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Sonoline G40 Knobology Guide

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1. LOCO rmw doom nn CS UNITED MEDICAL INSTRUMENTS Quick Set INST Ultrasou OUT BOO Oo gt Ooms Ss i or dd s we Ae G b Oo E AA A AM T Phlebology Exam d Choice Next Pulse Wave Doppler Adjustments Steer Angle set the PW curser at the angle with the proper angle correction angled from the top left of the image to the bottom right of the imaged for longitudinal evaluations and vertical without angle correction for transverse evaluations SONOLINE G40 F028 Fr OZ 200s TS 4 0 TIB 1 0 Adjusting the Sweep Speed 1 Push down on the Select know 2 Turn the knob to highlight sweep speed and push the select knob to initiate 3 Set the Doppler speed to 2 4 4 SS UNITED MEDICAL Phlebology Exam INSTRUMENTS Quick Set Your Ultrasound Choice Preset Menu t Patient Patient Data Browser A CP A 8B Exam Presets Help SERA Arow Home Home Delete Hide Ro SE ENS A a t Word T xt c 9 a e 2 y gt 2 4 3 A N YTTER Ysg Next press the Preset button located on the top row of the Key board and select the Peripheral Menu Move the curser to the drop down menu and choose your desired function for the Print Key and the Print Store Key Since most images will be sent to the system hard drive set the Print key to Disk Store and the Print Store Key to Disk Store amp B W Print a Sie a ie oe to ea E Sl i I bb
2. 3 8 thru 3 9 2 2 raf JN a 4 ap fed Wunitep MEDICAL Setting Up Your System INSTRUMENTS g YP y Your Ultrasound Choice Peripheral Menu Assign functionality to documentation controls the optional footswitch and ports on the input output panel of the ultrasound system 1 Print Key Destination is a customizable key and can be set to B W Print Color Print USB Print Cine Print Disk Store Volume Store DICOM B W Print DICOM Color Print Disk Store amp B W Print or Disk Store amp Color Print or Disk Store amp USB Print 2 Print Store Key Destination is a customizable key and can be set to B W Print Color Print USB Print Cine Print Disk Store Volume Store DICOM B W Print DICOM Color Print Disk Store amp B W Print or Disk Store amp Color Print or Disk Store amp USB Print 3 Foot Switch User can control the image by setting the left and right foot switch pedal preference to Freeze B W Print Color Print or Disk Store Basic System 1 Basic System 2 Peripheral Periphera Display Print Key Destination Print Store Key Destination Exam Configuration Bw Print d Disk Store Text Annotation i Pictogram List Measurement amp Report 1 Foot Switch _ __ MOWN a Left Pedal Freeze Right Pedal Disk Store gt Service DICOM DIMAG Utility Network Export Cad pae Authorization Video Format NTSC C PAL Archive Video Input Source C Composite S VHS External R
3. Gate set to 4 0mm Q UNITED MEDICAL Abdomen Exam INSTRUMENTS Ouick Set INST d Choice our Ultrasou Next Pulse Wave Doppler Adjustments Cu Steer Angle set the PW curser at the angle with the proper angle correction angled from the top left of the image to the bottom right of the imaged for 8 2 longitudinal evaluations and vertical without angle correction for transverse N evaluations SONOLINE G40 F028 Fr OZ 200s TS 4 0 TIB 1 0 Adjusting the Sweep Speed 1 Push down on the Select know 2 Turn the knob to highlight sweep speed and push the select knob to initiate 3 Set the Doppler speed to 2 GS UNITED MEDICAL Abdomen Exam Your Ultrasound Choice Preset Menu t Patient Patient Data Browser A CP AE Exam Presets Help SERA Arow Home Home Delete Hide PE Mn o a a t Word T xt c 9 a e 2 F 3 2 4 3 w N YTTER RI Next press the Preset button located on the top row of the key board and select the Peripheral Menu Move the curser to the drop down menu and choose your desired function for the Print Key and the Print Store Key Since most images will be sent to the system hard drive set the Print key to Disk Store and the Print Store Key to Disk Store amp B W Print 4 24 SEMEN A Med ee N SS UNITED MEDICAL Abdomen Exam INSTRUMENTS Ouick Set Your Ultrasound Choice Saving your Quick Set
4. HE VON a MA 7 tt w PA a el i n pe miry m CS TE Hed f gt NA Q UNITED MEDICAL INSTRUMENTS On Screen Mode Menus Your Ultrasound Choice 2D Mode Menu Transmit Power Adjusts the amount of energy transmitted 100 0 20 U D Flip Flips the apex of the image up or down used mainly for prostate biopsy L R Flip Flips the image Left or Right Sector Activates virtual format on VF10 5 transducer Split Live Dual image allows you to have a 2D image and a image with color Doppler active in separate screens 4B Provides separate 2D images on one screen Ideal for AFI measurements 3D Allows acquisition of three dimensional ultrasound images C Mode Menu Transmit Power Adjusts the amount of energy transmitted 100 0 20 Display Turns the color display on or off Invert Changes the direction of the color map so flow towards the transducer is displayed with the opposite color VelTag Tags specific blood flow velocities or a range of velocities in real time Cine or on a frozen image Sngl tags single layer of slow flow Rng tags a range of slow flow layers Peak Period of time that peak color velocities are collected 4B 4B images can also be collected in Color and Power P Mode Menu Transmit Power Adjusts the amount of energy transmitted 100 0 20 Display Turns the color display on or off Background Background writes over all B Mode information
5. Pictogram List Measurement amp Report 1 Measurement amp Report 2 Semice DICOM Dive Authonzatic Archive OB amp Early OB Quick Set 20 Mode M Mode Doppler Ratio EFW USMA Growth Analysis Selectable Label Same Author Label All Selection 1 3 Average Direct _Prev_ na f SameParameter Selection All Label 2D Mode M Mode Doppler Ratio EFW USMA Growth Analysis Selectable Label Same Author Label All Selection Page Beem Prey Next SameParameter Selection All Label on m f afjl ME 4 4 Average Direct e E SS UNITED MEDICAL Ob amp Early Ob Your Ulitareend Choice Quick Set Saving your Quick Set Hav ing Quick Set completed the previous steps Press the Quick Set button located on the top row of the key board The below screen will appear Save Delete QuickSet F10 5 amp Thyroid You can name your exam anything you like In our example OB is used 1 Type the name OB into the Quickset Name box 2 Check Active Quickset when transducer is selected box 3 Save the Setting 4 13 UNITED MEDICAL Arterial amp INSTRUMENTS Exam Quick S Start a new patient exam in the C Vascular or P Vascular factory setting with the linear transducer Use the toggle keys and their corresponding soft Keys on your monitor to adjust the 2D c
6. if Ellipse is selected in the Area field selecting Area from the list of general measurement methods automatically activates the Ellipse method Basic System 1 Basic System 2 oN gt gt Wi 4rement Metnoa Ri Default Measurement Method by Mode Exam Configuration 2D Mode Distance Text Annotation Pictogram List M Mode Distance Vieasurement amp Repo Doppler Velocity gt Measurement amp Report 2 Service DICOM Default Measurement Method DIMAQ Utility Network Export Area Ellipse Authorization Bois RE Volume 3 Dist M 96Stenosis A Stenosis gt 2D Mode Ratio Dist Ratio M Mode Ratio Dist Ratio Flow Volume A Flow Volume PI Trace Pi Auto 1 1 1 Measurement amp Report Menu 2 The Measurement amp Report 2 item on the Preset screen provides the following selections Heart Rate Tool allows the user to determine the number of heart cycles 1 2 3 4 5 used to calculate a Heart Rate Sonoline G40 User Manual 2 0 reference pages 3 24 3 30 2 10 SENEN ML to FWY Med o SS UNITED MEDICAL Patient Data INSTRUMENTS Management Your Ultrasound Choice Begin a patient exam by press the New Patient it key Pani Toat Taun BAe Ew Preece Wes SURE amw me UD E CESTE I E EA ILL LL 5 3 2 6 7 A The Patient Data key EJ is used to modify the patient information for the currently active exam Example You enter
