ACUSON Maple 1.0 eSieScan Protocols Presentation

SIEMENS Healthineers SIEMENS Healthineers ... ACUSON Maple Ultrasound System eSieScan workflow protocols Software Release 1.0 1 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The purpose of this presentation is to provide an overview of configuration and use of eSieScan workflow protocols on the ACUSON Maple ultrasound system. Please Note: This presentation will use protocols to refer to the eSieScan workflow protocols displayed as eSieScan on the ultrasound system. Notes No. 1 SIEMENS Healthineers Objectives SIEMENS . Healthineers ... • Define and summarize benefits of protocols • Create and modify a protocol • Use protocols === Note: Protocols is displayed as eSieScan on the ultrasound system 2 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Here are the objectives for this presentation. We will start with defining and summarizing the benefits of protocols. Notes No. 2 SIEMENS Healthineers What is a protocol? SIEMENS. Healthineers ... Automated major imaging mode changes Guided and automated Automated text and body marker labeling clinical workflow, based on a predefined checklist Automated measurements 3 Unrestricted © Siemens Healthineers 2023 Speaker Notes: A protocol is a pre-defined checklist that guides you through the clinical workflow. This pre-defined checklist includes automated imaging mode changes, automated text and body markers, as well as automated measurements. Notes No. 3 SIEMENS Healthineers Why use protocols? SIEMENS . Healthineers ... 1 Guides new users Standardizes exams 2 across users 3 Reduces keystrokes Flexible when needed 4 4 Unrestricted © Siemens Healthineers 2023 Notes No. 4 SIEMENS Healthineers Objectives SIEMENS . Healthineers ... • Define and summarize benefits of protocols • Create and modify a protocol • Use protocols === Note: Protocols is displayed as eSieScan on the ultrasound system 6 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Next, we will discuss how to create and modify a protocol. Notes No. 6 SIEMENS Healthineers Creating a protocol SIEMENS. Healthineers ... Configuration menu • Select Configuration A Configuration • Select eSieScan General 1 General 2 Display Custom Keys Soft Keys Exam Measurement Text Annotation Body Marker Stress Echo eSieScan Clip Store Printer Barcode Wireless Network Utility Archive Clear Screen Securi Servic Hide Patient Image Param Close 7 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Open the configuration menu and select eSieScan from the Touch Panel or Monitor screen. Notes No. 7 SIEMENS Healthineers Creating a protocol SIEMENS . Healthineers ... Copy a factory default System Configuration estescan Factory defaults may be used as a template for 3 creating a new protocol. Adult t cho 1 Adult Echo 4 Carotid Venous For example: UserProtocol_1 5 Add trotscd End Protocol Bekanter 6 1. Select Adult Echo 2. Select Copy Copy 2 Enter Report 3. Change Protocol Name 4. Select Automatic or Manual progression 5. If desired, select to automatically end when all views are completed 6. Select End Protocol Behavior TIP Import or export protocols using a USB storage device. 8 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Factory defaults may be used as templates to create a new protocol. Existing views may be deleted, and new views added. To create a new protocol or modify the factory default: 1. Select the default protocol (i.e., Adult Echo, Breast, OB, Carotid or Venous) 2. Select Copy 3. Change the Protocol Name 4. Select Automatic or Manual progression 5. Choose whether to automatically end the protocol once all views are completed • When this option is selected, the protocol returns to any skipped views when the end of the protocol is reached • If the user does not want to obtain the skipped views, select End Protocol 6. Select End Protocol Behavior • Remain in Acquisition • Enter Review • Enter Report • Protocols and views can be viewed, created, copied, deleted or moved • Protocols