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Accutome UBM Plus

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1. Selecting Snapshots The snapshots are displayed at the right side of the report form Select the snapshots to be inserted into the report as described below 1 Left click and hold on the mouse in the blue area near the first snapshot then drag until you select all snapshots you would like to place in the report as shown in Figure 153 below 2 You can also select individual snapshots by holding the Ctrl key and select each snapshot one at a time 3 A maximum of four 4 snapshots can be selected at any one time If you need to insert more than four snapshots select the first four and insert them then select up to four more and insert them Continue selecting and inserting until all snapshots are inserted vee a Se o L aoe mane m on oe ee m Figure 153 Selecting Snapshots 220 Printing Images and Reports Creating Reports Pop Up Windows When viewing snapshots in the report form page it may be difficult to see subtle changes in ocular structures To assist in viewing the snapshot we have an enlarged pop up view feature To enlarge a snapshot for viewing positioning the cursor over the snapshot of interest and double click the left mouse button This will open a pop up window The snapshot will now be displayed five times its original size The picture must be closed by left clicking the close box in the pop up window before it can be pasted in the report ad wrue ee meee 8 2 SESE
2. Name GENERAL HOSPITAL MED Address 42 Lioyde Avenue cny ftabvern zp 19385 GENERAL HOSPITAL MEDICA State PA a County USA New Delete Telephone fio J 5890200 Dupicate from Selected Set Selected as Ocfault Save Restore Figure 23 Saving New Facility Deleting Facilities To delete a facility 1 Select the facility you would like to delete from the Available Facilities list 2 Click on Delete 3 The facility will be deleted from the list of Available Facilities 70 Setup Facilities Duplicate Facilities from Selected To duplicate a facility s information 1 Select the facility you would like to duplicate from the Available Facilities list 2 Click on Duplicate 3 A copy of the facility will be displayed in the list of Available Facilities with 1 beside the name If you make more than one copy the number will increment with each copy 4 You may change any facility information as needed Set Selected Facility as Default To set a facility as the default UBM operation 1 Select the facility you would like to become the default from the Available Facilities list 2 Click on Set Selected as Default 3 The facility will become the default to appear when you power up the Accutome UBM Plus Save To save all facility information 1 Click on Save 2 An Update Restore Point dialog will launch If you would like to save all
3. Available Sequences Name Foin Oescnpton nge change between Bo t anc ees ed of pent m OD 12AXK 7 Pupliary Response Long Trans VMAC LMAC VAX TMAC Selected End Restore Cancel Figure 35 New Sequence New View Active 81 Accutome UBM Plus User Guide The first view of the new sequence can be changed to any eye scanning method and position that you want by simply making selections and changing them if necessary The selections you can make and edit are listed below Edit Current View Selections The Accutome UBM Plus provides all the tools necessary to change the sequence scan view Using the Edit Current View selections you can change Eye OD OS Probe Scanning Method Axial Long Longitudinal and Trans Transverse Probe Position Wheel with indicator representing the hours of the clock and position that the probe should be placed on the eye for the active scan Change position by dragging the indicator Note OD Scan a free scan of the right eye is the default given to the first scan of any new sequence If you do not want this as your first scan edit the scan 82 Setup Sequences 2 Probe positioning for a scan is illustrated graphically by a wheel representing the hours of the clock There is an indicator with an arrow at one end which indicates the position and can be dragged to edit the probe position When you initially select the position wheel to edit the current view the first
4. Seeppet Locer 2 Frame S642 View MAOIS Crewe 1187008 Acceesect FIRTOPP FFE Ot Figure 129 Zoom Selected 191 Accutome UBM Plus User Guide Zoom Factor ee os SS SE oe Keecan exit Seppet Doom 32 Pome C8677 View GPOS4 Creed S870 Anteneed WIEDOCS PPR OT Figure 130 Zoom Changed Reset Zoom After you have zoomed in on an image you may want to reset the view back to the default normal view To reset the zoom value simply click on Reset Zoom 192 Patient Image Analysis How To Use Zoom ee How to Move Image After you have made adjustments to the size of the image you may want to move the image around on the screen to view different portions of the eye It is simple to move images in the Accutome UBM Plus Place the Windows mouse cursor over any location on the image and notice the cursor become a small cross small Then hold down the mouse button and the becomes directional compass Holding the mouse button down and moving the mouse causes the image to move The image move icon is shown in Figure 131 below 1 Move the icon and the image will move in the same direction m Image Move Ic6n Report Dee 22 Peme C6aT2s View GOPOSE Cres LOOTIS Aciessrt PISOS FPR GT Figure 131 Image Move Icon 193 Accutome UBM Plus User Guide How to Take a Measurement on an Existing Image The Analyze Screen provides the diagnostic feature of making measurements on a UBM Plus image You can measure on a zoomed image you
5. s lt T X lt TlqVTlYxWVIClClllll Feat Name Last Name Department Telephone ACHARY MITH ZLE MEDIC ACCUTOME MEDIC OMT HARVARD VANGUARD REUVEN RUDICH MO VISION RETINAL INSTITUTE UCONN HEALTH CENTER EXCEL EYE CENTER LAMERIS OOTEC COLORADO RETINA ASSOCIAT ATHENS EYE DOCTORS AND PI ENGLAND COLLEGE ICAL Figure 27 New User Information Active 74 Available Users SMITH ZACHARY Delete as Octaut Restore Cancel Setup Users 3 After entering all user data click Save to save the information 4 An Update Restore Point dialog will launch If you would like to save all changes and have the current users setup become the data restore point click Yes If you would like to retain the old data restore point click No Users Sequences First Name BARBARA Last Name Facility ACCUTOME Department OPTHAMOLOGY Telephone New Delete Set Selected as Default Save Restore C ACCUTOME Cancel Figure 28 Saving New User Deleting Users To delete a user 1 Select the user you would like to delete from the Available Users list 2 Click on Delete 3 The user will be deleted from the list of Available Users 75 Accutome UBM Plus User Guide a ee Set Selected User as Default To set a user as the default UBM operation 1 Select the user you would like to become the default from the Available Users l
6. 3 Once scanning has started the UBM Plus will store the last 4 5 8 5 17 34 seconds of image data predetermined in the set up cine buffer selection 4 When you stop the scanning by either using the trigger switch on the probe the foot switch or by clicking Stop on the Exam Screen the Accutome UBM Plus will stop the Image Acquisition film loop To go to the next view in the sequence you must step on the foot switch or press the start stop button on the probe The UBM Plus will also create a new view in the sequence if you continue to scan after completing all the defined sequence steps Note For detailed information on scanning refer to the Performing Exams section of this manual How to Print an Exam After you have acquired and analyzed a patient exam you may want to print a portion of the exam To print an image of an scan 1 With the appropriate Patient exam active press the Snapshot or Print Image button located to the right side of the image display 2 The Accutome UBM Plus will copy or print the screen Snapshots are saved as part of the patient exam 3 You can view and revise all snapshots for printing in an existing exam using the Reports tab on the Analyze screen 62 Getting Started Basic Operation Da er Note For detailed information on printing and reports refer to the Printing Images and Reports section of this manual How to Save Patient Exams The Accutome
7. Available Sequences i a ia s a Sukus to Sukus Measurement New Dupicate Selected Delete Set Selected as Defaun rom Tempietes Setup Sequences Deleting Sequences 1 Select the sequence you would like to delete from the Available Sequences list 2 Click on Delete 3 The sequence will be deleted from the list of Available Sequences Edit Current Sequence Name fdr gt Description r Current View jy Views of 2 00t i p Eese oD os Axial Long Trons HMAC VMAC LMAC HAX VAX TMAC Figure 42 Deleting a Sequence 89 Available Sequences w dr b New Duplicate Selected Ociete Set Sckected as Octau Create From Temphetes Cancel Accutome UBM Plus User Guide Le a et Duplicate Sequences from Selected To duplicate a sequence s information 1 Select the sequence you would like to duplicate from the Available Sequences list 2 Click on Duplicate 3 Acopy of the sequence will be displayed in the list of Available Sequences with 1 beside the name You may then change any information for the new sequence as necessary If you make more than one copy the number will increment with each copy Edit Current Sequence Available Sequences Name Or Orstans bawicscani 1 a Description vss har scans n as g s Current View m Views of Or Orellana besicacent t Duplicate Setected elete Set Selected as Oefouk Cre
8. CAUTION GENERAL INDICATIONS FOR USE OF THE ACCUTOME PROBE INCLUDE ON EXTERNAL STRUCTURALLY INTACT AREAS OF THE EYE GLOBE AND ORBIT AREAS ONLY 10 Safety Safety Precautions Electrical Hazard and Safety The instrument foot switch and probe of the Accutome UBM Plus are electrical electronic devices Reasonable care should be taken when making electrical connection and handling electrically powered devices Avoid use of damaged electrical equipment or frayed electrical cords If repair or maintenance is being performed the equipment must be turned off and the power cord disconnected WARNING THE UBM PLUS IS ONLY TO BE USED WITH A COMPUTER USING A MEDICAL GRADE POWER SUPPLY COMPLIANT WITH EC60601 1 Please refer to the manufacturer s instructions regarding its use The user is responsible for ensuring the the PC to which the UBM Plus is con nected must be of the grounding type in compliance with applicable electrical codes To avoid interruption of a procedure the user is responsible for ensuring that all power and USB connections are secure and that the laptop is fully charged CAUTION To avoid possible loss of patient data stored in the PC ensure that the data is backed up on some device external to the PC Avoiding Equipment Damage The Accutome UBM Plus provides no explosion protection from static discharge or arcing components Do not operate the instrument in the presence of explosive gases such as flammable mixture
9. a The Found New Hardware Wizard will appear on the desktop Click on Locate and install driver software recommended It takes a minute for searching the driver g In the Windows Security window click on Install this driver software anyway and the system will install the driver for the probe c After the driver has been installed and all windows are closed the window Found New Hardware Wizard will reappear You will need to repeat steps a and b one additional time to complete driver installation d If you wish to activate a second or all USB drives to operate the foot switch and or probe from any USB port simply plug the probe into those USB drives at this time and drivers will automatically install 6 Unplug the probe and eject the installation CD from the CD DVD drive Reboot your machine by clicking on Start Click Select Restart After the machine restarts login if necessary to your account Wait until the desktop appears then plug the probe into the USB port you activated earlier Wait 10 seconds after connecting the UBM Probe You can either read the user guide by double clicking the icon Launch UBM Plus User Guide on the desktop or double click the Launch Accutome UBM exe icon on the desktop to start the program Note If your computer does not have Microsoft Word 2003 or 2007 installed please install a valid copy of either one the program because you w
10. to a personal computer Windows XP SP2 software installation Installation Phase One Plug the wired mouse USB adapter is found on the underside of the mouse into the USB port located on the back of the computer Turn the computer to On PARTI Follow the steps below to check for a C drive if you do not have a C drive you will not be able to install the program on your computer Go to Start click on My Computer You should see C under Hard Disk Drives Part IT Follow the steps below to set the screen resolution DIP setting N Right click your mouse on an empty space on the desktop select Properties Display Properties window will appear on the desktop Click Setting tab in the window Click Advanced button and select General tab Set DPI Setting to Normal Size 96 DPI Click on OK Return to Display Properties window Set Screen Resolution to either 1280 by 1024 or 1680 by 1050 If your screen supports a higher resolution we recommend setting it to 1680 by 1050 Click OK to close Display For Additional Help contact Accutome at 1 800 979 2020 25 Accutome UBM Plus User Guide Properties window and proceed to Installation Phase Two Installation Phase Two Follow the steps below to install the UBM Plus application 1 Insert the installation disk into the CD R
11. when you are finished Text Field 1 4s aa Mt OO auia ee fs SE SE Be Rescan Sepeet Zee 2 Preme Gaums View GO1GO4 Crested COSTO Anceeeed DTEOOSE Fre oe Figure 143 Entering Comments 206 Patient Image Analysis Comments on Image A 6 The entered comments will appear on the image as shown in Figure 144 below New Comment 4 ee S SE SEG Smppet Deem Freee COTTE Vem ooto Coneee KADD Anceeted WIETDOS FPS ae Figure 144 Comments Appearing on Image 207 PRINTING IMAGES amp REPORTS Overview The Accutome UBM Plus has every feature you need to capture and print any portion of a patient exam Not only does the Accutome UBM Plus allow you to print to any printer you can also print single snap shots of any elevation of any image print on plain or thermal paper select multiple images and print them in a report Printing Images There are three ways to print images e Print from a live scan e Print from an existing patient exam e Print from a report When printing from a live scan or an existing patient exam you must first stop the scan at the frame you would like to print 208 Printing Images and Reports How to Print an Image How to Print an Image With the Accutome UBM Plus you can easily print any frame of any scan by simply selecting the frame making any necessary image adjustments and clicking the Print Image button You can also select a frame and save the frame as a snapshot
12. Accutome UBM Plus User s Guide 24 6310 Rev C Federal law restricts this device to sale by or on the order of a physician FEDERAL COMMUNICATIONS COMMISSION FCC UNINTENTIONAL EMITTER PER FCC PART 15 This device has been tested and found to comply with the limits for a Class B digital device pursuant to Part 15 of the FCC rules These limits are designed to provide reasonable protection against harmful interference in an office installation This equipment generates uses and can radiate radio frequency energy and if not installed and used in accordance with the instructions in the user manual may cause harmful interference to radio or television reception However there is no guarantee that interference will not occur in a particular installation If this equipment does cause interference to radio and television reception which can be determined by turning the equipment off and on the user is encouraged to try to correct the interference by one or more of the following measures Reorient or relocate the receiving antenna Increase the separation between the equipment and receiver Connect the equipment to an outlet on a different circuit from that to which the receiver is connected e Consult Accutome Ultrasound Inc or an experienced radio TV technician for help This device complies with Part 15 of the FCC Rules Operation of this product is subject to the following two conditions 1 this device may not cause harmful in
13. Accutome UBM Plus User Guide At this point you would start scanning the patient After each scan you would label the scan in free scan mode OD OS Scan position on clock Type of Scan Axial Trans etc If you are using Pre defined scanning then the machine label scans While scanning you can do Live Zoom up to 2X w out losing any resolution You can also move the image on the screen while scanning by clicking and holding the left mouse button then dragging the image Zooming feature is under the Tools tab You can also click on Probe tab and change the scan time 8 17 34 sec If you want to raise or lower gain that can be done now or after when Analyzing After scanning is complete click on the Analyze button on the bottom of the screen At this time you view your scans To review a recorded scan click on scan under Views to review the cine loop e After clicking you can play the loop by clicking on the play button e To view frame by frame while playing click on Pause then use the left and right arrows or use the mouse to drag the slide bar To look at the next view click on Stop and then click on view e To do Measurement on the images Line 1 is defaulted 1 Hold down left click on the mouse from the starting point then drag to ending point and release 2 You can now change velocity by clicking the box next to velocity and changing the number e For Line 2 click on Line 2 e To circle images click on Area For Additiona
14. Scan Oute Landscape System Defaults System Defaults Fai Range Cine Render Control Save Restore Cancel Figure 51 Selecting Exam Name Combinations 97 Accutome UBM Plus User Guide a ee a a ee Probe Control The Probe Control options allow you to change the default settings of the probe The options are e Cine Buffer e Start Stop e Power Frequency The frequency of the Accutome UBM Plus is fixed at 48 MHz On the screen you will see windows that allow change of frequencies These adjustments are for use with the 12 5 MHz probe only and will not change the operational frequency of the Accutome UBM Plus probe Note Changing these settings may result in changes to the characteristics of the optional 12 5 MHzB Scan Probe Please consult the B Scan Plus operator s manual before making any changes to these settings Fokiers Of Exar Main CA x 2 Reset Reset info on images we to bnew eames Oo Posmon O Popon Window olt p Prot Format owe Faght 9_ Ontautt rimage Controis Save Restore Cancel Figure 52 Selecting Probe Frequency 98 Setup Options Depth The Depth of the Accutome UBM Plus is fixed at 30 mm On the screen you will see windows that allow change of depth These adjustments are use for use with the 12 5 MHz probe only and will not change the operational depth of the Accutome UBM Plus probe Note Changing this setting may result in changes to the charac
15. e Figure 154 Pop Up Windows 221 Accutome UBM Plus User Guide Inserting Selected Snapshots After you have selected all the snapshots you would like to include in the report click on Insert Selected to Report as shown in Figure 155 below The report is now ready to print or save PO aa seats nes B y meee ta ferras _ y Dingpaste B a A epert e n se a aamen meai gt o aano dued s gt to mo SS es ee Sore cre mare Wope Posty amest In nett x Paana in eee Orme Rene wunsscnrs tre etectee te bree Sere ears ey by eee 4 mei oe ta me seen sos OO e ome sete Figure 155 Inserting Selected Snapshots Alternate Method for Selecting amp Inserting Snapshots 1 Left click on the snapshot you want to insert into the report and click on Copy Selected to Clipboard 2 Click on the frame in the report where you want the selected snapshot and select paste to put the selected snapshot into the selected frame 222 Printing Images and Reports Creating Reports Print or Save Report Once you have completed the report you can print and or save the report to keep a copy To print the report 1 Click on the Printer button as shown in figure 156 below 2 The report will print to the printer connected to the Accutome UBM Plus computer To save the report 1 To Save report Click on the Save button as shown in Figure 156 below ane x 7 ai Figure 156 Saving a Patien
16. window and drop it into the Exam Data window It takes few minutes to copy entire folder Close all windows and eject the CD after you done For Additional Help contact Accutome at 1 800 979 2020 29 Accutome UBM Plus User Guide Accutome UBM Plus Installation Instructions For Windows 7 amp Vista 64 bit PLEASE READ THROUGH ALL OF THE INSTALLATION INSTRUCTIONS BEFORE INSTALLING ANY SOFTWARE Important DO NOT plug the Accutome probe into the USB port until instructions ask you to do so e The computer must be running Microsoft Windows 7 or Vista 64 bit operating system OS e If install to Vista 64 bit OS please make sure it has Service Pack 1 SP1 or newer The computer must have a local hard disk drive which is labeled C e The screen resolution DPI setting must be set to Normal Size 96DPI or 100 The account used to install and run the program must belong to Administrators Group The computer must have Microsoft Word 2003 or higher to generate reports e The computer must have Adobe Acrobat Reader version 5 0 or higher to read the UBM Plus User Guide PDF Installation Phase One Plug the wired mouse USB adapter adapter is found on the underside of the mouse into the USB port located on the back of the computer Turn the computer to On and login PARTI Follow the steps below to check for a C drive if you do not have a C drive you should stop
17. 1 If not printing an active patient scan select the appropriate patient exam see Selecting Patient Exam below 2 Select the frame you would like to print see Selecting a Frame below 3 Print the frame 4 Save or print the report see the Print or Save Report section Selecting Patient Exam To select the patient exam 1 After launching Accutome UBM Plus select Existing Exam The UBM Plus Analyze Screen will display with the existing exam drop down list 2 Scroll through the drop down list until you find the patient for whom you would like to create a report 3 Once selected the patient s exam will appear on the screen Note For more information on selecting existing exams refer to the How to Select an Existing Exam section of this manual Selecting a Frame 1 In the list of views click on the elevation you want to watch 2 Click the play button and hit pause at the appropriate frame 3 You can also single step through the scans until you display the frame you want to print Single step through the frames by clicking the forward and back buttons 209 Accutome UBM Plus User Guide Note For more information on scan playback and selecting frames refer to the Playing an Exam section of the manual Adjusting Images If the frame you would like to print needs enhancement use the tools provided with the Accutome UBM Plus 1 Open the tools palette and make all the necessary a
18. 2 The Accutome UBM Plus will launch a Windows browser as shown in Figure 50 below Using the browser locate the folder where you would like to restore exam data 0S If you would like to restore the default folder for exam data click on Reset Ehrowse For Folder Change Fokder which stores al Cram Date F Gestion 4 UL My Goounerts E Y My Comcuter a Sp My Network Pisces g Recycle tir Maho tinw Folder OX Carnet Figure 50 Windows Browser Locate Exam Folder 96 Setup Options LL ae Exam Name Combination The Exam Name Combination allows you to select how patient information will appear on a patient exam and exam record There are many combinations of several fields that are available for the Exam Name The fields are as follows e Last Name patient s last name e First Name patient s first name MRN medical record number e Date Time date and time that exam occurred The default Exam Name Combination is LastName FirstName MRN_ DateTime To use a combination other than the default select the combination from the drop down list as shown in Figure 51 below Folders Of Exams Main C gt am Dew Select t Restored ome Hestored Exams lt t Reset info on knages 5 shot Print tee to Show Messured B Fectty Jata B Physician P osmon Buse F Bire Right
19. 7 Pour sterile saline solution in to the shell 8 Place the UBM Plus probe in to the Anterior Segment Imaging Scleral Shell and begin imaging the eye 9 The position of the probe depends on the area of interest WARNING THE PROBE TIP OF THE UBM PLUS IS NEVER TO COME IN CONTACT WITH THE PATIENT S EYE AS IT MAY RESULT INA CORNEAL ABRASION OR SIMILAR TYPE INJURY 10 The small Accutome symbol located on the probe is the screen orientation marker It indicates the top of the screen in relationship to the probe s position 11 Upon completion of the exam tilt the patient s head to the side and remove the shell The shell should easily pop out not requiring any adjusting or pulling on the eyelids 12 Have tissues in hand to catch the saline solution which will run down the patient s face upon removal of the shell 64 Getting Started 65 SETUP Setting Up the UBM Plus The Accutome UBM Plus is equipped with personal preference options and provides the flexibility necessary to customize your instrument You can not only create new scanning sequences you can also set many operational defaults Setup options include Export data e Adding new Users e Adding Physicians e Creating Sequences e Editing Sequences e Setting New Exam Defaults including Gamma TGC and Information Displayed How to Access Setup After you launch the Accutome software the main screen shown in Figure 19 below will be displayed Select S
20. Indication of Scan elevated pressures Crente Date Time 6 30009 1 35 15 PM Description vertical axial honrowtal anai scan used a Exam Setup r Probe Info Select Probe I2MHI 0 screening t Frequency 12 15 MHz Defaut Range 64 52 mm SweepAngie 60 Degree Serial Number 09C825 import From Existing Exams Import Into Main Menu JGM OEMOJOL_ 2003 65 56 Ts samata ant Figure 12 Starting a New Exam 56 Getting Started Basic Operation ee 10 The UBM Plus will launch the Exam Screen shown below Figure 13 Exam Screen 57 Accutome UBM Plus User Guide Selecting an Existing Patient for Exam When performing a follow up examination of an existing patient the previously stored patient data can be automatically pasted in to the New Exam screen To start an examination of an existing patient select New Exam from the main menu The exam info screen will be displayed At the bottom of the screen there will be a drop down window labeled Import from Existing Exam Position the cursor on the small arrow located to the right of the Import from Existing Exams window Left click the mouse to open the drop down list Position the mouse cursor on the name of the patient you would like to re image and left click The previously stored information will be loaded in to the Patient Info and Exam Setup screen Pressing Start will start the exam 58 Getting Started Basic Operation A Operation After you hav
21. OOE JANE New De te Get Selected es Detour Save Restore Cancel Setup Physicians 3 After entering all physician data click Save to save the information 4 An Update Restore Point dialog will launch If you would like to save all changes and have the current physicians setup become the data restore point click Yes If you would like to retain the old data restore point click No Physician __ __ Available Physicians First Name Last Name Facility ONCOLOGY Tekephone fei fsrt 1575 New Delete Set Selected as Detauit Restore Figure 69 Saving New Physician Deleting Physicians To delete a physician 1 Select the physician you would like to delete from the Available Users list 2 Click on Delete 3 The user will be deleted from the list of Available Users 115 Accutome UBM Plus User Guide eeen aS ee Set Selected Physician as Default To set a physician as the default UBM Plus operation 1 Select the physician you would like to become the default from the Available Physicians list 2 Click on Set Selected as Default 3 The physician will become the default to appear when you power up the Accutome UBM Plus Save To save all user information 1 Click on Save 2 An Update Restore Point dialog will launch If you would like to save all changes and have the current physicians setup become th
22. SMITH Operator JEFF WRIGHT Loop VITREOUS MMIDDIYYYY Gender Male Age ZVACCUTONE Restore Cancel Done Figure 114 Edit Exam Information Window Restore If you have made any changes in the Edit Exam Information and would like to restore the information to the previous state click on Restore The dialog displayed in Figure 115 below will launch If you would like to restore the information click OK if not click Cancel A Nevture al charges to their oriona vakars On 7 Cx Figure 115 Restore Exam Information Dialog 175 Accutome UBM Plus User Guide Cancel If you would like to cancel the Edit Exam Information activity without saving changes click on Cancel The dialog displayed in Figure 116 below will launch If you would like to cancel the process click OK If you would like to return to the Edit Exam Information window and continue activity click Cancel Exit Cdit Exam Into A Exk Ldt Exam Info without saving changes on t Cancel Figure 116 Cancel Exam Information Dialog Done When you have finished making all edits in the Edit Exam Information window click Done The Edit Exam Information window will close and you will return to the Existing Exam Screen 176 Patient Image Analysis Selecting an Existing Exam Exams In the Tools Palette there is a tab labeled Exams The Exams tab allows you to select the Exams folder location Click
23. Sd Description a a a a s a a a a a Undefined New Duplicate Selected Debete Set Sesected ns Default Create From Templetes Axial Long HMAC VMac HAX VAX Cancel Figure 33 Adding New Sequence 79 Accutome UBM Plus User Guide a a E E a aaa a ea a In the Name field located below Edit Current Sequences enter the name of the newly added sequence When you have finished entering the new name the sequence name in Available Sequences will be renamed as shown in Figure 34 below Enter a description of the scanning sequence in the description field if necessary Edit Current Sequence Available Sequences Name Pupderyiespcnse DescripGon Mentor the angie change Detesen bight and herb Sapted f Curromt View _ Views of PETE Pupilary Response New Duplicate Selected Edt Delete Set Selected as Default wana Axial Long ynate FOM Temnpnees E HMAC VMAC HAX VAX towered na Restore Figure 34 Assigning Name to New Sequence 80 Setup Sequences E How to Define the Sequence Scan The key components in defining the sequence scan are the eye OD OS scanning method and probe position for the scan To change the first scan of the sequence 1 Select the first view or scan of the new sequence by either clicking in the checkbox or double clicking on the scan title e g OD Scan as shown in Figure 35 below Edit Current Sequence
