ACUSON Maple 1.0 Quick Reference Guide

ACUSON Maple Ultrasound System Quick Reference Guide Software Release 1.0 siemens-healthineers.com/maple SIEMENS Healthineers 2 At Siemens Healthineers, our mission is to enable healthcare providers to increase value by empowering them on their journey towards expanding precision medicine, transforming care delivery, and improving patient experience, all enabled by digitalizing healthcare. An estimated five million patients worldwide Table of content everyday benefit from our innovative technologies and services in the areas of diagnostic and System Overview 3 therapeutic imaging, laboratory diagnostics and Getting Started 11 molecular medicine as well as digital health and 2D- and M-mode 21 enterprise services. Color and Spectral Doppler 39 SieScape Panoramic Imaging 56 We’re a leading medical technology company with Measurements and Reports 57 over 125 years of experience and 18,500 patents Text, Arrows and Body Markers 67 globally. With over 66,000 employees in more than Data and Image Management 73 70 countries, we’ll continue to innovate and shape Care and Cleaning 85 the future of healthcare. System Overview 3 1. Flat Panel Display Monitor 2. Two USB Ports 1 3. Power On/Off (QuikStart Standby) 4. Control Panel 5. Touch Screen 2 6 5 6. Articulating Arm 3 7. Pull-out Keyboard 4 8. Transducer Ports 7 9. Auxiliary CW Pencil Port 10. Physio Ports 10 11. Input/Output Ports 8 12. Lock (Fround)/Steer/Swivel Castors 11 9 12 System Overview 4 Power On and QuikStart Stand-by Mode 1. Press the Power key to turn the system on or to enter the system shutdown menu 2. Select Shutdown to turn the system off 3. Select Restart to reboot the system 1 4. Select Standby to enter QuikStart stand-by mode which allows the system to power on/off in less than 5 seconds System can remain in Standby Mode System Shutdown for up to 30 minutes before it must be connected to a power source. How do you want to proceed? Shutdown Restart Standby Cancel 2 3 4 Control Panel 5 1. Soft Key Rotary Controls 1 2. Patient Study Control 3. Exam Selection 2 4. Review 3 5. Report 4 6 9 6. Steer 5 7. Select 10 14 UUUU 8. UD (User-defined keys) 8 11 9. Angle 15 13 15 10. Escape 7 12 11. Text, Body Marker, Arrow 12. Pointer 13. Trackball 14. Update 15. Left/Right Set System Overview 6 Control Panel 16. Pulsed Wave Doppler 17. Color Doppler 18. 2D-mode 17 18 16 19 19. M-mode 20. Continuous Wave Doppler 27 21 26 21. 3D/4D 20 22 22. eSieImage™ Multi 23 28 0000 - parametric Optimization 24 29 23. Dual 24. Caliper 25. Freeze 25 26. Depth/Focus 27. DGC Controls 28. Zoom 29. Print, Store and Clip L4g Monitor Screen Layout 7 1. Patient Banner 10 1 2. Orientation Marker 2 3. Imaging Parameters 3 4. Image Screen Menu Area 6 5. Measured Results (Movable) 5 9 6. Image Display 7. User-defined Key Functions 4 8. Trackball Functions 9. Thumbnail Display 10. Status Icons 7 8 System Overview 8 Touch Screen Layout 1. Login/Logoff 9 1 14 2. System User Manual 2 7 8 3. System Configuration 3 4. Digital Keyboard 4 WO HP 5. Study Display Options 6. Soft Key Functions Corresponding 10 11 12 to Rotary Controls 5 7. Active Modes Clip Settings 8. Advanced Application Tabs 13 9. Add Exam 6 10. Blue Highlight = Active Selection 11. Grayed-out = Unavailable Selection 12. Gray Highlight = Available Selection 13. Page Navigation 14. Transducers L4g Connecting Transducers 9 1. Ensure the lever lock is in the left, unlocked position: SIEMENS - Healthir cers 2. Align the connector and press into the transducer port 2 3. Place the lever into the right, locked position: System Overview 10 System Casters/Steering Easy wheeling casters • Brakes on the front • Free swivel functionality LAg 11 Getting Started 12 Patient Registration – Manual 1. Press the Patient Key O Patient 2. Select the Patient Tab on the Touch Screen A Parlent Browser Review 3. Enter patient information 4. Select transducer and exam 5. Select OK Tip: Transducer and Exam can also be selected from the Touch Screen after patient registration by selecting Exam on the Control Panel. L4g 13 Register 3 4 5 Getting Started 14 Patient Registration – Worklist 1. Press Patient Key O 4. If patient is not displayed, search Patient 2. Under the Patient Tab, select Worklist on the by using the drop-down menu or Touch Screen by dates 3. Select the desired patient 5. Clear Search will also refresh the overall list 6. Select the scheduled procedure 7. Press Select to open the patient registration page System must be connected to a Tip: You can also open the patient HIS/RIS server to access patient registration page by double- worklist. clicking the scheduled Procedure. 