7. sets Recommended settings listed within this guide were obtained from end users as well as system application specialist des sa 19 9 19 1N EF FFR NWR FRWNT NYFFRYN p 4 1thru4 7 2 ODS IO O soree FUD Co EG AGY D wdn CC in YO GY SAR p 4 8thru 4 13 3 2 eh I Ye RF PER O AFE RF nateeoonecnemieesccnonaen aes p 4 14 thru 4 19 4 Cerebrovascular issuu eu bws PENE Wd GG UU o p 4 14 thru 4 19 Oe io 1 0 FT WN NF p 4 20 thru 4 25 o WODO WDDF NAF E E E E E p 4 20 thru 4 25 Te Musculoskeletal ann gne ydi O Ely FU GO GA i y O wn p 4 26 thru 4 29 Oe og y9 LL eeren s en FFRYNT FEN FN ee NO p 4 30 thru 4 33 UNITED MEDICAL Phlebology Exam INSTRUMENTS Quick Set Start a new patient exam in the Thyroid or MSK setting of your linear transducer Use the toggle keys and their corresponding soft keys on your monitor to adjust the 2D color Doppler and pulse wave Dop pler menus of your system You can track soft key adjustments on the system display menu enclosed in blue box 2D Image Parameters dB set to 49 turn 2D knob 7 SIEMENS Pag am ad ang cl 5 rr dr Hm rape 4 eS MultiHertz should be set to 10 0 MHz for the VF10 5 transducer and 11 4 MHz for the VF 13 5 transducer Dynamic Range DR decrease to 50 dB Persist set to number 3 Edge set to number 2 R S set to number 1 Map set to F H or I for more contrast D for less Tint set to number
8. 1 Turn the 2D knob to adjust the amount of overall gain of the image 4 1 SIENEN Lan r n 4 M ag or D CS UNITED MEDICAL INSTRUMENTS Your Ultrasound Choice 2D Image Depth Adjustment Phlebology Exam Quick Set Adjust the depth of the image to 3 cm by turning the Depth Zoom knob pepth Zoom Print Printustore o Freeze Then push the Focus knob to add a focal zone in the imaging field This will leave 2 focal zones on the image Adjusting the size of the color Doppler box 1 Push the color Doppler knob to initiate that modality 2 The color Doppler box will appear on the screen as a solid lined item 3 Push the Set key to the upper right of the tract ball to change the box from a solid line to a dotted line 4 Use the tract ball to adjust the height and width of the box until you have it set to a familiar size 5 Press the Set Key again to lock the box size 4 2 f wc Se R lt f e G Si EA aaa J a on AT UNITED MEDICAL INSTRUMENTS Color Doppler Adjustments Cont PRF should be set to 1022 Hz Persist set to number 3 Filter set to number 1 R S set to 2 Map set to A Priority set to 4 Smooth set to number 2 Flow set to M PRF should be set to 977 Hz Dynamic Range DR decrease to 55dB Map set to D Angle Correction set between A5 60 Gate set to 1 0mm 4 3
9. Betty Lyn Smith born on March 2 1947 into the system You bring your patient into the exam room and verify their personal information and dis cover Betty Lynn Smith was actually born on March 22 1947 You will be able to correct the spelling of her middle name and her date of birth in the patient data form by pressing the Patient Data Key not the New Patient key Once you have made your corrections the system will archive the patient data form The system stores the patient data to the system s hard disk when you select the OK button at the bottom of the New Patient Data form Patient Exam Transducer VF1045 AL Exam Thyroid First Name Accession Na m Pe Sut Indication z Patiemt P s S zi Date of Birth MM DD YYYY History Sex O Male Female Unknown Age Additional Info Height ftin oy Weight Ib oz Bsam BP mmHg ai j N Institution Referring MD Physician ID Sonoline G40 User Manual 2 0 reference pages 4 1 3 1 p i SEMEN o N A p A ba FAN mw aj ee r D 4 A ad e Meg CON SS UNITED MEDICAL DIMAG IP INSTRUMENTS Screen Your Ultrasound Choice DIMAG IP Screen The DIMAQ IP feature is an integrated workstation with comprehensive on board image and data management capabilities 1 The image screen DIMAO IP screen displays the images for the currently selected study 2 The study screen lists the studies that are saved on th
10. Optimizing the SONOLIN y Ss UNI I ED MEDICAL j L f YW We fa I A P l a J gt JY i i EX E Ior tne MIeDOIOOVv N S T R u M E N T S o rs A F C40 TM a Y Ome be all s H Won Lx am Color Flow Box should be set large enough to encompass only the vessel Should be straight if evaluating the vein transversely and angled with the vein if evaluating in sagittal Set between 45 60 degrees to the vessel Transverse color Doppler Sagittal veiw of vein with color Doppler box angle correction options box over transverse vein You can also Heal Toe the transducer to gain a more optimal angle on the superficial vein You should also angle the color box in the direction of venous flow or heal toe the transducer to create an angle relative to the color Doppler box Transverse Color Flow Box Positioning Color box set at an angle Or the color box set at an Correct orientation of the can create a lack of color angle can create a mirror color box over the trans filling in the vein image artifact verse vein Sagittal Color Flow Box Positioning Color box should be angled to Color box should be angled to Correct Color box position wards the patient s head to obtain wards the patient s head to obtain accurate color filling in the vein accurate color filling in the vein 5 2 UNITED MEDICAL INSTRUMENTS Spec
11. baseline PRF to sample slower vessel blood flow veins or to increase the size of the wave form on the baseline Baseline Adjusts the relative baseline position up and down A shift in baseline adjusts the range of displayed flow velocities without changing the system PRF Gate Adjust the size of the pulse wave gate Gate should fit within the lumen of the sampled vessel The gate should not touch the vessel walls Volume Adjust the spectral wave volume Map Displays measured velocity and or variances Map A Map H DR Dynamic Range controls the overall contrast resolution of the spectral wave form DR adds more shades of grey DR removes shades of grey more contrast Invert Inverts the spectral wave form to or away from the transducer Ang 60 0 60 Shortcut between 60 degrees angle correction and 0 degrees angle correction Update Rate Adjust the amount of time for the spectrum update Ranges Off 2 sec 4 sec 8 sec Sonoline G40 User Manual 2 0 reference pages 3 33 1 14 eyn r E i a 4 H i ii wai ar ee Va yi x 3 kJ K gt A y a a yN x amp e 1 e A J Med SS uNITED MEDICAL Donoler Toagle K INSTRUMENTS Oppier 10ggi Keys Your Ultrasound Choice Measurement amp Calculations Soft Keys Velocity Is the distance over time measurement determined by a measurement marker placed along a vertical plane PI Auto Use an automatic trace of the sp
12. oe bet ki a i 8 i g i i fe 4 y IF p i gm 7 a 2N en ein rh ar ET A j cF l lt ye a ee 7 IC i ua A MO D P a F J bb gt l ym _ s a tAr i 1 oa Pr z TA SS UNITED MEDICAL Phlebology Exam NSTRUMENTS Quick Set Your Ultrasound Choice Saving your Quick Set Text a i at CE SE Quick Set button located on the top row of the key board The below screen will appear Thyroid You can name your exam anything you like In our example the VEINS is used 1 Type the name VEINS into the Quickset Name box 2 Check Active Quickset when transducer is selected box 3 Save the Setting SS UNITED MEDICAL Phlebology Exam INSTRUMENTS Quick Set Your Ultrasound Choice Next press the Preset Key peas again and select Text Annotation in the left navigation menu 1 Click to highlight the term RT Thyroid Press the Delete button until all text except last one have been deleted 2 Type RT CFV into the Text Annotation box then press Add at this point the system will let you delete the last annotation from the previous Thyroid exam Thyroid 3 Continue adding the following phrases RT FV RT POP V RT SFJ RT GSV P RT GSV M RT GSV D RT GSV KNEE RT GSV CALF RT SPJ RT SSV P RT SSV M 4 Add the same annotations for the left The more specific you are when entering the terms you use the less you will have to add to your image lab
13. two distance measurement markers Time Is the interval in seconds between two measurement markers Sonoline G40 User Manual 2 0 reference pages 3 32 and 3 39 1 16 P i i i TT A I i k 5 SA AJ D tee PoS Spins Ve me Ee Fy lt n i y i p ce dd Med UNITED MEDICAL ac CNGSTRUMENTS Power Toggle Keys Your Ultrasound Choice ann lt De M 5 TxFreg Allows you to toggle through the two available color freguencies PRF Controls the scale factor assigned to slow flow PRF to sample increased vessel blood flow arteries or if the wave form wraps around the baseline PRF to sample slower vessel blood flow veins or to increase the size of the wave form on the baseline Persist Adjusts the time over which power data are processed in calculating the power amplitude display Filter Balances the low flow sensitivity with flash suppression R S Adjust the balance between the image line density resolution and the frame rate The line density increases resolution and decreases frame rate Map Selects a processing curve that assigns flow amplitudes to color levels Priority Adjusts the threshold for the amplitude of the Power display Smooth Adjusts the level of spatial averaging used to smooth the display of the flow pattern Flow Optimizes hemodynamic flow conditions by automatically adjusting the wall filter and PRF parameters for the select
