ACUSON Sequoia™ Ultrasound System Quick Reference Guide | 2.5 (VA50) Software Release

ACUSON Sequoia™ Ultrasound System Quick Reference Guide Crown Edition (v2.5) siemens-healthineers.com/ultrasound HOOD05162003346330 · Effective date: 10-Apr-2023 SIEMENS Healthineers siemens-healthineers.com/ultrasound 2 At Siemens Healthineers, we pioneer breakthroughs in healthcare. For everyone. Everywhere. By constantly bringing breakthrough innovations to market, we enable healthcare professionals to deliver high-quality care, leading to the best possible outcome for patients. Our portfolio, spanning from in-vitro and in-vivo diagnostics to image-guided therapy and innovative Table of contents cancer care, is crucial for clinical decision-making and System Overview 3 treatment pathways. With our strengths in patient Getting Started 14 twinning, precision therapy, as well as digital, data, 2D and M-mode 26 and artificial intelligence (AI), we are well positioned Color and Spectral Doppler 47 to take on the biggest challenges in healthcare. We 67 will continue to build on these strengths to help fight Measurements and Reports the world’s most threatening diseases, improving Text, Body Markers and Arrows 77 the quality of outcomes, and enabling access to care. Data and Image Management 87 Modality Compare 100 We are a team of 66,000 highly dedicated employees Care and Cleaning 102 across more than 70 countries passionately pushing the boundaries of what’s possible in healthcare to help improve people’s lives around the world. System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 3 System Overview 1. Flat Panel Display Monitor ACUSON 1 Sequoia 2. Touch Screen 3. Power On / Off (hibernation) 4. Control Panel (height and swivel 2 adjustable) Sequoia 3 5. Retractable 7 Keyboard 4 6. Four Transducer 5 Ports 7. Gel Warmer 6 8. Wheel Lock 8 9. Swivel Wheels 9 System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 4 System Overview 10. Articulating Arm (tilt, swivel, raise, lower) 10 11. Storage Tray 12. Rear Handle 14 13. Rear Storage Bin 14. Two USB Ports 15 11 15. Transducer Holders 16 16. Cable Hanger 12 17. Air Filter 17 SIEMENS Healthingers 13 System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 5 System Overview Power on and Hibernation mode 1. Press the Power key to turn the system on or to enter the system shutdown 1 menu 2. Select Shut Down to turn the system off 3. Select Restart to reboot the system 4. Select Hibernate to enter hibernation mode which allows the system to power on in approximately 30 seconds System Shutdown A full Shutdown is recommended every 24 hours or 20 hibernates to maintain optimal performance. Hibernates Remaining: 20 Complete Data Transfer 4 3 2 Hibernate Restart Shut Down Cancel System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 6 System Overview Control Panel 1. Power 2. Soft Key Rotary Controls 1 2 3. Depth Gain Compensation 5 3 (DGC) Controls 4 CEUS 4. Contrast 7 8 5. Elastography 9 6 10 U2 6. 3D / 4D copper 7. M-mode Delete Dual ABC 8. Pulsed Wave Doppler/ 11 Continuous Wave Doppler Freeze 9. Color Doppler 10. 2D-mode 11. Depth System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 7 System Overview Control Panel 12. Forward / Backward 13. User Defined 14. Pointer 15. Delete CEUS 16. Text, Body Marker, Arrow 14 19 17. Caliper 25 13 17 18 18 21 18. Left/ Right Set Keys 19. Update 16 20 ABC 22 24 20. Trackball 12 15 Freeze 21. Clip 23 22. Image 23. Freeze 24. Dual 25. Zoom System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 8 System Overview Monitor Screen Layout 1. Imaging Status Indicator Frozen 1 2 3 7 2. Auto TEQ 4 6 1445 InFocus Rt Prox CCA Carotid 3. 5 PS-47.9 cm/s TIB:1.08 TIC:0.59 FD-7.5 cm/s RI-0.84 TIS:0.30 MI.0.39 4. Orientation Marker 16fps 8 20 H High 5. Image Display SJB/DRAS Mid 6. Measured Results 0JB/ General PRF 3958 (movable) 11 PW Low GS 15 PRF 3906 7. Imaging Parameters 9 19mm 10 F 137 8. Color Scale Indicator 5:40 9. Depth Indicator 20 20 10. Doppler Angle Indicator Inverted 3.9 sec 11. Thumbnail Display AAAA 12. Trackball Functions 13 X Total: 55 12 13. Delete Image 14 14. Status Icons System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 9 System Overview Touch Screen Layout 1. Login / logoff 1 2 3 SC1 10L4 1816 10V4 2. System User Manual Abdomen 4 Workflow 3. System Configuration 6 Patient 20 5 4. Transducers 7 Imaging WIR Flip UND Flip Biops Timer 5. Imaging Modes 8 Review Off Patient Registration 9 6. Report 10 End Exam 7. Imaging Menu 8. Review 11 Live Dual 9. Report 12 10. End Exam 13 Harmonics Compounding Auto TEQ 11. Print* 14 ::: Clarify Frequency Line Density DR InFocus 12. Full Screen* H Mid 2 65 dB 13. Pointer* 14. Additional Selections *Configurable System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 10 System Overview Touch Screen Layout 15. Rotary Soft Keys SC1 1014 18L6 10V4 Abdomen 18 Workflow 16. Orange Highlighting = Active Selection Patient 2D 17. Gray Highlighting = Imaging WIR Flip UND Flip Biops Review Off Timer Available Selection 18. Workflow Applications Report End Exam 19. Page Navigation Live Dual 17 Harmonics 16 Compounding Auto TEQ 19 Clarify Frequency Line Density DR InFocus 15 H Mid 2 65 dB System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 11 System Overview Dual-option Keyboard Text Body Marker Arrow Exam Package Abdomen in Patient Title Text 18 Imaging Review Report End Exam Tab Caps Lock G Enter Shift X C IN M Delete Ctrl Alt Clear Screen Select Line Text Size Home Set Home Retractable Keyboard Digital Keyboard – To access, press ABC on the control panel and select Keyboard icon. System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 12 System Overview Connecting Transducer 1. Ensure the lever lock is in the left, unlocked position 2. Align the connector and press into 3 the transducer port (an audible click 1 2 ensures the transducer is connected) 3. Place the lever into the right, locked position System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 13 System Overview Wheel Locks 1. Pressing the left green pedal places the wheels in a swivel lock position to enable steering 2. To lock the wheels, press the right red pedal 3. Both pedals can be aligned to place the system in a neutral position and unlock the wheels System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 14 Getting Started Patient Registration – Manual New Patient Preregister 1. Select Patient on the touch screen Patient 1. Select Patient on the touch screen Patient 2. Enter patient information 2. Enter patient information 3. Select Exam type 3. Select Exam type 4. Select Start Study 4. Select Preregister to add the patient to the worklist for later selection Tip: Transducer and Exam can also be selected from the touch screen after patient registration by selecting the Imaging tab. System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 15 Getting Started Patient Registration – Worklist Patient Registration Local Database Worklist Patient Ecam Patient Name Patient ID Procedure Date & Time Accession No Last Name Exam 3 First Name Middle Name 2 Requested Procedure Patient ID Date of Birth M D YYYY Gender O Male O Female Other Request ID Age Accession No Height Comments Weight BP BSA Institution History Institution Name LMP M D YYYY Gravida Performing Physician DOC . M D YYYY Aborta Referring Physician EDO M D YYYY Para Operator Clinical Age e Weeks Guys Ectopics No. Fetuses Short Form 4 Refresh Start Study Prereg ster System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 16 Getting Started Patient Registration – Worklist 1. Select Patient Patient 2. Select Worklist on the Imaging Screen, if necessary 3. Select the desired patient or search by Name, Procedure, Patient ID, etc. 4. Select Start Study System must be connected to a HIS / RIS server to access patient worklist. System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 17 Getting Started Patient Registration – Worklist Patient Registration Local Database 2 Worklist 3 Patien Exam Patient Name Patient ID Procedure Date & Time Accession No Last Name PATIENT 1 Exam ACUSON SAQUOLL .... 