15 Workilst 4 5 3 6 7 Getting Started 16 Edit Study 1. Press the Patient Key O Patient 2. Select the Patient Tab on the Touch Screen A Patient Browser Review 3. Select Edit Patient Data on the image screen or Edit Patient on the Touch Screen 4. Modify the desired data fields 5. Select OK L4g Register Edit Patient Dila 17 3 4 TRA - 5 Getting Started 18 Transducer/Study Control Panel and Touch Screen A 2 1. Select Exam O Exam 3 2. Select the transducer on the Touch Screen 3. Select the desired Exam type L4g Store, Print and Clip Store 19 3 5 Control Panel and Touch Screen 1. Press Freeze 2. If desired, roll trackball for frame-by- frame Cine review Caliper Print Store 1 Clip Store 3. Press Print Store 1 to save a static image -P 4. Press Print Store 2 to save and print1 Press Clip Store to acquire and save Print Store 2 5. a clip while scanning 4 1 1 A compatible printer must be Tip: Clip Store length is adjustable connected and assigned to the on the Touch Screen during print function in the Configuration live scanning. menu before using selection. Getting Started 20 Review and End Exam 1. Press Review O Patient 2. Select the desired layout on the Touch Screen 3. Rotate the Page soft key or rotate Select to move between Select images 4. Select End Exam on the Touch End Exam Screen to end the study L4g 21 A Patient Browser Review ? General Review Select all Deselect All 2 1x1 1X2 2x2 Archived Raport 3x3 4x4 5×5 Show Selected Slide Show Suess Echo Review Clear Teaching File Export PC Printer USB Calor Printer Printer AHP Hide Patient Delete Imago Param Save Reset Malkur 4 End Exam Page 3 DICOM Print Cine Speed Cine Frame Cine Start Marker Cine End Marker 25/25 Calor 2D- and M-mode 22 2D Control Panel 2D 0000 UDT 23 2D Controls Function 2D Enters/exits 2D-mode or adjusts overall 2D gain/brightness eSieImage™ multi- Automatically and continuously applies TEQ™ ultrasound technology in real-time parametric image optimization Press twice to deactivate Note: Available on a live image only Manually adjusts gain/brightness at depth DGC Default all slide pods in the center Magnifies the image Zoom Rotate to increase or decrease image magnification Note: Zoom is available on a live and frozen image Increases image size, detail resolution and frame rate in a region of interest (ROI)/Displays “HD Z” on the image screen Press the Zoom key to display the ROI and roll the trackball to HD Zoom position Rotate (or, press right or left Set key) to resize the ROI and press to activate Press again to deactivate Note: Available on a live image only 2D- and M-mode 24 2D Control Panel 2D Controls Function Adjusts the number of focal zones # of Focal Zones Press the Depth/Focus control to select the desired number of focal zones Note: Availability varies by transducer, exam type and THI activation Adjusts the scanning depth and the focal zone Press the toggle up or down to adjust the depth Depth/Focus Rotate the toggle to adjust the focal zone Note: Direction of depth and focal zone control is customizable in the Configuration Menu/Custom Keys Displays two separately acquired images side by side Dual Press Dual to activate and toggle between images Press the 2D key to exit 25 Increases the line density/frame rate Press the Set key and roll trackball to resize the sector 2D Sector Width Press the Set key and roll trackball to position Press the Set key to lock Note: Available on a live image only, not available on linear transducers 2D- and M-mode 26 2D Touch Screen A 7C2 @ Add Exam Workflow Elimany SieScape ? 20 Contran Clarify VE Persist Full Screen Extensive View Clarity VE Levels Edge WIR Flip UND Flip Clear Blopsy Lina Biopsy Screen Off Hide Patient Physio Settings > 4B Split Image Param Clip Settings Full FOV High Density DICE Med Tint Foon With TEQ Gain MultiHertz 5.0 MHE Adv. SieClear Dyn R 68 dB C Image Size 2 Tx Power 100% 27 2D Controls Function Displays linear or trapezoid image format Trapezoid Select to activate/deactivate Note: Available on linear transducers and on a live image only Live Dual (Split)* Activates two simultaneous images in dual format Select to activate/deactivate Displays four separately acquired images 4B Select 4B to activate and add each image Select 2D to exit Note: Available on a live image only in 2D and color Doppler Increases contrast and lateral resolution, reduces noise and clutter THI (Tissue Harmonic Imaging) Select to activate/deactivate Note: Available on a live image only Needle Visual Activates multiple needle interrogation angles (Enhanced Needle Select to display available in-plane needle enhancement options Visualization) Note: Available on a live image only *Note: This guide uses the term Live Dual to refer to Split imaging displayed as Split on the ultrasound system. 