SONOLINE PRIMA OPERATING INSTRUCTIONS Mill ( te Software Installation Reminder Lee ee ‘The Save Program/Load Program Disk menu options as described in Chapter 8 ‘may not function readily with software version 2.2.0. We recommend that you do ot use these menu options, instead: = use the factory-provided system software diskettes should there be a need to reload system software, and = create a backup of your presets and/or Quick Sets on the factory-provided Preset Data diskette. NOTE: Refer 1o installing Software during System Power-On in Chapter 3 for software installation procedures. For saving user preferences, refer to the Save Presets and Save Quick Set procedures in Chapter 8 seme ven SONOLINE PRIMA OPERATING INSTRUCTIONS win PRE-1. SIEMENS SONOLINE Prima Ultrasound Imaging System Operating Instructions ee ‘Siemens Medical Systems, Inc., Ultrasound Group sp ea reouroro neverSONOLINE Prima Ultrasound Imaging System Operating Instructions From Software Ver ns 2.4.0 and 2.6.0 Siemens Medical Systems, Inc. Ultrasound Group P.O. Box 7002 22010 S.E. 51st Street Issaquah, WA 98029-7002 (425) 392-9180 CE Declaration ‘The 230V version of this product is provided with a CE marking in accordance with the regulations stated in the Directive 83/42/EEC of June 14”, 1883 concerning Medical Devices. Authorized EC Representative : Siemens Aktiengesellschaft Bereich Medizinische Technik Henkestrasse 127 0.91082 Erlangen Operating Instructions Reorder Number: 52 63 269-L0979 (©1996-1998 Siemens Medical Systems, Inc. All Rights Reserved. January 1998 Printed in the United States of America. ‘SONOLINE is a registered trademark of Siemens Medical Systems, Inc. LITHOSTAR is a registered trademark of Siemens Medical Systems, Ine. CIDEX is a tademark of Johnson and Johnson, Inc. CIV-FLEX is a wademark of CIVCO Medical Instruments, Co., Inc. ‘Siemens reserves the right to change system specifications at any time. ~~w About this Manual The purpose of this user's manual is 1 provide operating instructions for the Purpose SONOLINE® Prima diagnostic ultrasound imaging system. Instructions are included for caring for. maintaining, clearing, disinfecting, and using the Prima imaging system. For the purposes of this manual, the use of the term Prime will refer to the SONOLINE Prima imaging system. Conventions used throughout this manual are fisted below. Take a moment to Conventions familiarize yourselt with these conventions. Warnings, Cautions, and Notes WARNINGS: Warnings are intended to alert you to the importance of following the correct operating procedures where risk of injury to the patient or system user exists. CAUTIONS: Cautions are intended to alert you to the importance of following correct operating procedures to prevent the risk of damage to the system. NOTE: Notes contain information concerming the proper use of the system and/or ‘correct execution of a procedure. sr scexm.onso reve SONOLINE PRIMA OPERATING INSTRUCTIONS mulConventions System Controls -) Keys and controls located on the control panel are identified by uppercase, boldface type. Example: Rotate the DEPTH control Function keys located on the keyboard are identified by the number of the function key followed by the name in boldface type. Example: Press the Fé Preset Menu function key. Menu selections are identified by the name of the selection in boldface type. Example: Roll the trackball to highlight Offset in the System Status Menu. Special Terms and Preset Options Special terms are indicated in italics and are accompanied by a brief description (on their first use in the manual. Example: Provides on-screen anatomical graphics or pictograms that indicate the anatomy under evaluation. Options in the General System Set Up menus can be identified in text as boldface type. ) Example: Highlight the Keyboard - Annotation option. ~ WW Mum SoNOLINE PRIMA OPERATING INSTRUCTIONS sees amecorsn neveTable of Contents SONOLINE Prima Diagnostic Ultrasound Imaging System Operating Instructions (Chapter Tite Chapter Description Chapter 1 General overview of the SONOLINE Prima diagnostic Introduction, Safety, and Care Chapter 2 ‘System Controls Chapter 3 System Set Up Chapter 4 Getting Started Chapter S Imaging Functions Chapter 6 General System ww Set Up Menus Chapter 7 Calculations and Measurements Chapter 8 Documentation and Storage Devices & ultrasound imaging system, including system options, features, and design. Detailed information on system safety and how to care for and maintain the system and accessories. Explanation of all controls and keys on the control panel, including the alphanumeric keyboard. Detailed descriptions of how to transport, set up, and prepare the system for use. Information on starting an examination, including instructions {or entering and editing patient data, and selecting an exam. type, imaging mode, and transducer. Procedures explaining how to activate an imaging mode, including descriptions of the imaging functions for B-made and M-mode imaging. Instructions for using the options and selections in the General ‘System Set Up menus to customize the system. Examples of the General System Set Up menu and its associated submenus are provided with a detailed description of each menu item and option. ‘Step-by-step procedures for using the Measurement function. ‘The procedures that apply to all exam types, including the report feature, are described first. The remainder of the chapter details the measurements and features specific to ‘each exam type. Information on how to use the Prima system with documentation and storage devices, including a complete description of the 3.6-inch floppy disk drive. SOMOLINE PRIMA OPERATING INSTRUCTIONS mili(Ghepter Tite Chapter Description Chapter 9 Information on how to review CINE data, either frame by CINE Review frame or as a loop, and how to edit the loop of data. Chapter 10 Explanation of the ECG option, including procedures for ECG Function specific functions on the Prima system. Chapter 11 Attachment procedures for transducer accessories, including a ‘Transducer Accessories needle path verification procedure. Chapter 12 A description of the endocavity transducers and accessories Endocavity Transducers and their use with the Prima system. Chapter 13 AA description of the intraoperative transducers and their use Specialty Transducers with the Prima system. Chapter 14 Explanation of the features and calculations contained in the Enhanced OB Package optional Enhanced OB package. Appendix A Technical description of the Prima imaging system Technical Data ‘Appendix B Acoustic power intensities and MI/TI information, Transduct and Acoustic Intensities ‘Appendix C List of Distributors Appendix D List of Part Numbers Appendix E Obstetric References ‘Appendix F Data Transmission Guidelines Index Listing of names and addresses of authorized distributors for the Prima imaging system. Listing of part numbers for the available configurations of the Prima imaging system, including accessories and options. Listing of authors and reference tables used in the Prima imaging system for the Obstetric exam. Guidelines for transmitting data from the Prima imaging system through the RS-232C port to a PC or laser printer. Index hum SONOLINE PRIMA OPERATING INSTRUCTIONSSONOLINE PRIMA OPERATING INSTRUCTIONS milll & Chapter 1 \ntroduction, Safety, and Care Contents Introducing the SONOLINE Prima Diagnostic Ultrasound Imaging System Intended Use... : a System Features, System Options.. Transducers... Transducer Accessories Documentation and Storage Devices... imaging Screen. Screen Saver ... Imaging Menus. System Status Menu. Measurements Menu Disk Menu... Biopsy Menu. Imaging Modes... Calculations and Measurements... Enhanced Obstetrics Package. Presets and Customization Quick Sets . System Symbols. Biohazard Considerations Transmit Power LeVEl...nenr Power Control nen ‘Transmit Power Display... Mechanical and Thermal Indices ..... Imaging Functions that Change Acoustic Output. Electrica/Environmental Safety Requirement KS Power Supply SONOLINE PRIMA OPERATING INSTRUCTIONScuapren 1 Introduction, Satety, and Care Environmental Specifications. Use of Peripheral Devices... Equipment Care.. Caring for the Prima Imaging System Daily Checklist. Maintenance. Siemens Authorized Care Caring for Transducer: Protective Case Storage . Caring for Transducer Accessories.. Transducer Cover: Storage Waterpath Standoff Kits Storage Needle Guide Bracket Kits. Storage Caring for Documentation and Storage Devices . Cleaning and Disinfecting enn : = Cleaning and Disinfecting the Prima Imaging System... Cleaning and Disinfecting Transducers. Clearing, Disintecting, and Steriizing Transducer Accessories, Waterpath Standoff Kits Needle Guide Bracket Kits. SI, Say, and Endocavity Needle Guide Bracket Kits... Universal Needle Guides 1-2 uM SONOLINE PRIMA OPERATING INSTRUCTIONS ~CHAPTER 1 Inteoduction, Safety, and Care Introduction wQ This chapter provides @ general overview of the SONOLINE Prima imaging system, including its intended use, system features, end system options. The imaging screen and ‘maging modes ae described, and the menus used during imaging are briefly explained. The overview also provides » descrotion of compatible transducers and related documentation doves. ‘There are several important precautions you must folow to operate the Prima imaging system safely and conectly. The Biohazard Considerations section describes transmit levels and how 10 minimize patient exposure to utrasound. The Care and Maintenance section describes how 10.care for, clean, and disinfect the imaging system and its components. Introducing the SONOLINE Prima Diagnostic Ultrasound Imaging System ‘The SONOLINE ® Prima diagnostic ultrasound imaging system provides complete clinical images in a variety of real-time imaging modes. The Prima imaging system allows you to perform a wide range of diagnostic ultrasound ‘examinations, including those for obstetrics, gynecology, and urology, with a standard calculations and measurements software package provided. The Prima c imaging system can be configured to support your diagnostic requirements. ‘The Prima imaging system is compact and self-contained, and can be ‘maneuvered into exam sites where floor space is limited. The imaging system ‘can navigate doorways, elevators, mobile van doors, and small examination rooms such as those in clinics, in doctor's offices, and in emergency rooms. The imaging system can also be transported long distances with only a limited amount of disassembly. The Prima imaging system is compatible with a variety of linear and curved array and mechanical sector transducers. The configuration of an individual imaging system defines the transducer types available on that particular system. The SONOLINE Prima ultrasound imaging system is available in three basic configurations in either the 115V or the 230V version: + SONOLINE Prima SLC Sector, linear array and curved array system with one sector port and two linear or curved array ports. + SONOLINE Prima LC Linear and curved array system with two linear or curved array ports. + SONOLINE Prima S ‘Mechanical sector (fixed focus) system with two sector ports. 900 omorevos SOWOLINE PRIMA OPERATING INSTRUCTIONS Mu 1-3CHAPTER 1 Introduction, Safety, and Care ‘Allof the transducers are activated from the control panel. The layout of the control panel facilitates quick recognition of control locations. The keyboard controls and keys: wd) are backlit, and receive additional task lighting for easy identification in areas with dim lighting. The backlighting increases on a control key when itis pressed, to indicate that the function is active, On the 118V version of the Prima imaging system, each control on the control panel is labeled with an icon and English text. On the 230V version, the controls are labeled with icons only. Both versions of the system support menus and reports in English, German, French, and Spanish, ‘The Prima imaging system supports a variety of optional documentation devices such as a video printer. Some of these devices can be integrated into the system, while others can only be supported externally. ‘Monitor with imaging seen Contol pane! VCR bay (VCR is optional) ‘Transducer and gel holders Floppy dskdrive “Teanscucer pons ECG and footewiteh ‘connections Video printer 8 Endocawty transducer holder SONOLINE Prime utrasound imaging system. 1-4 im SOMOLINE PRIMA OPERATING INSTRUCTIONS weonaranynCHAPTER 1 Introduction, Safety, and Care Intended Use Ne CAUTION: Inthe United States of America, federal low restricts this device to sale or ‘or on the order of, a physician. The Prima imaging system is suitable for 3 wide range of diagnostic applications, including: * General medicine * Abdominal applications - adult and pediatric * OB/Gyn applications + Endo-vaginal applications + General urological applications + Endorectal/prostate applications = Small parts applications = Pediatrics + Neonatal head imaging + Ear, nose, and throat (ENT) applications + Orthopedic applications ce * Surgical applications - intraoperative * Cardiac applications A table showing the specific intended application(s} for each transducer can be found in Appendix B. ‘The Prima imaging system can also support veterinary applications. ssocaruasorevos SONOLINE PRIMA OPERATING INSTRUCTIONS mim 1-5CHAPTER 1 Introduction, Safety, and Care System Features S) The SONOLINE Prima S ultrasound imaging system provides the following standard features: ‘+ 12.inch (30 em) tilt-and-swivel gray scale monitor (compatible with multiple video standards) * Control panel with keyboard in 115V or 230V version + Two mechanical sector transducer ports = Mechanical sector transducer compatibility with 3.5- to 10-MHz transducer range = 386-degree F-theta scan converter + B-mode, 2B-mode, 4B-mode, 8+B-mode, and M-mode imaging with mixed modes for B/M-mode, B+B/M-mode, and A-mode display ‘© Variable field size with magnification (Read and Write Zoom) ‘+ 3.5.inch floppy disk drive for storing and retrieving user presets, system ‘software, patient images, and report data © Calculation and measurement software for diagnostic examinations * Menu-driven system software for setup and configuration. Supports ‘multtingual operation in English, German, French and Spanish * Builtsin video printer = Internal mounting for optional video recorder * Video-out for customer-supplied second monitor or external documentation devices "= Video-in for playback from an external video source, such as 2 VCR = RS-232C (serial) port for measurement and calculation data transmissionCHAPTER 1 Introduction, Safety, and Care ‘The SONOLINE Prima LC ultrasound imaging system provides the following & standard features: & 112.inch (20 cm) tilt and swivel gray scale monitor (compatible with multiple video standards) Control panel with keyboard in 115V or 230V version ‘Two linear or curved array transducer ports 82 electronic channel linear and curved array front end Linear and curved array transducer capability with 3.5- to 7.5-MHz transducer range B-mode, 28-mode, 4B-mode, B+B-mode, and M-mode imaging with mixed modes for B/M-mode, B+B/M-mode, and A-mode display Variable field size with magnification (Read and Write Zoom) Adjustable single and dual focusing, and fixed quadruple focusing, with linear or curved array transducers, 3.5.inch floppy disk drive for storing and retrieving user presets, system software, patient images, and report data Calculation and measurement software for diagnostic examinations, Menu-driven system software for setup and configuration. Supports ‘multilingual operation in English, German, French and Spanish Builtin video printer Internal mounting for optional video recorder Video-out for customer-suppliad second monitor or external documentation devices Video-in for playback from an external video source, such as a VCR RS-232C (serial) port for measurement and calculation data transmission SONOLINE PRIMA OPERATING INSTRUCTIONS Mun 1-7CHAPTER 1 Introduction, Safety, and Care ‘The SONOLINE Prima SLC ultrasound imaging system provides the following standard features: 112.inch (30 cm) tilt and swivel gray scale monitor (compatible with multiple video standards) Image screen for the display of clinical images, patient information, ‘operating parameters, and graphic overlays and objects Control panel with keyboard in 115V or 230V version One mechanical sector and two linear or curved array transducer ports 32 electronic channel linear and curved array front end ‘355-degree R-theta scan converter Linear and curved array transducer compatibility with a 3.5 to 7.8 MHz ‘tansducer range Mechanical sector transducer compatibility with 3.5- to 10: MHz transducer range B-mode, 2B-mode, 48-mode, B+B-mode, and M-mode imaging with mixed modes for B/M-mode, B+B/M-mode, and A-made display Variable field size with magnification (Read and Write Zoom) ‘Adjustable single and dual focusing, and fixed quadruple focusing, with linear or curved array transducers 3.5:inch floppy disk drive for storing and retrieving user presets, system software, patient images, and report data Calculation and measurement software for diagnostic examinations. Menu-driven system software for setup and configuration. Supports multiingual operation in English, German, French and Spanish Builtin video printer Internal mounting for optional video recorder Video-out for customer-supplied second monitor or external documentation devices \Video-in for playback from an external video source, such as a VCR RS-232C (seriall port for measurement and calculation data transmission lM SONOLINE PRIMA OPERATING INSTRUCTIONS © ~)CHAPTER 1 Introduction, Safety, and Care System Options All three configurations of the SONOLINE Prima imaging system can support the following system options: CINE Review (31 frames) Enhanced Obstetrics measurement and reporting software ECG option ‘VCR with internal mounting kit Dual pedal footswitch ‘The SONOLINE Prima also supports report data transfer to an external printer or PC-based data analysis systems. Refer to Chapter 7 for information on exam reports and to Chapter & for information on documentation devices. SONOLINE PRIMA OPERATING INSTRUCTIONS Mul 1-9CHAPTER 1 Introduction, Safety, and Care Transducers ‘The Prima imaging system is compatible with a variety of mechanical sector and linear and curved array transducers, depending on the specific system configuration. ‘The name of each transducer indicates its type and operational characteristics. For example, the 3.5C40S transducer operates at 3.5 MHz, is an S-Array Curved type, and has a 40-mm radius. Carved Saray near Sray Moca oor thar. as cas asuites a5si16 7518005 (intraoperative asc7s s0L95s asos Shee socaos 751788 sos 75.800 eseviss 75U45s sors {oranperave 5.0775 Micro Sector 7.5 Miero Secter Endo Endo-P tt ~~) 1-10 um SOMOLINE PRIMA OPERATING INSTRUCTIONS seen amore:CHAPTER 1 Introduction, Safety, and Care Transducer Accessories ‘The following accessories are avaitable for each type of transducer: Curved &-Array Transducers 3.5 C40S Needle Guide Bracket Kit, Transducer Cover 3.5 C70S Transducer Cover 5.0. C40S Needle Guide Bracket Kit, Waterpath Standoft Kit, Transducer Cover 65 EVI3S Transducer Cover, Needle Guide Bracket Kit ‘near S-Array Transducers 3.5 L115S ‘Transducer Cover 5.0 L95S Needle Guide Bracket Kit, Waterpath Standoff Kit, Transducer Cover 7.5 L758 Needle Guide Bracket Kit, Waterpath Standoff Kit, Transducer Cover 78 L45S Needle Guide Bracket Kit, Waterpath Standoff Kit, Transducer Cover Cs peceeacstener tomate 258116 Tod ole Gace fi Warpath Sart foes a0! Hon Quid Grace 0, Wate Sure, pasteoees erat Noede Gun Gata, Wsrp Sic Reeeeeae sorssi Merde Gute Crick Kt, Wap Sunde Nosecueee Sons Me Sear Tamadcer Covet 75McwSacer Tansee Cot Endo need Guia Gace, Tenudcar Cot en Need Guia Baca Ke, Wee Baoon, ‘Transducer Cover Other Transducers 7.5 LO OS intraoperative O-type) Transducer Cover 7.5 L50 IS (intraoperative type) Transducer Cover we ream SONOLINE PRIMA OPERATING INSTRUCTIONS muCHAPTER 1 Introduction, Safety, and Care Documentation and Storage Devices ow) The Prima imaging system is equipped with a 3.6-inch floppy disk dive as @ standard feature. The Prima imaging system can also accommodate optional documentation and storage devices, including: * Video cassette recorder (internal or external mount) * Multisformat camera (external) * Report printers (external) ‘The documentation and storage devices that are connected externally operate as separate units. These devices are not directly controlled from the Prima imaging system. Refer to the manufacturer's instructions for specific information ‘concerning the operation of these devices. ~ 1-12 sum SoWoLINE PRIMA OPERATING ENSTRUCTIONS reer aeoarveCHAPTER 1 Introduction, Safety, and Care & Imaging Screen ‘The Prima imaging system's monitor screen displays clinical images along with patient information and operating parameters. The monitor screen can also display graphic overlays, and features such as calipers and pictograms, to assist in evaluating the image. The monitor can be tilted or swiveled to optimize the Viewing angle or show images to the patient. 1 Patent and I hospital ==; information ‘SONOLNE irs ‘SIBAENS Spe i 5 aE i 2 Image area System ‘Status Menu 4 Depth seale display 5 Trackball pointer 6 Mechanical and Thermal indices 7 imaging 4 parameters land VCR tape code 8 Trackball Status feld 9 Gray bor 10 Focal ze indcators oy 968.8 8 i T T 8 7 Imaging Screen Display. sefon_pov vse 2ebcip os =—— 6 Certain areas of the imaging screen can be used to perform more than one function. The information that is displayed on the right side of the imaging ‘screen can change as a result of your current activity. This area normally displays the System Status Menu, which provides information about the current imaging mode, unless you: Initiate a function that displays another menu, such as the Measurements Menu, in place of the System Status Menu. Certain imaging parameters are stil displayed at the bottom left of the screen, unless General System Set Up Menu 1 has been used to tur off the System Status Parameters display. = Press F1 New Patient, F2 Report, or F3 Patient Data to display a page of patient information or press F4 Preset Menu to display a General System Set Up menu. The different imaging menus are described on page 1-15. The General System Set Up menus are discussed in detail in Chapter 6. CS sorter enone SONOLINE PRIMA OPERATING INSTRUCTIONS mullCHAPTER 1 Introduction, Safety. and Care Screen Saver NOTE. When image information is being played back from a video input source, such 185.8 VCR, the screan saver function is turned off. See Chapter 8 for instructions on Using a VCR with the system. The image display screen is covered by a screen saver graphic after a specified period of time. You can use General System Set Up Menu 1 to determine the length of time before the screen saver is displayed. Refer to Chapter 6 for specific information, ‘The screen saver is turned off and the previous display is restored when you ress a key of adjust any of the controls. The function of the key or control will Rot be executed, since itis restoring the image display. Alter the screen display is restored, the keys and controls will function as usual. ~ 1-14 um SowoLImE PRIM OPERATING INSTRUCTIONS eaeorevesc CMAPTER 1 Introduction, Safety, and Care Imaging Menus Imaging menus are displayed along the right side of the screen while you are using an imaging function. Only one of these menus is active at a time. Imaging parameter data is always displayed at the bottom left of the imaging screen, unless it has been turned off using General System Sat Up Menu 1. System Status Menu The System Status menu indicates the status and parameters of the current imaging mode as well as frequency, depth, and transmit power level of the active transducer. Refer to Chapter 5 for information on imaging modes, and Chapter 6 for information on exam-specific transducer settings. Measurements Menu The Measurement menu is displayed in the upper right corner of the screen when the CALIPER key on the control panel is pressed. Exam-specific parameters are displayed in the upper section of this menu. Measurement methods are listed and calculation results are displayed in the lower section. Refer to Chapter 7 for detailed information on Calculations and Measurements. Disk Menu ‘The Disk Menu is displayed in the upper right comer of the screen when the DISK key on the control panel is pressed. This menu provides options for storing and retrieving images using the floppy disk drive. Refer to Chapter 8 for detailed information. ed gscros. 35 FPS 6s Angle 60d Offset Dyn Ring 80d8 Persist y Edge 1 Gan 4008, Output 308 Gray Map. ec oft Example ofthe System ‘Status Menu. ba sscos. 35, DISTANCE 2PTELL TRACE POINT VOLUME 1° VOLUME 2° RATIO. Example of Measurements Menu. ba. Disk MENU Drive FD Directory Recall He Store Image Stxe ‘Gne Stxe Rep Copy File Delete File Deets img Format Disk ‘Example ofthe Disk Menu. SOMOLINE PRIMA OPERATING INSTRUCTIONS man 1-15CHAPTER 1 Introduction, Safety, and Care eet 50 Biopsy Menu Pele ed Booey “The Biopsy Menu is displayed in the upper right comer of the screen when the. came On BIOPSY key on the control panel is pressed. Parameters relating tothe biopsy ange D can be adjusted using this menu, Refer to Chapter 11 for detalled information. Adist 9 if Example ofthe Biopsy Men. 1-16 im SomoLime PRIMA OPERATING INSTRUCTIONS soc cen neveCHAPTER 1 Introduction, Safety, and Care Imaging Modes ‘The Prima imaging system provides imaging capabiity in the following modes for all compatible transducers. Refer to Chapter 5 for specific information. B-mode 2B-mode B+B-mode 4B-mode C Bamode B+B/M-mode A-mode & B-mode is the default setting. When you power-on the system, the imaging screen is initially displayed in B-mode. A single active B-mode image is displayed in the image area. 2B-mode displays two separately acquired B-mode images, side by side. 2B-mode allows you to switch from one B-mode image to the next. B+B-mode displays two identical B-mode images, side by side. ‘The two images are simultaneously either real-time or frozen. Each image can show different post- processing functions. B+B- mode can also be used with ECG-triggered image acquisition. 