24. Select Restart After the machine restarts login if necessary to your account Wait until the desktop appears then plug the probe into the USB port you activated earlier Wait 10 seconds after connecting the B Probe You can either read the user guide by double clicking the icon Launch UBM Plus User Guide on the desktop or double click the Launch Accutome UBM exe icon on the desktop to start the program Note If your computer does not have Microsoft Word 2003 or 2007 installed please install a valid copy of either one the program because you will need Word to generate reports QUICK START USER GUIDE FOR ACCUTOME UBM PLUS If Set up is already done skip to step I Click on Set Up e Click the Facilities tab and enter Facility information e Click the Users tab and enter all Users Click the Sequences tab and enter screening sequences for Pre Set scanning Click the Options tab and select Exam Name Combinations then set Gain Click the Physicians tab and enter Physicians e Click Done Click on New Exam Enter Patient first and last name in the appropriate Fields e If Medical Record label is white you are required to enter a medical record number at least 5 digits before you can start scan Enter any other patient information for this patient If pre defined scans are being used you can chose that now under Scan Group e Click Start 37
25. Use the Tab key or select the Last Name field and enter the Patient Last Name 5 Continue entering all relevant Patient information 6 If you wish to select a Facility select one from the predefined in UBM Setup Facility drop down list Position the cursor on the small arrow at the right of the facility field Left click to open the drop down list Position the mouse over the up down arrows at the right of the drop down list Click the mouse to move through stored facilities Once you see the facility you want to select position the mouse cursor over the facility and left click The selected facility will fill in the facility field Patient Info s Exam Info First Name scort Exam ID Last Name CHEEK Facility Physician OMT Tra HARVARD VANGUARD Oste of Birth fries Mayyry Operator REUVEN RUDICH MO VISION RETINAL INSTITUTE Gender Age UCONN HEALTH CENTER donors Exam SetufExcCEL EYE CENTER ndication of Scen q LAMERIS OOTECH elevated pressures Creste Date T COLORADO RETINA ASSOCIATES ATHENS EYE DOCTORS AND PHYS ITHE NEW ENGLAND COLLEGE OF Prode ING Description Select Probe fi2titz 0 Frequency Scan Group Default Range Sweep Angie Serial Number C import From Existing Exams import Info Mx Set Enam Figure 9 Selecting Facility 53 Accutome UBM Plus User Guide 7 Continue to select Physician and Operator from the drop downs lists located at the right side o
26. WO the toggle bor T Note For Windows 7 You MUST Restart the computer from Start to make Click Restart Now on the You change effective must restart your computer to apply these changes window Wait for your computer to restart and login to the same account 43 Accutome UBM Plus User Guide Part III Follow the steps below to check and set the screen resolution DIP setting Right click your mouse on an empty space on the desktop and select Personalize Windows 7 Windows Vista Click Display Click Adjust font size DPI Select Smaller 100 and Select Default scale 96 DPI and click Apply Click OK For Additional Help contact Accutome at 1 800 979 2020 44 Getting Started Installing the Software A Installation Phase Two l N ies Click I Accept Agreement Follow the steps below to install the Accutome UBM Plus application Insert the installation disk into the CD ROM drive and close all other remaining open applications Click on Run setup exe in the AutoPlay pop up window and Preparing to Install window appears on desktop which may take up to a minute If the install does not automatically begin open My Computer Double click on the UBM Install icon Double click on Setup It will take several seconds to unpack the installation package Advance through the wind
27. a The Found New Hardware Wizard will appear on the desktop Click on Locate and install driver software recommended It takes a minute for searching the driver b In the Windows Security window click on Install this driver software anyway and the system will install the driver for the probe c After the driver has been installed and all windows are closed the window Found New Hardware Wizard will reappear You will need to repeat steps a and b one additional time to complete driver installation d If you wish to activate a second or all USB drives to operate the footswitch and or probe from any USB port simply plug the probe into those USB drives at this time and drivers will automatically install 6 Unplug the probe and eject the installation CD from the CD DVD drive Reboot your machine by Clicking on Start Click Select Restart After the machine restarts login if necessary to your account Wait until the desktop appears then plug the probe into the USB port you activated earlier Wait 10 seconds after connecting the B Probe You can either read the user guide by double clicking the icon Launch UBM Plus User Guide on the desktop or double click the Launch Accutome UBM exe icon on the desktop to start the program Note If your computer does not have Microsoft Word 2003 or 2007 installed please install a valid copy of either one the program because you will need Word
28. by increasing the gain for that portion of the signal with a specific TGC setting There are three adjustable TGC settings 1 Near increases the gain for the anterior portion of the UBM image 2 Middle increases the gain for the middle portion of the UBM image 3 Far increases the gain for the deepest portion of the UBM image How to Adjust the TGC The TGC adjustments see Figure 123 on the next page on both the Exam and Analyze Screen are easy to use The adjustments are graphical slide indicators that be dragged to increase and decrease the signal gain for a selected portion of the image 1 Select the TGC tab from the tools palette 2 To adjust the gain slide the appropriate setting indicators 183 Accutome UBM Plus User Guide wecan Seeppet Sosom Preme CS4T2E View COON Comme HORNE Avceteed WIETOOE PPE AI Figure 123 TGC Adjustments Displayed 184 Patient Image Analysis TGC Adjustment baea _ SSS aS ST Image Enhancement Gammas The Gamma adjustment feature is another great diagnostic feature that allows you to selectively manipulate the ratio between signal or gain and image brightness known as Gamma resulting in greatly enhanced tissue differentiation Very subtle tissue differences can be made strikingly different for easy identification of boundaries between tissues of different characteristics For example differences between the vitreous and vitreous condensate floaters or the differences be
29. or 9 00 in the left eye In vertical approaches the marker is aimed superiorly so that the upper portion of the screen represents the superior portion of the globe 12 00 in OD or OS In oblique transverse approaches the marker is aimed toward the upper portion of the globe so that the upper portion is represented at the top of the screen Labeling of transverse scans is done according to the portion of the globe being examined where the sound beam is being directed not by the position in which the probe is being held on the globe First label the portion of the globe being scanned in the center of the display by recording the clock hour that represents the meridian that lies in the center of the screen followed by the locator that indicates how far out in the periphery you are at the clock hour i e 3 3mm 3 E etc The locators are 3mm 3 mm ring e 6mm 6 mm ring e CB Ciliary Body e Pla Pars Plana e O Ora Cerata e EA Equator Anterior e E Equator In addition to the three basic position labels there are six of specialized labels that can be selected as needed They are listed below e HMAC Horizontal Macula e VMAC Vertical Macula e LMAC Longitudinal Macula e TMAC Transverse Macula e HAX Horizontal Axial e Vax Vertical Axial 151 Accutome UBM Plus User Guide How to Scan To start and freeze a scan with Accutome UBM Plus is as simple as pressing the start stop button on the probe or stepping on the footswitch Bot
30. Equipment Electromagnetic Compatibility IEC 60601 2 37 Medical Electrical Equipment Particular Requirements for Ultrasound Equipment 271 Accutome UBM Plus User Guide Dn Environmental Specifications Table 3 below lists the Accutome UBM Plus system operating and storage values for temperature and humidity Table 4 Environmental Specifications 10 Cto 40 C i O 20 C to 60 C Relative Humidity 20 to 80 non condensing 15 to 90 non condensing Atmospheric Pressure 700 1060 hPa 500 1060 hPa 272 Specifications Environmental Specifications EoEaEyElyyEyEyEyEy E EE gt EY ESH H heIEIIiIE gt e mIEqE _ 7 EOE CE E E E E ECE _ eee TD Computer Specifications Table 4 below provides the recommended specifications for the computer to be used with the Accutome UBM Plus Table 5 Recommended Computer Specifications 667MHz Dual Core or equivalent USB 2 0 later Display 15 4 inch WSXGA LCD or larger Memory 2 0 GB DDR2 667 SDRAM Hard Disk Drive 80 GB Hard Disk Drive 9 5 MM 7200 RPM CD DVD Drive 8X DVD RW w Roxio Software and Cyberlink Power DVD Video Controller 256 MB NVIDIA Quadro NVS 110M TurboCache Power Supply Medical Grade Power Supply or Isolation Transformer Note The user must supply the computer The computer is not provided with the Accutome UBM Plus 273 Accutome UBM Plus User Guide SCC Operating Modes The following table summarizes the mod
31. Image Analysis Taking Angle Measurement 3 Hold the right mouse button down and drag the ray or base line until you reach the vertex or intersection of the angle Refer to Figure 138 Release and depress the right mouse button This anchors the vertex and allow you to drag the second ray or line to the end point Refer to Figure 139 on next page Before releasing the right mouse button adjust the end point of the angle Vertex Paned foom 2 Prema OO07128 View OOLOE Oese UETOOS Accessoi WISTOOOFPS 12 5 Figure 138 Angle Vertex 201 Accutome UBM Plus User Guide Starting Point Point ee SE SE SE TE C IL Rescan Pasei Doom Pese CESTIE View oton Cosas HORDONE Acceeeed HTEDOONFPR 12 Figure 139 Example of Iris Angle 202 Patient Image Analysis A Vector A Vector The A Vector function displays an equivalent A Scan of the captured UBM Plus image Looking at the A Vector you can get a graphical picture of the echoes received back through the eye from the ultrasonic probe The echoes are represented as spikes arising from the baseline and indicate the sound beam travelling through the different intraocular tissues The A Vector function can be useful is diagnosing pathologies with the eye To activate the A Vector 1 Select Show A Vector as shown in Figure 140 below Show a Vector lt n 5 LIL Main Mens View OM Cese N2E2008 Actensed VIATON PPG OF Figure 140 Selecting Show A Vector Seppet D
32. REVVEN RUDICH MO VISION RETINAL INSTITUTE UCONN WEALTH CENTER EXCEL EYE CENTER LAMERIS OOTECH COLORADO RETINA ASSOCIAT ATHENS EYE DOCTORS AND Pi THE NEW ENGLAND COLLEGE GENERAL HOSPITAL MEDICAL Figure 73 User Name Entered 118 Available Users a THOMPSON RUSSELL Delete os Default Restore Setup Users 3 After entering all user data click Save to save the information 4 An Update Restore Point dialog will launch If you would like to save all changes and have the current users setup become the data restore point click Yes If you would like to retain the old data restore point click No User Avaliable Users First Name RUSSELL LastName THOMPSON ACCUTOME MEDICAL GTL THOMPSON RUSSELL Department PHOTOGRAPHY Telephone 781 792 0600 New Delete Set Selected as Default Save Restore Cancel Figure 74 Saving New Users Deleting Users To delete a user 1 Select the user you would like to delete from the Available Users list 2 Click on Delete 3 The user will be deleted from the list of Available Users 119 Accutome UBM Plus User Guide Set Selected User as Default To set a user as the default UBM Plus operation 1 Select the user you would like to become the default from the Available Users list 2 Click on Set Selected as Default 3 The user will become the default to appear when you power up the Accutome U
33. Start Serna Exe on Figure 81 Selecting Gender 128 Performing Exams Initial Exam Screen aaa a ee eee Probe Info The Probe Info displayed on the New Exam initial Info Screen is informational only and is automatically determined depending which model of probe is plugged in Frequency The Frequency field indicates the frequency of the signal from the probe through the eye Default Range The Default Range field displays the default depth range displayed on the screen Gain The Gain field displays the gain of the image signal Sweep Angle The Sweep Angle field displays the angle at which the probe sweeps the eye during imaging Serial Number The Serial Number field displays the serial number of the connected Accutome UBM Plus probe 129 Accutome UBM Plus User Guide Exam Info The Exam Info area displays information related to the current exam and patient Exam ID The UBM generates an Exam ID based on this entered Medical Record number in combination with the date and tracking number Facility In the Facility field you can select the facility for the Patient Exam by selecting the name from the drop down list Facility names are entered in the UBM Setup Refer to Chapter 4 of this manual Position the cursor on the small arrow at the right of the facility field Left click to open the drop down list Position the mouse over the up down arrows at the right of the drop down list Click the mouse to move through
34. at our discretion free of charge up to one year from the date of purchase by the initial user of the equipment from Accutome Inc or any of its authorized distributors This warranty covers all repairs and servicing of parts that proved defective by manufacture and not by misuse or mishandling This type of service will be handled by our trained sales force or if necessary in our home office Shipping charges for returns or repair of non warranted items will be the responsibility of the customer Alteration repair or modification of any product that is performed by persons not authorized by Accutome Inc will result in immediate loss of warranty 278 Warranty amp Repairs Product Returns Follow the instructions given below to return products to Accutome Inc Service and Repair Before returning instruments for service or repair contact the Accutome Technical Service Group for a Return Goods Authorization RGA number Toll Free in USA 1 800 979 2020 Tech Service 1 610 889 0200 Fax 1 610 889 3233 After receiving authorization print the RGA number on the outside of the package and send the instrument to Technical Service Group Accutome Inc 3222 Phoenixville Pike Malvern PA 19355 All Other Returns Returns for non service related reasons must be authorized by the Accutome Customer Service Department Please contact Customer Service for an RGA number Merchandise returned within 60 days of date of invoice will be
35. changes and have the current facilities setup become the data restore point click Yes If you would like to retain the old data restore point click No Update Restore Point A Set new point of restore Figure 24 Update Restore Point Dialog 71 Accutome UBM Plus User Guide a a a ee Restore To restore the previously saved facility information 1 Click on Restore 2 A Restore Facilities dialog will launch Click Yes to revert to the previously saved facilities information Restore Facilities d Restore ladies to let saved port Figure 25 Restore Facilities Dialog 72 Setup Facilities Users The Users tab and related screen is the second tab from the left in Setup The Accutome UBM Plus provides the ability to add Users to a UBM user list How to Add a New User To add a new user 1 In the Users screen select New as shown in Figure 26 below r Available Users a UNOEFINED 1 Last Name UNOEFIMER 1 Facility ACCUTOME MEDICAL CENTERS Oepartnent Telephone New Oeiete Set Sutected as Detautt Save Restore Cancel Figure 26 Users Screen 73 Accutome UBM Plus User Guide 2 Activate the Name area under the Users Information area as shown below The available information fields are First Name Last Name Facility select entered facility from drop down menu Department Telephone st _ _
36. exam see Selecting Patient Exam below 2 Capture all necessary snapshots if not previously captured see Capturing Snapshots on the next page Select Reports tool see the Reports Tool section Execute Manage Reports see the Executing Manage Reports section 5 Create a New Report for the active patient see the Create a New Report section 6 Select the snapshots you would like to place in the report see the Selecting Snapshots section 7 Print or save the report see the Print or Save Report section A U Selecting Patient Exam To select the patient exam 1 After launching Accutome UBM Plus select Existing Exam The UBM Plus Analyze Screen will display with the existing exam drop down list 2 Scroll through the drop down list until you find the patient for whom you would like to create a report 3 Once selected the patient s exam will appear on the screen 212 Printing Images and Reports Creating Reports Note For more information on selecting existing exams refer to the How to Select an Existing Exam section of this manual Capturing Snapshots If there are any additional snapshots you would like to add to the patient report Select the appropriate elevation from the list of scan views Play the selected patient view Pause at the frame you would like to make a snapshot Adjust any of the image settings if necessary Click Snap
37. get much finer resolution of the measurements Measurements as small as 1 mm can be easily taken There are eight separate measurements you can take e Line 1 e Angle e Line 2 e Angle 2 e Area 1 Angle 3 e Area 2 e Angle 4 Measurement Types The UBM Plus provides for two line or distance measurements two area measurements and four angle measurements You can display all four measurements on the screen simultaneously Taking Distance Measurements To take a distance measurement 1 Select either Line 1 or Line 2 in the Measurements area as shown in Figure 132 an Sa SS SEO Be Rescan Mepped Zoom fisme Seme View DOA Crested SOATDOS Acopsest WIRDOOS FPE Ot Figure 132 Line 1 Measurement Selected 194 Patient Image Analysis How To Take a Measurement on an Existing 2 Right click and hold on the image at the starting point of the measurement and drag the line along the length of the feature you would like to measure 3 The measurement will be displayed on the screen as shown in Figure 133 on the next page 4 You can easily change the velocity of sound to reflect the density of tissue being measured Click in the velocity field Select the velocity field by holding down the left mouse button and dragging the value highlighting the numerical velocity of sound Press the keyboard Delete key to erase it and type in the new value 5 Analternative way to change the velocity of tissue is to use the predefined velo
38. of tissue rather than a point and the echoes that are received back represent dots that form an image The higher the density of tissue that the UBM wave hits will be returned as a stronger echo or brighter dot in the image B Scan is therefore a Brightness scan For example the iris is a highly dense smooth surface and when scanned the image returned will be bright as shown in Figure 95 on the next page 147 Accutome UBM Plus User Guide EEE Probe Freq 48 MHz Max Depth 30 mm Gain 66 dB UNDEFINED an UNDEFINED or UNDEFINED Patient UBM SUBJECTS 09C804 OD Scan Date 3 25 2009 ee aS Paused Zoom 2 Frame 111 128 View 001 005 Created 0 2008 Accessed 3 10 2008 FPS 0 5 Figure 95 Probe Operation Probe Operation The Accutome B Scan Plus emits an oscillating sound beam that pulses pauses and pulses again The pause allows the UBM Plus to receive process and display the returning echo The pulse echo is repeated thousands of times per second resulting in a real time display The sound beam slices through a section of intraocular tissue covering approximately thirty degrees 148 Performing Exams Probe Usage in Scanning ees Marker Alignment There is a marker at the end of the Accutome UBM Plus probe the Accutome logo that indicates the direction of the slice being imaged by the probe See Figure 89 below for examples of the marker positioning for a vertical and a horizontal slice You must know
39. please proceed to page 28 If you are using Microsoft Windows 7 or Vista 32 bit please proceed to page 38 For Additional Help contact Accutome at 1 800 979 2020 16 Getting Started Installing the Software Part I Follow the steps below to check for a C drive if you do not have a C drive you should stop installation immediately because you will not be able to run the program on this computer 1 Click Start on the bottom left corner of the desktop and then click Computer on the right of the pop up menu 2 You should see C under Hard Disk Drives list Close the window after you are done For Additional Help contact Accutome at 1 800 979 2020 17 Accutome UBM Plus User Guide Part II Follow the steps below to turn off the User Account Control UAC of Windows Vista NOTE UAC is a new security feature of Windows Vista However it interferes with the installation of UBM Plus program and device driver of the USB probe You can turn it back on using the same procedure after you finished the entire installation process 1 Open Control Panel window by clicking Start located on the bottom left corner of the desktop Click Control panel located on the right side of the pop up menu 2 Click User Accounts and Family Safety bytie and Macnterance et epee os leet Securty A har painan oe et 3 Click User Accounts ange poor ti
40. right of the drop down list Click the mouse to move through stored physicians Once you see the physician you want to select position the mouse cursor over the physician and left click The selected physician will fill in the physician field Patient info Exam Info First Name jeru n Exam ID Last Name pones Facility CCUTOME MEDICAL CENTER Physicien CETINKAYA MURAT Date of Birth 7 10 1547 mayri Opemtor RUOICH REUVEN RUSSELL MATT Gender Age SUCHECKI JEANINE Exam Setu PARSONS MATTHEW n HOVLANO PETER Glaucona suspect Create Oate T caus GUS PA A Scan Group ATEL BINA Protocol Indication of Scan FCeS ie A Description Frequency Default Range Sweep Angie Serial Number Main Menu ACCUTOM Exit Figure 83 Selecting Physician 131 Accutome UBM Plus User Guide Operator In the Operator field you can select the operator for the Patient Exam by selecting the name from the drop down list Operator names are entered in the UBM Setup on the Users tab Refer to Chapter 4 of this manual Position the cursor on the small arrow at the right of the operator field Left click to open the drop down list Position the mouse over the up down arrows at the right of the drop down list Click the mouse to move through stored operators Once you see the operator you want to select position the mouse cursor over the operator and left click The selected operator will fill in the opera
41. scan defaults to the 12AX Axial probe position with 12 being the 12 00 position as shown in Figure 36 below 3 If you would like to change the probe position for the scan select the tip of the position indicator and drag the indicator around the position wheel until it as at the appropriate position or hour on the clock 4 If you would like to change the method of scanning from AX Axial the default select either or Long Longitudinal or Trans Transverse f Edit Current Sequence r Available Sequences Name PupieryResporee lt a Descrnipton Monner ma angie change between igit anc a Gare ecapted Currem View Views of x 49 s nm ODAZAXD is m i E Edit ja Current a View a Selections Pup ary Response New Duplicate Selected pEdit p elete Set Selected as Detautt gt r Create From Tempietes Axial Long Trans n HMAC VMAC LMAC Figure 36 First Scan Editing View 83 Accutome UBM Plus User Guide f eea a ee How to Add Another Sequence Scan The Views of panel on the Sequences screen list all available scans in the current sequence There are several command buttons for manipulating the sequence scans e Insert Under adds a new scan under the currently selected scan e Add at End adds a new scan to the end of the sequence e Move Up moves the selected scan up in the sequence order e Move Down moves the selected scan down in the sequence order e Delete
42. snapshot file in the patient s exam folder will be permanently deleted providing space on the UBM computer to store more snapshot files To delete a snapshot 1 Select the snapshot by dragging around it or clicking on it 2 You can also select multiple snapshots by dragging around several or by pressing the Ctrl key and clicking each snapshot you d like to select 3 When the snapshot s you d like to delete are selected click on Delete Selected as shown in Figure 148 below Regent Zoo 24 Puawai CAVITE View GOUSG4 Crested N3000 Accesses FEDOS PPE GS Figure 148 Deleting a Selected Snapshot from List 216 Printing Images and Reports Creating Reports 4 The Accutome UBM Plus will then launch the dialog displayed below If you would like to permanently delete the snapshot file from the system from the computer which you are using to operate the B Scan select Yes If you don t want to delete the snapshot select No A Detehe selected segrbeds fie frem system Cx Ce Figure 149 Confirming Snapshot Deletion Executing Manage Reports When you are satisfied with the list of snapshots to enter in the report click on Manage Report in the Reports tab as shown in Figure 150 below Pamei Jose Piene CITT View GOL0GE Crested SORQNOS Accesereh SIAGOONFPE The Figure 150 Executing Manage Reports 217 Accutome UBM Plus User Guide SN EE Create a New Report After you execute Manage R
43. the USB port until instructions ask you to do so The computer must be running Microsoft Windows 7 or Vista 32 bit operating system OS e The computer must have a local hard disk drive which is labeled C e The screen resolution DPI setting must be set to Normal Size 96DPI or 100 The account used to install and run the program must belong to Administrators Group The computer must have Microsoft Word 2003 or higher to generate reports The computer must have Adobe Acrobat Reader version 5 0 or higher to read the UBM Plus User Guide PDF Installation Phase One Plug the wired mouse into the USB port located on the back of the computer Turn the computer to On and login PARTI Follow the steps below to check for a C drive if you do not have a C drive you should stop installation immediately because you will not be able to run the program on this computer For Additional Help contact Accutome at 1 800 979 2020 40 Getting Started Installing the Software Part I Follow the steps below to check for a C drive if you do not have a C drive you should stop installation immediately because you will not be able to run the program on this computer 1 Click Start on the bottom left corner of the desktop and then click Computer on the right of the pop up menu 2 You should see C under Hard Disk Drives list Close the window afte
44. to Be Restored after selecting exams for restoring from a DVD CD or from a local network hard drive backup they will be displayed in this area 3 Process Information Area provides live feedback as text for any selected restore activity When you first start the Restore function this area displays information about the DVD CD drive and disc 4 Tool Palettes contains tools for locating and loading exams from DVD CDs and tools and from a local or network hard disk There are two tabs DVD CD Device and Local Net Hard Disk Restore Selected Exmns To Be Aestored DOE HYPEMA ie FRIST_2eC a GUROW 200 5 e GAREN 2007 115711 Destination Folde For Restored Exams gt gt gt Found Otec in Orive Jar Eh DVDICD Device Localitetwork HD Restore Exams From Geckup On CO DVD gt gt gt Thes media is Accutome Backup die Device ST OVDRRW GE Avatladie Erat Main Menu Figure 176 Restore Screen 243 Accutome UBM Plus User Guide S Restore from DVD or CD The process to restore patient exams from a DVD CD is extremely simply insert a disc in the DVD CD drive select the exams and click restore There may only be one patient exam on a CD or DVD The steps to restore patient exams to a DVD CD are 1 Insert a CD or DVD into the computer drive 2 Select the patient exam s you would like to restore 3 Select Restore on the DVD CD Device tab Selecting Patient Exams When you launch the Restore functi
45. where the slice is being directed at all times to produce an accurate scan In Figure 96 below there are two very different slices with the same probe position the marker is rotated from a vertical slice position to a horizontal slice position The slice positions when defining a probe view are indicated as hours on the face of a clock The marker located on the UBM Probe also indicates the orientation of the probe with resect to the image on the monitor The marker is positioned towards the left side of the screen Marker Accutome logo Vertical Probe Marker Accutome logo Horizontal ad Probe w Anuesus tumer L Scierra Figure 96 Eye and Probe Marker Alignment 149 Accutome UBM Plus User Guide Probe Positions One of the great features of the Accutome UBM Plus is the ability to use the probe in any position and be able to quickly and easily label the scan view There are three major positions for holding the probe when you scan Within these positions there are slices that correspond to the hours of a clock A position label consists of the probe position and slice position The three probe positions are e Axial e Longitudinal e Transverse Depending upon the purpose of your scan e g basic scan vs scanning for a pathology will determine which probe position you use When scanning you move the probe around the eye within each of these positions A brief summary of the three positions follows Axial Probe Posit
