ACUSON SC2000 PRIME Ultrasound System 5.0

PRINSE 100 ACUSON SC2000 PRIME Ultrasound System Release 5.0 Quick Reference Guide SIEMENS siemens.com/SC2000 Healthineers Contents 2 System Overview 3 09899199 Exam Basics 18 2D and M-mode Controls 24 Doppler Controls 34 Measurements and Calculations 38 Worksheets and Patient Reports 52 Text 56 Review 60 eSieScan Workflow Protocols 64 Import / Export 70 System Overview 3 1. Monitor – moves up and down, swivels right to left. 2. Control Panel & Keyboard – ACTUSON SC2000FILM 1 contains exam controls. 3. Transducer holders – storage for transducers not in use. 2 7 4. Transducer ports – Three ports for active 3 3 transducers; two parking ports for transducers not in use. 4 5. Physio Module – ECG and Transthoracic Impedance Respirometer connections. 5 8 6. Wheel Lock / Steer. a. Up position – two-wheel steer. b. Down position – lock. c. Middle – four-wheel steer. 6 7. Rear wheel handle – for additional ease in manipulating the system. 8. Filter. System Overview System Overview 4 Connecting and Disconnecting the Transducer SIEMENS SIEMENS 26Ms Z6Ms Unlock Lock Monitor Mobility 5 1 4 3 2 1. Lock / unlock to raise and lower monitor. 2. Lock / unlock for arm swivel adjustment. 3. Monitor handle. 4. Fold-down monitor. System Overview System Overview 6 Control Panel 1 2 3 1. Swivel console. 2. Raise and lower console. 3. Lock / unlock lever for control panel mobility. Control Panel 7 1. Power On /Off 1 3 PRIME 2. New Patient Entry 3. Volume 2 5 4. Alphanumeric Keyboard 5. DGC Control E R U O 4 S D G H 6. LED Displays Z 7. 2D and Overall Gain 8. Freeze /Cine TTTTTTTT 6 6 9. Color on / off and Color Gain 10. PW on / off and PW Gain 7 8 9 CW on / off and CW Gain 10 11. 17 12. TEQ (TEQ ultrasound technology) 14 11 13 13. Measure 12 15 14. Clip Capture (store a dynamic clip) 16 15. Image Store (store a static image) 16. Depth 17. Review System Overview System Overview 8 Home Base Controls DVR - 1 1 K 2 O 3 4 Padly Seat 5 6 Suspend 2 Trackball Pointer 1 1 3 4 1. Soft Keys 4. Priority 5 6 2. Scroll Wheel 5. Select 3. Update 6. Next Home Base Controls 9 DVR 1. Soft Keys – change depending on imaging mode. 1 1 2. Scroll Wheel – scrolls through 2 images in review mode. O 3. Update – refreshes 2D-mode, color Doppler flow data; use to move Update 3 6 Doppler sample position. 4. Select – selects on-screen menu items and assigns trackball to Select 5 on-screen tools. 4 7 5. Track Ball – acts as pointer. 6. Priority – cycles through activated imaging modes (2D, Color Doppler, CW, PW). 7. Next – cycles through imaging mode tools currently controlled by trackball. 8 8. Wrist Support – ergonomic support for wrist. System Overview System Overview 10 Physio Module Lead II ALEX CH NFOUT O O 1 2 3 1. ECG port. For lead change, press Physio (F13) Physio key; • F13 2. Auxiliary IN/OUT – used for large panel display, rotate knob corresponding to lead selection stress echo ECG (compatible with eSie measure). on LED Display. 3. Auxiliary CW transducer port. Lead II is default. • Physio Module 11 Transthoracic Impedance Respirometer Attached ECG leads sense changes in the • patient’s impedance in the chest, for computing the respiration signal. Press Physio (F13) Physio key; use soft key • F13 to activate Respirometer (Resp). System Overview System Overview 12 Input /Output Panel Connections located on the back of the 4. S-Video port – OUT to video recorder system: 1 5. Composite video port – OUT to video 1. Ethernet ports (2) recorder 2 a. LAN 1: hospital network 6. VGA port – OUT to an external monitor connection b. LAN 2: CARTO system connection 3 2. USB ports (3) 3. HDMI ports (3) a. OUT to external monitor 4 b. OUT to video recorder for recording 5 c. IN from video recorder for playback 6 Input /Output Connections 13 Two USB ports are also located on the back of the control panel. System Overview Rear Panel – Connection for Network Port and CARTOSOUND® Module 14 Network LAN SIEMEN Diagnostic Ultrasou ACUSON SC 2000 TT CARTOSOUND® AUX Module connection Note: These ports require Siemens-installed adapter cables connected to the ports on the SIEMEN inside panel. O CARTOSOUND® is a registered trademark of Biosense Webster, part of the Johnson & Johnson Family of Companies Power Supply 15 System Shutdown X 1. Press to turn system on / off. a. Control lights up green when powered on. Complete background jobs before shutting down b. Control flashes green when system is shut down but power cord is still plugged in. Shut Down Cancel c. No light indicates system is completely shut down and power cord is unplugged. 2. When shutting down, select Shut Down from dialog box. 3. Wait approximately 20 seconds after system powers off to unplug power cord (Power control should flash green). System Overview System Overview 16 Monitor Layout 1. Access Bar – displays tools for accessing patient 1 2 5 information. 