14. Basic System 2 Peripheral Display Exam Configuration Text Annotation Pictogram List Measurement amp Report 1 Measurement amp Report 2 Service DICOM DIMAG Utility Network Export Authorization Archive G40 DEMO DEMO OB F 1 CH5 OB 10 dB Measurement D C LVOT diam Asc AoD AoD Arch Desc AoD RVOT diam PA RVDd x IVSd x LVIDd LVPWd SS BERDE LVPWs _ FHR General Report WorkSheet Graph Exam Automatic Freeze Response Cine d Seamless Dual C On Off Steer Angle Type VF10 5 Only FOV 1 C FOV 2 2D M amp 2D Doppler Display Format Side by side bd Default Doppler Update Style DWDA _ y Default OB 13 35 32 01 18 06 SIEMENS 11cm 24fps 4 11 CS UNITED MEDICAL INSTRUMENTS Your Ultrasound Choice Next enter Measurement amp Report 1 Move the CRL and the GS calculations from the Selectable Label left menu to the active calculations menu right Next use the drop down menu to se lect Hadlock as the author of the CRL measurement calculation and Lokyo as the author of the GS measurement cal culation Basic System 1 Basic System 2 Peripheral Display Exam Configuration Text Annotation Pictogram List Measurement amp Report 1 Measurement amp Report 2 Service DICOM DIMAQ Utility Network Export Authorization Archive Preset Basic System 1 Basic System 2 Peripheral Display Exam Configuration Text Annotation
15. Having completed the previous steps Press the Quick Set button located on the top row of the key board The below screen will appear Save Dele ete QuickSet WF10 5 amp Thyroid You can name your exam anything you like In our example the ABD is used 1 Type the name ABD into the Quickset Name box 2 Check Active Quickset when transducer is selected box 3 Save the Setting 4 25 a k f E A 5 di SS UNITED MEDICAL MSK Exam NSTRUMENTS Quick Set Your Ultrasound Choice Start a new patient exam in the MSK setting of your linear transducer Use the toggle keys and their corresponding soft keys on your monitor to adjust the 2D color Doppler and pulse wave Doppler menus of your system You can track soft key adjustments on the system display menu enclosed in blue box 2D Image Parameters MultiHertz should be set to 10 0 MHz for the VF10 5 transducer and 11 4 MHz for the VF13 5 transducer Dynamic Range DR decrease to 55dB ty Persist set to number 3 Edge set to number 2 R S set to number 1 Map set to Bor D Tint set to number 2 2D Image Overall Gain Adjustment SIEMENS i Turn the 2D knob to adjust the amount of overall gain of the image 4 206 jt Het wen a i a Mr 32 oj Med AN SS UNITED MEDICAL MSK Exam INSTRUMENTS Quick Set Your Ultrasound Choice 2D Image Depth Adjustment Adjust the depth of the imag
16. J J A b W m4 Ll WJ d x CI Q 4 WGS D W_ E T _ _ __ WN i a 4Y WM eo Trt 4 _ a 4Y FE 4Y rava A DA 4 W CA WY EB Beir SC RDGD py Yy Jy Cet te BND EB 7 S 9 S A BEERW AJ U EEU 6m Yy Mm 4cs cA e i lt _ gt Focal Zone focus the ultrasound waveform to enhance the sharpness of the object of interest The focal zone should be placed at just below the object of interest to achieve the sharpest image To clean out echoes in the vein lumen make sure your focal zone s are in the correct position Other solutions include reducing your dynamic range ex DR set at 60 vDR to 55 adjust your TGC curve initiate THI or turn down your overall gain Wall Filter Is used to filter out electronic noise It should be set as low as possible to detect slow flow Usually around 50hz Color Flow Color flow settings can be adjusted by manipulating the system PRF The system PRF should be set so that there is enough power to fill the vessel wall to wall without aliasing yet low enough to detect slower flow states Usually between 900 1220 PRF The values given are an approximation Color PRF setting is too low Color PRF setting is too high Correct color PRF setting causing aliasing of flow in the causing a lack of color filling in vein Increase the PRF until you the vein Decrease the PRF un get smooth color filling in the vein til you get smooth color filling in the vein 5 1 e
17. S 232C Port C Off PC2 V USB Printer HP De ri paces HP De HP TEA GAU OI HP DeskJet 6980 Series HP DeskJet 6940 Series NEW Key l Enable NEW Key Sonoline G40 User Manual 2 0 reference pages 3 5 3 10 thru 3 11 2 3 Med FAX l La i f F l i L a i a hi ies va 1 Hh o m i rf lt a y z E i Ba yn n SS UNITED MEDICAL INSTRUMENTS Setting Up Your System Your Ultrasound Choice Display Menu Specify the automatic responses when the system is frozen or unfrozen and establish Doppler and M mode imaging settings Common Mode settings allows the user to customize the display features of their system 1 Uncheck the Delete Text on Unfreeze to prevent having to retype enter annotations 2 Check Default Annotation Library On box to activate the library when pressing the annotation button 3 Other customizable features include Font Size Arrow Size Patient Registration type or Measurement Result Display Size Doppler M Mode 1 Select the system response when the M or D control is pressed Check the box to immediately display M mode or Doppler Un check the box to initially display an M mode or Doppler cursor in the 2D mode image the M or D control must then be pressed a second time for M mode or Doppler to display 2 Doppler Frequency Velocity User can select the method to display the pulse wave Doppler measurements 3 Mea
18. d Choice Start a new patient exam in the SUP MSK setting of your linear transducer Use the toggle keys and their corresponding soft keys on your monitor to adjust the 2D color Doppler and pulse wave Doppler menus of your system You can track soft key adjustments on the system display menu enclosed in blue box 2D Image Parameters MultiHertz should be set to 11 4 MHz for the VF13 5 transducer fy Dynamic Range DR decrease to 45dB Persist set to number 4 Edge set to number 3 RIS set to number 4 Map set to D Tint set to number 1 2D Image Overall Gain Adjustment SIEMENS Turn the 2D knob to adjust the amount of overall gain of the image 4 26 jt Het wen a i a Mr 32 oj Med AN CS UNITED MEDICAL Podiatry Exam INSTRUMENTS Quick Set Your Ultrasound Choice 2D Image Depth Adjustment Adjust the depth of the image to 3 cm by turning the Depth Zoom knob 2D Image Focus Adjustment Then push the Focus knob to add a focal zone in the imaging field This will leave 2 focal zones on the image Color Doppler Box Adjustments Adjusting the size of the color Doppler box 1 Push the color Doppler knob to initiate that modality 2 The color Doppler box will appear on the screen as a solid lined item i 3 Push the Set key to the upper right of the tract ball Escaoe O o to change the box from a solid line to a dotted line a gt Ye 4 Use the
19. d wed 05 26_10_2004_09_29 44 28 10 2004 09 29 1 unarchived 1 4 3 4 obo ca PE vo al mi U HOU AN SS UNITED MEDICAL INSTRUMENTS Your Ultrasound Choice Reviewing your patient exams on your PC ok Insert the system back up CD into the CD tray of your computer 2 A window will open with a folder labeled Siemens double click on the folder 3 Another window will open with two folders located inside One labeled studies the other labeled system 4 Double click on the studies folder You will then see multiple folders that are labeled by exam dates 5 Open the first folder by double clicking on it and again on the folder inside 6 You now have a window with folders labeled clips exports images and reports as well as two adobe PDF files 7 Double click on the images folder You can now select the image in a slide show or copy and paste them to a specified folder on your desk top 3 4 Stet itl i ean ore 2p En eG SS UNITED MEDICAL Ultrasound Exam ND EMMA Bs Ouick Sets System Exam Quick Set Generally the factory exam presets are sufficient for your clinical day to day scanning needs However you can customized the factory preset and save a new setting as a quick set that will be available in your exam menu This section will walk you through step by step instructions on creating Phlebology Obstetrics Vascular Cerebrovascular Abdomen Urology and MSK Exam quick