4B-mode displays up to four separately acquired B-mode images at the same time. 4B-mode is useful for comparing a number of ‘anatomical views on one screen or film. Only one image at a time can be displayed in realtime. M-mode displays a full-screen M-mode sweep. M-mode is also called Time Motion Mode. B/M-mode simultaneously displays a B-mode image with an M-mode sweep. Several display formats are available. B+B/M-mode simultaneously displays a B+B-mode image with an M-mode sweep. ‘Acmode displays an amplitude readout in graph form on the left side of the active B-mode or M-mode image. SONOLINE PRIMA OPERATING INSTRUCTIONS miliCHAPTER 1 Introduction, Safety, and Care Calculations and Measurements >) The Prima imaging system is equipped with a calculations and measurements package that is used with a wide range of diagnostic ultrasound examinations. The exam results are included in the related patient examination reports for the OB, Gyn, Urology, Orthopedics, axd Cardiac exams. + Obstetrical exam. Supports fetal age and delivery date estimation for the parameters MSD, CRL, BPD, HC, AC, FL, and four user-definable parameters. Userdefined descriptive data and fetal weight estimation are also supported. ‘Urology exam. Consists of the Prostate and Surgery exams. Includes a calculation for determining residual urine volume and supports prostate imaging, a prostate volume measurement, and a PSAD calculation. * Orthopedic exam. Includes a measurement of the infant hip angle. "Small parts imaging. Includes a thyroid volume measurement. "Abdominal, cardiac, and gynecological exams. Patient Reports are available for the OB, Gyn, Prostate, Surgery, Orthopedics, and Cardiac exams. Refer to Chapter 7 for specific information on each type of exam. Enhanced Obstetrics Package ‘An Enhanced Obstetrics package is available as a separate system option. This package provides extensive and detailed reporting capabilities, and additional measurements specilic to the J Obstetrical exam. Use this package to: Defi © Compare growth parameters using graphs and charts = Collect report data over the duration of a pregnancy ‘Perform first-trimester measurements and calculations additional measurement labels for fetal age and weight estimation ‘= Prepare a separate report for each twin for dual gestations. 7) 1-18 num SONOLINE PRIMA OPERATING INSTRUCTIONS seam insontcesCHAPTER 1 Introduction, Safety. and Care cL Presets and Customization ‘The Prima imaging system includes software that can be used to set up and configure the imaging system to support your diagnostic requirements. This software provides you with menus to define default settings, or presets, for your imaging preferences. System presets are defined using the full-screen General System Set Up menus. You can assign presets for the settings you use most frequently, or specify the exam type to which the system defaults at startup. Use the General System Set Up menus to customize the following: * General system setup * Exam settings # Transducer settings = Pictograms: + Text annotation + Calipers * Calculation/measurement settings and reports * Display of motion (M-mode) with images * Hardcopy setup + InternelVexternal device setup & * Language selection * Trackball behavior ‘Your imaging preferences and presets can be stored on diskette and loaded into the system as needed, using the Disk Utility function. Quick Sets You can use the Quick Set feature to capture an optimized configuration of imaging settings for a ‘specific transducer and exam type. Quick Sets are provided in addition to the system presets. ‘See Chapter 6 for a description of the options provided by the Quick Set feature. & sramamoneyes SONOLINE PRIMA OPERATING INSTRUCTIONS min 1-19)CHAPTER 1 Introduction, Safety, and Care System Symbols The table below is provided for your identification of important symbols located in labels on the Prima system. NOTE: The Type 8, Type BF, and Type CF Patient Connections are defined by IEC 601-1. Symbot Explonation Symbot Explanation AS Aternating carent © Satey Ground Signal Ground Nato zt Location of Removable Air {k} ‘Type BF Defibriator- Vent Cover proof Patient Connection = Mechanical Sector Transducer Port Type BF Patient Connection Electronic (Curved cr Linear) Array Transducer Port ‘Type 6 Patient Connection ECG Socket ‘Type CF Patient Connection Locked Position Consult Operator's Manual Unlocked Position Equipotential Connection R [y] A v 2 Footswitch Connector 1-20 num SONOLINE PRIMA OPERATING INSTRUCTIONS.CHAPTER 1 Introduction, Safety, and Care Explanation Explanation Tit and Swivel Lock oN for the Monitor oFF Monitor Removal ee ‘Standby OFF Pearial System ON Control Pane! (Overhead Light on Under Side of Monitor Monitor Contrast Monitor Brightness, Partial System Standby OFF Panial System OFF & olalolclolelol_f ‘Signal Input Transducer Holder Signal Output Positions for ‘Supporting Transducer FLIP Digital intertace SONOLINE PRIMA OPERATING INSTRUCTIONS mun 1-21CHAPTER 1 Introduction, Safety, and Care Biohazard Considerations -) WARNING: Only transducers marked Type CF ¥ are suitable for direct cardiac contact. WARNING: For neonatal head imaging, Siemens recommends that you exercise ‘special care during neonatal cephalic scanning to avoid possible damage to the ‘posterior region of the eye. The ultrasound energy emitted by the transducer easily ‘penetrates the fontanels of the infant. WARNING: Siemens makes every effort to manulacture safe and effective transducers. The user must take care to prevent the transfer of infections between patients, operators, and third parties. Refer to the Cleaning and Disinfection ‘procedures in this chapter. Some transducars ae accompanied by instructions that recommend the use of ‘protective transducer covers. Safety preceutions should be implemented in any pplication that requires endoveginel endorectl, or intraoperative scanning, duting biopsy or puncture procedures, or when scanning patients with open wounds. WARNING: There have been reports of severe allergic reactions to medical devices ‘containing latex (natural rubber). Health care professionals are advised to identity latex- ‘sensitive patients and to be prepared to treat allergic reactions promptly. For additional information in the U.S.A., refer to FDA Medical Alert MDAS1-1. WARNING: Ultrasound energy is transmitted more effectively through water than through tissue. When using a standoff device of any kind, for example, @ waterpath, the actual mechanical and thermal indices, MI and/or Tl, may be higher then indicated in the output display on the system. Uttrasound is considered safe at low clinical power levels. The safety limits of higher levels and longer periods of exposure to ultrasound are not yet completely known. Because the assessment of the biological effects of diagnostic ultrasound on humans will not be completed for some time, this product, and all diagnostic ultrasound procedures, should be used for valid reasons, for the shortest possible period of time, and at the lowest power setting necessary to produce clinically acceptable images. According to the principles of ALARA (As Low As Reasonably Achievablel, the energy radiated should be the /owest level ‘required to satisfactorily perform the examination. For more information, refer to Transmit Power Level on page 1-24. i] 1-22 nim sowocine PRiMa OPERATING INSTRUCTIONS seervoroseverWw CHAPTER 1 Introduction, Safety. and Care ‘The SONOLINE Prima ultrasound imaging system complies with the standards of the American Institute of Ultrasound in Medicine (AIUM), the National Electrical Manufacturer's Association (NEMA), and the United States Food and Drug ‘Administration (FDA) in terms of safety and acoustic power output levels. The ultrasound output power levels are stated to permit the user to critically evaluate the system settings in the event of new research findings being announced. Refer to Appendix B for information concerning acoustic output intensities. The effects of different imaging functions on acoustic output are explained on page 1-26. SONOLINE PRIMA OPERATING INSTRUCTIONS mun 1-23CHAPTER 1 Introduction, Safety, and Care Transmit Power Level ) WARNING: Ultrasound procedures should be used for vaid reasons, for the ‘shortest period of time, and at the lowest power setting necessary to produce clinically acceptable images. Power Control ‘Acoustic power is the amount of energy applied directly to the patient. The POWER control on the control panel adjusts the acoustic output power delivered from the transducer to the patient. The POWER control determines the ‘transmitted level of ultrasound for all transducers and imaging modes during reat ‘time imaging, The range and especially the maximum level of acoustic power will differ depending on the transducer. In addition, each diagnostic exam type has preset ower values. Extreme care should be used when increasing the transmit power above the preset limits. To adjust the transmit power: = To increase the transmit power, rotate the POWER control clockwise. a When the maximum power level is reached, the imaging system - + emits a beep. "To decrease the transmit power, rotate the POWER control counter- clockwise. When the minimum power level is reached, the imaging Powor system emits a beep. The transmit power ranges from a minimum of -24 dB to a maximum of 0 dB in 3-dB increments. Selecting 0 dB, or 100%, transmits the maximum acoustic power for each transducer, where: Igprag: $720 Wier? and MIS 1.9 You can use General System Set Up Menu 1 to determine whether the power value is displayed in decibels (dB) or as a percentage of the maximum power (%). The example below shows one value expressed in both formats. Refer to Chapter 6 for information on setting the power display format. Display Format System Status Menu System Status Parameter Feld oB Output -6 48 55/1/2/32/-6 % Output 25% 55/1/2/32/25 i) 1-24 um SONOLINE PRIMA OPERATING INSTRUCTIONS spear ousnevoc w CHAPTER 1 Introduction, Safety, and Care Transmit Power Display ‘The power value is displayed inthe System Status Menu and in the System Status Parameters fed on the bottom ift ofthe imaging screen. ‘The System Status Parameters field displays the following information for the active mode at all times, to define how the image was obtained: B: 55/1/2/32/-6 B-mode: Dynamic Range / Persistence / Edge Enhance / Gain / Output Power M: 35/0/2/29/-6 M-mode or B/M-mode: Dynamic Range / Persistence (always 0 in M) / Edge Enhance / Gain / Output Power NOTE: in BiM-mode, the System Status Parameters field only shows the values for M-mode. The corresponding B-mode parameters are not shown, and cannot bbe changed. The B-mode settings must be configured before the system enters M-mode, This display is updated as the POWER control is tured. Each time the power level is changed, the displayed parameters are shown in inverse video for one second. Refer to Chapter 2 for specific information, Mechanical and Thermal Indices Mechanical and Thermal Indices of 0.4 or more are displayed in the lower right edge of the image screen in all imaging modes. These fields are not Trackball selectable. The following indices can be displayed: MI = Mechanical index TIB_ = Bone thermal index for fetal applications TIS = Soft tissue thermal index Refer to Appendix B for specific information. sso amorsvor SONOLINE PRIMA OPERATING INSTRUCTIONS Mun 1-25roduction, Safety, and Care Imaging Functions that Change Acoustic Output Changes of imaging mode and adjustments to controls also affect the output ower. Specific information is provided in the following table. ‘Operation ‘Effect on tha acoustic output Transducer change “The maximum acoustic output of each transducer is optimized to produce the best image quality within FDA guidelines. Thus, the acoustic output will change as the operator changes the active transducer. Imaging mode change _| Since B- and M-modes use different default imaging parameters, changing the ‘mode will change the acoustic output power of the system, No changes occur when switching from B to 2B or 4B, since the basic imaging parameters remain the same, In most cases, the acoustic output powel for M-mode is larger than in B-mode, however, it depends on the specific oresets for B and M-mode, Field of View (Sector Angle or Scan Width) ‘Changing the sector angle or scan width may result in changes to the frame fate, and thus change the acoustic output. Image depth change ‘Changing the image depth changes the PAF, and thus changes the acoustic output. Number of focal zones Since the number of focal zones influences the frame rate and the actual position of the focal zones, changing the number of focal zones changes the ‘acoustic output. Focus location ‘The transmit focus location change will couse the acoustic output change, ‘even though the transmitting electrical energy level and the aperture remains the same. In most cases, the acoustic power will increase ithe focal point is moved closer to the transducer. Zoom Activating zoom may change the focal depth and aperture. The worst case ‘acoustic output condition is from the largest transmit aperture at a given depth. Thus, acoustic output changes depending on the zoom locaton. Freeze ‘Activating the freeze {unction stops the electrical energy transmit part of the system, thus disabling the system from generating ultrasound. ‘Automatic time-out When the Prima is inactive for a selectable time period, the system automatically freezes and displays the screen saver. Activatng the freeze function stops the electrical energy transmit part of the sysiem, thus disabling the system from generating ultrasound, The timeout can be specified using the General System Set Up menus. Transmit power ‘The transmit power level change wil change the electrical output of the system to the transducer, and thus change the acoustic output. Frequency change Changing the operating frequency changes the focal characteristics of the acoustic waves, thus changes the acoustic output. Line density Changing the number of acoustic ines generated (ine density) affects the acoustic output. 1-26 mim SONOLINE PRIMA OPERATING INSTRUCTIONS ~CHAPTER 1 Introduction, Safety. and Care open ao ote oa Free ae Wh ina of he ame athe ecu ower otros Preset ce he ftom ard so presets conth alte so sag parameters, changing the preset will change the acoustic output power Reset or power off/on Resetting or powering the system on or off causes the system to return to the default status, thus may change the acoustic output. Use of a waterpath ‘When using a standoft device of any kind, the actual mechanical and thermal indices, Ml andlor T, may be higher than indicated in the output display on the system. we 1-27cuaPteR 1 Introduction, Safety, and Care Electrical/Environmental Safety Requirements WARNING: For 115V systems. inorder to ensure grounding reebilty, connect the system only o 2 hospital-grade receptacle Power Supply Nominal Voltege Nominal Frequency _ Power Consumption 115v 50/60 Hz 53.0 amps 230 50/60 Hz s1.5.amps* “system vith intemal documentation device Environmental Specifications Relative humidity 30 to 85%, non-condensing, during operation Temperature System: +10°C to +40°C, operating 20°C to +60°C, ambient (storage), Transducers: ced Type Operating Storage Curved and Linear Array HOC 10 440°C -10°C 10 +60°C Mechanical Sector SI #18°C 10 440°C -10°C 10 +40°C Endo-v 420°C 10 440°C -B°C 10 450°C Endo-P i #15°C 10 440°C -10°C 10 +60°C Micro Sector 420°C 10 440°C -8°C to 450°C Maximum Altitude Operation up to 3,000 meters J 1-28 num soWOLINE PRIMA OPERATING INSTRUCTIONS oer eeCHAPTER 1 Introduction, Safety, and Care Use of Peripheral Devices WARINING: Accessory equioment connected to the analog and digital interteces ‘must be certified according to the respective IEC standards (e.g, IEC 950 for data processing equipment and IEC 601-1 for medical equipment). Furthermore, al configurations shall comply with the system standard IEC 601-1-1. Anyone who ‘connects additional equipment to the signal input or signal output part configures @ ‘medical system and is therefore responsible that the system complies with the requirements of the system standard IEC 601-1-1. Siemens can only guarantee the performance and safety of the devices listed in Appendix D. If in doubt, consult Siemens sarvice department or your locs! Siemens representative. Rofer to Chapter 3 for information on connecting peripheral equipment to your Prima imaging system. SONOLINE PRIMA OPERATING INSTRUCTIONS mt 1-29CHAPTER 1 Introduction, Safety, and Care Equipment Care ws) ‘The equipment care information provides appropriate care instructions for the following: = Prima imaging system + Transducers and accessories NOTE: Documentation and storage devices are accompanied by their ‘manufacturers’ instructions for equipment care. Refer to Cleaning and Disinfection on page 1-37 for detailed cleaning instructions. ) 1-30 mm SONOLIME PRIMA OPERATING INSTRUCTIONS stocaanonevesCHAPTER + Introduction, Safety, and Care Caring for the Prima Imaging System ‘The user is responsible for verifying that the imaging system is safe for diagnostic operation. Each day, prior to using the system, perform each of the steps in the Daily Checklist to ensure that the system is safe for operation. NOTE: All exterior pars of the system, including the control panel, transducers, ‘and biopsy devices, should be cleaned and/or disinfected as necessary or between uses. Closn each component to remove any surface particles. Disinfect components to kill vegetative organisms and viruses. Daily Checklist Perform the following checklist items each day before you use the system: D Visually inspect all transducers. Do not use a transducer that has a frayed cable or a cracked, punctured, or discolored casing. Q_ Visually inspect the power cords. Do not turn on the power if the power cord is frayed or split, or shows signs of wear. Verify that the control panel, including the trackball and DGC controls, appeats clean and free from gel or other contaminants. Once the system is powered on: Q Verify that the monitor displays the current date and time. Q Verify that the transducer identification indicated on the transducer agrees with the transducer identification displayed in the System Status Menu. L SONOLINE PRIMA OPERATING INSTRUCTIONS mun 4-31CHAPTER 1 Introduction, Safety, and Care Maintenance Maintenance for the Prima imaging system should be performed every 12 months. Electrical safety tests must also be performed at regular intervals in accordance with safety regulations, or as required. Siemens Authorized Care Installers and operators must observe all regulations that govern the installation, operation, inspection, and maintenance of this equipment. To ensure the safety of patients, operators, and third parties, the equipment must be inspected every 12 months, and replacement of parts performed as necessary. This maintenance must be performed by a qualified Siemens service representative. It is important to inspect the equipment more frequently if it is operated under extraordinary conditions, Is important to perform inspection and maintenance at the prescribed intervals to avoid allowing any part of the system to become hazardous due to wear. Contact the Siemens service department for information regarding the required maintenance. ‘As manufacturers and installers of ultrasound equipment, Siemens cannot assume responsibility for the safety properties, reliability, and/or performance of the equipment, if Extensions, readjust ments, modi tions, additions, or repairs are carried out by Persons not specifically authorized by Siemens. = Components that affect the safe operation of the system are replaced by parts not authorized by Siemens. ‘+ Electrical installations of the room where the equipment is located do not meet the Power and environmental requirements stated in this manual. Equipment is not used in accordance with the related operating instructions. ‘The system is operated by personnel not adequately educated or trained. Siemens suggests that you request any person who performs maintenance, or repairs, 10 provide you with a certificate showing: Technical service documentation pertinent to the imaging system is available at an additional charge. Providing thi Nature and extent of the work performed Changes in rated performance Changes in working ranges, Date of service Name of person or firm performing the service ‘Signature of person performing the service documentation does not in any way constitute an authorization to conduct repairs or maintenance. Siemens refuses all responsibility for repairs that are Performed without the express written consent of the Siemens service department, 1-32 lM SONOLINE PRIMA OPERATING INSTRUCTIONS ~CHAPTER 1 Introduction, Safety, and Care Caring for Transducers WARNING: Always place a sterile transducer cover on a transducer used in an ‘endocavity exam, a procedure using intraoperative transducers, or other ‘procedures requiring sterity. The use of transducer covers is discussed on page 1.34, Do not sterilize transducers using hot steam, cold ges, or Ethylene Oxide (ETO) methods. See page 1-37 for cleaning and disinfecting procedures. WARNING: Thore have been reports of severe allergic reactions to medical devices: ‘containing latex (natural rubber). Health care professionals are advised to identity latex-sensitive patients and to be prepared to treat allergic reactions promptly. For ‘additional information in the U.S.A, refer to FDA Medical Alert MDAQ1-1. CAUTION: Transducers are mechanicaly sensitive instruments and must be ‘handled carefuly. Do not use a transducer that has been dropped or shows signs ‘of mechanical compromise. Do not attempt to repair or alter any part of the transducer. CAUTION. To avoid damage to the transducer, do not use petroleum- or mineral oikbased ultresound coupling agents. Use only a water-based ultrasound coupling agent. & Take extreme care when handiing or storing transducers. They must not be dropped, jarred, or knocked against other objects. Do not let transducers come into contact with any sharp-edged or pointed object. Protective Case Due to the mechanical sensitivity of transducers, Siemens recommends that you always use the transducer case when you ship or transport a transducer from ‘one place of examination to another. The case is specially designed to protect the sensitive parts of the transducer. Be sure that all parts of the transducer are property placed inside the case before you close the lid. Storage Store transducers in a clean and dry place according to the ambient temperatures listed for each transducer type on page 1-28 and up to 80% relative humidity at 40°C. Extreme temperatures or humidity can damage a transducer ama sowoteres SONOLINE PRIMA OPERATING INSTRUCTIONS mum 1-33CHAPTER 1 Introduction, Safety, and Care Caring for Transducer Accesso! Care instructions are provided for the following transducer accessories: = Transducer covers = Waterpath standoff kits "Needle guide bracket kits Transducer Covers WARNING: There have been reports of severe allergic reections o medical devices Containing latex (natural rubber). Health care professionals are advised to identity latex-sensitive patients and to be prepared to treat allergic reactions promptly. For ‘dditional information in the U.S.A,, refer to FDA Medical Alert MDAQI-1. Use a disposable transducer cover on a transducer to reduze the possibilty of cross-contamination. Always use a protective transducer cover for endocavity and intraoperative exams, during biopsy or puncture procedures, and when scanning an open wound or an area where the skin is not intact. Storage CAUTION. Do not store latex transducer covers where damage from ultraviolet light can resutt Latex products have a limited shelf life and should be stored in a cool, dry, dark place. Before use, examine these covers for any material laws. Some packaging may list an expiration date. Do not use, and dispose of properly, any Product showing flaws or an expiration date that has passed, 1-34 unm SONOLINE PRIMA OPERATING INSTRUCTIONS YChAPTER 1 Introduction, Safety, and Care Waterpath Standoff Kits WARNING: There have been reports of severe allergic reactions to medica devices containing latex (natural rubber). Health care professionals are advised to identity latex-sensitive patients and to be prepared to treat allergic reactions promptly. For ‘additional information in the U.S.A,, refer to FDA Medical Alert MDAQ1-1. CAUTION: Use only water-soluble ultrasound coupling agents with a waterpath Kit. Petroleum. or mineral oitbased materials cen harm a water bledder and the transducer. Waterpath standoff kits Appendix D for a list of t! @ available for specific transducers. Refer to kits that are available by transducer name. A.kit typically contains a bracket and waterbladders. Before use, examine the ‘components of the waterpath kit for any material flaws. Damage is indicated by thinning, bulging, or brittleness of the latex material. Any product showing flaws should not be used. Storage CAUTION: Do not store waterbladders in direct suniight, as demage from ultraviolet light can result. & ‘Always clean the waterbladder after each use. Prior to storage, the waterbladder should be emptied. Latex products have a limited shelf life and should be stored in a cool, dry, dark place to prevent premature deterioration. After cleaning, thoroughly dry the biedder and place it on plain white paper, as latex tends to stick to other material. Needle Guide Bracket Kits WARNING: Needle Guide Bracket Kits are packaged as non-sterile. Sterize these products prior to their first use. Refer to the sterilization procedures beginning on page 1-43. Needle guide bracket kits are available for specific transducers. Refer to Appendix D for a list of the kits and devices that are available by transducer name. Storage Always clean and sterilize components that are used in a needle puncture or biopsy procedure before storage. soe ane SONOLINE PRIMA OPERATING INSTRUCTIONS min 1-35CHAPTER 1 Introduction, Safety, and Care Caring for Documentation and Storage Devices For information on the care of an optional documentation or storage device, refer to the manufacturer's operating instructions provided with the device. ‘The documentation devices for the Prima imaging system that are mounted internally are designed to have secure mounting brackets and/or covers to ensure safety when the imaging system is transported or moved. CAUTION: Do not remove the mounting brackets or covers th documentation devices to the system. ) w 1-36 sm soWOLINE PRIMA OPERATING INSTRUCTIONS sroumnmorerEMAPTER 1 Introduction, Satety, and Care Cleaning and Disinfecting You must take all necessary precautions to eliminate the possibility of exposing patients, operators, or third parties to hazardous or infectious materials. Use Universal precautions when cleaning and disinfecting. You should treat all portions of the imaging system that come in contact with human blood or other body fluids as if they were known to be infectious. All exterior parts of the system, including the control panel, transducers, and biopsy devices, should be cleaned andior disinfected as necessary or between uses. Clean each component to remove any surface particles. Disinfect the components to kill vegetative organisms and viruses. Cleaning and Disinfecting the Prima Ima: ig System WARNING: To avoid the possibilty of electric shock and damage to the system, turn off and disconnect the equipment from the power receptacle before cleaning and disinfecting WARNING: To avoid health hazards, comply with the disinfectant manufecturer's instructions. CAUTION: To avoid the possibilty of static shock and damage to the system, avoid the use of aorasol spray cleaners on the monitor screens. CAUTION: Do not clean the system with chlorinated or aromatic solvents, acidic ‘or besic solutions, or strong cleaners such as ammoniated products, as the: damage the surface of the system. Use the clesning procedures described beginning on page 1:38. CAUTION: Do not use spray cleaners on the system, or pour fluid onto the system surfaces, as fluid can seep into the system and damage electronic components. It also possible for the solvent fumes to build up and form figmmable gases or damage intemal components. SONOLINE PRIMA OPERATING INSTRUCTIONS Mill 1-37CHAPTER 1 Introduction, Safety, and Care To clean the surface of the system: 1. Tum off the system and disconnect it from the power receptacle. ~ 2. Use a clean gauze pad or lint-free cloth, lightly moistened with a mild detergent, 10 wipe the surface of the system. ‘Take particular care to clean the areas near the trackball and the DGC slide controls. Ensure these areas are free of gel and any other visible residue. Be sure cleaning solution does not seep into the control panel keys, keyboard, or any other openings. 