3 2. Patient Demographics – lists patient information, date and time, institution name. 4 3. Imaging Parameters – lists imaging parameter settings for active mode(s). 100% 2/41 4. Image Menu – displays selection tools and task steps specific to active imaging mode. 5. Task Pane – provides tools and functionality 6 for steps in a workflow (i.e. measurements and calculations) and image thumbnails. 7 Use drop-down to change contents. 6. Common Controls – controls used in workflows, such as Undo and Redo. 7. Home Base Controls – functions assigned to home base controls. Image Menu 17 Acquisition 1. Transducer Selection – changes active transducer. 2. Exam Preset Selection – menu of predefined exam presets. 1 Transducer 4V1c 2 Exam Preset Cardiac 3. Imaging Parameters – hides or displays active imaging parameter settings. 4. Imaging Mode – displays active imaging mode(s). 3 5. Persistence – Frame averaging (determines number of frames 2D 4 combined into final image). 5 Persistence 6. TEQ ultrasound technology – sets the desired TEQ level. 7. Dynamic TCE tissue contrast enhancement technology – 6 TEQ OFF 1 2 3 sets the desired level of speckle reduction from low to high. 7 DTCE OFF 8. Capture Preview – allows preview of clip before saving. 9. Review – review exam images. 8 Capture Preview Off 10. End Exam and save data. 11. End Exam without saving data. 9 Review 10 11 System Overview Exam Basics 18 Registering a New Patient 1. Press the Patient Registration key La on the keyboard, or select the Patient Folder icon on the access bar. 2. Enter Patient Demographics, Request Information, Workflow and Exam Information. 3. Select OK to begin exam. Pre-registered Patient from Local Database 19 1. Select the Worklist icon on the screen. 2. Narrow search results by Date(s), Patient Name, Patient ID and select Local. SIEMENS SC2000 Wo Worklist Network Local Pantot's Last fiame - Patient's First Name - Pateit D. Accessoo fiunber - Requested Pincedi Scheduled Start Date " date range Weeidays Modality - US Station AE The Y 06/01/2017 Te 06/06/2017 Patient's Name Patient ID Patient's Birth D. Study Date Study Descripti Referring Physician RP Description Accession Number AL Y CAL 3. Select patient and select Open Patient Folder located in the bottom left hand corner to obtain demographics page. 4. Select OK to begin exam. Exam Basics Exam Basics 20 Pre-registered Patient from Modality Worklist @ Wo 1. Select the Worklist icon on the screen. 2. Narrow search results by Date(s), Patient Name, Patient ID and select Network. SIEMENS SC2000 Wo Worklist Network Local Paletot's Last flame - Patient's First Name - Patert D. Accessoo fiunber - Requested Pincedi Scheduled Start Date date range Weeidays Madaity - US Station AL The Y 06/01/2017 Ta 06/06/2017 Patient's Name Patient ID Patient's Birth D Study Date Study Descripti Referring Physician RP Description Accession Number LAL AL ¥ CAL CAL 3. Select patient and select Open Patient Folder located in the bottom left hand corner to obtain demographics page. 4. Select OK to begin exam. Restarting a Previously Completed Exam 21 Patient 1. Select the Find Patient icon on the access bar, or press Patient Browser (F2) Browser on the F2 keyboard. 2. Select the required study. 3. Select Open Patient Folder located in the bottom left hand corner. 4. Update exam or workflow information as needed. 5. Select OK. Exam Basics Exam Basics 22 Control Function Patient Opens or closes the data view. Browser Use data view to search for and view patient records. F2 Find Patient / Narrow results by date, patient information. Patient Browser Note: F2 key on keyboard also activates Patient Browser. Review Activates or deactivates the review function. Views previously saved images and clips during active or previous exam. Review Captures a frozen image. Static capture Captures a live image. Note: To obtain a retrospective capture, Freeze then press Clip Capture. Clip Store 23 Exam Basics 2D and M-mode Controls 24 Control Function Brightness Mode. Press to enter / exit 2D mode. 2D Rotate to increase / decrease gain (available on live or frozen image). 2D Use Next key to change sector size / position. Provides a list of currently available image presets. Press and rotate to select desired preset. Image Note: the Preset 1 / Preset 2 soft key may be used to switch between O Image presets. Activates or deactivates a selection. Menu Rotate to cycle through the menu options and press to select. Menu LAg Adjusts focal point. 