00000001 8/19/2022 10:0 ... First Name 3 PATIENT 1111 9/12/2022 11:2 Middle Name Requested Procedure Sequoia 20, Wome 00 8/25/2022 4:59 ... Patient ID 1111 Sequoia 20, Wome .. 00 00 8/25/2022 2:18 ... Date of Birth 01 01 2001 Gender O Male O Female Other Request ID Age 19 Years Accession No Height Comments Weight BP BSA Institution History Institution Name LMP D YYYY Gravida Performing Physician DOC M D YYYY Aborta Referring Physician ECO M D YYYY Para Operator Clinkal Age Weeks Extopks No. Fetuses Short Form Refresh 4 Start Study Cancel System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 18 Getting Started Edit Study 1. Select the Patient key Patient 2. Select Correct on the image screen 3. Modify desired data fields 4. Select OK System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 19 Getting Started Edit Study Patient Registration Local Database Worklist Q Patient Exaen Patient Name Patient ID Exam Date & Time Accession No Last Name PATIENT 111 Exam First Name 3 Middle Name Requested Procedure Patient ID 1111 Date of Birth 01 01 2001 Gender O Male O Female Other Request ID Nge 19 Years Accession No A study is currently active. Height Comments Weigh BP BSA Institution History Institution Narne LMP M D MYY Gravida Performing Physician DOC B YYYY Aborta Referring Physician EDO DD YYYY Para Operator Clinkal Age o hays Extopics No. Fetuses Short Form Correct 2 Refresh 4 OK Cancel System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 20 Getting Started Transducer/Study 1. Select Imaging 181 6 Thyroid 2 2. Select the transducer on Patient General Breast Thyroid Testis MSK the touch screen 1 Imaging 3 3. Select the desired Exam Review preset Report End Exam tive Dual Compounding Ainto TEO Clarity Frequency Line Density InFocus System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 21 Getting Started Transducer Gesture Control Transducer gesture control allows the transducer to be 14L5 selected by double-tapping the handle. 5C1 Transducers with gesture control will display a semi- circular icon next to the transducer on the touch ACUSON screen: • 5C1 • 15L4 • 9C2 • 18L6 • 9C3 • 5V1 • DAX • 7VC2 • 7L2 • 9EC4 • 10L4 • 9VE4 • 14L5 • 10EV3 System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 22 Getting Started Store, Print, and Clip Store 1. Press Freeze 2. If desired, roll trackball for Update Patient frame-by-frame CINE review x ... x Caliper 5 Imaging 3. Press Image to save a static Clip Review image 2 Report 4. Press the printer icon on 3 ABC Image End Exam the touch screen to save and print1 5. Press Clip to acquire and 1 4 Freeze save a clip 1 A compatible printer must be connected Tip: Clip Store length is adjustable on the touch and assigned to the print function in screen during live scanning. the Configuration menu before using selection. System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 23 Getting Started Review and End Exam 1. Select Review Review Review 2. Select the desired layout Patient Review on the touch screen Imaging 2 Single Select Multiple Select 1:1 4:1 Compare 4 3. Rotate Page to move 2:1 Review between images Report Select All Select None 6:1 9:1 16:1 4. Select Compare to drag 5 End Exam Flag Delete Image(s) Protocol Text Sort By Off Time syngo VVI specific thumbnails into the review layout Copy to Film 5. Select End Exam to end the study Page 2 of 2 3 System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 24 Getting Started Restart an Exam 1. Select Patient on Patient Registration the touch screen 2 Local Database WorkSint Patient Patient tient N Done & Tine ACUSON Sequoia. 00000001 NIW2002 10:0 Lacr Name PATIENTS Tam Thyroid PATIENT111 1111 51212022 11:5 First Name PATIEN14454 2772 W1212002 11:3 ... Middle Name Requeched Procedure PATIENTSSS5 9/1212022 110 3 Parient ID 5555 2. Select Local Sequela 20, Worne._ 00 825/2022 4:59 Date of Birth Sequela 20, Wome ... 00 8/25/2022 2:18 Gender . Male @ Ferral Database Sequela 20, Worre .. $25/2022 4:48 Sequoia 20, Wome__ 00 825/2022 2:31 ... Accedion No Unknown 22.09.12-11:2 .. 911212022 11:2 ... Height Comments Urknown 22.09.12-112 .. y $112/2022 112 3. Select to highlight Unknown 22.08.18-07 5 .. 8/18:2022 7:50 Unknown 22.08.20 137 8292002 1:29 ESA patient study from Unknown 22.09.06-13:2. $95/202 1:23 Hobory list Institution Name M forming Physician Doc YYYY Referr Select Append Proysician EDO Para 4. Operator Bon Ectopres Study No. Fetuses Short Form Append Study Loud 10 Review Now Study Cancel 4 System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 25 Getting Started Restart an Exam 5. Select Start Study Patient Registration Local Databine Worldat Patient Patient Name Poriert ID Cute & Time Accection No Last Name Lum Abdomen Middle Name Requested Procedure Patient ID 123456 Date of Birth Gender . Male @ female hequeit. Io Okck Cancel to select a different patient er staly 43 Years Acursion No Converts History Institution Name MF YYYY Gold Perforeing Mortician YYYY Aberta D Fata Operator Chicl Age Short forrs Start Study Cancel 5 Tip: Images, clips and volumes can be added to a closed study within 24 hours. System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 26 Control Panel X O CEUS VT M PW C 2D Update U1 U2 Zoom x ... X Caliper Delete Depth Dual ABC Image Freeze System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 27 Control Panel 2D Control Panel Controls Function Enters / exits 2D-mode or adjusts overall 2D gain / brightness 2D Rotate to adjust overall gain Manually adjusts gain / brightness at depth DGC Default all slide pods in the center, slide pod(s) to increase / decrease brightness Magnifies the image Rotate to increase or decrease image magnification Press to activate Zoom ROI (region of interest) for magnification and increased frame rate (HD Z) Note: Zoom available on live and frozen image Depth Adjusts the scanning depth Rotate to adjust depth System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 28 2D Control Panel 2D Control Panel Controls Function Displays two separately acquired images side by side Dual Press Dual to activate and toggle between images Press the 2D key to exit Increases the line density /frame rate Press Set key and roll trackball to size sector 