2D- and M-mode 28 2D Touch Screen 2D Controls Function Increases the distance between multiple focal zones Focus Width Rotate to increase/decrease the distance between multiple focal zones Activates a larger field of view Wide FOV Select to display the 220° FOV Note: Available on the 9MC3 transducer only Changes the FOV back to 176° Full FOV Note: Available on the 9MC3 transducer only Activates the FOV size FOV Size Select to increase/decrease the size of the FOV (alternatively, use trackball and select keys) Note: Available in Full FoV on the 9MC3 transducer only 29 Clarify vascular Decreases artifacts, increases contrast resolution and boundary detection in structures with flow enhancement (VE) technology Press to activate/deactivate Note: Available on a live imaging only Adjusts levels of sensitivity when using Clarify VE technology Clarify VE Levels Select higher level to increase sensitivity Select lower level to decrease sensitivity Note: Available on a live image only Adjusts orientation on the image screen U/D and R/L Flip Press to activate/deactivate Note: Available on a live or frozen image Selects the type and length of clip capture Clip Settings Chronology – prospective/retrospective, capture type, acquisition rate and trigger type Note: Available on a live image only Optimizes the 2D image by adjusting the speed of sound for fatty CTI tissue versus dense tissue in Breast imaging (Custom Tissue Imaging) Press to activate Adjust CTI levels based on the type of breast tissue 2D- and M-mode 30 2D Touch Screen 2D Controls Function Activates contrast imaging for the left ventricle LVO Contrast (Left Ventricular Press to activate/deactivate Opacification) Note: Only compatible with the 5P1 transducer in the Adult Echo preset A Normal field of view is the default and captures the patient information, banner, thumbnails and trackball legend Extensive View Extensive View captures patient information and banner, but hides the thumbnails and trackball legend Press to activate/deactivate Hides patient information, banner, thumbnails and trackball legend Press to activate/deactivate Full Screen Note: When changing to a Full Screen or Extensive View, the chosen view will stay active until the system is rebooted and returns to the Normal View. The extensive image sizes are also unavailable in 3D/4D modes or while in review. 2D Soft Keys 31 2D Controls Function Advanced SieClear™ Advanced SieClear compounding and SieClear compounding spatial compounding enhance contrast resolution and boundary detection Increase for more compounding SieClear™ multi-view spatial compounding Decrease for less compounding Note: Available on a live image only TEQ Gain Adjusts default gain setting for eSieImage multiparametric imaging Balances line density (spatial resolution) and frame rate R/S Increase to improve image detail (Resolution/Speed) Decrease to improve frame rate Note: Available on a live image only *Note: This guide uses the term Compounding to refer to Advanced SieClear spatial compounding and SieClear multi-view spatial compounding displayed as Adv. SieClear or SieClear on the ultrasound system. 2D- and M-mode 32 2D Soft Keys 2D Controls Function DTCE (Dynamic TCE™ tissue Reduces speckle and enhances tissue contrast contrast enhancement Settings are Low, Medium and High technology) Note: Available on a live image only Adjusts the size of the image display Image Size Increase for a larger image display, decrease for a smaller image display Available options are 0-4 Note: Available on a live image only Adjusts the level of acoustic energy delivered to the patient Tx Power Rotate clockwise to increase power (Transmit Power) Rotate counterclockwise to decrease power Note: Available on a live image only Adjusts number of gray shades displayed 33 Dyn R Rotate clockwise for a softer/grayer image (Dynamic Range) Rotate counterclockwise for more contrast Note: Available on a live or frozen image Adjusts transmit frequency of the active multi-frequency transducer MultiHertz (MultiHertz™ multiple Use higher frequency for increased resolution frequency imaging) Use lower frequency to increase penetration Note: Available on a live image only Map Selects a processing curve that assigns echo amplitudes to gray shades Rotate to select desired Map Colorizes the gray scale image Tint Rotate to select desired Tint 2D- and M-mode 34 M-mode Control Panel 2D M 30140 0000 UDT 35 M-mode Controls Function Enters/exits M-mode or adjusts overall M-mode gain M Press to activate/deactivate (M-mode) Rotate to adjust overall M-mode gain Roll trackball to position M-line Note: Available on a live image only Alternates between 2D-/M-mode formats Update/View Press Update to move between modes Note: Available on a live image only Enters/exits color M-mode With color Doppler activated, press M (M-mode) Color M-mode Position M-line and press M Press M again to deactivate Note: Only available with cardiac transducers 2D- and M-mode 36 M-mode Touch Screen A P4-2 @ Add Exam Workflow Adult Icho Streit Echo ? 