3. Alter cleaning and disinfecting, reconnect the system to the power receptacle. Occasional int and gel may collect around the trackball To clean the trackball: 1. Use a soft, dry brush, like a toothbrush, to remove dried particles from the area around the trackball. 2. Wipe the entire surface of the trackball with a lint-free gauze pad, lightly moistened with a mild solution of water and detergent. To remove and clean the holders for transducers and coupling gel: 1. Tum the transducer holder to the unlocked position and lift the holder out of the system enclosure. 2. Wash the holder under running water, using a mild detergent. ‘After cleaning, reattach the holder to the system. ‘ight Transducer Holder in Lecked Position ~~ 1-38 um SowOLINE PRIMA OPERATING INSTRUCTIONS aeonananvesCHAPTER 1 Introduction, Safety, and Care To remove and clean the holding tray for the endocavity transducer: SS 1. Press the two latches on the tray to release it from the system enclosure. 2. Wash the holder under running water, using a mild detergent. 3. After cleaning, reattach the holder to the system. ‘The filters for the Prima system should be cleaned every six weeks, or as required by environmental conditions. To clean the system filters: ‘Tum off the system and disconnect it from the power receptacle. Access the filters. Pull the filter straight away from the plastic fiter frame, Rinse the filter, using flowing cold water, 1o remove any lint. Shake excess water from the filter and allow it to dry before reinstalling, oma onm After cleaning, reconnect the system to the power receptacle. \ seamen SOWOLINE PRIMA OPERATING INSTRUCT ONS Mu 1-39)CHAPTER 1 Introduction, Safety, and Care Cleaning and Disinfecting Transducers WARNING: To avoid electric shock and damage to the system, disconnect the transducer prior to cleaning or disinfecting. WARNING: To avoid cross-contamination, endocavity and intraoperative transducers must be cleaned and high-level disinfected after each use. CAUTION: To avoid damage to the transducer, do not immerse the cable or ‘connector ofa transducer. The cable on intraoperative transducers is mmersiole CAUTION: The transducers have been designed and tested to be able to ‘withstand high-level disinfection as recommended by the manufacturer of CIDEX™. Carefuly follow the disinfectant manufacturer's instructions, Do not immerse transducers for more than one hour. CAUTION: Do not sterilize transducers using hot steam, cold gas, or Ethylene ‘Oxide methods. Never autoclave a transducer. CAUTION: Do not use abrasive cleaning products, organic solvents such as benzene, alcohol, or a phenokbased substance, or cleaning agents containing organic solvents to disinfect transducers. These substances can damage the transducers. CAUTION: Do not use a spray cleaner on a transducer, as this can force cleaning fluid inside the housing and damage the transducer. All transducers should be cleaned and disinfected prior to their use on each Patient. Endocavity and intraoperative transducers require high-level disinfection rior to use. 1-40 nim Somocing PRIMA OPERATING INSTRUCTIONS ~~CHAPTER 1 Introduetion, Safety, and Care To clean and disinfoct a transducer: & 1. Disconnect the transducer from the system. 2. Moisten a clean gauze pad with water and wipe the transducer to remove any gel or particles remaining on the transducer. 3. Carefully wipe the entire transducer, including the cable and connector. To disinfect the transducer, take care to keep the cable and connector of the transducer dry while immersing the transducer in CIDEX™ , as illustrated on page 1-42. Carefully follow the disinfectant manufacturer's instructions. 5. After cleaning or disinfecting, use a clean paper towel to dry the transducer. & sramnomoreves SONOLINE PRIMA OPERATING INSTRUCTIONS Min 1-41CmAPTER 1 Introduction, Safety, and Care To perform high-level disinfection: 1. Thoroughly clean, rinse, and dry the transducer. Y 2. Take care to keep the cable and connector of the transducer dry while immersing the transducer in CIDEX™. Carefully follow the disinfectant manufacturer's instructions. For high-level disinfection, immerse the transducer in CIDEX™ for the amount of time recommended by the disinfectant manufacturer. Using sterile techniques, remove the transducer from the solution. ‘Thoroughly rinse the transducer with the amount of sterile water recommended by the disinfectant manufacturer. 5. Store the transducer in a sterile environment between uses. yAAQ gD 65EVI3Endocaviy Linear Cures Micro. Mechanical —_Intrzoperative Sector Sector Immersion levels for wansducers. NOTE: intraoperative transducers are immersible up to the strain relief on the connector. ~ 1-42 num SowOLINE PRIMA OPERATING INSTRUCTIONS eater cnneverCHAPTER 1 Introduction, Safety, and Care Cleaning, Disinfecting, and Stet Transducer Accessories WARNING: Ensure that the accessories for a transducer are properly cleaned, sterilized, or disinfected as appropriate after each use to avoid possible patient contamination, Refer to Chapter 11 for a description of how to attach waterpath standoff kits, and needle guide brackets to your transducer. Waterpath Standoff Kits CAUTION: Do not sterilize the waterpath components using hot steam, as damage can result ‘Wash the waterbladder and bracket with a mild detergent solution after each use. Dry the waterbladder thoroughly before storing. Disinfect the waterpath bracket using CIDEX™. Carefully follow the disinfectant ‘manufacturer's instructions. For high-level disinfection, expose the waterpath bracket to CIDEX™ for the amount of time recommended by the disinfectant manufacturer. Needle Guide Bracket Kits Specific transducers for the Prima imaging system are compatible with needle guide bracket kits. Instructions follow for the cleaning and sterilization of each Needle guides should be cleaned and sterilized following each use. SI, S-Array, and Endocavity Needle Guide Bracket Kits WARNING: The needie guide holder should fit securely against the needle guide bracket. Evaluate the fit of the needle guide holder and bracket prior to each use. After continued use, the fit of the needle guide holder to the bracket will deteriorate. Should this occur, please replace the S-Array Needle Guide Bracket Kit. Appendix D fists part numbers. Prior to sterilization, rinse the needle guide under water, and then scrub the inside of the guide with a brush. Visually inspect the guide to make sure all debris is removed. Sterilize the bracket and needle guide sets using steam at a temperature of 121°C to 123°C for an exposure time of 15 to 30 minutes. This isa gravity- displacement steam sterilization method. pa anenorevos SONOLINE PRIMA OPERATING INSTRUCTIONS Mun 1-43CHAPTER 1 Introduction, Safety, and Care Universal Needle Guides Prior to sterilization, clean the universal needle guide bracket and insert(s) using an enzymatic cleaner. NOTE: Aiter extended exposure to steam sterilization, the lock on the bracket ‘may become difficult to lock andlor unlock. Should this occur, plaase replace the bracket with anew Universal Needle Guide. Appendix D lists part numbers. To clean the universal needle guide: 1. Rinse the bracket and insert(s) with water. 2. Soak the bracket and insert(s) in an enzymatic cleener. c fully follow the manufacturer's instructions. ise the bracket and insert(s) with water to remeve any debris and remaining cleaner. To sterilize the universal needle guide: * Sterilize the bracket and needle guide insert(s) using a wrapped, gravity- displacement steam sterilization at a temperature of 121°C to 123°C for an exposure time of 15 to 30 minutes. 1-44 num SowOLINE PRIMA OPERATING INSTRUCTIONS ~SONOLINE PRIMA OPERATING INSTRUCTIONS willl Chapter 2. System Controls Contents Contro! Panel : Controt Pane! Lighting Keyboard ono Function Keys... Special Keys... Trackball Freeze CALPEF rns Selection/Entry Controls. SET. NEXT ESCAPE... Imaging Mode Control... 8 2B. 48 Mess SWEEP. UR FLIP... Imaging Function Controls... tc. Sven FREQUENCY. POWER BIMGAIN. DEPTH... we DYNAMIC RANGE....... se muemonives SONOLINE PRIMA OPERATING INSTRUCTIONS Min! 2-1‘System Controls, bec. 15 Focus 15 ZOOM ce 15 Special Function Controls... BIOPSY... PICTOGRAM Documentation and Storage Controls. 7 PRINT 1. PRINT 2.. CINE, DISK... ver Additional Contro! Functions Footswitch 2-2 um SONOLINE PRIMA OPERATING INSTRUCTIONSw CHAPTER 2 System Controls Introduction This chapter describes the Prima imaging system's contro! panel, including the keyboard and function keys, the trackball, and each of the operating controls and contro! keys. The optional footswitch can also be used to control some functions. an Control Panel ‘The Prima imaging system's control panel contains controls for imaging functions, The layout allows you to work efficiently, performing basic operations with a minimum number of steps. ‘The control panel contains a keyboard with function keys, a trackball, and logically arranged groups of special keys, rotary knobs, and slide controls, including: ‘= Power control © Transducer controls Imaging mode controls ‘+ Imaging function controls, including DGC sssignment = Documentation and storage controls. ‘The controls on the Prima system control panel for the 118V version, are labeled with an icon and English text. The controls for the 230V version are labeled only with icons. Both versions of the control panel are described in this chapter. pe ms.omonves SONOLINE PRIMA OPERATING INSTRUCTIONS mun 2-3CHAPTER 2 System Controls SONOLINE Prima Control Panel, 115V version.~ 'SONOLINE Prima Control Pano, 230V version.CHAPTER 2 System Controls Control Panel Lighting The Prima system control panel provides high and low levels of backlighting for most of the keys. When the system is powered on, al of the control panel keys receive low-level backlighting to provide improved readabilty in lowsit environments. The backlighting intensity increases on a key when itis selected. This allows you to see, at a glance, which function is active and which keys and controls are currently in use. The alphanumeric portion of the control panel is not backlit. The switch on the underside of the monitor controls whether the control panel light is on or off. There are two methods for adjusting the level of lighting; once a level is selected, the system will provide that level of lighting whenever the switch is turned on. To adjust the control panel lighting: Method 1 ‘+ Hold down the CTRL key and press the + key on the keyboard to increase, or the - key to decrease, the lighting to the desired level. Method 2 1. InGeneral System Set Up Menu 4, roll the trackball to highlight the Control Panel Lighting selection and then press the SET key. ‘The system highlights the lighting level field 2. Roll the trackball to the right to increase, or to the left to decrease, the ) lighting to the desired level and then press the SET key. ‘The last number displayed becomes the default setting. ~ 2-6 im SONOLINE PRIMA OPERATING INSTRUCTIONS sea mscamenevCHAPTER 2 System Controls Keyboard ‘The keyboard is located in the upper left corner of the Prima control panel. The keyboard is used to enter patient data, select an exam type, annotate clinical images, and configure the system. ‘Several keys can be used in combination with other keys to initiate imaging modes or perform special functions. Refer to Special Keys on page 2-9 for specific information, ‘The keyboard contains a row of function keys. Most of the function keys are reassigned to specific functions, such as F1 New Patient to enter patient data and F4 Preset Menu to display the General System Set Up menus. ‘A function key template containing the names of the preassigned functions is placed directly above the function keys. This template is available in four languages: German, English, French, and Spanish. New Pavent | Preset auee | Home | vee | ove Puen | Recon | Ose | Marv | exam | Ho | amo | se | ser | tee | ten | tex fe | | oes [| rm | ws | re | ey | re | ro | ro | en | re ton Cc f= esl elliaa eS ol ees Wee | memes [Sac | Saat [Sho] sae | 2S | OS | oS] in| aba aro ate [e[=[se[e[ele |e [ol |e Noweou 10 | mens ste | aur | Peston | ettcer | eracer Patent | Proweole| Patan | Pres | Examen] Aco | Texto [Payee] intaw | Loco | Tone | Envée Tene fi [ |ors [| wm | es | ee [ 7 | re [ ro | ro | en | riz Franch, Peconte 10 | sons se Pragrma| Poscen | Borer | donee Nuow | intome | Pacone| Emeem'| Examen | Anco | Arar | Rano | new | ines | Tore | Toxo ei [| ors | rs | ms [ re | er | re | ro | ro | en | rz ihe F2 function key may alternately be labeled Reporte. wa muon SONOLINE PRIMA OPERATING INSTAUCTIONS min 2-7CHAPTER 2 System Controls Function Keys \ ww The function keys for the Prima imaging system are described briefly below. Complete information on the function associated with each key can be found in the referenced chapter. Tansion Roy boston New Patient Accesses he Paton Data fom for en of pw paentinonaton, ndudng re Patent. Paton infomavon iseviomedcalyVerstere ete Foten Report Fresong® now Potent twee does rvs potent normaion. Rele'te Chori orinlomaton on sing fe Paton Oat frm Accesses the Pan Report ge ft evo, tng and orining. Retro Chapter Ter ntormavon on brung a eco er each orm Woe fecesses te Pain Data orm fr th cuent exam fr evi ad eding. Reto te Chater for forton onus ihe Patt Det lo Disolys he General System St Up menus onthe imaging seen. Refer o Chapter Ber specie normaton Beam Dislys is of avaiable systemdeline exam types ad se eine Quick Seis ine Ernanced O8 pecage sala th ssom dopey Et 05 and OB eran Sehcion for sage ana en esas ro talp fesoved fort use F7Annot Ina he annotation fncten, ae acs 8 cusorin te image area for ety of ton subsequent proses of ne F7 Avo key provide lo he Poston ana Arsomy ll Petre Onn fer infomovon on anvelsing av xa report oy FB Quick Set ‘Saves a configuration of imaging settings for a specific transducer and exam type to the Quick Set List described in Chapter 6. F3Home Set ——_Detines 2 new home position for the text cursor. Refer to Chapter 5, Annotation, for ‘mare information, F10 Delete Line Deletes a single line of text. F11 Dolote Text Deletes all ext from the image area. Fi2 Text Initiates the text annotation function and places a cursor in the image area for entry Of text, Can be used to exit the Annot or Text function and return the cursor to the Home position. FIS 10 FI, Reserved for future use. Y 2-8 wi SONOLINE PRIMA OPERATING INSTRUCTIONS enscoorevenee Special Keys chaprem 2 System Controls ‘The special keys on the keyboard are described below. When two keys are used together, you can press the CTRL key first and then press the other key. ‘Special Key Description ‘The ALT key activates a special symbol or languege- specific character on the top right of @ key. ‘The SHIFT key activates a special symbol on the top left of a key or a lower case character. Press the SHIFT key and the 2B key together to initiate B+B-mode. ‘The SPACE key inserts a blank space to the left of the cursor position when the cursor is @ rectangle, or at the cursor position when the cursor isa lin. ‘The BACKSPACE key deletes one character at a time to the left of the cursor. Hold this key down to continuously delete characters to the beginning of the line. ‘The ENTER key completes a text entry and moves the cursor to the beginning of the next field or ine. ‘The CONTROL (CTRL) key executes special functions when used in combination with other keys. Press the GTRL key and the A key on the keyboard together to initiate or exit A-made. Press the GTRL key and the D key on the keyboard {together to hide or display the information on the imaging se n that identifies the current patient. SONOLINE PRIMA OPERATING INSTRUCTIONS mull 2-9un 95 SNOILOMWISNI ONILVUadO VAIYS aNITONOS & aurepng Asdowg our au aL uonouny Asdorg ou Asd018 “81 700) o|anop pue e/6us 104 on1U09 uon'sod S190} 004 “aL onoejas nuow Ann »810 yaa sieanpsuen Ayasoopue o¥ jo 201908 BuiBew! ou $1901 ound ‘a Lvorouny198}10 aBewH ot jo onveg ved ‘aL onde mamoy INID OL ug a nivous Aesip u98.08 eu UO 8. Luonoejes nuew wesBoro.d od aL uonouny voneiouuy ou. vor aL seonpsuen, 1 g-0Pu3 043304 108199 auy-u JO osuno-y ‘OS:nO- WN au sng -aL co uonouny woz eu 07 aL vonouny 1ewemnse@y au ome 'SwO1! NUGW U98:05-U0 199)05 0 pasn pue uaai0s GuiGews out vo padeldsin si yorum ‘soruiod oul, weg 8, ‘os poubjare syyonuoaqeqyoes, —_re@ey eayae, voneniqye eqy2en e6ueyo o sewna6or preoghey ey uo A\x 4 eur pue Aex TLD oun ssaid “UaeI0s eBew! ‘941 40 10409 149] JeMo} Bu UI PereoIpul s1 yeqyDeAI OUT Jo sMieIs uoNIND OWL, ‘uee108 BuiBeut eu 40. Jeus09 14611 Jaddn oyp ut uonisod suo} a4) ut sAedsIp Jeluiod jyeqyaet ‘LR "UO pasenod 1Sil,s| WaIsks aly UBYNA "ySe) ay!Dads @ 0} paubisse 20U ueyM s9zULod & Aq peluesesde: s! JeqyOe!) OY, “UoBI0S-Uo peluaseides 51 JeqyoRN aly Moy SeUIUUIEIEP UONDUNY eANDE ey, "»Se) Oy:9e0S 2 0} jleqyoest oy) suBisse We}sAs ey) ‘ende 1 UONOUN, Je;MoNJed e WOU jaued [o.1U09 a4 UO ppe1e99} sjosiuo9 pue shay ey) lim UoNdUNIUCD UI pasn eq ed 1 “soIydesB ‘@Bews! uon!sod pue SUoNoUN; 198188 0} pesn |00} eaNgeseIU! LIEW Bu 5! lieqy9e eyL “Jeued jos}U0D eu} 40 1yBu somo} Bu} UO peredd) si yeq}DEN Oy, Weqyseay sjouuog wershg x waLevNo& CHAPTER 2. System Controls Freeze Use the FREEZE key to freeze and unfreeze the active image or sweep. ‘When all images on the screen are frozen, the system time clock stops and a Freeze symbol is displayed. For example: 11:23:15 ‘When an image is unfrozen, the Freeze symbol is no longer displayed and the clock again displays the current time. In 2B- or 48-mode, the clock time refers to the last active image. Freeze all images before adding or removing a transducer, then press the FREEZE key again to return to imaging. Press the § or LC key to select the new transducer. The system will assign default settings to the new transducer. Caliper The CALIPER key activates the Measurement function. Pressing the CALIPER key displays a measurement marker in the image area and replaces the System Status Menu with the Measurement Menu. Refer to Chapter 7 for specific information. summon SONOLINE PRIMA OPERATING INSTRUCTIONS min 2-11CHAPTER 2 System Controls Selection/Entry Controls In addition to the trackball, the Prima imaging system hes the following selection/entry controls. The action of the SET, NEXT, and ESCAPE keys varies with the active function. SET Use the SET key to: Initiate a highlighted selection in certain menus. Cycle through the available selections in certain menus. ‘Anchor measurement markers when using the Measurement function, ‘Anchor graphical objects, such as an ellipse, in the image area, NEXT Use th the NEXT key to: ‘Advance to each subsequent page of a report, ‘Advance to the next page of a General System Set Up menu when no selection is active. Cycle through the available settings for a field, when customizing OB exam tables and formulas. ‘Activate @ previously anchored caliper before a measurement is complete. ‘Toggle the active image in 2B- or 4B-mode. ESCAPE Use tt 2-12 the ESCAPE key to: Exit the current imaging mode and return to the previous mode. Return to the image screen from a General System Set Up menu, Return to the previous menu from a submenu in the General ‘System Set Up menus. Erase all measurements from the image screen when the Measurement function is active. WM SONOLINE PRIMA OPERATING INSTRUCTIONS ~cuapteR 2 System Controls Imaging Mode Controls ‘The Prima imaging system has the following imaging mode controls. Refer to ‘Chapter 5 for specific information concerning each of these imaging modes. B ‘The B key displays one active B-mode image in the image ‘When the ‘system is initially powered on, B-mode is automatically dispiayed. The B key is used to retum to B-mode imaging from another imaging mode. 2B The 2B key displays two separately acquired B-mode images, side by side. 28-mode allows you to switch from one B-mode image to the next, initaly with the active image displayed in real-time and the other image frozen. To activate B+B-mode, press the SHIFT key and the 2B key. 48 ‘The 4B key displays up to four separately acquired B-mode images at the same time. Only one of the four images is displayed in realtime. mu ‘The M key allows you to select one of the following imaging modes: = Memode displays a full screen M-mode sweep. = B/M-mode simultaneously displays a B-mode image with an M-mode sweep. ‘= B+B/M-mode simultaneousiy displays a 8+8-mode image with an M-mode sweep. ‘SWEEP ‘The SWEEP key adjusts the sweep rate for the M-mode signal and the ECG signal sweep. Refer to Chapter 5 for information on M-mode and Chapter 10 for ECG information UR FUP Inall B-modes, the L/R FLIP key changes the scanning direction of the active transducer, causing the image to flip horizontally from left to right or right to left. Aw se siemanev SONOLINE PRIMA OPERATING INSTRUCTIONS min 2-13,CHAPTER 2 System Controls Imaging Function Controls ‘The Prima imaging system's imaging controls are described briefly below. Rafer to Chapter 5 for additional information concerning the imaging functions. Le The LC, Linear - Curved, key re-activates the linear or curved transducer that was last active. if more than one linear or curved transducer is, connected, you can press the LC key again to activate the second transducer. The next press of the key will then activate the first transducer. s ‘The S, Sector, key re-activates the mechanical sector transducer that was last active. If more than one sector transducer is connected, you can press the S key again to activate the second transducer. The next press of the key will then activate the first transducer. FREQUENCY The FREQUENCY key changes the transmit frequency for an active multi frequency transducer such as the mechanical sector and the sector endocavity transducers. POWER ‘The POWER (Transmit/Output Power) control adjusts the overall transmitted power delivered through the transducer to the patient. The POWER control operates in all ultrasound imaging modes and with all types of transducers. Default power values are dependent on the exam that is currently selected. B/M-GAIN ‘The B/M GAIN control adjusts the overall system receiver gain for B-mode and M-mode. The B/M GAIN control can be used to adjust the return echo amplification and brightness of the B-mode image or M-mode sweep. In B/M mode, the B-mode image and V-mode sweep are affected simultaneously by adjustment of the B/M GAIN contro, DEPTH ‘The DEPTH control increases or decreases the depth within available limits. Depth selections depend on the frequency of the transducer currently in use. 2-14 hum SONOLINE PRIMA OPERATING INSTRUCTIONS C \_) B/M Goin f \ Cy Depth ~)CHAPTER 2 System Controls DYNAMIC RANGE ‘The DYNAMIC RANGE control adjusts the overall contrast resolution of the B-mode and M-mode images, compressing or expanding the gray scale display. Dec ‘The DGC, Depth Gain Compensation, controls include eight slide controls that are located on the top right of the control panel. The DGC controls ‘establish the gain compensation curve by increasing or decreasing the gain level for the corresponding image depth. Focus Press the FOCUS key to select the number of transmit focal zones, 1, 2 or 4, for all inear and curved transducers. The trackball can be used to position focal zones within the field of view. Mechanical sector transducers have a fixed focus that cannot be changed by the user. Zoom ‘The ZOOM key enlarges an area of the image, called the region of interest, 0 the user can look more closely at the anatomy in a B-mode image or Mumade sweep. someone SONOLINE PRIMA OPERATING INSTRUCTIONS mun 2-15CHAPTER 2 System Controls Sper | Function Controls oy BIOPSY The BIOPSY key displays graphical biopsy guidelines in the image area and displays the Biopsy Menu in place of the System Status Menu. Refer to Chapter 11 for specific information. PICTOGRAM Press the PICTOGRAM key to display the pictograms for he active exam in the imaging screen. You can selact one pictogram to display in the image area during a patient exam. Pictograms can also be added to a Patient Report. 