2D Sector Width Press Set key and roll trackball to position Press Set key to Set Note: Not available on linear transducers System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 29 2D Touch Screen 5C1 DAX 10L4 15L4 Abdomen Workflow Patient 2D Imaging L/R Flip UID Flip Biopsy Off Timer Review Report End Exam Live Dual Network Job Status Harmonics Compounding Auto TEQ Clarify Frequency Line Density DR InFocus Off On H Mid 65 dB System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 30 2D and M-mode UltraArt™ Universal Image Processing UltraArt allows the user to select preferred image parameter settings by choosing an image from several choices before they are applied. Select UltraArt to choose from available selections. Off System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 31 2D Touch Screen 2D Controls Function Allows the user to select preferred image parameter settings by choosing an image from several choices before they are applied UltraArt Settings are Off, 1, 2, and 3 Note: Available on live or frozen image Increases contrast and lateral resolution, reduces noise and clutter Harmonics Select to activate / deactivate Note: Available on live image only Enhances contrast resolution and boundary detection Compounding Select to activate / deactivate Adjust compounding level by rotating the Line Density soft key Note: Available on live image only System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 32 2D Touch Screen 2D Controls Function Displays linear or trapezoid image format Trapezoid Select to activate / deactivate Note: Available on live image only, available on linear transducers only Activates two simultaneous images in dual format Live Dual Select to activate / deactivate Press C (color Doppler) to display color Doppler on one of the images Automatically and continuously optimizes gain, DGC and suppresses Auto TEQ noise in real time Select to activate / deactivate Adjusts orientation on the image screen U/D and R / L Flip Select to activate / deactivate Note: Available on live or frozen image System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 33 2D Touch Screen 2D Controls Function Changing the sound speed per the body type or pathology improves spatial and contrast resolution Speed of Sound Select to choose level Note: Speed of Sound settings and adjust-ability is preset and transducer dependent Capture Type and Selects the type and length of clip capture Clip Length Select prospective or retrospective capture and clip length Displays a count-up timer in the lower right corner of the imaging Timer screen Select to activate / deactivate Biopsy Enables biopsy needle guide function with angle selection Select to activate and choose from available angles (1–5, A & B) System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 34 2D Touch Screen 2D Controls Function Image Size Adjusts the size of the displayed image on the monitor Select to choose size (1–5) System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 35 Panoramic Imaging 1. Select the Workflow key Workflow 5. Use Panoramic review controls after 2. Select Panoramic completing the acquisition to size, Panoramic rotate, pan, zoom or measure the 3. Press the Update key to acquire image the image Acquire 6. Use the Cine function to recall single 4. Press Freeze to end acquisition, frames for review Unfreeze to reactivate acquisition or the Update key Pause 7. Select Exit to exit Panoramic imaging to Pause / Continue as desired Tip: Available in power Doppler. System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 36 Panoramic Imaging SC1 15L4 Breath 1 Workflow Patent 2D Panoramic Imaging Flex Ruler Restore Redaplay 7 Exit Review Report Best Fit 5 End Exam 5 6 Cine monate Set System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 37 InFocus InFocus technology dynamically focuses the image Press the InFocus soft key to InFocus at all depths, resulting in improved contrast activate adjustable focal zones. E resolution, lateral resolution and image uniformity. BLE 1816 Thyroid Thyroid TIB:0 34 TIB 0.34 TIC.0.94 TIC.0.91 TIS:0 30 TIS:0.34 MI:1.0 MIO.8G 42fp 42fps 959 95% 20 2D H High H High OdB/DRBE OdB/DR65 3.5cm 3.5cm InFocus On InFocus Off System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 38 2D Soft Keys 2D Controls Function Dynamically focuses the image at all depths, resulting in improved contrast resolution, lateral resolution and image uniformity InFocus / Focal Zones Press the InFocus soft key to activate adjustable focal zones Rotate to adjust focal zone position Balances between resolution and penetration Frequency Use higher frequency range for increased resolution Use lower frequency range to increase penetration Note: Available on live image only Enhances contrast resolution and boundary detection Rotate to increase / decrease level of compounding when compounding Line Density is enabled Rotate to balance between resolution and frame rate when compounding is disabled Note: Available on live image only System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 39 2D Soft Keys 2D Controls Function Adjusts number of gray shades displayed DR Rotate clockwise for a softer/ grayer image (Dynamic Range) Rotate counterclockwise for more contrast Note: Available on live or frozen image Steers the field of view (FOV) Steer Rotate to steer left, center or right Note: Available on live image only, available on linear transducers only Adjusts the level of acoustic energy delivered to the patient Transmit Power Rotate to increase / decrease (applies to all active imaging modes) Note: Available on live image only, changes mechanical and thermal indices System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 40 2D Soft Keys 2D Controls Function Frame averaging – determines the number of frames combined into the final image Persist Rotate clockwise to increase frame averaging Rotate counterclockwise to demonstrate motion Selects a processing curve that assigns echo amplitudes to gray shades Maps Rotate to select desired Map Note: Available on live and frozen image Colorizes the gray-scale image Tint Rotate to select desired Tint Note: Available on live and frozen image System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 41 M-mode Control Panel x O CEUS VT M PW CW C 2D Update U1 U2 Zoom x ... x Caliper Delete PO Dept Dual ABC Image Freeze System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows 42 M-mode Control Panel M-mode Controls Function Enters / exits M-mode or adjusts overall M-mode gain Press to activate / deactivate M (M-mode) Rotate to adjust overall M-mode gain Roll trackball to position M-line Note: Available on live image only Adjusts the size or position of the M-mode cursor M-mode Cursor Press left or right Set keys to move between modes Note: Available on live image only Enters / exits color M-mode With color Doppler (C) activated, press M (M-mode) Color M-mode Position M-line and Press M Press M to exit Note: Only available with cardiac transducers System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 43 M-mode Touch Screen 5V1 5C1 10L4 15L4 Cardiac Workflow Patient 2D M Mode Imaging