ACUSON P500 Ultrasound System 3.0 Getting Started Presentation

SIEMENS Healthineers SIEMENS Healthineers .. ACUSON P500 Ultrasound System Getting Started 3.0 Software Release 1 Unrestricted © Siemens Healthineers 2022 Unrestricted Speaker Notes: This presentation provides an overview of the ACUSON P500 ultrasound system to guide you on getting started. Notes No. 1 SIEMENS Healthineers Objectives SIEMENS. Healthineers ... • Access the Help Menu • Describe Transducer Management JEDED • Demonstrate Patient Registration • Examine Back-up and Restore Presets • Discuss ECG Set-up and Use 2 Unrestricted © Siemens Healthineers 2022 Speaker Notes: Here are the objectives and we will start with accessing the help menu. Notes No. 2 SIEMENS Healthineers Access the Help menu SIEMENS . Healthineers' ... Help SIEMENS 17 / 506 - 78.7% - BARCODE Patient ookmarks BLE ACUSON P500 Exam Diagnostic Ultrasound SIEMENS System Instructions for Use Clinical Applications Review Guide System Reference ACUSON P500 Diagnostic Ultrasound System Report Instructions for Use US Browser Config Help ........... Find Find Again Zoom in Zoom Out 3 Unrestricted © Siemens Healthineers 2022 Speaker Notes: The system has an on-board help menu that contains an electronic copy of the user’s manual. Press the Help Key on the Control Panel for access. Use the pointer to open the specific folders or utilize the search function by selecting Ctrl + F. Notes No. 3 SIEMENS Healthineers Objectives SIEMENS. Healthineers ... • Access the Help Menu • Describe Transducer Management JEDED • Demonstrate Patient Registration • Examine Back-up and Restore Presets • Discuss ECG Set-up and Use 4 Unrestricted © Siemens Healthineers 2022 Speaker Notes: Next, we will go over the transducer management. Notes No. 4 SIEMENS Healthineers Connecting and disconnecting transducers SIEMENS . Healthineers ... O ---- Transducer Transducer locked unlocked 5 Unrestricted © Siemens Healthineers 2022 Speaker Notes: To connect a transducer: 1. Make sure the locking lever on the right side of the ultrasound system is in the unlocked position. 2. Insert the transducer connector into the port, taking care to align the connector for a smooth fit. 3. Push the locking lever up to the locked position. The system detects the transducer and displays the transducer name on the image screen. To disconnect a transducer: 1. Push the locking lever to the unlocked position. 2. Firmly grasp the transducer connector and carefully pull it straight out from the transducer port. 3. Store the transducer in its protective carrying case. If the user purchased the optional integrated Smart Cart, a multi-transducer module (MTM) is included. The user can connect up to three transducers on the ultrasound system. The connecting and disconnecting transducers procedures are the same for the module and the ultrasound system. Notes No. 5 SIEMENS Healthineers When transducer connectors are connected or disconnected from the system, there may be some resistance due to the special shielding material inside the connectors. Notes No. 5 SIEMENS Healthineers Protective transducer holders SIEMENS. Healthineers ... 1. Point of attachment 2. Tab 3. Support 4. Holder 3 2 Example of transducer holders. 6 Unrestricted © Siemens Healthineers 2022 Speaker Notes: The transducer holders on the side of the optional cart are interchangeable and replaceable. After connecting a transducer to the ultrasound system, place the transducer in the protective holder attached to the control panel platform. Transducer holders have variable sizes both in depth and diameter. To remove a transducer holder 1. Locate the tab underneath the holder. The tab extends below the point of attachment to the cart. 2. Press the tab against the holder and pull the holder downward. To install a transducer holder 1. Press the tab against the holder. 