20 M Contrast Full Screen Extensive View Clear Screen Patient Physlo Settings>> Full M M Mode Image Param Clip Settings Angle AMM Marker AMM Tint MultiHertz 3.6 Mil2 Edge Dyn R Tx Powe 94 M-mode Controls Function 37 Changes the display format to full screen M-mode Full M Press to activate/deactivate Angle AMM Views the M-mode sweep based on patient anatomy, independent of (Anatomical M-mode) transducer orientation utilizing angle rotation Press to activate/deactivate Views the M-mode sweep based on patient anatomy, independent Marker AMM (Anatomical M-mode) of transducer orientation utilizing freehand drawing of the angle Press to activate/deactivate 2D- and M-mode 38 M-mode Soft Keys M-mode Controls Function Sharpens the contours of a structure in the M-mode sweep Increase for more sharpness Edge Decrease for less sharpness To deactivate, select zero Note: Available on a live image only Selects a processing curve that assigns echo amplitudes to gray shades Map in the M-mode sweep Note: Available on a live and frozen image Colorizes the M-mode sweep Tint Note: Available on a live and frozen image Adjusts the number of gray shades displayed in the M-mode sweep DR Rotate clockwise for a softer/grayer sweep (Dynamic Range) Rotate counterclockwise for more contrast Note: Available on a live or frozen image 39 Adjusts the scrolling speed of the M-mode sweep Sweep Increase to display fewer cardiac cycles Decrease to display more cardiac cycles Note: Available on a live or frozen image 40 Color and Spectral Doppler Color Doppler Control Panel 2D 30140 0000 UD 1 41 Color Doppler Controls Function Enters/exits color Doppler or adjusts overall color Doppler gain C Press to activate/deactivate color Doppler mode (Color Doppler) Rotate to increase/decrease color Doppler gain Note: Available on a live image only Adjusts the color ROI Increases frame rate by decreasing the color ROI width or depth Color Box Size/Position Press Set to alternate between size/position Roll the trackball to resize or reposition color ROI Note: Available on a live image only Steers the color ROI Steer Toggle the Steer key left/right to steer Note: Steering angle is transducer dependent Color and Spectral Doppler 42 Color Doppler Touch screen A 7C2 @ Add Exam Workflow 20 Contrat Full Screen Extensive View Clear VelTag Screen Patient Physio Settings > Split Image Param Clip Settings 20 Adv. SieClear invert Color Display CDE o-Blend Off Filter RIS Priority Smooth Tx Power 100% MultiHertz 3.3 MHZ Scale 1220 Hz Baseline Map C Flow Med Persist 2 43 Color Doppler Controls Function CDE Applies color based on flow amplitude (Color Doppler Energy) Note: Available on a live image only Turns color display off when in color Doppler Color Display Select to activate/deactivate Note: Color ROI remains on the image Reverses the colors depicting forward and reverse flow in the color ROI and the color bar Invert Select to activate/deactivate Note: Available on a live or frozen image Displays four separately acquired images 4B Press to activate and add each image Note: Available on a live image only in 2D and color Doppler DTI Activates the Doppler tissue imaging feature for cardiac exams (Doppler tissue imaging Press to activate/deactivate capability) Note: Available on a live image only Color and Spectral Doppler 44 Color Doppler Soft Keys Color Doppler Controls Function MultiHertz Adjusts the color Doppler frequency independent of the 2D frequency (MultiHertz™ multiple Rotate to increase/decrease frequency imaging) Note: Available on a live image only Selects a processing curve that assigns the velocity/velocity variance Map (Color) or flow amplitudes (Power) to a range of colors Note: Available on a live and frozen image Adjusts the level of acoustic energy delivered to the patient in color Doppler mode Tx Power Rotate clockwise to increase power (Transmit Power) Rotate counterclockwise to decrease power Note: Available on a live image only, changes mechanical and thermal indices 45 Adjusts spatial averaging (smoothing) for color flow Smooth Increase for flow sensitivity Decrease for color spatial resolution Note: Available on a live image only Adjusts the pulse repetition frequency (PRF) Scale Rotate clockwise to increase PRF Rotate counterclockwise to decrease PRF Note: Available on a live image only Adjusts the range of flow velocities displayed above and below the Baseline baseline Rotate to adjust the baseline of the active mode Prioritizes the display of grayscale or color flow data Priority Increase for greater color fill Decrease to prioritize grayscale and less color fill Adjusts the time that the color flow data remains in the ROI before being replaced by another color Persist (Persistence) Increase for greater color fill Decrease to increase temporal resolution Note: Available on a live image only Color and Spectral Doppler 46 Color Doppler Soft Keys Color Doppler Controls Function Adjusts the color wall filter Filter Increase to reduce motion artifacts Decrease to increase sensitivity to low flow states Note: Available on a live image only Balances line density (spatial resolution) and frame rate R/S Increase for image detail (Resolution/Speed) Decrease to increase frame rate Note: Available on a live image only L4g 47 Spectral Doppler Control Panel ¢ 