Review Report End Exam Edge Network Job Status Harmonics Sweep Speed DR Angle 75 mm/s 56 dB Reset System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 44 M-mode Touch Screen M-mode Controls Function Full Screen Trace / Split Screen Trace / Changes the M-mode display format Full Screen 2D Select the desired format to activate Increases contrast and lateral resolution, reduces noise and clutter Harmonics Select to activate / deactivate Note: Available on live image only Sharpens the appearance of the M-mode sweep Edge Increase for more sharpness Decrease for less sharpness System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 45 M-mode Soft Keys M-mode Touch Screen Controls Function Balances between resolution and penetration Frequency Use higher frequency range for increased resolution Use lower frequency range to increase penetration Note: Available on live image only Selects a processing curve that assigns echo amplitudes to gray shades in the M-mode sweep Map Rotate to select desired Map Note: Available on live and frozen image Colorizes the M-mode sweep Tint Rotate to select desired Tint Note: Available on live and frozen image System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 46 M-mode Soft Keys M-mode Touch Screen Controls Function Adjusts the number of gray shades displayed in the M-mode sweep DR (Dynamic Range) Rotate clockwise for a softer/ grayer sweep Rotate counterclockwise for more contrast Note: Available on live or frozen image Adjusts the scrolling speed of the M-mode sweep Sweep Speed Increase to display fewer cardiac cycles Decrease to display more cardiac cycles Note: Available on live and frozen image Views the M-mode sweep based on patient anatomy, independent of transducer orientation utilizing angle rotation Angle Rotate to adjust angle Note: Available only on Cardiac transducers System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 47 Color and Spectral Doppler Color Doppler Control Panel X O CEUS VT M PW C 2D Update U1 U2 Zoom x ... x Caliper Delete PO Dept Dual ABC Image Freeze System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 48 Color and Spectral Doppler Color Doppler Control Panel Color Doppler Controls Function Enters / exits color Doppler or adjusts overall color Doppler gain C Press to activate / deactivate color Doppler mode (Color Doppler) Rotate to increase / decrease color Doppler gain Note: Available on a live image only Adjusts the color ROI Increase frame rate by decreasing the color ROI width or depth Color Box Size / Position Press Set to alternate between Size / Position Roll the trackball to resize or reposition color ROI Note: Available on a live image only System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 49 Color and Spectral Doppler Color Doppler Touch Screen 5C1 10L4 18LE 10V4 Abdomen Workflow Patient 2D Color Imaging L/R Flip U/D Flip Biopsy Review Off Report End Exam 2D + Color 2D Only Color Only Invert Kidney Aorta Live Dual × 4 Low General High Color Power Filter Frequency Line Density Scale 2 Auto 1042 Hz System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 50 Color and Spectral Doppler Color Doppler Touch Screen Color Doppler Controls Function Alternates between color and power Doppler modes Color (Doppler) and Select Color to apply colors based on velocity and direction of flow Power (Doppler) Select Power to apply colors based on flow amplitude Note: Available on live image only Color Display Modes Turns color display or 2D image off when in color Doppler Select to activate desired format Reverses the colors depicting forward and reverse flow in the color ROI and the color bar Invert Select to activate / deactivate Note: Available on live or frozen image System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 51 Color and Spectral Doppler Power Doppler Touch Screen 5C1 10L4 18LE 10V4 Abdomen Workflow Patient 2D Color Imaging L/R Flip U/D Flip Biopsy Review Off Report End Exam 2D + Color 2D Only Color Only Invert Slow Kidney Aorta Live Dual Dir Power × Low General High Color Power Filter Frequency Line Density Scale 3 Auto 417 Hz System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 52 Color and Spectral Doppler Power Doppler Touch Screen Color Doppler Controls Function Displays two live images side-by-side with and without color Doppler Live Dual Select to activate / deactivate Note: Available on live image only Applies color based on flow amplitude and direction of flow (towards Directional Power or away from the transducer) Select Dir Power to activate / deactivate when Power menu is active Color Doppler parameter optimization for specific flow types or anatomy specific applications Color Doppler Flow Presets Select from Low, General, High and a variety of anatomy specific settings (e.g. Kidney, Aorta, Ovary); A “Slow” selection is available in power Doppler and Directional power Doppler dependent upon the transducer and preset selected System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 53 Color and Spectral Doppler Color Doppler Soft Keys Color Doppler Controls Function Balances between resolution and penetration independent of the 2D frequency Use higher frequency range for increased resolution Use lower frequency range to increase penetration Frequency Select Manual to manually change frequency Select Auto to have the system automatically change frequency based on the color Doppler ROI depth position Note: Available on live image only; Auto Color availability is transducer and preset dependent Selects a processing curve that assigns the velocity / velocity variance (Color) or flow amplitudes (Power) to a range of colors Map Rotate to select desired Map Note: Available on live and frozen image System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 54 Color and Spectral Doppler Color Doppler Soft Keys Color Doppler Controls Function Adjusts the level of acoustic energy delivered to the patient in color Doppler mode Tx Power (Transmit Power) Rotate clockwise to increase power Rotate counterclockwise to decrease power Note: Available on live image only, changes mechanical and thermal indices Adjusts spatial averaging (smoothing) for color flow Smooth Increase for flow sensitivity Decrease for color spatial resolution Note: Available on live image only System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 55 Color and Spectral Doppler Color Doppler Soft Keys Color Doppler Controls Function Adjusts the pulse repetition frequency (PRF) Scale Rotate clockwise to increase PRF Rotate counterclockwise to decrease PRF Note: Available on live and frozen image Adjusts the range of flow velocities displayed above and below the Baseline baseline Rotate to adjust the baseline of the active mode Prioritizes the display of grayscale or color flow data Priority Increase for greater vessel color fill Decrease to prioritize grayscale and less vessel color fill System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 56 Color and Spectral Doppler Color Doppler Soft Keys Color Doppler Controls Function Adjusts the time that the color flow data remains in the ROI before being replaced by another color Persist (Persistence) Increase for greater vessel color fill Decrease to increase temporal resolution Note: Available on live image only Adjusts the color wall filter Filter Increase to reduce motion artifacts Decrease to increase sensitivity to low flow states Note: Available on live image only System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 57 Color and Spectral Doppler Spectral Doppler Control Panel X O CEUS VT M PW CW C 2D Update U1 U2 Zoom x ... x Caliper Delete PO Dept Dual ABC Image Freeze System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 58 Color and Spectral Doppler Spectral Doppler Control Panel Spectral Doppler Controls Function Enters / exits spectral Doppler or adjusts overall spectral Doppler gain PW (pulsed wave) Doppler Press to enter/ exit and CW (continuous wave) Roll trackball to position Doppler gate Doppler Press PW / CW to activate the strip Rotate PW / CW to adjust overall spectral Doppler gain Alternates between the Doppler spectrum and the 2D image Update Press once to alternate between Doppler/ 2D Note: Available on live image only System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 59 Color and Spectral Doppler Spectral Doppler Touch Screen 5C1 GYN 10L4 18LE 10V4 Workflow Patient 2D Color PW Imaging CCEE 10 + Review Report Auto Trace Auto Trace Above Baseline End Exam Invert Live/Live Mid × Auto TEQ HPRF Gate Size Sweep Speed Baseline Scale Angle Correct 2 mm 67 mm/s 1563 Hz 60 0 60 System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 60 Color and Spectral Doppler Spectral Doppler Touch Screen Spectral Doppler Controls Function Allows the user to select preferred Doppler display settings UltraArt Settings are Off, 1, 2, and 3 Note: Available on live or frozen image Full Screen Trace / Split Screen Trace / Changes the spectral Doppler display format Full Screen 2D Select the desired format to activate Reverses the Doppler spectrum (negative values display above the baseline) Invert Select to activate / deactivate Note: Available on live or frozen image System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 61 Color and Spectral Doppler Spectral Doppler Touch Screen Spectral Doppler Controls Function Automatic tracing and display of PW Doppler measurements Select to activate / deactivate Auto Trace Select settings for data above, below or on both sides of the baseline Note: Available on live or frozen image Optimizes spectral Doppler gain, baseline, scale and dynamic range automatically on freeze Auto TEQ With Doppler spectrum active, select to activate / deactivate Note: Available on live image only Displays both the 2D image and spectral Doppler tracing in real-time Live / Live (Triplex) Select to activate / deactivate Note: Available on live image only System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 62 Color and Spectral Doppler Spectral Doppler Touch Screen Spectral Doppler Controls Function Sharpens the appearance of the Doppler sweep Edge Increase for more sharpness Decrease for less sharpness Adjusts the volume of the Doppler function Volume Press + or - to adjust level DTI Activates the Doppler Tissue imaging feature for cardiac exams (Doppler Tissue imaging Select to activate / deactivate capability) Note: Available on live image only System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 63 Color and Spectral Doppler Spectral Doppler Soft Keys Spectral Doppler Controls Function Adjusts sample volume size Gate Size Rotate clockwise to increase size Rotate counterclockwise to decrease size Note: Available on live image only Adjusts the scrolling speed of the Doppler spectrum Sweep Speed Increase to display fewer cardiac cycles Decrease to display more cardiac cycles Note: Available on live and frozen image Adjusts the range of velocities displayed Baseline Rotate to adjust the baseline of the active mode Note: Available on live or frozen image System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 64 Color and Spectral Doppler Spectral Doppler Touch Screen Spectral Doppler Controls Function Adjusts the pulse repetition frequency (PRF) Scale Rotate clockwise to increase PRF Rotate counterclockwise to decrease PRF Note: Available on live image only Adjusts the PW Doppler angle Angle Correct Rotate to adjust the steering angle or press to cycle through 60 / 60 / 0 degrees Note: Available on live image only, available only on linear transducers Adjusts the PW Doppler angle Steer Rotate to adjust the steering angle Note: Available on live image only, available only on linear transducers System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 65 Color and Spectral Doppler Spectral Doppler Soft Keys Spectral Doppler Controls Function Balances between resolution and penetration independent of the 2D frequency or color frequency Frequency Use higher frequency range for increased resolution Use lower frequency range to increase penetration Note: Available on live image only Adjusts the spectral Doppler signal filter Filter Increase to reduce motion artifacts Decrease to increase sensitivity to low flow states Note: Available on live image only Adjusts number of gray shades displayed DR Rotate clockwise for a softer/ grayer spectrum (Dynamic Range) Rotate counterclockwise for a blacker/whiter spectrum Note: Available on live or frozen image System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 66 Color and Spectral Doppler Spectral Doppler Soft Keys Spectral Doppler Controls Function Selects a processing curve that assigns echo amplitudes to gray shades in the Doppler spectrum Map Rotate to select desired Map Note: Available on live and frozen image Colorizes the Doppler spectrum Tint Rotate to select desired Tint Note: Available on live and frozen image System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 67 Measurements and Reports Unlabeled Measurements 1. Press Caliper x ··· x Caliper To change the measurement type choose % 2. Distance Ratio Area Ratio Angle eSieCalcs Vol Flow from the available displayed options or select More for additional measurement types 2 ::: %Stenosis-D Volume Depth More 3. Roll the trackball to position the first caliper 4. Press Set to anchor 5. Roll the trackball to position the second caliper 6. Press Set to complete the measurement 7. Roll the trackball to activate additional caliper sets Unlabeled measurements do not enter into Tip: Measurements can be performed on frozen, the exam report. CINE and stored images. System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 68 Measurements and Reports Unlabeled Measurements 5C1 10L4 18LE 10V4 Abdomen Workflow Patient 2D Protocols Imaging L/R Flip UID Flip Biopsy Off Timer Review Report End Exam Live Dual Harmonics Compounding Auto TEQ Clarify Frequency Line Density DR InFocus Off On H Mid 65 dB System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 69 Measurements and Reports Labeled Measurements 1. Press Caliper x ··· x Caliper 6. Press Set to complete the measurement, send the labeled value(s) to the patient report 2. Select the desired measurement label and / or activate additional measurements 3. Roll the trackball to position the first caliper 7. Select Exam Package