2-16 unm SONOLINE PRIMA OPERATING INSTRUCTIONS ssemsiemonivencHapren 2 System Controls Documentation and Storage Controls ‘The documentation and storage controls are used for the following functions. Refer to Chapter 8 for specific information. PRINT 1 ‘The PRINT 1 key transmits the contents of the imaging screen, such as an image or report, to the installed black and white video printer. PRINT 2 ‘The PRINT 2 key can be used to print or store images to a recording device. Use the General System Set Up menus to configure the PRINT 2 key to the floppy disk drive or an optional remote report printer. CINE Pressing the CINE key initiates the CINE Review option and displays the CINE Review menu in piace of the System Status Menu. Refer to Chapter 9 for specific information. Disk ‘The DISK key displays the Disk Menu, which provides you with a list of utility functions for the floppy disk drive vcR ‘The VER key is used to select external video for playback of images through the Prima system monitor. When playback is complete, pressing ‘The VCR key restores the normal imaging display to the imaging screen. L eae staesevee SONOLINE PRIMA OPERATING INSTRUCTIONS mun 2-17CHAPTER 2 System Controls Additional Control Functions ‘The Prima imaging system also provides the following additional control functions, available through menus. Refer to Chapter 5 for specific information on imaging functions. 2-18 Control Function Offset Sector angle/ ‘Scan width Persistence Edge enhancement Gray map Post processing Frame rate DGC method UD flip ECG parameters ‘Avalloble From: System Status Menu System Status Menu System Status Menu System Status Menu System Status Menu General System Set Up menus System Status Menu General System ‘Set Up submenu General System ‘Set Up submenu System Status Menu ‘Description Uses the trackball to scroll the B-mode or M-mode image vertically (or horizontally, ‘Adjusts the sector angle for curved and ‘mechanical sector transducers, and the scan width for linear transducers, Selects the number of frames for frame ‘averaging, from 0 (refreshes the image more frequently to 3 (ess noisy image, with a slower imaging screen update) Improves the contour enhancement of the image and allows you to better istinguish the edges of a structure in Bemode or M-mode, Ranges from 0, ‘no enhancement, 10 3, maximum ‘enhancement. Selects between six different post: processing gray map curves, ‘Accesses the Post Processing menu, to defne, modity, or reset the gray maps used for post-processing, The system uses line density, scan angle, and number of focal zones to determine the frame rate. Selects the Define, Siope, or Flat ‘method to determine the depth ‘compensation curve Vertically flips the images that are ‘acquired using an endocavity transducer. Refer to Chapter 12 for specific information Optional. When you turn the ECG ‘option on in the System Status Menu, ‘an additional submenu is displayed. Refer to Chapter 10 for specific information, hum SONOLINE PRIMA OPERATING INSTRUCTIONS ]CHAPTER 2. System Controls Footswitch Use the optional footswitch as an altemative to operating Keys on the control panel. The left pedal is assigned to the Freeze/Unfreeze function. Pressing this ped is equivalent to using the FREEZE key on the control panel. You can use General System Set Up Menu 4 ‘to assign the right pedal to one of the following functions: Emulate the PRINT! key ‘Toggle the B image with the M cursor and full M-mode display Toggle B image with the M cursor and B/M-mode display. ‘Change the frequency of the Endo-V or Endo-P transducer ‘Toggle the transverse and longitudinal planes of the Endo-P transducer. SONOLINE PRIMA OPERATING INSTRUCTIONS mun 2-19SONOLINE PRIMA OPERATING INSTRUCTIONS mill w Chapter 3 System Set Up Contents System Setup... : 3 Daly Checkist 3 System Review. 4 System Startup 6 instaling the Power Cord 6 c Powering the System On and Off ei] Moving the System... sen 8 Connecting the Monitor ...n..nnnnnnnnnnn " ‘Adjusting Controls on the Monitor. 13 Front Connections. ena Connecting and Disconnecting Transducers... esl) Transducer Holders and Transducer Cable Holders. 18 Mechanical Sector Transducers. 16 Curved/Linear Array Transducers. 7 Connecting System Accessories, Dual Pedal Footswitch (Option). ECG (EKG) Cable.... Rear Panel Connections Connection of Peripheral Equipment Siemens RS-232C Cable Kits Software Installation Instaling Software during System Power-On General System Settings... Date and Time. Daylight Savings Time Hospital Name..... w sreermemonvee SONOLINE PRIMA OPERATING INSTRUCTIONS Mil 3-1X Introduction cuapren 3 System Set Up This chapter describes how to set up and adjust the Prima ultrasound system at your location and how to package and transport the system to @ new location. Procedures ‘are included for performing the Daily Checklist, installing the power cord and powering ‘on the system. In addition, this chapter provides a general system software installation ‘procedure and describes how to enter general system settings. System Setup ‘The Prima imaging system is a self-contained unit that can be moved or transported easily. Each day before you use the Prima imaging system, perform the Daily Checklist procedures described below. Daily Checklist Perform the following checklist items each day before you use the system: Q Visually inspect all transducers. Discontinue using a transducer that has a cracked, punctured, or discolored transducer face, or @ frayed cable. G_ Visually inspect the power cords. Do not tum on the power if the power cord is frayed or split, or shows signs of we: Disconnect the power cord from the wall outlet, observing the proper precautions. Q Verify that the control panel, including the trackball and DGC controls, appears clean and free from gel or other contaminants, (Once the system is powered on: Verify that the monitor displays the current date and time. Verity that the transducer identification and frequency indicated on the transducer agree with the transducer identification and frequency displayed in the System Status Menu. SONOLINE PRIMA OPERATING INSTRUCTIONS min 3-3CHAPTER 3. System Set Up System Review wd Various components of the system shown on this page, such as the transducer Ports, are described in this chapter. The control panel is described in Chapter 2. 1) Useracjustable monitor 2 Control panel Foht (underneath monitor) 3. Transducer holders and ‘compartment fr ‘coupling agent (et) 4° Becks contol pane! 5 Floppy disk drive 6 Footswitch and ECG connectors 7 Front wheel with locking brake @ Fete Tena pons wd) 10 Wo ponte 1 Onett outen Front and right side view ofthe Prima Imaging System. 3-4 mm SONOLINE PRIMA OPERATING INSTRUCTIONS seerumea evencuarren 3 System Set Up c The back of the Prima imaging system is shown below. User adjustable monitor ‘Transport handle Air fiters ear panel connections Front whee! with locking broke Endocavty transducer holder ‘Back and lft sie ofthe Prima imaging System. c sorra.amaneves SONOLINE PRIMA OPERATING INSTRUCTIONS mun 3-5CHAPTER 9. System Set Up System Startup Starting up the Prima imaging system requires you to install the power cord and Power on the system. Installing the Power Cord WARNING: For 115V systems, in order to ensure grounding reliability, connect the system only to a hospital-grade receptacle. To install the power cord: 1. Locate the power cord. 2. Connect the female connector at one end of the power cord to the power connector on the rear panel of the system. 3. Connect the male connector at the other end of the power cord into an approved power source, such as a hospital-grade socket. ~ 3-6 mM SONOLINE PRIMA OPERATING INSTRUCTIONS eernumanevaeCHAPTER 3 System Set Up Powering the System On and Off To power the system on: 1. Perform the Daily Checkiist described on page 33. Verity that the power cord is plugged in. 3. Make sure that the circuit breaker on the back of the system is in the ON position, 4. Push the power switch into the ON position. The power switch is located at the upper left side of the control panel When the system is first powered on, it runs through a series of self- diagnostic tests, which last for approximately 30 seconds. The system is then ready to use and the imaging screen is displayed. The system is factory-configured to default to B-mode. To power the system off: Press the power switch to the OFF position. Wait at least five seconds before you power the system on again, to allow all of the components to complete their shutdown sequence. The circuit breaker on the back of the system should remain in the ON position L sno even SONOLINE PRIMA OPERATING INSTRUCTIONS Min 3-7CHAPTER a System Set Up Moving the System ‘The Prima ultrasound imaging system is designed to provide a high level of ‘mobility and is easily transported from site to site. Before moving the system to another location, you must power the system down and secure all accessories and moving parts. To secure the system for transportation: 1, Press the power switch to the OFF position. 2, Unplug the power cord from the power source and store the power cable safely. 3. Monitor. The monitor can be removed from the Prima system for transportation in a car or van. For information on removing and attaching ‘the monitor, see page 3-11 ‘The monitor can be secured for travel using the transport locking levers located on the right side of the monitor base. If you carefully swivel the ‘monitor until it faces forward, and then tit it into ¢ fully horizontal position, the tit-and-swivel levers will lock into position with an audible click. Unlocking the lever on tha side ofthe moniter, continued on the next page 3-8 num SONOLINE PRIMA OPERATING INSTRUCTIONS 1 Locking lever ~~S & cuaPTER 3 System Set Up 4, Caster brakes. Use your foot to raise the brakes away from the two front caster wheels. Front whee! vith lacking brake. 5. Transducers. To ensure that the transducers are transported safely, temove each transducer and place it in its protective carrying case. Refer to Chapter 1 for specific information, The system can be moved over smooth terrain without disconnecting the transducers. To secure the transducers for transportation without removing them, lock the transducer holders into position. Secure the cables by using the avsilable cable holders. The endocavity transducer should be removed from the storage tray at the back of the system and transported in a transducer case. 6. Dual pedal footswitch. Disconnect and secure the foot pedal and ‘connecting cable. 7. ECG eable. Secure or disconnect the cable. Refer to page 3-18 for specific information SONOLINE PRIMA OPERATING INSTRUCTIONS Min 3-9conan ves SNOILIMUISN ONLLYYIEO VMI¥E 3NITONOS MII OL-E c wiersks ay; Bursn 0} soud swe! 1s1p}oaUD AVEC @4A 40 IIe WiOJ!ed pue dies WaIsks oun BeIdWIOD “9 “yowmsiooy jepedyenp ‘yn pue 9/qe0 903 eu) se YONs SeuOSsedde LWeISAS eUONdO IeUIOD °S ¢ : 'G1-€ e6ed uo uiBeq yey SuoNoNsISu) BY) 0} J9401 ‘sieoNpSUEN aUA L9eUUODA: 01 PAU NOA 31 “y “mojeg uonses souuoyy ey) BuyosuL0) @U} 0} J2jed ‘WaISAS eUULY BY} O} JOYJUOW By} BUUODS! 0} PAU NOAH *E JOUUOU @Up Jo JaAINS pue In a4R snipe ue ‘soyUOW 64p Jo eseq a4p UO Jane} BuPy20) UOdsUEN au eseaIey ~Z ‘sjeaym om ysuleBe uomsod poxs0 au} OU! Seye1q JeISe9 yUOH} On By Jo YDBD YSN “1 suo }1800] 19u o4p ye waysAs oy} aiNDaS OL Bun 40 ‘Gunjos wos} WersAs au quenaid 0} papasu se SueaLL J8yIO esn pue sex21q 181880 14014 84} YOO] ‘@PPIYOA e UI WISAS BY GuNOdsUER YOUN “E ‘sj96yM 4804 S}! UO 9eq WoISks oY? Wn 02 e/puey LOdsUEN ut asn ‘sdeIs Mol|eys J0 SPIOYSOIU JOA WEISAS OLY BUIIIOs VEY “7, ‘yon}200] mau S11 OF y seqn@uew pur pienvo) Wershs By} j101 0} e;pueY YodsUEN eu UO YsNg “1 ‘warshs oy Buinow Lueyy jon1u09 10} waIsAs oyp Jo 188) ayt 1 aypuey vodsuen oY) 957) NOLLAW suiayshs BujBeuy eusysg oy enous of dn ies woishs cw aiavnCHAPTER 9 System Set Up Connecting the Monitor w I necessary, the monitor can be removed for transport and reinstalled To remove the monitor from the syster 1. Press the power switch to turn the system off, 2. Unplug the power cord from the power source. ‘Tur the locking lever in the back of the monitor to release the base of the monitor. Releasing the base of the monitor. we 4. Lift the monitor from the back and rotate it forward until the monitor base is held in position only by the toggle-and-groove attachment in the front, 1 Cable on monitor connected to imaging system ‘Detaching the monitor from the imaging system. Detach the cord that connects the monitor to the imaging system, 6. Release the monitor from the attachment and lift it away from Se the system. se roumonve SOMOLINE PRIMA OPERATING INSTRUCTIONS mn 3-11CHAPTER a. System Set Up To reinstall the monitor on the system: 3-12 1 Make sure that the power switch is off and the power cord is unplugged from the power source. Position the monitor property in front of the system and insert the base ‘of the monitor into the toggle-and-groove attachment at the front. ‘Attach the cord that connects the monitor to the imaging system. Lower the monitor's base onto the system and ti: the monitor to the back unti itis positioned correctly and the locking lever in the back of the monitor clicks into place. ‘Turn the back locking lever to secure the monitor. Release the tit-and-swivel lever on the right side of te monitor base. ‘Adjust the monitor as needed. When complete, verify that the monitor is locked into position. Wim SONOLINE PRIMA OPERATING INSTRUCTIONS ~warren 3. System Set Up Adjusting Controls on the Monitor w 1) Contrast Contr! 2 Brightness Control : — . 3. Control Panel Overhead Light and WO Switeh Monster. To adjust the brightness or contrast control for the monitor: NOTE: The ighoes snc cont contr hres etre ese she ana oensontanrerstorsiannne asenana the controls set to the factory defaults, then adjust each contro! separately to suit your preference and the lighting conditions in the room. ‘= Turn the contrast control clockwise to increase the display contrast, and counter-clockwise to decrease the contrast. ‘= Turn the brightness control clockwise for a brighter image with a lighter background, and counter-clockwise to darken. Adjustments to the brightness and contrast of the viewing monitor have no effect on the quality of prints generated by the system. we ue nouns SONOLINE PRIMA OPERATING INSTRUCTIONS Mun 3-13,consommrsiaes SNOILOMULSHI ONILVYSEO YNINS BNITONOS MIM HL-E ‘worshs Gubeuy sung :einsojoug wary sorveusee 993 sor2euuo youmstoog (Mwuo a7 pur g) suod ssanpeuen 2012s (avo ors pue ‘7 sued Jeonpsuen Aave panna pus seu "mojaq paquosep s} sulod UoN}OsUUOD esau 40 Y9e3 “e192 993 eu PuE YoHMsIO0} jepad jenp euoNdo Un ‘sueONpsueN ‘8u} 40} SuondeUUGD Lod sapinoid La}SAs GuiGew} euulty OUt JO TOI} SUL CO SuoHI9UUOD 3U014 dn tes woishs c uaLevH2cHaprem a System Set Up io Connecting and Disconnecting Transducers Up to three transducers can be connected to the SONOLINE Prima ultrasound imaging system, depending on the system configuration. + SONOLINE Prima S Two small, 60-pin rectangular ports for mechanical sector transducers. + SONOLINE Prima LC ‘Two large, 156-pin rectangular ports for linear or curved array transducers. + SONOLINE Prima SLC (One smal, 60-pin rectangular port for a mechanical sector transducer and two large, 156-pin rectangular port for linear or curved array transducers. Transducers can be connected and disconnected while the Prima system power is on or off. If the system is on, press the FREEZE key to freeze the image before adding or removing a transducer and again after the change is complete, 10 enable the system to recognize the new transducer. ‘Transducer Holders and Transducer Cable Holders ‘The transducer holders on the sides of the control panel are interchangeable and replaceable. Each transducer holder can be rotated through three positions, providing different degrees of freedom of movement for the transducer (Cand cable LA ip ié aj ies) So Transducer holder with a cabie slot, and position markings. In the open position, the transducer and cable can be completely removed from tthe holder. In the closed position, the transducer and cable are secured. Rotate the transducer holder to the center position to remove the holder from the control panel (Once you have connected and secured a transducer, drape the transducer cable through one of the cable holders that are also located on the sides of the control Panel. These holders provide support for the transducer cables, keep cables off the floor, and help to prevent tangling of the cables when more than one ‘transducer is connected to the system. se raumonve SONOLINE PRIMA OPERATING INSTRUCTIONS mu 3-15CHAPTER a System Set Up Mechanical Sector Transducers Mechanical sector transducers can be connected to a 60-pin rectangular a sector port, To connect a mechanical sector transducer: 1, Hold the transducer connector with the cable pointing upwards. 2, Insert the connector pins into the system port and turn the lock on the transducer connector clockwise until it locks in position. This secures the connector in position and ensures the best Possible contact, ‘Mechanical sector 3. Place the transducer in the transducer holder and drape the cable transducer port through the cable holder. For endocavity transducers, you may want to place the transducer in the horizontal tray located at the back of the system below the monitor. To disconnect a mechanical sector transducer: CAUTION: To avoid damaging the transducer cable, do not pull on the cable to disconnect the transducer. Use the following instructions. 1. Turn the lock on the connector housing counter-clockwise until it unlocks. 2. Firmly grasp the transducer connector and carefully remove it {rom the system port. a it Locked and unlocked 3. Store each transducer in its protective carrying case. ec ae ‘connector. or] 3-16 1M SONOLINE PRIMA OPERATING INSTRUCTIONS veneerLi-€ tw sworLomwise) ONILVM EO VNIus SNITONOS. orseuvoo ou 40 suonisod pexpojun pue pax207 ‘sued seanpsuen Aewe seu pve pening 6n 19g woishs © waLevHD ‘98e0 Buikuveo eantgaioid sy ul seonpsuen YDEe 3101S, “Uod wissAs By wos} 9 BAOWEL ‘Aynyoueo pue sotoeuuo Jeonpsuen out dse6 Ai ‘sy90|UN 1 aun as¥Mx00)9 -se1unoa Buisnoy sordeuuod eu UO 90) eu WN, ‘suononasut Buumoyoy ‘242 857) seonpsuen oyp rouUdDsip 0} 9j489 O42 uO jINd 10u op ‘aygeo Jeonpsuen ay) BurBewep prone Oo} ‘NOULAWD uasonpsuen Ave s99ul] 10 panino @ j22uu0Dsip OL yEpIOY e1GeO eu? 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YOUMSIOD} 4A Aq PAYNUEPI SI 184905 Oy, “WEISAS ‘943 Jo 1401) 4p Uo payzI0} 184005 GUY} OIL! CIDBUUOD YOUMSIOO} OUI GOR « urosshs ays 02 youmsyo0y ays yoouUTD Of uonewuoyu oyoods 404 9 seide49 01 J8J0u “ASY | Nd 9U JO 184 se YONs UORDUNy @ UUOLJed OF reped 1yBis ou2 eziwioisno veo no, “Aax aZaaMA ey) JO UORDUNy axn SaLeDdNp eped ye} 241, “YouMsi00} jepad-jenp e yuna pesn eq ued wershs BuiGew oY, {uondo) youmsjoo, jeped feng ‘e1q20 993 ey) Pue YoWIMsI09} lepad jenp jeuONIdo ey 40} suONIEULOD sepIAOId ‘aunsojsue welsAs BulBew ewig e41 Jo 1U0}, BUN ‘sieoNpSUEN 4p 0} UONPPE Ul dn weg woishs © watavnoCHAPTER 3. System Set Up cc Rear Panel Connections ‘The rear panel provides the main power connections for the Prima imaging system. ‘ear Panel: Prima imaging System. ‘The rear panel contains the MAINS power switch (ctcuit breaker) and power inlet, which permit the system to operate on 1 18V at 50/60 Hz or 230V at 50/60 Hz, depending on the system configuration. The 115V system must be powered we {om a hospital-grade outlet. Refer to Powering on the System On and Offon page 3-7 ‘The rear pane! also contains connections for: Video inputvideo output for external recording devices ‘A video input impedance selector (75 Ohms, Hi-Z) ‘A video standard selection switch (CCIR/EIA) An equipotential connector. ‘The rear panel connections of the Prima imaging system also provide an RS-232C serial port for external documentation devices. SONOLINE PRIMA OPERATING INSTRUCTIONS mu 3-19CHAPTER 3. System Set Up Connection of Peripheral Equipment oD In order to fuffil EC 601-1-1 (Medical Electrical Equipment, Part 1: General Requirements for Safety) requirements, connection of peripheral equipment to your ultrasound imaging system must adhere to one of the following conditions: ‘+ The peripheral equipment itself is a medical device approved according to IEC 601-1, or + Non-medical peripheral equipment approved according to any other IEC standard (IEC xxx) must use the followirg setup for Connection (refer to the illustration on the following pagel: Connect the imaging system to an independent protective earth terminal, with a ground wire ‘connection to the imaging system's Equipotential Connector. Ensure that the protective earth wire is eee connected to a qualified protective earth connection eau independent of the existing system’s earth connection system. (via the power cable). = The peripheral equipment is located at least 1.5 meters (5 feet) outside of the patient environment. A patient environment is defined as the area in which medical examination, monitoring, or treatment of the patient takes pie -) - The peripheral equipment is connected to a main outlet outside the patient environment but still within the same room as the imaging system. For additional information and other possible combinations, please refer to the Medical Electrical Equipment Standard IEC 601-1-1, Annex BBB.7, Scenario 3c. NOTE: The above information is based on current IEC 601-1-1 standard, dated 1992, 1 your country’s regulatory standards for medical equipment do not correspond to 1EC 601-1 and IEC 601-1-1, your local requirements may be diferent. 7) 3-20 im SONOLINE PRIMA OPERATING INSTRUCTIONS se racamnveoMATER 3 System Set Up Example ofa Peripheral Equipment Connection and Patient Environment. SONOLINE PRIMA OPERATING INSTRUCTIONS UUwvasound system Utrasound system power Additional Protective Eanh (voter to Page 22) RS-232C cable or Peripher ‘equipment (IEC ‘environment ‘wepresented by st pater, ‘extending exactly 1.8 moters around patient and imaging system)CHAPTER a System Set Up Siemens RS-232C Cable Kits Siemens provides a variety of RS-232C cable kits suitable for diferent types of Peripheral equipment connection (e.g., laser printers, personal computers) to ‘your imaging system. Determine your peripheral equipment connector type in order to select the proper corresponding cable kit. NOTE: All Siemens cable kits contain an additional protective earth cable which is ‘required to fulfil conditions of IEC 601-1-1 for the connection of peripheral equioment. ‘Siemens offers the following cable kits. Refer to Appendix D for part numbers. ‘Siemens RS-232C Cablo Kits S-232C Cable Kit, 25-pin male connector to 25-pin male connector including an RS-232 cable and protective earth connection Peripheral Imaging FS 282 cab Equipment System | IEC xxx 25 pin mate connector [ 25 tomele consort ‘Additional 25-in mae connector Protective Earth (4) Connection to System Equppotential Connector RS-282C Cable Kit, 25-pin female connector to 25-pin male connector including an RS-232 cable and protective earth connection Peripheral Equipment TEC x00 25. female connector 25.90 male connector Additional Protective Earth Connection to Equipotential Connector 2500 me connector 2500 female connector 3-22 Wm SONOLINE PRIMA OPERATING INSTRUCTIONS 7)chAPTER a System Set Up inna SEC cae Ks \L—“pe.aze able spn teal connector 25-pn mala connector incudng an AS-209 catia andpoterive earth connection Pongal imaging es Enspment sae Eena a sonra comece Additional Protectve Earth Connection to ‘System Equipotentia! ‘Connector 2500 male comecor 25 pn female comacor S-232C Cable Kit, 9-pin male connector to 25-pin male connector including an RS-232 cable and protective earth connection apr & seas = Exapron Seen wom —— sont Additional Protective Earth Connection to System Equinotentia! Connector 25pm male comector 250elomve conractr NOTE: Our Siemens service representatives cannot assist with the connection of Peripheral devices not explicitly authorized by or purchased through Siemens. Refer to ‘Appendix F of the SONOLINE Prima Operating Instructions for warnings about the use of peripheral equipment. u peraemonves SOMOLINE PRIMA OPERATING INSTRUCTIONS Mul 3-23cuAPTER 9. System Set Up Software Installation o NOTE: Prior to instaling the software, be sure to store your presets on a formatted diskette. Refer to Chapter 8 for specific information. ‘The system software resides in the system memory, even when the Prima imaging system is powered off, so loading software from diskettes is normally ‘ot required. The only time you will need to load system software using the floppy disk drive is when a new software version, system upgrade or update is released You can load system software prior to powering the system on, or by using the Floppy Disk Utilities Menu after the system has been powered on. ‘The first method requires you to power on or reboot the system. If there is a diskette in the floppy disk drive when the system is powered on, the system ‘checks the version of the system software on the diskette. If the version is later than the software stored in the memory, the loading operation automatically begins. ‘The second method of installation enables you to load software using the Load Program option on the Floppy Disk Utilities Menu. Refer to Chapter 8 for specific information. -) 3-24 uum SONOLINE PRIMA OPERATING INSTRUCTIONS. eeraiomnvesCHAPTER 3. System Set Up c Installing Software during System Power-On When the system is powered off, load the system software as follows: 1. Before you power the system on, insert the first diskette containing the system software into the floppy disk drive. 