20. e selected disk HD or CD DVD 3 Screens are accessed by pressing the Patient Browser 48 key on the keyboard Sopot Palen Faner w panies l Paie Data Brows E 4 To display the Image screen from the Study screen select the Image Screen button on the left of the screen 5 To display the Study screen from the Image screen select ie Study Screen button on the left of the screen Fr o Wreee M YNI ONS 1 men Feet 05 0 4 unarchived 09 581 09 29 4 1 4 28 10 2004 09 29 1 sonoline G40 User Manual 2 0 reference pages 4 4 3 2 OTO Pity y pn wi mis a Wr UNITED MEDICAL INSTRUMENTS Your Ultrasound Cboice DIMAG IP Screen functions 4 a oS Sort by patient name patient ID date time images archived Mbytes Search for a patient by their last name or ID or enter the study date or date range Hide studies Delete images and reports from studies that are stored on the system s HD Edit can make measurements on images from the current examination You can also store or print the image with the measurements Transfer studies that are located on the system s HD or inserted CD DVD Delete studies from the system s HD Manage system notifies you when the HD is nearly full indicating that un archived studies will be immediately deleted Files saved to CD s DVD s are labeled by the related patient ID Study folders are labeled
21. e that separates the Dual Image screens 4 Steer Angle Type Specify the steering angle for the VF 10 5 transducer 5 2D M amp 2D Doppler Display Format is a customizable key the user can select how the 2D image and the pulse wave or m mode Doppler are represented on the monitor 6 Default Doppler Update Style is a customizable key the user should select 2D Lv D Lv to allow the system to automatically activate triplex mode when color Doppler and pulse wave Doppler are both activated during an exam Basic System 1 Basic System 2 Exam Configuration Peripheral Display Exam Thyroid Exam Configuration MIIS Text Annotation Pictogram List Automatic Freeze Response Cine Measurement amp Report 1 Seamless Dual On C Of Measurement amp Report 2 Service Steer Angle Type VF10 5 Only FOV C FOV 2 DICOM DIMAO Utility Network Export 2D M amp 2D Doppler Display Format Authorization Default Doppler Update Style 2D LwD Lv Archive Y Default Thyroid Cancel Sonoline G40 User Manual 2 0 reference pages 3 5 3 14 thru 3 15 2 5 SS unireD MEDICAL Setting Up Your System INSTRUMENTS Your Ultrasound Cboice Text Annotation Menu Customize annotation libraries for selected Exam types or Guicksets 1 Exam amp Ouickset ldentifies the name of the preset exam the system is in or the exam the quickset was created from 2 Text Annotation Edit modify or replace factory preset annotation
22. e to 3 cm by turning the Depth Zoom knob 2D Image Focus Adjustment Then push the Focus knob to add a focal zone in the imaging field This will leave 2 focal zones on the image Color Doppler Box Adjustments Adjusting the size of the color Doppler box 1 Push the color Doppler knob to initiate that modality 2 The color Doppler box will appear on the screen as a solid lined item i 3 Push the Set key to the upper right of the tract ball Escaoe O o to change the box from a solid line to a dotted line a gt Ye 4 Use the tract ball to adjust the height and width of the box until you have it set to a familiar size 5 Press the Set Key again to lock the box size Color parameters are set at optimal configuration 4 27 Q UNITED MEDICAL MSK Exam INSTRUMENTS Quick Set Your Ultrasound Choice Saving your Quick Set 1 Presets Help Quick Set rite e 7m i te Pile y w Having completed the previous steps Press the Guick Set button located on the top row of the key board The below screen will appear Save Delete QuickSet F10 5 amp Thyroid You can name your exam anything you like In our example the MSK1 is used 1 Type the name MSK1 into the Ouickset Name box 2 Check Active Ouickset when transducer is selected box 3 Save the Setting 4 28 a k f E A 5 di S3 UNITED MEDICAL Podiatry Exam NSTRUMENTS Ouick Set Your Ultrasoun
23. ectrum to determine a pulsatility index Acceleration Acceleration or Deceleration of speed over the time traveled determined by two measurement markers Velocity Ratio Calculate a ratio of two velocity measurements HR Heart rate determined over one heart cycle RI Pourcelot s Ratio RI PS ED PS PI Manual Use a manual trace of the spectrum to determine a pulsatility index Flow Volume Selects methods for estimating blood flow volume Time Interval in milliseconds between two measurement markers Sonoline G40 User Manual 2 0 reference pages 3 39 1 15 u E u x FU gt f ac o y _ F 4 i H i 7 i i t a i i a n lt u 4 CS UNITED MEDICAL M Mode Toggle Keys INSTRUMENTS Your Ultrasound Choice f M Mode Toggle Keys MultiHertz Allows you to toggle through the three available transducer frequencies DR Dynamic Range controls the overall contrast resolution of the M Mode sweep Tint Colorizes the M mode sweep Edge Enhance Distinguishes the contours of a structure during real time imaging Sweep Adjust the scrolling speed of the M mode sweep Map Selects a processing curve that assigns echo amplitudes to gray levels Measurement amp Calculations Soft Keys Distance Is the vertical distance between two points in the M mode sweep HR Is determined over one heart cycle in 2D M mode Slope Distance over time calculation determined by
24. ed Flow state Low Maximum sensitivity to low velocity flows Medium Balances between suppression and sensitivity of velocity flow High Optimized for the high arterial flow common to pulsatile vessels and stenotic conditions sonoline G40 User Manual 2 0 reference pages 3 35 1 17 us i m 9 chil al d i we PS ies Meg gt T O UNITED MEDICAL h INSTRUMENTS Cine Toggle Keys Your Ultrasound Choice Frame Recall Allows you to retrieve individual frames of the CINE loop Edit Start Defines the beginning point of the CINE loop Edit End Defines the ending point of the CINE loop Edit Reset Allows you to reset the beginning and ending points of the CINE loop Sonoline G40 User Manual 2 0 reference pages 3 32 and 3 36 1 18 SIEMENS 4 PES tyb wer are D Beas gt FO gf gt Tr Es Med S UNITED MEDICAL ec NSTRUMENTS Setting Up Your System Your Ultrasound Cboice be 8 p D Press the Preset Menu Z button located on the top row of the key board to begin setting up your system ame mm ymn GWD Gn Ge aa mome He ey a G PERETE AHE i 2 x 3 z n 8 Basic System 1 Menu Enter the hospital name establish date time settings and format designate height and weight formats and select the system monitor audio and boot up settings 1 The Date amp Time Settings button is only active if you are not cur
25. eling later Pictogram List Measurement amp Report Service DIMAQ Utility Network Export Finally press the quick set button again 1 Re enter the same name you previously saved your setting with VEINS into the Quickset Name box 2 Click on the save button 3 Answer YES to override the previous quick set in the pop up screen CONGRATULATIONS YOU JUST CREATED YOUR FIRST CUSTOMIZED SYSTEM EXAM SETTING 4 7 SS UNITED MEDICAL OB amp Early OB NSTRUMENTS Your Ultrasound Cboice Ouick Set Start a new patient exam in the OB factory setting with the CH5 2 transducer Use the toggle keys and their corresponding soft Keys on your monitor to adjust the 2D and color Doppler menus of your system You can track soft Key adjustments on the system display menu enclosed in blue box 2D Parameter Adjustments THI 30 dB MultiHertz adjust for better image resolution a Dynamic Range DR decrease to 60 dB 7_ Persist set to number 3 Edge set to number 1 R S set to number 3 Map set toG Tint set to number 1 or 2 Turn the 2D knob to adjust the amount of overall gain of the image Initiate THI 4 8 pip A i a Ses Mad AN SS UNITED MEDICAL OB amp Early OB INSTRUMENTS Your Ultrasound Choice Quick Set 2D Image Depth Adjustment SIEMENS Adjust the depth of the image to 15 cm by turning the Depth Zoom knob 2D Image Focus Adjust