can be exported from the system to a USB drive or imported from the USB drive on to the system Please note: Factory defaults CAN be edited. Notes No. 8 SIEMENS Healthineers Creating a protocol SIEMENS. Healthineers .. Adding a new protocol If no factory default exists for an exam, a new General 1 Protocols General 2 protocol can be created: > Adult Echo Display > Breast Custom Keys OB Soft Keys > Carotid 1. Select Add Protocol, a new UserProtocol_1 Exam > Venous Measurement will be added to the screen Text Annotation Body Marker 1 Add Protocol Stress Echo 2. Change the Protocol Name Add View esseScan 3. Select Progression type 4. Select whether to Automatically end when System Configuration all views completed Protocols Adult Echo rootneel Nazie UserPretocol_1 2 Breast 5. Select End Protocol Behavior Soft Keys Automsabic 3 Menueten . UserProtocol 4 Body Marter End Protocol Behavior 5 Street ica Terrain i Acuantas Copy Enter Redew Ckp 50949 Feier Report 9 Unrestricted © Siemens Healthineers 2023 Speaker Notes: If no factory default exists for an exam, an entirely new protocol can be created instead of copied from an existing protocol. With no factory protocol highlighted, select Add Protocol to begin creation of the new, uncopied protocol. A new “UserProtocol_1” will be added to the list of existing protocols on the left. To change the name of the new protocol to something more identifiable, use the pointer to highlight the contents of the Protocol Name field and type in the new name. For example, “abdomen”. Prior to adding new views to the protocol, the user must select the progression type, then select Automatic to end when all views are completed. The behavior of the protocol has to be defined at the end of the exam. The choices are: • Remain in Acquisition • Enter Review • Enter Report Use the pointer to select the desired option. This marks the beginning of adding views and Notes No. 9 SIEMENS Healthineers building the protocol. Notes No. 9 SIEMENS Healthineers Creating a protocol SIEMENS . Healthineers ... Adding a view 1. Select Add View System Configuration SieScan 2. Type View Name General 2 Protocols Adult Echo AVILA 20 Text & Body Marker PLAX LV T 3. Select imaging mode (multiple Cursort Krys AVILA 20 LAs Diam PLAX LV 20 DIS 2 AVILA 2D Soft Keys modes may be selected) Exam PLAX MVC PLAX AV C Mode Selec 4. Change order of views by moving Text Annotation RVIT C them up/down Body Marker Atu Protocol RVIT CCW Stress Echo PSAX AV 1 Add View PSAX AV C Contrast PSAX TV C Copy Cip Store PSAX TV CCW RVOT 3 RVOT C RVOF PVC CW PSAX LV BASE PSAX LV PM PSAX APEX AMC 4 AMC MVC APIC MV PW APIC TVC Export weart 10 Unrestricted © Siemens Healthineers 2023 Speaker Notes: To add a view to the protocol: • Select Add View (or select Copy to copy an existing view and modify as desired); select Delete to remove views Please note: the first view, View 1, will automatically populate in the new protocol when it is first created; it can be customized • Type in View Name • Select desired major imaging mode – choose from Doppler (CW, PW, DTI), Color (CDV, CDE, DTI, DTE), 2D-mode and M-mode • Views can be moved up and/or down to arrange in desired order using the arrow keys to the right of the protocol view listing Notes No. 10 SIEMENS Healthineers Creating a protocol SIEMENS . Healthineers ... Adding a 2D measurement 1. Select Measurements tab General 1 Protocols 2. Select Application Cesserid 2 Adult Echo AVILA 2D PLAX LY late1 Late2 late3 3. Select Imaging Mode: 2D Custom Keys LA Diare Soft Keys FAX LV 2D DIS 2 FLAX MY C 4. Select Package/Group PLAX AV C 3 5 5. Select desired measurement MMIT C 4 HORA Booty Matter KVIT CCW 6. Select laterality if appropriate Vrese Echo PSAX AV Nor vien MAX AV C PSAX TV CCW RVOT AVOT C RVOT PY CCW PSAX LV BASE PSAX LV PM PSAX AMX AMC eSie Measure™ workflow acceleration APAC MV. C. AMC MY PW TIP 6 package is compatible with adult and AMC TVC pediatric cardiac protocols. 