2. Hold down the FREEZE key and press the power switch to the On position, Continue to hold down the FREEZE key until the monitor screen displays: LOADING SYSTEM SOFTWARE ‘The load process continues for a few minutes while the information contained on the diskette is copied to the system. When the software has been copied from the first disk, the system displays the message: PLEASE INSERT SYSTEM DISK #2 3. Insert the second system diskette. The load process resumes automatically. When complete, the following message is displayed: ‘SELECT LANGUAGE OF ANNOTATION ENGLISH/GERMAN/FRENCH/SPANISH 4, Roll the trackball to highlight your language choice, and then press the SET key. ‘The load process continues for a few minutes while the information contained on the diskette is copied to the system. = 5. Press the Eject button on the floppy disk drive and remove the ciskette. NOTE: Make sure the system software diskette is wnte-protected and is stored ina safe place. ww ou nacommnivae SONOLINE PRIMA OPERATING INSTRUCTIONS min 3-25CHAPTER 3 System Set Up General System Settings ‘You can change general system settings such as the date, time, and hospital name using General System Set Up Menu 1. These settings display on the imaging screen on patient reports. Refer to Chapter 6 for specific information. Date and Time To enter a new date and time: 1 Peae Dayl Press the F4 Preset Menu function key on the keyboard. ‘The system displays General System Set Up Menu 1 Roll the trackball to highlight the setting Date and then press the SET key. Enter the new date. Roll the trackball to highlight the setting Time. Enter a new time using a 24-hour time format, then press the SET key, Press the ESC key to return to the imaging screen, ight Savings Time To set the Daylight Savings Time: 1 Press the F4 Preset Menu function key on the keyboard. ‘The system displays General System Set Up Menu 1 Roll the trackball to highlight the setting Daylight Savings Time Adjustment and then press the SET key. Press the SET key to adjust the system time by adding (+) or subtracting one hour, as required. Press the ESC key to retum to the imaging screer. 3-26 num SONOLINE PRIWA OPERATING INSTRUCTIONS JCHAPTER 2. System Set Up Hospital Name To enter the hospital or clinic name: 1. Press the Fé Preset Manu function key on the keyboard. The system displays General System Set Up Menu 1. 2. Roll the trackball to highlight the setting Hospital Name and then press the SET key. Use the keyboard to enter up to 25 characters for the new name. Press the ESC key to return to the ims jing screen. Cc e verano SONOLINE PRIVA OPERATING INSTRUCTIONS mun 3-27SONOLINE PRIMA OPERATING INSTRUCTIONS willl cL Chapter 4 Getting Started Contents Getting Started 3 Options - General System Set Up Menus. 4 Entering New Patient Data.. 5 Editing the Patient Data Form : a soe Delete Patient Data, 8 & Selecting the Exam Type sone 10 Selecting a Transducer. 2 Selecting an imaging Mode... 13 we vemumenve SONOLINE PRIMA OPERATING INSTRUCTIONS min 4-1CHAPTER « Getting Started Introduction (Cris crap describes how to go stated using the Pim imaging sytem, Insrsctons are provided for entering and editing patient information and for selecting an exam type, imaging mode, and transducer. Getting Started ‘After familiarizing yourself with the safety and care information in Chapter 1, the ‘system controls in Chapter 2, and system setup in Chapter 3, you are ready to begin using the Prima imaging system, c pena nv SONOLINE PRIMA OPERATING INSTRUCTIONS Min 4-3CHAPTER « Getting Started Options - General System Set Up Menus You can use the General System Set Up menus to specify a particular exam and transducer to be active at the time of system power-on. These menus also contain options that impact the entry and display of patient information. The options are briefly described below. Chapter 6 explains the General System Set Up Menus in detail, Gonars Spat Sot Up Menu 7 Desarption Ootiona DateFormat Select the format forthe date to be displayed DayiMonn/Year con the maging cen andthe Patent Reports. MontVDay/Vear Height Format Select the format for displaying the pation’s FeeUnches height in the Patan Data form and Paiont Centimeters Reports. feet and inches ae selected, he system wil dat to pounds and ounces for the pation weight Weight Format Select the format or he display o he Pounds/Ounces patient's weight nthe Patent Data form and Kiogfams Patent Reports. I pounds and ounces are Selected the system wil default 0 fee and inches forthe paler’ height Gonora Spat Set Up Manu? Dossriion Options 3001 Up Exam Select the exam type tobe active when the Abd system is powered on 08 Sm Pans ‘A Quick Setcan a0 be used as the poweron Gyn exam. ‘Ortho NOTE: When the optina Enancea.on cate Cateulatons pactago is nstaliod, both Early WOU 08 and OB exams are selectable. Surgery Transducer Por Active On Boot Up Select the ranscucer por which wile active 1 wen you power onthe system, 82 ter 81 and $2 0 re two mechavica sector Lp ports, LC1 and LC2 are the two curved and linear array ports. NOTE: The transducer ports that are available depend on the configuration of the Prima system: S, LC, or SLC. lM SONOLINE PRIMA OPERATING INSTRUCTIONS ~~CHAPTER 4 Getting Started Entering New Patient Data Before beginning an exam, enter general pationt information for each new patient into fields on the Patient Data form. When you access the Patient Data form using the F1 New Patient function key, the system erases any existing patient information. You can review and edit an existing Patient Data form without erasing information by using the F3 Patient Data function key. NEW PATIENT DATA: Exam Type. Fist Mt DOB: Mo Day Yr Age: Physician Operator ID: PrysicaVClinical History Heights cm Weight: kg BSA: m? Inceation: Reselect Exam TB to Highignt SET to Enter Data ESC to Cancel Enty Example of a Pavont Data form. SONOLINE PRIMA OPERATING INSTRUCTIONS mun 4-5CHAPTER 4 Getting Started To enter new patient information: 4-6 NOTE: Before entering new patient information, you must frst seloct an exam type. Refer to page 4-10 for information on how to select an exam type. NOTE: You can press the ESC key at any time to cancel your enttias and return to the imaging screen. See Deleting Patient Data on page 4-3 for information on deleting a pationt form after the SET key has been pressed. 1. Press the F1 New Patient function key located on the keyboard. ‘The New Patient Data form displays with the text cursor placed in the Last Name field 2. Enter the following patient information: NOTE: When all the spaces are filled in a fixed-sized field such as DOB, Height or Weight, the cursor automatically advances to the next field. For most of the fields on the Patient Data form, you will need to move the cursor to the next field by pressing the ENTER key or rolling the trackball Inthis fold Enter thi vast Patient's last name using up to 20 characters, and then press the ENTER key. FIRST Patient's first name using up to 20 characters, and then press the ENTER key. ‘The system transfers only 24 characters of the patient's name to the imaging screen, The last name displays n tll, followed by 2s many characters of the first name as possible Mi Patient's midale intial, 1D Identiication code for the patient using up to 10 characters, and then press the ENTER key. ‘This ID number displays on the imaging screen. 008 Patient's date of birth using the format selected in General ‘System Set Up Menu 1: Day/MaiYr or Mo/Day/¥". Age ‘The system automatically calculates the age from the DOB field For exams with a Patient Report, the patient information is transferred to the report. 3. Inthe PHYSICIAN field, enter the name of the referring physician using up to 12 characters, and then press the ENTER key. This information appears on the imaging screen to the right of the Operator ID. The system automatically inserts the letters “MD.” 4, Inthe OPERATOR field, enter your initials or other identifying code using up to three characters, ‘This information appears on the imaging screen following the Patient ID. unm SONOLINE FRY MA OPERATING INSTRUCTIONS ~~w 5 CHAPTER 4 Getting Started In the HEIGHT field, enter the patiant's height using the format selected in General System Set Up Menu 1: feet and inches, or centimeters. In the WEIGHT field, enter the patient's weight using the format selected in General System Set Up Menu 1: pounds or kilograms. The system automatically calculates the Body Surface Area (BSA) in m2. {f the height is given in feet and inches and the weight is given in pounds, the system calculates the BSA according to the following formula: (2.54 x H)” x (0.454 x W)™ x (0.007184) If the height is given in centimeters and the weight is given in kilograms, ‘the system calculates the BSA according to the following formula: tH)” x wn" (0.007184) ‘The patient's height, weight, and BSA are not displayed on the imaging screen, but are transferred to the Patient Report. For either OB or Gyn exam types, enter the following information ‘in this old Enter. For this Pationt Data form: (08 Exam | Enhanced | Gyn OB Exam | Exam imp Start date of the patient's Last x x x Menstrual Period, When entering a single digit number, center a leading zero before the number fr enter the single digit, then press the ENTER key to move to the next fio EDCLMP. ‘The system automaticaly calculates and |X x displays the Estimated Date of Confinement based on the LMP date. WWE DATE Date of in-vitro fertilization x EDCIVE The system automatically calculates and x displays the Estimated Date of Confinement based on the IVF date, GRAVIDA Patiant’s history of pregnancies, entered |X x x PARA with the number keys, AB ECTOPIC ‘The entries in these fields are ‘transferred to the Patient Report, but do ‘ot display on the imaging screen MaFP Maternal Aipha-Fetoprotein level, up 10 x x four cnaracters jong, MEDICATION HX | Any medication the patient is taking end x SONOLINE PRIMA OPERATING INSTRUCTIONS mun 4-7CHAPTER « Getting Started 4-8 (this fold ‘For this Patient Data form: 0B Exam | Enhanced | Gyn OB Exam | Exam CLINICAL Press the SET key to specify whether x MENSTRUAL AGE | the LMP date or IVF date will be used to BASED ON determine the Clinical MA. LINK TO PREVIOUS | To cross-reference this exam to x EXAMIs) previous exams, press the SET key to solect YES. Refer to Chapter 14 for information on file linking, 8 Inthe INDICATION field, you can optionally enter up to two lines of additional information, and then press the ENTER key. For exams with a Patient Report, this information is transferred to the report. 9. To change the exam type, roll the trackball to highlight RESELECT EXAM. and then press the SET key. ‘The Exam and Quick Set List displays. Selecting a new exam type is described in Step 2. NOTE: To revise an entry on the Pationt Data form, see Editing the Patient Data Form on page 4-9. lum SONOLINE PRIMA OPERATING INSTRUCTIONS ~CHAPTER & Getting Started G Editing the Patient Data Form You can edit entries on the Patient Data form at any time during the patient examination. Some edits to the patient report, such as changes to the LMP or IVF date field, will generate an update to the patient data form. To display the current Patient Data form: NOTE: To change the exam type, soe page 4-10. 1. Press the F3 Patient Data function key located on the keyboard. ‘The system displays the current Patient Data form. 2. Use the trackball or the ENTER key to move to each field you want to change. 3. Use the keyboard to update your entries. The BACKSPACE key deletes characters to the left of the cursor. 4. To return to the imaging screen, press the SET key, Changes made in the Patient Data form are updated on the imaging ‘screen and the Patient Report, as applicable, Changes made to fields used in calculations, such as the LMP or IVF in the OB exam, also cause the system to update previous measured results. Delete Patient Data To temporarily remove the Patient Name and identifying information from the display, press the CTRL key and the D key on the keyboard simultaneously. To re-display the information, press the same key combination a second time. To permanently remove all the displayed patient data from the imaging screen, press the F1 New Patient function key once to display the New Patient Data form, then press the F1 New Patient key or the SET key. w oe mamoneve SONOLINE PRIMA OPERATING INSTRUCTIONS @in 4-9CHAPTER « Getting Sta 4 Selecting the Exam Type ‘The following types of system-defined exams are available on the Prima imaging system: Abdominal, Obstetrical, Small parts, Gynecology, Orthopedics, Cardiology, Urology, Surgery, and ENT (Ears, Nose and Throat). Quick Sets can also be created for uso as an active exam type. Refer to Chapter 5 for detais on creating a Quick Set. NOTE: You can use either the Exam and Quick Set List or the Boot Up Exam selaction jn General System Set Up Menu 2 to select the exam type you want active when the ‘system is powered on. The menu is described in detail in Chapter 6, Exam and Quick Set List Aa 08 ‘Sm Pans Quexsett Gyn ]Ortno Cardiac ology uiexser2 Surgery ENT TB to Select SET 10 Activate ESC 10 Concel Example of an Exam and Quick Set Uist. 10 unm SOWOLINE PRIMA OPERATING INSTRUCTIONS ~CHAPTER « Getting Started aeovver Soee Location ofthe Exam Type. Selected exam types are displayed in the System Status menu, beneath the system time. Some of the system-defined exams are also abbreviated, as follows: Abd Abdominal Ortho Orthopedics oB Obstetrics Cardiac Cardiology Sm Parts Small Parts ENT Ears, Nose and Throat le Gyn Gynecology If the Enhanced OB option is installed, selections are also displayed for single or ‘twin gestations. To change the exam type: NOTE: You can change the exam type at any time while the system isin resttime ‘and not engaged in a function, such as measurements, 1. Press the F5 Exam function key. ‘The Exam and Quick Set List displays. 2. Roll the trackball to highlight the name of the desired exam or Quick Set, ‘and then press the SET key. ‘The system displays the imaging screen, with the selected exam name in the upper right comer. seem amon SONOLINE PRIMA OPERATING INSTRUCTIONS mim 4-11CHAPTER 4 Getting Started Selecting a Transducer oY The transducer ports that are available depend on the configuration of the Prima system: S, mechanical sector only; LC, linear and curved only; or SLC, sector, linear, and curved. Transducers can be connected to each of the available ports ‘on the system, with one transducer active at a time. Use the LC or S key on the control panel to activate a connected transducer. NOTE: If you select a Quick Set from the list of exams, the system will activate the transducer specified by the Quick Set configuration. You can also use the ‘Quick Set List in General System Set Up Menu 2 to specity a Quick Set exam to ‘be activated when a particular transducer is selected. If @ transducer specified by ‘a Quick Sat is not connected to the system, the Quick Set will not be selectable in the list of available exam types. The LC (Linear - Curved) key activates the last active linear or curved transducer. If more than one linear or curved transducer is connected, pressing the LC key again will toggle the active transducer. The $ (Sector) key activates the last active mechanical sector transducer. If more than one mechanical sector transducer is connected, pressing the S key again will toggle the active transducer. ‘The FREQUENCY key changes the transmit frequency for wi) an active multi-frequency transducer, such as an endocavity transducer. ~ 4-12 sn SOMOLINE PRIMA OPERATING INSTRUCTIONS ssa momarvescuaPreR « Getting Started tc Selecting an Imaging Mode ‘When the system is intial powered on, the imaging screen is automatically displayed in B-mode. You can use any of the following keys to select adesired imaging mode. Refer to Chapter § for specific information concerning each of these imaging modes. ‘The B key displays a single active B-mode image in the image area. ‘The 28 key displays two separately acquired 8-mode images, side by side. 28-mode allows you to switch from ‘one B-mode image to the next, initially with the active image displayed in real-time and the other image displayed as frozen. SHIFT + 28 B+B-mode allows the user to display two real-time images ‘on the monitor at the same time. Each image can nave different settings. Allows comparison of different imaging parameters on the same anatomical structure, Refer to Chapter 5 for details. ‘The 48 key displays up to four separately acquired B-mode images at the same time. 4B-mode can display only one of the four images in real-time, ‘The M key allows you to select one of the following imaging modes: © M-mode displays a full screen M-mode sweep. © B/M-mode simultaneously displays a B-mode image with an M-mode sweep, side by side. = B+B/M-mode simultaneously displays a B+B-mode image with an M-mode sweep. CTRL+A ‘Amplitude mode. a Sem omnvee SONOLINE PRIMA OPERATING INSTRUCTIONS mun 4-13SONOLINE PRIMA OPERATING INSTRUCTIONS mill & Chapter 5 \maging Functions SN Contents Imaging Screen Layout. B-Mode Imaging... 28-Mode Imaging 8+8-Mode Imaging 4B-Mode Imaging. M-Mode and B/M-Mode. Imaging Parameter Control. B/M-Mode Display and Update. Sweep Rate ‘Time Markers. Mode — Adjusting Imaging Function Settings... Frequency... Output Pow Depth, B/M Gain. DGC Control DGC Methods Dynamic Range. Foous.. Line Density. Persistence. vs age Enhancement Gray Map Polatty : ‘Sector Angle/Scan Width... aaa = wee racomencvo% SONOLINE PRIMA OPERATING INSTRUCTIONS Mun 5-1MATER § Imaging Functions “2 Changing the Image Orientation... Zoom (Magnify). Zoom in B+B-Mode .. Zoom in 28-Mode... Zoom in 48-Mode. Zoom in B/M-Mode .. Zoom in 8+8/M-Mode. Annotation ... e : Annotating with Text, Labels, and User-Defined Comments Annotating with Arrows. Annotating with Pictograms Creating a Quick Set.. UNM SONOLINE PRIMA OPERATING INSTRUCTIONS Bees )Qu CHAPTER & Imaging Functions Introduction This chapter describes each of the imaging functions for B-mode and M-mode imaging. Procedures ere described for adjusting output power, gain, and frequency. Directions are given for positioning and magnilying images, and changing imaging parameters 'o optimize image resolution. The use of annotation and pictograms is also described. Imaging Screen Layout ‘The Prima imaging system displays many types of information on the imaging screen. Patient and hospital information appear at the top of the screen, along with the current date and time. Complete clinical images are displayed in the image area in all imaging modes. This image area accommodates a variety of graphical overlays and objects that can be used to evaluate the image, including a DGC curve, text, and ictograms. Current system parameters and settings are displayed below the image area, and function-specific menus are shown on the right. i as Sis as re 1 Pater ares mae 2 Trackball pointer Ss 3 Offee on SS 4 System Status Manu a a 5 Depth scale sepay 6 Machanca and Tharmal ines 7 maging parameters and Vo ape code 8 Trekoal sus fla 9 06Ccune 10. Ace gy map 11 Graybar 12. Focal zene indicators su mmomnve SONOLINE PRIMA OPERATING INSTAUCTIONS MY 5 3CHAPTER & Imaging Functions 5-4 The information that is displayed on the right side of the imaging screen can change depending on the current function. During B- or M-mode imaging, this area typically displays the System Status Menu, which provides information about the current imaging mode, unless you: * Initiate a function that displays another imaging menu, such as the Measurement Menu, in place of the System Status Menu = Press a function key on the keyboard to display a General System Set Up ‘menu, a page of the Patient Report, or the Patient Data form ‘The settings obtained for an image in real-time will also be displayed for that image when it is frozen. In 2B- and 4B-mode, the system displays the settings only for the active image. In B/M-mode, the system displays the values for the M-mode sweep, The System Status Parameters field displays imaging data for the active mode at al times. Wnen another menu is displayed in place of the System Status Menu, the following information is stil available : 85/112 /321-6 B-mode: Dynamic Range / Persistence / Edge Enhance / Gain / Output Power M: 35 /0/2/29/-6 M-mode or 8/M-mode: Dynamic Range / Persistence (always 0 in M) / Edge Enhance / Gain / Output Power WWM SONOLINE PRIMA OPERATING INSTRUCTIONS ~CHAPTER § Imaging Functions B-Mode Imaging New B-mode is the default imaging mode for the Prima imaging system. B indicates brightness, or 2D gray scale imaging. B-mode is active when you first power on the system, and can be used with all types of transducers, To display B-mode from another imaging mode: * Press the B key on the control panel to display a single real-time B-mode image. Pressing the B key will aways return toa realtime image from any imaging mode, and any text or pictograms on the screen will be deleted. The following settings can be modified during B-mode imaging: Transducer Type BIM Gain Frequency Output Power Frame Rate/Line Density Gray Map Sector angle/Scan width Depth Dynamic Range Focus Persistence Zoom (Magnify) fe Edge Enhancement Depth Gain Compensation Offset UR Flip NOTE: Use the General System Set Up menus to customize defaults for these settings: Post processing map, U/D Flip, Image polarity, and DGC. ‘A-mode can be initiated, to display an amplitude readout, for M-mode and all B-modes except 48-mode. See page 5-17 for information on A-mode. w ermomonves SONOLINE PRIWA OPERATING INSTRUCTIONS Min 5-5CHAPTER § Imaging Functions 2B-Mode Imaging oY 2B-mode displays two separately acquired B-mode images, side by side. The active image is displayed in real-time and the other image is frozen. 2B-mode can use images acquired using two different transducers. Instructions for acquiring an image from a different transducer are on page 5-7. Changes made to these imaging settings affect both images: Post-processing curves Gray Map Changes made to the following imaging settings will affect orly the active image. Offset Frequency Dynamic Range Depth Persistence Focus Edge Enhancement Zoom Gain Dec Output Power UR Flip Transducer Type UID Flip Sector angle/scan width Frame rate/Line density Frequency, line density and sector angle/scan width are transducer-dependent. wv) 5-6 nm SONOLINE PRIMA OPERATING INSTRUCTIONS oe nave vorCHAPTER 5 Imaging Functions To activate 28-mode: Le, Press the 2B key from any mode. ‘The system divides the image area into two halves, and displays a realtime image on the left. The imaging parameter settings from the previous mode are applied to the image. The highlighted transducer orientation indicator shows that the image is active, To place the reab-time image in the right half of the image area, press the 2B key or the NEXT key. ‘To freeze the first image and display the second image in re. FREEZE key. ‘The settings for the first image are applied to the second image. The ‘transducer orientation indicator for the second image is highlighted to show that the image is active. To toggle the active image between the frozen and real-time states, press the FREEZE key. To toggle between the images, press the 2B key or the NEXT key while both images are frozen. ‘The system highlights the transducer orientation indicator for the active image. Image parameter settings, offset and depth values, and the centimeter scale are displayed for the active image only. ime, press the ‘Acquiring Images Using Different Transducers In 2B-mode and 48-mode, images are obtained one at a time. Each image can be & acquired from a different transducer, if desired. To acquire an image from a different transducer: 1 2 Press the FREEZE key to freeze the active image. Press the key or the LC key to select @ new transducer. ‘The system applies the default image settings to the image acquired using ‘the new transducer. These settings can be changed by adjusting the controls or rolling the trackball, and the changes will be retained for that image by the system. | transducer is removed and not replaced, the system applies the settings for the active image to the next image acquired. For example, in 4B-mode, if the transducer for the third image is removed, the settings for the second image applied to the third image. & SONOLINE PRIMA OPERATING INSTRUCTIONS Mui 5-7CHAPTER § Imaging Functions B+B-Mode Imaging ) B+B-mode displays two identical B-mode images, side by side. The two images are simultaneously either frozen or realtime. Ditferant parameter settings can be applied to each image, allowing comparison of the effects of different image settings on the same anatomical structure. B+8-mode facitates subtio tissue differentiation. ‘Separate gray maps can be displayed for each image in B+B mode. The gray maps selected are shown in Gray Map on the System Status menu. The left gray map setting appears on the left, the right gray map setting appears on the right. For example, in "Gray Map LF,” the left image has an L setting, the right image an F setting. ‘The Prima imaging system can display the following types of B+8-mode images: Oo B+Bmode. 