ACUSON P500 Ultrasound System 3.0 Quick Reference Guide

ACUSON P500 Ultrasound System Quick Reference Guide Release 3.0 siemens-healthineers.com/ultrasound SIEMENS Healthineers 2 MEMENS Table of contents Smart Cart Overview 3 Operating System 9 System Overview 10 Control Panel 18 ACUSON 1108 Touch Screen 22 Patient Exam 24 2D 28 Doppler 38 48 SIEMENS Text/Body Marker ....................................................... Measurements 50 Review 54 Reports 58 Export/Import 61 Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 3 Smart Cart Overview Smart Cart Height Adjustment Press lever and either push down or pull up to adjust the height. Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 4 Smart Cart Overview Locking and Unlocking the Wheels There are two lock positions. 1. Press large tab down to lock. 2. Lift large tab up to unlock. COM Lock Unlock Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 5 Smart Cart Overview Attaching the Transducers Attaching the transducers to the system and Multiple Transducer Module (MTM) 1. Ensure the lever lock is in the down, unlocked position. 2. Align the connector and press into the 1 2 system port. --- 3 3. To lock, place the lever in the up position. 4. Connecting transducers to the MTM 4 follows the same process. Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 6 Smart Cart Overview Cable Management 1. Transducers can be placed in the holders located at each side of the Smart Cart. 2. When transporting the cart with transducers, place the cables through the provided hook to prevent damage. Tip: Instructions for removal of the ACUSON P500 system from the cart are located by the back handle of the Smart Cart. Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 7 Smart Cart Overview Connections Input/Output Connections Accessory Power Connection Located on the upper back of the Smart Cart. Located on the lower back of the Smart Cart. HDMI HDMI LAN DC Out Cart Power Peripheral Power Peripheral USB Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 8 Smart Cart Overview Cleaning the Smart Cart Cleaning the Transducer Holders • Clean with a mild detergent. First, remove the transducer holder by following the steps: 1. Press the tab located at the back of the holder. 2. Pull the holder towards the floor to remove. 3. Clean with a mild detergent. 4. Insert into transducer holder pressing upward until an audible click is heard. Use only approved disinfectants. For a complete list see the ACUSON P500 system Help menu. Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 9 Operating System 1. Windows 10 operating system 2. Data Encryption (Bitlocker) 3. Hibernate, Restart, Shutdown options • 20 hibernates before full shutdown required SIEMENS Healthineers? • Full shutdown every 24 hours System Shutdown Remaining Battery 13% A full Shutdown is recommended every 24 hours or 20 hibernates to maintain optimal performance. End Session Hibernates Remaining: 20 Hibernate Restart Shutdown Cancel Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 10 System Overview Attaching a Transducer 1. Ensure the lever lock is in the down, unlocked .......... position. 2. Align the connector and press into the transducer port. 3. Place the lock in the up position. IPX8 ET CH5-2 4. Once the system detects the transducer, the name displays to the right of the image. Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 11 System Overview Input/Output Connector 1. Local area network (LAN) cable connection. 2. High-definition Multimedia Interface (HDMI) connection. 3. Universal Serial Bus (USB) ports. 4. Audio Jack (Headphones). -- LAN HDMI SISHEYS 1 2 3 4 Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 12 System Overview Control Panel Workflow Controls Control Function Brightness Mode 2D Press to enter/exit 2D mode. 2D Rotate to adjust overall 2D gain/brightness. Enters/exits color Doppler or adjusts overall color Doppler gain C (Color Press to activate/deactivate color Doppler mode. Doppler) Rotate to increase/decrease color Doppler gain. C Note: Available on live image only. Enters/exits M-mode and adjusts overall M-mode gain Press to activate/deactivate. M (M-mode) Roll the trackball to position the M-mode cursor. M Rotate to adjust overall M-mode gain. Note: Available on live image only. Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 13 System Overview Control Panel Workflow Controls Control Function Enters/exits spectral Doppler or adjusts overall spectral Doppler gain Press to activate/deactivate. PW Slide Touch pad to position Doppler gate. (Pulsed Wave) Select PW or CW to activate the strip. PW Rotate to adjust overall spectral Doppler gain. Note: Available on live image only. Adjusts the scanning depth and magnifies the image Rotate clockwise/counter-clockwise to increase/decrease depth. Depth/Zoom Press to activate zoom. Depth/Zoom Rotate to adjust the scanning depth or amount of image magnification. Press again to exit zoom. Note: Zoom available in live or frozen images. Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 14 System Overview Control Panel Workflow Controls Control Function Adjusts angle correction Angle Press to cycle through 60/0/60° angle selections. Angle Rotate to adjust values in 1° increments. Note: Available on live or frozen image. Reverses the Doppler spectrum (negative values display above the baseline) Invert Select to activate/deactivate. Note: Available on live or frozen image. One-button image optimization TEQ™ ultrasound Press to optimize the overall image displayed. Press twice to deactivate. 11 2 technology Note: Available on live image only. Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 15 System Overview Control Panel Workflow Controls Control Function UD 1, 2 User-defined keys which may be programmed to perform a single function. Print Store 1, 2 User-defined keys for print and store functions. Measure Activates/deactivates exam specific and generic measurement packages. x ... X Clip Store Activates/truncates clip capture. Adjusts the pulse repetition frequency (PRF) Scale Increase/decrease to adjust the PRF. Note: Available on live image only. Adjusts the range of flow velocities displayed above and below the baseline Baseline Move up/down to adjust the baseline of the active mode. Note: Available on live image only. Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 16 System Overview Control Panel Workflow Controls Control Function Freeze Freezes the clip/image frame. New New User-programmable key for ending the current study. Body Marker Activates the Body Marker menus available for the active preset. T Text Activates/deactivates the annotation menus for the active preset. Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 17 System Overview Cleaning the ACUSON P500 System Control Panel Monitor • Turn off and unplug the system. • Moisten a clean lint-free cloth with mild Moisten clean lint-free cloth with a mild detergent or water. • detergent or an approved disinfectant. • Wipe the monitor to clean. • Ensure both a Touch pad and slide controls • Dry the surface with a lint-free cloth. are free of gel. • Dry surfaces with a lint-free cloth. Use only approved disinfectants. -. For a complete list, see the ACUSON P500 system Help menu. CATYPESES Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 18 Control Panel 1. Power On/Off 1 2 4 4 2. Soft keys 4 3. DGC 5 3 o 4. Depth/Zoom 0 U D 5. Measure Report S G H 6. Clip Store Browser X Config 7. Print Store 1 Help New Alt T 8. Print Store 2 15 14 9. Freeze 13 4 10. TEQ 10 Depth /Zoom 11. Touch pad keys Angle 5 6 4 11 14 12. Touch pad Xxx 4 9 Measure Scale Baseline Chip Store 13. 2D and Gain 12 7 8 14. Color Doppler UD 1 UD 2 Print Store 1 Print Freeze Store 2 15. M-mode Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 19 Control Panel 16. Pulsed wave Doppler 4 17. Invert 4 4 18. Baseline 5 o 19. Scale O 0 Review E U 20. User Defined 1 30 G H 21. User Defined 2 Confly 22. Angle push/rotary New Clear Screen T 23. Workflow Controls 23 26 24 25 27 28 29 24. Arrow 22 16 25. Alternate keyboard 17 Depth / Zoom 26. New 19 18 11 2 Invert 27. Clear Screen X ... x 4 Scale Baseline Measure Clip Store 28. Text/Annotation 20 21 29. Body Marker UO 1 UD 2 Print Freez Store 1 Print Store 2 30. Alphanumeric keyboard Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 20 Control Panel Control Panel Workflow Controls Control Function Patient Opens the New Patient and Edit Patient Data page. Exam Opens/closes Exam Selection. Review Opens the page to review an exam, create a slide show or teaching file. Report Opens the report screen to view the results and close the study. Allows viewing of the patient studies, beginning a new exam, restarting an exam Browser and deleting studies. Config Opens menus for user customization of the system. Help Opens the user manual menu. Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 21 Control Panel Touch Pad Action Result Activates functions assigned to the surrounding keys Tap Activates selected button on a form i.e., Reports page. Anchors caliper when measuring. Moves or changes on-screen functions such as a caliper or the color box Slide position Scrolls through a list i.e., thumbnails. Pinch and spread Changes the size of an on-screen function i.e., Doppler gate Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 22 Touch Screen 1. Mode indicators 8. Left Panel controls 2. Patient banner 9. Imaging parameters 3. System status bar 10. Transducer orientation indicator 4. Thumbnail panel 11. Thumbnail editing tools 5. Soft keys 12. Doppler tracing 6. Touch pad 13. 2D reference image 7. Soft keys Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 23 Touch Screen 1 2 3 2D PW xxxxxxxxxxx xxxx xx_xx_xxxx_xx_xx_xx x ACUSON xxxx-xxxxxxxxxxxx VF13-5 Small Parts Physio Tx Power 100% MA 0,59 13 Settings 9 ASC 2 10 DTCE Low Dyn R 75 dB THI 8.9 MHz 26 dB 45 tps Biopsy << Steer Steer >> 4 8 12 L/R Flip U/D Flip L U Trapezoid D Dual 11 D Print Clear Delete Edge MultiHertz Update Focus Dyn R THI Gate Image Tx Power OTCE Map Presets Focus Min ... Adv: SieCl... Tint Po sitio 8.9 MHz 76 dB Po sition Po sition On 0 Gen n Parallel ... 7 6 5 Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 24 Patient Exam Patient Browser Press Browser 1. Show Files 7. Send 2. Source Media 8. Output Device 3. Search Criteria 9. Delete 4. Search 10. Export, Import 5. Clear Search 11. Navigation menu 6. Study List Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 25 Patient Exam Patient Browser 1 2 3 4 5 Patient Browser Show Files 2 weeks old Source Media [D:] Local Disk Disk Space: 0. 1GB / 67.4GB Patient Browser Search Patient Last Name Date: from 02/05/2017 Queue Patient ID to 02/05/2017 Search Clear Search 11 New Study Study List Total Studies: 3(4) Restart SE Patient Name Patient ID Date/Time Clips/Images MB Archived X Close Study Patient 3, 02_05_2017_12_13 06 02/05/2017 12:13 0.0 HD Patient B. 02_05_2017_11_48 59 02/05/2017 11:48 1/4 16.0 HD 6 Patient A, 02_05_2017_11_46_45 02/05/2017 11:46 1.4 HD 0 Scrolling Export Delete Output Device Not Active Send 10 9 8 7 Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 26 Patient Exam Patient Data New Patient • Select Patient Tip: Use Tab to move to the next field. • Select New Patient • Enter data Patient Data Patient Demographics Tip: An exam may begin without Last Name Patient ID 02_01_2015_01_27 34 the patient first being First Name Date of Rirtis MM YYYY Age registered. The patient Mi Pre sut Gender Male O Female @ other Height information may be added cm BSA mª Weight at any time prior to the end kg mmHg Exam of the exam. Transducer VF10-5 Accession No. CV Indication • Select OK Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 27 Patient Exam Patient Data Edit Patient Data • Select Patient Tip: To change the patient data • Select i entry fields, select short or Edit Patient Data long form on the General 2 Configuration page. • Edit data • Select OK Tip: Begin a new exam or restart a previous exam from the Patient Browser page. Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 28 2D Real-time/Post Processing Image Controls Feature Function DTCE Reduces speckle and enhances tissue contrast (Dynamic TCE™ Tissue Contrast Enhancement Settings are Low, Medium and High. Technology) Note: Available on live or frozen images. Adjusts number of gray shades displayed Dyn R Select up for a softer/grayer image. (Dynamic Range) Select down to increase contrast. Note: Available on live or frozen images. Processing curves that assign echo amplitudes to gray shades Map Maps A–G are from low to high contrast. Note: Available on live or frozen images. Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 29 2D Real-time/Post Processing Image Controls Feature Function Colorizes the grayscale image Tint Select up or down to access tints from 0–15. Note: Available on live or frozen images. Adjusts orientation on image screen U/D Flip (Up/Down flip) Select to switch between orientations [up(U) or down(D) and right(R) or R/L Flip (Right/Left flip) left(L)]. Note: Available on live or frozen image. Adjusts the scanning depth and magnifies the image Rotate clockwise/counter-clockwise to increase/decrease depth. Depth/Zoom Select to activate zoom. Press again to exit zoom. Note: Zoom available in live or frozen images. Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 30 2D Real-time/Post Processing Image Controls Feature Function Clarify VE Decreases artifacts, increases contrast resolution and boundary detection (Clarify™ Vascular in structures with flow Enhancement (VE) Press to activate/deactivate. Technology) Note: Available on live imaging only. Helps to improve needle visualization during special procedures Needle Visualization Press Needle Visual. to activate/deactivate. Press Needle Enhance. to select 1, 2 or 3. Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 31 2D Real-time Image Controls Feature Function 2D Image Width Narrows or enlarges the image area Note: Available with curvilinear and phased-array transducers. Enhances contrast resolution and boundary detection Advanced SieClear™ Increase for more compounding. Spatial Compounding Decrease for less compounding. Note: Available on live image only. Settings are transducer and mode dependent. Biopsy Activates/deactivates on-screen guidelines for use with transducers compatible with needle guide attachments Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 32 2D Real-time Image Controls Feature Function Adjusts the scanning depth and magnifies the image Rotate clockwise/counter-clockwise to increase/decrease depth. Depth/Zoom Press to activate zoom. Rotate to adjust the scanning depth or amount of image magnification. Press again to exit zoom. Note: Zoom available in live or frozen images. Manually adjusts gain/brightness at depth DGC Default all slide controls in the center. Note: Available on live image only. Displays two separately acquired images side-by-side Dual Select Dual to activate and toggle between images. Select the 2D to exit. Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 33 2D Real-time Image Controls Feature Function Split Displays two live images side-by-side with and without color Doppler Note: Available on live image only. Sharpens the contours of a structure Increase for more sharpness. Edge Decrease for less sharpness. To deactivate, select zero. Note: Available on live image only. Adjusts the focal point Focus Rotate to move up/down and press to activate multiple focal zones. Note: Only available with certain transducers. Focal zones Changes the number of focal zones. Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 34 2D Real-time Image Controls Feature Function Image optimization presets Image Presets Select to view available image presets. Note: Available on live image only. Customizable in a user-defined exam only. Balances between resolution and penetration MultiHertz (MultiHertz™ Multiple Use higher frequency to increase resolution. Frequency Imaging) Use lower frequency to increase penetration. Note: Available on live image only. Overall Gain Adjusts the overall brightness of the image. Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 35 2D Real-time Image Controls Feature Function Frame averaging – determines the number of frames combined into the final image Persist Increase for more frame averaging. (Persistence) Decrease to demonstrate motion. To deactivate, select 0. Note: Available only on live imaging. Balances line density (spatial resolution) and frame rate RS Increase to improve image detail. (Resolution/Speed) Decrease to improve frame rate. Note: Available on live imaging. Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 36 2D Real-time Image Controls Feature Function Steers the Color ROI Allows steering of a linear image. Steer Toggle the Steer key left/right to steer. Note: Steering Angle is transducer dependent. Available only on linear transducers. THI Increases contrast and lateral resolution. Reduces noise and clutter (Tissue Harmonic Select to activate/deactivate. Imaging) Note: Available on live image only. Tx Power Allows adjustment of the power setting. Displays linear or trapezoid image format Trapezoid Select to activate/deactivate. Note: Available on live image only. Available on linear transducers only. Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 37 2D Real-time Image Controls Tip: The location of the Soft keys is customizable in the Configuration menu. The pathway is Config > Soft Keys. Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 38 Doppler Color Doppler Controls Pulsed wave Doppler controls that can be adjusted during real-time imaging or on the frozen image. Feature Function Automatic trace and display of PW Doppler measurements Select to activate/deactivate. Auto Stats Select settings for data above, below or on both sides of the baseline. Note: Available on live or frozen image. The values are not entered into patient report. Adjusts the sensitivity of the Trace tool when in Auto Stats Sensitivity Increase for higher sensitivity. Choices are 1–7. Note: Available on live image only. Reverses the colors depicting forward and reverses flow in the color ROI and the color bar Invert Select to activate/deactivate. Note: Available on live or frozen image. Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 39 Doppler Color Doppler Controls Feature Function Selects a processing curve that assigns the velocity/velocity variance (for Color) or flow amplitudes (for Power) to a range of colors Maps Maps choices are A–I. Note: Available on live or frozen image. Adjusts the scrolling speed of the Doppler spectrum Sweep Increase to display less cardiac cycles. Decrease to display more cardiac cycles. Note: Available on live or frozen image. Colorizes the Doppler spectrum Tint Select desired Tint from 0–11. Note: Available on live or frozen image. Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 40 Doppler Color Doppler Controls Controls shared by Color Doppler Energy (CDE), and Color Doppler Velocity (CDV) modes. Feature Function Color Display Removes the color box. Flow Optimizes flow settings for Low, Med and High flow states. MultiHertz Allows user selection of the frequency. Adjusts spatial averaging (smoothing) for color flow Smooth Increase for flow sensitivity. Decrease for color spatial resolution. Note: Available on live image only. Prioritizes the display of grayscale or color flow data Priority Increase for greater vessel color fill. Decrease to prioritize grayscale and less vessel color fill. Note: Available on live image only. Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 41 Doppler Color Doppler Controls Feature 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 live image only. CDE (Color Doppler Energy) Enters/exits color Doppler Energy (Power) Doppler mode. CDV (Color Doppler Velocity) Enters/exits color Velocity (Directional) Doppler. Enters/exits spectral Doppler or adjusts overall spectral Doppler gain CW Select to activate/deactivate. (Continuous Wave Select PW or CW to activate the strip. Doppler) Rotate or select to adjust overall spectral Doppler gain. Note: Available on live image only. Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 42 Doppler Spectral Doppler Controls Controls used during pulsed wave (PW) Doppler real-time imaging. Feature Function Adjusts angle correction Angle Press to cycle through 60/0/60° angle selections. Rotate to adjust values in 1° increments. Note: Available on live or frozen image. Adjusts number of gray shades displayed Dyn R Rotate clockwise for a softer/grayer spectrum. (Dynamic Range) Rotate counterclockwise for a greater contrast spectrum. Note: Available on live or frozen image. Displays Full Screen Doppler Full D Select to activate/deactivate. Note: Available on live or frozen image. Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 43 Doppler Spectral Doppler Controls Feature Function Adjusts sample volume size Gate Increase/decrease to adjust size. Note: Available on live image only. Simult Displays both the 2D image and spectral tracing in real-time. Adjusts the PW Doppler angle Steer Toggle left/right to reverse the steering angle. Note: Available on live image only. Available only on linear transducers. Defines the interval for refreshing the 2D-mode image Update Rate Select Off, 1 sec, 2 sec, 4 sec, 8 sec or EOS (End Of Sweep). Note: Available on live image only. Volume Increases or decreases the audio of the spectral Doppler signal. Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 44 Doppler Spectral Doppler Shared Image Controls Controls that can be adjusted during real-time imaging or on the frozen image on the pulsed or continuous wave tracing. Feature Function Automatic trace and display of PW Doppler measurements Select to activate/deactivate. Auto Stats Select settings for data above, below or on both sides of the baseline. Note: Available on live or frozen image. Note: These do not enter into the patient report. Reverses the Doppler spectrum (negative values display above the baseline) Invert Select to activate/deactivate. Note: Available on live or frozen image. Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 45 Doppler Spectral Doppler Shared Image Controls Feature Function Selects a processing curve that assigns echo amplitudes to gray shades in the Doppler spectrum Maps Select desired Map from A–H. Note: Available on live or frozen image. Adjusts the scrolling speed of the Doppler spectrum Sweep Increase to display less cardiac cycles. Decrease to display more cardiac cycles. Note: Available on live or frozen image. Colorizes the Doppler spectrum Tint Select desired Tint from 0–11. Note: Available on live or frozen image. Tip: To bypass the Doppler Cursor Mode or select Frequency or Velocity display, select the desired behavior on the Display tab of the Configuration menu. Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 46 Doppler Shared Doppler Controls Real-time only controls shared by PW, continuous wave, CDE, and CDV modes. Feature Function Adjusts the range of flow velocities displayed above and below the baseline Baseline Move up/down to adjust the baseline of the active mode. Note: Available on live image only. Adjusts the wall filter Filter Select to adjust rejection of low frequency signals. Note: Available on live image only. MultiHertz Allows adjustment of the frequency. Adjusts the pulse repetition frequency (PRF) Scale Increase/decrease to adjust the PRF. Note: Available on live image only. Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 47 Doppler Shared Doppler Controls Feature Function Adjusts the PW Doppler angle or the color box Steer Select left/right to reverse the steering angle. Note: Available on live image only. Available only on linear transducers. Tip: Customize the ACUSON P500 system Doppler behavior on the Exam tab of the Configuration menu. Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 48 Text/Body Markers Text Feature Function Delete Line Deletes one line of text at the cursor. Delete Word Deletes the last word. Hide/Show Text Temporarily hides text. Home Positions the cursor at the home location. Set Home Position Sets default position for text cursor. Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 49 Text/Body Markers Body Marker Feature Function Change Body Marker Changes the displayed body marker. Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 50 Measurements Doppler Auto Trace 1. Acquire a spectral tracing. C PW Serial Sowher: 3915 12 SIEMENS ACUSON L194Y 2. Press the Auto Stats soft key on CV Tx Power 100% the upper left of the monitor. TIS DA TIB07 Auto Stat Off Noove 6250 Hz 3. Select Above, Below, or Both. Gate 1.5 mm J da 91 bpm Both 5.0 . 4.14 PS - 74.7 cm/s ED = 18.1 cm's TAmax = 33.0 cmls KW TAmean = 19.3 cm/s TIZE Map 2 Tip: Auto Stats functions on a live or frozen Auto Stats measurements do not enter into image. the exam report. Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 51 Measurements General Measurements Feature Function Measure Launches calipers for both general and exam-specific measurements. x ... x Touch Pad Move, anchor, and edit caliper functions. Delete Removes one measurement starting with the last one performed. Delete all Removes all calipers. Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 52 Measurements General Measurements 1. Select the button. 20 SIEMENS ACUSON x ... x L19-4v 2. The soft keys display on the bottom Tx Prwer 100% of the monitor. TIB 0.1 TRY ASC DTCE Law Dyn R $5 40 3. Swipe the touch pad to position THE O.D MHZ the caliper and select Set or tap Fr 1148 Left the touch pad to anchor. TRY 4. Position the first caliper and select SAG Set . D1 = 6.3mm D = 4.6mm 5. Use the Edit button to toggle between calipers. Distarke 0Spse Delete 6. Select Set to anchor the second caliper. Tip: The calipers and active measurements display green. Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 53 Measurements Exam-Specific Measurements 1. Press the button. x ... x 2. Select the desired measurement from the menu. 3. Place the caliper at the desired start location. 4. Select Set. 5. Select the Edit button to toggle between calipers. 6. Select Set to anchor the second caliper. 