46. 06 11 3712 gt gt gt Disk space copied 521 57 MB gt gt gt Succensfaty restored af selected srama Io epectied tatter Figure 190 Execute Restore Exams on Local Network HD 257 Accutome UBM Plus User Guide 2 The status bar at the bottom of the Restore Screen will display restoring activity indicating that the exam restoration is in process and how much of the backup has been completed see Figure 191 below Exams On Backup Exams On Destination Exams On System x X Restore Amount Completed Eram exams name gt gt gt Warmnay Eram CANN 6 8 6OT0 artody Wicts on selected exams amp 12 16718 mie Esam SMITH JO RSWTS 2006 12 1T 4 ovce ocal Netwe gt gt gt Caicuate Exam CANNA NAN 7006 9 0T ENDED D as otal requires disk space 167 75 MB gt gt gt Restoring exam GEORGE _2006 12 16T 18 gt gt gt Successfully restored exam GEORGE 2006 12 16T18 gt gt gt Disk space copied 0 00 MB Restoring sram SMITHIOHN _RS1025 PO06 12 31TH4 gt gt gt Successfully restored exam SMITH JOHN RE1025_ 2006 12 31T 14 gt gt gt Olsk space coped O8IMB Restore Status Restoring Restored 0 716773 MB Figure 191 Restore Activity 258 Archive and Restore Restore Local Network Hard Drive A Additional Restore Features The Restore function provides many other additional features that allow you to gather information about restore size and operation and allows you to manage exams Exams on Backup Featu
47. 10 210 212 212 213 214 215 216 217 218 219 220 221 222 222 223 224 224 225 226 226 226 Accutome Select All Clear All Burn Disc Archive to a Local Net Hard Disk Selecting Patient Exams Selecting the Backup Tool Selecting the Destination Folder Locating Destination Folder Additional Archive Features Delete Selected Exams Disc Tool Features Save Reports Only Erase Disc Abort Proc Disc Info Verify Burn Check to Fit the Media Eject Disc Load Disc Local Net Hard Disk Checking System Free Space Space Required If Name Conflict Found Check Name Conflict Abort Backup Verify Restore Screen Restore from DVD or CD Selecting Patient Exams Selecting Individual Exams Select All Clear All Restore Restore Local Network Hard Disk Selecting the Local Network HD Tool Selecting the Folder for Restoring Exams Selecting Patient Exams UBM Plus User Guide 228 229 230 231 232 232 233 233 237 237 238 238 238 238 239 240 240 240 241 241 241 241 241 241 241 242 242 244 244 245 248 249 250 251 252 254 256 Contents D Executing Restore 257 Additional Restore Features 259 Exams on Backup Features 259 Select All 259 Clear All 260 Total Space Needed 260 Check Conflict 260 Overwrite Old Exams 260 Exams on Destination 261 Select All 261 Clear All 261 Remove Selected Exams 262 Exams on System 263 DVD CD Features 264 Free Space On The System 264 Select Folder 264 Information of Media 2
48. 132 Exam Setup 133 Create Date Time 133 Scan Group 133 Protocol 134 Description 134 Import From Existing Exam 134 Start Exam 135 Use of the Anterior Segment Imaging Scleral Shell 136 Exam Screen Features 138 Exam Information Displayed above Image 139 Current View 139 All Views 139 Tools Palette 139 Probe Tab 140 TGC Adjustments 141 Gamma Adjustments 141 Cine 142 Tool Tab 143 Add View 144 VI Contents D Edit Current View 144 Current View 144 Axial 144 Longitudinal 145 Transverse 145 Edit Exam Info 145 Analyze 146 Menu Buttons 146 Main Menu 146 Exit 146 Probe Usage in Scanning 147 How the UBM Works 147 Probe Operation 148 Marker Alignment 149 Probe Positions 150 Axial Probe Positions 150 Longitudinal Probe Positions 150 Transverse Probe Positions 150 How to Scan 152 Using the Footswitch 152 Scanning with a Predefined Protocol 152 Scanning without a Protocol 153 Proceed with the Next Scan 155 Adding a View 156 Adjusting the Gain 157 Changing the Scan View 158 A Vector 162 Completing Patient Exam 164 Main Menu 164 New Exam 164 Exit 164 Analyze 164 Overview 166 Selecting Images for Analysis 166 How to Select an Existing Exam 166 PATIENT IMAGE ANALYSIS 166 Analyze Screen 168 VI Accutome Analyze Screen Features Exam Information Displayed above Image Current View Current View Orbital Locators Editing Current View Info Views to Review Play Controls Zoom Controls TGC Adjustments Gamma Adjustments Edit E
49. 6 11318 Figure 188 Locating Source Folder 255 Accutome UBM Plus User Guide 4 After you have the selected the restore from folder the path and name of the folder will appear as shown in Figure 189 below The contents of the folder will also display in the Exams on Backup tab GEORGE 200 SMITHJOHN m SNITHIONN RSI i 007 4 LONG_20 CANNANANCY VITREOUS BL cessfully restored exam Dish space lt gt gt gt Restoring exam HYPEMA gt gt gt Guccesshally restored exam HYPEMA OS 3713 Oise space ce gt gt gt Buccesstully folder 571 57 wn red af setected crams to specitied Figure 189 Source Folder Displayed Selecting Patient Exams Selected Exams To Bo Restored MYPEMA OS_2006 11 9Tt3 Restore From Folder DVDICD Device LooalNetwork HD Restore Exar Oriect Folter Main Menu When you are backing up patient exams you select them in the same manner as if you were burning a DVD CD Refer to Selecting Patient Exams on page 203 for instructions 256 Archive and Restore Restore Local Network Hard Drive ee Executing Restore To complete the restore process 1 Click on Restore as shown in Figure 190 below 2006 1210718 m GMITIN A310273 OMN _AS1I025_2 gt gt gt Calcume Exam OOE 2007 139718 scoreshaly restored gt gt gt Disk space Copied 0 00 MB gt gt gt Restoring exam HYPEMA OS 2006 119713 we Successfudy restored eram HYPEMA OS 20
50. 65 Eject 265 Load 265 Abort 266 Available Exams 266 Local Net Hard Disk 266 Select Folder 266 List Exams in the Folder 266 Abort 266 Main Menu and Exit 266 General Maintenance 269 Maintenance 269 Overview 270 Physical Specifications 270 Table 2 Accutome UBM Plus Physical Specifications 270 Specifications 270 Table 3 Accutome UBM Plus Physical Specifications 271 Environmental Specifications 272 Table 4 Environmental Specifications 272 Computer Specifications 273 Table 5 Recommended Computer Specifications 273 XI Accutome Operating Modes Table 6 Operating Mode s Table 7 Operating Mode s Table 8 Range and Accuracy Acoustic Output Table 9 Acoustic Output Reporting Table for Track 1 Autoscanning Mode Warranty Warranty amp Repairs Product Returns Service and Repair All Other Returns Non Returnable Merchandise Replacement Parts Documentation XII UBM Plus User Guide 274 274 215 275 276 276 276 278 278 279 279 279 279 280 280 LIST OF FIGURES List of Figures Figure 1 Accutome UBM Plus Components 1 Figure 2 Accutome UBM Plus Probe 47 Figure 3 Accutome Anterior Segment Imaging Scleral Shells 18mm and 20mm 48 Figure 4 Accutome UBM Plus Footswitch 48 Figure 5 Accutome UBM Plus Desktop Shortcut 49 Figure 6 Main Screen Starting New Exam 50 Figure 7 New Exam Info Screen 51 Figure 8 Entering New Patient Information 52 Figure 9 Selecting Facility 53 Figure 10 Selecting Physician 54 Figure 11 Selectin
51. Archive to a Local Net Hard Disk The Archive function also gives you the option of backing up files to a local or network hard disk The process like burning a CD DVD is simple 1 Select the patient exams you would like to backup 2 Select the Backup tool 3 Select the Destination Folder 4 Select Backup Exams 231 Accutome UBM Plus User Guide SSCS Selecting Patient Exams When you are backing up patient exams you select them in the same manner as if you were burning a CD DVD Refer to Selecting Patient Exams on page 203 for instructions Selecting the Backup Tool To activate the backup tools 1 Locate the Local Net Hard Disk tab in the tools palette 2 Click on the tab as shown in Figure 165 below COO Recordette Meda Loceltte Hard Ona whe dome Seam Dace VITREOUS B spasa aer pace rot aa taa Figure 165 Selecting the Local Net Hard Disk Tools 232 Archive and Restore Archive to a Local Net Hard Disc D Selecting the Destination Folder After you have selected the exams you would like to back up you need to designate the location at which you would like to store the exams 1 Click on Select Destination Folder as shown in Figure 166 below Exams On Backup Exams On Destination Exams On System JONES 2087 1 44T23 m HYPEMA OG TEE a FRIST 2907 4 gt gt gt This media is Accutome Backup disc SIE ROTET OVORA SEKOT Select Folder Figure 166 Launching Select Desti
52. As you make image control adjustments the Small Image Window located at the bottom right of the screen see Figure 56 below displays how the changes will affect image scanning The image controls on the Setup Options Screen allow you to adjust TGC Gamma e Gain Folders Of Exams Main Acoutome Era Restored Info on images s Show Nans s r Measured mrar Snapshot F eta Frequency Deom n Date Power 10 System Orfeul System Octavus image Controls TGC Gamma Pr 5 Small Image Window T I L p Save Restore Cancel Figure 56 Image Settings Before Adjustment 104 Setup Options Ee TGC TGC Time Gain Compensation is the ability to adjust the signal gain segmentally as distance from the probe increases There are three TGC setup options 1 Near increases the gain for the anterior portion of the eye in the UBM Imange 2 Middle increases the gain for the middle portion of the UBM Image 3 Far increases the gain for the far portion of the UBM Image To adjust the TGC image scan presets slide the appropriate setting indicators as shown in Figure 57 below Folders Of Exams Main C E Restored C r Exam Namo Combinations info on images irao to Show Messured Facility Ora p Probe Control B Pteysctan Positeon Frequency B UBM Mode Power 100 0 Dehnuilt System Owtautts imace Controls TCC Mer Range Restore Figure 57 TGC Adjus
53. BM Install icon CD ROM drive and select Open Double clicking on Example Exams folder in the window UBM Install to show folder contains To extract the exam by double clicking on the file Test Exams zip and a folder named HYPEMA OS_2006 11 3T13 appears in the window Double clicking on the folder icon called Accutome on the desktop then double clicking on Exam Data folder in the Accutome window appears in desktop Drag the folder HYPEMA OS_2006 11 3T13 in Test Exams window and drop it into the Exam Data window It takes few minutes to copy entire folder e Close all windows and eject the CD after you done For Additional Help contact Accutome at 1 800 979 2020 24 Getting Started Installing the Software PLEASE READ THROUGH INSTRUCTIONS BEFORE INSTALLING SOFTWARE IMPORTANT DO NOT plug the Accutome probe into the USB port until all applications and drivers have been installed The computer must have a local hard disk drive which is labeled C The screen resolution DPI setting must be set to Normal Size 96DPI The computer must have Microsoft Windows XP SP2 and NET Framework 2 0 The account used to install and run the program must belong to Administrators Group The computer must have Adobe Acrobat Reader version 5 0 or higher to display the UBM Plus User Guide Follow the steps below to install Accutome s UBM Plus
54. BM Plus Save To save all user information 1 Click on Save 2 An Update Restore Point dialog will launch If you would like to save all changes and have the current users setup become the data restore point click Yes If you would like to retain the old data restore point click No Update Restore Point A Set new point of restore Figure 75 Update Restore Point Dialog Restore To restore the previously saved User information 1 Click on Restore 2 A Restore Users dialog will launch Click Yes to revert to the previously saved User information Restore Physicians A Restere Physicians to lat saved poirt ves No Figure 76 Restore Users Dialog 120 S PERFORMING EXAMS Overview The Accutome UBM Plus is very simple to operate and has advanced features to help you obtain the best possible images The Accutome UBM Plus creates eye images by sending a signal through the eye from the ultrasonic probe The signal echoes off the various parts of the eye cornea lens and returns a signal to the probe The returned signal is translated by the Accutome UBM Plus and displayed as the patient image The Accutome UBM Plus provides many user controls to obtain high quality diagnostic images These include the probe TGC and gamma adjustments This chapter provides you with information to scan control and review images Exam Steps The basic steps in performing an exam ar
55. Guide for Accutome UBM Plus 22 Install Example Exams OPTIONAL 24 Installation Phase One 25 Installation Phase Two 26 QUICK START USER GUIDE FOR ACCUTOME UBM PLUS 27 Install Example Exams OPTIONAL 29 Installation Phase Two 35 QUICK START USER GUIDE FOR ACCUTOME UBM PLUS 37 Install Example Exams OPTIONAL 39 Accutome UBM Plus Installation Instructions For Windows 7 amp Vista 32 bit 40 Installation Phase One 40 Installation Phase Two 45 Probe 47 Footswitch Setup 48 Basic Operation 49 Starting Accutome UBM Plus Program 49 How to Start a new Patient exam 50 Entering Patient Exam Information 51 Selecting an Existing Patient for Exam 58 Operation 59 Scanning 62 How to Print an Exam 62 How to Save Patient Exams 63 Insertion of the Anterior Segment Imaging Scleral Shell 63 Setting Up the UBM Plus 66 How to Access Setup 66 SETUP 66 Setup Menu Selections 67 Facilities 68 How to Add New Facilities 68 Deleting Facilities 70 Duplicate Facilities from Selected 71 Il Accutome UBM Plus User Guide Set Selected Facility as Default 71 Save 71 Restore 72 Users 73 How to Add a New User 73 Deleting Users 75 Set Selected User as Default 76 Save 76 Restore 76 Sequences 77 How to Create Sequences 77 How to Add New Sequences 78 How to Define the Sequence Scan 81 Edit Current View Selections 82 How to Add Another Sequence Scan 84 Deleting Sequences 89 Duplicate Sequences from Selected 90 Set Selected Sequence as Defaul
56. HE UBM PLUS SHOULD NOT BE USED ADJACENT TO OR STACKED WITH OTHER EQUIPMENT AND THAT IF ADJACENT OR STACKED USE IS NECESSARY THE UBM PLUS SHOULD BE OBSERVED TO VERIFY NORMAL OPERATION IN THE CONFIGURATION IN WHICH IT WILL BE USED GETTING STARTED Assembling the Accutome UBM Plus The UBM accurately images intraocular structures of the human eye using ultrasound The product consists of a UBM Plus Ultrasound Probe a Probe Holder a foot switch a wired mouse an anterior segment immersion shell a User Manual and a CD containing the Accutome UBM software all packed in a plastic carrying case The user supplies a PC with Microsoft Windows XP SP2 or later The Accutome UBM is designed to be used in multiple environments and is as simple as carrying a notebook computer and probe The instrument requires virtually no assembly You simply need to install the software and plug the probe the mouse receiver and foot switch into your computer s USB ports and activate the USB ports What you need For a complete Accutome environment you will need the following e Windows OS based Personal Computer PC Accutome recommends Microsoft Windows XP SP2 based Personal Computer PC Intel Core 2 Duo 2 40GHz or later 4M L Cache 66MHZ e Accutome Ultrasonic UBM Plus Probe e Accutome Ultrasound UBM Plus software e 4 USB Port s recommended 2 USB ports minimum e Wired Mouse e Printer e Foot switch e Anterior Segment Imag
57. L OT 0T OVORRI GSA Leon Select Pokter Eject Main Menu Exit Figure 177 Selecting the First Exam 245 Accutome UBM Plus User Guide 2 The selected exam will appear in the Selected Exams To Be Restored list as shown in Figure 178 below xams On Backup Exams On Oestinaton Exams On System 7 JONES _2007 5 14T apoE 2007 40718 HYPEMA OS 2006 11313 OFREST 2007 41571 CUROM_2007 1 15T14 u GAREN 2007 115711 Found Otec in Orive m Drive type COR gt gt gt Volume Label of D sc 2 21 2007 21 0 gt gt gt Number of bes on dsc 1 gt gt gt Data on Disc 577 95 Ma gt gt gt Using System default path gt gt gt Checking dir E Program Files AccadomeExam Date gt gt gt This meds is Accatome Bectup dec Select Folder Figure 178 First Exam Selected 246 Archive and Restore Restore from DVD or DC 3 You can also click on the name of the exam you would like to select as shown in Figure 179 below u GAREN 20074 15711 gt gt gt DVD CD Device LocalNetwork HO gt gt gt Using System default path gt gt gt Chet ing dr E iProgram PesAccutoon Exam Datel gt gt gt This media is Accutosse Backup disc 0 0E LOTET DVORRW CBAHIIL Loar Select Folder Figure 179 Selecting the Second Exam 247 Accutome UBM Plus User Guide SSCS Select All If you would like to archive all exams on the system and don t want to select them individually 1 Click S
58. Name Sulcus to Sacus Ueseurement Description These postbons are used to smesse centreson of an Ol Current View Views of Sulcus to Sulcus Measurement ODIA E New Duplicate Selected pEdt o0 os Delete Set Selected as Oefauit Axial Long Trans wets From Temgiene s HMAC VMAC LMAC MAX VAX TMAC Figure 31 Sequences Screen How to Create Sequences The process for creating sequences consists of 1 Adding a new sequence 2 Adding scans for the sequence 3 Defining each scan 77 Accutome UBM Plus User Guide eS The list of available sequences is displayed at the right of the screen and command buttons related to available sequences are located below the list How to Add New Sequences To add a new sequence 1 In the Sequences screen select New as shown in Figure 32 below Edit Current Sequence Available Sequences Name Sudcue to Sulcus Meaewement Description DOP DONS Ee ised fo ensure Centanon CS nl Current View Guicus to Gulcus Measurement el u s E E E amp a a al Get Selected as Default os Create From Temptetes TEZ X VAX 5 od Save Restore Duplicate Selected Long Trans n AC WMAC LMA Cancel Figure 32 Adding New Sequence 78 Setup Sequences nnn nnn __ 2 The UBM Plus will list the new sequence as Undefined in the Available Sequences list r Edit Current Sequence Available Sequences Name DaGeieestt a
59. OM drive Preparing to Install will automatically appears In case the install does not start automatically open My Computer Double click on the UBM Install icon Double click on Setup It will take several seconds to unpack the installation package Advance through the windows by clicking Next 2 When the window of Welcome to the InstallShield Wizard for Accutome UBM appears click Next Click I accept the terms in the license agreement when the License Agreement window appears Click Next Click Install After UBM Plus applications files were copied onto your computer and few icons appears on desktop a window Installing Microsoft DirectX will automatically appears on desktop If it does not appear automatically Double click on the icon Launch DX SETUP exe on the desktop to install Microsoft DirectX 9 0 manually 3 Click I Accept Agreement Click Next Click Next to start installation of Direct X Click Finish to complete installation Direct X on your system Click Finish to close the Install Accutome UBM Plus window and complete the installation steps for required files and libraries for running Accutome UBM Plus applications 4 If a Microsoft NET Framework 2 0 Setup window automatically appears on the desktop means that the installation program could NOT find NET Framework 2 0 package on your system
60. Selected deletes the selected scan from the sequence order To add another scan to the new sequence 1 Click Insert Under as shown in Figure 37 below Available Sequences Description the angie change beteren lig adapted f Current View u Pupliary Response New Duplicate Getected Delete Set Setected as Default insert Create From Templetes Axial Long Trans ve o in s Five Scan HMAC VMAC LMAC HAX A Save Restore Cancel Figure 37 Adding a New Sequence Scan 84 Setup Sequences nn 2 The newly added sequence scan will display as Scan as shown in Figure 38 below The Scan scan is active is a free scan view and has no definition 3 To assign a particular eye for scanning to the sequence scan either OD or OS click on the appropriate eye In Figure 38 below OD is being assigned to the active scan Edit Current Sequence Available Sequences Name f Rosp Description the angie Change between bgi and dat adapted Current View gt gt Views of n n OD AZAKG Pupllary Response New Oupieate os De tete Set Selectec T feate From Tempiet Long Trans Cancel Figure 38 New Sequence Scan View Added 85 Accutome UBM Plus User Guide a a a ae 4 Adjust the position for the new sequence scan by dragging the tip of the position indicator as shown in Figure 38 below The new scan defaults to AX as the method for probing If you would like to cha
61. Shot The frame will be exported to a file linked to the patient in either a bit map or jpg format The file name for the snapshot is determined by the Exam Name Combination selected during setup Snapshots can easily be incorporated into an email or pasted into a report DNNnBWN 213 Accutome UBM Plus User Guide C_i Reports Tool When you are ready to create a report select the Report tab from the tools palette as shown in Figure 146 below The Reports tools has three function buttons e Snapshot List displays all available snapshots for the active patient e Manage Reports launches the manage reports window Delete Selected deletes snapshot s selected from the snapshot list ee SE SE SE Be Gropped poomi 74 Preme CO VIDE View GONDOS Crreied NORDPOU Areroa VIS2000 PPE SO Figure 146 Selecting Reports Tool 214 Printing Images and Reports Creating Reports Snapshot List To display all snapshots available for the active patient 1 Click on Snapshots List as shown in Figure 147 below 2 All snapshots will be displayed in the panel below the reports tool buttons i A AAOC Repped Doom 24 Frame CINE View GO1GS4 Crested TIAGO Antenne VIEDO PPE Oe Figure 147 Selecting Snapshot List 215 Accutome UBM Plus User Guide Deleting Snapshots If for any reason you don t want to keep one of the patient snapshots the Accutome UBM Plus allows you to simply select the snapshot and delete The
62. The probe must be cleaned and disinfected between patients to prevent the transmission of infections It is the user s responsibility to ensure that the relevant standards are maintained and that the products and procedures are effective and appropriate for ophthalmic applications The following information is provided for the guidance of users and specific products are mentioned for illustration only Accutome does not endorse the use of these or any other product Products must be used in accordance with the manufacturer s instructions How to prevent patient to patient transfer of infection The probe must be cleaned between two patients to prevent patient to patient transfer of infection The probe may be cleaned using an FDA cleared high level disinfectant such as Cidex Activated Dialdehyde Solution e Do not completely immerse the probe and cable Only the probe tip of the UBM Plus should be placed in the solution e Do not immerse the connectors e Do not autoclave the probe or the cable e After cleaning rinse the end of the probe thoroughly with distilled water to remove all traces of the liquid used Follow the instructions on the label of the disinfectants The surfaces should then be dried with a lint free cloth WARNING DO NOT WIPE THE PROBE END IT MAY RESULT IN DAMAGE TO THE CRYSTAL Note Be sure to follow the manufacturer s written protocol when using any antibacterial solution including high level disinfectants
63. UBM Plus allows you to save patient records at any point during the exam Whenever you start stop a scan using the probe or foot switch the scan just completed is saved in the patient s exam folder There is no need to do anything other than operating the UBM Plus to save patient exams To complete an exam you must leave the screen for the active patient select Main Menu New Exam Exit or Analyze The active patients exam will close and contain all scans made Insertion of the Anterior Segment Imaging Scleral Shell The Physician performing the exam will select the appropriate size Scleral Shell 18mm or 20mm to be used during the examination based on the shape and size of the Patient s eye 1 Recline the patient 2 Anesthetize both eyes 3 Using your thumb and index finger separate the eye lids exposing the cornea and Sclera 4 Holding the Anterior Segment Imaging Scleral Shell securely place the shell over the cornea 5 Release the lids 6 Maintain a constant downward force to keep the shell from leaking Note Patients that are squeezing excessively causing the lids to be difficult to open may be asked to look at their toes This action relaxes the lid muscles Note Some Clinicians have reported a better seal between the shell and Scleral by adding a small amount of goinosol or gentile gel to the Flanged base of the Anterior Segment Imaging Scleral Shell 63 Accutome UBM Plus User Guide
64. User Guide Exam Screen Features Upon start of the exam the Accutome UBM Plus launches the Exam Screen The Exam Screen displays e Exam Information e Current View All Views e Tools Palette with Selectable Tabs for Probe and Scan Controls e TGC Adjustments e Gamma Adjustments e Zoom Controls e Show A Vector e Edit Exam Info e Analyze e Cine Buffers Display e Menu Buttons e Print and Snap Shot e Angle Figure 88 Exam Screen Layout 138 Performing Exams Initial Exam Screen i _ _ _ __ Exam Information Displayed above Image Above the Exam Screen s Imaging area in the top right or left corner there is an area that displays some or all of the following fields e Probe Frequency Prob Freq e Maximum Probe Signal Depth Max Depth e Medical Record Number MRN e Exam Creation Time Date e Facility Facility display can be turned on or off in UBM Plus Setup Options tab e Physician Physician display can be turned on or off in UBM Plus Setup Options tab e Operator Operator display can be turned on or off in UBM Plus Setup Options tab e Current View in Image Sequence Protocol The information fields displayed and the position of the information on the screen is determined by the Options settings in Setup Current View The Current View area displays the position of the currently active step in the imaging sequence The position is displayed in both a textual and graphical format Y
65. Yes If you would like to retain the changes made to Option settings click No Restore All to System Setting Eg Restore ALL to system defaults All changes will be lost Figure 63 Restore All Options to System Defaults Save To save all option information 1 Click on Save 2 An Update Restore Point dialog will launch If you would like to save all changes and have the current options setup become the data restore point click Yes If you would like to retain the old data restore point click No Update Restore Point of Options gt A Set new point of restore Figure 64 Update Restore Point Dialog 111 Accutome UBM Plus User Guide Restore To restore the previously saved options information 1 Click on Restore 2 A Restore Options dialog will launch Click Yes to revert to the previously saved Options information Restore Options A Restore Options to last saved point Figure 65 Update Restore Point Dialog Exiting Setup When you want to leave the UBM Setup function you must select one of the following Done Selecting Done closes the Setup window and returns you to the main Accutome UBM Plus Screen Cancel Allows you to reject any changes that may have been made in Setup If you select Cancel the dialog box shown in Figure 66 below will launch Select OK if you would like to cancel all changes made and return to the UBM Plus main scr
66. a saved image enhancing image quality Automatic Image Orientation Labeling The Accutome UBM Plus allows you to set image orientation labels as a default in Setup live during an exam or on a saved existing exam Image Playback The Accutome UBM Plus allows you to play live images during scanning or to playback saved images Introduction Components Measurements The Accutome UBM Plus provides several types of image measurements e Point to Point e Distance e Area e Angle Patient Data Storage and Retrieval The Accutome UBM Plus saves all patient exams in a preset designated folder on the user computer allowing you to playback archive and backup any and all patient exams Reports and Printouts The Accutome UBM Plus allows you to prepare reports containing exam infor mation and snapshots of selected imaging views You can also print a snapshot at any time during an exam or from a stored exam Components The components that are standard with each Accutome instrument are e UBM Ultrasound Probe e Probe Holder e Footswitch e Wired Mouse e This User Manual CD containing Accutome UBM software e Anterior Segment Imaging Scleral Shells 18mm and 22mm All components are packed in a plastic carrying case The user supplies a PC with Microsoft Windows XP SP2 or later as the operating system and Microsoft word as the platform for the report Accutome UBM Plus User Guide About this Manual This manual is a guide for tec
67. actured by Accutome Ultrasound at 3222 Phoenixville Pike Malvern PA 19355 USA INTRODUCTION Accutome UBM Plus Overview The Accutome UBM Plus provides high quality anterior segment imaging and play back with the ease of plugging into any window s based computer in the world using either Microsoft Windows XP SP2 or later The Accutome UBM also has many additional features that allow multiple methods of viewing diagnosing and printing acquired images Figure 1 Accutome UBM Plus Components Accutome UBM Plus User Guide Features The Accutome UBM Plus images the internal structures of the eye and is designed for easy access to all functions The UBM provides the following general features e Adjustable TGC Time Gain Compensation curves e Gamma Settings Post Image Processing e Automatic Image Orientation Labeling e A Vector e Image Annotation e Image Movie Playback Image Diagnostic Measurements distance area and angle e Patient data storage and retrieval e Patient data reports and printouts Adjustable TGC Curves The Accutome UBM Plus allows you to adjust the Gain Time Gain Compensation TGC as a default in Setup live during an exam or on a saved existing exam Gamma Settings The Accutome UBM Plus allows you to adjust the Gamma settings as a default in Setup live during an exam or on a saved existing exam Gain Adjustment The Accutome UBM Plus allows you to adjust the signal gain while scanning or on
68. ada 4 Parrrnsl Cirt uis Po pemer cmth he on owe a Werin Cardipere Hesg Se eee Pe ee ep m tr wmr pra For Additional Help contact Accutome at 1 800 979 2020 18 Getting Started Installing the Software 4 Click Turn User Account Control on or off 5 Click Continue on Windows needs your permission to continue window Turn on User Account Control UAC te make your computer mere secure User Acemunt Contra UAC can help prevert unsuthented Change to your computer Wir receremnend the yeu leurs LUC tamed on te hale protect your computer Geom tccot cont ate ty protec rous comput 6 Uncheck the toggle Turn an User Account Control UAC 10 make your computer more secure box Use User Account red TS T i Narr a aaa aed Ae rev omnea the Control UAC to help Ce he streco iic s nap potser yos compas protect your computer and click OK Box should now W 7 Click Restart Now occas cdc on the You must restart your computer to apply these changes window Wait for your computer to restart and login to the same account For Additional Help contact Accutome at 1 800 979 2020 19 Accutome UBM Plus User Guide Part HI Follow the steps below to check and set the screen resolution DIP setting 1 Right click your mouse on an empty space on the desktop and select Personalize 2 Click Adjust font size DPI located at left side of the Person