to display additional 4. Press Set to anchor labeled measurement packages 5. Roll the trackball to position the second caliper Tip: The measurement label can be selected before or after calipers are placed. System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 70 Measurements and Reports Labeled Measurements Fetal Maternal 7 Exam Package OB Patient Fetus A Fetus B Fetus C Add Fetus Imaging Review BPD HL Cerebellum Nuchal Thickness Binoc D LVOTs Report 2 HC OFD Cist Magna Nasal Bone IOD RVOT s End Exam AC CSP LV - A Facial Angle HW FL Lat Vent LV - P AFI O + -- Distance Ellipse 20 Trace Open Trace %Stenosis-A %Stenosis-D Volume Depth More Clear Screen Last Caliper Hide Results System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 71 Measurements and Reports Edit Measurements (Labeled and Unlabeled) Edit Completed Measurement 1. Select the Last Caliper soft key to activate calipers and cycle between caliper sets Last Caliper 2. Press Update to toggle between active calipers Update 3. Press Delete on the control panel to delete the active measurement Delete 4. Select Clear Screen soft key to delete all measurements and annotations Clear Screen 5. Rotate Undo to edit a trace measurement Undo System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 72 Measurements and Reports Edit Measurements (Labeled and Unlabeled) Reposition Measurement Results 1. Move an active caliper over the MDA results (a teal outline will appear around the outside of the MDA area) 2. Press the Set key to “pick up” the MDA result box 3. Drag the MDA Results to the new location 4. Press the Set key again to place the MDA Results System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 73 Measurements and Reports Report Review the Report 1. Select Report to enter/ exit report page Report 2. Select Store Report to capture the report as an image(s) Store Report 3. Select Print Report on the imaging screen or the printer icon on the touch screen to send to connected external printer 4. Select Export to PDF to save report to a USB Export to PDF 5. To edit the report, select Edit Report and then roll the trackball to the desired measurement Edit Report to edit Only labeled measurements appear on the report. An * appears for any edited measurement. System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 74 Measurements and Reports Report SIEMENS Healthineers Patient Report Patient History Angle 60 60 Carotid LE DISL CCA Images PS 77.47 0sh Last 77.47 Summary Comments 32.59 ash 32.59 0.58 0.58 SID 2.38 2.38 Angle 60 60 LE Bulb PS 63.04 cms Last 63.04 5 ED 35.80 ch 35.80 RI 0.43 0.43 SID 1.76 1.76 Angle 60 60 LE FTOX ECA IS 112.73 ash Lag 112.73 Summary Collapse All 4 Export to PDF 2 2 Spore Report Transter Airport 3 Print Parport Edited Value . System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 75 Measurements and Reports Report Import Images into the Report 1. Select Report key to enter/ exit report page Report 2. Select Images on the Imaging Screen 3. Select the display format on the imaging screen 4. Roll the trackball to the thumbnail image and press the Set key to transfer to the images section 5. To delete the image from the report, place the cursor over image and click the “X” in Tip: Up to 20 images can be stored to the the upper right corner of the image Summary. System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 76 Measurements and Reports Report SIEMENS Healthingers Patient Report Patient History 3 Carotid 4 2 Images Summary Comments Edi Report Collapse All Export to PDF Store Report Transfer Report Print Fuport System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 77 Text, Body Markers and Arrows Text Text located under the Title tab Text Body Marker Arrow Exam Package will not be changed as often, Thyroid e.g., RIGHT or LEFT, while text Patient Title Text located under the Text tab will Imaging change more often. Review RIGHT SAG THYROID SUP LOBE Text Replace Fields (1–4) will Report LEFT TRV ISTHMUS MID 30ON replace the text when selecting End Exam MIDUNE 2 NECK INF 5 different text from the same field on the same line. Selecting 1 PARATHYROID MEDIAL choices from Additional Text (5) 3 LATERAL will add to the line of text rather 4 than replacing text. Clear Screen Select Line Text Size Home Set Home To move the text, place the cursor in the text and press the Set key. The line of text becomes teal Text Replace (1–4) Additional Text and can be moved anywhere in the Image Screen. System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 78 Text, Body Markers and Arrows Text Modifying Text from an Text Body Marker Exam Package Arrow Active Exam Thyroid Patient 1. Select Review Title Text SAG Imaging 2. Select the desired image 1 Review FIGHT SAG THYROID SUP LOBE to display Report LEFT TRV ISTHMUS MID NODE 3. Press ABC End Exam MIDUINE NECK INF ABC 4. Select overwrite icon PARATHYROID MEDIAL LATERAL 5. Enter the word over the area (the text will overwrite in a black box) Clear Screen Select Line Text Size Home Set Home 6. To reposition the edited text, press the Set key twice to activate the text 7. Press Image to save the modified text System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 79 Text, Body Markers and Arrows Text Modifying Text from a Patient Registration Closed Exam 2 a Posent Last 1. Select Patient on the ACUSON SequolA. 00000001 192022 100 1119 3 912:2072 112 1:2-92022 4.54 Middle Name Einquribed Procedure touch screen ----- 2. Select Local Database 22.06.18 07 5 23.00-20 122 22 09.06 123 3. Select to highlight patient study from list intory Inmnunce Name 4. Select Append Study 5. Select Start Study Short Form 4 Append Study Last To Review New Soudy Cancel System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 80 Text, Body Markers and Arrows Text 6. Select Review Text Body Marker Arrow Exam Package Thyroid 7. Select the desired image 1 Patient display Title Text SAG Imaging 8. Press ABC 6 Review FIGHT SAG THYROID SUP LOBE Select overwrite icon Report 9. LEFT TRV ISTHMUS MID NODE End Exam MIDLINE NECK INF 10. Enter the word over the area (the text will PARATHYROID MEDIAL overwrite in a black box) LATERAL 11. Press Image to save the modified text Clear Screen Select Line Text Size Home Set Home Tip: Text can be modified on a closed study within 24 hours and will appear as an added image. System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 81 Text, Body Markers and Arrows Text Icons Controls Function Controls Function 121 Activates / deactivates text cursor and ABC the text touch screen menu Delete Deletes text at the cursor Sets default position for the text Set Home cursor Moves the cursor between separate Select Line text lines Positions the cursor at the home Home location Displays the next or previous page, when available Temporarily hides text Caps Lock Activates Caps Lock functionality Deletes all text, pictograms or on the digital QWERTY keyboard Clear Screen arrows Text Size Changes the size of the text 1 System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 82 Text, Body Markers and Arrows Text 1. Press the ABC key on the control panel ABC Text Body Marker Arrow 3 Exam