7. Select Print Store to enter the measurement into the patient report. Tip: Measure and enter information into the patient report from an image in Review. This function only works with an open exam. Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 54 Review Feature Function Review Opens review on an exam in progress. Browser Opens a menu that allows selection of a saved exam. Return to Imaging Returns to real-time imaging. Select|Deselect Review Touch pad functions. Play | Pause Cine Touch pad functions. Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 55 Review CINE Review Cine review functions available during the exam and in Review. 1 2 11 1 60 Reset Set Start 8 Rate 1 Set End Marker « » Marker 42/ 60 Save = 3 4 5 6 7 9 10 12 1. Reset 7. Fast forward 2. First frame 8. Current frame 3. Set Start Marker 9. Set End Marker 4. Rate 10. Frame/Frame total 5. Rewind 11. Last frame 6. Stop/Start 12. Save Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 56 Review Slide Show Creating a Slide Show 1. From an active exam select Review 2. From a saved exam select Browser 3. Tap images for the slide show 4. Tap Slide Show 5. Stop or Start the slide show 6. Tap Exit to return to imaging Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 57 Review Teaching File Creating a Teaching File Adding Images to a Teaching File 1. From an active exam select Review 1. From an active exam select Review 2. From a saved exam select Browser 2. From a saved exam select Browser 3. Tap images for the teaching file 3. Select the teaching file 4. Tap Teaching File 4. Click on Append 5. Enter a name 5. Add images to the teaching file 6. Click on New Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 58 Reports Only entered, exam-specific measurements appear in the report. Feature Function Report Enters/exits Report page. Scrolling Touch pad allows scrolling through reports sections. Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 59 Reports Diagram Drawing on a Report Diagram To Delete Diagram 1. Select Report 1. Select Delete to erase the last area 2. Select xyz Description 2. Select Delete All to erase all drawn areas 3. Select Draw 4. Select Set 5. Use the pointer to draw Tip: Drawing function is only available in the CV exam. Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 60 Reports Edit a Report Delete an Image in the Report 1. Select Results 1. Select image 2. Select either 2D or 3D measurements 2. Select Set 3. Select the value for editing 4. Enter new value Ad an Image to the Report 1. Select Summary 2. Add comments in the text box 3. Select Load Comments to add preconfigured comments Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 61 Export/Import Study Send a Study Import a Study 1. Select Browser 1. Select Browser 2. Select the exam 2. Select the Source Media 3. Select the Output Device 3. Select exams for import 4. Click Send 4. Exams appear at [D:] Local Disk 5. The study appears in the Queue Import a study only in DICOM format. Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import 62 Export/Import Image Image Export 1. Select Browser or Review 2. Select patient exam 3. Select images 4. Click Export 5. Select the format type 6. Select export destination 7. Click Export Tip: Check the De-identify box to export images and studies without patient information. Smart Cart Operating System Control Touch Patient 2D Doppler Text/Body Measure- Review Reports Export/ Overview System Overview Panel Screen Exam Marker ments Import The products/features mentioned in this document may not be commercially available in all countries. Due to regulatory reasons their future availability cannot be guaranteed. Please contact your local Siemens Healthineers organization for further details. Images used in this guide are for educational purposes only. They have been modified or compressed and may not reflect the actual image quality of the system. ACUSON P500, Clarify, MultiHertz, SieClear, TCE and TEQ are trademarks of Siemens Medical Solutions USA, Inc. Siemens Healthineers Headquarters Manufacturer Siemens Healthcare GmbH Siemens Medical Solutions USA, Inc. Henkestr. 127 Ultrasound 91052 Erlangen, Germany 22010 S.E. 51st Street Phone: +49 9131 84-0 Issaquah, WA 98029, USA siemens-healthineers.com Phone: 1-888-826-9702 siemens-healthineers.com/ultrasound Published by Siemens Medical Solutions USA, Inc. · 13480 0323 online · ©Siemens Medical Solutions USA, Inc., 2023