2. Align the support on the holder with the attachment slot on the system and slide the holder upwards until it snaps into place. Notes No. 6 SIEMENS Healthineers Probe saver feature SIEMENS. Healthineers ... Configuration General 2 General 1 Patient ID General 2 Patient Custom Keys Save an image of the Patient screen after registering a patient. Display Exam Hide Patient Banner Soft Keys Exam M&R Report Common Mod Text Annotation Review Body Marker Delete Body Marker on Unfreeze Network Delete Text on Unfreeze Report Service Body Marker Location Upper Right . Lower Right Clip Store Archive Arrow Size Small ( Type2 ) Security Patient Registration Printer Long Form Browser Barcode Utility Transmit Power Config Stress Echo eSieScan Reduce Transmit Power when Transducer not in use off ¡off Help 5 secs 1 min 3 mins 5 mins Save Cancel 7 Unrestricted © Siemens Healthineers 2022 Speaker Notes: The systems has a feature called Probe Saver, which reduces transmit power automatically when a probe is idle for a set period of time. Once the transducer is placed on the skin and tissue is recognized, the power automatically adjusts to normal scanning. This feature is not- enabled when the system ships from the factory. This feature will need to be set-up in the Configuration Menu: Config > General 2 >Transmit Power. You can turn it off or chose from 5 secs, 1, 3, 5, or 10 mins. Notes No. 7 SIEMENS Healthineers Probe saver feature SIEMENS. Healthineers .. System Serial Number : PP4294 ACUSON SIEMENS 03/03/2016 09:18.56 System Serial Number : PP4294 SIEMENS ACUSON System Serial Number : PP4294 ACUSON 03/03/2016 09:19:53 VF 10-5 VF 10-5 VF 10-5 Small Parts Small Parts Small Parts Tx Power 100% Tx Power 100% Tx Power 1.00% MI 1.20 MI 1.20 MI 0.18 TIS 0.3 TIS <0.1 TIB 0.3 TIS 0.3 TIB 0.3 TIB <0.1 SC 2 SC 2 DTCE High SC 2 Dyn R 80 dB DTCE High DTCE High THI 8.0 MHZ Dyn R 80 dB Dyn R 80 dB THI 8.0 MHZ 0 dB THI 8.0 MHZ 28 fps 0 de 0 dB 28 fps 28 fps 3.5, 3.5 cm 8 Unrestricted © Siemens Healthineers 2022 Speaker Notes: The systems has a feature called Probe Saver, which reduces transmit power automatically when a probe is idle for a set period of time. Once the transducer is placed on the skin and tissue is recognized, the power automatically adjusts to normal scanning. This feature is not enabled when the system ships from the factory. This slide demonstrates the Probe Saver feature. Notice, the first image on the left, illustrates active scanning. The middle image illustrates no scanning mode and the third image illustrates the decreased transducer power. This is especially useful for the ICE transducer or during interventional procures where the transducer is left idle for some time. This feature will need to be set-up in the Configuration Menu: Config > General 2 >Transmit Power. You can turn it off or chose from 5 secs, 1, 3, 5, or 10 mins Notes No. 8 SIEMENS Healthineers Objectives SIEMENS. Healthineers ... • Access the Help Menu • Describe Transducer Management JEDED • Demonstrate Patient Registration • Examine Back-up and Restore Presets • Discuss ECG Set-up and Use 9 Unrestricted © Siemens Healthineers 2022 Speaker Notes: Next, we will discuss the patient registration. Notes No. 9 SIEMENS Healthineers Patient registration form SIEMENS . Healthineers ... • To register a patient press Patient Patient Exam Review Report Browser Config Help 10 Unrestricted © Siemens Healthineers 2022 Speaker Notes: To register a patient and begin an exam, press Patient on the control panel. The Patient key displays the patient registration form. This is where patient data, exam type and transducers are selected. The user can also start the exam without registering a patient and then update the patient information at any time before ending the exam. Notes No. 10 SIEMENS Healthineers Patient registration form SIEMENS . Healthineers ... Register New Patient Register New Patient D New Patient Patient Demographics D New Patient Patient Demographics Last Name Edit Patient Data Patient ID D) Edit Patient Data Last Name Patient ID First Name Date of Birth DD MM YYYY Age First Name Date of Birth DD MM / YYYY Age Mi Pre Gender C Male Female Other Suf Gender Male Female Other Height BSA Height BSA m mmHg Weight mmHg Exam Exam Transducer CH5-2 Accession No. Transducer P4-2 Accession No. Exam Abdomen Indication Exam EM Indication Medical Information Medical