26. enosis comparing the cross sectional areas of the same vessel D Stenosis Calculates the diameter stenosis comparing diameters of the same vessel Volume Performs a volume measurement with either a distance measurement ellipse measurement or Trace measurement Flow Volume Measures the distance or area to calculate the blood flow volume A Flow Volume Is the estimation of blood flow based on the area of the vessel D Flow Volume Is the estimation of blood flow volume based on the diameter of the vessel sonoline G40 User Manual 2 0 reference pages 3 38 1 12 T es ee I _ r d r i A y i i i 1a ri L p 4 noa u SS UNITED MEDICAL Color Toggle Keys INSTRUMENTS Your Ultrasound Choice TxFreq Allows you to toggle through the two available color frequencies PRF Controls the velocity range in color Doppler T PRF until there is wall to wall color filling without color aliasing for vessels with faster blood flow arteries i PRF until there is wall to wall color filling without overfilling the vessels with slower blood flow veins Persist Averages color frames to improve sensitivity and reduce clutter Minimum Value 0 Color corresponding to blood flow is replaced by another faster rate Maximum Value 4 Color corresponding to blood flow is replaced by another slower rate Filter Changes the transition point of the clutter filter to enhance low flow versus eliminatin
27. es all annotations from the screen including arrows and pictograms Sonoline G40 User Manual 2 0 reference pages 3 12 3 16 3 18 3 40 1 6 F r rwm u N E D M E D C A L Ar da LJANA A g p 4 I LJ if il LU TA VJ INSTRUMENTS Pictogram Screen Menu Pictograms are based on the performed exam e Use the toggle key to select the desired pictogram e Use the Select know to rotate the direction of the curser to illustrate the image view as transverse or longitudinal 2a Select Knob Is a dual function control that activates one function when the control is pressed of and another function when the control is rotated hae e Used to select functions in the control menu ES e Control menu selections vary with active mode In Triplex Mode color Doppler pulse wave Doppler and 2D imaging turn the knob to highlight 2D mode push the knob until it reads P mode Next turn the knob to highlight Sweep Push the knob to change the sweep speed of the spectral Doppler trace from 2 to 4 Example Select Knob on Screen Mode Menus m Pn mode lt U D Flip L R Flip tame Split D f mode Po 100 Display On Background Off 4B oo i Uu mode p Faun rO r Up mode MEU P 100 T F Res Sweep Pull M UT Invert Tint Full D Trace Triplex sonoline G40 User Manual 2 0 reference pages 3 7 3 18 3 27 thru 3 30 3 41 1 7
28. ference pages 3 5 3 19 thru 3 21 2 7 SIEMENS cas ee fle Cy a S uu ITED MEDICAL Setting Up Your System NSTRUMENTS 5 UP y Your Ultrasound Choice f General Caliper changes general settings that apply to all exam types 1 Caliper Default Position can be set to appear at the top of the image the bottom of the image or in the center of the image Caliper Size can be set as small medium or large Caliper pattern can be designated as a x or for the entire system Multiple measurements use the same shape and are differentiated by number 4 Measurement Results Background is a shaded box that you can turn on or off o N Measurement and Report Preset Menu 1 Measurement Method is used to establish a shortcut to a specific measurement method 2 Item amp Reference Selection is unique to Standard and Early OB exam measurement cal culations 3 Comments Library for Report a For use with OB Early OB GYN Urology Cardiac Orthopedic P Vascular C Vascular Venous Fetal Echo Pediatric Echo Penile TCD EM exam types b User can enter ten comments for exam types with reports Sonoline G40 User Manual 2 0 reference pages 3 5 3 22 thru 3 29 3 36 2 8 Su ITED MEDICAL Setting Up Your System INSTRUMENTS Your Ultrasound Choice Common Preset for OB amp Early OB 1 Display Item selection is used to control display of various items on the measurement screen and in the patient repo
29. g clutter artifacts R S Adjust the balance between the image line density resolution and the frame rate The line density increases resolution and decreases frame rate creating a more compressed image Map Displays measured velocity and or variances as shades of color Priority Changes the priority of color and B mode data Smooth Changes the amount of spatial smoothing in the image Minimum Value 0 Decreased motion smoothing Maximum Value 4 Increased motion smoothing Baseline Adjusts the relative baseline position up and down A shift in baseline adjusts the range of displayed flow velocities without changing the system PRF Flow Optimizes hemodynamic flow conditions by automatically adjusting the wall filter and PRF parameters for the selected Flow state Low Maximum sensitivity to low velocity flows Medium Balances between suppression and sensitivity of velocity flow High Optimized for the high arterial flow common to pulsatile vessels and stenotic conditions Sonoline G40 User Manual 2 0 reference pages 3 34 1 13 i y yr n lt m f ws Ete fp a imn _ ay SS UNITED MEDICAL INSTRUMENTS Doppler Ioggle Keys Your Ultrasound Cboice f MultiHertz Allows you to toggle through the three available transducer frequencies PRF Controls the velocity range in pulse wave Doppler t PRF to sample increased vessel blood flow arteries or if the wave form wraps around the
30. ment Then push the Focus knob to add a focal zone in the imaging field This will leave 2 focal zones on the image Color Doppler Box Adjustments Adjusting the size of the color Doppler box 1 Push the color Doppler Knob to initiate that modality 2 The color Doppler box will appear on the screen as a solid lined item a 3 Push the Set key to the upper right of the tract ball EENE JEES to change the box from a solid line to a dotted line a 7y 4 Use the tract ball to adjust the height and width of the box until you have it set to a familiar size 5 Press the Set Key again to lock the box size 4 9 J J a W ol ATI NN SO UNITED MEDICAL OB amp Early OB INSTRUMENTS Y Out SOuUnN d h DEGE Quick Set I Li lt y a t Next Color Doppler Adjustments O PRF decrease by 1 toggle 2248 Hz Persist set to number 3 Filter set to number 2 R S set to 2 or 3 Map set to A Priority set to 4 Smooth set to number 2 or 3 Preset Menu New Report Patient Patient mm Clear Patent Page Data Browser Text Screen money Next press the Preset Configuration Menu 4 10 UNITED MEDICAL INSTRUMENTS Move the curser to the drop down menu and select side by side for the desired action for 2D M amp 2D Doppler Display Format Your 2D image and M Mode evaluation of the fetal heart will appear on the monitor like the example to the right Basic System 1
31. nd is represented as flow above the spectral baseline Venous blood flow travels away from the transducer and is represented as flow below the spectral baseline The spectral wave form can be measured in either time or amplitude and is used to document the amount of normal versus abnormal flow Color C is the color representation of the direction of blood flow Vascular Sonographers document arterial flow flow towards the transducer with red color filling and normal venous flow flow away from the transducer with blue color filling Power Doppler P demonstrates the back scattered power of the Doppler signal allowing the scanner to display the presence of moving blood cells It does not indicate the relative velocity or direction of flow B Mode 2D the two dimensional diagnostic ultrasound representation of echo producing interfaces in a single plane This is a multi function Knob Turn the knob to adjust the image s overall gain Push the knob to exit out of Doppler and or color Doppler M Mode M motion mode a type of B mode ultrasonography in which spots on the CRT display produce a tracing of the motion of echogenic objects Used in echocardiography Tissue Harmonic Imaging THI improves the contrast and spatial resolution to help eliminate low level echoes in the 2D image Sonoline G40 User Manual 2 0 reference pages 3 11 thru to 3 15 1 4 UNITED MEDICAL S INSTRUMENTS User Keys amp Home Base Your Ult