69. alization window Personaicce appearance and sounds Ls lt repere Wedes Cras o ne Fine tive the coce md dyle of your windon Desis Bary Choose fror prodate becky curds o coen deutog Chenge pret nomen uncer ce sipat aton t ct Cover pou screen and appear when you oo a Change which neunds arp heard wher you do Freegche Bes 3 Click and select Default scale 96 DPI toggle button in the DPI Scaling window and click on OK to close the window Ot tag CASEM 6 mator tcate te 18 TOR efseTItON Qt Pa TEER pi 8 larger ice tS meia tant vere temdstte is i ksss stuh D I 4 Langer orale LID DPD mabe tert morr readable tik For Additional Help contact Accutome at 1 800 979 2020 20 Getting Started Installing the Software Installation Phase Two Follow the steps below to install the Accutome UBM Plus application 1 Insert the installation disk into the CD ROM drive and close all other remaining open applications Click on Run setup exe in the AutoPlay pop up window and Preparing to Install window appears on desktop which may take up to a minute If the install does not automatically begin open My Computer Double click on the UBM Install icon Double click on Setup It will take several seconds to unpack the installation package Advance through the windows by clicking Next 2 When the window of Welcome to the Insta
70. allows the printing of any image on the screen e Show and hide A vector These buttons turn on and off the A vector e Hide image Hides the B scan so that the A vector can more easily be examined e Edit exam Allow the exam information screen to be edited e Reset footswitch e Play saved cine Figure 93 Tool Tab 143 Accutome UBM Plus User Guide Add View The Add View function allows you to add new scan views to the scanning sequence To add a new view to the current scanning sequence In the All Views area select Add View Label the new scan view In the Current View area select OD or OS for the new step The newly added scan will be active and display as OD Scan or OS Scan Adjust the new scan settings Select the probe orientation for the step Axial Longitudinal Long or Transverse 6 Select the view position indicator in the Current View area and drag the indicator tip to the desired position Edit Current View When you select Edit in the Current View area the UBM Plus allows changes to the currently active scan view label Edit the label for the view Make the adjustments to the probe orientation or positions by dragging the position indicator The changes will be reflected in the new name of the step For example if you changed the probing orientation for OD 12AX to Transverse the new scan name is OD 12T aABWN Re Current View There are three probe orientations e Axial e Long Longitu
71. alue Figure 102 Adjusting Gainz 157 Accutome UBM Plus User Guide Changing the Scan View After you have added a new scan to the list of All Views you may want to change the label of the view if the new scan has an intended purpose For example if the new scan is intended to capture a transverse view of the eye you want to label the view transverse To change a scan view 1 Activate the scan by clicking on the scan view name or clicking the checkbox beside scan view name 2 Move to the Edit Current View area of the Exam Screen and select the correct probe position as shown in Figure 103 below pament Vow te o0 Aswi Tan ont we ue mar ras Figure 103 Changing a View Probe Position 158 Performing Exams How to Scan 3 Change the clock hour by dragging the arrow indicator around the clock until you reach the correct slice position Figure 104 Changing a View Slice Position 159 Accutome UBM Plus User Guide 4 Click on Transverse 5 For transverse scans you may also select the appropriate orbit for the new scan Place the mouse cursor inside the orbit wheel Click on the correct orbit for the new scan verre Figure 105 Changing a View Global Orbit 160 Performing Exams How to Scan NN eeFeSe 6 The edited current view will appear in the list of All Views as shown in Figure 106 below 4 Figure 106 Changing a View Done 161 Accutome UBM Plus User G
72. am bachup Folder Figure 194 Exams on Destination Restored Exams Folder Select All When you click on Select All all the restored exams in the destination folder will be selected Clear All When you click on Clear All all the selected restored exams in the destination folder will be de selected 261 Accutome UBM Plus User Guide D Remove Selected Exams After you have restored patient exams you may want to delete them to free up computer disk space The Remove Selected Exams function allows you to permanently remove a restored patient exam To remove selected exams 1 Select the exam s you would like to delete see the Selecting Patient Exams section of this manual 2 Click on Remove Selected Exams as shown in Figure 195 below GMT GEORGE 20 sHWYPEMA oS S DOE 2007 1 m JONES _2007 1 14T23 gt gt gt Warning Exam GEORGE _2006 12 167 18 already exist arming Exam SAATH N RSIO2ZS IGOG 12 317 04 arning Exam CANNA NANCY 200 6 6T0 airesdy shed checking name cordiicts on selected execs DVDICD Device Localetwork HO 9 Gr CProgram PterAccut Rew or exam s namse Conflicts gt gt gt Warning Exam GEORGE 2006 12 1867 18 already exist gt gt gt Warning Exam SMITH IOrM_RS1025 2e00 12 31T M4 already exist gt gt gt Warning Exam CANNA NANCY 2006 4 6T9 already eni gt gt gt Fimhed checking name cormiicts on selected exams gt gt gt Done removing af selected e
73. ama Figure 79 Initial Exam Screen 124 Performing Exams Initial Exam Screen Entering Information on Initial Exam Screen The Initial Exam Screen is set up like a typical Windows application and you enter information move between fields and select items from drop down lists like using any other software tool Entering Data When you are in a field such as the First Name you simply place the cursor in the field and type the appropriate information Moving Between Fields To move from one field to another you can either click in the new field or use the Tab key The tabbing order of fields on the Initial Exam Screen runs in an intuitive sequential order Selecting Items from a Drop Down List Many of the fields in the Initial Exam Screen contain a drop down list at the right of the field To select an item from the drop down list 1 Select the drop down arrow and scroll through the list or 2 Use the t arrow keys to scroll through the list or 3 Type the first letter of the item you wish to select and scroll through the list 125 Accutome UBM Plus User Guide Patient Info The Patient Info area displays patient information and has fields that require data entry as outlined below Required Fields The only fields that require entry in the Patient Info are the First Name and Last Name fields Both these fields are used to create a unique patient exam record First Name The Name fields in the Patient Info
74. an of the right eye you should change the view label for this scan see the Edit Current View section 153 Accutome UBM Plus User Guide Figure 98 New Exam No Protocol First Scan Selected Start and stop the scan using the footswitch Once the first scan is captured as shown in Figure 99 below proceed with the second scan Chaccotome Figure 99 New Exam First Scan Complete 154 Performing Exams How to Scan SS Se Proceed with the Next Scan After you have completed the first scan and you step on the footswitch the UBM Plus will automatically add another scan to the All Views list The label for the second scan will default to OD Scan 2 Figure 100 New Exam Second Scan Complete 155 Accutome UBM Plus User Guide Adding a View You may decide during the scanning process that you need to scan another view of the patient s eye To add another view 1 Click on the Add View button as shown in Figure 101 below Figure 101 Adding a View 156 Performing Exams How to Scan Sa Adjusting the Gain You may decide the signal gain for your new view is too strong or not strong enough To adjust the signal gain 1 Select the red dot in the adjustable gain knob with the mouse cursor 2 Holding down the left mouse button drag the knob until you reach the gain value you want 3 If the mouse you are using has a scroll wheel you can move the wheel instead of dragging the knob to reach the gain v
75. an select the location for loading the disc Local Net Hard Disk There are many features in the Local Net Hard Disk tab of the tools palette that are informational and perform backup operations Checking System Free Space The Checking System Free Space feature searches all connected local and net hard disk and displays the amount of disk space available on each Space Required The Space Required feature displays the amount of disk space required to backup the selected exams If Name Conflict Found The If Name Conflict Found feature allows you select an option if there are duplicate file exam names found during your backup e Create New will create a new exam name by adding a number to end of the redundant exam e Overwrite will keep the same exam name and overwrite the exam that is currently on the local net disk Check Name Conflict The Check Name Conflict feature will check if there are duplicate names in the selected destination folder and the selected exams that you are going to backup Abort Backup The Abort Backup stops the backup process when selected 241 Accutome UBM Plus User Guide Verify The Verify feature allows you to confirm that the selected exams have been backed up into the selected destination folder When you select this feature you will receive the following message Exams in the backup are the SAME as the original if the backup properly executed Re
76. and try to install it Click Next Click I accept the terms of the License Agreement and then click Install to start installing the package Click Finish to complete installation 5 A window Adobe Reader 8 1 0 Setup window automatically appears on desktop either after Install Accutome UBM Plus window closed or after Microsoft NET Framework 2 0 Setup window closed Click Next when the Acrobat Reader 8 1 0 Setup window appears Click Install to start installation Click Finish to complete installation For Additional Help contact Accutome at 1 800 979 2020 26 Getting Started Installing the Software SSS 8S SSS 888 a U 6 Insert the Accutome UBM Probe into a USB port You can insert the probe in the front of a desktop computer or on the side of a notebook computer a The Found New Hardware Wizard will appear on the desktop Select No not this time and click Next to advance screens b In the next screen make sure Install the Software Automatically Recommended is selected Click Next The system will find the driver for the probe and the window Hardware Installation will appear Click Continue Anyway Click Finish c After the driver has been installed and all windows are closed the window Found New Hardware Wizard will reappear You will need to repeat steps a and b one additional time to complete driver installa
77. apter 6 Patient Image Analysis Neer Range u Mid Range 4 Far Range _ t el Figure 90 TGC Adjustments Tab Selected Gamma Adjustments Gamma curves are a type of contrast adjustment that favors selectively the low end high end or middle end of the contrast gradient There is no correct gamma only the one that best delineates the subject of interest The Gamma adjustments allow you to adjust the brightness mapping of the UBM image The adjustments area contains a drop down list of predefined gamma settings and gamma contrast and brightness controls that can be adjusted by dragging Gamma is explained in greater detail in Chapter 6 Patient Image Analysis 141 Accutome UBM Plus User Guide Figure 91 Gamma Adjustments Tab Selected Cine The frame delay controls the speed or frames per seconds that the film loop is played back There is also a mouse controlled button Play saved Cine that allows the saved film loops to be played Frame Delay Figure 92 Cine Adjustments Play Tab Selected 142 Performing Exams Initial Exam Screen Eee SS SSS SSS See Tool Tab The tool tab shown open below allows the control of the following e Zoom Clicking on this allows up to 8X magnification of the image e Snap shot Takes a picture of the frozen image and places it in the manage report screen e Reset zoom Resets the image to the default size Print image Is a button that
78. ard button shown in Figure 122 below the scan film loop will play backward There are two methods of playing backward you can move backward one frame at a time or you can move backward through frames continuously To play one frame at a time click on the backward button once and then click again To play frames backward continuously click on the backward button and hold the left mouse button down The scan film loop will continue to play backward until you release the left mouse button Backward B Main Menu fescan Exit Reger Dem Pene GENTE View CEOS Conetet UDEIOOP Adewnsed VISIO FPR ET Figure 122 Playing the Scan Film Backward 182 Patient Image Analysis Playing an Exam TGC Adjustment TGC Time Gain Compensation feature provides for segmental adjustment throughout the entire range of the probe s sonic echo For example the echo nearest to the probe s transducer might be selectively reduced to better distinguish tissue within the anterior segment while at the same time the echo from the ciliary body might be selectively amplified in order to achieve a well balanced image having optimum brightness throughout the length of the eye Alternately the clinician may use TGC to selectively amplify only the Vitreous echoes or only the Anterior Chamber echoes This feature provides unparalleled control of image quality and thus diagnostic quality The TCG settings can be adjusted to facilitate viewing certain areas of the eye
79. area require an entry of a minimum of three alphanumeric characters There is no need to enter names in both First and Last Name fields if you choose to enter a first name you do not have to enter a last name Last Name The Name fields in the Patient Info area require an entry of a minimum of three alphanumeric characters There is no need to enter names in both First and Last Name fields if you choose to enter a last name you do not have to enter a first name Medical Record Number Whether the Medical Record Number appears is determined by the Exam Name Combination selected in the Setup Options tab If the Medical Record Number in included in the Exam Name Combination the Medical Record number is entered by the user The B Scan then generates an Exam ID based on the specific Exam Name Combination chosen The medical record field requires an entry of a minimum of five alphanumeric characters Date of Birth The patient s date of birth is not a required field If you choose to enter the date it should be in the MM DD YY format 126 Performing Exams Initial Exam Screen Patient info Exam Info First Name Exam Last Name Facility UNDEFINED Physician SMITH WILLIAM Date of Birth merry Operator BALOWIN BOS EB Gender _ a Age indication of Scan Exam Setup Create Date Time 7 6 2 Scan Group protocol Bream OE vertical awai hortronsal axial scan used a Probe Info Desc
80. ate From Tempietes Cancel Figure 43 Duplicating Current Sequence Set Selected Sequence as Default To set a sequence as the default UBM Plus operation 1 Select the sequence you would like to become the default from the Available Sequences list 2 Click on Set Selected as Default 3 The sequence will become the default to appear when you power up the Accutome UBM Plus 90 Setup Sequences CO Save To save all sequence information 1 Click on Save 2 An Update Restore Point dialog will launch If you would like to save all changes and have the current available sequences setup become the data restore point click Yes If you would like to retain the old data restore point click No Update Restare Point A Set new pork of restore Ce Figure 44 Update Restore Point Dialog Restore To restore the previously saved sequence information 1 Click on Restore 2 A Restore Sequences dialog will launch Click Yes to revert to the previously saved sequences information A Restore sagara to lt saved pod ves Ne Figure 45 Update Restore Point Dialog 91 Accutome UBM Plus User Guide a a ae ee ee Options The Options tab and related screen is the fourth tab from the left in Setup The Options screen see Figure 46 below allows you to set up optional operational parameters for the Accutome UBM Plus application The options you can set are
81. ble to be shown on any patient image e Facility e Physician e User e Patient To have any of the fore mentioned fields display on an image click in the checkbox to enable the field The default is to show the Facility Physician and User only Measurement Data Position The Measured Data Position selection determines upon which side of the screen the measured data will appear the left side is the default To change the position select either left or right radio button 102 Setup Options File and Print The File and Print selections allows you to show the name on the medical record snapshot filename and to select a print page format Show Name on Snapshot Filename By selecting the Show Name on Snapshot Filename whenever you take a snapshot of a patient image the file name for the image will be stored with the Patient Name entered when starting an exam as the first part of the file name To select deselect this option simply click the checkbox The default is to show the patient name on the snapshot filename Print Format The Print Format option determines the page layout when printing a patient image Portrait or Landscape The default is Landscape To change print format select either radio button 103 Accutome UBM Plus User Guide a a ee ee Image Controls One of the great features of the Accutome UBM Plus is the ability to view the actual adjustments to image controls live while you are changing the settings
82. city drop down list Position the cursor on the small arrow at the right of the pre defined velocity field Left click to open the drop down list Position the mouse over the eye tissue you want to select and left click Below is a listing of the predefined tissue setting e Vitreous e Lens Pmma e Silicon Lens e Acrylic e Silicon oill e Silicon oil2 WARNING SELECTING THE WRONG TISSUE MATERIAL WILL RESULT IN SERIOUS MEASUREMENT ERRORS 195 Accutome UBM Plus User Guide ee Figure 133 Line 1 Measurement Displayed Taking Area Measurements To take an area measurement l Select either Area 1 or Area 2 in the Measurements area as shown in Figure 134 on the next page 196 Patient Image Analysis How To Take a Measurement on an Existing Pomet Doser 28 Prema ODTIS View opoe Crosa 1202008 Aromest WIATOCOPPE The Figure 134 Area 1 Measurement Selected 2 Right click on the image and drag the outline of the area on the image you would like to measure The measurement will be displayed on the screen as shown in Figure 135 on the next page 4 You can change the velocity of the sound to reflect the density of the tissue being measured Click in the Velocity field Select the velocity by holding down the left mouse button and dragging the value Press the keyboard Delete key and type in the new value for the velocity An alternative way to change the velocity is to use the predefined velocity settings Positi
83. cking and burning CD DVDs and tools for archiving backup to a local or network hard disk There are two tabs CD DVD Recordable Media and Local Net Hard Disk Figure 158 Archive Screen 225 Accutome UBM Plus User Guide D Archive to CD or DVD The process to archive patient exams is extremely simply insert a disc in the CD DVD drive select the exams and click burn The steps to archive patient exams to a CD DVD are 1 Insert a CD or DVD into the computer drive 2 Select the patient exams you would like to archive 3 Select Burn Disc on the CD Selecting Patient Exams When you launch the Archive function the UBM Plus displays all exams found on the system at the left side of the screen You will select the exams to archive from this list You can select the exams one at a time or select all exams at once Selecting Individual Exams To select exams one at a time 1 Click in the checkbox beside the exam name as shown in Figure 159 below CODVO Recardette Medie LocaiMet hard Conk Figure 159 Selecting the First Exam 226 Archive and Restore Archive to CD or DVD 2 You can also click on the name of the exam you would like to select as shown in Figure 160 below te t stre CODVD Assordi Mette Locettiet Mani Omk Figure 160 Selecting the Second Exam 227 Accutome UBM Plus User Guide Select All If you would like to archive all exams on the system and don t want to select them ind
84. ckup dist a a e aT aa on selected arogi Pint aicuate Exam DOE _7007 t 0T18 gt gt gt Calcuale Exam HYPEMAOS 2008 11 39 pv ae Deve Lo VANAN HO gt r Total required disk space 521 58 MD chup On COYOVD 2007 114123 gt gt gt Gucocsshiy restored exam JONES _2007 1 14T29 gt sk spece Copied 0 gt Resioring exam OOR TW uc ceneh ram DOE_2007 1 0T18 0 00 MB PEMA OG 7006 11 3T99 A M in Menu Exit Restoring Yestored 16 69521 58 MB Figure 183 Exam Restoring Progress Restore Local Network Hard Disk The Restore function also gives you the option of restoring files from a local or network hard disk The process like restoring from a DVD CD is simple 1 Select the Local Network HD tab 2 Select the folder from which you would like to restore exams 3 Select the patient exams you would like to restore 4 Select the Restore tool 251 Accutome UBM Plus User Guide SSCs Note The folder where the restored exams will be placed is preset on the Options Screen during Accutome UBM Plus setup See the Restored Folder section of this manual for more information Selecting the Local Network HD Tool To activate the local network hard drive restore tools 1 Locate the Local Net HD tab in the tools palette 2 Click on the tab as shown in Figure 184 below Restore Exams From Backup Exam On Backup Exams On Destination Exams On System Selected Exams To Be Rat gt Poised Disc in Orive gt gt gt Dat
85. credited as follows e Full credit for all merchandise returned in resalable condition Non Returnable Merchandise Accutome Inc will not authorize a return for e Merchandise held longer than 60 days 279 Accutome UBM Plus User Guide Replacement Parts Table 9 below lists items that are available from Accutome Inc or from your local sales representative Please be sure to use the Accutome part number for the item when placing an order Table 9 Accutome Replacement Parts Description Standard Pars Probe Kit 24 6320 Foot Switch 24 6180 Mouse 24 6330 Probe Holder 24 6370 UBM Immersion Eye Cup Kit 24 6305 Documentation Accutome will make available on request circuit diagrams component parts lists descriptions calibration instructions or other information that will assist qualified technical personnel to repair the Accutome UBM Plus 280 Warranty amp Repairs 281
86. creen will display the current patient exam if you entered the Analyze Screen by selecting Analyze on the New Exam screen If you entered the Analyze Screen from the Main Accutome UBM Plus Screen you need to select an existing exam from the All Exams drop down list 1 The All Exams drop down list is located at the top right side of the screen Select the patient exam for analysis from the list Position the cursor on the small arrow at the right of the All Exams field Left click to open the drop down list Position the mouse over the up down arrows at the right of the drop down list Click the mouse to move through Patient Exams WTREOUE MEMORERAST OO 290811 3 eeoa BLOOD mee trsaf Record Zoom 1 8 Piene DODO View DODOS Crestet MIETIOP Accresnt FIETIOS FPE OO Figure 112 Selecting a Patient Exam 172 Patient Image Analysis Selecting an Existing Exam 2 Position the mouse cursor on the name of the Exam you would like to analyze The exam will displayed in the screen as shown in Figure 113 below Pamet Deem Preme CURTIS View COTS Ceea DOSP Aromat VIEDO FRE Rt Figure 113 Existing Exam Displayed 173 Accutome UBM Plus User Guide How to Edit Exam Info To edit the information for the active patient click on Edit located at the right of the Select current Exam fields The Edit Exam InformationWindow shown in Figure 114 on the next page will launch This window contains all the information entere
87. cutome UBM Plus User Guide 2 The Accutome UBM Plus will launch a Windows browser as shown in Figure 48 below Using the browser locate the folder for storing exam data 3 If you would like to restore the default folder for exam data click on Reset Browse For Folder Change Fodar which stores al Etam Data fe Orton i C My Oooumnerns HY My Comcuter Sy My Network Paces Recycle ty Mahe tlw Fodder om Carnet Figure 48 Windows Browser Locate Exam Folder 94 Setup Options Restored Folder The Restored selection allows you to designate the exam folder location to which you would like to restore patient exams from backup The default location is C Program Files Accutome Restored Exams You can store patient records in any computer location you choose To change from the default location 1 Click on Select as shown in Figure 49 below Folders Of Exams Main Restored n Sew Srapshot on Pop out Window Prnt format Bete Porrett deant se landscape B user Deptt E UUM Mode we i D System Oclaut System Defaults cimaas Controls Gamma _ __ Gain Preset Gar ja 3 weer FA Range Maddie Range Contrast BD p a Far Range Bryhtness DAD O Cel Cine Renoer Control Detey merc Versions of Repeta Jeta Bezan Repor Rase E rp ar Save Restore Cancel Figure 49 Selecting Restored Exam Folder 95 Accutome UBM Plus User Guide
88. d into the initial patient exam screen The window contains drop down lists and text fields that can be changed Drop Down Lists The drop down lists in the Edit Exam Information window are all prefilled during setup The drop down lists are e Facility e Physician e Operator To change the fields with drop down lists position the cursor on the small arrow at the right of each field Left click to open the drop down list Position the mouse over the up down arrows at the right of the drop down list Click the mouse to move through the stored lists Once you see the item in the drop down list you want to select position the mouse cursor over the item and left click The selected item will fill in the field Text Fields The text fields in the Edit Exam Information Window that you can change are e Facility Name e Physician First Name e Physician Last Name e Operator First Name e Operator Last Name e Patient First Name e Patient Last Name e Patient First Name e Patient Date of Birth e Patient Gender e Indication for Scan e Diagnosis 174 Patient Image Analysis Selecting an Existing Exam E To change any text field 1 Click the mouse cursor in the field 2 If there is text to remove drag the mouse and select the text and hit the Delete key on the computer keyboard 3 Place the mouse cursor In the empty text field and type the new text Edit Exam VITREOUS BLOOD_2006 11 3T8 ACCUTOME blunt trauma Physician JOE
89. dinal e Trans Transverse Axial Axial is the center of the cornea and is used to denote a scan with the probe perpendicular to the cornea 144 Performing Exams Initial Exam Screen EeEeEEeEeEeEEee Ee SS SS SSS See Longitudinal In a Longitudinal image the probe can be held at any angle with respect to the patient s limbus Transverse In a transverse image the probe is held at an angle to the optical axis of the eye not directly over the corner as in an Axial image such that the probe crosses or transverses the optical axis Edit Exam Info When you select Edit Exam Info the Accutome UBM Plus displays a window containing the Patient and Exam info entered in the Initial Exam Screen refer to the Initial Exam Screen section of this manual You can edit and save any of the information displayed in this window Edit Exam VITREOUS BLOOD_2006 11 3T8 Facility ACCUTOME ACCUTOME blunt trauma JOE SMITH Operator BALDWIN ROBERT G JEFF WRIGHT BLOOD VITREOUS MMIDOIYYYY Gender Male B Age BCVACCUTONE Restore Cancel Figure 94 Edit Exam Information Window 145 Accutome UBM Plus User Guide Analyze When you select Analyze the Accutome UBM Plus launches the Image Analysis Screen where you can play reverse and forward take measurements and zoom on selected portions of an image for a highly successful diagnosis The UBM image analysis features are explained in detail in C
90. djustments to the image e Zoom and position the image e Turn on the A Vector e Add comments e Select Print or Snapshot Note For more information on adjusting images refer to the Patient Image Analysis section of this manual Executing Print To print either a live scan or from an existing exam When the frame you have selected is ready for print 1 Click on the Print Image button in the tools palette as shown in Figure 145 on the next page 2 The frame will be immediately printed to either plain paper printer on 8 1 2 inch paper or to thermal paper from a USB video graphic printer Note If you are going to generate a report the images you wish to include in the report must be captured as snapshots 210 Printing Images and Reports How to Print an Image Print Image Man Memu Recan Geppert Doom freme BOWTIE View SOLDOS Creamed 1OUI0OS Anceasen DI07009 PPO OS Figure 145 Printing a Frame 211 Accutome UBM Plus User Guide Creating Reports With the Accutome UBM Plus you can create a report for any patient The report can contain the following e Patient Name Physician e Clinician e Indication for Scan e Patient snapshot images All patient information is saved as part of the patient record Snapshot images of the patient exam are also saved with the patient record every time you save a scan frame as a snapshot The steps to create a patient report are 1 Select the appropriate patient
91. e 1 Start a New Exam from the main Accutome UBM Plus screen 2 Enter all necessary information on the Initial Exam Screen i e patient exam and exam setup information 3 Start the Exam on the Initial Exam Screen 4 Set up probe if necessary 5 Anesthetize the eyes 6 Insert the Anterior Segment Imaging Scleral Shell 7 Fill shell with saline solution 8 If using a preset sequence perform the first scan in the sequence 9 If using Free Scan perform the first scan and lable the scan if necessary 10 Make any adjustmetns to the images if necessary such as adjustment of the gain 11 Add scans if necessary 12 Analyze exams to allow printing and sharing of the date or starting a new exam 122 Performing Exams e lt lt oo How to Start a New Exam All Accutome UBM Plus functions are easily accessed from the main screen To start a new exam click on New Exam as shown in Figure 77 below New Exam Existing Exam Archive Setup ACCUTO M Epi Figure 77 Starting a New Exam No Probe Found If the Accutome UBM Plus probe is not connected not connected properly or for some other reason is not recognized you will receive the message Figure 78 below If you exit the program reinsert the probe and restart the program and you still receive the message please contact Accutome Customer Support for help Missing Hardware i NO valid Accutome probes can be found Please exit this program and pl