Information Additional Info Date . LMP DD MM / YYYY EDC DD MM YYYY Fetal Age Gravida Para Additional Info Aborta Ectopic Order Information Order Information Performing MD Referring MD Performing MD Referring MD Sonographer Sonographer OK Cancel OK Cancel 11 Unrestricted © Siemens Healthineers 2022 Speaker Notes: To register a patient using the Patient Registration Form, select New Patient. The image on the left is an example of a registration form for abdomen and displays general information to enter. The image on the right is for any OB/GYN exams that need additional information. Enter the required information in the registration form and press Tab to select the next entry. Please Note: A barcode reader can be used to insert the following information in the registration forms: patient name and identification, performing physician, and sonographer. To enter information using a barcode reader, position the pointer in the required entry and then scan the barcode. Once the barcode is scanned, it will enter the information that has been selected in the configuration menu: Config>Barcode. To close the patient registration form there are two methods. Select OK to save the patient data, then select 2D from this page and select the print/store function. The system saves the patient data and activates real-time imaging. If the print/store control is pressed, the system also captures an image of the completed form. To close the patient registration form without saving your entries, select Cancel. Notes No. 11 SIEMENS Healthineers Register patient from browser SIEMENS . Healthineers ... Patient Browser Show Files 2 weeks old ource Media [D:] Local Disk isk Space: 0.7GB/ 87.9GB Patient Browser Search Patient 9 Queue Patient Last Name Date: from 06/10/2014 atient ID to 06/10/2014 Search Clear Search Exam New Study Study List Total Studies: 4(6) Restart Patient Name Patient ID Date/Time Clips/Images MB Archived X Close Study 29_09_2014_08_52_31 30/09/2014 06:44 016 3.4 HD,USB Review TEST111, 29_09_2014_08_52_31 29/09/2014 09:19 0.0 HD TEST111, 29_09_2014_08_52_31 29/09/2014 08:52 0.0 HD 0.0 HD COLOR DOPPLER, 29_09_2014_08_44_50 29/09/2014 08:44 2/10 18.2 HD Report Browser ............. : Config Help O Scrolling Export Delete Output Device PC Printer: Sony UP-D25MD Send 12 Unrestricted © Siemens Healthineers 2022 Speaker Notes: Before registering a patient, close the current exam and then press Browser to register a new patient. 1. Press Browser on the control panel. The system displays a list of all patient studies saved in the selected location. 2. Select another location from the Source Media drop down menu, if necessary. 3. Select the patient name from the study list and then select New Study. The system displays the information for the selected patient in the registration form. 4. Edit the entries, if necessary, and then select OK to begin the exam. Notes No. 12 SIEMENS Healthineers Register patient using worklist SIEMENS . Healthineers ... Worklist Worklist Search - JDICOM Patient Browser Show Files Show All Source Media [D:] Local Dick Disk Space: 2.6GB/87.9GB 0 New Patient Workfist Search Patient Bravesas Search D Patient Last Name Date from 25/03/2015 2 Is body 7 This system anly Patient Last Name Date: trom 25/03/2015 Queun worldist Patient ID 20/03/2015 Search Clear Search Worklist Patient ID 25/02/2015 Search Clear Search Study List Total Studies: 41(41) Patient Name Patient ID Study Description Accession Numbe Date/Tiene D New Study Patient Name Patient ID Date/Time Clips/images MB Archived 26150125/189017 25.03.2015.10 27 45 78229856 's fourth study cription 82961 20150325/175012 Restart 32515 25/03/2015 10:07 S.S HD,USB 20150325/175012 X Ome Stunts TEST, 24.03_2015,17_18 34 24/03/015-17:18 0.0 Unarchivod 20150325/165014 24.03.2015_17_16,05 24/03/2015 17:16 0.0 HD Retrieving the worksist. OFPSC 20150325/165012 24/03/2015 16:11 83 HD,USB 23327 20130375/165011 24_03_2015_11_24.59 24/03/2015 11:24 3/15 54.8 HD catption 29150325/163010 17_03_2015_15_03.59 17/03/2015 15:03 0.0 HD ription 91956 20150325/165008 MAXF. 3171502 17/03/2015 14:16 27.3 HD,USB Cancel 