25 Rotate to move focal zone markers up / down. Focus Focus Note: when automatic focus is active, the Focus control is disabled. Gain Freezes image, sweep, or spectral display. Rotate to scroll through frames. Freeze / Cine Gain Freeze / Cine Rotate to increase / decrease 2D gain (live imaging only). Changes imaging depth. Depth Rotate to increase / decrease depth. Depth Adjusts transmit frequency of the active multi-frequency transducer. MultiHz Toggle up or down to change transmit frequency. Multiple Frequency Imaging Note: Decrease frequency for penetration; increase for detail resolution. Adjusts number of gray shades displayed. Dyn R Toggle up or down to increase / decrease. Dynamic Range Note: Available on live or frozen image for 2D and Doppler. 2D & M-mode Controls 2D and M-mode Controls 26 Control Function Adjusts transmit power for active priority mode. Tx Power Toggle up or down to increase / decrease. Note: An increase in transmit power will result in an increase in Transmit Power mechanical index. Optimizes the overall uniformity of the image brightness in the field of view (FOV). Three levels available: Manual (level 1), Semi-dynamic (level 2), Native TEQ Ultrasound Dynamic (level 3). Technology Select desired level from Image Menu. Activates or deactivates zoom function. Rotate to increase or decrease. Zoom Roll the trackball to pan the image. Zoom Note: Available on live or frozen image. Activates or deactivates RES enhanced resolution imaging. 27 RES Press RES and choose ROI; Press RES again. RESTM enhanced Resolution and frame rate increases. resolution imaging Note: Available on live imaging only. L /R F9 Horizontally flips the 2D image. L / R U / D F10 Vertically flips the 2D image. U/D Activates or deactivates live dual display format. Displays two real-time images originating from same acquisition side- Dual by-side. To change the active image, press Update. Dual Note: Measurements may be performed on either side of a live dual display. 2D & M-mode Controls 2D and M-mode Controls 28 Control Function Manually adjusts gain / brightness. Default all slide pods in the center. Slide pods to increase / decrease brightness. Depth Gain Compensation (DGC) Enters / exits M-mode or adjusts overall M-mode gain. O Press to activate / deactivate. Rotate to adjust overall M-mode gain. M M-mode Use trackball to position M-line. Note: Sweep speed control is located on the right LED display. SpaceTime Adjusts the balance between the temporal and spatial resolution. resolution control Located on the LED Display. Rotate rotary knob to adjust between spatial and temporal resolution. Distinguishes the contours of an image by increasing level of edge detection. 29 Edge Located on the LED Display. Rotate rotary knob to adjust. DELTA Differential Increases or decreases the contrast within a 2D image . Echo Amplification Located on the LED Display. Rotate rotary knob to adjust. Changes the number of beats / seconds captured . Capture Located on the LED Display. Beats / Seconds Note: press rotary knob to alternate between beats and seconds; rotate to change number of beats / seconds. Processing curves that assign echo amplitudes to gray shades. Map Located on the LED Display. Note: A gray bar represents the range of gray shades available for selected map. Colorizes the gray-scale image. Tint Located on the LED Display. 2D & M-mode Controls 2D and M-mode Controls 30 Control Function Exclude frames from CINE data. Trim Left / Right Located on the LED Display when the image is frozen. Note: press rotary knob to alternate between Trim Left and Trim Right. Change end diastole or end systole markers. Move ED/ ES Located on the LED Display when the image is frozen. Note: press rotary knob to alternate between ED and ES. CINE Overview 31 Once an image is frozen, the CINE function continuously stores recently acquired data in a memory buffer. Data stored in CINE memory may be viewed in continuous playback or frame-by-frame review. To Do This Star or Stop CINE playback Press Start / Stop soft key. Reverse direction of CINE playback Press Forward / Backward soft key. View CINE data one frame at a time Slowly rotate Gain Freeze /CINE. Adjust playback speed Rotate Gain Freeze /CINE clockwise to increase speed; rotate counter-clockwise to decrease. Reposition left and right margin Press [x beats] or [x secs] to display [scroll beats] or [scroll secs] markers by selected number of on LED display. beats or seconds Rotate [scroll beats] or [scroll secs]. Display end diastole or end Press Go to ED or Go to ES soft key. systole frame in CINE data Note: This function is ECG dependent. 2D & M-mode Controls 2D and M-mode Controls 32 CINE Overview To Function Add 200 ms to the left and right CINE margins of the original Select Extended R-R on the image menu. R-R interval Note: This function is ECG dependent. Capture CINE data Press Clip Store or Static Capture button. Editing CINE Data 33 To Function Rotate [Trim Left] on LED display to change beginning position. Exclude frames from CINE data Rotate [Trim Right] on LED display to change ending position. Note: Exiting CINE resets both positions. Adjust number of heart cycles Rotate [x beats] or [x secs] on the LED display to select length of to include in playback clip clip playback. Change end diastole or end systole markers Rotate [Move ED] or [Move ES] on the LED display to reposition. 