32. nob to adjust the amount of overall gain of the image Initiate THI Use toggles to set THI at 1 8 or Fundamental 5MHz 4 20 gle gaa EN 4 UNITED MEDICAL Abdomen Exam INSTRUMENTS Quick Set Your Ultrasound Choice 2D Image Depth Adjustment Adjust the depth of the image to 12 cm by turning the Depth Zoom knob 2D Image Focus Adjustment T PrintiStore Freeze Then push the Focus knob to add a focal zone in the imaging field This will leave 2 focal zones on the image Color Doppler Box Adjustments Adjusting the size of the color Doppler box 1 Push the color Doppler knob to initiate that modality 2 The color Doppler box will appear on the screen as a solid lined item 3 Push the Set key to the upper right of the tract ball to change the box from a solid line to a dotted line 4 Use the tract ball to adjust the height and width of the box until you have it set to a familiar size 5 Press the Set Key again to lock the box size Q UNITED MEDICAL Abdomen Exam INSTRUMENTS Quick Set Color Doppler Adjustments Cont PRF 1220 Hz Persist set to number 3 Filter set to number 1 R S set to 0 or 1 Map set to A Priority set to 4 Smooth set to number 2 or 3 Pulse Wave Doppler Adjustments PRF should be set to 2170 Hz Filter set to 61 dB Dynamic Range DR decrease to 55dB Map set to H Q amp Angle Correction set between 45 60
33. nual 2 0 reference pages 3 6 3 8 thru 3 9 3 14 1 5 l i U i cn ry if i h DL SAGE a l Uc a i 9 B a AM Pry SES lt amp i Meg fp CS UNITED MEDICAL INSTRUMENTS Control Panel Your Ultrasound Choice Dual Select e Pressing the left Dual Select button will freeze the object of interest in an image screen on the left side of the monitor Pressing the right Dual select button will freeze the second object of interest in the image screen on the right side of the monitor Transducer e Allows the user to alternate between 2 active transducers Text Annotation on screen e Is an archive text function e Press to initiate the on screen soft Key menu Delete Word Hide Text Clear Screen Home Home Set Delete Line e Work flow features 1 Position the curser next to the anatomical phrase to highlight it 2 Use the trackball to drag the phrase to the desired location on the image 3 Press the set key to lock the position of the phrase on the image Library On Activates the on screen annotation library Arrow Activates the on screen arrow Use the trackball and Set to position Delete Word Will delete the word indicated by the text cursor Home Will send the cursor to a pre determined home position Hide Text Temporarily hides all the text on the screen Home Set Allows the user to indicate the Home position for the text cursor Clear Screen Remov
34. o low waveform Doppler PRF set correctly overlaps the baseline Need to decrease Doppler PRF to see both cycles of the venous augmentation Need to increase Doppler PRF to see both cycles of the venous augmentation Spectral Doppler Gain 132121 Th DRHLGODT j Ane Swn 2 Gris 1 6 mm i ieg j me wl i y i fer TY rn MM WIN im EN P iad TIS E8 TB 1 Z Doppler gain set too high Doppler gain set too low Correct Doppler gain 5 4 UNITED MEDICAL INSTRUMENTS Color box flash color filling Color flashing is a movement artifact Steady your transducer by planting your pinky or finger on the patient s leg Demonstrated below Spectral Doppler movement artifact Jagged spectral waveform is not venous flow This wave form represents slight hand transducer movement Steady your transducer by planting your pinky or finger on the patient s leg Demonstrated below Place plant your pinky or finger on the patient s leg to prevent movement artifact in both color and pulse wave Doppler D 0
35. olene ge ES Meg s 4 AN SS UNITED MEDICAL INSTRUMENTS Ultrasoun SONOLINE G40 Knobology amp User Guide SONOLINE G40 SONOLINE G40 CONTROL PANEL AS iem H WM Ie AEN i oN ea 333 Mead TR Q UNITED MEDICAL Table of Contents INSTRUMENTS Your Ultrasound Choice The Sonoline G40 knobology and user guide is the clinicians quick reference of system terms functions and capabilities This guide was created to simplify the information contained within the Siemens SONOLINE G40 User Manual For more detailed information please refer to your Siemens User Manual For your convenience the Siemens User Manual pages that correspond to the content in this guide are reference at the bottom of each page Chapter 1 Knobology c cece cece cece cece eee e ents eeeaeeeeneteeeaateeeeas p 1 2 thru 1 18 Chapter 2 System Setup cece YR LL cece cence ee eee LL RG LL YL YY nud p 2 1 thru 2 11 Chapter 3 Patient Data 0 0 0 0 ccc ccc cce eee e cece eee ee sense eee eaeeeaeeaeeess p 3 1 thru 3 5 Chapter 4 Exam Quick Sets oo cece ccc ee cece eee ee eases eeeeeeeeeeeeeaes p 4 1 thru 4 28 Chapter 5 Phlebology Optimization Guide cccceeeee eee eee es p 5 1 thru 5 5 Copyright 2008 2009 United Medical Instruments Inc i Ti fed 5 7 an OP ee Meg gt i S UNITED MEDICAL INSTRUMENTS Key Board Your Ultrasound Choice New Patient activates
36. olor Doppler and pulse wave Doppler menus of your system You can track soft Key adjustments on the system display menu enclosed in blue box 2D Adjustments MultiHertz should be set to 10 0 MHz for the VF10 5 transducer and 11 4 MHz for the VF 13 5 transducer Dynamic Range DR decrease to 50 dB Persist set to number 3 Edge set to number 2 R S set to number 2 Map set to E H or for more contrast Tint set to number 1 Turn the 2D knob to adjust the amount of overall gain of the image Initiate THI 4 14 men HES INDA te UNITED MEDICAL Arterial amp Cerebrovascular Your Ulitarennd Chei Exam Quick Set 2D Image Depth Adjustment SIEMENS Adjust the depth of the image to 3 4 cm by turning the Depth Zoom knob ra TA 2D Image Focus Adjustment on Trans ducer ime SIEMENS i T i 1 Then push the Focus knob to add a focal zone in the imaging field This will leave 2 focal zones on the image Color Doppler Box Adjustments Adjusting the size of the color Doppler box 1 Push the color Doppler knob to initiate that modality 2 The color Doppler box will appear on the screen as a solid lined item i 3 Push the Set key to the upper right of the tract ball Es to change the box from a solid line to a dotted line E i 4 Use the tract ball to adjust the height and width of the box until you have it set to a familiar size 5 Press
37. oom and rotate to zoom in or out e Use the track ball to pan move the object of interest to center of zoom field Focus e Rotate to adjust the position of the focal zone e Press knob to increase the number of focal zones up to 4 focal zones available Two customizable keys for printing and storage of images Chose between e B W Print e DICOM Color Print e Color Print e Disk Store amp B W Print e Disk Store e Disk Store amp Color Print j e DICOM B W Print Freeze Freezes the image sweep or spectrum on the screen If an image or sweep is already frozen pressing the FREEZE key restores real time imaging Time Gain Control TGC Is a filter that allows the user to remove electronic noise as well as extraneous high and low level echoes from an image Sonoline G40 User Manual 2 0 reference pages 3 8 3 16 thru 3 17 3 19 1 10 4 1 b 1 U 4 4 1 l l oe a arem L A I s 1 s 34 4 yd Pa a E i A mn en J R gt rc d 2 Ss _ po UNITED MEDICAL INSTRUMENTS 2D Toggle Keys Your Ultrasound Choice ii a u O MultiHertz Allows you to toggle through the three available transducer freguencies Dynamic Range DR Controls the overall contrast resolution of the image DR adds more shades of grey for a smoother image v DR removes shades of grey for a more contrasting image Persist Frame averaging function tha
38. rasound Choice User Keys Steer Angle knob Controls 2D Imaging Will steer the 2D image on the VF10 5 amp VF13 5 transducers Color Doppler Will steer the color Doppler ROI on linear transducers PW Doppler Rotates the steer cursor Press knob to activate the angle correction indicator _ Rotate to adjust the angle correction between 45 60 Home Base User Keys Trackball ls used to control the system cine loop color Doppler box size and curser Update Key Is used to move between different functions i e pw strip and image or measurement calipers Set Key Is used to set a function i e Calipers Cine edits color box size Example Push down on the C knob to initiate color Doppler The color box lines appear solid green Press the set key the box lines become dotted Use the track ball to increase or decrease the vertical or horizontal size of the color Doppler box then press set again to lock the box to the desired size Escape Key Exits the currently displayed mode function or page and reactivates the previous mode function or page Pressing the Escape Priority Key changes which tool is currently under the control of the trackball Caliper Key Initiates the measurement package for the selected exam Press the Caliper Key a second time to obtain the 2nd curser Press the Set key to lock the measurement Press the Escape key to exit the measurement function qe G Sonoline G40 User Ma