11 Unrestricted © Siemens Healthineers 2023 Speaker Notes: 1. Select the Measurements tab and this displays the current measurement settings for the selected view; Label 1, 2, 3 selects the first, second and third measurement labels 2. Select the Application for the measurement 3. Select Imaging Mode for the measurement 4. Select Package/Group to display the drop-down list of measurement options 5. Select desired measurement 6. Select measurement laterality • Left/Right/None selects an additional measurement label prefix • Prox/Middle/Distal selects an additional measurement label prefix Notes No. 11 SIEMENS Healthineers Creating a protocol SIEMENS . Healthineers ... Adding a Doppler measurement 1. Select Label 2 under the General 1 Protocols Measurements tab Cesserid 2 Adult Echo AVILA 2D PLAX LY late1 Late2 tatd] 2. Select Application Custom Keys LA Diare Soft Keys FAX LV 2D DIS 2 FLAX MY C 3. Select Imaging Mode: Doppler PLAX AV C 3 5 4. Select Package/Group MMIT C 4 HORA Booty Matter KVIT CCW 5. Select desired measurement Vrese Echo PSAX AV MAX AV C PSAX TV CCW RVOT AVOT C RVOT PY CCW PSAX LV BASE PSAX LV PM PSAX AMX AMC APAC MV. C. AMC MY PW AMC TVC 12 Unrestricted © Siemens Healthineers 2023 Speaker Notes: To add a Doppler measurement, select Imaging Mode: Doppler. All other steps from the previous slide remain the same. Notes No. 12 SIEMENS Healthineers Creating a protocol SIEMENS . Healthineers ... Adding a measurement Please Note: When selecting the Protocols Adult Echo AVILA 2D View Measurements Text & Body Marker measurement mode, only labels that PLAX LV IT AOd Label 1 Label 2 Label 3 AVILA 2D LAs Diam are already displayed on the Touch PLAX LV 2D DIS PLAX MV C Application dult Echo Search Q Screen will be available. PLAX AV C Imaging Mode AOd [Label] RVIT LAs Diam [Label] RVIT C Add Protocol Package / Group AOILA ACS [Label] RVIT C CW [MEASURE] PSAX AV [MEASURE] Add View [MEASURE] PSAX AV C [MEASURE] PSAX TV C Copy [MEASURE] PSAX TV C CW [MEASURE] RVOT Delete [MEASURE] RVOT C [MEASURE] RVOT PV C CW [MEASURE] [MEASURE] PSAX LV BASE Left Right None [MEASURE] PSAX LV PM [MEASURE] PSAX APEX Pro Mid Dist [MEASURE] APAC [MEASURE] None AP4C MV C [MEASURE] AP4C MV PW [MEASURE] [MEASURE] AP4C TV C [MEASURE] Export Import 13 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Only measurement labels that are displayed on the Touch Screen will be displayed in the master drop down list of measurement label choices. In this example, liver Doppler measurements are needed. When the Doppler mode is selected, the drop-down master list does not display the options for the hepatic veins, portal veins, etc., that are needed to measure and label the vasculature found within the liver. These measurement labels must be added to the Touch Screen prior to creating the new protocol for the options to be displayed in the master options list. Notes No. 13 SIEMENS Healthineers Creating a protocol SIEMENS. Healthineers ... Adding a measurement • To add more label options, select the System Configuration Measurement Measurement tab in system General 1 General 2 Touch Screen ets Pend Edit Lated Formula Stylet configuration Display Custom Keys Dogpier Soft Keys • On the Touch Screen, select the desired All Labels and Cales Right None Prax Dent io None Mesure Continuously mode tab (2D, M-mode or Doppler) and Man FA Body Marker add labels FAST Stress Echo Cellac A Origin Anest 1 Splenic A IMA eSiescan Return to the eSieScan tab; the labels Anast 2 • Contrant AD 32 Ads Group Hace Direction Oip Store AD Stent Graft will now appear in the master drop Acrta ARA Delete Group ARA Origin down list Arcuate A Inf IM Auto Manual Time Arcuate A Mid Arcuate A Sup Art Anast Jean Trace Sensitivity Delete Che Celiac A Origin Callac A Origin, Postp Restore Detooks CIA Aneuryim OA Stent 14 Unrestricted © Siemens Healthineers 2023 Speaker Notes: To add more label options to the Touch Screen, select the Measurement tab in the system configuration function. Select Measurement on the Touch Screen