2D & M-mode Controls Doppler Controls 34 Control Function Enters / exits color Doppler or adjusts overall Color Doppler Gain. Press to activate / deactivate color Doppler mode. Rotate to increase / decrease color Doppler gain. C Color Doppler Note: Use Priority and Next key to change sector size / position. Note: Use soft keys or LED controls to activate CDV, CDE, DTV, or DTE. CDV (Color Doppler Velocity) Applies color to the velocities and directions of blood flow. CDE (Color Doppler Energy) Applies color to the energy generated by the blood flow. DTV (Doppler Tissue Velocity) Applies color to the mean velocities tissue. DTE (Doppler Tissue Energy) Applies color to the Doppler signal energy returning from the tissue. Activates /Deactivates CW Doppler. 35 O Press control once to place CW cursor; press again to activate CW Doppler. CW Rotate to increase / decrease gain (available on live or frozen image). Continuous Wave Doppler Note: To adjust position of Doppler cursor, press Update and use trackball to reposition; then press Update again for Doppler tracings. Activates or deactivates PW Doppler function. Press control once to place sample volume; press again to activate PW Doppler. PW Rotate to increase /decrease gain (available on live or frozen image). Pulsed Wave Doppler Note: To activate Doppler Tissue Imaging capability, press the PW control and then press the PW DTI soft key. Adjusts position of spectral or color baseline. Baseline Toggle up or down to adjust. Baseline Note: Available on live or frozen image. Adjusts the Pulsed Repetition Frequency. Scale Toggle up or down to adjust the PRF. Scale Note: Available on live imaging only. Doppler Controls Doppler Controls 36 Control Function Vertically flips the Doppler spectrum on the baseline or the Invert color map. Press to activate. Invert Note: Available on live or frozen image for spectral Doppler. Activates or deactivates live dual display format. Dual Enables simultaneous images with and without Color Doppler Dual originating from same acquisition. Increases or decreases the size of the Pulsed Wave Doppler sample gate. Gate Size Located on the LED Display. Rotate rotary knob to adjust gate size. Edge Increases or decreases levels of edge detection. Located on the LED Display. LAg Increases or decreases wall filter to change the amount of signals 37 Filter rejected. Located on the LED Display. Increases or decreases scrolling speed of Doppler spectrum. Sweep Located on the LED Display. Processing curves that assign echo amplitudes to gray shades. Map Located on the LED Display. Note: A gray bar represents the range of gray shades available for selected map. Colorizes the spectral display. Tint Located on the LED Display. Changes display settings for Color Doppler. Display Located on the LED Display when the image is frozen. Rotate knob for 2D + Color, 2D Only, or Color Only display options. Doppler Controls Measurements and Calculations 38 Press the Calcs key on the control panel to access the measurements and calculation packages. The measurement function is available during • a patient study, in Cine or while in Review mode. The system transfers the values of labeled measurements to the worksheets and patient report. • Unlabeled (generic) measurements display only on the image and are not transferred to the • worksheets and patient report. To Do This 39 Roll the trackball. Position a caliper Note: Calipers available for positioning are green. Press Select or Next. Anchor a caliper Note: The anchored caliper and corresponding measurement are white. Subsequent calipers are available for positioning after rolling the trackball. Complete a measurement Position the final caliper required for measurement and press Select. Press Select soft key to activate first caliper. Reposition an anchored caliper Press Next to activate second caliper for repositioning. Reposition and anchor activated caliper. Delete a completed Press the Select Set soft key and press the Delete Set soft key or press measurement Delete on the keyboard. Measurements & Calculations Measurements and Calculations 40 2D Generic Measurement Tools 1 2 3 4 5 1. Distance: Length of a straight line. + + Xxx 2. Trace: Circumference of an irregular shape or + area inside a manual trace. 3. Ellipse: Major (D1) axis and minor (D2) axis, circumference and area of an ellipse. x-x -X 4. Angle: Calculates degree of the acute angle. 6 7 5. Volume: Calculates volume by using three distance measurements. 6. Area Ratio: Calculates ratio of two areas. 