patient Exam Database gt Add Patient to add a new patient Fig 4 3 Use text to complete name and EMR electronic medical record information type in or use the calendar drop down box to complete date of birth information and use the Sex drop down box to complete gender information Family Name Given Name EMR Identifier Date of Birth Sex Unknown Fig 4 3 Ad
24. lick on the image to indicate bladder position Try to click as closely as possible to the centre of the dark anechoic region gt BPM Insert a BPM calipers inserts a caliper that displays a beats per minute BPM measurement calculated from one two or four cycles Can only be used on M mode and PW Doppler images gt Fetal Biometry Insert a Fetal Biometry measurement inserts a special caliper or ellipse measurement on a B mode image that estimates gestational age gt Delete Measurement will delete the selected measurement or arrow gt Ei Delete All Measurements will delete all measurements and arrows Navigation and editing tool bar These icons allow you to view and delete different images in the exam and to pan and zoom around the E 3 selected image You may also view image settings overlay grids and rulers and edit text annotations E 3 S x o Q Previous Image in the exam SE gt S Next Image in the exam G c T l gt Zoom in will magnify the image If the image is larger than the pane size use the scrollbars at the right and bottom of the image to pan Alternatively click on the image and use the mouse wheel to zoom in and out and click drag to pan around it On a touch screen pinching will zoom in and out gt Zoom out will decrease the magnification gt The Transfer Curve slider box allows you to adjust the image s grayscale characteristics The range is 3 to 3 select a higher number to
25. make the image darker gt Delete Image Voice recording popup Voce D gt m 00 03 X Click the voice recording button ERD open a popup for recording and playing back voice recordings These icons allow you to manipulate voice recordings for the selected image P03629 Rev 2 11 0 SigViewer User Manual Page 14 el Play an existing recording gt Le Record a new annotation gt m Stop playing or recording Delete an existing voice recording Movie controls Hl 312 The movie button allows you to play and pause movies Click the right part of the button to shown a control which allows you to scroll through a movie one frame at a time Grids and Rulers Right clicking an image in the Image pane generates a pop up menu enabling you to add a grid or rulers to the image Top Ruler Bottom Ruler Left Ruler Right Ruler Grid ee U Image Information ILEA x42 03 information Managing exam and Fig 4 7 Grids and Rulers Image Information Right clicking an image in the Image pane generates a pop up menu enabling you to access Image Information Fig 4 7 Image Information displays e Image Properties such as image name date image acquired size and resolution frame rate and movie information e Scan Settings such as the preset and scan settings used to generate the image Image Properties Scan Settings Image Properties Scan Settings Image Name Image 1 Scan Preset Aorta iugi D
26. ners Signostics Limited 2015 P03629 Rev 2 11 0 SigViewer User Manual Page 2 2 GETTING STARTED Installing SigViewer onto your PC Compatibility Sig Viewer is compatible with Windows XP Service pack 2 or above Windows Vista Windows 7 and Windows 8 Administrator privileges are required to install the software You will need at least 300MB free space on your hard drive Installation Place the DVD with the SigViewer software into your DVD drive A menu will launch automatically and you should select the SigViewer button if this does not occur navigate to the setup exe file in the SigViewer directory of the DVD Follow the on screen installation instructions Running SigViewer The SigViewer application can be run by Double clicking on the SigViewer desktop icon or selecting SigViewer from the main Windows Menu Connecting a powered on Signos RT to the PC via a USB cable and clicking File Transfer on the Signos RT screen Connecting a Signos RT ultrasound probe directly to the PC via a USB cable n Menu qe Patient Exam Database n LJ Device Scan A Review Patients and Exams View by Exam Exams Date M DOB No exams Fig 2 1 SigViewer The first time SigViewer is run Fig 2 1 there will be a single patient Unidentified with no exams or images stored P03629 Rev 2 11 0 SigViewer User Manual Page 3 Options Options can be set up by selecting Menu gt Optio