92. e Exam folder e Exam name combination e Probe controls e Start Stop controls Information displayed on images and measurement screen position e Filing and printing options e Image Controls TGC gamma settings and gain Folders Of Exams Mam lt Select Reset Deteut leinio to Show Measured Data Probe Control Frequency System Oetaistts Save Restore Cancel Figure 46 Options Screen 92 Setup Options i __ Folders of Exams There are two selections folders Main and Restored The Main folder is the location at which you store any new patient exams The Restored Exams folder is the location which you designate for restoring patient exams Main Folder The Exam Folder selection allows you to designate the location of the folder in which you would like to store new patient exams The default location is C Program Files Accutome Exam Data You can store patient exams in any computer location you choose To change from the default location 1 Click on Select as shown in Figure 47 below Folders Of Exams Main C 5 Restored C Accuts Exam Name Combinations _ p r Snapshot Print a Ahon Name on Probe Control oe a es E Cine Gutter X Power 100 kmaao Controts Meer Range pU Midde ange xi Far Range ee en Cire Wander Conta Cots rec Versions o Reports Save Restore Cancel Figure 47 Selecting Main Exam Folder 93 Ac
93. e application possibilities for each system transducer compination Combined Other Specify Specify Table 6 Operating Mode s Clinical A M PWD CWD Application oami x Fetal Imaging amp Other Cardiac Adult amp Pediatric Peripheral Vessel 274 Specifications Operating Modes SSS SSS SSS SSS SSS Table 7 Operating Mode s Patients amp Patient Data Only limited by the computer s disk storage capacity Table 8 Range and Accuracy UBM Plus Setting Line Area Clinical Accuracy Frequency Depth Accuracy Ramge MHz mm mm 275 Accutome UBM Plus User Guide Acoustic Output Table 8 below provides the acoustic output reporting for the following Transducer Model UBM S N 35 01430 Operating Mode B Mode Application s Ophthalmic Table 9 Acoustic Output Reporting Table for Track 1 Autoscanning Mode Acoustic Output MI ISPPA 3 ISPPA 3 mW cm W cm Global Maximum Value 0 0710 0 0385 Associated P 3 MPa 0 316 i o Acoustic W mW 4 38E 3 4 38E 3 S carey 197 Beam X 6 cm Dimensions al rere Control 256 lines per scan Conditions 256 lines scan These values are based on measurements of production units 276 Specifications 277 Warranty amp Repairs Warranty Accutome Inc warrants its new equipment to be free from defects in workmanship or materials Any product that is proven to be defective will be repaired or replaced
94. e data restore point click Yes If you would like to retain the old data restore point click No Update Restore Point A Set new point of restore Figure 70 Update Restore Point Dialog Restore To restore the previously saved Physician information 1 Click on Restore 2 A Restore Users dialog will launch Click Yes to revert to the previously saved Physician information Restore Physicians A Restore Ptescinens to bint saved point Figure 71 Restore Physicians Dialog 116 Setup Physicians Co eK Users The Users tab and related screen is the fifth tab from the left in Setup The Accutome UBM Plus provides the ability to add Users to a UBM Plus user list How to Add a New Users To add a new User 1 In the Users screen select New as shown in Figure 72 below User Available Users Furst Name Last Name BALOWIN BOS Facility ea eer so Department GLAUCOMA CENTER Telephone 610 630 0200 Cancel Figure 72 Users Screen 117 Accutome UBM Plus User Guide 2 Activate the Name area under the Users Information area as shown below The available information fields are First Name Last Name Facility select entered facility from drop down menu Department Telephone User First Name Last Name Facility Department Telepnone RUSSELL THOMPSON CUTOME MEDICAL CENT ACCUTOME MEDICAL CENTER OM HARVARD VANGUARD
95. e displayed can be changed in the setup mode Current View The Current View area displays the position of the currently active scan in the scanning sequence The position is displayed in both a textual and graphical format You can also edit the current view in this area Current View Orbital Locators When you are examining a captured image the Current View area will display as you select on the graphical representation of the image the following orbits 3mm 3 mm ring 6mm 6 mm ring e CB Ciliary Body e Pla Pars Plana e O Ora Cerata e EA Equator Anterior E Equator 169 Accutome UBM Plus User Guide Editing Current View Info When you click Edit in the Current View area the UBM Plus changes the currently active imaging sequence step After you make the adjustments to the probe orientation or positions by dragging the position indicator the changes will be reflected in the new name of the step For example you changed the probe orientation for OD 12AX to Transverse the new step name is OD 12T Views to Review The Views to Review area displays all views in all steps of the current imaging sequence Play Controls The play controls allow you to play pause stop move forward and move back through an image scan Zoom Controls The Zoom Controls allow you to zoom in on the image and then return to the normal size view by clicking Reset Zoom Zoom is explained in greater detail in Chapter 6 Patient I
96. e entered all the Patient information and prior to scanning you should set the imaging selections to your liking The selections you can change are e Current View OD OS which eye are you measuring OD or OS Which orientation is the probe Axial Transverse or Longitudinal e Probe Available adjustments are range and power e Cine Adjust the play back speed of the film loops TGC Time gain compensation independently adjust the near mid and far range gain e Gamma Image processing software ability to change the gray scale All imaging selections other than current view are available in the Tools palette by selecting the tab See Figure 14 below for tools location Analyze Exit Figure 14 Tool Palette and Current View 59 Accutome UBM Plus User Guide All Views a 00A Analyze J Main Menu Exit Gain Frame Delay Play Savod Cine Analyze Main Monu Exit Figure 16 Cine Tab Active 60 Getting Started Basic Operation Near Range E EEEeeEe Mid Range p Fat Range SE Analyze Exit Preset Gamma Contrast s OOSAX al Bnyhmess S id View Dewis Saree ted Analyze Main Menu Exit Figure 18 Gamma Tab Active 61 Accutome UBM Plus User Guide Scanning To capture a patient scan image 1 Adjust any Probe Cine TGC or Gamma settings using the appropriate tab 2 Depress the foot pedal to activate the image acquisition film loop
97. e list of available facilities is displayed at the right of the screen and command buttons related to facility functions are located below the list How to Add New Facilities To add a new facility 1 In the Facilities screen select New as shown in Figure 21 below Facility Information _ Available Facilities Kare ACCUTOMEMEDICALCENTER f Address 3222 Phoenixville Pike ty Malvern 19355 te PA f USA New BDelote Telephone 800 1970 2020 Duplicate fom Selected Set Setected as Default Seve Restore Figure 21 Selecting New Facility 68 Facilities Setup nnn 2 Activate the Name area under the Facility Information area as shown below The available information fields are Name e Address e Description Facility information Name UMDEFINED Address City Dp Telephone Figure 22 New Facility Information Active 69 Avallabie Facilities a a UNDEFINED New De tele Dupbcate trom Selected Set Selected as Ortautt Save Restore Accutome UBM Plus User Guide a ES 3 After entering all facility data click Save to save the information 4 An Update Restore Point dialog will launch If you would like to save all changes and have the current facilities setup become the data restore point click Yes If you would like to retain the old data restore point click No Facility information _ Available Facilities
98. easured Data Probe Control Fecany B Physician Pason o Len Sysiom Defaults bystem Octauits imane Controls Toc Gamma Cain Wear Range Preset Comma I pra Renge eadie Range Contrast s PO DA Far ke f gntmess Gain ar Range gt SSSA Adjustment i Knob jl Cine Render Control Or ryimeec Save Restore Cancel Figure 61 Selecting Gain Adjustment 2 Drag the knob until the dB level and the image visual reaches the appropriate level as shown in Figure 62 on the next page 109 Accutome r Folders Of Exams Freque Oege Cine Butter reer imace Controls Garmina Near kange Part E Madi Range Far Range Figure 62 Adjusting Gain Image Controls System Defaults Info on images nfo to Show pA B Facit l G Physicisa System Defaults Gain UBM Plus User Guide Snapshot Print Show Name O Landscape System Defaults Window D TSmall Image a Cancel If would like to restore all adjustments made to the Image Controls to the System Defaults select System Defaults located under the Gain Adjustment knob 110 Setup Options nt Reset All to Defaults If you would like to restore all option setting adjustments to the system defaults 1 Click on Reset all to Defaults 2 A Restore All to System Setting dialog will launch If you would like to restore all option settings and not save changes click
99. ecting Exam Name Combinations Figure 52 Selecting Probe Frequency Figure 53 Selecting Probe Depth Figure 54 Selecting Probe Cine Buffer Figure 55 Adjusting the Power Level Figure 56 Image Settings Before Adjustment Figure 57 TGC Adjustment Figure 58 Selecting a Preset Gamma Figure 59 Adjusting Contrast and Brightness Figure 60 Image Settings after Adjustments Figure 61 Selecting Gain Adjustment Figure 62 Adjusting Gain Figure 63 Restore All Options to System Defaults Figure 64 Update Restore Point Dialog Figure 65 Update Restore Point Dialog Figure 66 Exiting Setup Cancel Figure 67 Physicians Screen XIV UBM Plus User Guide 78 79 80 81 83 84 85 86 87 88 89 90 91 91 92 93 94 95 96 97 98 99 100 101 104 105 106 107 108 109 110 111 111 112 112 113 Contents D Figure 69 Saving New Physician 115 Figure 70 Update Restore Point Dialog 116 Figure 71 Restore Physicians Dialog 116 Figure 72 Users Screen 117 Figure 73 User Name Entered 118 Figure 74 Saving New Users 119 Figure 75 Update Restore Point Dialog 120 Figure 76 Restore Users Dialog 120 Figure 77 Starting a New Exam 123 Figure 78 No Probe Found Message 123 Figure 79 Initial Exam Screen 124 Figure 80 Initial Exam Screen with Patient Name 127 Figure 81 Selecting Gender 128 Figure 82 Selecting Facility 130 Figure 83 Selecting Physician 131 Figure 84 Selecting Operator 132 Figure 85 Selecting Scan Group 133 Figure 86 Selecting Scan Pro
100. ee Freee panas 2 The A Vector will be displayed under the live image as shown in Figure 141 on next page 3 The position of the A Vector on the image can be moved by using the buttons or the slide control to the right of the Hide A Vector button 4 To close the A Vector select Hide A Vector 203 Accutome UBM Plus User Guide eee 5 Below the Show A vector tab is a tab that will say A vector 1X Amplitude or A vector 2X Amplitude This tab allows you to switch between single or double amplitude A vetor sscan Seeppet Tee 2 Preme OPNTIE View CONOR Cisema NOEDITE Avceeted WIETOOS PPE Oe Figure 141 A Vector Displayed 204 Patient Image Analysis A Vector Comments on Image The Accutome UBM Plus allows you to place comments on an image from a patient exam The comments feature can be important in providing an accurate image analysis To place a comment on an image 1 In the Tools tab of the tools palette select Comments on Image as shown in Figure 142 below Main Menu Neecan Exit Seppet Dem Pern View oioi Ceset SIAO Ascerned IRONIE FPR Ge Figure 142 Selecting Comments on Image 205 Accutome UBM Plus User Guide a 2 The Comments on Image dialog shown in Figure 143 below will display on the screen 3 Click in the text field and enter your comments 4 If you would like to clear the comments that you have typed click on Clear 5 Select Done
101. ee Figure 79 Enter new patient information and start a new exam Exit Selecting Exit will close the Accutome UBM Plus software Analyze Selecting Analyze will launch the Analyze Screen with the current patient active On the Analyze Screen you can make image adjustments take measurements and generate snapshot lists and reports For further information on image analysis refer to the Patient Image Analysis section of this manual 164 Performing Exams a 165 PATIENT IMAGE ANALYSIS Overview The Accutome UBM Plus provides many features for high quality personalized image capture and analysis You can perform image analysis with Accutome UBM Plus during an exam or later on a saved existing exam Selecting Images for Analysis There are two methods of selecting an image for analysis 1 In the New Exam Screen by executing Analyze after a patient exam has been scanned 2 By selecting a saved Existing Exam and displaying it in the Analyze Screen How to Select an Existing Exam To select an existing exam 1 In the Accutome UBM Plus top level Main Screen select Existing Exam as shown in Figure 109 below Figure 109 Starting Existing Exam 166 Patient Image Analysis Analyze Screen 2 The Analyze Screen shown in Figure 110 below will display si wy nL baena 4 m EED U p Main Mee Meccan rit Peme potop Viem SOROOS Create WIEOOF Accesso HTEDOOF FFE BO Hee
102. een Exit Setup A Exit Setup without saving changes Cay Ce Figure 66 Exiting Setup Cancel 112 Setup Exiting Setup Physicians The Physicians tab and related screen is the fifth tab from the left in Setup The Accutome UBM Plus provides the ability to add Physicians to a UBM Plus physician list How to Add a New Physician To add a new physician 1 In the Physicians screen select New as shown in Figure 67 below Physician First Name Last Name Foctity ACCUTOME MEDICAL CENTERES Depanment ANTERIOR SEGMENT gt foto 289 0200 Figure 67 Physicians Screen 113 Available Physicians SMITH WILLIAM Delete gt Set Selected es Default Save Restore Cancel Accutome UBM Plus User Guide 2 Activate the Name area under the Physicians Information area as shown below The available information fields are First Name Last Name Facility select entered facility from drop down menu Department Telephone r Physician _____________ _ _ _ First Name Last Name Faciitty Department Tetephone CUTOME MEDICAL ACCUTOME MEDICAL CENTER ont HARVARD VANGUARD REUVEN RUOICH MO VISION RETINAL INSTITUTE UCONN HEALTH CENTER EXCEL EYE CENTER LAMERIS OOTECH COLORADO RETINA ASSOCIATE ATHENS EYE DOCTORS AND Prt THE NEW ENGLAND COLLEGE O GENERAL HOSPITAL MEDICAL Figure 68 Physician Name Entered 114 Available Physicians
103. eir effect on scanning r Folders Of Exams Main Restored Probe Con Fregzancy Depth ne Butter Mode Power i Render Contro Ostayimeec Oetautt Landscape System Detauits Restore Cancel Figure 59 Adjusting Contrast and Brightness 107 Accutome UBM Plus User Guide fe gee Folders Of Exams Main C Accutorn UBM Mode r 100 _ 1 Default imeoe Controls c Neer Hange Mice Range eee Fer Range Cine Render Contra F Oeuyomes Varmana cf s a Reports ets sean Repor Base nghan Save Restore Cancel Figure 60 Image Settings after Adjustments Gain The gain feature of the Accutome UBM Plus allows you to adjust the strength of the signal as it travels through the eye thereby making the captured image brighter Adjusting the Gain The Accutome UBM Plus provides an user adjustable gain feature To the left of the Small Image Window there is a knob with a red drag point Adjustment to the gain is as simple as dragging the knob As you adjust the gain you can see the difference in the Small Image Window To adjust the Image Control Gain 1 Select the red drag point the gain adjustment knob as shown in Figure 61 on the next page 108 Setup Options r Fokjers Of Exar Main Cc wow Exam Data Select Reset Restored C wre Restod Exa Select Reset Exam Name Combinations nio on image Print Lesthame_ Gate Time ifs tn Low M
104. elect All as shown in Figure 180 below All system exams will be displayed in the Selected Exams To Be Restored section of the screen as shown in Figure 181 on next page Exams On Bochup Exams On Destination Exams On System JONES 2007 1 14T29 ja KYPEMA OS_2006 11 3T13 FROST ISTH GURON 113714 ja GAREN 20071 15711 gt gt gt gt gt gt Pound Disc in Drive Oisc n Orive type COA gt 22 1 2007 21 0 wi diec 1 4B di paih Fi igure 180 Select All Exams to be Restored 248 Archive and Restore Restore from DVD or DC SCC Clear All If you don t want to restore all selected exams you can individually de select the exams you don t want to restore by clicking in the checkbox or on the exam name or you can clear all the exams from the list to be restored To clear all selected exams from the restore list 1 Click on Clear All as shown in Figure 181 below The Selected Exams To Be Restored list will be emptied You can then individually select the exams if wanted Restore Selected Eswns To Ge Restor JONES 20 OOE 2097 HYPOMA OG 2006 11 9T12 Destination Folder For Restored Exams ga ena king dir a T a Data CELT TETE DVOCO Device Found Disc in Orire Restore Eram m O OVD gt gt Dine in Orire type COR gt gt Volume Label of Disc 2 21 2007 21 0 gt gt Number of sessions on dsc 1 Data on Disc 32 NB Unt yelem detan pah Availetee E rarms Ch g dir Ewer m F
105. emer he oe woe a Werinn Card ipece espiran Crt Par rs amit isp For Additional Help contact Accutome at 1 800 979 2020 32 Getting Started Installing the Software ee Windows 7 Windows Vista Click Change User Account Setting Click Turn User Account Control on or off Click Continue on Windows Move the slider down to Never notify needs your permission to to turn UAC off Then click OK continue window Click and uncheck the Use User Account Control UAC to help protect your computer and click OR WO the toggle bor s Note For Windows 7 You MUST Restart the computer from Start to make Click Restart Now on the You change effective must restart your computer to apply these changes window Wait for your computer to restart and login to the same account 33 Accutome UBM Plus User Guide Part III Follow the steps below to check and set the screen resolution DIP setting Right click your mouse on an empty space on the desktop and select Personalize Windows 7 Windows Vista Click Display Click Adjust font size DPI Pecraile apprarance ad ments bme ne he seim ond dyu t pmm we to opoe ee e eeiam bo egma m m mae Laya yea nmre e ot pat wte t on ee eee roa Select Smaller 100 and Select Default scale 96 DPI and click Apply Click OK For Additional Help contac
106. eports the Accutome UBM Plus launches the Report Form window with the snapshot list at the right as shown in Figure 151 below The Report Form window also contains function buttons with which you can save additional snapshots to files delete a selected snapshot or refresh the image list after making image edits or selections You will create the actual report in this window To start a new report I Click on the New button as shown in Figure 151 below The form for reports will display as shown in Figure 152 on next page ote ao s es Figure 151 Creating a New Report 218 Printing Images and Reports Creating Reports Report Form After you execute New in the Manage Reports window the Reports Form will display as shown in Figure 152 below The Report Form for the selected patient will display all information in all the fields that have been predefined in either the setup or the patient exam either when creating a new exam file or when editing a patient exam The Report template displays the following fields e Facility MRN e Name Physician e Clinician Indication for Scan Diagnosis e Two sign off lines for Clinician and Physician There is also an area located below the information fields where selected snapshots will be loaded Sieecvie 4 cote Dagan Be dears Peponi So eae ee Se ere meneame Figure 152 Report Form 219 Accutome UBM Plus User Guide SS
107. erwrite Old Exams by clicking the radio button the restore process will keep the same exam name and overwrite the exam that is currently on the local net disk If you are overwriting an exam in the restore process you will receive a warning message similar to the one shown in Figure 193 below Warring Polkowing Cxsres in tha destinaten folder wil be overwritten CAPE NAY 200 3 619 Reste process sd overvete existing exams Cartea vet tJ te lt Figure 193 Overwrite Warning 260 Archive and Restore Additional Restore Features SSCS Exams on Destination The Exams on Destination tab as shown in Figure 194 below displays the contents of the current Restored exams folder Additional features allow you to select and delete current restored exams Restore Exams From Backup Se od Exarts To Be Rewored GEORGE _2006 12 167 18 SMITH JOHN fe 25_2008 12 21T 14 4723 cY_2006 9 5T8 Select Af Clem AJ gt gt gt Calcuste Exam DOE 2007 1 4T1 Destination Folder For Rewored Exame gt gt gt Calcuale Exam HYPEMA OS 2000 11 3T13 gt gt Total required disk spa Restoring eram JONES OVOCO Device LocalNetwork HD Restore Exams From B Hard Disk gt gt gt Disk a9 gt gt Restoring era HYPEMA OG 2006 11 9T12 gt gt Successfully restored exam HYPEMA OS 2006 11 3713 gt gt gt Otsi spote copied 71 57 ME Successfully restored all selected exams to spected Foisor Main Menu Getect Restore From Folder C ex
108. etup and click to launch the Setup window New Exam Existing Exam Archive Setup ACCUTOME SERS Figure 19 Selecting Setup 66 Setup sl Setup Menu Selections When you select Setup the Accutome UBM Plus displays the setup window shown below The window has tabs that correspond to the various setup features Each tab will display the corresponding screen upon selection The default tab upon launching setup is Facilities as shown in Figure 19 The Setup tabs are as follows e Facilities location to add edit and delete exam facilities e User location to add edit and delete Accutome UBM Plus users e Sequences location to add edit and delete probing sequence protocols e Options location to edit application and image control options e Physicians location to add edit and delete physicians associated with the Accutome UBM Plus e Export location to control export of data format Facility Information Available Facilities Nome CUTONENESGAECENTEN Address 3222 Phoenixville Pike City Matvern J State PA Country psa i New Delete Telephone jada fro 2020 Duplicate from Selected Set Selected as Oeteult Save Restore Figure 20 Setup Facilities Tab 67 Accutome UBM Plus User Guide eet Facilities The Facilities tab and related screen is the first tab displayed upon starting Setup The Accutome UBM Plus provides the ability to add facilities where exams will take place Th
109. exam refer to How to Start a New Patient Exam 4 Enter patient exam information refer to the How to Start a New Patient Exam section 5 Set up the scan 6 Scan the patient eye s 7 Make any necessary image adjustments 8 Analyze the image 9 Print or save the Patient Report Starting Accutome UBM Plus Program The Accutome UBM program is launched like any other Windows program either through a shortcut on the desktop or by accessing the Start programs menu 1 If launching the UBM Plus software from the desktop click on the icon displayed below The UBM Plus software will display at the main screen s ZE Shortcut to Accutom Figure 5 Accutome UBM Plus Desktop Shortcut 49 Accutome UBM Plus User Guide How to Start a new Patient exam To start a new Patient exam 1 On the Accutome Main Screen click on New Exam Refer to Figure 6 below New Exam E Exam Archive Setup ACCUTOME E Figure 6 Main Screen Starting New Exam 50 Getting Started Basic Operation Entering Patient Exam Information After you execute New Exam from the Accutome UBM Plus main screen the Patient Exam Screen will launch shown in Figure 7 below The pre filled information fields the setup defaults 1 When you start a new exam the Accutome UBM will launch the Exam Info Screen shown below and will clear all fields Note The Patient Exam Info Screen contains drop down list
110. f the each field Position the cursor on the small arrow at the right of the physician and operators fields Left click to open the drop down list Position the mouse over the up down arrows at the right of the drop down list Click the mouse to move through stored physicians and operators Once you see the Physician and Operators you want to select position the mouse cursor over the Physician and Operator and left click The selected Physician and Operator will fill in the Physician and Operator field Patient Info First Name Last Name Date of Birth Indication of Scan elevated pressures Probe Info Select Probe Frequency Detaun Range Sweep Angie Serial Number import From Existing Exams ScorrSCid CHEEK 177986 wayyyy C Figure 10 Selecting Physician 54 Exam info Exem io C Facitty ACCUTOME MEDICAL CENTER Physician CETINKAYA MURAT Operator RUDICH REUVEN RUSSELL MATT SUCHECKI JEANINE r Exam SetugPARSONS MATTHEW JHOVLAND PETER Create Datert sass GUS PATEL SINA Sean Groun gat wma Protocoi Description import info Main Menu Exit Getting Started Basic Operation 8 Select a predefined or undefined Scan Group and Protocol Sequence within the group from the Scan Group and Protocol drop down lists Position the cursor on the small arrow at the right of the Scan Group and Protocol fields Left click to open the drop down lists Position the mouse over
111. g feature is under the Tools tab You can also click on Probe tab and change the scan time 8 17 34 sec If you want to raise or lower gain that can be done now or after when Analyzing After scanning is complete click on the Analyze button on the bottom of the screen At this time you view your scans e To review a recorded scan click on scan under Views to review the cine loop e After clicking you can play the loop by clicking on the Play button e To view frame by frame while playing click on Pause then use the left and right arrows or use the mouse to drag the slide bar e To look at the next view click on Stop and then click on view e To do Measurement on the images Line 1 is defaulted 1 Hold down left click on the mouse from the starting point then drag to ending point and release For Additional Help contact Accutome at 1 800 979 2020 23 Accutome UBM Plus User Guide 2 You can now change velocity by clicking the box next to velocity and changing the number e For Line 2 click on Line 2 e To circle images click on Area Install Example Exams OPTIONAL e Insert the installation disk into the CD ROM drive Preparing to Install will appear automatically Click Cancel and stop the installation process Open My Computer window by clicking on Start located on the bottom left corner of the window Click My Computer located on the right side of the pop up menu Right click the U
112. g Scan Group and Protocol 55 Figure 12 Starting a New Exam 56 Figure 13 Exam Screen 57 Figure 14 Tool Palette and Current View 59 Figure 15 Probe Tab Active 60 Figure 16 Cine Tab Active 60 Figure 17 TGC Tab Active 61 Figure 18 Gamma Tab Active 61 Figure 19 Selecting Setup 66 Figure 20 Setup Facilities Tab 67 Figure 21 Selecting New Facility 68 Figure 22 New Facility Information Active 69 Figure 23 Saving New Facility 70 Figure 24 Update Restore Point Dialog 71 Figure 25 Restore Facilities Dialog 72 Figure 26 Users Screen 73 Figure 27 New User Information Active 74 Figure 28 Saving New User 75 Figure 29 Update Restore Point Dialog 76 Figure 30 Restore Users Dialog 76 Figure 31 Sequences Screen 77 XII List of Figures Figure 32 Adding New Sequence Figure 33 Adding New Sequence Figure 34 Assigning Name to New Sequence Figure 35 New Sequence New View Active Figure 36 First Scan Editing View Figure 37 Adding a New Sequence Scan Figure 38 New Sequence Scan View Added Figure 39 Change Probe Orientation Figure 40 Change Probe Orientation Figure 41 Saving New Sequence Figure 42 Deleting a Sequence Figure 43 Duplicating Current Sequence Figure 44 Update Restore Point Dialog Figure 45 Update Restore Point Dialog Figure 46 Options Screen Figure 47 Selecting Main Exam Folder Figure 48 Windows Browser Locate Exam Folder Figure 49 Selecting Restored Exam Folder Figure 50 Windows Browser Locate Exam Folder Figure 51 Sel
113. h the probe and the footswitch can be used for start stop operation if the setup is predefined to use both See Start Stop on page 97 of this manual If you are using both the probe and the footswitch for start stop action they will each perform the operation that is the opposite of the last operation executed For example if you start scanning by stepping on the footswitch and press the trigger button on the probe the scanning will stop Using the Footswitch The footswitch toggles between start stop To start or stop scanning step on the footswitch Once you have completed the first scan the image you have captured will appear in the image area of the screen Scanning with a Predefined Protocol Figure 96 on next page shows the first step of a scan completed using a scan group protocol After you complete the first scan and have stopped the probe you should move the probe to conform to the next scan in the sequence For example in Figure 96 on the next page the first scan is labeled OD VAX and the second scan is la beled OD 12L When you finish the first scan you should move the probe on the patient s eye from the 12 00 axial slice to the 12 00 longitudinal 152 Performing Exams How to Scan Figure 97 New Exam with Selected Protocol First Scan Complete Scanning without a Protocol When you are not following a predefined protocol for scanning the first scan always defaults to OD Scan If you are making a free sc