20150325/165007 MAX P. 3171500 17/03/2015 12:33 0.0 HD Scheduled Procedure(s) 31715 17/03/2015 11:14 001 31.4 HD,USB Code Value Description State 09_03_2015_10_19.41 09/13/2015 10:19 0.0 HD SPLEEN SCREEN SHOT, 0/6 3.0 HD,USB 03.03,2015.13,58 28 SIGE 09/03/2015 09:39 03/03/2015 13:58 0.0 HD Code (ValunMeaning) 3315 03/03/2015 12:46 1/17 42.2 HD,USB 22715 27/02/2015 10:16 35/18 495.7 HD,USB Code Value Meaning Santa's (hopefully) last sched action item code seg meaning € Scroling 24_02_2015_14.50.23 24/02/2015 14:50 0/25 25.8 HD,USB 2241501 74:02/20115: 11-13 JDICOM Status: Ping Echo Select Cancel Export Delete Output Device DICOM Store: SDX10 Send 13 Unrestricted © Siemens Healthineers 2022 Speaker Notes: To register a patient using a worklist, please note that a worklist server must be defined and enabled in the configuration settings. To query the worklist server for patients please note when the worklist is configured and Patient is pressed, the worklist is automatically entered and retrieved when connected to the network. 1. Press Patient or Browser on the control panel. 2. Select Worklist on the menu and then enter the search criteria. You may select the first, middle, or last name of the patient or physician, patient identification, requested procedure identification, or accession number. When entering the first three characters of the patient identification code, it will display a list of the saved patient information. You may also enter a specific date or date range for the scheduled procedures in the search results. To search for scheduled procedures, select the required check box. The US Only option searches all ultrasound systems and This system only searches only that ultrasound system. 3. Once you have completed the desired criteria, select Search. 4. Select the required patient name and then choose Select. To exit without selecting a patient name, select Cancel. 5. Edit the entries in the registration form, if necessary, and then select OK to begin the exam. Notes No. 13 SIEMENS Healthineers Note: Patient demographic information cannot be edited when retrieved from a worklist. Notes No. 13 SIEMENS Healthineers Editing patient information SIEMENS . Healthineers ... Register Edit Patient Data DNew Patient Patient Demographics Edit Patient Data Last Name Claus Patient ID 35942226 D Patient First Name Santa Date of Birth 07 03 1919 Age 96 Y Worklist Mi Pre Suf Gender O Male Female @ Other Height 154 cm BSA m2 Exam Weight 98.0 kg BP 0 mmHg Exam Review Transducer VF10-5 Accession No. 81179 Exam Small Parts Indication Santa's only admitting diagnosis Report Medical Information Additional Info Browser Config Order Information Performing MD Biscotti,Fran, H, Miss,MD Help Referring MD Yakta, Melvin,C,Dr,MD Sonographer OK Cancel 14 Unrestricted © Siemens Healthineers 2022 Speaker Notes: To edit patient information during an exam, press Patient on the control panel and then select Edit Patient Data. Enter the required information in the registration form and select OK or select Cancel to discard the entries. Please note, you cannot edit patient data after the study is closed or exported. Notes No. 14 SIEMENS Healthineers Restarting an exam SIEMENS . Healthineers ... Patient Browser Register Restart Patient Browser New Patient Patient Demographics Last Name TEST B Patient ID 11_06_2017_13_26 32 Patient Queue Edit Patient Data First Name Date of Birth DD MM YYYY Age E Worklist Mi Pre Suf Gender O Male O Female Other Exam D New Study Height BSA Weight kg BP mmHg 2] Restart Exam Review X Close Study Transducer No Transducer Accession No. Exam OB Indication Report Medical Information Date LMP O IVF DD / MM / YYYY EDC DD / MM / YYYY Fetal Ag W Browser Gravida Para Additional Info Aborta Ectopic Config Order Information Help Performing MD Referring MD Sonographer 0 Scrolling OK Cancel 15 Unrestricted © Siemens Healthineers 2022 Speaker Notes: Restarting an exam allows the user to add images, reports, measurements, annotations, and body markers to an existing exam. To restart an exam: 1. Press Browser on the control panel to display the study list. 2. Select the required