39. rently in a patient study Use the Date Format drop down menu to select Month Day Year Day Month Year or Year Month Day 2 To disable the Screen Saver uncheck the Enable Screen Saver box 3 Sliding the Beep Volume curser allows you to adjust the volume of the beep associated with pressing all onboard mode and user keys Preset Basic System 1 Basic System 2 Peripheral Display Exam Configuration Text Annotation Pictogram List yr Measurement amp Report 1 Measurement amp Report 2 yguac DIMAQ Utility tric Network Export Authorization Archive sonoline G40 User Manual 2 0 reference pages 3 3 thru 3 7 2 1 uh CS UNITED MEDICAL INSTRUMENTS Setting Up Your System Tour Ultrasound Choice Basic System 2 Menu Allows the User to specify DGC settings select the trackball speed define information stored within images enable patient demographic display and storage and select the library of annotations for initial display 1 Click to activate the DGC Invert with Image Invert box if to invert the DGC with endovaginal and endorectal exams 2 Check CW Clockwise or CCW Counter Clockwise to indicate how the image Depth Zoom Steer and Focus react 3 The Trackball behavior can be set as Slow Medium or Fast 4 Patient ID Check the Auto Store New Patient form box 5 Annotation Type Set the default type to Anatomy Sonoline G40 User Manual 2 0 reference pages 3 5
40. rrow Home nome Next press the Preset button located on the top row of the Key board and select the Peripheral Menu Move the curser to the drop down menu and choose your desired function for the Print Key and the Print Store Key 4 18 SS UNITED MEDICAL Arterial amp Cerebrovascular INSTRUMENTS Exam Quick Set Your Ultrasound Choice Saving your Quick Set Having completed the previous steps Press the Quick Set button located on the top row of the key board The below screen will appear Save Delete QuickSet F10 5 amp Thyroid You can name your exam anything you like In our example the Arterial is used 1 Type the name Arterial into the Quickset Name box 2 Check Active Quickset when transducer is selected box 3 Save the Setting UNITED MEDICAL Abdomen amp Urology FAU Exam Ouick Set Start a new patient exam in the Abdomen setting of your CH5 2 transducer Use the toggle keys and their corresponding soft Keys on your monitor to adjust the 2D color Doppler and pulse wave Doppler menus of your system You can track soft key adjustments on the system display menu enclosed in blue box 2D Image Parameters MultiHertz should be set to 10 0 MHz for the Dynamic Range DR Set at 60 70 dB Persist set to number 3 Edge set to number 1 R S set to number 2 or 3 Map set to D Tint set to number 1 or 2 2D Image Overall Gain Adjustment Turn the 2D k
41. rt The Display Item screen is unique for each exam type 2 User Defined Label selection is used to designate special measurement labels 3 User Defined EFW MA Data tab is used to select preferred authors for two EFW formulas Both formulas display in the worksheet and the report The EFW1 formula displays in the Measured Results when the required measurements have been made You can also select an average USMA to be returned as measurements are made or specify that one of Hadlock s eleven regression equations be used 4 Growth Analysis Graphs selection is used to set up growth curves for OB and Early OB exams Basic System 2 Peripheral Display Exam Configuration Text Annotation Sonoline G40 User Manual 2 0 reference pages 3 5 3 35 thru 3 47 2 9 4 J l i i FF i A Re 9 B gt J IFF aSc l Pa i gt i a a r A Noe a Me o Med SS uNntTED MEDICAL NSTRUMENTS Setting Up Your System Your Ultrasound Choice Measurement amp Report Menu 1 Use this selection to establish a shortcut to a specific measurement method The upper section of this screen allows you to select the method activated when the system first enters the measurement function for the specified imaging mode The lower section of this screen allows you to select a specific method for automatic activation when a general measurement method is selected in the measurement function For example
42. s Modify Highlighted text will appear in the text annotation box Make your changes then click on modify to save your changes Add Enter the term phrase you desire into the box and click on add Delete Highlight term to delete then click on delete Move Highlight term to move up or down and then click on the appropriate key Sonoline G40 User Manual 2 0 reference pages 3 5 3 16 thru 3 18 2 6 porated Ue SS uNtTED MEDICAL INSTRUMENTS Setting Up Your System Your Ultrasound Choice Pictogram List Menu Customize pictogram libraries for selected Exam types or Quicksets 1 Exam amp Quickset Displays the system factory preset or quick set name of the current exam 2 All Pictograms Displays all the possible pictograms for every exam available on the system 3 Add Highlight the desired pictogram you want to have available in the Selected menu box for the exam listed above Click on the add button to move the pictogram to the Selected menu box 4 Delete Select the desired pictogram you want to remove from the Selected menu box Click on the delete button to remove it 5 Move Highlight the pictogram and click on up or down to arrange the pictograms in the Selected menu box ystem Serial Number Basic System2 _ Peripheral Text Annotation Measurement amp Report gt Serice DICOM DIMAQ Utility Network Export Sonoline G40 User Manual 2 0 re
43. surement Result Display User can designate the location on the monitor to display the pulse wave Doppler measurement Basic System 1 Basic System 2 Display Peripheral Display Common Mode Exam Configuration Delete Pictogram on Unfreeze Text Annotation Pictogram List Delete Text on Unfreeze Measurement amp Report 1 Default Annotation Library G On C Of Measurement amp Report 2 3 Service Pictogram Location Upper Right Lower Right DICOM oe DIMAQ Utility Font ois 12 g Network Export Arrow Size Medum Typetl F Authorization Med YES Measurement Result Display Size Small Doppler M Mode Bypass M D Cursor Display l Doppler Search Mode Doppler Frequency Velocity C Frequency Velocity Measurement Result Display Bottom a Sonoline G40 User Manual 2 0 reference pages 3 5 3 12 thru 3 13 2 4 i rea I ee i F a 1 _ p e ata A A i amp Bee 7 rF ps we oF 7 a a f l a a L Soo Med SS UNITED MEDICAL INSTRUMENTS Setting Up Your System Your Ultrasound Choice Exam Configuration Menu Modify general settings for the selected exam type 1 Exam Identifies the system exam preset or quickset the user is in 2 Automatic Freeze Response is a customizable key the user can select the CINE Caliper Text Arrow Pictogram functions that will activate upon freezing the image 3 Seamless Dual removes a 1mm spac
44. t determines the amount of image motion smoothing Minimum Value 0 removes history increasing the frame rate to create a sharper image Maximum Value 4 adds history to the image slowing the frame rate to create a smoother image Edge Enhance Controls the sharpness of edges Minimum Value O Soft Maximum Value 3 Sharp Map Select the grayscale map of your liking with 9 maps available A thru l Map A more shades of grey Map fewer shades of grey Tint Colorizes the grayscale image R S Controls the image resolution versus frame rate Minimum Value O Soft Maximum Value 5 Sharp Sonoline G40 User Manual 2 0 reference pages 3 11 1 11 TWW o NN modon sb FAS al i C rO gt 33 Med f UNITED MEDICAL INSTRUMENTS 2D Toggle Keys Your Ultrasound Choice A Measurement amp Calculations Soft Keys See Distance Is a simple linear measurement between two points Area Calculates the area using the Ellipse or Trace method Ellipse The system determines one diameter using the end points of the ellipse and calculates the second diameter Trace The system determines the circumference and area using the hands free trace method segments Angle Determines the Angle using two connecting or intersecting lines that you place on the image Stenosis Calculates the percentage of stenosis based on the area or diameter of the same vessel A Stenosis Calculates the area st