114. hapter 6 Patient Image Analysis of this manual Menu Buttons The two buttons located at the bottom of the Exam Screen Main Menu and Exit perform Accutome UBM Plus menu functions Main Menu When you click on Main Menu the Accutome UBM Plus returns you to the top level main menu Exit When you click Exit the Accutome UBM Plus program closes 146 Performing Exams Initial Exam Screen Probe Usage in Scanning The Accutome UBM Plus provides every feature needed to get high quality accurate scans You can place the probe with in the anterior segment shell and always capture a clear image How the UBM Works The Accutome UBM Plus probe is an ultrasonic probe and sends a sound wave through the anterior segment being scanned As the sound wave travels through the various anterior segment tissues the sound wave bounces off these tissues and produces an echo of varying amplitude determined by the density of the tissue The denser the tissue the larger the echo and the greater the signal that is returned Greater tissue density and a stronger echo show up as a brighter spot in the image A Scan is a thin parallel sound beam passing through a small point within the anterior segment of the eye The echoes received back as the signal passes through the various anterior segment tissues are represented by spikes arising from a baseline A Scan is therefore an Amplitude scan B Scan is an oscillating A Scan passing through a slice
115. he Stop and Pause buttons become active as shown in Figure 119 below When you click the Stop button the scan film loop stops and returns to the beginning Pause Stop 2B Main Mem Meccan repped Tee 2 Peme osori View OOd Ciest SORONOO Anceneed VIRODE FPR OT Figure 119 Scan Stopped and Returned to Beginning 179 Accutome UBM Plus User Guide a Pause When you click on the Pause button shown in Figure 120 below the scan film loop will pause and not play in any direction O _ _ AE Pause UE Main Meow fMeecan Reppet Dee 2 Pome psor View OOD Crest SORGNOe Ascereed IRONS FPR OF Figure 120 Pausing the Scan Film Loop 180 Patient Image Analysis Playing an Exam Forward When you click on the Forward button shown in Figure 121 below the scan film loop will play forward There are two methods of playing forward you can move forward one frame at a time or you can move forward through frames continuously To play one frame at a time click on the forward button once and then click again To play frames forward continuously click on the forward button and hold the left mouse button down The scan film loop will continue to play forward until you release the left mouse button el S ae Forward oscan Doppee Dem Piene ppor View Obe Chest SDEGNO Aitte IROD FFE OT Figure 121 laying the Scan Film Loop Forward 181 Accutome UBM Plus User Guide Backward When you click on the Backw
116. hnicians and opthamologists who are experienced in ultrasonographic biometric techniques This manual is organized as follows Section 2 Safety Summarizes safety precautions warnings symbols and terms Section 3 Getting Started Provides installation instructions overview of Accutome UBM Plus basic operation Section 4 Accutome UBM Provides instructions on how to set Plus Setup up physicians users and system operational functions Section 5 Performing Exams Provides detailed instructions on how to acquire exam images Section 6 Patient Image Analysis Describes how to review and make comments for an individual patient Section 7 Printing Images Provides detailed instructions on and Reports how to print patient exam images create and print or save reports Section 8 Archive Provides instructions on how to recall patient exams and archive exams to a CD or DVD Section 9 Maintenance Provides general maintenance instructions Introduction Components Section 10 Specifications Provides Accutome UBM Plus physical and operational specifications Section 11 Warranty and Repairs Describe Accutome UBM Plus warranty information and repair procedures Having read this manual you will be able to set up the Accutome UBM Plus perform scans playback save frames as snapshots analyze images print snapshots create reports and archive patient exams Accutome UBM Plus User Guide SAFETY Safety Information The section
117. ies Accutome Exam Data This media is Accu Beckup dsc Main Menu Wi GSA HIIL LOO Figure 181 Selected Exams To Be Restored Clear All 249 Accutome UBM Plus User Guide SSCS Restore Once you have selected all the exams you would like to restore from the DVD CD 1 Select Restore to execute the restoring process as shown in Figure 182 below gt gt gt Voimme Label of Disc 2 71 2007 21 8 gt gt gt Mosier of sessions on dec 1 gt gt gt Data on Otec 577 95 MB gt gt gt Using System detaxi path gt gt gt Checking dir E Program Fies Accotome Exam Osta gt gt gt Ties media is Accutome Backup cic gt gt gt Found Disc in Orive Vetume Label of lve 3 ESTE MOT ST OvORRW sessions on isc Select Folder c 27 9S MB etat pam E P rogram Fites Accutome Exam Date gt gt gt Thes media is Accutome Backup drec F igure 182 Restoring the Exam from the CD 250 Archive and Restore Restore from DVD or DC OO S CSSSCsS 2 While the exams are being restored the restore screen will display in the process information area the restoring progress as shown in Figure 183 below Exam restoring information includes textual information and restore progress in the status bar at the bottom of the screen Ketlote Restore Exams From Backup Exams On Backup Exams On Destination Exams On System B20 a HYPEMAOS 2006 11 IT19 Disc Buring Progress gt gt gt This medis ts Accutome Ba
118. ill need Word to generate reports Quick Start User Guide for Accutome UBM Plus If Set up is already done skip to step II e Click on Set Up e Click the Facilities tab and enter Facility information e Click the Users tab and enter all Users e Click the Sequences tab and enter screening sequences for Pre Set scanning e Click the Options tab and select Exam Name Combinations then set Gain For Additional Help contact Accutome at 1 800 979 2020 22 Getting Started Installing the Software SSS SSS a ee e Click the Physicians tab and enter Physicians e Click Done Click on New Exam Enter Patient first and last name in the appropriate Fields e If Medical Record label is white you are required to enter a medical record number at least 5 digits before you can start scan e Enter any other patient information for this patient If pre defined scans are being used you can chose that now under Scan Group e Click Start At this point you would start scanning the patient After each scan you would label the scan in free scan mode OD OS Scan position on clock Type of Scan Axial Trans etc If you are using Pre defined scanning then the machine label scans While scanning you can do Live Zoom up to 2X with out losing any resolu You can also move the image on the screen while scanning by clicking and holding the left mouse button then dragging the image Zoomin
119. ing Archive Figure 158 Archive Screen Figure 159 Selecting the First Exam Figure 160 Selecting the Second Exam Figure 161 Select All Figure 162 All Exams Displayed Clear All Figure 163 Burning the Disc Figure 164 Disc Burning Progress Figure 165 Selecting the Local Net Hard Disk Tools Figure 166 Launching Select Destination Folder Figure 167 Windows Browser Locating Destination Folder Figure 168 Destination Folder Displayed Figure 169 Execute Backup Exams Figure 170 Backup Activity Figure 171 Delete Selected Exams Figure 172 Deleting Exam Warning Figure 173 Disc Info Figure 174 Verify Burn Results Figure 175 Selecting the Restore Screen Figure 176 Restore Screen Figure 177 Selecting the First Exam XVII 204 205 206 207 211 214 215 216 217 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 234 235 236 237 238 239 240 242 243 245 List of Figures UBM Plus User Guide Figure 178 First Exam Selected Figure 179 Selecting the Second Exam Figure 180 Select All Exams to be Restored Figure 181 Selected Exams To Be Restored Clear All Figure 182 Restoring the Exam from the CD Figure 183 Exam Restoring Progress Figure 184 Selecting the Local Net Hard Disk Restore Tools Figure 185 Local Network HD Restore Tools Active Figure 186 Launching Select Folder for Restoration Figure 187 Windows Browser Figure 188 Locating Source Folder Figure 189 Source Folder Dis
120. ing Scleral Shells 18mm and 20mm 14 Getting Started Installing the Software PC The computer used for the Accutome UBM Plus should meet the requirements outlined in Table below Table UBM Computer Specifications 667MHz Dual Core or higher with 4 USB ports Operating System cD Memory 2 0 GB DDR2 667 SDRAM 2 DIMM Hard Drive 80GB 7200 RPM 160 GB or higher for higher patient flow site more than 30 B scans per month Module Bay Device 8X or higher DVD RW with control software needed for archiving Graphics 256MB NVIDIA Quagro NVS 110M TurboCacheTM Power Supply Medical grade power supply or isolation transformer Note You will also need a printer connected to the computer to print snapshots or reports Probe The probe provided with the UBM Plus is an essential component of the product No other probes other than probes specifically approved by Accutome are to be used Anterior Segment Imaging Scleral Shell The Anterior Segment Imaging Scleral Shells 18mm and 20mm provided with the UBM Plus are an essential component of the product No other shells other than shells specifically approved by Accutome are to be used Two shells constructed of Plexiglas G Acrylic with interior diameters of 18mm and 20mm are included with the UBM Plus Printer The Accutome UBM Plus can utilize any PC compatible printer that is connected to the UBM Plus computer Accutome UBM Plus User Guide Footswitch The fo
121. installation immediately because you will not be able to run the program on this computer For Additional Help contact Accutome at 1 800 979 2020 30 Getting Started Installing the Software Part I Follow the steps below to check for a C drive if you do not have a C drive you should stop installation immediately because you will not be able to run the program on this computer 1 Click Start on the bottom left corner of the desktop and then click Computer on the right of the pop up menu 2 You should see C under Hard Disk Drives list Close the window after you are done 31 Accutome UBM Plus User Guide Part II Follow the steps below to turn off the User Account Control UAC of Windows 7 and Vista These steps can be used in both Windows 7 and Vista Note the snapshots were captured form Vista Note UAC is a security feature of Windows 7 and Vista However it interferes with the installation of UBM Plus program and device driver of the USB probe You can turn it back on using the same procedure after you finished the entire installation process Open Control Panel window by clicking Start located on the bottom left corner of the desktop Click Control panel located on the right side of the pop up menu Click User Accounts and Family A system and Maintenance Safety uapa ampt Click User Accounts Pareenad Crtuis Ea e pomeri
122. inutes in Cidex or 10 bleach solution After removal from the solution scrub the shell using soap and water rinsing in sterile water or sterile saline allowing to air dry Do not use heat or gas Cleaning of Probe Clean the probe handle with a damp cloth Use appropriate products to clean the computer keyboard and monitor Cables may be cleaned with a soft cloth and alcohol The probe holder should be washed with warm water and mild detergent Probe and Transducer The user must use the following procedure to clean the transducer and probe daily Procedure e Keep the transducer and probe connected soak rinse the transducer and probe end thoroughly with distilled water Inspect all surfaces carefully for debris or build up e If there is still debris soak rinse the transducer and probe tip end with distilled water again Repeat until all debris is gone e Let the transducer and probe air dry WARNING DO NOT IMMERSE THE PROBE S CABLE OR METAL CONNECTOR ALLOW TO DRY BEFORE USE WARNING DO NOT WIPE THE PROBE END IT MAY RE SULT IN DAMAGE TO THE CRYSTAL Note The maintenance procedure is not intended for disinfection of the transducer and probe Disinfection must still be performed between patient exams following the procedures outlined below Daily cleaning of the transducer and probe must be performed at the end of the day when no further exams are expected 9 Accutome UBM Plus User Guide Disinfection of Probe
123. ions An Axial UBM is a slice through the center of the lens Axial scans are labeled according to the orientation of the marker followed by AX If the scan is performed with the marker aimed superiorly or vertical the scan can be labeled 12AX Fora horizontal scan the marker should be aimed nasally and labeled 3AX for the right eye or 9AX for the left eye For an oblique scan aim the marker at the oblique clock hour which will place that meridian at the top of the display screen while retaining the patient s gaze and the probe face centered on the cornea i e 2 00 9 30 ete Longitudinal Probe Positions Longitudinal scans are radial scans encompassing only one clock per slice from the posterior pole to the anterior periphery All longitudinal scans should be labeled with an L and the clock hour of the meridian being examined i e L10 L3 etc Transverse Probe Positions Transverse probe positions demonstrate the lateral extent of pathology encompassing approximately six clock hours in one slice The patient s gaze is directed toward the area of interest and the probe is placed on the opposite sclera with the marker oriented parallel to the limbus 150 Performing Exams Probe Usage in Scanning SS a a aa eee In horizontal transverse approaches the marker is aimed nasally so the upper portion of the screen represents the nasal section of the globe the upper portion of the screen will always be 3 00 in the right eye
124. ist 2 Click on Set Selected as Default 3 The user will become the default to appear when you power up the Accutome UBM Plus Save To save all user information 1 Click on Save 2 An Update Restore Point dialog will launch If you would like to save all changes and have the current users setup become the data restore point click Yes If you would like to retain the old data restore point click No Update Restore Point A Set new point of restore Figure 29 Update Restore Point Dialog Restore To restore the previously saved facility information 1 Click on Restore 2 A Restore Users dialog will launch Click Yes to revert to the previously saved users information Reslore Users A Restore users to last saved pore No Figure 30 Restore Users Dialog 76 Setup Users O a Sequences The Sequences tab and related screen is the third tab from the left in Setup The Sequences screen see Figure 30 below allows you to set up operational protocols for the Accutome UBM Plus A Sequence is the series of predefined scans with labelled views scan methods and positions that are executed during anterior segment UBM diagnostic imaging A Sequence is defined by the following 1 Number of scans or views 2 Eye being scanned OD OS during each scan 3 Probe scanning method for each scan 4 Probe position for each scan Edit Current Sequence Available Sequences
125. ividually 1 Click Select All as shown in Figure 161 below All system exams will be displayed in the Exams To Be Archived section of the screen as shown in Figure 162 on next page Main Menu Figure 161 Select All 228 Archive and Restore Archive to CD or DVD SSCs Clear All If you don t want to archive all system exams you can individually de select the exams you don t want to archive by clicking in the checkbox or on the exam name or you can clear all the exams from the list to be archived To clear all selected exams from the archive list 1 Click on Clear All as shown in Figure 162 below The Exams To Be Archived list will be emptied You can then individually select the exams if wanted Figure 162 All Exams Displayed Clear All 229 Accutome UBM Plus User Guide Burn Disc Once you have selected all the exams you would like to burn on the CD DVD 1 Select Burn Disc to execute the burn as shown in Figure 163 below z Da rT sm a Branche Paine Figure 163 Burning the Disc 230 Archive and Restore Archive to CD or DVD D 2 While the disc is burning the archive screen will display in the process information area the burning progress as shown in Figure 164 below Disc burning information includes textual information and burn progress in the status bar at the bottom of the screen Disc Burning Progress Figure 164 Disc Burning Progress
126. l Help contact Accutome at 1 800 979 2020 38 Getting Started Installing the Software Install Example Exams OPTIONAL e Insert the installation disk into the CD ROM drive Preparing to Install will appear automatically Click Cancel and stop the installation process Open My Computer window by clicking on Start located on the bottom left corner of the window Click My Computer located on the right side of the pop up menu Right click the UBM Install icon CDROM drive and select Open Double clicking on Example Exams folder in the window UBM Install to show folder contains To extract the exam by double clicking on the file UBM DEMO IOL_2009 5 5T4 zip and a folder named UBM DEMO IOL_2009 5 5T4 appears in the window Double clicking on the folder icon called Accutome on the desktop then double clicking on Exam Data folder in the Accutome window appears in desktop Drag the folder UBM DEMO IOL_2009 5 5T4 in Test Exams window and drop it into the Exam Data window It takes few minutes to copy entire folder e Close all windows and eject the CD after you done 39 Accutome UBM Plus User Guide i eeeereeSC i Accutome UBM Plus Installation Instructions For Windows 7 amp Vista 32 bit PLEASE READ THROUGH ALL OF THE INSTALLATION INSTRUCTIONS BEFORE INSTALLING ANY SOFTWARE Important DO NOT plug the Accutome probe into
127. lick the Physicians tab and enter Physicians e Click Done Click on New Exam e Enter Patient first and last name in the appropriate Fields e If Medical Record label is white you are required to enter a medical record number at least 5 digits before you can start scan e Enter any other patient information for this patient If pre defined scans are being used you can chose that now under Scan Group e Click Start At this point you would start scanning the patient After each scan you would label the scan in free scan mode OD OS Scan position on clock Type of Scan Axial Trans etc If you are using Pre defined scanning then the machine label scans While scanning you can do Live Zoom up to 2X with out losing any resolution You can also move the image on the screen while scanning by clicking and holding the left mouse button then dragging the image Zooming feature is under the Tools tab You can also click on Probe tab and change the scan time 8 17 34 sec If you want to raise or lower gain that can be done now or after when analyzing After scanning is complete click on the Analyze button on the bottom of the screen At this time you view your scans To review a recorded scan click on scan under Views to review the cine loop e After clicking you can play the loop by clicking on the play button e To view frame by frame while playing click on Pause then use the left and right arrows or u
128. lists e Safety Precautions associated with the Accutome UBM Plus e Safety Precautions of a general nature FEDERAL LAW RESTRICTS THIS DEVICE TO SALE BY OR ON THE ORDER OF A PHYSICIAN Safety Issues to Consider When Using the Accutome UBM Plus The Accutome UBM Plus is non invasive The ultrasound probe is immersed in an anterior segment imaging scleral shell that is placed on to the anesthetized eye and filled with sterile saline and energy in the form of ultrasound is transmitted in to the eye The power level of the ultrasound pulses is controllable by the Application Software and the user has control of this power setting The maximum power allowed to be set by the Application Software and or by the user is below the FDA Health Canada and EU maximum power limits The Accutome UBM Plus Probe must be cleaned and disinfected before use Indications for Use This instrument is used for the imaging of the internal structure of the eye including opaque media and anterior segment pathology for the purpose of diagnosing pathological or traumatic conditions of the eye WARNING THE UBM PLUS IS NOT INTENDED FOR FETAL USE Accutome UBM Plus User Guide Symbol Definitions for the Accutome UBM Plus Statements graphics and symbols listed below are used on components of the Accutome UBM Plus Descriptions and meanings are listed to the right of the symbols Attention Consult Instruction Manual S No User Serviceable Parts O Do Not U
129. ll exams that can be restored in the Exams on Backup tab Local Net Hard Disk There are many features in the Local Net Hard Disk tab of the tools palette that are informational and perform restore operations Select Folder The Select Folder feature launches a Windows browser and allows you to select the folder from which you would like to restore exams List Exams in the Folder The List Exams In The Folder feature lists all the exams contained in the selected restore folder Exams are listed in the Restore Exams from Backup tab Abort The Abort function stops the restoring process when selected Main Menu and Exit The Main Menu and Exit buttons located at the bottom of the Archive and Restore Screens bring you back to the UBM Plus main menu and exit the UBM Plus program accordingly 266 Archive and Restore 267 Accutome UBM Plus User Guide 268 Maintenance General Maintenance Maintenance that should be performed on the Accutome UBM Plus consists of activities such as keeping surfaces free of dust and dirt and storing in a dry and cool place so as to not adversely effect electronic parts Care must be taken to use only proper non linting cloths and non corrosive solvents when cleaning the screen CAUTION No abrasives or harsh cleaning solutions should be used while cleaning the Accutome UBM Plus When drying the transducer a soft material and dabbing motion must me used so as to
130. llShield Wizard for Accutome UBM appears click Next Click I accept the terms in the license agreement when the License Agreement window appears Click Next Click Install After UBM Plus application files are copied onto your computer a few icons will appears on your desktop Installing Microsoft DirectX window will automatically appear on desktop at this time If it does not appear automatically double click on the icon Launch DXSETUP exe on the desktop to install Microsoft DirectX 9 0 manually 3 Click I Accept Agreement Click Next Click Next to start installation of Direct X Click Finish to complete installation Direct X on your system Click Finish to close the Install Accutome UBM Plus window and complete the installation steps for required files and libraries for running Accutome UBM Plus applications 4 A window Adobe Reader 8 1 0 Setup window automatically appears on desktop after Install Accutome UBM Plus window closed Click Next when the Acrobat Reader 8 1 0 Setup window appears Click Install to start installation Click Finish to complete installation 5 Insert the Accutome UBM Probe into a USB port You can select the USB port in the front of a desktop computer or on the side of a notebook computer For Additional Help contact Accutome at 1 800 979 2020 21 Accutome UBM Plus User Guide 9 5 tl
131. mage Analysis TGC Adjustments TGC Time Gain Compensation is an adjustment to compensate for the strength of the signal through the eye The TGC adjustments are Near adjustment for signal near the probe e Mid adjustment for the middle of signal Far adjustment for portion of signal farthest from probe Gamma Adjustments The Gamma adjustments allow you to adjust the brightness mapping of the UBM image The adjustments area contains a drop down list of predefined gamma settings and gamma indicators for Contrast and Brightness that can be adjusted by dragging 170 Patient Image Analysis Analyze Screen Edit Exam Info When you select Edit Exam Info the UBM displays a window containing the Patient and Exam info entered in the Initial Exam Screen refer to the Edit Exam Information Window section You can edit and save any of the information displayed in this window Menu Buttons The three buttons located at the bottom of the Exam Screen Rescan Main Menu and Exit perform Accutome UBM Plus menu functions e Main Menu When you click on Main Menu the Accutome UBM Plus returns you to the top level main menu e Rescan When you click on Rescan the Accutome UBM Plus will launch the Exam Imaging Screen where you can rescan the patient exam Exit When you click Exit the Accutome UBM Plus program closes 171 Accutome UBM Plus User Guide eee Selecting an Existing Exam The Analyze S
132. n System Accutome Exam Data Folder 263 Accutome UBM Plus User Guide OO e CSSSCi sC DVD CD Features There are many features in the DVD CD Device tab of the tools palette that are informational and perform disc and restore operations Free Space On The System When you execute Free Space on System as shown in Figure 198 below the Accutome UBM Plus will display all available space on all drives Restore Exams From Backup Exams On Backup Exams On Destination Exams On System SMITHJOKN Ww cE CMITHJOHN SMITHJOHN RST SMITH JOHN 2 39T14 50 CANNASANICY_ 20 SMITHJONN A2 HT 44 54 SMITHJONN SMITHJOHM ASI SMITHJOHN_RGt SMYTHE SUS Space on System Info JONES MARY 7 DOE JOE 7000 BALOWIN BOS 2006 124T12 VITREOUS_MEMORRHAGE OO 7006 11 7T10 VITREOUS BL 000 2006 11 3T8 HYPEMA OS_ 20 LE DOEJOHN 12345 gt gt gt Finshed checting name conflicts on selected exams gt gt Done removing af setectec gt gt gt Found Otsc im Orive gt gt gt Disc iri Orive type COR gt ne Dise 2 21 2007 21 0 ns On disc f 95 Ma Restore Exams Fr gt gt Using Sytem default path gt gt Checking dr E Prog an Filesi Accuton Eram Data This media is Accutome Backup disc Betect Folder ve C 8537241705075 MD free ve 0 193 84765625 MB tee ve E 0 MB tree S gt gt End of HO Bst Main Menu v 000E Ite Figure 198 Free Space on System Select Folder The Select Folder feature launches a Windows brow
133. nation Folder Locating Destination Folder After you execute Select Destination Folder the UBM Plus will launch a Windows browser shown in Figure 167 on the next page 233 Accutome UBM Plus User Guide 2 Using the Windows browser locate the folder in which you would like to backup the patient exams 2 Geert Alene Dewees Tesia Cas Figure 167 Windows Browser Locating Destination Folder 3 After you have the selected the destination folder the path and name of the folder will appear as shown in Figure 168 below Destination Folder ere h m etetes we ba tie rs 85540673 MS hoe Figure 168 Destination Folder Displayed 234 Archive and Restore Archive to a Local Net Hard Disc OO e CSSSCSCsS 4 To complete the backup process click on Backup Exams as shown in Figure 169 below AN WOT M te Cre mecha Phases uh eetect toms pasme arst checa Figure 169 Execute Backup Exams 235 Accutome UBM Plus User Guide 5 The status bar at the bottom of the Archive Screen will display backup activity indicating that the backup is in process and how much of the backup has been completed see Figure 170 below u Backup amount completed CODY Mecordahte Medie Locaittet Heni Dia menetin Das VITRLOULELOCO 2004 1 ua mm A E ater ur Das BACKtip statis i Main Menu Copy Figure 170 Backup Activity 236 Archive and Restore Archive to a Local Net Hard Disc Addi
134. nge the probing method select either Long or Trans Edit Current Sequence r Available Sequences Name Puptary Rraponse Description Monto the angie change between ight and Gare acapted Current View f Views of in EL RELY icate Selected s rtete Get Seiected as Detian 9 a Create From T Axial tne Ae Cancel Figure 39 Change Probe Orientation 86 Setup Sequences C 5 When you arrive at the appropriate position for the probe in the newly added sequence scan release the position indicator The new position will be reflected in the label for the new sequence scan as shown in Figure 40 below The indicator stopped at 3 00 AX and the label for the scan was changed from OD Scan to OD t Edit Current Sequence Available Sequences Name Pupa espanse Description Mentor Bee ango chumrge between ighi am Bark actestes Curent View gt Views of m OO 3AX Duplicate Setected ii oD A Delete Set Selected as Oofauit os T n Create Prom T i Axial Long Trans I HMAC VMAC LMAC HAX Figure 40 Change Probe Orientation 87 Accutome UBM Plus User Guide 6 Continue to add and define new sequence scans as previously described When your sequence is complete and ready to save click on the Save button as shown in Figure 41 below Descriptian Current View Axial Long Trans HMAC YMAC LMAC HAX VAX TMAC Figure 41 Saving New Sequence 88
135. not scratch the gold plating When using a circular motion scratching can occur causing weak areas in the gold in which the cleaning solution can penetrate and start lifting the gold This condition significantly reduces the performance of the transducer Do not immerse the probe end in tap water as the fluorine will damage the transducer 269 Specifications Overview This section provides the physical and operational specifications of the Accutome UBM Plus Physical Specifications Table 2 below lists the physical specifications and associated peripherals Table 2 Accutome UBM Plus Physical Specifications Probe Accutome Part Number 24 6320 48MHz Dimensions 7 0 inches long X 1 25 inches diameter ee 17 78 cm long X 3 18 cm diameter Weight 375 Ib Cable Length 6 feet 1 83 m USB Type A Footswitch Accutome Part Number24 6180 Dimensions 4 inches X 3 25 inches X 1 25 inches high 10 16 cm X 8 26 cm X 3 18 cm high Weight 337 Ib 153 kg 270 Specifications ee Table 3 Accutome UBM Plus Physical Specifications Cable Length 6 feet 1 83 m USB Type A Wired Mouse Accutome Part Number 24 6330 Dimensions 1 75 inches X 2 25 inches X 1 63 inches 4 45cm X 5 72 cm X 4 14 cm Weight 222 Ib 101 kg USB Type A Probe Holder Accutome Part Number 24 6320 19 56 cm X 10 92 cm X 5 61 cm 340 kg IEC 60601 1 Medical Electrical Equipment General Requirements for Safety IEC 60601 1 2 Medical Electrical
136. on the Exams tab and the Exams folder selections will display as shown in Figure 117 below There are two selection on the Exams tab Use Main Folder and Use Restored Folder The Restored folder is the folder that has been setup in setup mode for restored exams or exams that you have loaded from a CD DVD or restored from a backup on the Local Net disk ercan Pan Dem Frame owm View oode Crest TADOS Anceneed NIAODE Fre aT Figure 117 Exams Tab 177 Accutome UBM Plus User Guide Playing an Exam The Accutome UBM Plus allows you to view any portion of a scan film loop At the bottom of the existing exam screen are the image playback controls They are intuitive and easy to use and similar in appearance to controls on a VCR or DVD remote controller The playback controls consist of Play e Stop and return to the beginning of the film loop e Pause e Forward one frame at a time or continuously e Backward one frame at a time or continuously When you first load a scan film loop the only playback control buttons that are enabled are the play forward and backward To start the scan film loop click on the Play button as shown in Figure 118 below a S hee 14 Backward a Forward Exam Play Controls Posed Dee 2 Frame OTHE View olobe Crest S2EGNOe Arteriet ETE Figure 118 Starting Scan Play 178 Patient Image Analysis Playing an Exam Stopping an Exam After you have started playing a scan film loop t