848 with Mode. B+B-mode can also be used with ECG-triggered image acquisition. Refer to Chapter 10 for specific information on ECG. Changes made to these imaging settings affect both images: Depth Focus DGC control setting Power B/M Gain Frequency Sector angle/scan width Frame rate/Line density UR Flip UID Fp (invert) Changes made to the folowing imaging settings wil affect only the active image: Dynamic range Edge enhancement Persistence Gray map Zoom (magnify) ~ 5-8 uM SONOLINE PRIMA OPERATING INSTRUCTIONS see rmomenverCHAPTER § Imaging Functions To activate B+B-mode: & 1. Press the SHIFT key on the keyboard and the 2B key on the control panel simultaneously. ‘The system divides the image area into two identical B-mode images. Large sector angles are cropped, to allow the centermost portion of each image to be displayed. 2, The two B+B-mode images are simultaneously real-time or frozen, Press the FREEZE key to toggle the images between tha two states. ‘The system applies the imaging parameter seltings from the previous mode to both images. The image on the left for reference only. The image on the right is active, as shown by its highlighted transducer orientation indicator. we ou miomonve SONOLINE PRIMA OPERATING INSTRUCTIONS min 5-9CHAPTER § Imaging Functions 4B-Mode Imaging 4B.-mode displays up to four separately acquired B-mode images at the same time. 4B-mode is useful for comparing a number of anatomical views on one film. One image can be displayed in realtime, while the rest are frozen. 4B-mode is available with all transducers, 48. mode. Changes made to these imaging settings affect all images: Post-processing curves Changes made to the following imaging settings will affect only the active image: Gray levels Offset Frame rate/Line density Dynamic Range Depth Persistence Focus Edge Enhancement Zoom Gain Dec Output Power UR Flip Frequency UD Flip Sector angle/scan width 5-10 sm SONOLINE PRIMA OPERATING INSTRUCTIONS ~CHAPTER § Imaging Functions To activate 4B-mode: u 1 Press the 4B key from any mode. ‘The system divides the image area into four quadrants: the first quadrant is, the upper left, the second is the upper right, the third is the lower left, and the fourth is the lower night. Initially, alive image is displayed on the first quadrant. Press the FREEZE key to freeze the first image and display @ real-time image in the second image quadrant. “The settings in the first image are applied to the second image. The highiighted transducer orientation indicator shows that the second image is active. To move a reabtime image to the next quadrant while obtaining images, press the 4B key or the NEXT key. The real-time image will not display in a ‘quadrant that already contains a frozen image. Press the 4B key or the NEXT key to advance to an available quadrant. To toggle the active image between the frozen and real-time states, press the FREEZE key. To cycle through the quadrants, press the 48 key or the NEXT key while all ‘the images are frozen. ‘The system highlights the transducer orientation indicator for the active image. Image parameter settings, offset and depth values, and the ‘centimeter scale are displayed for the active image only. SONOLINE PALMA OPERATING INSTRUCTIONS Mu 5-11CHAPTER § Imaging Functions M-Mode and B/M-Mode o NOTE: Use General System Set Up Menu 4 to select the display format for the B-mode image and the M-mode sweep, and the action of the FREEZE key. Use Exe Presets for Imaging in General System Set Up Menu 2 to select the sweep rate. Refer ‘to Chapter 6 for specific information. M-mode can be used with al transducers compatible with the Prima imaging system. M-mode can be combined with B-mode and displayed in several different formats. 8+B/M-mode can be used with either horizontal display format, but is not available with vertical display. NOTE: Use General System Set Up Menu 4 to select a display format: 50/50 horizontal, 2/3-1/3 horizontal, or 40/60 vertical. ‘50/50 Rovzontal format 228-18 format. 40/60 verucal format 858 with Mmnode format. Ful screen M-mode format ‘8/MA mode imoging Display Formats. 5-12 wum@ SONOLINE PRIMA OPERATING INSTRUCTIONSwarren 5 Imaging Functions : To activate M-mode: & 1. Press the M key to display an M-mode cursor on the B-mode image. The Trackball Status Field changes to TB: Curs. The M-mode cursor is a graphical representation of the acoustic line along which M-mode information 's gathered, Roll the trackball to position the IV-made cursor. To activate B/M-mode, press the M key a second time, ‘The system displays a B-mode image and an M-mode sweep in the format selected in General System Set Up Menu 4. The M-mode sweep scrolls from the right to the left side of the image area. Use the trackball to reposition the M-mode cursor on the B-mode image as desired. 4. To activate B+B/M-mode, first activate B/M-mode and then press the SHIFT key and the 2B key simultaneously. The system displays a B+B image with the M-mode sweep. The M-mode ‘cursor is displayed on the right-hand B-mode image. To display a fullscreen M-mode sweep, press the M key a third time. To exit M-mode, press any B-mode key. Imaging Parameter Control & In M-mode, imaging parameters are modified by using the controls or the trackball, a5, they are in B-mode. Fullscreen M-mode does not support these functions, which apply only to B-mode images: ‘Sector Angle/Scan Width Line Density Persistence In B/M-mode, changes made to these imaging settings affect both the B-mode image and the M-mode sweep: B/M gain Dynamic range Focus U/D Flip Offset Edge enhancement Dec Depth Zoom When another mode has been used and M-mode is entered again, settings specific to M-mode, such as sweep rate, are carried over from the previous M-mode exam. B-mode parameter settings will be carried over from the most recent B-mode image. wureumonve SONOLINE PRIMA OPERATING INSTRUCTIONS min 5-13CHAPTER § Imaging Functions ‘When you enter B/M-mode, the B-mode gain setting will be applied to the M-mode ° ‘sweep. To adjust the gain for the B/M-mode display, use the B/M Gain control to — ‘et the allocation so that, when the B-mode image has been optimized, the M-mode ‘sweep will also be optimized. ‘You can apply up to two post-processing functions to an image at one time. For ‘example, if the polarity of the M-mode sweep is inverted, the two B-mode images displayed in B+B/M-mode must have the same post-processing settings. B/M-Mode Display and Update For linear array and curved array transducers, the B-mode image and M-mode sweep display in realtime. Four sweep speeds can be selected, as described on page 5-15. For mechanical sector transducers, the system defauits to a periodically refreshed B-mode image with a realtime M-mode sweep. The B-mode image is frozen until the M-mode sweep is complete. The M-mode sweep then freezes while the B-mode image is refreshed, and then displays again in realtime. NOTE: Use General System Set Up Menu 4 to select the number of update frames ‘scanned when the B-mode image is refreshed at the ond of the M-mode sweep. Real-time B/M-mode display can be activated for mechanical sector transducers by using the SWEEP key, as described on page 5-15. NOTE: The action of the FREEZE key on the B-mode image and the M-mode sweep is not affected by whether the display is reattime or periodical refreshed. Use General System Set Up Menu 4 to specify whether the FREEZE key treezes the B-mode image ‘and M-mode sweep independently or simultaneously. w 5-14 sm SONOLINE PRIMA OPERATING INSTRUCTIONS eamumanvesw Imaging Functions Sweep Rate ‘sweep rate indicates how many seconds are required for the M-mode sweep to the display area. sora yoo wg nas gs a Ew ao tle ‘The sweep rate asplays inthe lower right comer ofthe Made sweep. ht Meer 2028 os ‘When you initially enter B/M-mode, the system uses the default sweep rate, or the ‘Sweep rate used in the previous M-mode exam. NOTE: To solect a default sweep rate for a specitic exam and transducer, use Exam Presets for Imaging in General System Set Up Menu 2. To adjust the M-mode sweep rate during imaging: "Press the SWEEP key to cycle through the available settings. inear array transducers, you can cycle through four settings, and tting with the next key press. For curved ar return to the 'sducers, the system implements simultaneous r weep speed setting, and then returns to a ‘mechanical sector transducer is indirectly determined by the frame rate. simultaneous display, and is not selectable. en ECG is used with an M-mode sweep, the SWEEP key controls the for both the ECG signal and the M-mode sweep. Refer to Chapter 10 for ‘on ECG. SONOLINE PRIMA OPERATING INSTRUCTIONS Min 5-15CHAPTER s Imaging Functions Time Markers S) Vertical time markers can be displayed every half second along the M-mode sweep. ‘The markers are not numbered, and do not scroll with the sweep. In full-screen M-mode, the time markers are also depth markers. NOTE: Use Genaral System Set Up Menu 4 to tum the displey of the time markers on or off. 5-16 nm somoLine PRIMA OPERATING INSTRUCTIONS servomneverCHAPTER § Imaging Functions A-Mode ‘Amode displays an amplitude readout that corresponds to a vector of the sector or linear image. The trackball is used to position the A-mode cursor along the vector. A-mode displays on the left side of the active image, concurrently with the display of @ B-mode image or M-mode sweep. A-mode is available with the following imaging modes: = Bmode = 2Bmode + B+Bmode = Mamode = B/M-mode During B/V-mode, A-mode displays on the left side of the M-mode sweep, in the selected image format: 2/3-1/3 horizontal, 50/50 horizontal, or 40/60 vertical AMode Display After A-mode has been initiated, you can select a different mode and the A-mode display will transition to the new mode. The amplitude readout will not be visible in ‘4B-mode, but it remains active and will be displayed again when the system enters a mode that supports A-mode. To activate A-mode: 1. Press the CTRL key and the A key on the keyboard simultaneously when you are imaging in B-mode or M-mode. The system displays the A-ymode graph for the active image. The Trackball ‘Status Field changes to TB: Curs. Roll the trackball to position the A cursor. 3. To exit Amode, press the CTRL key and the A key again. eu mummnves SONOLINE PRIMA OPERATING INSTRUCTIONS Mun 6-17CHAPTER & Imaging Functions Adjusting Imaging Function Settings ») Use the imaging system controls and menu selections to change imaging function settings. When multiple images are displayed, setting changes may affect all images, or only the active image. Refer to the mode descriptions beginning on page 5:5 for details. NOTE: Use the Exam Presets for Imaging selection in General System Set Up Menu 2 to pre-select imaging settings for an exam type. Use the F8 Quick Set function key to ‘capture a configuration of imaging settings for an exam and transducer. For more ‘information on Creating a Quick Set, sae page 5-49. When 2 Quick Set is solected as the current exam type, the system sets each imaging parameter for the exam and transducer to the corresponding value contained within the Quick Set. Frequency Use the FREQ key to change the transmit frequency for an active multi-requency transducer. To change the transducer frequency: + Press the FREQ key to cycle through the available imaging frequencies for the active transducer. ‘The last frequency displayed becomes the active frequency. i c alga ott eed & a | The frequency value displays next tothe transducer name in tho Systor Status Manu. ~ 5-18 um SONOLINE PRIMA OPERATING INSTRUCTIONS se momnve:ee CHAPTER § Imaging Functions Output Power ‘Acoustic power is the amount of energy applied directly to the patient. The POWER, control on the control pane! adjusts the acoustic output power delivered from the transducer to the patient. The POWER control determines the transmitted level of ultrasound for all transducers and imaging modes during real-time imaging, WARNING: Although no harmful biological effects have been demonstrated at diagnostic ultrasound levels, Siemens recommends that you set the transmit intensity Control to the lowest setting that can be used to obtain diagnostically acceptable information. The transmit power range is from -24 dB to 0 dB in 3-48 increments, of from 0.4% to 100%. The selection of 0 dB, or 100%, transmits the maximum acoustic power for each transducer. The system emits a beep when the maximum or minimum power level is reached. Default power values depend on the exam type, and will remain below or at the FDA limit for each application. Refer to Appendix B for detailed information on acoustic output intensities for all transducers and exam types. To adjust the transmit power: * To increase the transmit power, rotate the POWER control clockwise. When the maximum power level is reached, the imaging system “~~ emits a beep. ) * To decrease the transmit power, rotate the POWER control counter- XY clockwise. When the minimum power level is reached, the imaging Power system emits a beep. ‘The transmit power range is from -24 dB to 0 dB in 3.48 increments, Selecting 0 dB, oF 100%, transmits the maximum acoustic power for each transducer, where: Igpray $720mWiem? and Mis 1.9 ee mmm sve SONOLINE PRIMA OPERATING INSTRUCTIONS Mun 5-18CHAPTER § Imaging Functions ‘Transmit Power Display fl iH RRA: née. ov: Bg} & a The power value is csplayed inthe System Status Menu, next to the (Output abel, and as the lst value inthe System Status Parametr fila at the bottom ofthe imaging screen ‘The power value is updated in both locations as the POWER control is turned. Each time the power level is changed, the parameters momentarily display in inverse video. ‘When another menu, such as the Measurement Menu, is displayed in place of the ‘System Status Menu, the information in the System Status Parameter field is stil we) available for reference. NOTE: You can use General System Set Up Menu 1 to determine whether the power value is displayed in decibels (48) or as a percentage of the maximum power (%). The ‘example below shows one value expressed in both formats. ‘Systom Status Parameter Feld Disploy jystom Status Manu Disploy 8:55/1/2/32/6 Output 648 8:55 /1/2/32/25 Output_25% 5-20 num SONOLINE PRIMA OPERATING INSTRUCTIONS. seermomnvesCHAPTER & Imaging Functions Mechanical and Thermal Indices Mechanical and Thermal indices of 0.4 or more are displayed in the lower right edge of the image screen in all imaging modes. These fields are not Trackball selectable. The following indices can be displayed: MI = Mechanical index TIS = Soft tissue thermal index TIB = Bone thermal index for fetal applications Thermal indices will not normally be displayed, as the imaging parameters for the Prima system will not produce TIB or TIS values of 0.4 or greater. Default values at power-on will not exceed the maximum for each exam type. The user can override ‘the maximum, in which case the affected index will display in inverse video, but the absolute maximum of 720 mW/cm’ should not be exceeded. Refer to Appendix B for dotailed information an acoustic power values. ou momen SONOLINE PRIMA OPERATING INSTAUCTIONS mun 5-21CHAPTER § Imaging Functions. Depth Depth adjustment is available during realtime imaging, in increments of 10 mm. ‘Maximum and minimum settings vary with the type and frequency of the transducer being used. NOTE: You can uso General System Set Up Menu 2 to select a defeult depth setting for each exam and transducer type. Refer to Exam Presets fo: Imaging in Chapter 6 for specific information. To adjust the depth: ‘= To increase the depth, rotate the DEPTH control clockwise. = To decrease the depth, rotate the DEPTH control counter-clockwise. 4 | i TOES P ene 2 oh8.8 Bee 8g # coe SEE MO, ‘The current depth is displayed in units of mm, in the lower right comer of the active image Depth and Zoom When the Zoom function is active, rotate the DEPTH control to adjust the size of the Zoom window or to change the magnification of a zoomed image. Depth and Offset ‘The depth of the image is not affected by the Offset function. Changing the Depth after applying offset to the image does not alter the offset. The amount of offset is displayed in the upper right of the image area and the actual depth in the lower right. ~~ 5-22 Wil SONOLINE PRIMA OPERATING INSTRUCTIONS ee miomnvercuApTeR s Imaging Functions B/M Gain The B/M GAIN control adjusts the overall system receiver gain and the brightness of 18 Bemode image or M-mode sweep. The range for B/M Gain is 15 dB to 45 dB. When this is combined with -150B and +15dB of DGC gain, a total range of 0 to 60 dB gain is possible. To adjust the B/M Gai ‘© To increase the gain, rotate the B/M GAIN control clockwise. To decrease the gain, rotate the B/M GAIN control counter-clockwise. ae Se = a E3)o a a The gain value i displayed in the System Status Menu, and as part ofthe ‘System Status Parameter fel at the bottom of the maging screen. In 2B- or 4B-mode, the gain is displayed only for the active image. B/M Gain in B/M-Mode In B/M-mode, when the B-mode image and the M-mode sweep are both real-time, adjusting B/M GAIN affects the image and the sweep simultaneously. When you are using a mechanical sector transducer and the B-mode image is being refreshed at the end of the M-mode sweep, adjustments to the B/M gain appear only (on the M-mode sweep until the B-mode image is refreshed. urmumences SONOLINE PRIMA OPERATING INSTRUCTIONS Min 8-23CHAPTER § Imaging Functions DGC Control 2 Depth Gain Compensation, DGC, provides eight slide controls for adjusting image quality during real-time imaging. Move each slide control to the right to increase the gain, or to the left to decrease the gain. The center position on each slide: control is equivalent to an additional O dB gain for that respective depth range. The +/- maximum settings are equivalent to +/- 15 dB. In 2B-mode and 48-mode, frozen images are not affected by adjustments to DGC control settings. In 8/M-mode, DGC adjustments affect both the B-mode image and the M-mode sweep. The DGC slide controls have no effect during CINE Review. NOTE: 1! you went the DGC curve to invert when the B-mode image is flipped verticaly, select that option in General System Set Up Menu I. DGC Methods ‘The DGC curve can be defined by the user or by the system. ‘The curve produced by each method has a distinctive appearance. Use General System Set Up Menu 1 to determine whether the DGC curve is displayed or not, and whether the display will ime out. (NOTE: Use Exam Presets for Imaging in General System Set Up Menu 2 to specify the Manual, Siope, or Flat DGC method for each exam type. Refer to Chapter 6 for specific information, ) w 5-24 nM SONOLINE PRIMA OPERATING INSTRUCTIONS erneumonveCHAPTER § Imaging Functions Manual Method ‘The Manual method provides manual control of all eight DGC slide controls. Each slide contro! affects approximately one eighth of the image depth. The raceiver gain range for each DGC slide control is depth-dependent for the active transducer frequency. The DGC curve displays as a solid line, and is | not affected by changes in depth. | ‘Manual O6C. Slope Method In the Slope method, the upper four slide controls have no effect on the . image. The lower four controls adjust the length of the delay, the degree of | elevation of the slope, and the gain for the near and far fields. Each slide control affects one part of the gain compensation curve, and has no effect on the other parts. * Slide the Delay control to the right to increase the delay, and to the left to decrease the delay. = Slide the Near control to the right to increase the near field gain, and to the left to decrease the gain. + Slide the Slope control to the right to increase the degree of elevation we of the DGC slope, and to the left to decrease the elevation. * the Far control to the right to increase the far field gain, and to the laft to decrease the gain. Flat Method ‘The Flat DGC method is system-controlied. Although DGC afsplays with a fat profile, the hidden DGC has a gradual slope from the near field to the far field. The slope is determined by the transducer type, frequency, and depth dispiay. To adjust the DGC curve: 1. Slide any DGC control to the right to increase the DGC curve. 2. Slide any DGC control to the left to decrease the DGC curve. sos noumereve SONOLINE PRIMA OPERATING INSTRUCTIONS mun 5-25CHAPTER § Imaging Functions D ic Ri yynamic Range ~) Use the DYNAMIC RANGE contro to adjust the overall centrast resolution of the B-mode image and the M-mode sweep in 1-d8 increments. Selections range from 35 dB, which produces a high-contrast image, to 66 dB, which produces a softer image. NOTE: Use General System Set Up Menu 2 t0 select the default Dynamic Range sorting for each exam and transducer type. Refer to Exam Presets for Imaging in (Chapter 6 for specific information To adjust the Dynamic Range: * Rotate the DYNAMIC RANGE control clockwise to increase the dynamic range. * Rotate the DYNAMIC RANGE control counter-clockwise to decrease the dynamic range. In B4+B., 28- or 48-mode, adjust ments to the Dynamic Range affect only the active image. In B/M-mode, when the B-mode image and the M-mode sweep are both real time, adjusting the DYNAMIC RANGE control affects the image and the sweep simultaneously. i 66. nae BF ie ; 8g e a The Dynamic Range valve appears inthe System Status Menu and as part ofthe System Status Parameter fed at the Bottom of the imaging screen. Dynamic Range is displayed only forthe active image. 8-26 iM SONOLINE PRIMA OPERATING INSTRUCTIONS sreensumonve& CHAPTER § Imaging Functions Focus Use the FOCUS key to select 1, 2, or 4 transmit focal zones for any linear or curved array transducer. Mechanical sector transducers have a fixed focus that cannot be adjusted. Focal zone selection and placement are available in B-mode, B+B-mode, 2B-mode, and 48-mode. Focal zones can be changed only in a real-time image. In 28-mode and 48-mode, select ‘the number of focal zones and position the indicators before freezing each acquired image. To use the Focus function: 1. Press the FOCUS key. The system displays a single focal zone on the realtime image. The Trackball Status Field changes to TB: Focus. 2. If more than one focal zone is desired, press the FOCUS key again to cycle through the selections: 1, 2, and 4. 3. Roll the trackball to position the focal zone indicators. In B+B-mode, the focal zone(s) must be the same for both images. In 2B-mode and 4B-mode, each image can have a different number of focal zones. For example, in 2B-mode, the left image can have one focal zone and the right image can have four focal zones. 4. Press the ESC key to exit the Focus function, The trackball returns to its previous status, such as TB: Point. The focal zones will remain as they have been specified for each displayed image. Focus and Frame Rate Maximum frame rates are achieved when a single focal zone is used. Frame rates are reduced when two focal zones are selected, and reduced stil further when four zones are used. The amount of frame rate reduction depends on the transducer and the depth of view. Positioning Focal Zones ‘A single focal zone can be positioned anywhere in the field of view, including in the first or last centimeter of the depth scale. The distance between two focal zones is fixed, and determined by the field of view. pair of focal zones can be repositioned if the field of view is deep enough. Four focal zones can be adjusted to cover the entire field of view. When Zoom is used at a shallow depth, such as four centimeters, there may not be room to reposition dual focal zones. Refer to page 6-36 for specific information, senmomarevot SONOLINE PRIMA OPERATING INSTRUCTIONS mun 5-27CHAPTER § Imaging Functions Line Density ) Use the Line Density function to increase or decrease the resolution of an ‘Aba image. Line density is the number of scan lines per frame for all B-mode ssc70s 35 images, and is related to the number of frames displayed per second. eae ial Line Density cannot be changed on a frozen image, during CINE Review, or ming ends when an image is recalled from storage or played back from a VCR Porist. = Fogo 1 Gan 008 NOTE: Use Exam Presets for Imaging in General System Set Up Menu 2 to Ouiput 308 select the defaut line density, singe or double, for each exam and transducer GrayMep ot type. Reter to Chapter 6 for specific information. ca cd Example of System ‘Status Menu with Frames Per Second (FPS) selected. To change the Line Density: 1. Roll the trackball to highlight the FPS fiold in the System Status Menu; the Line Density setting is appended to the frame rate value. The Trackball Status Field changes to TB: Menu. 2. Press the SET key to toggle the Line Density selections: s (standard) and d (double). 