27. ns There are three tabs containing General Options Ultrasound Options and DICOM Options General Options General Options Ultrasound Options DICOM Options Patient Exam Database Select the Patient Exam Database directory C Users UserName AppData Roaming Signostics SigViewer Repository Software Updates v Automatically check for updates Editing Options v Ask when deselecting an exam that is in editing mode Fig 2 2 Connect to a different patient exam database Database Location SigViewer displays information that is stored in a patient exam database on the PC You may create multiple databases on your PC but SigViewer can only use one of these at a time The current database is the one whose information is being displayed and the one that will be updated in any synchronization process The Patient Exam Database option allows you to specify the location of the database you wish to use Fig 2 2 You may change from the default location if you want the database in a location you backup or if you create new databases for each year When creating a new database location you should create a new folder and enter the folder location in the Patient Exam Database text box Any location may be selected however a warning will appear if the selected location cannot be encrypted Software Updates If checked Automatically check for updates will periodically check the Signostics website for software
28. nvironment and must be certified to the respective IEC standards and particular national deviations IEC 60950 or IEC 60601 1 2 and or 3 edition Furthermore any user connecting Signos RT to other equipment is configuring a medical system and therefore is responsible for ensuring the system complies with IEC 60601 1 3 Edition Clause 16 and or the relevant IEC 60601 1 1 collateral standard for use with IEC 60601 1 2 Edition Extension cords or Multiple Socket Outlets shall not be connected to the system when the PC is only IEC 60950 compliant a medical grade isolation transformer complying with IEC 60601 1 2 Edition and or IEC 60601 1 3 Edition shall be used Contact Signostics for guidance on connecting Signos RT to external computers and peripherals Failure to comply with these guidelines may result in electric shock Y Users intending to use Sigviewer for scanning must refer to the Signos RT User Manual Signostics part number P03123 or P03622 for intended uses safety information acoustic output and warnings Setting Up Before scanning check you have access to everything you need and the device is ready to scan as follows gt The Signos RT ultrasound probe is plugged into the PC and has battery charge available to scan the probe LED 1s green or flashing green Note that exact probe battery level can be accessed by clicking the probe battery icon gt The Signos RT probe has been cleaned or disinfected as appropriat
29. p by selecting the Automatic Synchronization option from the Device tab page 9 Mew Device Connected Do you wish to synchronize the device now Fig 3 1 New device connected If your microSD card is password protected you will need to enter the user name and password each time Sig Viewer launches Select the user name from the drop down box and enter the password Fig 3 2 If you disconnect then re connect Signos RT to the PC without shutting down the SigViewer program the password prompt will not re appear Card Mame Springfield Hospital Card Id 39829 33353 46999 57903 2 7644 91 64 14936 57190 Username Password ge JL Gesi Fig 3 2 Password prompt After synchronization is complete you will be prompted to delete exam information from Signos RT Fig 3 3 There is also the option of deleting patient information You may bypass this step by selecting a Delete After Synchronization option from the Device tab page 9 Delete exams from the All exams have been copied from the device to this computer Do you want to delete the exams from the device Delete all patients from the device as well as the exams Fig 3 3 Delete after synchronization P03629 Rev 2 11 0 SigViewer User Manual Page 7 The Device tab A Device tab Fig 3 4 appears when a Signos RT is connected to your PC Only one Signos RT may be connected to SigViewer at a time o x n Menu as Patient Exam Da