location from the Source Media drop down menu. 3. Select the patient name in the study list and then select Restart. The system displays the information for the selected patient in the registration form. 4. Edit the entries, if necessary, and then select OK to restart the exam. Notes No. 15 SIEMENS Healthineers Begin exam without registering patient SIEMENS. Healthineers ... Register New Patient New Patient Patient Demographics Di Edit Pationt Data Last Name Transducer CH5-2 First Name Exam EM Worklist Patient ID LMP MM DD YYYY Date of Birth MM DD / YYYY EDC DO YYYY Gender Male Female . Other Fetal Age OK Cancel 03_03_2022_06_04_22 ACUSON P500 ACUSON 03/03/2022 06:07:34 16 Unrestricted © Siemens Healthineers 2022 Speaker Notes: To begin an exam without registering a patient, press Patient on the control panel and then select OK in the patient registration form. The system activates 2D imaging and assigns a patient identification number using the current date and time. The patient’s name is assigned an asterisk and the “O” represents a default Gender of Other. The image on the left is using the Short Form which may be selected under Configuration > General. To enter the patient information before closing the exam, press Patient again and edit the patient information. Notes No. 16 SIEMENS Healthineers Select or change an exam preset SIEMENS. Healthineers ... Exam Exam Selection Exam Selection Edit Exams Transduce Exam Patient CH5-2 Abdomen GYN Exam OB Default Pelvis Review Early OB EM Report Browser Config Help 17 Unrestricted © Siemens Healthineers 2022 Speaker Notes: To select or change an exam preset, press Exam from the control panel. This will display a list of transducers connected to the ultrasound system and the supported exam types for the selected transducer. The user can activate another transducer or select another exam. If the system is connected to a Smart Cart with the multi-transducer module, up to three transducers will be displayed. Notes No. 17 SIEMENS Healthineers Create, Edit, Delete a user-defined exam SIEMENS. Healthineers ... Return to B-mode before saving a User-defined Exam Exam Edit Exams Exam Edit Exams O Exam Selection Exam Selection Edit Exams Transduce Exam Custom Exam Transducer Exam Custom Exam 8 VF10-5 CV. Name THYROID2 Edit Exams CV. Name CV Small Parts Default VF10-5 Small Parts Delault THYROID Breast Breast Create lename PV-Arterial Overwrite Rename PV-Arterial PV-Venous PV-Venous MSK MSK EM EM Set Default Set Default Restore Settings Restore Settings Delete 18 Unrestricted © Siemens Healthineers 2022 Speaker Notes: Users can create, edit, and delete user-defined exams. The system supports up to 32 user- defined exam types. A default exam type can be assigned to a selected transducer. The user can overwrite the factory default settings and can always be restored at anytime. 1. To create a user-defined exam start by adjusting imaging settings required for the new exam during imaging. Then exit to B-mode before saving the exam. Press Exam and then select Edit Exams. Enter a name for the exam, and then select Create. The system saves the settings and adds the new exam to the list under the default exam type it was created from. 2. To edit a user-defined exam during imaging, adjust the imaging settings required for editing the exam preset. Select Exit to B-mode before overwriting the exam and then press Exam and then select Edit Exams. Select a transducer from the list, if necessary, and select the required exam. 3. To overwrite the selected exam with the current imaging settings, select Overwrite and then select Yes. 4. To rename the selected exam, enter the exam name and then select Rename. 5. To change the default exam for the selected transducer, select the required exam and then select Default. 