3. Move the trackball away from the FPS field ‘The last displayed setting becomes the active setting. c Line Density, Frame Rate and Sector Angles Generally, increasing the line density will decrease the frame rate. Since frame rate is important to the quality of the image, the system may decrease the sector angle in order to maintain the frame rate. if you increase the sector angle at this point, line density will be maintained and the frame rate will be reduced. 5-28 uum SONOLINE PRIMA OPERATING INSTRUCTIONS s26.naus neve& CHAPTER § Imaging Functions Persistence Use the Persistence function for frame averaging, to determine the proportion of Rew to held-over data in each frame during realtime imaging. Frame averaging has @ smoothing effect on the B-mode image. All lines of data will be new when a setting of 0, no persistence, is selected. When a setting of 3 is selected, the data in each frame will be 50% new and 50% old Persistence cannot be changed on a frozen image. NOTE: Uso Exam Presets for Imaging in General System Set Up Menu 2 to select the default persistence setting for each exam and transducer type. Refer to Chapter 6 for ‘specific information. To change the Persistence: 1. Roll the trackball to highlight the Persist selection in the System Status Menu. ‘The Trackball Status Field changes to TB: Menu. 2. Press the SET key to cycle through the available selections: ° 1 lines, 20% averaged 2 67% new lines, 33% averaged 3 50% now lines, 60% averaged 3. Roll the trackball away from the Persist selection. ‘The last displayed setting becomes the active setting. acd ive) San a Persistence displays in the System Status Manu andin the System Status Parameter field atthe bottom ofthe screen. In 28-mode or 48-mode, the value dlspleys only forthe active image. Persistence is aways set to zero for an M-mode sweep. soe momen SONOLINE PRIMA OPERATING INSTRUCTIONS mull 5-29CHAPTER § Imaging Functions Edge Enhancement Use the Edge Enhancement function to make the edges of a structure more distinct, during real-time imaging. Edge enhancement selections range from 0, no ‘enhancement, to 3, maximum enhancement. NOTE: Use Exam Presets for Imaging in General System Set Up Menu 2 to specity ‘edge enhancement for each exam and transducer type. Refer to Chapter 6 for specific information, To change the Edge Enhancement: 1. Roll the trackball to highlight the Edge selection in the System Status Menu, ‘The Trackball Status Field changes to TB: Menu. 2. Press the SET key to cycle through the available selections’ © Noedge enhancement 1 Minimum edge enhancement 2 Increased edge enhancement 3 Maximum edge enhancement 3, Roll the trackball away from the Edge selection. The last value displayed becomes the active setting. aR oa ae en SS Bolo eg Carl eatin sons J a ‘The Edge Enhancement seting ispays inthe System Status Menu and in the Systam Status Parameter field atthe bottom of the screen. In 2B- ‘mod or 48-mode, the value displays only forthe active image. 5-30 sum SOWOLINE PRIWA OPERATING INSTRUCTIONS. ~Gray Map ‘The Gray Map function allows you to select between six different pos processing gray map curves labeled L, B, S, D, E, and F. The Gray Map ‘selection can be changed for a real-time or frozen B-moce image, or during CINE Review. ‘Separate gray maps are available for each image in B+8 mode. The gray ‘maps selected are shown in Gray Map on the System Status menu. The left ‘gray map setting appears on the left, the right gray map setting appears on the right. For example, in "Gray Map L/F,” the left image has an L setting, the right image an F setting. NOTE: Use General Systm Set Up Menu 1 to define postprocessing characteristics for the maps. Use General System Set Up Menu 2 to select the default gray map for each exam and transducer type, Refer to Chapter 6 for specific information. To select a Gray Map: 1. Roll the trackball to highlight the Gray Map selection in the ‘System Status Menu. ‘The Trackball Status Field changes to TB: Menu. w 2. Press the SET key to cycle through the available selections: L, B, S, D, E, and F. ‘The gray bar atthe far left side of the imaging sereen updates to display the range of grays available in each map, and the letter that corresponds to the map displays below the ber. 3. Roll the trackball away from the Gray Map selection. The last displayed setting becomes the active setting, Imaging Functions ba ECS 38 FS 163 ‘Angle 60d Offset Dyn ng 6048 Persist 1 Eoge 1 Gan 4008, Cup — 308 Gry Map ce ott ‘Example of @ System ‘Status Menu with Gray ‘Map selected. The Gray Bar displays on the left side ofthe maging screen. 5-31cuapren 6 Imaging Functions Polarity - Image polarity can be selected in General System Set Up Menu 1. When positive polarity is selected, white text and images are displayed on a black background, Inverted, or negative, polarity displays black text and images on a white background. NOTE: Use General System Set Up Menu 5 to specify polarity for hard copy output devices. 5-32 um SONOLINE PRIMA OPERATING INSTRUCTIONS sseermuemonvesImaging Functions c Sector Angle/Scan Width The System Status Menu displays the sector angle for a curved array or ea ‘mechanical sector transducer, or the scan width for a linear array transducer. sc7s 35 In conjunction with frame rate and line density, sector angle or scan width is oaeeee adjusted to improve image resolution. A reduced scan area, for example, can srg allow an increase in frame rate at the same or greater line density. Dyn fing 6038 Perit If frame rate and line density cannot be increased at the same time for a Edge 1 particular sector angle or scan width, the system increases the frame rate first ae and maintains line density and focal zones, eae i ecg ont Sector angles and scan widths can be changed only during real-time imaging. ‘The available settings vary with the type of transducer being used Example ofa System ‘Status Menu with Angle Bolected NOTE: Use Exam Presets for Imaging in General System Set Up Menu 2 10 ‘elect the default sector angle for each exam and transducer type. Refer 10 Chapter 6 for specific information. To change a Sector Angle: 1, Roll the trackball to highlight the Angle selection in the System Status Menu. The Trackball Status Field changes to TB: Menu. 2. Press the SET key to cycie through the available selections for the ic sete vonedver 3. Roll the trackball away from the Angle selection. ‘The last displayed setting becomes the active setting. To change a Scan Width: 1. Roll the trackball to highlight the Width selection in the System Status Menu. ‘The Trackball Status Field changes to TB: Menu. 2. Press the SET key to cycle through th active transducer. 3. Roll the trackball away from the Width selection, The last displayed setting becomes the active setting. ble selections for the W ou mumonves SONOLINE PRIMA OPERATING INSTRUCTIONS Mul 5-33CHAPTER § Imaging Functions Changing the Image Orientation oy UR Flip Use the L/R FLIP key to change the scan direction of the imaging transducer and horizontally fip a B-mode image. UR Flip is available with all types of imaging transducers and can be used on real-time or frozen images. Press the SHIFT key and the L/R FLIP key to rotate images in 90° increments. Focal zone indicators do not display in the 90° or 270° image orientations. QLAM KI In B+B-mode, both images are flipped simultaneously. In 28-mode and 48-mode, the active image can be flipped independently. The transducer orientation indicator on the top left of each image shows the direction of scanning, oe oc wd LettioRign —PighvioLat Transducer Orientation Indicator. Graphical objects such as biopsy guidelines and the M-mode cursor change orientation with the B-mode image. L/R Flip has no effect on the M-mode sweep, ‘and annotation text does not change direction. UR Flip can be used in combination with U/D Flip. U/D Flip U/D Fiip inverts the images acquired from an endocavity transducer to display the near field at the bottom of the image screen, U/D Flip inverts all on-screen images and graphical objects in all imaging modes. An M-mode sweep inverts, but continues to display from right to left. Annotation text is, not affected. NOTE: Use Exam Presets for imaging in General System Set Up Menu 2 to select UPD ip for a specitic exam and transducer. See Chapter 6 for detais. Use General ‘System Set Up Menu 1 to specity whether the DGC curve will invert along with the aolyed mages Jy 5-34 1m SONOLINE PRIMA OPERATING INSTRUCTIONS serve,CHAPTER § Imaging Functions Offset Use the Offset function to scroll a B-mode image vertically or horizontally for optimal display. In 2B- and 4B-modes, offset values are displayed only for the active image. Changing the active transducer resets the offset to zero. Use the trackball to offset a frozen image to which Zoom has been applied, as described on page 5-36. To use the Offset function: 1. Move the trackball to highlight the Offset selection in the System Status Menu and press the SET key. ‘The Trackball Status Field changes to TB: Pan. 2. Roll the trackball to scroll the image vertically andlor horizontally ‘The system updates the Offset and Depth values as the image moves. The amount of offset available depends on the transducer. To retain the offset and exit the Oftset function, press the SET key. To reset the offset to zero and exit the Offset function, press the ESC key. The trackball retums to its previous status, such as TB: Point. (CO —_ Timea Mode or Function Change Eifect on Ofsot Depth changed No effec, offset is maintained Zoom activatedideactveted ‘Afocts the overall offset of the image B-mode key pressed again Resets the image to zero offset 28-made or 48-mode selected No effect (each image can aispiay 2 aitferent amount of offset) B+8-mode solected No effec, offset is maintained Mode change, ¢g., M-mode, 28-mode Resets the image to zero offset Transducer changed Resets the image to zero offset w srermouamo ne SONOLINE PRIMA OPERATING INSTRUCTIONS mil 5-35CHAPTER § Imaging Functions Zoom (Magnify) Use the Zoom function to enlarge a ragion of interest (ROI) in a B-mode image or an M-mode sweep. You can use the trackball to scroll a zoomed image. Magnification can be increased on a real-time or frozen image, but decreased only on a reattime image. When you exit the Zoom function, the image will be restoredto its non-zoomed state, real-time or frozen. When the ZOOM key is pressed again, t1e region of interest will reappear in the same position, at the same size, that it had when Zoom was last active. To use the ZOOM function in B-mode: 1. Press the ZOOM key. The system displays a zoom window, defined by four corners. The size and initial position of the zoom window are determined by the depth display of the image. The Trackball Status Field changes to TB: Zoom, Roll the trackball to position the zoom window on ROI. Rotate the DEPTH control to adjust the size of the zoom window. Turn the DEPTH control clockwise to select a smaller ROI that willbe magnified more, or counter-clockwise to selact a larger ROI that will be maghified less, The amount of magnification availabe is inversely proportional to the size of the zoom window. ww) 4. Press the SET key or the ZOOM key to enlarge the ROI. After the ROI is enlarged, rotate the DEPTH control clockwise to increase magnification, or counter-clockwise to decrease magnification, of the zoomed area ‘The system calculates boundary limits for the zoom function using the sector angle or scan width, and the size and location of the zoom window. When the upper or lower limit is reached, the system emits a beep. 6. Toexit the Zoom function before an image is enlarged, press the ESC key. 7. To.exit the Zoom function after enlarging an image, press the ZOOM key or the ESC key. 5-35 um SONOLINE PRIMA OPERATING INSTRUCTIONS. immune neve:Q CHAPTER § Imaging Functions Zoom in B+B-Mode In B+B-mode, the image on the left is the reference image. When the Zoom function is active, the zoom window is displayed in the reference image, and the enlarged region of interest is displayed in the image on the right side of the screen NOTE: When magnification is applied to frozen B+B-mode images, image quality and the amount of magnification available may be reduced. To use the Zoom function in B+B-mode: 1 Press the SHIFT key and the 2B key to activate B+B-mode. Press the ZOOM key to activate the Zoom function Rotate the DEPTH control to adjust the size of the zoom window. Roll the trackball to position the zoom window over the region of interest. Press the SET key or the ZOOM key to enlarge the ROI. Press the ZOOM key again to restore the two identical B-mode images. SONOLINE PRIMA OPERATING INSTRUCTIONSCHAPTER & Imaging Functions Zoom in 2B-Mode 2B-mode displays two separately acquired B-mode images, ide by side. The active image is displayed in real-time and the other image is frozen. Magnification is applied to, changed for, and removed from one image at a time, while that image is active. Refer to page 6-6 for details on 2B-mode imaging. To use the Zoom function in 28-mode: oor on Press the 2B key to activate 2B-mode. Press the ZOOM key to activate the Zoom function, Rotate the DEPTH control to adjust the size of the zoom window. Roll the trackball to position the zoom window over the region of interest. Press the SET key or the ZOOM key to enlarge the RO! Press the FREEZE key. The system freezes the image, and displays a realtime image on the right half of the image area. The newly acquired image has the same ‘magnification as the image on the lft. To remove magnification from an image, press the ZOOM key while that image is active. The magnification for a frozen image will not be affected. 6-38 Wim SONOLINE PRIMA OPERATING INSTRUCTIONS Yowe CHAPTER 5 Imaging Functions Zoom in 4B-Mode 48-mode displays up to four separately acquired B-mode images at the same time. (One image can be displayed in real-time, while the rest are frozen. Magnitication is applied to, changed for, and removed from one image at a time, while that image is active. Refer to page 5-10 for details on 48-made imaging. To use the Zoom function in 48-mode: 1 ear en Press the 4B key. The system divides the image area into quadrants, and displays a image in the upper left quadrant. Press the ZOOM key to activate the Zoom function. Rotate the DEPTH contro! to adjust the size of the zoom window. Rol the trackball to position the zoom window over the region of interest. Press the SET key or the ZOOM key to enlarge the ROI. Press the FREEZE key. The system freezes the image, and displays a real-time image in the next quadrant. The newly-acquired image has the same magnification as the image that was just frozen. ‘To remove magnification from an image, press the ZOOM key while that image is active, The magnification for frozen images will not be affected, SONOLINE PRIMA OPERATING INSTRUCTIONS mu 5-39CHAPTER § Imaging Functions Zoom in B/M-Mode Magnification can be applied simultaneously to the B-mode image and the M-mode sweep, when they are both realtime. NOTE: The default selected in General System Sot Up Manu 4 will determine whether the ‘M.mode sweep is frozen along with, oF separately from, the B-mode image. To magnity a real-time B-mode image and M-mode sweep: 1. Initiate B/M-mode as described on page 5-13. ‘The system divides the image area into two parts. The B-mode image displays in one part, and the M-mode sweep displays in the other part. 2. Press the ZOOM key. ‘The system displays the zoom window on the B-mode image. 3. Rotate the DEPTH contro! to adjust the size of the zoom window, and roll the ‘trackball to position the zoom window over the region of interest. 4, Press the SET key or the ZOOM key to enlarge the region of interest. ‘The system displays the enlarged RO! and the corresponding section of the M-mode sweep. 5. Toretum the trackball to controling the M-mode cursor without exiting the Zoom ‘function, press the CTRL key and the T key on the keyboard together. 6. To exit the Zoom function and return the trackball to controlling the pointer, ) press the ZOOM key. 7. To exit the Zoom function and return the trackball to controlling the M-mode cursor, press the ESC key. Y 5-40 Wim SONOLINE PRIMA OPERATING INSTRUCTIONS. 00 momncvesCHAPTER Imaging Functions a Zoom in B+B/M-Mode In B+B/M-mode, the image in the upper left corner is the reference image. When the Zoom function is active, the zoom window is displayed in the reference image, and the enlarged region of interest is displayed in the upper right corner. The magnified M-mode sweep displays in the lower part of the image area NOTE: The 40/60 vertical display format is not available for B-+B/M-mode. To use the Zoom function in B+8/M-mode: 1 & Initiate B/MV-mode as described on page §-13. The system divides the image area into two parts. The B-mode image displays in one part, and the M-mode sweep displays in the other part. Press the SHIFT key and the 2B key simultaneously. The system displays two identical B-mode images, with the M-mode cursor Con the right-hand image and the M-mode sweep displayed below. Press the ZOOM key. ‘The system displays the zoom window on the left-hand B-mode image. Rotate the DEPTH control to adjust the size of the zoom window, and roll the trackball to position the zoom window over the region of interest. Press the SET key or the ZOOM key to enlarge the region of interest. The system displays the enlarged ROI in the right-hand B-mode image, and the corresponding section of the M-mode sweep. To return the trackball to controling the M-mode cursor without exiting the Zoom function, press the CTRL key and the T key on the keyboard together. To exit the Zoom function and return the trackball to controlling the pointer, ress the ZOOM key. To exit the Zoom function and return the trackball to controlling the M-mode cursor, press the ESC key. SONOLINE PRIMA OFERATIVG INSTRUCTIONS Min 5-41CHAPTER § Imaging Functions Annotation oY Use the Annotation function to add text or phrases to an image or report. Refer to Chapter 7 for additional information on Patient Reports. The following annotation methods are available during imaging, + Entering text directly from the keyboard onto the image * Inserting labels from the anatomy and/or position libraries * Inserting user-defined comments from 10 Line Memory * Adding annotation arrows, and * Adding pictograms of anatomical structures. NOTE: Use General System Set Up Menu 2 to build anatomy, position, and 10 Line ‘Memory libraries. Y 5-42 nu SONOLINE PRIMA OPERATING INSTRUCTIONS eenacomniveCHAPTER § Imaging Functions ind User-Defined Comments Annotating with Text, Labels, V ‘Text annotation uses the keyboard and some function keys. Refer to Chapter 2 for datails on using the keyboard. Function Key FT Annot First key press activates the annotation function. Second key ‘press displays Positions labels. Third key press displays Anatomy labels, F12 Toxt Inserts a cursor and cisplays typed text in the image area. 11 Dalate Text Dalatas a full page of text F10 Delete Line Deletes a single line of text Backspace Deletes one character ata time to the left of the cursor. F9 Home Set Dofines a new home position for the text cursor. See page 5-44. To add typed text to an image: 1. Press the F7 Annot or the F12 Text function key. The trackball pointer turns into a text cursor, ike an underline character, in the Home position in the image area. The Trackball Status Field changes to ( TB: Text, New 2. Roll the trackball to reposition the cursor, if desired, and use the keyboard to ‘ype text 3, When text entry is complete, press the ESC key to exit the Annotation function. The trackball will return to its previous status, such as TB: Point. 4, To delete annotation from the screen, press F10 Delete Line or F11 Delete Text function key. To insert text labels onto an image: NOTE: While labels are displeyed, they can be selected alphabetically by pressing the first letter inthe labet's name. 1. Press the F7 Annot function key twice to view Position labels, and three times to view Anatomy labels, The system displays a list of labels, with the first word highlighted. 2. Roll the trackball to highlight the desired label. Move through the pages of ‘Anatomy labels by pressing the NEXT key. 3. Press the SET key to select the highlighted label. ‘The system removes the list of labels and displays the selected label at the text cursor position, < 4, To exit without selecting a label, press the ESC key, we naomnves SONOLINE PRIMA OPERATING INSTRUCTIONS wun 5-43CHAPTER § Imaging Functions To insert user-defined comments from 10 Line Memory: NOTE: For information on creating a user-defined comment using 10 Line Memory, ‘see Chapter 6. 1. Press the F7 Annot or the F12 Text function key. The trackball pointer turns into a text cursor. 2. Roll the trackball to reposition the cursor, if desired 3. Press the key combination for the desired comment. For example, the CTRL+1 key combination recalls the first line of user-defined comments, the CTRL+2 key combination recalls the second line, etc. ‘The system places the comment at the position of the cursor. To define a home position for the text cursor: 1. Press the F7 Annot or the F12 Text function key. ‘The trackball pointer turns into a text cursor. 2. Roll the trackball to reposition the cursor and then press the F9 Home Set key. ‘Once this position has been set, it becomes the default until anew home position is defined. 5-44 mim SONOLINE PRIMA OPERATING INSTRUCTIONS oensus ave:CHAPTER 5 Imaging Functions Annotating with Arrows Arrows can be used in annotating images, to indicate areas of particular interest. ‘Two types of arrows are available, An unlimited number of small arrows can be created using the ALT and arrow keys on the keyboard; these arrows cannot be repositioned. Up to five annotation arrows, which appear as outlines, can be acquired using the F7 Annot function key. Annotation arrows can be rotated in 45° increments and positioned in the image area. To create an arrow using the keyboard: 1. Activate text annotation by pressing the F7 Annot or the F12 Text function key. ‘The Trackball Status Field changes to TB: Text. 2. Roll the trackball to place the cursor at the desired position, and then press the [ALT key and one of the arrow keys, S, D, E, of X, on the keyboard, ‘The system displays the specified arrow at the cursor position. 3. Repeat step 2 as desired to annotate the image. To create an annotation arrow: 1. Activate text annotation by pressing the F7 Annot or the F12 Text function key. 2. Press the F? Annot function key to display the Position list. The Arrow selection is highlighted when the list displays. we 3. Press the SET koy. ‘The system displays an arrow out ‘arrows can be displayed in two sizes. 4, Press the GTRL key and the E key on the keyboard to display a large annotation arrow. Press the CTRL key and the X key on the keyboard to display @ smaller annotation arrow. 5. Roll the trackball or rotate the DYNAMIC RANGE control to change the angle of the arrow in steps of 45°. When the trackball is rolled, the annotation arrow will point in the direction of trackball motion. 6. Roll the trackball as desired to reposition the arrow, and then press the SET key. ‘The system anchors the annotation arrow at the selected location. 3t the cursor position. Annotation ou amomcreve SONOLINE PRIMA OPERATING INS"RUCTIONS min 5-45CHAPTER § Imaging Functions To remove annotation arrows: = To remove all arrows from the screen, press the F11 Delete Text function key. If General System Set Up Menu 2 has been used to specify Automatic ‘Text Deletion on Unfreeze, all arrows will be erased when the image is unfrozen. = To remove all arrows on one horizontal line, position the cursor on the line and press the F10 Delete Line function key. "To remove an arrow created with the keyboard, overtype it with a blank ‘space. or use the BACKSPACE key. = Toremove an annotation arrow selected from the Position list, overtype the Point of the arrow with a blank space, or use the BACKSPACE key. ~~ 5-46 um SONOLINE PRIMA OPERATING INSTRUCTIONS s26ensusonverCHAPTER § Annotating with Pictograms Pictograms are graphics that can be displayed in the image area, to indicate the anatomical structure under evaluation and the orientation of the transducer relative to ‘the structure. For exams that have Patient Reports, pictocrams can be displayed on. the report page. NOTE: Use Exam Presets for maging in General System Set Up Menu 2to assign up to ten pictograms to each exam, Refer to Chapter 6 for specific information Press the PICTO key to display the pictograms selected for the current exam on the imaging screen. One pictogram can be selected for display next to each image during a patient examination. To delete a pictogram, press the ESC key when TB: Picto. If General System Set Up Menu 2 has been used to specify Automatic Pictogram Deletion on Unfreeze, all pictograms will be erased when the image is unfrozen. To use the Pictogram function: NOTE: You can press the ESC key at any time to end the piciogram function. 1. Press the PICTO key. The system displays the available pictograms for the active exam on the imaging screen, with the first pictogram highlighted, The Trackball Status Field changes to TB: Picto, Roll the trackball to select a pictogram. Press the SET key to select a highighted pictogram. ‘The system displays the selected pictogram in the lower left or upper right corner of the image area, depending on the image orientation. A transducer ‘marker is displayed in the pictogram. 