7. Distance Ratio: Calculates ratio of two distances. Doppler Generic Measurement Tools 41 1. Doppler Trace: Velocity Time Integral (VTI), + + Peak Pressure Gradient (Pk PG), Mean Pressure Gradient (MnPG). + + XXX 2. Doppler Calc: Velocity (V) and Pressure Gradient 1 2 3 4 5 + (PG) for each caliper. + 3. Delta Doppler Calc: Difference in Velocity (dV) -- + - -+- ---- X at the two caliper positions, Time Duration (dT) X between the two caliper positions, Heart Rate, Slope, and Pressure Half Time. 6 7 X-X 4. Velocity Ratio: Calculates ratio of two velocities. 5. Velocity: Velocity and Pressure Gradient. 6. Heart Rate: Measure a heart rate. 7. Time: Time Duration between two caliper positions. Measurements & Calculations Measurements and Calculations 42 M-mode Generic Measurement Tools 1. M Calc: Distance and time duration between two + + caliper measurements and calculate slope and Xxx O heart rate. + + X - -- + 1 x-X Calculation Packages and Measurement Groups 43 1. A calculation package is automatically available when the Calcs key Adult Echo is selected. Aortic Valve 2. Measurement labels are mode-dependent and grayed out when unavailable. 2D M 3. Select an individual measurement or measurement series. 9LVOT Systolic Flow LVOTVTI 4. Measurements may be performed manually or by using the eSie Measure LVOT Vmax LVOT Mean Grad workflow acceleration package. @ AoV Systolic Flow AOV VTI AoV Vmax AoV Mean Grad AoV Area, Cont. VTI AOV VTI LVOT VTI GAR Flow AR DT AR Slope AoV Area, Cont, Vmax AoV Vmax LVOT Vmax AOV AT ADV ET Measurements & Calculations Measurements and Calculations 44 Manually Perform Labeled Measurements Essuremants 1. Press the Calcs key. Adult Echo 2. Position the cursor over desired measurement and press the Select key. Aortic Valve D 3. A green arrow displays next to the measurement label in the task pane. 2D M 4. The required measurement tool is activated. " AGV Systolic Flow AOV VTI 5. The caliper displays in the center of the 2D image, Doppler spectrum, AoV Vmax AoV Mean Grad or M-mode sweep. ALVOT Systolic Flow LVOTVTI 6. A checkmark displays next to the measurement label in the task pane LVOT Vmax LVOT Mean Grad once the measurement is completed. GAR Flow AR DT AR Slope AoV Area, Cont, VTI AOV VTI LVOT VTI AoV Area, Cont. Vmax AoV Vmax LVOT Vmax AoV Accel Slope AOV AT AOV ET eSie Measure Workflow Acceleration Package 45 eSie Measure package provides automated measurements for a measurement group or series (i.e. LV • series) and is ECG dependent. Applicable to 2D, M-mode, and Doppler. • Results are copied to the worksheet and patient report. • Note: measured results display the most recent measurement; worksheets and patient reports display averaged values of all measurements for each label. Look for the ACUSON gold “a” for available eSie Measure package options. Measurements & Calculations Measurements and Calculations 46 eSie Measure Workflow Acceleration Package Gain 1. Freeze the image and use the Gain / Freeze Cine Freeze / Cine control to scroll to the desired frame for measurement. 2. Press the Next key anywhere on the image to access a list of available eSie measure options or Press the Calcs button and select the eSie Measure package icon in the task pane located next to the measurement. 3. The system automatically completes and displays the measurement(s). 4. Press the Next key to reposition the caliper to a different location. 5. Press the Select key to confirm the caliper position. 6. The confirmed measurement values for the eSie Measure package function are copied to the worksheets and patient report. eSie Measure Package Example: eSie Left Heart measurement package 47 2 C1 e Sie Left Heart LV EF A4C = 8.1 % CI PLAX d LV/RV LV EDV A4C = 142.1 ml LV ESV A4C = 130.6 ml 05 AM Ode CI PLAX s LA EF AIC = 15.7 % LA EDV A4C = 69.8 ml LA ESV A4C = 82.8 ml Press Next for drop-down menu. 100% 100% 1/41 9/41 Measurements & Calculations Measurements and Calculations 48 eSie Measure Package Example: Mitral Valve Inflow 1 MV DT = 135 msec MV Decel Slope = 12.28 m/s2 CI AoV Systolic Flow MV E Vmax = 1.66 m/s 0.69 MV PHT = 39 msec 21 fps / 180 mm CI LVOT Systolic Flow MV Area PHT = 5.60 cm2 2 MV A Vmax = 0.98 m/s 69 bpm / General -2D CI AR Flow MV AJE = 0,59 H4.0MHz / 12 dB MV E/A = 1.70 TEQ: 3 / Offset: -1 dB DR: 65 dB CI Mitral Inflow -Color -.