6. To delete a user-defined exam, select Delete. Notes No. 18 SIEMENS Healthineers Objectives SIEMENS. Healthineers ... • Access the Help Menu • Describe Transducer Management JEDED • Demonstrate Patient Registration • Examine Back-up and Restore Presets • Discuss ECG Set-up and Use 19 Unrestricted © Siemens Healthineers 2022 Speaker Notes: Next, we will discuss backing up exams and restoring presets. Notes No. 19 SIEMENS Healthineers Back-up and Restore presets SIEMENS . Healthineers ... Healthineers Configuration Authentication General 1 General 2 System Information Service Software Custom Keys ACUSON Patient Display Exam SIN: PP3008 ACUSON-P500 900114 Version: VADOA (0.9.5) MER VC10A Report Exam System: VACCA (0.9.5) Please enter Service Key Text Annotation System Internal: 0.9.5 Body Marker S/N: PP3008 [20150108 16:10:39] wireless PIN: 10785577 [20150108 16:10:39] 05 Configuration: 0.0.7 Framework: 0.10.6 [20150108] OK Review Service Matform Software: 0.18.9 [20150108] Enter new Service Key PIMS: 0.8.36 [20150108] Archive UBE: 0.8.21 [20150108] Authorization SIEMENS Printer Healthineers Report Barcode Utility Service Home Menu Remote Service Software Remote Application Support Hospital Browser ACUSON-P500 900114 VC10A Restore Factory Settings Config Save Cancel Configuration Diagnostics File Tools Help Backup & Restore Service Inage Auto Raport Recovery ------------------------- 20 Unrestricted © Siemens Healthineers 2022 Speaker Notes: The system can back up and restore presets onto a Universal Serial Bus (USB) storage device. First press Config and then select Service from the configuration menu and then select Service from the options. The Service Software page will display. Leave the password blank and select OK to display the user-configurable settings. From the main page, select Backup & Restore and insert the USB storage device into the USB port. Notes No. 20 SIEMENS Healthineers Back-up presets SIEMENS. Healthineers ... Backup/Restore Select: ackup SELECT Backup Presets Backup Name Description nestore P500 @SieScan Workflow Protocol[3.00.000]20220215020111 eSieScan Workflow Protocol P500 License Info[3.00.000]20220215020111 License Information The backup completed successfully. 7 P500 M&R User Defined[3.00.000]20220215020111 M&R User Defined Values Y P500 Security Settings[3.00.000]20220215020111 Security Settings Number of Files: 64 P500 Service Image[3.00.000]20220215020111 Service Images Total Size: 2019004 Bytes P500 Service Log[3.00.000]20220215020111 Service Logs V P500 Service Test Report[3.00.000]20220215020111 Service Test Report Select all Clear all Destination [E:] OK Backup Close 21 Unrestricted © Siemens Healthineers 2022 Speaker Notes: Next, select USB in the Destination drop-down box to back up the user-defined settings to a USB drive. Select the check box for each required file type and then select Backup. The system displays a completion message when the process is finished and select OK. To exit and not save changes, select Cancel and select Exit or Home. You can save system configuration settings and user-defined exam settings to a USB storage device and retrieve the saved files. Each file type saves a specific set of system settings. Notes No. 21 SIEMENS Healthineers Restore presets SIEMENS. Healthineers ... Backup/Restore Select: ackup SELECT Backup Presets Backun Name Restore Description V P500 eSieScan Workflow Protocol[3.00.000]20220215020111 eSieScan Workflow Protocol P500 License Info[3.00.000]20220215020111 License Information The backup completed successfully. P500 M&R User Defined[3.00.000]20220215020111 M&R User Defined Values V P500 Security Settings[3.00.000]20220215020111 Security Settings Number of Files: 64 P500 Service Image[3.00.000]20220215020111 Service Images Total Size: 2019004 Bytes PS P500 Service Log[3.00.000]20220215020111 Service Logs V P500 Service Test Report[3.00.000]20220215020111 Service Test Report Select all Clear all Destination [E:] OK Backup Close 22 Unrestricted © Siemens Healthineers 2022 Speaker Notes: To restore exam presets, select Restore and select the USB storage device connected to the system from the list. Select the check box for each desired file type and then select Restore. Notes No. 22 SIEMENS Healthineers Restore presets SIEMENS. Healthineers ... User-Defined Exam Utility User-Defined Exam - Removable Media User-Defined Exam - System User-Delieu wwwarq2. 