30. rasound Radiology 182 February 1992 pp 501 505 DICOM Options General Options Ultrasound Options DICOM Options Client AE Title Server AE Title Server hostname IP address Port Number 104 Use Lossy Compression Fig 2 4 DICOM Options P03629 Rev 2 11 0 Sig Viewer User Manual Page 5 DICOM 1s a standard used to transfer images to a PACS server for storage If required these options would normally be set up by IT personnel who understand the configuration of the server Client AE Title This is the name that identifies the PC running SigViewer to the DICOM server Server AE Title This is the name that identifies the server being connected to Server HostnameThe server hostname 1s a DNS name or IP address for the server Port Number The Port number is the TCP IP port number to connect to on the server 104 is the standard DICOM port but others may be used Test Button Clicking the Test button will attempt to connect to the server to check that the settings are correct No images will be transferred Registration When a SignosRT is first connected to the PC SigViewer will prompt you to register the device Fig 2 5 Registration is important as it means you will be contacted if there is any important information relating to the safety of the device such as updates to the device software Note that regardless of whether you register the details of software updates applied will be s
31. ric 53 Obstetric 53 5 Fetal Heart 53 DN Fetal Heart S3 5 Cardiac 53 Cardiac 53 5 Main Advanced M Mode Doppler Annotations Sector 3 MHz Fig 6 3 Manage Presets D S35 Default Large Vessel 52 5 D Lung 53 D Lung 52 5 Aorta 53 Aorta 53 5 Bladder 53 Bladder 53 5 Bladder Auto 53 Bladder Auto 53 5 Abdomen 53 amp Abdomen 52 5 Obstetric early 53 Obstetric early 53 5 Obstetric 53 Obstetric 53 5 Fetal Heart 53 Fetal Heart 52 5 DN Cardiac 53 Cardiac 53 5 Spleen Mein Advanced M Mode Doppler Annctations Target Transducer Sector 3 MHz Depth cm Pulse Repetition Freg Hz _ 5000 1 1000 5000 Gain dB 0 Doppler Gain SigViewer User Manual Fig 6 4 Main Scan Settings Page 21 dona Mam Advanced M Mode Doppler Annotations S35 Default A gege 633 Far Field Gain dB E Bidrectional Scanning D Lung 52 5 See L 60 V Image Post Processing Aorta 53 Aorta 52 5 Bladder 53 Bladder 525 Initial Image Flipped State Bladder Auto 53 0 18 Geseis Bladder Auto 53 5 D Abdomen 53 Gain Rate dB cm MHz Initial Scan Mode Abdomen 52 5 RB 0 45 Mas Obstetric early 53 0 00 1 50 Obstetric early 53 5 Obstetric 53 Transfer Curve log e
32. rt 53 Fetal Heart 52 5 Cardiac 53 DN Cardiac 53 5 pgren perire remm M Mode Sweep Speed pixels s V Enable Audio Output gt Save to save your changes over writing the original preset Loading a preset To load a scan preset you use the Scan Tool Bar to select the preset from the drop down box Accessing presets via the Scan Tool Bar also enables you to edit the current settings and save them as a user preset Fig 6 7 Doppler Settings D S2 5 Default Large Vessel 53 5 D Lung 53 D Lung 535 D Aorta 53 Aorta 53 5 Bladder 53 Bladder 52 5 Bladder Auto 53 Bladder Auto 53 5 amp Abdomen 53 Abdomen 53 5 Obstetric early 53 Obstetric early 53 5 Obstetric 53 Obstetric 5 5 Fetal Heart 53 Fetal Heart 52 5 Cardiac 53 Cardiac 53 5 Liver Sagittal Liver Trans Morison s Pouch Pancreas Right Kidney Scan at Maximum Tendemess Scan at Palpable Lump Spleen Suprapubic P03629 Rev 2 11 0 SigViewer User Manual Fig 6 8 Annotations Page 22 Sequences Two frequently used scan sequences have been pre set into SigViewer Each sequence consists of a number of steps gt Bladder Auto allows you to estimate bladder volume using two Bladder Volume shapes on two images gt Bladder Calipers allows you to estimate
33. signostics User Man ual Sig Viewer www signostics com au P03629 Rev 2 11 0 CONTENTS 1 IESSE B RR eegen 1 About OIG NOW Ci sits 1 Contact IMMOPIMALOMN scciscocoaaccasisanssannedarandsandecntaeensactaeednanmedeenstheedseat eanns 2 Trademarks and document Copyright 2 EI dee Ela TT EE 3 Installing SigViewer onto your bt 3 RUNNING SIG VIC M 3 EIERE RR RR RES 4 DICOM ES eT EE 5 FAS IIS AO p m 6 Synchronizing with your Signos HT 7 bici cicero Tm 7 How to synchronize 7 The DEVICE TAD Em 8 Device Information ccceeccceecceseeeeeeceeeeaeeceeeteeeeaueeseeeteueeeeeteeeteneesseeseeeeanes 8 DEVICE TO re 8 VACO aO eaae 9 Managing exam and patient information 10 Patient and Exam overview ccccecccseeceseeteneeteneeseeeeeeeteneeteneeneeeeaes 10 The SigViewer screen 11 Patient miormaton ener nnns 11 Adding new patients nennen nenne nnn nnns 11 Editing existing pattents nennen 11 Deleting patient mtormaton nnn 12 Exam ATO PINON WEE 12 Selecting exams sssssssssssssssssseeee nennen nnns n naar nnn nnns s nnns 12 Viewing images in the selected exam cccccccccseeeceeeeeeeeeeeeeeeeeeeeesaeeeeeeeeas 13 Editing images in the selected exam ccccccsseeeceeeeeeeeeeeesaeeeeeesaaeeeeeesaaees 13 Expono Mago S RET PENNE 15 S