- 0.69 m/s CDV / 2.0MHZ CI MR Flow 1.00- 12.5 dB ... PW --- CI PV Systolic Flow 1.60 3.5 mm 1.40- 1.75MHZ -1 dB / DR: 70 CI RVOT Systolic Flow 1.20 Sweep: 100 1.00 5 CI TR Vmax 0.00- 10.60- Press Next for drop-down menu. 0.40- 0.20- mi's 0.20 0.40 0.60 eSie Measure Workflow Acceleration Package 49 Note: If a message displays indicating the system was unable to perform the measurement, this may be due to inadequate image quality and / or poor ECG tracing; select OK and perform the measurement manually if necessary. Use the Soft Keys on the control panel and use Go to ED and Go to ES (ECG dependent) TIP to quickly find end diastole and end systole. Go to ES ED-ES Split Go to ED Start / Stop Cine Select Measurements & Calculations Measurements and Calculations 50 Measurement Series A measurement series is a predefined sequence of measurements. • Examples include PLAXd and PLAXs. Measurement • Series Icon When each measurement in a series is completed, the system activates • the measurement tool required for the next measurement in the series. Measurements Most measurement series have an eSie Measure package option, but may • be performed manually as well. Adult Echo Left Ventricle 2D D M 1 PLAX d LV A IVS d PLAX LVID d PLAX LVPW d PLAX " PLAX S D IVS s PLAX LVID s PLAX LVPW s PLAX L4g 51 Measurements & Calculations Worksheets and Patient Reports 52 Viewing Worksheets and Reports Completed, labeled measurements and patient data can be viewed in the worksheets and patient report. • Content in the worksheets and patient report is specific to each calculation package. • Note: Measured results can be edited in the worksheets only. To view a worksheet or patient report: 1. Click the Patient Folder icon on the access bar and select the Report and Worksheet tab, or press Report (F1) Report on the keyboard. F1 2. Choose a measurement tab, for example, Left Ventricle or Left Atrium. Viewing Worksheets and Reports 53 SIEMENS SC2000 WH Patient Folder Report and Worksheel Patient Demographics Last Name NEW Patient ID 1234567 First Name PATIENT Date of Birth 01 02 2012 Middle Name Aga 5 months Sex . Male Female Othe - Request Information Referring Physician Institution Name SIEMENS Accession Number Performing Ptiysician Request ID Operator - Workflow Worldlow Cardioc - Exam Information Transcocer 421c BP(5/f) 120 mm14g Eram Present Cardiac hification Height 170.18 cm 15 7 Weight 58 907 130 Additional Information BSA 1.68 - Custom Information Custom 1 Cuctom 2. OK Cancel Preisgister Short Foes Worksheets & Patient Reports Worksheets and Patient Reports 54 Viewing / Editing Worksheets Patient Folder Report and Worksheet Report 06/19/2017 Exam Latt Vantricso | Luft Atrium Volumes aight Ventricle | Right Atrum | Mitral Valve | Ao and Aortic Valve | Triouspid Valve | Putincnary Valve | Pulmonary veins | Dastology | PISA | 30 PISA | LVA and RIVA "Stress Echo and LVA | JE. Exam | Left Ventricle | Loft Atrium Volumes. Right Ventricle | Richt Atrium Mitral Valve To edit worksheet data: LV MOD A4C d A4C S A2C d A2C'S Bblare d Biplane's LV Area 37.75 24.20 35.57 26.61 1. Open worksheet and select applicable tab. LV Vol 131.9 64.8 118.2 126.2 70.8 ml VOU/BSA mrl/m2 Maior Axis 8.96 7.56 6.79 7.57 cm 2. Choose desired measured result. Semi-Maior Axis 6.89 cm Tr. Semi-Major Axis 2:06 cm Minor Axis cm 3. Enter a new value or delete existing values, LA MOD LA Area 10.13 14.59 10.37 18.21 cma LA Vol 20.1 34.2 then select Close or press Enter. 23.2 $4.2 23.7 43.9 1ml Major Axis 4.09 4,98 3.44 4.68 ... MOD AAC AZC Riolane LV. EF 50.9 34.9 43.9% LV SV 67.1 41.4 55.43 ml LV SI il/m2 LV.CO 4.765 2062 4.018 U/min LV CI U/min/m2 LV %FAC 35.9 25.2 HR 71 ₡74 72 bom LA EF 41.3 $6.3 46.0 Area-Length A4C d A4C.$ A2C.d A2C's Biplane d Bolane 5. LV Vol 135.3 65.9 122.3 79.5 127.4 72.3 m LA Vol 21.4 37.1 26.5 60.3 26.0 48.3 ml LA Vol/BSA Editing Worksheet Data 55 Note: Calculated results are determined by measured results. Note: Deleting a measured result also deletes the calculated results based on the deleted measured result (for example, if AoV VTI measured result is deleted, the system will delete calculated results for AoV Area VTI). Worksheets & Patient Reports Text 56 Annotations To activate the annotation function: Adult Echo 1. Press Text Clear or Text Start on the keyboard. Text Hide Text or A B C D T 2. Select Text in the task pane. The task pane displays the annotation menu. Left Atrium Left Ventricle LVOT Right Atrium Right Ventricle RV Inflow RVOT Aortic Valve Mitral Valve Pulmonic Valve Tricuspid Valve Ao Arch Ao Ascending Ao Descending Aorta Pericardium Est RAP mmHg: Annotations 57 Position the text cursor onto desired location of 1. Enter text using keyboard. image and use one of the following methods to 2. Choose A, B, C, D, or T in task pane and select annotate: from predefined text. Text 3. Rotate [A], [B], [C], or [D] on the LED Display Adult Echo to cycle through the predefined text. Hide Text A B C D T PLAX PSAX A40 A50 A2C A3C Apical Long Subcostal SSN Rt Sternal Border Text Text 58 Annotations Set Delete Word Delete Line Clear Screen Delete Arrow Home Review Text F7 Select To set the text cursor home position, position the To delete text, position the cursor in an annotation text cursor at desire location on image screen and: and: 1. Press Ctrl + Set Home (F7) on keyboard. 1. Press Backspace or Delete on the keyboard. 2. Press [Set Home] on LED Display. 2. Press Delete Word soft key on control panel to delete the word at the location of the text cursor. 