00.000)2022050811282 User-Defined Exam( ... Transducer Exam Region []test1 [CH5-2.08.Standard] CARD_TEST1 P4-2 Cardiac []D:\Restore)P500 User-Defined Exam[3.00.000]2022010523584 Card_TEST2 P4-2 Cardiac Standard []D:\Restore P500 User-Defined Exam(3.00.000)2022021608414 []Abd_TEST1 [P4-2.Abdomen Standard] []Abd_TEST2 [P4-2.Abdomen.Standard] []Abd_TEST3 [P4-2.Abdomen Standard] [CARD_TEST1 [P4-2.Cardiac.Standard] Message from webpage X [] Card_TEST2 [P4-2 Cardiac. Standard] [] Card_TEST3 [P4-2 Cardiac. Standard] OB_TEST1 [P4-2.OB.Standard] OB_TEST2 [P4-2.OB Standard] Software restore will begin upon reboot, shutdown all applications OB_TEST3 [P4-2.OB.Standard] before beginning software restore process. Restore >> OK 3 User-Defined Exam(s) selected. 2 User-Defined Exam(S). Options- Clean User-Defined Exam(s) on System Close 23 Unrestricted © Siemens Healthineers 2022 Speaker Notes: To delete all existing user-defined exams on the system and add new user-defined exams, select Clean User-defined Exam(s) on System check box in the Options section. Then select the user-defined exams in the UD Exams – Removable Media section and select Restore. To add user-defined exams to the system without deleting existing user-defined exams, select the user-defined exams in the UD Exams – Removable Media section and select Restore. Select OK to prompt boxes confirming a successful restore and select Close. The system displays a message that power must be cycled to the system for completion of the operation. Select OK to restart the ultrasound system. Notes No. 23 SIEMENS Healthineers Objectives SIEMENS. Healthineers ... • Access the Help Menu • Describe Transducer Management • Demonstrate Patient Registration JEDED • Explain Exam Presets • Examine Back-up and Restore Presets • Discuss ECG Set-up and Use 24 Unrestricted © Siemens Healthineers 2022 Speaker Notes: Lastly, we will discuss the Electrocardiogram (ECG) set-up and use. Notes No. 24 SIEMENS Healthineers Connecting the ECG SIEMENS. Healthineers ... O 25 Unrestricted © Siemens Healthineers 2022 Speaker Notes: To connect the ECG cable to the system, place the ECG cable into the ECG port. Then, connect the ECG leads to the patient. Select the Physio Settings and then select the required settings: • ECG displays an ECG trace • Auxiliary Port (Aux) ECG displays an auxiliary ECG trace • Aux Signal displays an auxiliary signal trace • The system displays the selected trace on the imaging screen To activate the respiratory trace during an ECG trace, select Resp. To adjust the gain of the trace, select Gain and then choose the required setting. To adjust the vertical position of the trace, select Position and then select the required setting. To vertically invert the trace, select Invert. To remove the trace, select the required trace and to exit the ECG function, select Return. Note: The ECG pattern may not be visible for up to 30 seconds before the ECG trace displays on the screen. The ECG is for timing purposes only. Note: The external ECG cable kit that ships with the physiology unit contains the British Naval connector (BNC) cable and connector adapters used to attach various peripheral equipment to the ultrasound system. Notes No. 25 SIEMENS Healthineers ECG configuration settings SIEMENS . Healthineers ... Lead Type II Respiration display ECG Display: 3 Lead ECG Display Aux ECG Display Aux Signal Display Respiration Display Indicate R-Wave Lead Type I Indicate R-Wave Lead Type I Lead Type II pm 26 Unrestricted © Siemens Healthineers 2022 Speaker Notes: There are several physio management display options: ECG, Respiratory and Auxiliary displays. The user can indicate R-Wave and select which lead drives the ECG, type I or II. A simultaneous display of the ECG trace and a respiratory trace is available. Notes No. 26 SIEMENS Healthineers Physio controls SIEMENS . Healthineers ... Physio ECG Resp Aux ECG AuxSignal ECG Resp 2D 2D 2D 2D 2D 2D ECG Aux EC ECG Aux ECG ECG Aux ECG ECG Aux ECG ECG ux ECG Physio Settings Resp Aux Signa Resp Aux Resp Signal Aux Aux Signal Resp Resp Signal Signal ECG Aux ECG ECG Gain osition Gain osition Gain Position O O 32 ECG Aux ECG Invert