34. ssseeeeeeeeeeee 8 updates for Sig Viewer 4 5 26 version of bigngs ccc ceeeecccceeeeeeseeeeeeeeeees 8 version Of SigViewer ccccccccceeeeeeeeeeeees 26 S r ne a SCOTUS eege 18 sterile SHE AUS si reset aen E Pivot i 20 P03629 Rev 2 11 0 SigViewer User Manual synchronization OULOTBOEIG ccstuicunaa had a oe socis Cet cE 9 CONO WEE 9 delete d EEN 9 DEE 9 T tab IK EE 8 CHIME update usos ete ex Du M CURES ci UE CURIE 8 trademarks octo see erede Age 2 Transfer Curve eren 14 U ultrasound tus TNT PET T TUE 20 Unidentified patient 10 11 update software for Signos eeeeessseeeeeee 8 software for SigViewer 4 5 26 LET EE 8 Update Time Automatically 8 USB connection while SCAMMING eege 17 BET Re BEEN 7 V Voice Annotaton 15 Z Zoom in 14 DUE s Man E Aes roe Aue hus CN ML MEET 14 Page 28
35. tabase H LJ Device i Scan A Review Device Information Hardware Details Software Details Device Product Serial Number ABA0113000073A Software Version 2 9 0 18036 Register Hardware Details P02565 1 0 234567 Update available 1 8 0 11999 Check for Updates gangen Information Bootloader Details 2 9 0 1199 pane Apply Update Device Options General Options Synchronization Options Update time automatically E Automatic synchronization Display Device Options Automatically check for software updates pane Delete after synchronization Ask each time v Automatically backup card information Synchronization Start Synchronization Overall Progress Operation Progress Synchronisation Messages pane E Show details Fig 3 4 Device tab Device Information The Device Information pane gives information about the connected Signos RT Product Serial Number its unique serial number also displayed on the back of the device Hardware Details the hardware revision and serial number of the display unit electronics gt Bootloader Details the version of Bootloader software installed Software Version availability of Signos software updates below Register Device allows registration information for the device to be entered or re entered Device Options The Device Options pane allows you to set default updating options when Signos RT is connected to a PC Update time au
36. the image to the clipboard with the previously selected exam and patient information To control the information included with the image use Copy Image Advanced Alternatively simply drag the image to the required application To export multiple images an Export Images page similar to Fig 4 9 appears select the folder in which your images will be saved and unique file names will automatically be generated gt Toexport all images from a right click in the thumbnail gallery and select Export All Images gt To export some images from an exam select the desired images from the thumbnail gallery and right click Export Images anaging exam and Sending to a DICOM Server To send images to a DICOM server the select Printing from the image tool bar then select one of the send DICOM commands from the popup menu While the image s are being transferred a progress window will appear Deleting an exam Select Patient Exam Database Delete Exam to delete the selected exam You will be asked to confirm your delete request This action cannot be undone P03629 Rev 2 11 0 SigViewer User Manual Page 16 5 SCANNING Sig Viewer can control the Signos RT ultrasound probe directly when the ultrasound probe is connected directly to a PC or tablet computer Warning v Where Signos RT or the Signos RT Ultrasound Probe is connected to a personal computer via USB the personal computer and connected peripherals shall be outside the patient e
37. tomatically if checked will change Signos RT time to the local time on the PC Automatically check for software updates if checked will ensure your PC checks the Signostics website for Signos RT software updates SigViewer can only check for updates when the PC running SigViewer is connected to the Internet and a Signos RT is connected to the PC If this option is selected you will be prompted to download and update your software when updates are found If not you can manually check for software updates by pressing Check for Updates If updates are available install them by pressing Apply Update P03629 Rev 2 11 0 SigViewer User Manual Page 8 Do not disconnect your Signos RT while its software is being updated