3. Press Delete Line soft key. 4. To delete all annotations press Clear Screen on the keyboard or Clear Screen soft key. 59 Text Review 60 Review Press Review key on • Acquisition the keyboard or select Review Review on the image menu. Use the Scroll Wheel to scroll • Image/Clip Review through images. Choose number of images to • JPG view on each page (four is the AVI default). Page 1 of 2 To Do This 61 Select an image Click on the image. The selected image displays a blue border. Deselect an image Click a selected image. The image no longer displays blue border. During review, select desired images. Export selected images Select Export to JPEG or AVI. Right click a selected image in the thumbnail panel / review screen and select Export to … Review Review 62 Deleting an Image To Do This Mark a selected image Choose an image from review screen or thumbnails, for deletion and select the Delete icon on the image. Choose a deleted image in review and select the Undelete icon on the image. Cancel the deletion Right click the image in the review thumbnail panel and select Undelete or Undelete All on the menu. Delete Undelete Teaching Files Creating a Teaching File 63 Combine selected images, clips, and volumes 1. Activate Review Review and select desired • from individual or multiple patient studies to images. create a single teaching file. 2. Select Create Teaching File. The system saves teaching files with a unique • Patient ID. 3. Add images to a new or existing teaching file a. New teaching file: enter a name for the The system cannot add images, clips, or volumes teaching file in the Anonymized Name field • that display patient identifying information. and select Create New. b. Add images to existing teaching file: select required teaching file in Existing Teaching Files list and choose Add to Existing. 4. Close the Create Teaching File dialog box. Review eSieScan Workflow Protocols 64 Predefined and customizable protocols. Polnd Democranaa Select desired eSieScan protocol from dropdown list on demographics page. ----- - 1. Select desired protocol from drop down menu; 65 Complete Adult Echo protocol loads in the task pane. Resume Protocol PLAX LV (20) 2. Select Resume Protocol to initiate. PLAX LV (20) PLAX LV (20, M) 3. A green arrow appears next to the current step. PLAX MV (2D. M) PLAX AoV/LA (20, M) 4. A check mark appears next to the step once Sweep (2D. M) PLAX View (2D. C) completed and green arrow moves to next step. PLAX AOVILA (20) 5. Select End Protocol upon completion. PLAX RVIT (20) PLAX RVIT (2D. C) PLAX RVOT (20) PLAX RVOT (2D, C) PSAX AoV/LA (20) PSAX AoVILA (2D, M) Select the next step to skip a step. + PSAX LV (2D .M) TIP Press the Delete soft key to skip a measurement within a protocol. PSAX AOVILA (2D, C) PSAX Base (20) Once protocol is ended it cannot be re-started, but additional images PSAX Base (2D. C) PSAX Mid (2D] may still be obtained. PSAX Apex (20) PSAX Sweep [2D. C] PSAX TV (2D) PSAX TV (2D, C) PSAX TV (2D. C. PW) PSAX TV (2D, C, CW) PSAX TR (2D. C. CW) PSAX RVOT (20) PBAX RVOT (2D. C) eSie Scan Protocols eSieScan Workflow Protocols 66 Creating a Protocol Acquisition Measurements System Settings Acquisition Measurements System Settings SieStan Pimocos Configuration 2 iliebcan Protocols Goenguialien 3 CANdrac IC Piolicol Adid Protocol Capture Settings IC Protocol Rod Paslocal Capture Settings Lamelod Adul Echo Clip Captice Prospective Limited Abbia Echo Cip Capire Complete Adult Echo Complete Adut Echo Volume Addt Ecto Caps Per Capture Vorne Aquil Eche Cips Per Capture 6 Pediatsc Echo Clip Length Beats Pediutic Echo Beids 4D Pharm Stress 4-5aage 40 Prami Stess « Stage Cap Length Time 2D Esercise Spess 2-Stage Copy Time vecond Copy 2D Phem stress 4-Stige 2D Plane Stress € Stage Vascular Cacore Offset Time VESCUN Cacobo Capaen Poral Carond TEE Z6Ms fames TEE ZOM Adult Echo Protocol ADit Echo Promcol Protocol Mane Ad.it Echo SM Adit Echa SM Protocol Type: 2D Pharm Stress 4.500 Non-Stress Eche #SE ECHO OSE ECHO Carokete Ecto Complete Echo O 40 5best Echo O 20 Shiess Echo 4 Example OK Gance Down Bodor 5 Requested Procedure Mapping 7 OK Cancel 1. Press the System Config (F4) System Config 4. Enter Protocol Name and select Protocol Type. key on the keyboard. F4 5. Reposition the protocol in the list. 2. Select eSieScan Protocols. 6. Modify the default Capture Settings. 3. Select Add Protocol. 