137. on the UBM Plus defaults to displaying all exams found on the DVD CD at the left side of the Exams on Backup tab of restore exams palette top left corner of the screen You will select the exams to restore from this list You can select the exams one at a time or select all exams at once Note The folder where the restored exams will be placed is preset on the Options Screen during Accutome UBM Plus setup See the Restored Folder section of this manual for more information Note On the DVD CD tab you can also select exams for restoring from a computer folder See the Selecting All Exams To Be Restored section of this manual for more information 244 Archive and Restore Restore from DVD or DC SSCs Selecting Individual Exams To select exams one at a time 1 Click in the checkbox beside the exam name as shown in Figure 177 below Restore Exams From Backup Exams On Backup Exams On Destination Exams On System Selected Exarns To Be Restored EG 2007 1 14T23 E 20 14748 SHYPEMAO Pust GURON_ GAREN 2 Destination Folder F Rostorod Exam gt gt Found Disc in Orive Disc i Drive type CD R gt gt Volume Labet of Diet 2 21 7087 21 0 gt gt Number of sessions on dist 1 gt gt Data on Disc 27 95 MB DVDICD Device Local rk HD gt Using System detas pam gt Checking dir E Wrogram F esAccutomr Eram Date Restore Exams F achup On CO DVD gt 3 medi Acci ack Aea A E OTE AOS Device E00 N
138. on the cursor on the small arrow at the right of the pre defined velocity field Left click to open the drop down list Position the mouse over the eye tissue you want to use and left click On the next page is a listing of the predefined tissue setting U Nn 197 Accutome UBM Plus User Guide e Vitreous e Lens Pmma e Silicon Lens e Arcylic e Silicon oill e Silicon oil2 Soft tissue WARNING SELECTING THE WRONG TISSUE MATERIAL WILL RESULT IN SERIOUS MEASUREMENT ERRORS Al vems Report Doom 24 Prase OOUTTE View OPLOS Constr USODO Arceseed MIEDOS PPS RE Figure 135 Area I Measurement Displayed Delete Current When you click on Delete Current the current active measurement will be deleted from the Analyze Screen 198 Patient Image Analysis How To Take a Measurement on an Existing Taking Angle Measurement 1 Position the mouse cursor over the Angle tab as illustrated in Figure 136 and left click on mouse oe SE JE PE SEO 1I L Roecan Prit Paned foom Frame D0038 Vi GOLDS Ceset UDETOOS Acoemset WISTICOPPS 12 9 Figure 136 Selecting Angle Tab 199 Accutome UBM Plus User Guide a 2 Using the mouse position the cursor at the starting point of the area measurment An angle measurement is required Refer to Figure 137 below o SE SE Si SE I Cn feecan Gest Pawa Des 2 Pee CONTE View Ods Ciest SIRDUOO Arteriet WTEDIOEFFE 29 Figure 137 Positioning the Angle Cursor 200 Patient
139. on your system 35 Accutome UBM Plus User Guide 5 After install Microsoft DirectX 9 0 a window Would you like to install this device software Name Jungo appears on the desktop Click Install button to install the Jungo device driver 6 After install Jungo driver a window Windows can t verify the publisher of this driver software appear on the desk top Click Install this driver software anyway install the Accutome UBM probe device driver 7 Click Finish to close the Install Accutome UBM Plus window and complete the installation steps for required files and libraries for running Accutome UBM Plus applications 8 A window Adobe Reader 8 1 0 Setup window automatically appears on desktop Moas mee an after Install Accutome UBM 7 n Plus window closed Click Next when the Acrobat Reader 8 1 0 Setup window appears Click Install to start installation Click Finish to complete installation For Additional Help contact Accutome at 1 800 979 2020 36 Getting Started Installing the Software 9 Insert the Accutome B Probe into a USB port You can select the USB port in the front of a desktop computer or on the side of a notebook computer The driver will be installed automatically and ready to use 10 Unplug the probe and eject the installation CD from the CD DVD drive Reboot your machine by Clicking on Start Click PB
140. or BALOWIN BOS Cener Age Indication of Scan p Exam Setup Giaucona suspect Create Date Time Scan Group Protocol System Detauits Probe Info Description Select Probe Frequency Default Range Sweep Angie Serial Number j bnport From Existing Exams Import Info Figure 85 Selecting Scan Group 133 Accutome UBM Plus User Guide Protocol All Sequences protocols created in the UBM Plus Setup are listed in the Protocol drop down If you selected System Defaults as the Scan Group all the system default protocols will be listed If you selected User Defined as the Scan Group all the customized sequence protocols will be listed For more information on Sequencing protocols refer to Chapter 4 Setup of this manual Description The Description field in the Exam Info area provides a description of the scanning protocol being performed with the Accutome UBM Plus Patient Info Exam Info _ _____ _ First Name BRIAN Gender Age Indication of Scan Exam Setup Glauconas suspect Create Date Time Scan Group Protocol System Defaults Probe Info Description Select Probe MSMHz UBM 1 Frequency Defaum Range Sweep Angle Serial Number 4 import From Existing Exams import info Main Menu es Liew KIK JKIM 2009 74 T12 Sorting Exams Dy Time Latest fet Exit Figure 86 Selecting Scan Protocol Import From Existing Exam In some instances you may want to re scan an al
141. ormation on the CD DVD if it is erasable Abort Proc The Abort Proc function stops whatever disc process is in operation e g you are burning a CD and you would like to stop the burn select Abort Proc 238 Archive and Restore Additional Archive Features SCC Disc Info When you select Disc Info the Accutome UBM Plus displays information about the CD DVD including disc size date the number of sessions amount of space remaining in the disc etc as shown in Figure 173 below COMDVD Recordette Medie Lecallier Herd Dish Mech r Mesta n Menu Figure 173 Disc Info 239 Accutome UBM Plus User Guide SSCS Verify Burn The Verify Burn feature confirms that an executed disc burn actually happened by listing all files burned on the CD DVD and confirming that the burn process was successful as shown in Figure 174 below CDOVO Receedttie Mede Locebtiot Hard Disk Main Menu Figure 174 Verify Burn Results Check to Fit the Media The Check to Fit Media feature checks the amount of disc space required to burn the selected exams and displays both the required and available disc space Eject Disc Eject Disc will automatically eject the CD DVD from the computer drive 240 Archive and Restore Additional Archive Features Load Disc The Load Disc feature loads the contents of the disc installed in the CD DVD drive and launches a Windows browser so that you c
142. otswitch is required to be used to stop and start the image acquisition The Accutome UBM Plus software is shipped on a CD which contains all of the programs you will need to install for proper system operation PLEASE READ THROUGH ALL OF THE INSTALLATION INSTRUCTIONS BEFORE INSTALLING ANY SOFTWARE Important DO NOT plug the Accutome probe into the USB port until instructions ask you to do so The computer must be running Microsoft Windows XP SP2 or later operating system e The computer must have a local hard disk drive which is labeled C e The screen resolution DPI setting must be set to Normal Size 96DPI The account used to install and run the program must belong to Administrators Group The computer must have Microsoft Word 2003 or higher to generate reports The computer must have Adobe Acrobat Reader version 5 0 or higher to read the UBM Plus User Guide PDF Installation procedure when using Microsoft Vista Installation Phase One Set up 1 Plug the wired mouse USB adapter is found on the underside of the mouse into the USB port located on the back of the computer 2 Turn the computer on 3 Follow the appropriate instructions to install Accutome s UBM Plus software If you are using either Microsoft 7 or Vista please continue reading If you are using Microsoft Windows XP 32 bit SP2 please continue reading If you are using Microsoft Windows 7 or Vista 64 bit SP2
143. ou can also edit the current view in this area There is also a View that allows you to view the image frames for the previous sequence steps All Views The All Views area displays all views in all steps of the current imaging sequence Tools Palette The tools palette contains all the tool for adjusting and controlling scans In the palette there are tabs for e Probe e TGC e Gamma e Cine Tools 139 Accutome UBM Plus User Guide Probe Tab The probe tab is shown below Showing the tab open allow the control of the following Frequency Defaults to 48 e Range Defaults to 30mm e Cine Buffer The cine buffer is the length of the film loop The user can select between 4 5 8 5 17 and 34 seconds e Adjusting the power e Power scan and save cine In addition to using the footswitch to start and stop the film loops there are the scan and save scan buttons located under the Probe Tab These buttons allow the control of the probe using the mouse Analyze Exit Figure 89 Probe tab 140 Performing Exams Initial Exam Screen EE E SS__L_ _ _ SSS SSS TGC Adjustments TGC Time Gain Compensation is an adjustment to compensate for the strength of the signal through the eye The TGC adjustments are e Near adjustment for signal near the probe e Mid adjustment for the middle of signal Far adjustment for portion of signal farthest from probe TGC is explained in greater detail in Ch
144. ows by clicking Next When the window of Welcome to the InstallShield Wizard for Accutome UBM appears click Next Click I accept the terms in the license agreement when the License Agreement window appears Click Next Click Install After UBM Plus application files are copied onto your computer a few icons will appears on your desktop Installing Microsoft DirectX window will automatically appear on desktop at this time If it does not appear automatically Double click on the icon Launch DXSETUP exe on the desktop to install Microsoft DirectX 9 0 manually Click Next Click Next to start installation of Direct X Click Finish to complete installation Direct X on your system Click Finish to close the Install Accutome UBM Plus window and complete the installation steps for required files and libraries for running Accutome UBM Plus applications 45 Accutome UBM Plus User Guide 4 A window Adobe Reader 8 1 0 Setup window automatically appears on desktop after Install Accutome UBM Plus window closed Click Next when the Acrobat Reader 8 1 0 Setup window appears Click Install to start installation Click Finish to complete installation ts 5 Insert the Accutome B Probe into a USB port You can select the USB port in the front of a desktop computer or on the side of a notebook computer
145. pet foo ts Figure 110 Analyze Screen 167 Accutome UBM Plus User Guide Analyze Screen The Analyze Screen contains many features to enhance image diagnostics Analyze Screen Features Upon start of the exam the Accutome UBM launches the Analyze Screen The Analyze Screen displays Exam Information e All Exams drop down list for selecting an existing exam Current View active display of scan sequence e Play Controls for viewing scan film loops e TGC Adjustments Tools Palette including Zoom Controls A Vector Comments Print Image Snap Shot Gamma Adjustments Edit Exam Info e Angle Figure 111 Analyze Screen Layout 168 Patient Image Analysis Analyze Screen Exam Information Displayed above Image Above the Exam Screen s Imaging area is an area that displays some or all of the following fields Probe Frequency Prob Freq e Maximum Probe Signal Depth Max Depth e Medical Record Number MRN Exam Creation Time Date e Facility Facility display can be turned on or off in UBM Plus Setup Options tab Physician Physician display can be turned on or off in UBM Plus Setup Options tab Operator Operator display can be turned on or off in UBM Plus Setup Options tab Current View of stored scanned film loops The default position for exam information fields is at the top left of the screen The information fields that are displayed and the position on the screen where the fields ar
146. played Figure 190 Execute Restore Exams on Local Network HD Figure 191 Restore Activity Figure 192 Exams on Backup Tab Active Figure 193 Overwrite Warning Figure 194 Exams on Destination Restored Exams Folder Figure 195 Remove Selected Exams Figure 196 Removing Exam from Restored Folder Warning Figure 197 Exams on System Accutome Exam Data Folder Figure 198 Free Space on System Figure 199 Information of Media XVII 246 247 248 249 250 251 252 253 254 255 255 256 257 258 259 260 261 262 263 263 264 265 LIST OF TABLES Table 1 Table UBM Computer Specifications cccccecseeseeseeeeseeteeseeeteenees 15 Table 2 UBM Plus Physical Specifications ccecesceeseeseeesceeceeeeeeeeeeeeseeees 270 Table 3 UBM Plus Physical Specifications cccecceseeseeseeeeceeeeeeeeeeeeeeeeeees 271 Table 4 Environmental Specifications cccecescsseesecesceeeceeceeeeeeeeeeeeeeeseeees 272 Table 5 Recommended Computer Specifications ccccesceseeseeeeeteeeseeees 273 Table 6 Operating Mode s cccccssessecseceseceeceseeeceseeeeceseeeeseseeeeeeseeeeecaeeneeaes 274 Table 7 Operating Mode s ccececssessecseseeceeceseeeeceeeeeceseeeeseseeneeeseeneeeneeaeeaes 275 Table 8 Range and ACCULAaCY escecesecesceseeseceseeecesceseceeeeeeeeeeeeeseeaeeeaeeneeaees 275 Table 9 Acoustic Output Reporting Table for Track 1 0 0 0 cece eeeeeeseeteeeeeees 276 XIX All Accutome UBM Plus units are manuf
147. r you are done 41 Accutome UBM Plus User Guide Part II Follow the steps below to turn off the User Account Control UAC of Windows 7 and Vista These steps can be used in both Windows 7 and Vista Note the snapshots were captured form Vista Note UAC is a security feature of Windows 7 and Vista However it interferes with the installation of UBM Plus program and device driver of the USB probe You can turn it back on using the same procedure after you finished the entire installation process Open Control Panel window by clicking Start located on the bottom left corner of the desktop Click Control panel located on the right side of the pop up menu Click User Accounts and Family A siem and Maintenance Safety uapa ampt Apposawy and Pesonsizsdon Dega seresa doud Click User Accounts Parral Cortiuts Pda e pomt orton re or oe Qa Werin Cardipere l erage rere ann Crt ra For Additional Help contact Accutome at 1 800 979 2020 42 Getting Started Installing the Software Windows 7 Windows Vista Click Change User Account Setting Click Turn User Account Control on or off Click Continue on Windows Move the slider down to Never notify needs your permission to to turn UAC off Then click OK continue window Click and uncheck the Use User Account Control UAC to help protect your computer and click OR
148. ra 4 Holding the Anterior Segment Imaging Scleral Shell securely place the shell over the cornea 5 Release the lids 6 Maintain a constant downward force to keep the shell from leaking Note Patients that are squeezing excessively causing the lids to be difficult to open may be asked to look at their toes This action relaxes the lid muscles Note Some Clinicians have reported a better seal between the shell and Sclera by adding a small amount of goinosol or gentile gel to the Flanged base of the Anterior Segment Imaging Scleral Shell 7 Pour sterile saline solution into the shell 8 Place the UBM Plus probe in to the Anterior Segment Imaging Scleral Shell and begin imaging the eye 9 The position of the probe depends on the area of interest WARNING THE PROBE TIP OF THE UBM PLUS IS NEVER TO COME IN CONTACT WITH THE PATIENT S EYE AS IT MAY RESULT INA CORNEAL ABRASION OR SIMILAR TYPE INJURY 136 Performing Exams Initial Exam Screen el 10 The small Accutome symbol located on the probe is the screen orientation marker It indicates the top of the screen in relationship to the probe s position 11 Upon completion of the exam tilt the patient s head to the side and remove the shell The shell should easily pop put not requiring any adjusting or pulling of the eyelids 12 Have tissues in hand to catch the saline solution which will run down the patient s face upon removal of the shell 137 Accutome UBM Plus
149. ready stored patient To load the already stored patient information click on the existing exams drop down window and click on the patient to rescan Once selected click on import info This loads the previously entered data into the Patient Info Exam Info and Exam Setup tables 134 Performing Exams Initial Exam Screen a __ __ S _ _ SSS ss SSF Start Exam After you have completed all necessary fields in the Initial Exam Screen and have made the appropriate selections or selected an already existing Exam click Start Patient Info Edit Exam First Name fcoTtr 4j ExamiD CHEEK SCOTT_2009 74T13 Date of Birth 11 7 1986 wayyy Operator Gender fale J Age 22 ndication of Scan Exam Setup Create Date Time 7 6 2009 1 28 01 PM Scan Group ser Defined bd elevated pressures Protocol Base se Ing OD onty Description Batic Screening cover O only 6 views Probe Info Frequency 48 MHz Detauit Range 32 mm Sweep Angle Senal Number Main Menu Start Exit Figure 87 Starting New Exam 135 Accutome UBM Plus User Guide Use of the Anterior Segment Imaging Scleral Shell The Physician performing the exam will select the appropriate size Scleral Shell 18mm or 20mm to be used during the examination based on the shape and size of the patient s eye 1 Recline the patient 2 Anesthetize both eyes 3 Using your thumb and index finger separate the eye lid exposing the cornea and scle
150. res When the Exams on Backup tab is active there are many additional features available related to the exams in the backup folder Exams On Backup Exams On Destination Exame On System GEORGE _2006 12 16T18 n OMITHJOHN_ Re S SMITHJOIN FR 7006 12 31T HJJ LONG a LONG 2 a VITREOUS BL 000 _27000 11 3T8 am HYPEMA OG 2006 11 9TT3 ate 521 58 MB WES _2007 1 14T23 d exam JOWES_2007 1 14T79 gt 00 wa gt gt gt Restor 7 1 9718 gt gt gt Succe ed exam DOE 2007 10715 gt gt gt Orsk pied 0 00 MG gt gt gt Remo HYPEMA OG 2006 11 IT13 gt gt gt Successtuby restored exam HYPEMA OS 2006 11 tsk space copied 521 57 MB uccessiuby restored all selected crams to specified ser Figure 192 Exams on Backup Tab Active Select All When you execute Select All all patient exams in the restore from folder will be selected for restoration 259 Accutome UBM Plus User Guide Clear All When you execute Clear All all selected exams for restoration will be cleared from the Selected Exams To Be Restored list Total Space Needed The Total Space Needed feature checks the amount of disk space required to restore the selected exams and displays the required disk space Check Conflict The Check Conflict feature will check if there are duplicate names in the Restored Exams folder and the selected exams in the restore from folder Overwrite Old Exams When you activate Ov
151. ription Select Probe screening toot Frequency Oecfault Range Sweep Angle Serial Number import From Exis ng Exams import info sorg Exame Figure 80 Initial Exam Screen with Patient Name 127 Accutome UBM Plus User Guide a in a ese 5 Gender The gender field provides a drop down to select either Male M or Female F as shown in Figure 81 below Gender is not a required entry Position the cursor on the small arrow at the right of the gender field Left click to open the drop down list Position the mouse over the up down arrows at the right of the drop down list Click the mouse to move through gender Select M or F by positioning the mouse cursor and left clicking Indication of Scan The Indication of Scan field in the Patient Info area can be edited with any information related to patient s scan To add information click in the field and type Patient Info r Exam Info First Name BRIAN Exam ID JONES BRIAN_2009 74713 Last Name JONES Facility ACCUTOME MEDICAL CENTER Date of Birth 77101947 Mayyyy Operator BALOWIN BOB Gender Age 62 ndication of Scan Exam Setup Glaucone suspect Create Date Time 7 0009 1 28 01 PM Probe Info gt Description Users hare tali contro of the sca Select Probe r sequence Frequency 40 MHz Default Range 32 mm Sweep Angle 30 Degree Serial Number 08K818 Import From Existing Exams Import Info Main Menu rarang HKJH_ 2609 74112 bd
152. s of anesthetic and air or nitrous oxide Accutome UBM Plus User Guide CAUTION CARDIAC RHYTHM DISTURBANCES DURING PERFUSION STUDIES USING GAS ULTRASOUND CONTRAST AGENTS HAVE BEEN OBSERVED IN THE DIAGNOSTIC RANGE OF MECHANICAL INDEX MI VALUES SEE THE SPECIFIC PACKAGE INSERT FOR THE CONTRAST AGENT BEING USED FOR DETAILS WARNING THE PROBE TIP OF THE UBM PLUS IS NEVER TO COME IN CONTACT WITH THE PATIENT S EYE AS IT MAY RESULT INA CORNEAL ABRASION OR SIMILAR TYPE INJURY WARNING SELECTING THE WRONG TISSUE MATERIAL WILL RESULT IN SERIOUS MEASUREMENT ERRORS WARNING OPERATING OR STORING THE DEVICE BEYOND THE ENVIRONMENTAL RANGES IN THE SPECIFICATIONS CHAPTER MAY RESULT IN ERRONEOUS READINGS AND OR PREMATURE FAILURE OF THE DEVICE 12 Safety Safety Precautions Avoiding Electromagnetic and Other Interference Do not use a cellular telephone and other devices not complying with EMC Class B requirements as its signals may cause the equipment to malfunction The effect of radio signals on medical devices is dependent on various factors and therefore unpredictable To avoid electromagnetic interference the device must be installed and put into operation in accordance with the user manual and using the components supplied by Accutome WARNING THE USE OF ACCESSORIES TRANSDUCERS AND CABLES OTHER THAN THOSE SPECIFIED BY THE MANUFACTURER MAY RESULT IN INCREASED EMISSIONS OR DECREASED IMMUNITY OF THE UBM PLUS WARNING T
153. s on Disc 0 08 MB gt gt gt Using System defaut path DVOCO Device LocatMetwork HO gt gt gt Checking dir E Program Fites Accitoene Exam Date gt gt gt Using path difined by s eAppOptions ox amPat gt gt gt GvdBackupPam E Program Filet AccutomeExam Neckhing Gr E 1Program Fies Accutoese Exem Osta Seitec Folder macn Ot idet o A We can not fing Accutome exanes in the regular er se Select Folder button to select source Av abahie E sams Main Menu Figure 184 Selecting the Local Net Hard Disk Restore Tools 252 Archive and Restore Restore Local Network Hard Drive 3 The Local Network HD tools will be displayed as shown in Figure 185 below Exams On Backup Exams On Destination Exams On System 5 GEORGE_200 MITHJOHN_RE a SMITH JOMN_RSE a LONG 2007 1 7T171 ALONG 2007 17717 a a VITREOUS BLOOD 7006 11 37 gt gt gt Catcuste Exam DO OERAL gt gt gt Cafcuste Exam HYPEMA OS 200641713 gt gt gt Total required disk space 521 58 MB gt gt gt Restoring aram JONES 14472 gt gt gt Guccessdully restored exes JONES 2007 1 44T29 gt gt gt Disk spece copied 0 60 MB gt storing exam DOE _2007 1 9T 18 Stared Caves cewmully restored exam OOF 2007 19718 Disk space copied 0 ME gt gt gt Restoring exam HYPEMA OS _2006 11 JT13 gt gt gt Guccesefully restored exam WYPEMA OB 2006 11 77193 gt gt gt Disk space copied 571 57 MB Successfully restored af selected exams to specified fos
154. s that are created during UBM setup Refer to Chapter 4 Setup for further information Patient Info f Exam Info First Name j Exam ID Gender p Age Indication of Scan Exam Setup Create Date Time 6 90 2009 1 35 15 PM Scan Group Description vocal arial hortromtal anai scan used a screening boo Probe Info Select Probe 12MHz 0 Frequency 12 15 MHz Default Range 64 452 mm Sweep Angie 60 Degree Serial Number oece25 import From Existing Exams import Info Main Menu Se a Exit Figure 7 New Exam Info Screen 51 Accutome UBM Plus User Guide 2 Enter information in data fields by clicking in each field and typing accordingly In Figure 8 below the First Name field has just been completed To move from one field to another you may use the Tab Key on your computer keyboard Patient Info r Eam Info First Name Ezan ID Lest Nome Facility WIM Physician SMITH WILLIAM Oate of Birth mMayyyy Operator BALOWIN BOB Gender Age Indication of Scan Exam Setup Create DateTime Scan Group Eser Defined B Probe In Frequency Default Range Sweep Angle Serie Number import From Existing Exams import info Borno Esam Til iis Figure 8 Entering New Patient Information 52 Getting Started Basic Operation 3 The Patient Name must be entered to proceed to the next screen Select the First Name field and enter the Patient First Name 4
155. se Near Flammable Gasses Type B Medical Device m Type II Insulation A Disposal of Product within the EU Disposal Requirements The B Scan Plus contains electronic components At the end of its useful life it must be properly disposed of incompliance with local regulations Disposal of the Product within the EU EU directives and national regulations currently in force at the time of marketing prohibit the disposal of the UBM Plus specified on the delivery note in domestic waste or by municipal waste disposal companies If the UBM Plus or its components are resold the seller has the duty to notify the buyer that the product must be disposed of in compliance with local regulations Safety Precautions and Disinfection WARNING DO NOT IMMERSE THE PROBE TIP IN TAP WA TER AS THE FLUORIDE CAN DAMAGE THE CRYSTAL WARNING DO NOT AUTOCLAVE 8 Safety Safety Precautions Cleaning and Disinfection Issues are confined to the probe tip and the anterior segment sclera shell that comes in contact with the patient s eye In order to prevent the transmission of disease refer to the OSHA and CDC guidelines for proper control of disinfection These guidelines are frequently updated so be sure to contact OSHA CDC or your local disease control for the latest information and disinfection technique Cleaning and Disinfection of Sclera Shells The recommended cleaning and disinfection technique of the Sclera shell is to soak the shell for 10 m
156. se the mouse to drag the slide bar For Additional Help contact Accutome at 1 800 979 2020 28 Getting Started Installing the Software SSS Sel e To look at the next view click on Stop and then click on view e To do Measurement on the images Line 1 is defaulted 1 Hold down left click on the mouse from the starting point then drag to ending point and release 2 You can now change velocity by clicking the box next to velocity and changing the number e For Line 2 click on Line 2 e To circle images click on Area Install Example Exams OPTIONAL e Insert the installation disk into the CD ROM drive Preparing to Install will appear automatically Click Cancel and stop the installation process Open My Computer window by clicking on Start located on the bottom left comer of the window Click My Computer located on the right side of the pop up menu Right click the UBM Install icon CD ROM drive and select Open Double clicking on Example Exams folder in the win dow UBM Install to show folder contains To extract the exam by double clicking on the file Test Exams zip and a folder named HYPEMA OS_2006 11 3T13 appears in the window Double clicking on the folder icon called Accutome on the desktop then double clicking on Exam Data folder in the Accutome window appears in desktop Drag the folder HYPEMA OS_2006 11 3T13 in Test Exams
157. ser LocaliMetwork HD F igure 185 Local Network HD Restore Tools Active 253 Accutome UBM Plus User Guide D Selecting the Folder for Restoring Exams Before you can restore selected exams you need to locate the folder from which they will be restored 1 Click on Select Folder as shown in Figure 186 below 2007 1 414723 2007 15718 YPEMA OG 2900 11371 ume Eran DOC 200 t Exa HYPEMA OS D0071 am JONES _2007 1 14T23 Restore Exarrs From Bechup On Hard Disk space copied 0 00 my exam HYPEMA OG_2006 11 essay restored exam WYPEMA i The Folde gt gt gt Disk space copied 521 57 MO gt gt gt SuccesshMy restored al selected exam to spectied tokter Main Menu Figure 186 Launching Select Folder for Restoration 254 Archive and Restore Restore Local Network Hard Drive 2 After you execute Select Folder the UBM Plus will launch a Windows browser shown in Figure 187 below Hirowse for folder y E s PEP Cc E Se PRESARIO AP D WS ROO 17 51 0 DF Corira tarni E LD Swed Doomerts E D Cp Ataa Danmarnte Figure 187 Windows Browser 3 Browse the local and network drives and folders until you locate the folder from which you would like to restore exams Browse for folder 7 D Domens and Settings a BT taone UO CAN DS O Some pow 1216718 L Lona _2007 1 7T17 Dion poor O ATK Xe PS 1S 20061231T ED SHI MePi_A51G25_2008 12 31T1 VITREOUS 1 000 200
158. ser and allows you to select the folder from which you would like to restore exams 264 Archive and Restore Additional Restore Features SSCS Information of Media When you select Information of Media the Accutome UBM Plus displays information about the DVD CD in the device drive including disc size date the number of sessions amount of space remaining in the disc etc as shown in Figure 199 below Restore Exam om Backup Exams On Backup Exams On Destination Exams On System a CAMNANANCY 2006 0 6T9 Media Info gt gt gt Vomene Label of Disc W 7 2007 17 91 Des On Fokter Fer Restored Exarrrs gt gt gt tember of sessions on disc 1 gt gt gt Data ori Disc 160 05 MB gt gt gt Using System Getacm pam gt gt gt Checking dir E Program Fies Accutome 1 am Osta gt Th s media ts Accutome Backup dsc gt gt gt Found Disc ti Drive gt gt gt Disc in Orive type COR gt gt Vome L 772007 17 31 gt gt gt Checking dir E Program FlesiAtcutome E xam Osta gt gt gt Thee medio t Accutome Backup dsc Figure 199 Information of Media Eject Eject will automatically eject the DVD CD from the computer drive Load The Load feature closes the DVD CD drive drawer if the computer system has this feature 265 Accutome UBM Plus User Guide Abort The Abort function stops disc process of restoration or loading Available Exams The Available Exams function lists a
159. splayed Figure 124 Linear Full Range Gamma Setting Figure 125 S Curve Full Range Gamma Setting Figure 126 Log Full Range Gamma Setting Figure 127 Color Gamma Setting Figure 128 Selecting a New Gamma Setting Figure 129 Zoom Selected Figure 130 Zoom Changed Figure 131 Image Move Icon Figure 132 Line 1 Measurement Selected Figure 133 Line 1 Measurement Displayed Figure 134 Area 1 Measurement Selected Figure 135 Area 1 Measurement Displayed Figure 136 Selecting Angle Tab Figure 137 Positioning the Angle Cursor Figure 68 Physician Name Entered Figure 138 Angle Vertex Figure 139 Example of Iris Angle Figure 140 Selecting Show A Vector XVI UBM Plus User Guide 160 161 162 163 166 167 168 172 173 175 175 176 177 178 179 180 181 182 184 186 187 188 189 190 191 192 193 194 196 197 198 199 200 114 201 202 203 Contents Figure 141 A Vector Displayed Figure 142 Selecting Comments on Image Figure 143 Entering Comments Figure 144 Comments Appearing on Image Figure 145 Printing a Frame Figure 146 Selecting Reports Tool Figure 147 Selecting Snapshot List Figure 148 Deleting a Selected Snapshot from List Figure 149 Confirming Snapshot Deletion Figure 150 Executing Manage Reports Figure 151 Creating a New Report Figure 152 Report Form Figure 153 Selecting Snapshots Figure 154 Pop Up Windows Figure 155 Inserting Selected Snapshots Figure 156 Saving a Patient Report Figure 157 Select