20 00:00 Print Colory 2 Color and Spectral Doppler 48 Spectral Doppler Soft Keys Spectral Doppler Controls Function Enters/exits spectral Doppler or adjusts overall spectral Doppler gain PW (Pulsed Wave) Doppler Press to enter/exit and CW (Continuous Wave) Roll trackball to position Doppler gate Doppler Press PW or CW to activate the strip Rotate PW to adjust overall spectral Doppler gain Note: Available on a live image only Alternates between the Doppler spectrum and the 2D image Update/View Press once to alternate between Doppler/2D Note: Available on a live image only Adjusts the PW Doppler angle Steer Toggle left/right to adjust the steering angle Note: Available on linear transducers and on a live image only 49 Adjusts angle correction Angle Press to cycle through 60/60/0° angle selections Rotate to adjust values in 1° increments Note: Available on a live or frozen image Optimizes spectral Doppler gain, baseline, scale and dynamic range eSieImage With Doppler spectrum active, press eSieImage on the Control Panel (Auto Doppler Optimization) to activate Press twice to exit Note: Available on a live image only Color and Spectral Doppler 50 Spectral Doppler Touch Screen A TC2 @ Add Exam Workflow PW Contrat Full Screen Extensive View Mute Clear Auto Stat Trace Direction Screen Above Update Rate Sensitivity Patient Physio Settings > Full D 3 Image Param Clip Settings invert Mean Trace MultiHertz 2.7 MHZ Filter 98 Hx Dyn R 80 dB Tirit Tx Power 100% 4.0 mm Scale 2170 Hz Baseline Map C Sweep Volume TO Lu 51 Spectral Doppler Controls Function Displays Full Screen Doppler Full D Select to activate/deactivate Note: Available on a live image only Reverses the Doppler spectrum (negative values display above the baseline) Invert Select to activate/deactivate Note: Available on a live or newly frozen image only Automatic tracing and display of PW Doppler measurements Auto Stat Select to activate/deactivate Select settings for data above, below or on both sides of the baseline Note: Available on a live or newly frozen image and in Caliper mode Adjusts the sensitivity of the Trace tool when in Auto Stats Sensitivity Increase for higher sensitivity. Choices are 0-7 Note: Available when Auto Stat is activated only Displays graphic traces of the mean (yellow) with maximum (blue) Mean Trace velocities or frequencies on the spectrum Note: Available when Auto Stat is activated only Color and Spectral Doppler 52 Spectral Doppler Touch Screen Spectral Doppler Controls Function Select to choose trace direction Trace Direction Choose above, below or both sides of the baseline Note: Available in Auto Stat only Displays both the 2D image and spectral Doppler tracing in real-time Live/Live* (Simultaneous [Triplex]) Press to activate/deactivate Note: Available on a live image only DTI Activates the Doppler Tissue imaging feature for cardiac exams (Doppler Tissue imaging Press to activate/deactivate capability) Note: Available on a live image only Defines the interval for refreshing the 2D-mode image Update Rate Select Off, 1 sec, 2 sec, 4 sec or 8 sec Note: Available on a live image only 53 Mutes the Doppler audio Mute Select to activate/deactivate Note: Available on a live image only *Note: This guide uses the term Live/Live to refer to Simultaneous Triplex imaging displayed as Simult on the ultrasound system. Color and Spectral Doppler 54 Spectral Doppler Soft Keys Spectral Doppler Controls Function Adjusts spectral Doppler frequency independent of the 2D or color MultiHertz (MultiHertz™ multiple frequency frequency imaging) Rotate to adjust Note: Available on a live image only Selects a processing curve that assigns echo amplitudes to gray shades Map in the Doppler spectrum Note: Available on a live and frozen image Adjusts the level of acoustic energy delivered to the patient in spectral Doppler mode Tx Power Rotate clockwise to increase power (Transmit Power) Rotate counterclockwise to decrease power Note: Available on a live image only, changes mechanical and thermal indices displayed 55 Adjusts the pulse repetition frequency (PRF) Scale Rotate clockwise to increase PRF Rotate counterclockwise to decrease PRF Note: Available on a live image only Adjust the range of velocities displayed Baseline Rotate to adjust the baseline of the active mode Note: Available on a live or frozen image Adjust number of gray shades displayed Dyn R Rotate clockwise for a softer/grayer spectrum (Dynamic Range) Rotate counterclockwise for a blacker/whiter spectrum Note: Available on a live or frozen image Adjusts sample volume size Gate Rotate clockwise to increase size Rotate counterclockwise to decrease size Note: Available on a live image only Colorizes the Doppler spectrum Tint Select desired Tint from 0-11 Note: Available on a live and frozen image Color and Spectral Doppler 56 Spectral Doppler Soft Keys Spectral Doppler Controls Function Adjusts the spectral Doppler signal filter Filter Increase to