Automatically backup card information if checked will back up the security key file used to encrypt data on your microsSD card If this file 1s lost or corrupted then data on the card becomes inaccessible If a device with a corrupt card is connected SigViewer offers to attempt to repair the card Press Yes to proceed then choose the user name and enter the password Automatic Synchronization if checked will ensure that synchronization will begin without prompts when Signos RT is connected to the PC Delete after Synchronization has four options for deleting information from the Signos RT after synchronization has occurred o E N c o is Ec S c gt o e Ask each time you will be as
38. ts Fig 1 1 Sig Viewer screen The application may be switched into full screen mode by clicking the Bl con Full screen mode fills the entire screen and is the best mode for tablet displays In full screen mode the tab switching buttons on the right and the full screen button are not always visible on the toolbar These functions may also be accessed from the menu In this manual text that appears on the PC screen within the Sig Viewer application is marked in bold P03629 Rev 2 11 0 Sig Viewer User Manual Page 1 Contact information Australia Signostics Limited PO Box 1048 Pasadena 1284 South Road Clovelly Park SA 5042 Australia Telephone 61 8 7424 0600 Fax 61 8 7424 0601 Freecall within Australia 1800 SIGNOS 1800 744 667 Email support signostics com au Website WWww signostics com au European Economic Area Authorized representative Priory Analysts Ltd The Pinnacle 160 Midsummer Boulevard Milton Keynes MK9 IFF United Kingdom C oo Rest of the World Signostics Limited PO Box 1048 Pasadena 1284 South Road Clovelly Park SA 5042 Australia Telephone 61 8 7424 0600 Fax 61 8 7424 0601 Email support signostics com au Website WWNW signostics com au Trademarks and document copyright Signostics Signos RT and SigViewer are registered trademarks or trademarks of Signostics Limited All other trademarks referenced herein are the property of their respective ow
39. venantlecsvandanimcenataremesocsvoaan 18 Insert a caliper measurement sseeeeeeeeeeesses 14 ellipse measurement 14 polygon measurement sseeeesss 14 installation esses 3 L I a E 20 M measurement Digg 14 TEE 13 14 microSD card recover lost information scesseeeeeeeeeees 9 M mode measurement format 14 M mode maging oonnnnneeesesssssssseseseereessssssss 19 INNO VAICS assassine E 20 N Klek 14 P E e re MT 7 patient Change Exam oer rte eds 1 E 10 18 zn Bo E 11 EE 7 9 12 editado OTT eege 11 scs ge M 12 Previous Image 14 Print View eene eeh EUER 16 24 DEDBIDIM e uius eecndaqnesssaeevecua lense 24 PTAA DO aa e a 24 Probe information cccccececeeeeeeeeeeeeeeeeeees 23 PW Doppler Imageng 19 R recommended ee 20 Recovery Mode 25 Remote GIS Play s csirisrererisrioscsinerinnrinrrniiiecnes 25 Page 27 repair Eeer 25 Oc ile P TN ee 25 Te POSOL sie tendo dines eege eg 4 ROTS EE DI m 15 S Save MMA FOS cesca h a eege 16 scan preset THAT PE ee eege 21 scan preset IE EE 21 scan settings EE 21 scan preset EE 21 scan preset e 22 SCOULILV ICY ee ee 9 Send error TCP OM ise ee 26 SECHER 23 BEEN 8 Set format of M mode calipers 14 SEL TIE AND DEE 17 Sig Viewer GU E 7 software updates for Signos noeeeeeeeeeses
40. xp Obstetric 53 5 0 D Fetal Heart 53 3 3 D Fetal Heart 53 5 Cardiac 53 Cardiac 53 5 Spleen Imaging Profile Gain Delay cm Default X Fig 6 5 Advanced Settings To change the text annotations that appear for user presets when Image Text Annotation is selected from the Tool Bar press gt Add to add a new annotation for this preset gt Edit to modify the currently selected annotation gt Delete to remove the annotation After changing Scan Settings and annotations you can click gt Save As to save the changes in a new preset You will be prompted to name your new preset D S3 Default S35 Default Large Vessel 52 5 D Lung 53 D Lung 52 5 Aorta 53 Aorta 53 5 Bladder 53 Bladder 53 5 Bladder Auto 53 Bladder Auto 53 5 Abdomen 53 Abdomen 53 5 Obstetric early 53 Obstetric early 53 5 Obstetric 53 Obstetric 53 5 D Fetal Heart S3 Fetal Heart 52 5 DN Cardiac 53 Cardiac 52 5 80 20 250 D S3 Default D S2 5 Default DN Large Vessel 53 5 D Lung 53 D Lung 52 5 D Aorta 53 Aorta 52 5 Bladder 53 Bladder 52 5 Bladder Auto 53 Bladder Auto 53 5 Abdomen 53 Abdomen 53 5 Obstetric early 53 Obstetric early 53 5 Obstetric 53 Obstetric 5 5 Fetal Hea
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SigViewer User Manual