Package Thyroid 2. Select the desired Patient Title Text 4 annotation on the touch Imaging 2 screen Review RIGHT SAG THYROID SUP LOBE Report LEFT TRV MID 3. Select Exam Package to ISTHMUS End Exam access text from a different MIDUINE NECK INF exam type PARATHYROID MEDIAL 4. Select the Keyboard icon LATERAL on the touch screen to activate / deactivate the digital QWERTY keyboard Clear Screen Select Line Text Size Home Set Home System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 83 Text, Body Markers and Arrows Body Markers 1. Press the ABC key on the control panel ABC 2. Select the Body Marker tab 3. Select the desired Body Marker from the touch screen 4. Use the Body Marker widget on the touch screen to adjust transducer orientation / position 5. Press Set to anchor 6. Press the Trackball soft key on the Control Panel to toggle between Transducer Marker Trackball Trackball Body Marker Transducer Marker and Body Marker for repositioning 7. Press Delete on the control panel to delete the Body Marker Tip: Body Marker options can be customized in the System Configuration Menu. System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 84 Text, Body Markers and Arrows Body Markers Text 2 Body Marker Arrow Exam Package Carotid Patient Imaging Oo 3 Review Report End Exam 4 6 Clear Screen Trackball Transducer Marker Transducer Marker On System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 85 Text, Body Markers and Arrows Arrows 1. Press the ABC key on the control panel ABC 2. Select the Arrow tab on the touch screen 3. Use the Arrow widget to adjust arrow orientation and tail length 4. Roll the trackball to position 5. Press Update to add additional arrows 6. Press Delete on the control panel to delete the last arrow or Clear Screen to delete all markings 7. Press Previous Arrow to cycle through multiple arrows 8. Press ABC to exit Arrow function Tip: Unlimited arrows can be added. ABC System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 86 Text, Body Markers and Arrows Arrows Text Body Marker Arrow Exam Package 5 2 Update Patient Imaging Review 4 Report 3 End Exam 6 7 Clear Screen Previous Arrow System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 87 Data and Image Management Review Images Review Images on Current Study 1. Select Review on the touch screen Review 2. Select the desired layout on the touch screen 1:1 2:1 4:1 6:1 9:1 16:1 3. Rotate the Page soft key to view more images Page 8 of 8 4. Select Imaging or 2D to exit Imaging System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 88 Data and Image Management Review Images Review Images from a Closed Study 1. Select Patient on the touch screen Patient 2. Select Local Database on the Imaging screen 3. Select the desired study 4. Select Load to Review 5. Select the desired display format on the 1:1 2:1 4:1 touch screen 6:1 9:1 16:1 6. Rotate the Page soft key to view more Page images 13 of 33 Imaging 7. Select Imaging or 2D to exit System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 89 Data and Image Management Review Images 2 Pasiert Registration Porient Browser Patient 3 Append Study Load To Review New Study Cancel Imaging 4 --- Review - - Report End Exam < Tab Caps Lock D G Enter 4 shA Delete Curl System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 90 Data and Image Management Delete Images Delete Images from a Current Study or in Review 2 1. Select Pointer from the touch screen 2. Select an image on the thumbnail panel to highlight 3. Press the Delete button on the control panel or select Delete Image(s) from the touch Delete Image(s) screen 3 X Total: 65 System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 91 Data and Image Management Export to Network 1. Select the patient name in the Patient Browser 2. Select the preconfigured destination icon or select transfer and choose the preconfigured PACS network destination name Tip: Images automatically send to PACS if the system is configured to send during the exam or at the end of the exam. System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 92 Data and Image Management Export to Network X Send to SYNCO Local Database Scheduler 2 Unknown El [3000] 1 USB Unknown Unknown Unknown Unknown Unknown Unknown Patient name test, b Date of birth 5/30/2004 Patient ID 6551212 Study Date and - " Instances Work3 5274. Best, b 6551212 4/25/2018 02:08:34 4 Current Fiter: Off System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 93 Data and Image Management Export Study to CD-R/DVD or USB in DICOM with Showcase Viewer 1. Insert CD-R/DVD or USB Patient Transfer Edit View Filter Sort Options Help Ctrl+1 2. Select the patient name in the Patient Q Import Browser Eject from ... Nuance Data Transfer Status ... 3. Select Export with Acoustic Data under the Local Job Status ... Ctrl +L Transfer menu Network Job Status ... Ctrl +N Import from Off-line ... 4. Select the desired destination Export with Viewer ... 5. Select Export Export with Acoustic Data ... 3 Export to DVD in PC format Export to USB in PC format Tip: To export in DICOM with Showcase viewer, select Export with Viewer. System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 94 Data and Image Management Export Study to CD-R/DVD or USB in DICOM with Showcase Viewer Unknown Local Database 2 Scheduler Unknown 11000 .. USB Unknown Unknown Unknown Export To Destination Compression Quorn bel on medum Medium Capacity Total Capocky Unknown 4 None 21.55 GB 28.63 GB Patient name Unknown 04.24-19:30:17-DST-1.3.12.2.1107 599.1.19222 Patient Name Patient |Study Descri. - Study Date and - - |Instances Work Stat ... Unknown 18.04 24- 4/24/2018 07:30:17 4 Export Cancel Heb 5 Current Fiter: Off System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 95 Data and Image Management Import from USB or CD-R/DVD 1. Insert CD-R/DVD or USB Patient Transfer Edit View Filter Sort Options Help Ctrl+1 2. Select Import from Offline under the Q Import Transfer menu Eject from ... Nuance Data Transfer Status ... 3. Select source Logical Name and Path Local Job Status ... Ctrl +L Network Job Status ... Ctrl +N 4. Select patient study Import from Off-line ... 2 5. Select OK Export with Viewer ... Export with Acoustic Data ... Export to DVD in PC format Export to USB in PC format Tip: Press and hold the Ctrl key on the keyboard to select multiple studies. System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 96 Data and Image Management Import from USB or CD-R/DVD Patient Transfer Edit View Filter Sort Options Help Q E Unknown =Local Database Unknown mport from Off-line X Scheduler Select object(s) which should be imported .E. USB Logical Name 3 Path F.