7. Select Apply and OK. Adding a Step in the Protocol 67 Acquisition Measurements eslescan Protocols System Settings 1. Select Add Step. . Sie Scan Protocols Configuration 2. Enter the Step Name. Non-Stress Echo Step Name: New Step 2 Cardiac 3. Select Step Capture Settings. IC Protocol Add Protocol Limited Adult Echo Step Settings Measurements Complete Adut Echa 1 Add Step Step Capture Settings 4. Select Image Settings – Volume Adult Echo Pediatric Echo Nodi View Clip Capture: Prospective TEE ZOMS Clips Per Capture 2D, 4D, Color, PW, CW, Adult Echo Protocol Copy Clip Length: Beat Adul Echo SM OSIE ECHO Remove Time M-mode. seconds Complete Echo 3 Example Capture Offset: Time ms 5. Select Apply and OK to save. Adult Echo Protocol 20 New Stop R-Wave frames Image Settings up Automatic Transducer Change None Down Automatic Mode Change 20 4D 4 Color CW 8 M.Mode Di-Plano+ Image Angle Sel Stop Anche Left Pathe Angle degrens degrees eSie Scan Protocols eSieScan Workflow Protocols 68 Adding Measurements to a Step Acquisition Measurements eslo Scon Protocols System Settings 1. Select the Measurement tab eSie Scan Protocols Configuration for current view. Non-Stress Echo New Step Cardiac Step Name: 2. Select Measurement Group IC Protocol Add Protocol Step Seaings 1 Limited Adut Echo Measurements for available options. Complete Adult Echo Add Step Volume Adut Echo Application: Adult Echo Pediatric Echo Imaging Mode(s) 3. Choose the measurement or TEE 26MS Adult Echo Protocol Copy 5 2 Adult Echo SM Measurement Group: M-Mode series and select èSIE ECHO Remove Complete Echo ‹‹ Add Measurement 3 LV [@Sie Senes) IVS d (eSie) Add Measurement. Example Aduft Echo Protocol 20 LVID d (eSie) Now Stop LVPW d (eSie) << Add Image Store 4 IVS's (eSie) 4. Select Add Image Store to LVID s (eSie) IVPW s feSie) capture images of multiple LV/RV (eSie Senes) Clear All RVAW d tip RVD d measurements in one step. IVS d (eSie) LVID d (eSie) LVPWd (eSie) 5. Select Copy. Bocom RVAWs RVD $ IVS s (eSie) 6. Once protocol is finished, LVID 's (eSie) LVPW s (eSie) select Apply and OK to save. PE Diam Ao/LA (eSie) AoV Cusp Sep An Diam s. · eSie Measure O Manual Requested Procedure Mapping 6 OK Apply Cancel Help Modifying a Protocol 69 Acquisition Measurements eslo Scon Protocols System Settings 1. Select protocol to be eSie Scan Protocols Configuration modified. Non-Stress Echo Step Name: New Step 3 Cardiac 2. Select Copy. IC Protocol 1 Add Protocol Step Seaings Limited Adut Echo Moasutements Complete Adult Echo Add Step 3. Rename the protocol. Volume Adut Echo Application: Adult Echo Pediatric Echo And Viwww TEE 26MS Imaging Mode(s) 4. Make edits as needed. Adult Echo Protocol Copy 2 4 Adult Echo SM Measurement Group: M-Mode èSIE ECHO Remove 5. Select Apply and OK to save. ‹‹ Add Measurement LV (eSie Senes) Complete Echo IVS d (eSie) Example LVID d (eSie] Aduft Echo Protocol 20 LVPW d (eSie) Now Stop << Add Image Store IVS's (eSie) LVID s (eSie) LVPW s (eSie) LV/RV (eSie Senes) Clear All RVAW d tip RVD d IVS d (eSie) LVID d (eSie) LVPWd (eSie) Bocom RVAW s RVD $ IVS's (eSie) LVID's (eSie) LVPW s (eSie) PE Diam Ao/LA (eSie) AoV Cusp Sep An Diam s. · eSie Measure O Manual Requested Procedure Mapping 5 OK Apply Cancel Help eSie Scan Protocols Import / Export 70 Importing a Study Import. 1. Select Find Patient FAPATIENT 1\DICOM on the access bar or press CD Drive (E:) Removable Disk (F:) Name A Size Date Modified Patient Browser 9PATIENT 1 17062118 Patient DICOM on the keyboard. Browser PATIENT 2 F2 Network 2. Select Import Data. 3. Select file location. 4. Find desired file and select Import . Import Close Exporting a Study 71 2.3MB, 1 instance(s) 1. Select Find Patient on the access bar or press Patient Browser Patient on the keyboard. Browser F2 CD/DVD Network 2. Choose desired file and select Export Data. 3 File System 3. Select media type. 4. Select Target destination. 5. Select Properties options. Target 4 6. Select Export. Properties Compressed M DICOM compliant 5 Add Viewer Anonymize as ... Anonymous 6 Define A Export Close Import / Export The products / features mentioned in this document CARTOSOUND® is a registered trademark of Biosense may not be commercially available in all countries. Webster, part of the Johnson & Johnson Family of Due to regulatory reasons their future availability cannot Companies. be guaranteed. Please contact your local Siemens organization for further details. Siemens Healthineers offers three shared service cardio- vascular products: ACUSON P500, ACUSON S Family Images used in this guide are for educational purposes and ACUSON X700 ultrasound systems. The ACUSON only. They have been modified or compressed and may SC2000 PRIME is the only dedicated premium cardio- not reflect the actual image quality of the system. vascular ultrasound offering in Siemens Healthineers ACUSON SC2000, Advanced SieClear, DTCE, DTI, eSie cardiology segment. Measure, eSieScan, Delta, RES, MultiHertz, SpaceTime, and TEQ, are trademarks of Siemens Medical Solutions, USA, Inc. Siemens Healthineers Headquarters Legal Manufacturer Siemens Healthcare GmbH Siemens Medical Solutions USA, Inc. Henkestr. 127 Ultrasound 91052 Erlangen, Germany 685 East Middlefield Road Phone: +49 9131 84-0 Mountain View, CA 94043, USA siemens-healthineers.com Phone: +1-888-826-9702 siemens.com/ultrasound Order No. A91US-460-1C-4A00 · Printed in Germany · 5192 1017.X · © Siemens Medical Solutions USA, Inc., 2017