and then the mode you wish to add the additional labels to – in this example, the Doppler mode. Add the new labels to the Touch Screen from the master list displayed on the left side of the screen by highlighting the label with the Pointer and selecting the add arrow. Once the labels have been added to the Touch Screen, return to the eSieScan tab, select the desired mode and the newly added labels will be displayed in the master drop down list. Please note: If the protocol is exported, the measurements that were added will remain with the created protocol. Notes No. 14 SIEMENS Healthineers Creating a protocol SIEMENS . Healthineers ... Adding text & body marker 1. Select Text & Body Marker tab System Configuration eSieScan 2. Enter Text Annotation General 1 Protocols General 2 Text & Body Marker Adult Echo PLAX LV 1 Measurement 3. Click inside the screen to customize text Display PLAX LV 2 Text Anno Location Custom Keys AVILA 2D LAXEV Location Soft Keys PLAX LV 2D DIS Exam PLAX MV C 4. Select Apply to all Views Measurement PLAX AV C 3 Text Annotation RVIT C 5. Select from Body Marker > Exam drop- Add Protocol Body Marker RVIT C CW Stress Echo PSAX AV down menu PSAX AV C 4 Apply to all Views PSAX TV C PSAX TV C CW 5 Body Mark 6. Select List for available body markers RVOT Exam 7 Transducer Marker Location RVOT C 7. Place transducer marker RVOT PV C CW 6 PSAX LV BASE PSAX LV PM PSAX APEX APAC APAC MV C APAC MV PW APAC TV C Export Import Case 15 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The Text & Body Markers tab displays the current body marker and annotation settings for the selected view. • Text Annotation displays the on-screen annotation • Location selects the location of the inserted annotation • Apply to All Views places the annotation for all views at the selected position • Body Marker > Exam lists all the available exams • List displays the associated body markers • Transducer Marker Location places the transducer marker at the selected position on the body marker Notes No. 15 SIEMENS Healthineers Creating a protocol SIEMENS. Healthineers ... Adding text & body marker • The selected body marker will appear in SieScan bottom right corner of screen Protocols Adult Echo PLAX LV Test & Body Mater PLAXLV • Modify Transducer Marker Location by Text Annotation Location AVRLA 20 PLAX LV 20 DIS PLAXLV activating the blue circle with pointer and PLAX MVC PLAX AV C adjusting RVIT RVIT C RVT CCW • Select Body Markers, then List to display PSAX AV all available body markers PSAX AV C Adil View Apply to all Views PSAXIV C PSAX TV CCW Capr Body Marker IVOT Delete ExIm Transducer Marker Location RVOT C RVOT PV COW PSAX LY SASE PAX LV PM PLAXAPEX APAC APACMVC APAC MV PW APAC TV C Export 16 Unrestricted © Siemens Healthineers 2023 Speaker Notes: After the desired body marker is selected, the Transducer Marker Location can be optimized. Select Body Markers then select List to display all available body markers. Notes No. 16 SIEMENS Healthineers Creating a protocol SIEMENS . Healthineers ... Once completed, the protocol and associated views can be visualized by selecting the D sign next to the protocol name. The new protocol will be displayed on the Touch Screen along with any other existing protocols. A 9VE4 Add Exam Workflow Protocols ? 20 eSieScan Contrast eSicu!| Stress Echo esiesca Adult Echo PLAK LY FLAX LY 2D DIS Protocols Adult Echo Breast OB Carotid FLAXWC Copy View Venous PSAX AV C Apply to all Views Delete View Rename View PAX TYC CM EVOT c EVOT PVC CW PSAX LV BASE PSAX LV PM PSAX APEX Image APAC Param nd Protocol Pause Protocol ANICWVC APAC MV PW Ind Gram ANK TVC 17 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Once completed, the protocol and associated views can be visualized on the configuration page by selecting the arrowhead icon next to the protocol name. The list of views will be displayed below the protocol name. If the user wishes to check the contents of any view, this is achieved by selecting