4. Roll the trackball to position the transducer marker in the pictogram. Rotate the DYNAMIC RANGE control to rotate the transducer marker as needed. ‘The normal Dynamic Range function is disabled in the Pictogram function, 6. Press the SET key to exit the Pictogram function end continue to display the Pictogram. Press the ESC key to exit the Pictogramn function and erase the pictogram from the screen. Press the PICTO key to erase the pictogram and re-display the pictogram lst. 2B-Mode and 4B-Mode In 2B- and 4B-modes, one pictogram can be assigned to each image. A pictogram ‘can be selected for the active image whether itis real-time or frozen. For details on ‘acquiring and moving between images, refer to page 5-6 for 2B-mode or page 5-10 for 4B-mode. Imaging Functions SONOLINE PRIMA OPERATING INSTRUCTIONS mul 5-47CHAPTER & Imaging Functions ‘To assign pictograms to realtime images, perform steps 1-5 above for the first image, then acquire another image end repeat steps 1-5. To assign pictograms to frozen images, acquire the images and then perform steps 1-5 on each while it is active. B+B-Mode and Mixed-Mode Pictograms In B+B-mode, one pictogram is displayed on the left-hand image. Pictograms can be Used in 8/M- and B+B/M-modes and in full-screen M-mode, J 5-48 @ SONOLINE PRIMA OPERATING INSTRUCTIONS. emus reveCreating a Quick Set ‘The Quick Set feature allows you to capture an optimized configuration of imaging settings for a specific transducer and exam, based on a system-defined exam. The system stores this configuration in a special fle, called @ Quick Set. ‘When a Quick Set is activated, the system selects the specified transducer and resets all imaging functions according to the stored configuration. You can select a Quick Set as the current exam type from the Exam and Quick Set List, as described in Chapter 4 NOTE: For information on how to define default Quick Sets, refer to the General ‘System Set Up Menu 2 in Chapter 6. ‘Amaximum of 16 Quick Sets can be stored on the system. You can also store Quick Sets on diskette as described in Chapters 6 and 10. Chapter 6 further describes renaming and deleting existing Quick Sets. ‘Save Quick Set for Exam Type: ‘Activate Quek Set when Traneducer ie estected No Yes Quick Set Neme: Comments: ESC 10 Cance! ‘Save Quick Set screen, To create a Quick Set: NOTE: Hospital and patient information is not included in a Quick Set. 1. Select the desired exam type and transducer. 2. Adjust the imaging function settings as desired, and then press the F8 Quick Set function key. The system displays the Save Quick Set screen with the cursor in the Quick & Set Name field, Imaging Functions se rmomoneve SONOLINE PAIMA OPERATING INSTRUCTIONS min 5-49CHAPTER § Imaging Functions 3. If you want this Quick Set to be activated when its associated transducer is, ‘selected, roll the trackball to highlight YES and then press the SET key. 4. Use the keyboard to type in up to 11 characters for the name of the Quick Set. 5. To further identify a Quick Set, use the trackball to roll the cursor to the ‘Comments line. Use the keyboard to type in up to 25 characters, then press the SET key, ‘The system displays the imaging screen and replaces the previous exam name in the System Status Menu with the Quick Set name you specified NOTE: The Quick Set does not change the imaging mode. ~~ 5-50 iim SONOLINE PRIMA OPERATING INSTRUCTIONS seenocomaneveeSONOLINE PRIMA OPERATING INSTRUCTIONS Will Chapter 6 General System Set Up Menus Contents Overview. General System Set Up Menus - Using the General System Set Up Menus..... a ‘Accessing Secondary Menus. General System Set Up * Menu 1. io General System Set Up = Menu 2. General System Set Up = Menu 3. General System Set Up * Menu 4. General System Set Up * Menu 6, : Customize Gray Shades and Gray Maps * Meni 1.1... : 18 Selecting and Modifying a Gray Map. 19 Customize Exam Presets for Imaging * Menu 2.1 eee ot Customize Exam Presets for Imaging * Menu 2.1.1 se 22 Customize Transducer Set Up Menus * Menus 2.1.2, 2.1.3, and 2.1.4 2B Quick Set List * Menu 2.2 eee 229 Customize Pictogram List * Menu 23... 33 Edit Text, Anatomy and Position + Menu 2.4 and Menu 25 36 10 Line Memory * Menu 2.6... 39 Obstetrical Measurements, Calculations and Reports * Menu 3.4 40 Table or Formula Reference Selection Menu 3.4.1 42 Customize Report * Menu 3.4.2... 44 Create User-Defined Menstrual Age Table « Menu 3.4.3. Create User-Defined Menstrual Age Formula * Menu 3.4.4. . 48 Create User Defined Estimated Fetal Weight Formula * Men 3.4.8. sevneeeeneee T we ecnemonves SONOLINE PRIMA OPERATING INSTRUCTIONS Mint 6-1CHAPTER 6 General System Set Up Menus 6-2 Create User-Defined B-Mode Parameter Labels Create User-Defined B-Mode Measurement Labels * Menu 3.4.6. ee Gynecology Measurements, Calculations and Reports « Menu 36..... Create User-Defined B-Mode Measurement Labels * Menu 3.6.1. Customize Gynecology Report * Menu 3.63... Customize the Phrase Library * Menu 3.7 Customize Foot Pedal Set Up * Menu 4.1. Lithostar # Menu 5.1 lm SONOLINE PRIMA OPERATING INSTRUCTIONSCHAPTER 6 General System Set Up Menus Introduetion (© This chapter explains the options and settings avaiable for customizing the Prima imaging system software. Detaled information is provided on using he Gener! System Set Up menus and submenus to configure the system for general operation, specific ‘exam types, nd powern. An explanation i provided foreach manu selection. Overview ‘The Prima imaging system software can be used to configure the system to support your diagnostic requirements. Menus are provided in which you can specify pre-defined settings, or presets, for your imaging preferences. For example, you can select default settings for your most frequently used exams and transducers. Your imaging preferences and presets can be stored on diskette and loaded into the system as needed. See Chapter 8 for details General System Set Up Menus ‘The presets are defined using the fullscreen General System Set Up menus. ‘These menus allow you to customize the following: + General system setup = Exam settings * Transducer settings + Pictograms + Text annotation + Calipers + Calculation/measurement settings * General motion or imaging mode setup * Hardcopy setup + Internal/external device setup + Language selection * Trackball behavior we seeemones SONOLINE PRIMA OPERATING INSTRUCTIONS Mun 6-3CHAPTER 6 Gonoral System Set Up Menus Using the General System Set Up Menus o You can use the General System Set Up menus at any time to change the factory defauit settings or modify your own presets. When you exit the menus, the system retains the selections and definitions you have defined. It is advisable to back up your system presets on a diskette, to prevent accidental loss of your information. Presets saved on a diskette also expedite ‘the installation of a new system software release. See Chapter 8 for details on saving your presets to a diskette. To display the General System Set Up menus: 1. Press the F4 Preset function key on the keyboard, ‘The system displays General System Set Up Menu 1 on the image screen. 2. Press the NEXT key on the control panel to cycle through the menus from 1 to 5. If you know which menu you want to view, press the corresponding number on the keyboard. NOTE: Instructions for the available actions are displayed at the bottom of ‘each Sot Up menu, To change a menu setting: wed) 1. Roll the trackball up or down until the cursor displays next to the desired menu item and then press the SET key. ‘The system highlights the current setting for the menu item. 2, Rollthe trackball to the right or left, unti the desired setting is displayed, and then press the SET key. For selections that require text entry, use the keyboard to enter information and then press the SET key. The system removes the highlighting from the selection and displays the cursor next to the menu item. 3. Continue selecting menu items or press the ESC key to exit the menu. NOTE: The system decreases the lighting intensity on selections reserved for future use, to indicate that they are not selectable, ~ 6-4 mm SONOLINE PRIMA OPERATING INSTRUCTIONS seer comanveCHAPTER 6 General System Set Up Menus Ww Accessing Secondary Menus ‘Some of the selections listed in the Ge symbol >>. This symbol indicates. with the menu selection. | System Set Up menu display the @ is a secondary menu, associated >> Indicator used in the Use the secondary menus to further configure imaging preferences for the General System Sot Up system, For example, transducer settings ‘menus to designate @ then customized, by selecting "Exam Presets for Imaging >>" on Menu 2. ‘econtiry menu exats for the menu selection. In this chapter, a menu selection that contains a secondary menu is depicted ‘by a graphic such as the one at the right. Descriptions of the secondary menus ‘begin on page 6-18 after all of the main Set Up menus have been described. Graphic used in this ‘hopter to decignato 2 ‘secondary menu ensts {for the menu selection. To display a secondary menu: 1. Roll the trackball up or down until the cursor displays next to the menu we selection that contains the symbol »» and then press the SET key. The secondary menu displays on-screen. 2. Use the ESC key to return to the main page irom a secondary menu. ‘Several secondary menus contain a Reset command. Reset causes any user- defined settings to be deleted and the factory default settings to be restored. To reset a secondary menu to factory defaults: 1 trackball to highlight Reset and thon press the SET key. The system prompts you for confirmation with this message: Reset will change all parameters to origina factory settings. Press SET again to Reset. Press ESC to Cancel 2. To retum all settings for the displayed menu to their factory defaults, press the SET key. To cancel the instruction, press the ESC key. ‘The system processes your selection and re-displays the menu. secrmenaneves SONOLINE PRIMA OPERATING INSTRUCTIONS min 6-CHAPTER 6 General System Set Up Menus General System Set Up * Menu 1 Keyboars - Annotation Hospital Name Format Height Format ‘Weight Format Engl Mo /Dayivr Mo. Day__ ¥r._ He. tin. Sat Fectvinchos Pounds/Ounces Daylight Saving Time Adjustment $1 Hout ‘Automate FREEZE Respons Image Parameter Status Field Screen Saver Beep Tone Durstion DGC Cuve Display Time Out DGC Inver With Image Inver, No Image Inver Power Display Format 11 Post Processing >> TioHighigh SET to Select _NEXT10Page__ ESC to Imaging General System Set Up Menu 1 Description of Selections for Menu 1 6-6 ‘Menu 1 Selection Options: ‘Allows you tou. Ul Keyboard - Annotation English Select the language forthe system's German annotation and menu displays. French Spanish NOTE: The system software diskette ‘must be inserted in the floppy drive to load a new language. (0 Hospital Name Text entry Enter up to 26 characters for the hospital or clinic name. 1) Date Format Mo/Day/¥r Select the format for the date. The date Day/MolYs displays on the imaging screen and in Patient Report. U1 Date Numeric entry Enter the current date, using the selected date format. Time Numeric entry Enter the current time. The time displays uum Somouine fon the image screen, PRIMA OPERATING INSTRUCTIONS w‘Menu 1 Selection Options ‘Allows you to... NT Hight Former Foovinches ‘Selec the format for the display ofthe Centimeters ppationt's height used in the Patient Data entry form and the Patient Report. If feet ‘and inches are selected, the system wil default to pounds and ounces for the patient's weight, 0 Weight Format Pounds/ounces ‘Select the format for the display of the Kilograms. ppationt’s weight used in the Patient Data entry form and the Patient Report. If pounds and ounces are selected, the system will default to feet and inches for the patient's height, () Daylight Savings Time Adjustment +1 Hour Quickly adjust the system clock to oft compensate for Daylight Savings Time. 11 Automatic FREEZE Response Pointer ‘Set the response of the system when the Caliper FREEZE key is pressed. CINE Pointer allows you to select on-screen objects using the trackball Caliper activates the measurement function, w CANE nates th CNE Review unto. installed 1 Image Parameter Status Field On Display the parameters in the Image off Parameter Status field at the bottom of the image screen This setting does not affect display of the ‘System Status Menu. 10 Screen Saver ont ‘Select the number of minutes of inactivity S minutes before the screen saver displays. 10 minutes 15 minutes Off deactivates the screen saver function. 20 minutes UU Beep Tone Duration of Tum the status beep off, or select its duration. 1 through 9 ‘Aiso sot the status alarm, if the ECG option is. installed Option 1 is the shortest, Option 9 is the longest. see comnnov SONOLINE PRIMA OPERATING INSTRUCTIONS Min 6-7CHAPTER 6 Goneral System Set Up Menus ‘Menu 1 Selection ‘Allows you to. 0 DGC Curve Display U1 DGC Invert with image Invert U) image Invert 1 Power Display Format {i Post-Processing >> ‘Always On Time Out off Yes No Negative Positive Select when the DGC curve displays on the imaging screen. ‘Always On displays the DGC curve continuously. Time Out removes the DGC curve two seconds after the last use of the DGC Controls. The curve redisplays when the DGC controls are used again. Off removes the DGC curve from the Determine whether the DGC curve inverts fon the imaging screen when U/D Filp is used to invert the B-mode image. Yes inverts the DGC curve with the image. ‘No maintains the DGC curve in the normal ‘splay. Select the polarity of the video display for the image screen. Text is aways white ‘against black or black against white. Negative displays a black image area ‘against @ white background. Positive displays a white image area ‘against a black background Select the format for display of the ‘system's output power on the image screen {4B displays the system power in decibels. % aisplays the current output as 2 percentage of the available power. Use a secondary menu to modify and reset ‘gray maps and to specify the number of ‘gray shades currently displayed in the B-mode image, as descrived on page 6-18 6-8 wim SoNOLiNE PRIMA OPERATING INSTAUETIONS ~ ~& General System Set Up = Menu 2 ‘Trackball Behavior 1] Trackball Pointe Display {l Trackboll Travel Speed Exam and QUICK SET Presats, 1) Boot Up Exam Il Exam Presets for Imaging >> 11 Quick Set List >> Il Transducer Port Active On Boot UP 1] Enhanced OB Package Pictogram {1 Automatic Pctogram Deletion on Unfreeze Il Customize Pictogram List >> ‘Text Annotation (1 Automatic Text Deletion on Unt [l Eait Text: Anatomy >> Il Eait Text: Position >> 1-10 Line Memory >> TBtohighight _SET10Select NEXT to Page Goneral System Set Up Menu 2. Description of Selections for Menu 2 chaPren 6 Gor ESC10 Imaging ‘Monu 2 Selection Options ‘Allows you to. 10 Trackball Pointer Display ‘Always On ‘Select the length of time that the trackball pointer Time Out displays on-screen. & ‘Always On displays the pointer continuously if ‘wackball contrdis assigned to the pointer function. ‘Time Out removes the pointer from the image screen three seconds after the last time you used the pointer. When you use the trackbal the pointer reappears on-screen If trackball control is assigned to a function other than Pointer, such as Cale or Text, timeout will not take place, oot esnreven SONOLINE PRIMA OPERATING INSTRUCTIONS Bi 6-9CHAPTER 6 General System Set Up Menus ‘Menu 2 Selection Options: Allows you to. Trackball Travel Speed Slow Select the speed of travel for the pointer or Medium Cursor, in response to trackball movement. Fast ‘Slow moves the pointer slowly across the screen, Medium moves the pointer or cursor at @ moderate rate, Fast moves the pointer quickly across the screen, 0) Boot Up Exam ENT Ears, Nose Select the intial type of exam the system uses and Throat when powered on ‘Abd Abdominal For instructions on selecting a user-defined Quick OB Obstetrical Set to be the power-on exam, see page 630. Sm Parts Smal Parts Gyn Gynecology ‘Ortho Orthopedic Cardiac Cardiology Urology Urology Surgery Surgery Exam Presets for Imaging >> re 1 Quick Set List >> rm Display Exam Presets for Imaging Menu 1. to view or modify the exam presets for each system-defined and user-defined exam, Refer to page 6-21 for specific information. Display the Quick Set List to store, retrieve, rename or delete Quick Set files and assign ‘yansducer activation and power-on priorities. Information on using the Quick Set List begins on page 6-29. ll Transducer Port Active On ter Select the transducer port that is activated when Boot Up cz the system is powered on. si 82 LC1 Linear or curved array transducer port 1 LC2 Linear or curved array transducer port 2 $1 Mechanical sector transducer port 1 $2 Mechanical sector transducer port 2 ‘System configuration, Prima SLC, LC, or S, determines which transducer ports are available. Il Ennanced 08 Package NA Load the Enhanced OB Package onto the system. Valid N/A is displayed on systems that do not have the Package installed Valid is selected to instal the software, and displayed after the software is installed, 6-10 um SoNoLINE PRIMA OPERATING INSTRUCTIONS. ~ ww wvCHAPTER 6 General System Set Up Menus na Bon ops flows yor {LT astomaiercoarom Dotson on Yas Deernine wether ie power is removed Onan ne frome traning atoer of crares tobe displayed when the image is unfrozen, Yes Delete the pictogram No Retain the pictogram 1 Automatic Text Deletion on Yes Determine whether the text annotation is. Untreeze No removed from the imaging screen or continues to ‘be displayed when the image is unfrozen Yes Delete the text No. Retain the text 0) Edit Text : Anatomy >> Display the Anatomy Text Set Up Menu to view ‘and edit the Text library. Refer to page 6-36 for ‘specific information. and edit the Text library. Refer to page 6-36 for specific information. 0) Edit Text: Posivon >> CL Display the Position Text Set Up Menu to view 1 10 Line Memory >> Display the 10 Line Memory menu to aud up to 10 lines of user-defined comments. Refer to page 639, & pennemorcves SONOLINE PRIMA OPERATING INSTRUCTIONS Min 6-11CHAPTER 6 General System Set Up Menus General System Set Up * Menu 3 Menus General System Set Up Calipers 1) Dots Displayed between Calipers {] Automatic Depth Display with Caliper 1 Caper Menu Sets >> 10 Caliper Number 10 10 Caliper Positon at Sart UI Memode Mesure Method 1 Hip Angle Graph Dsspiay Customize Moosuroments ond Roports (0 Opster:cal Measurements and Report>> 10 Gynecology Measurements and Repost>> {1Comment Phrase Library for Exam Report Type >> 1 Urology Stepsize TBtoHighight _ SET 10 St NEXT to Page Genera! System Set Up Menu 3. Description of Selections for Menu 3 ESC to Imaging ‘Menu 3 Selection Options i Dots Displayed Between Calipers Yes ‘Allows you t.. Determine whether dots are displayed between No 2 related pair of distance measurement markers. UU Automatic Depth Display with Yes Display a depth measurement when the Caliper No Measurement function is initiated, 0 Caliper Menu Sets >> Reserved for future use 0 Caliper Number 1D 1 Select whether both measurement markers in @ 2 pair are to be numbered. 1 Only the first marker of a pair is numbered 2 Both markers are numbered 12 sm SOWOLINE PRIMA OPERATING INSTRUCTIONS YcHaPren 6 System Set Up Menus w ‘Menu 3 Selection Options: ‘Allows you to. Caliper Position at Start Conter Determine where the first caliper of a set is Menu splayed on the imaging scr Center places the caliper in the center of the image area Menu places the caliper in the Measurement menu for Selection of a measurement label before measuring. Roll the trackball to the left to move the caliper to the center of the image ) Mmode Measure Method Heart Rate Determine the default measurement method to Distance be used in M-mode. Hip Angle Graph Display On Determine whether the graph displays for the off Hip Angle measurement in the Orthopedic 1 Obstetrical Measurements and. Report >> 10 Gynecology Measurements and Report >> Comment Phrase Library for Exam Report Type >> 0 Urology Stepsize 1t0.20mm int mm increments, Display the Setup Menu for Customizing Obstetrical Measurements, Calculations, and Reports, NOTE: A description of the setup menus associated with the basic OB package begins on page 6-40. For systems installed with the optional Enhanced OB package, refer to Chepter 14 for a description for the sotup menus. Display the Setup Menu for Customizing Gynecological Measurements, Calculations, and Reports. Refer to page 6-58 for specific information. Displays the Comment Phrase Library Set Up Menu, to create user-defined phrases for each (of the patient exam reports listed. Refer to page 6-64 for specific information. Select a Urology Stepsize setting for use with the Incremental Volume calculation. c SONOLINE PRIMA OPERATING INSTRUCTIONS MICHAPTER 6 General System Set Up Menus 6 General System Set Up = Menu 4 General Systom Set Up Il Time Marker Display (M) UW M Polarity I] FREEZE Acton in BM. 11 B/M Display Format Controt Panel Keys Set Up Uy Print 2 Key Set Up 1 Foot Pedal Control >> Ul Controt Pane! Lighting TBto Highlight _ SET 10 Select General System Set Up Menu 4. NEXT to Page Description of Selections for Menu 4 ESC to Imaging ‘Menu 4 Selection Options: ‘Allows you to. 10 Update Frames in B/M 1 Select how many ‘rames of B-mode images 30 are scanned during the image update at the 60 ‘end of the M-mode sweep, Ul Time Marker Display (M) On Determine whether time markers display of during the M-mode sw 0 MPotarity Positive Display the M-mose sweep information in Negative positive or negative polarity. 14 um SomOLINE PRIMA OPERATING INSTRUCTIONS ~CHAPTER @ General System Set Up Menus ‘tena 4 Beeston Options tows yout ST REEZE Acton in singe Determine how the M-mode sween responds Bot wen you press the FREEZE ko. ‘Single freezes the B-mode image with the first key press, and the M-mode sweep with the second key press. Both freezes the B-mode image and M-mode ‘sweep simultaneously. 1D BIM Display Format 12-12 Determine the display format for the B/M- 23-13 ‘mode Imaging format 40/60 ‘The 1/2 - 1/2 and 2/3 - 1/3 settings display the B-mode image above the M-mode display. ‘The 40/60 format displays the B-mode image to the left of the M-mode display. 10 Print 2 Key Set Up Floppy ‘Select the destination for information when Report Printer the PRINT 2 key is pressed. The key can be used to store or transmit: ‘A cisplayad Patient Report page ‘A current frozen or real-time image ‘A frozen image from a loop of CINE data we 11 Foot Peds! Control >> mM Display the Foot Pedal Set Up menu, for programming the second pedal of the footswitch. Refer to page 6-66 for specific information, {0 Control Pane! Lighting Select the level of lighting for the control panel when tha switch on the underside of the monitor is turned on sem comaves SONGLINE PRIMA OPERATING INSTRUCTIONS Mi 6-18CHAPTER 6 Gener System Set Up Menus General System Set Up * Menu 5 Hard Copy Set Up Il Hard Copy Video Potanty drmage) Il Hard Copy Video Polarity (Report) Il image Background Gray Level Hord Copy Quality Controt UN Gray Bar Test Pattern 11 Grid Test Pattern Internal Device Format 1 Floppy Disk Drve | MO Dive Extarnal Deviee Controt I) Extemal AS-232C Port | Video input Configuration I Litnostae >> IN Self Diagnostics >> Il For Servicer >> SET to Select TB to Highlight Genera! System Set Up Menu 5. Genoral System Set Up NEXT 10 Page ESC 10 Imaging ‘Manu 5 Selection 1) Hard Copy Video Polanity (image) U Hard Copy Video Polarity (Report) {I Image Background Gray Level Options: Positive Negative Positive Negative 010 100% in 5% increments 1) Gray Bar Test Pattern On on 10 Grd Test Pattern On of 6-16 sm soNoLiwe PRIMA OFERAT ‘Allows you to. ‘Set up the video output image polarity for the hard copy device. The monitor display and the hard copy device can have different polarities. Set up the video output report polarity for the hard copy device. ‘This selection does not apply to @ report printer to which data is transmitted through the RS-232C port. Agjust the background level of the imaging ‘screen for all imaging modes. Select “On" to display a gray bar test pattern. The menu item will reset to “Off” after you press ESC to exit the test pattern. Select “On” to display a grid test pattem. ‘The menu item will reset to “Off” after you press ESC to exit the test pattern. Ne instmuctions 7)CHAPTER 6 General System Set Up Menus - Manu 6 Selection ‘Options Qe {1 Floppy Disk Drive System Tire 11 MO Drive UU External RS-232¢ Por. {0 Video input Configuration we U0 Lithostar >> U1 Solf Diagnostics >> U0 For Servicer >> NOTE: Depending on the language in which you are using the imaging system case, the “Laser Printer 2° provide a better result, however printer 2” makes the following 10 the printout (not aisplayed on-screen! 1s The square symbol is converted to a ‘standard numeric number "2° (on? ‘becomes cm2) «= The greek alpha symbol is converted to a ‘standard character (a becomes A Internal External Internal and External input, and normal scan mode. Reserved for future use, Reserved for use by an authorized Siemens representative. Reserved for use by an authorized Siemens representative. SONOLINE PAIMA OPERATING INSTRUCTIONS min 6-17CHAPTER € General System Set Up Menus Customize Gray Shades and Gray Maps * Menu 1.1 wi) ‘The Post-Processing menu has an option for changing the number of gray shades, and provides options for customizing a gray map or restoring its orginal configuration. Wena Post-Processing Shades. 286 1 Mody Map 8 Reset Map 8 1 Retum to imaging TB to Highight SET to Chango ESC to Previous Menu Gray Shades and Gray Maps Set Up. Shades ‘The ultrasound image is displayed in 256 shades of gray. The gray shades can be compressed to seven other levels using the Shades option To change the number of gray shades: 1. Select the Post-Processing option from Menu 1 The system highlights the Shades option. 2. Press the SET key to cycle through the settings until the desired number of shades is displayed: 256, 128, 64, 32, 16, 8, 4, or 2 The last number displayed becomes the default setting 3. Press the ESC key to return to the previous menu. 1B im SONOLINE PRIMA OPERATING INSTRUCTIONS sreeroumonvoe