Trigger Invert Trigger Invert Trigger Aux Signal Resp Gain Position Position Resp Gain Position Gain AUX ignal O 10 = O Trigger Trigger 27 Unrestricted © Siemens Healthineers 2022 Speaker Notes: For each exam, the default selection is illuminated in the bottom right-hand corner of the key function. During an exam, change from the default settings by selecting the Physio Settings located in the left panel controls of the monitor and then select on the choice of display required: ECG, Aux ECG, respiratory, or Auxiliary Signal. To activate a respiratory trace during an ECG trace, select Resp on the left panel controls and the respiratory trace will be displayed along with the ECG tracing on the image screen. To remove a trace, select Remove and the selection will be removed from the imaging screen and the display will no longer illuminate. Notes No. 27 SIEMENS Healthineers ECG Gain and Position SIEMENS. Healthineers ... 2D 2D Gain 0 (default)/Position 32 (top) Gain ECG Aux ECG ECG Aux ECG 20 32 Resp Aux 0 Signal = ECG Gain decreased/Position 16 (mid) Gain Position O O Position Invert Trigger Gain increased/Position 0 (default) Resp Gain Position 10 = O Trigger O 12 28 Unrestricted © Siemens Healthineers 2022 Speaker Notes: When working with any of the physiology choices, there is the option to increase or decrease the gain and adjust the vertical position of the trace by sliding the scale provided with each option. Default settings are a position of zero at the bottom of the image and the gain at zero. Notes No. 28 SIEMENS Healthineers ECG Invert and Return (exit) SIEMENS. Healthineers ... Normal display ECG Aux EC 2D Resp Aux ECG Aux ECG Signal ECG 32 Gain Position Aux Signal 0 32 Invert Trigger Position O Inverted display Gain osition Trigger 10 O Trigger Position Return O 29 Unrestricted © Siemens Healthineers 2022 Speaker Notes: Located in the left area of the monitor, the user can invert the vertical display of the tracing by selecting Invert or exit the Physio setting by selecting Return. Notes No. 29 SIEMENS Healthineers ECG Trigger SIEMENS. Healthineers ... ECG Aux ECG Trigger Trigger Resp Aux Signal Return ECG Gain Position 0 0 Ch 1 Invert Trigger Ch 1 Delay Delay 50 msec 0 msec Trigger Return Type Single Trigger Ch 1 Delay Ch 2 Delay Ch 1 Ch 2 0 msec Ch 2 0 msec Delay Delay Delay 50 msec 100 msec Trigger Return 16 cm Hype 0 msec Trigger Type Return 30 Unrestricted © Siemens Healthineers 2022 Speaker Notes: The user can set the trigger to select the points in the cardiac cycle when the system refreshes the 2D image. The user can use a trigger delay to evaluate the function of the valves, wall motion, and dynamics of blood flow. To enable trigger, select Trigger and then select Trigger Type and select either Single or Dual to display one or two triggers. The system detects the R-wave and displays each trigger as a white, vertical line on the ECG trace. Notes No. 30 SIEMENS Healthineers ECG tips SIEMENS. Healthineers ... No ECG trace • Check ECG gain to ensure it is not set too low • Check lead connection • Ensure that the cables and adaptors/connectors are properly attached • Ensure leads are on patient properly 31 Unrestricted © Siemens Healthineers 2022 Speaker Notes: These are a few tips if the ECG trace does not display when activated. Check ECG gain to ensure it is not set too low and check the lead connection. Ensure that the cables and adaptors/connectors are properly attached and ensure the leads are on patient properly. Notes No. 31 SIEMENS Healthineers ECG tips SIEMENS. Healthineers ... Noisy ECG signal • Check the gain is not set too high • Inspect ECG placement and reposition if necessary • Replace ECG electrode if dried out or expired 32 Unrestricted © Siemens Healthineers 2022 Speaker Notes: If the ECG signal is noisy, check the gain is not set too high and inspect the ECG placement and reposition if necessary. Also, replace the ECG electrode if it’s dried out or expired. Notes No. 32 SIEMENS Healthineers Thank you! SIEMENS. Healthineers ... Questions? 33 Unrestricted © Siemens Healthineers 2022 Speaker Notes: Questions? Notes No. 33