reduce motion artifacts Decrease to increase sensitivity to low flow states Note: Available on a live image only Adjusts the scrolling speed of the Doppler spectrum Sweep Increase to display fewer cardiac cycles Decrease to display more cardiac cycles Note: Available on a live and frozen image Adjusts the spectral Doppler audio volume Volume Increase to raise audio level Decrease to lower audio level Note: Available on a live and frozen image 57 Panoramic (SieScape Panoramic Imaging1 ) 58 Perform a Panoramic Acquisition 1. Select the SieScape* tab to activate Panoramic imaging 2. Press the right or left Set key to acquire the image 3. Press Freeze or one of the Set keys to end acquisition, Acquire Acquire press Freeze again to reactivate acquisition if desired Pan Par 4. Use the SieScape review controls, zoom rotary control and the trackball and select keys after completing the acquisition to size, rotate, pan, magnify or measure the image 5. Use the Cine function to recall single frames for review 6. Select Exit to deactivate Panoramic imaging 1 Optional feature *Note: This guide uses the term “Panoramic” to refer to the SieScape Panoramic Imaging displayed as SieScape on the ultrasound system. 59 Measurements and Reports 60 Unlabeled Measurements 1. Press Caliper 5. Roll the trackball to position the second caliper 2. To change the measurement type, 6. Press Set to complete the measurement and/ press More and select the desired function or activate additional caliper sets 3. Roll the trackball to position the first caliper 4. Press Set to anchor Unlabeled measurements do not Tip: Measurements can be performed enter into the exam report. on frozen, Cine and stored images. Unlabeled Measurements – Perform Measurements 61 Carotid Style A Arterial TCD ? Right Left Non Open Trace Cpan Spline X RE Prox CCA Rt Prox IC Crow Angle innom A As Bulb Clipwe Spline Hip Angle Clear % Hide Ante Ratio Patient Image Param Voll 1 Dht Val 3 DhLe DING Trice 2 Cont Angle Wol 3 Dist UndolRedo MDA Summarize MDA Report Delete Font Size On Vascular Measurements and Reports 62 Labeled Measurements 1. Press Caliper 5. Roll the trackball to position the second caliper 2. Select the desired measurement label 6. Press Set to complete the measurement, send Roll the trackball to position the first caliper the labeled value(s) to the patient report and/ 3. or activate additional measurements 4. Press Set to anchor 7. Rotate the Exam type soft key to display additional labeled measurement packages Tip: The measurement label can be selected before or after calipers are placed. L4g 63 A 2 Abd Renal Bowel FAST Lung Style Exam Style1 Abdominal ? Right Left None Mid Dist None Liver Length GB Wall Thickness GB Length CBD CHD 2 Rt Kidney Length Rt Kidney Width Rt Kidney AP Spleen Volume Prox Aorta Clour Pancreas Head Pancreas Body Pancreas Tall Prox IVC Hide Patient Shadow Imago Param Ellipse Spline Crois Angle Vol 3 DHL Undo/Redo MDA Summarize MDA Report Delete Cine Font Size 14 On 75 Measurements and Reports 64 Edit Measurements (Labeled and Unlabeled) Edit Completed Measurement 1. Press Update to activate calipers and cycle between active calipers 2. Press the Select Next soft key to cycle between calipers sets Select Next 3. Press Delete soft key to remove active Delete All measurement 4. Press Delete All soft key to delete all Delete All measurements 5. Rotate Undo/Redo or the Select key to edit a trace measurement UndolRedo L4g Reposition Measurement Results 65 1. Select Pointer 2. Click and drag MDA Results to desired position Tip: Click and drag MDA Results to the bottom of the screen to display in a horizontal format. Measurements and Reports 66 Report Review the Report 1. Press the Report key to enter/exit O 5. To edit the report, roll the trackball to the report page Report desired measurement and edit 2. Select Results to review additional 6. Select Print Preview to visualize the revised measurements summary 3. Select Print Report to send to connected 7. Select Export PDF to save the report on a USB external printer 4. Press Print Store 1 to store report as a thumbnail Print Store 1 Only labeled measurements appear on the report; an * appears for any edited measurement. L4g A 67 6 2 3 7 5 - Tip: Press Store Report to capture the report page(s) as an image(s). 