the view with the pointer – the View tab will populate on the right side of the screen and the contents of the view will be listed. When imaging, the newly created protocol, in this case Venous, will be located on the Touch Screen in the eSieScan tab along with any other protocols that are on the system. Select the new protocol from the Touch Screen to activate. Notes No. 17 SIEMENS Healthineers Modifying a protocol SIEMENS. Healthineers ... • Add View – to add a new view in the protocol eSieScan (use arrows to change position of view) Protocols . Adult Echo RVIT C CW • Copy – to create an exact copy of a view PLAX LV AVILA 20 View Name EVIT C CW PLAX LV 2D DIS • Delete – to remove a view PLAX MV C Mode Selection Rename a view by editing View Name PLAX AV C • RVIT RIVIT C • Add measurements, text and body markers Aly Protocol PSAX AV to a view PSAX AV C Add View PSAX TV C PSAX TV C CW Copy RVOT RVOT C RVOT PV CCW PSAX LV BASE PSAX LV PM PSAX APEX APAC APAC MVC APAC MV PW APAC TVC --- Export Import Clase 18 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Existing views may be modified, copied, deleted and renamed. Notes No. 18 SIEMENS Healthineers Objectives SIEMENS . Healthineers ... • Define and summarize benefits of protocols • Create and modify a protocol • Use protocols === Note: Protocols is displayed as eSieScan on the ultrasound system 19 19 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Finally, we will discuss how to use the protocols. Notes No. 19 SIEMENS Healthineers Using protocols SIEMENS . Healthineers ... Workflow • Select eSieScan tab to the right of Touch Screen • Choose from list of available protocols Add Exam Workflow A 7C2 Add Exam Workflow ? 20 Contrast Elasticity SieScape ? PW SieScan Contrast Elasticity SieScape eSiescan Clarify VE Persist Full Screen Extensive View Protocols dult Echo Breast OB Carotid Clarify VE Levels Edge LUR Flip UND Flip Progression Copy View Venous UserProtocol_1 Screen THI Biopsy Line Bropsy Delete View Rename View Physio Settings > 4B Split Image Clip Settings Full FOV End Protocol Pause Protocol High Density DTCE Med R/S Tin 2 Focus Width TEQ Gain MultiHertz 5.0 MHZ Adv. SieClear Dyn R 68 dB Map Image Size Tx Power 100% 20 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The protocol menu is accessed through the eSieScan tab on the Touch Screen. Please note: Protocols can also be selected from the Patient Registration screen. Notes No. 20 SIEMENS Healthineers Using protocols SIEMENS . Healthineers .. Workflow Systers Seital Is • Protocol views are listed on the left SIEMENS ACUSON SinScan P4-2 side of the monitor as well as on Adult Echo Adult Echo Tx Power 98% MI0.96 TI5 0.6 the Touch Screen AVILA 2D TIB 0.6 DTCE High Dyn R 65 dD THI 4.D MHZ PLAX LV 2D DIS • The current view is highlighted in 54 fps Sysbale Systole PLAXMVC blue PLAX AV C RMIT IMMT COW PSAX AV PSAX AV C PSAX. TVC PLAX LV PSAX.TV CCW TR Vmax IVOT RvOTC RVOT PVCCW PV Vmax PSAX LV BASE PSAX LV PM 21 Unrestricted © Siemens Healthineers 2023 Speaker Notes: After a protocol has been selected, the system will automatically launch the first view. The system displays a blue border around the active view. The views are displayed on the left side of the monitor (as displayed on this slide) and on the Touch Screen (as displayed on the next slide). Please note: The Select control can be used to progress through the protocol or to pause/resume the protocol. If the protocol is paused, images acquired remain in sequential order. Notes No. 21 SIEMENS Healthineers Using protocols SIEMENS . Healthineers ... Workflow 9VE4 • Store a clip or frozen image to advance to the A P4-2 Adult Echo Add Exam Workflow next view ? 