160. stop the probe The choices are e Probe Button e Footpedal Both To choose a start stop option simply click the radio button beside the appropriate selection The default setting is Both Note When configuring the software it is recommended that the default setting of both be used allowing the user to start stop the probe in multiple ways Accutome recommends using the footpedal to activate and freeze the probe Power The Power selection allows you to adjust the power level of the signal through the UBM probe The power level is indicated by a number a percentage from 0 to 100 located beneath the label Power and by the location of the adjustment arrow on the scale To adjust the power select the arrow indicator and slide as shown in Figure 55 below until you reach the appropriate value Main Cu Restored B Patent B Sian Date System Defaults System Defaums Cine Render Comtrot Deke yfmsac Save Restore Figure 55 Adjusting the Power Level Cancel 101 Accutome UBM Plus User Guide a a ee ie ee System Defaults When you select System Defaults in the Probe Control area all probe settings will return to the default settings Info On Images The Info on Images selections allow you to choose what information is displayed on patient images and the position of the measured data The options are e Info to Show e Measured Data Position Info to Show The following fields are availa
161. store Screen Not only can you archive patient exams with the Accutome UBM Plus but you can also restore them to your computer for analysis and reporting The Restore screen is represented by a tab on the main Archive screen To access the Restore screen click on the Restore tab as shown in Figure 175 below SPRY 2007 1671 ALSON O7 t P6T13 BROWN 2007 17715 LONG 2007 1 7T GROVE JASPER B SMTHJOHN 20 EE PS ose CDIOVD Recordable Mecia LocalNet Hard Disk gt gt Drive ts Burner Trie ve can Write on COR True Backup To COVE ot databe Mr tha ve can Vite on OVD R F True und Desc in Orive of Disc COR Y Ver Kable Patsa gt gt gt Disc is Erasable False thes p gt gt gt Volume Label of Desc is 1 Paamber of sestions on dh B Save Reports Only tal Capacity of Disc is 1 ree Space available on Disc is 6 00 MB te om Oisc 168 05 MB ystem Exam Osta der C Program Fies AccuomeE xram Osta Wrting Speec Main Menu Figure 175 Selecting the Restore Screen 242 Archive and Restore Restore Screen ee The Accutome UBM Plus will launch the Restore screen shown below On this screen you can select and restore multiple patient exams from a CD or DVD You can also restore selected exams from a location on your computer or network The Restore Screen is divided into four major sections 1 Restore Exams Palette three tabs when selected display exams selected on backup exams on destination and exams on system 2 Exams
162. stored facilities Once you see the facility you want to select position the mouse cursor over the facility and left click The selected facility will fill in the facility field Patient Info f Exam Info First Name BRIAN Exam iO JONES BRIAN_2009 7 6T13 Last Name pones Facility Physician ony HARVARD VANGUARD Date of Birth rion 47 won Operator REUVEN RUDICH MD VISION RETINAL INSTITUTE Gender C Age 62 UCONN HEALTH CENTER Indication of Scan p Exam wey pe Giaucone suspect Create DatelT COLORADO RETINA ASSOCIATES ATHENS EYE DOCTORS AND PHYS THE NEW ENGLAND COLLEGE OF O GENERAL HOSPITAL MEDICAL Protocol JUNOEFINED Scan Group f Probe Info UNOEFINED 1 Description Users have TUE control oF the scan Select Probe HOMHZ USM sequence Frequency 48 MHz Default Range 32 mm Sweep Angie 30 Degree Serial Number 00K018 import From Existing Exams import Info Main Menu Start Sorting Exams A Enn Figure 82 Selecting Facility 130 Performing Exams Initial Exam Screen O _ _ _ SSeS sss a7 Physician In the Physician field you can select the physician for the Patient Exam by selecting the name from the drop down list Physician names are entered in the UBM Setup Refer to Chapter 4 of this manual Position the cursor on the small arrow at the right of the physician field Left click to open the drop down list Position the mouse over the up down arrows at the
163. t 90 Save 91 Restore 91 Options 92 Folders of Exams 93 Main Folder 93 Restored Folder 95 Exam Name Combination 97 Probe Control 98 Frequency 98 Depth 99 Cine Buffer 100 Start Stop 101 Power 101 System Defaults 102 Info On Images 102 Info to Show 102 Measurement Data Position 102 File and Print 103 Show Name on Snapshot Filename 103 IV Contents D Print Format 103 Image Controls 104 TGC 105 Gamma Settings 106 Preset Gamma 106 Contrast 107 Brightness 107 Gain 108 Adjusting the Gain 108 Image Controls System Defaults 110 Reset All to Defaults 111 Save 111 Restore 112 Exiting Setup 112 Physicians 113 How to Add a New Physician 113 Deleting Physicians 115 Set Selected Physician as Default 116 Save 116 Restore 116 Users 117 How to Add a New Users 117 Deleting Users 119 Set Selected User as Default 120 Save 120 Restore 120 Overview 122 Exam Steps 122 PERFORMING EXAMS 122 How to Start a New Exam 123 No Probe Found 123 Initial Exam Screen 124 Entering Information on Initial Exam Screen 125 Entering Data 125 Moving Between Fields 125 Selecting Items from a Drop Down List 125 Patient Info 126 v Accutome UBM Plus User Guide Required Fields 126 First Name 126 Last Name 126 Medical Record Number 126 Date of Birth 126 Gender 128 Indication of Scan 128 Probe Info 129 Frequency 129 Default Range 129 Gain 129 Sweep Angle 129 Serial Number 129 Exam Info 130 Exam ID 130 Facility 130 Physician 131 Operator
164. t Accutome at 1 800 979 2020 34 Getting Started Installing the Software Installation Phase Two 1 U A window Welcome to Setup Click I Accept Agreement Follow the steps below to install the Accutome UBM Plus application Insert the installation disk into the CD ROM drive and close all other remaining open applications Click on Run setup exe in the AutoPlay pop up window and Preparing to Install window appears on desktop which may take up to a minute If the install does not automatically begin open My Computer Double click on the UBM Install icon Double click on Setup It will take several seconds to unpack the installation package Advance through the windows by clicking Next When the window of Welcome to the InstallShield Wizard for Accutome UBM appears click Next Click I accept the terms in the license agreement when the License Agreement window appears Click Next Click Install After UBM Plus application files are copied onto your computer a few icons will appears on your desktop foe DirectX window will appear on desktop at this time If it does not appear automatically Double click on the icon Launch DXSETUP exe on the desktop to install Microsoft DirectX 9 0 manually Click Next Click Next to start installation of Direct X Click Finish to complete installation Direct X
165. t Report 223 O ARCHIVE amp RESTORE Overview The Accutome UBM Plus makes archiving and restoring patient exams and their film loops an easy process Using the Archive function you can manage all exam file functions burn exam film loops to a CD DVD or backup exam film loops on a local or network hard drive You can also load patient exams from discs acquire disc information verify burn or backup and store reports only not entire patient exam To access the archive function click on the Archive button in the Accutome UBM Plus main window as shown in Figure 157 below New Exam Existing x ACCUTOME Figure 157 Selecting Archive 224 Archive and Restore SCC Archive Screen The Accutome UBM Plus will launch the Archive screen shown below with two tabs Backup and Restore The default is Backup On this screen you can select multiple patient exams and burn them to a CD or DVD You can also backup selected exams to a location your computer or network The Archive Screen is divided into four major sections 1 Exams on the System displays all available exams 2 Exams to Be Archived after selecting exams for burning to a CD DVD or for backup they will be displayed in this area 3 Process Information Area provides live feedback as text for any selected archive activity When you first start the Archive function this area displays information about the CD DVD drive and disc 4 Tool Palettes contains tools for che
166. t select the Gamma tab from the tools palette With the Gamma tab displayed position the cursor on the small arrow at the right of the gamma field Left click to open the drop down list as shown in Figure 127 below Position the mouse over the up down arrows at the right of the drop down list Click the mouse to move through gamma list Once you see the gamma setting you want to select position the mouse cursor over the setting and left click The selected gamma will adjust the image on the screen Once you have selected the new gamma setting you can further adjust the Contrast and Brightness settings by dragging the indicator and viewing the results on the screen Higher contrast enhances denser tissue lower contrast enhances lower density tissue such as vitreous membrane Guopped Doom frame O6411t Ves SDO Cesse HDODETE Avceeeed PISODOS PPS St Figure 128 Selecting a New Gamma Setting 190 Patient Image Analysis Image Enhancement Gammas How to Use Zoom To access the Zoom feature click on the Tools tab from the Tools palette The zoom feature allows you to zoom in on a selected patient image Zoom proportionally expands the image and fills the UBM screen Zoom has preset values that increment by steps of 2 from 1 2 to 8 e g 1 1 2 1 4 1 6 1 8 2 0 etc up to 7 99 To use the Zoom feature 1 Click the Zoom selection 2 Continue clicking until the image is zoomed at the appropriate level m Button _
167. terference and 2 this device must accept any interference received including interference that may cause undesired operation CAUTION Changes or modifications not expressly approved by Accutome Ultrasound Inc could void the FCC compliance and negate your authority to operate the product Authorized Representative in Europe for regulatory affairs only EMERGO EUROPE Molenstraat 15 EC 2513 BH The Hague 0086 The Netherlands CONTENTS INTRODUCTION Features Adjustable TGC Curves Gamma Settings Gain Adjustment Automatic Image Orientation Labeling Image Playback Measurements Patient Data Storage and Retrieval Reports and Printouts Components About this Manual Safety Information Safety Issues to Consider When Using the Accutome UBM Plus Indications for Use SAFETY Symbol Definitions for the Accutome UBM Plus Disposal Requirements Disposal of the Product within the EU Safety Precautions and Disinfection Cleaning and Disinfection Cleaning and Disinfection of Sclera Shells Cleaning of Probe Disinfection of Probe SCOUWDOMAmA MA ATIANANIN AP WWWWNHNNNNN ND Electrical Hazard and Safety 11 Avoiding Equipment Damage 11 Assembling the Accutome UBM Plus 14 What you need 14 GETTING STARTED 14 PC 15 Table UBM Computer Specifications 15 Probe 15 Anterior Segment Imaging Scleral Shell 15 II Contents D Printer 15 Footswitch 16 Installation Phase One 16 Installation Phase Two 21 Quick Start User
168. teristics of the optional 12 5 MHz B Scan Plus Probe Please consult the B Scan Plus operator s manual before making any changes to this setting r Folders Of Exams Main C Accutome Exam C Restored info on images nfo e Hight G8 Scan Date Default System Defaults y Gamma Preset Gamma Cine Render Control pee O Ivtrimse Save Restore Cancel Figure 53 Selecting Probe Depth 99 Accutome UBM Plus User Guide ee a ee et Cine Buffer The Cine Buffer is the length of time data is stored for each acquired image For example with a setting of 8 5 seconds the last 8 5 seconds of the film loop is saved as the scanned image The cine buffer options are 4 5 sec 8 5 sec e 17 sec 34 sec The default cine buffer is 8 5 sec To change the cine buffer select the appropriate value from the drop down list located at the right of the Cine Buffer field as shown in Figure 54 below Folders Of Exams Main tome E Select Reset Restored C ns Select Reset Exam Namo Combinations Info on Images Snapshot Print m Facity Osta eS ey A m Prysictan Position m User ote Patient Right Scan Date B UBM Mode I aac ee System Defoults sec pimace Comit see TOC Gamma Nea Rares Piva a OEE Midde Range Restore Cancel Done Figure 54 Selecting Probe Cine Buffer 100 Setup Options Start Stop The Start Stop selection allows you to choose the method to start
169. the letter S The brightness response differs from Linear and Log in that the image contains a higher contrast for mid range signals Figure 125 below displays an example of a UBM Plus image with a S Curve Grey Scale gamma setting ee SE SE SE Be Teppet De Fee opm View GOODE Ciest SIAO Arteriet JTAGOOE FPR OF Figure 125 S Curve Full Range Gamma Setting 187 Accutome UBM Plus User Guide Log Grey Scale The Log gamma settings stands for Logarithm and the ultrasound response curve can be represented as conventional logarithmic curve whose brightness response differs from the linear algorithm The image represented by the Log gamma produces higher contrast for weaker signals Figure 126 below displays an example of a UBM image with a Log Grey Scale gamma setting au Sunes fie ercan Report Deer 2 Arese G6OT2E Vie CO2NOS Ceska 1080008 Aiomsed WTEDOOD PPG OT Figure 126 Log Full Range Gamma Setting 188 Patient Image Analysis Image Enhancement Gammas ee Color The color gamma setting allows you to view the image in color The color setting can be advantageous in seeing any abnormalities that may not easily be seen in the other greyscale gamma settings ta ee So SS SE SEI a Rescan Ghppet Boom Preme PSone View PODOS Crested 8282008 Anceseem STEQOUS PPE OT Figure 127 Color Gamma Setting 189 Accutome UBM Plus User Guide Changing Gamma Settings To change the gamma setting you must firs
170. the up down arrows at the right of the drop down lists Click the mouse to move through stored Scan Group and Protocols Once you see the Scan Group and Protocol you want to select position the mouse cursor over the Scan Group and Protocol and left click The selected Scan Group and Protocol will fill in the Scan Group and Protocol field Patient Info _ Exam Info First Name SCOTT Exam iO Last Mame CHEEK Facility J Prices Date or in 1171988 wey operntor Gender Age indication of Scan Exam Setup Create Date Time Ce a a Protocol Probe Into AA Dr Ore ana besicscan Description Or Russell traditional technique elevated pressures Frequency Sutcus to Sulcus Measurement Default Range Or Oretiana basicscan t Or Fishman OO TG MV 006 OD TG MV 006 OS Basic Screening OO only Basic Screening OS onty enport From Existing Exams import info Free Scant pax OEM JOL_2000 5 4T PPO C LAB SEQUENCE OD Sorting Exams Py F atrai First PPO C ullresound lad sequenceOS Sweep Angie Serisi Number Figure 11 Selecting Scan Group and Protocol 55 Accutome UBM Plus User Guide 9 Click on the Start button located at the bottom right of the Patient Exam Info Screen Patient Info Exam Info First Name Exam iO CHEEK SCOTT_2009 4 30T13 Last Name Facility eS LY Lk a Date of Berth 11 7 1006 mwayyyy Operator Fi Cender Age 2
171. tion 7 We recommend that you install the driver on at least two USB ports either on the front of a desktop PC or on the side of a notebook PC in the event one port is already being used by another device Be sure to unplug the probe from the current USB port and insert it into the other USB port 8 Repeat the steps under step 4 a b and c Unplug the probe and eject the installation CD from the CD DVD drive Reboot your machine by Clicking on Start Click Turn Off Computer Select Restart then click on OK After the machine restarts login if necessary to your account Wait until the desktop appears then plug the probe into the USB port you activated earlier Wait 10 seconds after connecting the B Probe You can either read the user guide by double clicking the icon Launch UBM Plus User Guide on the desktop or double click the Launch Accutome UBM exe icon on the desktop to start the program QUICK START USER GUIDE FOR ACCUTOME UBM PLUS If Setup is already done then skips to step II Click on Set Up e Click the Facilities tab and enter Facility information e Click the Users tab and enter all Users e Click the Sequences tab and enter screening sequences for pre set scanning For Additional Help contact Accutome at 1 800 979 2020 27 Accutome UBM Plus User Guide i eeeeeeeCis e Click the Options tab and select Exam Name Combinations then set Gain e C
172. tional Archive Features The Archive function provides many other additional features that allow you to gather information about disc size and operation allows you to manage exams and to load exams from discs Delete Selected Exams After you have archived patient exams you may want to delete them to free up computer disk space The Delete Selected Exams function allows you to permanently remove a patient exam To delete selected exams 1 Select the exam s you would like to delete see the Selecting Patient Exams section of this manual 2 Click on Delete Selected Exams as shown in Figure 171 below ee COP mga Pees Animi an Der Figure 171 Delete Selected Exams 237 Accutome UBM Plus User Guide SSCS 3 The Accutome UBM Plus will issue a warning shown in Figure 172 below about deleting the file Click on Yes if you would like to permanently delete the file Click No or Cancel if you would like to terminate the delete process Marag tee yee pi prs Siecdird emi sA be removed trom the sem PERWEOMY I Contras dietro these tams w Cn Cem Figure 172 Deleting Exam Warning Disc Tool Features There are many features in the CD DVD tab of the tools palette that are informational and perform disc operations Save Reports Only The Save Reports Only function when selected will burn only the reports to the CD DVD Erase Disc The Erase Disc function erases all inf
173. tment 105 Accutome UBM Plus User Guide ee Gamma Settings The Gamma portion of the Image Controls Setup allows you to choose a preset gamma for scanning and to adjust the brightness and contrast for captured images Preset Gamma Adjusting gamma settings make certain parts of the scanned image brighter and others less bright There are 12 preset gamma settings Linear Full Range e S Curve Full Range Log Full Range e Color The default gamma setting is S Curve Full Range To change the gamma preset select the appropriate value from the drop down list located at the right of the depth field as shown in Figure 58 below Folders Of Exams Main C Ac ome E xam D Select Reset Restored C Vc amo Re i Selec Rese info on Images Snaoshot Print info to Snow Messed B Facaty Data B Prysk Posion n User Patent B Se Len Riyhi Power 100 EE stem Default System Oefaults c lnaae Controis Gamma Mea Range Preset Gemma Midde Runge Save Restore Cancel Figure 58 Selecting a Preset Gamma 106 Setup Options Contrast You can adjust the contrast between light and dark areas of the scanned image capture by dragging the slide indicator as shown in Figure 59 below Brightness You can adjust the brightness of the scanned image capture by dragging the slide indicator as shown in Figure 59 below Figure 60 on the next page displays the changes made to image controls and th
174. to generate reports 46 Getting Started Installing the Software ee Probe The Accutome UBM Plus probe is an integral component of the Accutome UBM Plus product The probe is easily installed by connecting the end of the cable into the UBM s computer USB port The marker at the top of the probe is easily aligned with eye tissues during scanning and the start stop button makes operation simple Image scanning can also be started or stopped with the foot switch Note You cannot acquire image scans with the Accutome UBM Plus product without the Accutome probe Start Stop Button Marker Figure 2 Accutome UBM Plus Probe Note The Accutome UBM Plus probe has been designed to be used with an Anterior Segment Imaging Scleral Shell 47 Accutome UBM Plus User Guide Figure 3 Accutome Anterior Segment Imaging Scleral Shells 18mm and 20mm Footswitch Setup The footswitch provided with the Accutome UBM Plus can be used to start and stop scanning The footswitch is simple to install plug the end of the foot switch cable into an unused USB port on the computer running the Accutome UBM Plus Figure 4 Accutome UBM Plus Footswitch 48 Getting Started Installing the Software Basic Operation The basic operation of the Accutome UBM Plus consists of the following steps Turn on the UBM Plus computer 2 Start the Accutome program refer to Starting Accutome UBM Plus Program below 3 Start a new
175. tocol 134 Figure 87 Starting New Exam 135 Figure 88 Exam Screen Layout 138 Figure 89 Probe tab 140 Figure 90 TGC Adjustments Tab Selected 141 Figure 91 Gamma Adjustments Tab Selected 142 Figure 92 Cine Adjustments Play Tab Selected 142 Figure 93 Tool Tab 143 Figure 94 Edit Exam Information Window 145 Figure 95 Probe Operation 148 Figure 96 Eye and Probe Marker Alignment 149 Figure 97 New Exam with Selected Protocol First Scan Complete 153 Figure 98 New Exam No Protocol First Scan Selected 154 Figure 99 New Exam First Scan Complete 154 Figure 100 New Exam Second Scan Complete 155 Figure 101 Adding a View 156 Figure 102 Adjusting Gainz 157 Figure 103 Changing a View Probe Position 158 Figure 104 Changing a View Slice Position 159 XV List of Figures Figure 105 Changing a View Global Orbit Figure 106 Changing a View Done Figure 107 Selecting a Show A Vector Figure 108 A Vector Displayed Figure 109 Starting Existing Exam Figure 110 Analyze Screen Figure 111 Analyze Screen Layout Figure 112 Selecting a Patient Exam Figure 113 Existing Exam Displayed Figure 114 Edit Exam Information Window Figure 115 Restore Exam Information Dialog Figure 116 Cancel Exam Information Dialog Figure 117 Exams Tab Figure 118 Starting Scan Play Figure 119 Scan Stopped and Returned to Beginning Figure 120 Pausing the Scan Film Loop Figure 121 laying the Scan Film Loop Forward Figure 122 Playing the Scan Film Backward Figure 123 TGC Adjustments Di
176. tor field Patient Info r Exam Info First Name BRIAN Exam ID Last Name ES Fac ry ACCUTOME MEDICAL es Date of Girth 7 10 1947 Mayr Operator Gender Age lauu Lesne Indicaton of Scan p Exam SetugUnOerineo RUSSELL GClaucona suspect Create DateT A SSALONE KIM Scan Group OARRA iga Protocol AU Probe Info SMITH ZACHARY Select Probe ra Description THOMPSON RUSSELL Frequency Default Range Sweep Angie Sere Number import into Main Menu Exit Figure 84 Selecting Operator 132 Performing Exams Initial Exam Screen Exam Setup The Exam Setup area displays information relating to the date and time the current exam was created and provides selections for exam scan groups protocols and a field for describing the selected protocol Create Date Time The Create Date Time field displays the time stamp created by the Accutome UBM Plus for the time that the current patient exam was started Scan Group The UBM Plus provides the ability to set up Imaging Sequence protocols and select the protocols for exams The setup protocols become User Defined When you are selecting a Scan Group you have the option to either select User Defined or System Defaults If you would like to run a customized protocol you must select User Defined Patient Info Exam Info First Name BRIAN Exam iD Last Name PORES Paciny Physician JGMITH WILLIAM Date of Birth frr0rss7 wmayyyy Operat
177. tween the retinal surface and hyaloid membrane can be brought into sharp relief There are 4 gamma settings and each setting is intended to facilitate viewing different portions of the eye Gamma can be adjusted in the live Exam Screen or later on an existing image in the Analyze Screen The 4 gamma settings are e Linear Grey Scale e S Curve Grey Scale e Log Grey Scale e Color 185 Accutome UBM Plus User Guide Linear Grey Scale The Linear gamma represents a standard processing algorithm Linear describes a greyscale representation of a UBM Plus echogram in which the brightness represented on the screen is directly proportional to the strength of the ultrasonic echo Therefore an ophthalmic structure which reflects the maximum echo would be represented as pure white while no echo would be represented as pure black and echoes in between would be represented proportionally as shades of gray directly proportional to the strength of the ultrasonic echo Figure 124 below displays an example of a UBM Plus image with a Linear Grey Scale gamma setting wacana tus p OLODE ESAE 1a i Caren vos J000 Dippet Teen 2 Peme eoi View C0208 Cea DOOO0oe Aromat WIETOES PPE 61 Figure 124 Linear Full Range Gamma Setting 186 Patient Image Analysis Image Enhancement Gammas S Curve Grey Scale The S Curve gamma represents a signal to brightness response which when plotted would result in a curve resembling the shape of
178. ug In a valid Accutome probe and Start the program again to perform live scans L o Figure 78 No Probe Found Message 123 Accutome UBM Plus User Guide Initial Exam Screen Upon starting a new exam by selecting New Exam from the main Accutome UBM Plus Screen the Accutome UBM Plus launches the Initial Exam Screen shown in Figure 79 below On this screen you start a new patient exam by entering Patient data and making appropriate selections for the new patient The screen is divided into the following areas e Patient Info requires you to enter current patient data e Probe Info displays the current probe operational specifications e Exam Info displays the Exam ID generated by the Accutome UBM Plus and provides selections for facility physician and operator e Exam Setup displays exam creation date and time and provides selections for the exam to be performed You may select an existing patient by choosing Import from Existing Exam l patient nto A T Exam Info First Name l Exam i0 LastName SS il Facility el a 4 O aaa Opener Gencer Age IL aie indication of Scan Exam Setup ________ _ Create Date Time i men Scan Group Psar Defined e I F Probe Infe ons S ee Description k Frequency Default Range Sweep Angle Serial Number a e a S ee _ _ _ import From Existing Exams impon Into Main Menu torang Er
179. uide A Vector The A Vector function displays an equivalent A Scan of the captured UBM Plus image Looking at the A Vector you can get a graphical picture of the echoes received back through the eye from the ultrasonic probe The echoes are represented as spikes arising from the baseline and indicate the sound beam travelling through the different intraocular tissues To activate the A Vector 1 Select Show A Vector from the Tools tab as shown in Figure 107 below gl to o0 asui Tane os weer ue meas ee sozat Figure 107 Selecting a Show A Vector 162 Performing Exams A Vector a 2 The A Vector will be displayed under the live image as shown in Figure 108 below To close the A Vector select Hide A Vector 3 Below the Show A vector button is a button that allows you to toggle between 1X and 2X amplification of the A vector This can be of particular use when used for tissue differentatin Selecting that will allow you to dabble between A vector 1X Amplitude or A vector 2X Amplitude w w Figure 108 A Vector Displayed 163 Accutome UBM Plus User Guide Completing Patient Exam After you have completed the patient exam you have several choices to exit the screen Main Menu The Main Menu selection will return to the Accutome UBM Plus main screen New Exam The New Exam selection will close the current patient exam and return you to the Initial Exam Screen s
180. xam Info Menu Buttons Selecting an Existing Exam How to Edit Exam Info Drop Down Lists Text Fields Restore Cancel Done Exams Playing an Exam Stopping an Exam Pause Forward Backward TGC Adjustment How to Adjust the TGC Image Enhancement Gammas Linear Grey Scale S Curve Grey Scale Log Grey Scale Color Changing Gamma Settings How to Use Zoom Reset Zoom How to Move Image How to Take a Measurement on an Existing Image Vill UBM Plus User Guide 168 169 169 169 170 170 170 170 170 170 171 171 172 174 174 174 175 176 176 177 178 179 180 181 182 183 183 185 186 187 188 189 190 191 192 193 194 Contents Measurement Types Taking Distance Measurements Taking Area Measurements Delete Current Taking Angle Measurement A Vector Comments on Image Overview Printing Images PRINTING IMAGES amp REPORTS How to Print an Image Selecting Patient Exam Selecting a Frame Adjusting Images Executing Print Creating Reports Selecting Patient Exam Capturing Snapshots Reports Tool Snapshot List Deleting Snapshots Executing Manage Reports Create a New Report Report Form Selecting Snapshots Pop Up Windows Inserting Selected Snapshots Alternate Method for Selecting amp Inserting Snapshots Print or Save Report Overview ARCHIVE amp RESTORE Archive Screen Archive to CD or DVD Selecting Patient Exams Selecting Individual Exams IX 194 194 196 198 199 203 205 208 208 208 209 209 209 2
181. xames Figure 195 Remove Selected Exams 262 Archive and Restore Additional Restore Features 3 The Accutome UBM Plus will issue a warning shown in Figure 196 below about deleting the file Click on Yes if you would like to permanently delete the file Click No or Cancel if you would like to terminate the delete process tn room Restored Foldei WARRIPGG Selected esus wl be REMOVED Hrom fokier PERMANENTI Y1 DA wart ta remore tham we i mm arent Figure 196 Removing Exam from Restored Folder Warning Exams on System The Exams On System tab when active displays all the exams in the Accutome UBM Plus Exam Data folder The list can be useful in determining which exams need to be restored 0071 7 T 18 LONG 2007 14 7717 GROVE JAGPER_200 3 7T45 SMITH JOMN_ 2007 SMITH JONN 2 SMITHJOMN 2 SMITH JOHN JOO7 1 1T 17 gt gt gt Calcunte Exar DOE 2007 19718 m HYPEMA OS 2000 15 3713 wd gt gt gt Guccessfumy restored exam JONES 2007 1 14T23 gt gt gt Disk space copied 0 00 MB DVDICD Device Local Network HD Restoring exam DOE 2007 10719 gt gt gt Successfully restored exam DOE 2007 14718 gt gt gt Disk space copied 0 00 MB gt gt gt Restore exam HYPEMA OSG 2006 11 IT12 gt gt gt Guccesshm y restored exam HYPEMA OS 2000 11 ITN Disk space copied 521 57 Ma gt gt gt Guccesshy restored al selected exams t speciesd totter Figure 197 Exams o

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