6 7 3 Measurements and Reports 68 Report Import Images into the Report 1. Press the Report key to enter/exit report page 2. Select Images on the Touch or Imaging Screen Images 3. Select the display format on the imaging screen 4. Roll the trackball to the thumbnail image and press the Set key to transfer to the images section 5. To delete the image from the report, hover the cursor over the image and click the “ X” that appears in the upper right corner Up to 20 images can be stored to the Summary. L4g 69 4 25- 10 2017 14 53 07 3 5 2 E IHN NO KA Text, Arrows and Body Markers 70 Text 1. Press the Text Body Marker key on the Control Panel Text 2. Select the desired annotation 2 on the Touch Screen 3 3. Select the Keyboard icon on the Touch Screen to activate the digital alphanumeric keyboard; press again to return to the text screen L4g Text Icons 71 Controls Function Controls Function Activates/deactivates text cursor Delete Line Deletes one line of text at the and the text Touch Screen menu cursor Sets default position for the text Delete Word Deletes the last word Set Home cursor Displays the next or previous page, Home Position Positions the cursor at the home when available location Press to activate/deactivate and Hide Text Temporarily hides text Caps Lock make all letters typed capitalized/ Off not capitalized Clear Deletes all text, pictograms or Screen arrows Text, Arrows and Body Markers 72 Body Markers 1. Press the Text Body Marker key on 5. Press Set to anchor the Control Panel 2. Select the Body Marker tab 3. Select the desired Body Marker from 6. Reselect the Text Body Marker key the Touch Screen on the Control Panel to readjust the Body Marker position 4. Use the Body Marker widget on the Touch Screen to adjust the 7. Press Delete or Clear Screen on transducer orientation/position the Touch Screen to delete the Body Marker Tip: Body Marker options can be customized in the System Configuration Menu. L4g 73 A Text Body Marker Arrow Exam Abd 2 ? 7 Clear 4 Hide Y Patient Imago Param 3 End Exam 7 Marker Size Home Set Home Delete Trackball Body Marker Text, Arrows and Body Markers 74 Arrows 1. Press the Text Body Marker key on 6. Press Set to activate additional the control panel arrows 2. Select the Arrow tab on the Touch 7. Press Delete to delete the last Screen arrow or Clear Screen to delete all 3. Select the desired arrow type/size/ markings color 8. Press Update to cycle through Use the Arrow widget to adjust the multiple arrows 4. arrow orientation 9. Press Text Body Marker to exit Arrow function 5. Roll the trackball to position Tip: Unlimited arrows can be added. L4g Body Market 75 AUTOW 2 5 4 3 6 7 8 3 3 7 4 Arrow Colon Arrow Sire Large Delete Rotate Cine 1.25 Data and Image Management 76 Review and Delete Images Review Images on Current Study Review Images from a Closed Study 1. Press Review on the Control Panel O 1. Press Patient on the control panel O Review Patient 2. Select the desired layout 2. Select Browser Tab on the Touch Browser on the Touch Screen Screen 3. Double-click the desired study 3. Rotate the Select key or Page soft key to view more images 4. Select the desired display Select format on the Touch 4. Press Review or 2D to exit Screen 5. Rotate the Select key or Page soft key to view more images Select Tip: Rotate the Select key to choose a 6. Press Review or 2D to exit protocol view and press the Select key to pause/resume the protocol. L4g Delete Images from a Current Study or 77 in Review 1. Select the Pointer from the control panel 2 PoinHr 2. Select an image on the thumbnail panel to highlight 3. Press the Delete icon on the Touch Screen .... 3 Data and Image Management 78 Restart an Exam 1. Press Patient Key Patient 2. Select Browser Tab on the Touch Screen A Parlent Browser 2 Review 3. Select patient study from list to highlight 4. Select Restart 5. Select OK Images, clips and volumes can be added to a closed study within 24 hours. L4g 79 ---- 4 3 ---- ----- Patient Browser Review Patient Browweer Queue Search Clear Search Worklist Export(Import) Delete Query Rctriove Select all Deselect All New Study Restart 4 Data and Image Management 80 Teaching File 1. Press Review O 7. Under Teaching File, name the file and Review 2. Select Browser tab select New or select an existing file and select Append A Parlent Browser 2 Review 8. Select Close 3. Double-click the desired exam from Local Disk 9. The teaching file is now displayed in the to load study Patient Browser 4. Roll the Trackball, highlight an image or clip 10. To add images from multiple studies, from the imaging screen (not thumbnail), follow steps 1-5, then select the desired and press the Set key teaching file 5. Repeat for all desired images 11. Press Append to add the additional images 6. Press Teaching File on the Touch Screen Tip: Images and Clips stored in a teaching file remove all patient data. L4g 81 A Patient Browser Teaching File ? 1X2 2x2 Bx3 545 Slide Show 6 Teaching File Export Appeind 7 Delete 7 Firam End Exar DICOM Print Che Spent 8 25/20 Data and Image Management 82 Export Study Export Study to Network 1. Select the patient name in the Patient Browser 2. Select the desired Output Device 3. Select Send Tip: Images will automatically be sent to PACS if the system is configured to send during the exam or at the end of the exam. L4g 83 Patient Ibowyer 1 514. 