\Export DI PHANTOM2 CT ABDOMEN_ABDOMENROUTINE (ADULT) 0003.00 E PHANTOM2 CT ABDOMEN ABDOMENROUTINE (ADULT) 0003.00 D PHANTOM2 CT ABDOMEN ABDOMENROUTINE (ADULT) 0003 00 D PHANTOM2 CT ABDOMEN ABDOMENROUTINE (ADULT) 0003 00 PHANTOM2 CT ABDOMEN_ 4 MENROUTINE (ADULT) 0003.00 DI PHANTOM2 CT ABDOMEN A OMENROUTINE (ADULT) 0003.00 DI PHANTOM2 CT ABDOMEN ABDOMENROUTINE (ADULT) 0003.00 DI PHANTOM2 CT ABDOMEN ABDOMENROUTINE (ADULT ) 0003 00 DI PHANTOM2 CT ABDOMEN ABDOMENROUTINE (ADULT) 0003 00 E PHANTOM2 CT ABDOMEN ABDOMENROUTINE (ADULT) 0003.00 E] PHANTOM2.CT.ABDOMEN ABDOMENROUTINE (ADULT).0003.00 OK Cancel Connect As .. Help 5 System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 97 Data and Image Management Query /Retrieve from PACS 1. Select the search icon in the Patient Browser 2. Enter the patient search parameters 3. Select the desired study 4. Select Import Tip: Enter multiple parameters for a targeted query. System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 98 Data and Image Management Query /Retrieve from PACS Patient Transfer Sat Options Help 1 C Patient Search Basic Search Patent Name: 111 Patient Name 2 From To Node Patient ID Study Date SYINGO Date of Birth Study Time Sex Any Accession Number [3] [1000] Modality Mammography Advanced Search Study Description Fsom To Study D PPS Start Date Referring Physician PPS Start Time Reporting Physician Body Part Exam Study Instance UD Performing Prysician Series Instance UD Request Procedure D Series Number Scheduled Procedure ID Series Description Approval Status Patien Reporting Search Patient ID Patien MAMO Unkno Search Clear Save Delete 111, 123; ID: 111; ; Other IRUS 3 4 Import Import Job Status Image List Discard search results on dose Close Heb Found 1 patient matches. System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 99 Data and Image Management Anonymize a Patient Study 1. Select Patient 4 Patient Transfer Edit View Filter So Register ... 2. Select Patient Browser Load To Review E 5 De-Identify 3. Select the desired study from the Local Database Upload to Siemens Film Task Status Ctrl+P 4. Select Patient drop-down menu Expose Film Task Copy to Film Sheet Num Enter Show MPPS 5. Select De-Identify, enter a name and then select OK Search a. The system copies the study to a new patient folder Search Selected .. Close Browser Alt+F4 labeled with the new name entered and replaces the date of exam with the date when the patient- identifying information was removed from the file b. The Patient ID is Anonymous Tip: All patient-identifying information is removed from the exam, for example, images of the patient registration page and patient report. The new patient folder contains only images and clips from the exam. System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 100 Modality Compare 1. Import the study to the Local 3 Workflow Database from source (CD/DVD/USB) or Query / Retrieve Fusion Panoramic Protocols 2. Register the patient 3. Select Workflow 4 Modality Compare Physio CDx 4. Select Modality Compare Studies 5. Select the required study 212:20/2017 10 04 AM Study Descr plon 5 Bones 6. Select the reference images Images Select All Select None 7. Select OK 6 7 OK L.Cancel System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 101 Modality Compare 1. Select Images – Return to the DAX SC1 1004 1816 Abdomen Workflow Patient Browser to select additional Patient 2D Modality Compare images for comparison Imagin Select Images Remove Image Exit 2. Remove Images – Removes Review 1 2 previously selected images Report Pan Window 410 Level 45 End Exam 3. Image – Rotate to change displayed reference image 5 6 4. Zoom – Rotate to magnify the Apply to All Reset to Default reference image Image Zoom 5. Pan – Slide your finger across the 100% area to reposition the reference 3 4 image 6. Window / Level – Slide your finger across the area to change the brightness / contrast the reference image System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 102 Care and Cleaning Cleaning and Disinfecting the System 1. Power off the system and unplug the power supply ACUSON' 2. Use a clean gauze pad or lint-free cloth, Sequoia lightly moistened with a mild detergent, to wipe the surface of the system 3. Use a clean, lint-free cloth to dry the surface Sequoia 4. As required, use an approved disinfectant wipe to disinfect the system and accessories 5. Plug the power cord into the power supply - CO Tip: Ensure that fluids do not seep into any openings on the system. System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 103 Care and Cleaning Cleaning the Trackball 1. Rotate the ring around the trackball counterclockwise and carefully lift the ring to remove Update 2. Remove the trackball 3. Clean the ring, trackball and trackball assembly with a cotton swab or lint-free pad moistened with a mild detergent solution 4. As required, use an approved disinfectant wipe to disinfect the ring, trackball and trackball assembly 5. After allowing the trackball components to completely dry place the trackball into the assembly 6. Place the ring over the trackball, aligning the tab with the point of attachment on the assembly, and rotate clockwise until the ring snaps into place System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows siemens-healthineers.com/ultrasound 104 Care and Cleaning Cleaning the Air Filter 1. Power off the system and unplug the power supply 2. Push the air filter tray to release the locking mechanism and then pull the tray from the system 3. Rinse the air filter tray with running water and allow filter to completely dry 4. Slide the dry air filter back into the system ACUSON Sequoia 5. Plug the power cord into the power supply Tip: Air filter should be checked and cleaned weekly to maintain proper system cooling. System Getting 2D & Color & Measure- Text, Body Data & Image Modality Care & Overview Started M-mode Spectral ments Markers & Management Compare Cleaning Doppler & Reports Arrows For the proper use of the software or hardware, please always The reproduction, transmission or distribution of this use the Operator Manual or Instructions for Use (hereinafter training or its contents is not permitted without express collectively “Operator Manual”) issued by Siemens Healthineers. written authority. Offenders will be liable for damages. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used All names and data of patients, parameters and in this training will not be updated on a regular basis and does configuration dependent designations are fictional not necessarily reflect the latest version of the software and and examples only. hardware available at the time of the training. The Operator All rights, including rights created by patent grant or Manual shall be used as your main reference, in particular for registration of a utility model or design, are reserved. relevant safety information like warnings and cautions. Siemens Healthineers Ultrasound owns the rights to Certain products, product related claims or functionalities all images. (hereinafter collectively “Functionality”) may not (yet) be Note: Some functions shown in this material are commercially available in your country. Due to regulatory optional and might not be part of your system. requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your ACUSON Sequoia, Auto TEQ, Clarify, InFocus, UltraArt local Siemens Healthineers sales representative for the most and Virtual Touch are trademarks of Siemens Medical current information. 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. · HOOD05162003346330 · Effective date: 10-Apr-2023 · 13419 0423 online ©Siemens Medical Solutions USA, Inc., 2023