45. the Set Key again to lock the box size 4 15 S D UNITED MEDICAL Arterial amp C INSTRUMENTS Next Color Doppler Adjustments Exam Ouick PRF should be set to 4340 Hz Persist set to number 2 3 Filter set to number 2 R S set to 3 Map set to A Priority set to 4 Smooth set to number 2 3 PRF should be set to 3906 Hz Filter 167 Hz Dynamic Range DR decrease to 55dB Map set to D Angle Correction set between 45 60 Gate set to 2 0mm LOCO rmw doom nn BOO Oo gt Ooms Ss i or s we Ae om G b Oo E AA A AM T SS UNITED MEDICAL Arterial amp Cerebrovascular OUT INSTRUMENTS Exam Quick Set Ultrasou d Choice Next Pulse Wave Doppler Adjustments Steer Angle set the PW curser at the angle with the proper angle correction angled from the top left of the image to the bottom right of the imaged for longitudinal evaluations and vertical without angle correction for transverse evaluations SONOLINE G40 F028 Fr OZ 200s TS 4 0 TIB 1 0 Adjusting the Sweep Speed 1 Push down on the Select know 2 Turn the knob to highlight sweep speed and push the select knob to initiate 3 Set the Doppler speed to 2 SS UNITED MEDICAL Arterial amp Cerebrovascular INSTRUMENTS Exam Quick Set Your Ultrasound Choice Preset Menu pee orai i pte to Broweer am Presets Help Cet A
46. the new patient screen Report accesses the calculations report for current patient we dg Patient Data used to modify edit the current patient s data Patient Browser accesses DIMAQ IP data Exam activates Exam Presets for the active transducer Presets activates the system Presets Help activates the online instructions for use Quick Set stores a Preset with User preferences as a Quick Sets Tab Key Caps Lock Key i llu ER E Shift Key sonoline G40 User Manual 2 0 reference pages 3 6 3 20 thru 3 26 5 3 thru 5 10 1 2 UNITED MEDICAL Toggle INSTRUMENTS oggle sonoline G40 system Toggle Keys are used to optimize the ultrasound image and vary with the active Mode or function Page Row Key Alternates between the top and bottom monitor soft key menu levels 2D Color Doppler PW Doppler M Mode Text Sonoline G40 User Manual 2 0 reference pages 3 10 3 12 3 31 thru 3 35 1 3 i i i n i i T i J 3 T y E Meg f gt W UNITED MEDICAL Mode Key Functions INSTRUMENTS y Your Ultrasound Choice a M pod d FO e Pushing the knob initiates the desired mode e Rotating the knob allows you to adjust the gain for the given mode Doppler D is used to listen to blood flow Vascular Sonographers follow orientation standards when documenting direction of blood flow Arterial blood flow travels toward the transducer a
47. tract ball to adjust the height and width of the box until you have it set to a familiar size 5 Press the Set Key again to lock the box size Color parameters are set at optimal configuration 4 27 SAER ad o es S Q UNITED MEDICAL Podiatry Exam INSTRUMENTS Quick Set Your Ultrasound Choice Color Doppler Adjustments Cont PRF 1953 Hz Persist set to number 3 f Filter set to number 1 R S setto 5 Fin setto A L Priority set to 4 7__ Smooth set to number 2 or 3 Pulse Wave Doppler Adjustments PRF should be set to 3551 Hz gn Filter set to 61 dB Dynamic Range DR decrease to 55dB i Map set to D 7__ Angle Correction set between 45 60 __ Gate set to 1 0mm 4 22 tied ee N SS UNITED MEDICAL Podiatry Exam INSTRUMENTS Quick Set Your Ultrasound Choice Saving your Quick Set Having completed the previous steps Press the Quick Set button located on the top row of the key board The below screen will appear Save Delete QuickSet F10 5 amp Thyroid You can name your exam anything you like In our example the MSK1 is used 1 Type the name POD1 into the Ouickset Name box 2 Check Active Ouickset when transducer is selected box 3 Save the Setting 4 28 gZ N 4 o o a4 N A ATINAE WR ITH O UN IVA nU Bale l D A VU J 1 J wd E EEE 74 gt 9 L Ga C A o v N
48. tral Doppler Gate The spectral Doppler gate should be adjusted to fit inside the vein being evaluated The angle correction should be parallel to the vein wall and the gate should be placed in the center of the lumen not touching the vessel wall Transverse Doppler Angle Correction amp Gate Size Correct Gate Size relative to the evaluated vein r gt Correct Gate Size and position of the angle correction relative to the evaluated vein Incorrect angle correction is needed parallel to the vein wall Transducer Heal Toe To obtain a reliable spectral wave form you may have to heal toe the transducer to align the angle correction to be parallel to the vein wall As demonstrated below Incorrect angle correction Correct angle correction with transducer heal toed 5 3 DOD oo poooo gt e ee UNITED MEDICAL OPtmieing the SONOLINE G40 INSTRUMENTS bwi Sider tae Spectral Doppler the scale should be set so the entire waveform is present on the image without overlapping Usually between 500 600 PRF The Doppler scale can be adjusted by increasing or de creasing the spectral Doppler PRF The sweep speed should be set at level 1 allowing for at least 6 seconds on the time line Spectral Doppler Scale ae SDVAMCED VEIN BLASER CTR JMA Ii aoe ADVANCED VEIN amp LASER CTR MA DB 12 OOT iz ir it 27 2 37 a JMA OB T 132202 Th DEHLGODT Doppler PRF set too high Doppler PRF set to
49. with the date and time of the study Sonoline G40 User Manual 2 0 reference pages 4 5 thru 4 24 3 3 DENEME s FN AN SS UNITED MEDICAL INSTRUMENTS Your Ultrasound Choice External Storage of Patient Exams Backing up the system hard drive is user clinic dependant The easiest way is to back up a batch of patient exams at the end of the day at one time Insert a new CD into the CD tray 1 Use the trackball to move the cursor over the first patient exam to be exported 2 Press the set key to highlight the patient s information blue as done below 3 Next move the cursor to the last name that you want to export and let it hover over it The text of the patient information will change from black to blue 4 Leave the cursor hovering over the last name Next press the Shift t jand the Set keys at the same time This will select all the patient exams from the 1st one highlighted to the last one selected 5 Un check the DICOM button located in the CD information box If left checked a free DICOM viewer will be downloaded to your computer when images are reviewed All images are in a read only format 6 Leave the Tiff box checked 7 Click on the export button Under the export button you will see a blue time line tick off Near the end of the export you will see hear the CD tray open and then close 8 You have exported all patient exams to the CD ae aaa EE 28 10 2004 09 58 10 28 10 2004 09 58 uw
50. within the ROI 4B 4B images can also be collected in Color and Power Sonoline G40 User Manual 2 0 reference pages 3 28 3 30 1 8 f i IeMeng ile SS cd Wc m eE 4 Te Sad on Meg i CS UNITED MEDICAL INSTRUMENTS On Screen Mode Menus Your Ultrasound Choice D Mode Menu M Mode Menu Sonoline G40 User Manual 2 0 reference pages 3 28 thru 3 29 1 9 Transmit Power Adjusts the amount of energy transmitted 100 0 20 T F Res Adjusts Time Frequency resolution for finer detail of either the time or frequency data Sweep Adjust the scrolling speed of the Doppler Spectrum Invert Inverts the spectral Doppler display above or below the baseline Tint Changes the colorization of the displayed signal Tint 2 Grey Tint 5 Slate Cool Blue Tint 9 Magenta Sepia Tint 10 Aqua Tint 11 Magenta Tint 13 Wheat Tint 15 Sepia Full D Activates a full screen format for the Doppler spectrum Trace Provides a mean and maximum velocity trace of PW waveforms Triplex Allows mixed mode imaging to display simultaneously in real time The update key will toggle triplex off Transmit Power Adjusts the amount of energy transmitted 100 0 20 Full M Displays a full screen M sweep i 1 i Meg CS UNITED MEDICAL INSTRUMENTS Control Panel Your Ultrasound Choice Depth Zoom e Rotate to increase or decrease depth of field e Push to initiate z

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