2D eSieScan • To skip a view, select the next view from the Protocols Adult Echo PLAX LV VILA 2D PLAX LV 2D DIS LAX MV C monitor or Touch Screen or rotate the Select key Progression Automatic opy View PLAX AV C RVIT RVIT C RVIT C CW • At the end of a protocol, the system will return Clear Screen Delete View Rename View PSAX AV PSAX AV C PSAX TV C PSAX TV C CW to any skipped views Hide Patien RVOT RVOT C RVOT PVC CW PSAX LV BASE • If the user chooses not to obtain the skipped Image views, select End Protocol End Protocol Pause Protocol SAX LV PM PSAX APEX AP4C AP4C MV C 22 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Select Clip Store or Freeze an image and select the control assigned to the print and store function (Print Store 1 or Print Store 2) to advance the protocol to the next view. If desired, views may be skipped and obtained later. Selecting End Protocol will end the protocol without requiring the skipped views to be obtained. Please note: If the probe/preset is changed while in a protocol, the system will remain in the current protocol. Notes No. 22 SIEMENS Healthineers Using protocols SIEMENS . Healthineers ... Workflow • Protocol views correspond with icons indicating the eSieScan major imaging modes (2D, Color, Doppler, M-mode) Adult Echo • Icons also indicate whether the view includes a measurement, text annotations and/or body marker LAX LV • Measurements within views are initiated by selecting AVILA 2D T AOd Caliper on the Control Panel LAs diam PLAX LV 2D DIS Systole x ... x Systole Caliper PLAX MVC PLAX AV C IT RVIT T RVIT C RVIT C CW A T PSAX AV _T PSAX AV C 23 Unrestricted © Siemens Healthineers 2023 Speaker Notes: The system displays text annotations or body markers that have been customized for the view. If the protocol view includes a measurement, select the Caliper key and the system automatically activates the default measurement method for the label. Position and anchor all measurement markers required for the measurement, if needed. Please note: If a view has a measurement configured and the measurement is not obtained, the system will not automatically advance to the next view. The user must manually progress to the next view from the Touch Screen, or the panel on the left side of the monitor, or progress by rotating the Select key. Notes No. 23 SIEMENS Healthineers Using protocols SIEMENS . Healthineers ... Workflow • To obtain images not contained in the > 7C2 Add Exam Workflow protocol, select Pause Protocol at any time on the Touch Screen or press the Set key 2D eSieScan • Select Resume Protocol on the Touch Screen Carotid Prox CCA R Prox CCA R Prox CCA R Mid CCA or press the Set key again to resume the protocol Progression Automatic Copy View R Mid CCA R Mid CCA R Dist CCA R Dist CCA • Additional functions include Copy View, Delete View, Rename View Clear Delete View Rename View R Dist CCA R Bulb R Bulb R Bulb • Select End Protocol to end the protocol Hide Patient R Prox ECA R Prox ECA R Prox ECA R Prox ICA Image Param End Protocol Pause Protocol R Prox ICA R Prox ICA R Mid ICA R Mid ICA 24 Unrestricted © Siemens Healthineers 2023 Speaker Notes: Select Pause Protocol / Resume Protocol on the Touch Screen to store images outside of the protocol. Pressing the Select key will also pause / resume protocol. Please Note: Any images acquired when paused will appear in the order they were taken. Select Copy View to copy a protocol view. Select Rename View to change the name of a protocol view. Select Delete View to delete a protocol View. Please Note: If the deleted view contained measurements, the measurements will not be deleted from the report page. You must do this manually. After the last view, the protocol will return to any skipped views. Select End Protocol to end the protocol. Notes No. 24 SIEMENS Healthineers Trademarks and Disclaimers SIEMENS . Healthineers ... • ACUSON Maple, eSie Measure workflow acceleration package and eSieScan workflow protocols are trademarks of Siemens Medical Solutions USA, Inc. 25 Unrestricted © Siemens Healthineers 2023 Speaker Notes: No speaker notes. Notes No. 25 SIEMENS Healthineers Thank you for your enthusiasm! SIEMENS . Healthineers ... Questions? 26 Unrestricted © Siemens Healthineers 2023 Speaker Notes: No speaker notes. Notes No. 26