2 3 Data and Image Management 84 Export Study Export Study to CD-R/DVD in DICOM Export Study to USB in PC Format (TIFF or AVI) 1. Insert CD-R/DVD 1. Insert USB 2. Select the patient name in the Patient 2. Select the patient name in the Patient Browser Browser 3. Select Export 3. Press Export 4. Select DICOM as the export format 4. Select TIFF/AVI as the export format 5. Select CD/DVD as the destination 5. Select a USB Drive as the destination 6. Select Export 6. Select Export Tip: Hold CTRL to select more than one Tip: USB icon is displayed in the top right patient name and select De-identify to of the image screen when USB is anonymize a study before exporting. inserted correctly. L4g Export to USB or CD-R/DVD 85 5 -- 2 H 4 .............. 3 6 Data and Image Management 86 Import Study Import Study from CD-R/DVD Import Study from USB to Local Database 1. Insert CD-R/DVD 1. Insert USB 2. Select CD/DVD from Source Media in the 2. Select USB drive from Source Media in the Patient Browser Patient Browser 3. Select patient name on the CD/DVD 3. Select patient name on the USB 4. Select Import 4. Select Import L4g Import from USB or CD-R/DVD 87 2 Patient Browser 3 4 Care and Cleaning 88 Cleaning and Disinfecting the System 1. Power off the system and unplug the power supply 2. Use a clean gauze pad or lint-free cloth, lightly moistened with a mild detergent, to wipe the surface of the system 3. Use a clean, lint-free cloth to dry the surface 4. As required, use an approved disinfectant wipe to disinfect the system and accessories 5. Plug the power cord into the power supply Tip: Ensure that fluids do not seep into any openings on the system. L4g Cleaning the Trackball 89 1. Rotate the ring around the trackball counter - clockwise and carefully lift the ring to remove 2. Remove the trackball 3. Clean the ring, trackball and trackball assembly with a cotton swab or lint-free pad moistened with a mild detergent solution 4. As required, use an approved disinfectant wipe to disinfect the ring, trackball and trackball assembly 5. After allowing the trackball components to completely dry, place the trackball into the assembly 6. Place the ring over the trackball, aligning the tab with the point of attachment on the assembly and rotate clockwise until the ring snaps into place Care and Cleaning 90 Air Filter Cleaning the Air Filter 1. Power off the system and unplug the power supply 2. Push the air filter tray to release the locking mechanism and then pull the tray from the ACUSON Maple system 3. Rinse the air filter tray with running water and allow the filter to completely dry 4. Slide the dry air filter back into the system 5. Plug the power cord into the power supply Tip: The air filter should be checked and cleaned weekly to maintain proper system cooling. 91 Please note: the future availability of said Functionalities in any specific This learning material is for training purposes only. country is not guaranteed. Please contact your local For the proper use of the software or hardware, please Siemens Healthineers sales representative for the most always use the Operator Manual or Instructions for Use current information. (hereinafter collectively “Operator Manual”) issued by The reproduction, transmission or distribution of this Siemens Healthineers. This material is to be used as training training or its contents is not permitted without express material only and shall by no means substitute the Operator written authority. Offenders will be liable for damages. All Manual. Any material used in this training will not be names and data of patients, parameters and configuration updated on a regular basis and does not necessarily reflect dependent designations are fictional and examples only. the latest version of the software and hardware available at All rights, including rights created by patent grant or the time of the training. The Operator Manual shall be used registration of a utility model or design, are reserved. as your main reference, in particular for relevant safety information like warnings and cautions. ACUSON Maple, Advanced SieClear spatial compounding, Clarify vascular enhancement technology, DTI Doppler tissue Some functions shown in this material are optional and imaging capability, Dynamic TCE tissue contrast enhance- might not be part of your system. Certain products, ment technology, eSie Image multiparametric optimization, product-related claims or functionalities (hereinafter MultiHertz multiple frequency imaging, SieClear multi-view collectively “Functionality”) may not (yet) be commercially spatial compounding and SieScape panoramic imaging are available in your country. Due to regulatory requirements, trademarks of Siemens Medical Solutions USA, Inc. Siemens Healthineers Headquarters Manufacturer Siemens Healthineers AG Siemens Medical Solutions USA, Inc. Siemensstr. 3 Ultrasound 91301 Forchheim, Germany 22010 S.E. 51st Street Phone: +49 9191 18-0 Issaquah, WA 98029, USA siemens-healthineers.com Phone: 1-888-826-9702 siemens-healthineers.com/ultrasound Published by Siemens Medical Solutions USA, Inc. · QR700002300 · 14365 1123 · © Siemens Medical Solutions USA, Inc., 2023