Fujifilm Sonosite X-porte User Manual

USER GUIDE

Manufacturer

FUJIFILM SonoSite, Inc.

21919 30th Drive SE

Bothell, WA 98021 USA

T: 1-888-482-9449 or 1-425-951-1200

EC Authorized Representative

Emergo Europe

Molenstraat 15

2513 BH, The Hague

The Netherlands

Australia Sponsor

FUJIFILM SonoSite Australasia Pty Ltd

114 Old Pittwater Road

BROOKVALE, NSW, 2100

Australia

F: 1-425-951-1201

Caution Federal (United States) law restricts this device to sale by or on the order of a

physician.

SonoMB, SonoSite, Steep Needle Profiling, X-Porte, and the SonoSite logo are registered and unregistered trademarks of FUJIFILM SonoSite, Inc. in various jurisdictions. Value from Innovation is a trademark of FUJIFILM Holdings America Corporation.

DICOM is a registered trademark of the National Electrical Manufacturers Association.

All other trademarks are the property of their respective owners.

Patents: US 9,451,933; US 9,420,998; US 9,162,255; US 9,151,832; US 8,956,296; US 8,876,719; US 8,861,822; US 8,858,436; US 8,834,372; US 8,805,047; US 8,500,647; US 8,439,840; US 8,355,554; US 8,216,146; US 8,213,467; US 8,147,408; US 8,137,278; US 8,088,071; US 8,066,642; US 7,804,970; US 7,740,586; US 7,604,596; US 7,591,786; US 7,588,541; US 7,534,211; US 7,449,640; US 7,169,108; US 6,962,566; US 6,648,826; US 6,471,651; US 6,416,475; US 6,383,139; US 6,364,839; US 6,203,498; US 6,135,961; US 5,893,363; US 5,817,024; US 5,782,769; US 5,722,412; US D712540; US D712539; US D712038; US D712037; AU: 730822; AU: 727381; CA: 2,372,152; CA: 2,371,711; CN: 98108973.9;CN: 98106133.8; CN: 97113678.5; CN: 103237499; CN: 102753104; CN: 101231457; DE: 69831698.3; DE: 69830539.6; DE: 69730563.5; DE: 60034670.6; DE: 60029777.2; DE:

602004027882.3; DE: 602004023816.3; EP: 1552792; EP: 1589878; EP: 1180971; EP 1180970; EP 0881492; EP: 0875203; EP: 0815793;ES: 2229318; ES: 159878; ES: 1552792; ES: 0881492; FR: 158978; FR: 1552792; FR: 1180970; FR: 0881492; FR: 0875203; FR: 0815793; GB: 158978; GB: 1552792; GB: 1180971; GB: 1180970; GB: 0881492; GB: 0875203; GB: 0815793; IT: 0881492; IT: 0815793; IT: 1552792; IT: 1589878; JP: 5973349; JP: 5972258; JP: 5782428; JP: 4696150; JP: 1512755; JP: 1512754; JP: 1512753; JP: 1512752; KR: 532359; KR: 528102; NO: 326814 and NO: 326202.

Part Number: P14645-04

Publication Date: January 2017

1. Introduction

About the SonoSite X-Porte User Guide .................................................................................................. 1-1

Changes in version 1.2 ............................................................................................................................. 1-1

Document conventions ............................................................................................................................. 1-1

Getting help .................................................................................................................................................... 1-2

2. Getting started

About the system .................................................................................................................................................. 2-1

Accessories and peripherals .................................................................................................................. 2-3

Preparing the system .......................................................................................................................................... 2-3

Turning on the system .............................................................................................................................. 2-3

Adjusting the height and angle ............................................................................................................ 2-4

USB devices .................................................................................................................................................... 2-5

General interaction ................................................................................................................................................ 2-6

Clinical monitor .............................................................................................................................................. 2-6

VGA or digital video output .................................................................................................................... 2-8

Touch panel ..................................................................................................................................................... 2-8

Onscreen keyboard ...................................................................................................................................2-10

Preparing transducers .......................................................................................................................................2-11

Connecting transducers ..........................................................................................................................2-11

Selecting a transducer and exam type ..........................................................................................2-14

Gel ......................................................................................................................................................................2-19

Sheaths ...........................................................................................................................................................2-20

Ports ............................................................................................................................................................................2-20

Battery charge indicator ...................................................................................................................................2-22

Transporting the system ..................................................................................................................................2-22

Visual Guide videos ............................................................................................................................................2-23

Intended uses .......................................................................................................................................................2-24

3. Setting up the system

Administration settings ....................................................................................................................................... 3-1

CONTENTS

About security settings ............................................................................................................................. 3-2

Managing the Administrator account ................................................................................................ 3-2

Protecting patient information .............................................................................................................. 3-3

Adding and managing user accounts ................................................................................................ 3-3

Logging in ........................................................................................................................................................ 3-5

iii

Audio settings ..........................................................................................................................................................3-6

Calculations settings ............................................................................................................................................. 3-6

Cardiac calculations settings ................................................................................................................... 3-7

Obstetrics calculations settings .............................................................................................................3-7

CDA Report settings ..........................................................................................................................................3-10

Connectivity settings .........................................................................................................................................3-11

Importing and exporting connectivity settings .......................................................................... 3-12

DICOM ...................................................................................................................................................................... 3-13

Configuring the system for DICOM transfer ............................................................................... 3-14

Connecting to the network .................................................................................................................. 3-14

DICOM configuration pages ................................................................................................................ 3-16

Associating devices with locations .................................................................................................. 3-23

Date and Time settings .................................................................................................................................... 3-25

Display Information settings ..........................................................................................................................3-26

Logs ............................................................................................................................................................................3-26

Network Status settings ..................................................................................................................................3-27

Power and Battery settings ........................................................................................................................... 3-28

Presets settings ....................................................................................................................................................3-28

General preferences ................................................................................................................................3-29

Brightness ..................................................................................................................................................... 3-29

Labels .............................................................................................................................................................. 3-30

Exam types .................................................................................................................................................. 3-30

User profile settings ................................................................................................................................. 3-32

Importing and exporting ........................................................................................................................ 3-33

Routing selections .............................................................................................................................................. 3-34

Associating routing selections with exams .................................................................................3-34

Specifying educational DICOM archivers .....................................................................................3-35

System Information settings ......................................................................................................................... 3-36

USB settings ..........................................................................................................................................................3-36

Limitations of JPEG format ................................................................................................................... 3-37

eFilm Lite image-viewer ....................................................................................................................... 3-38

4. Imaging

Imaging modes .......................................................................................................................................................4-1

2D .........................................................................................................................................................................4-2

M Mode ............................................................................................................................................................. 4-2

Color ....................................................................................................................................................................4-3

Doppler .............................................................................................................................................................. 4-4

Dual .....................................................................................................................................................................4-5

Imaging controls .....................................................................................................................................................4-6

Controls in 2D ................................................................................................................................................ 4-8

Controls in Color ........................................................................................................................................4-12

Controls in M Mode .................................................................................................................................4-14

Controls in Doppler .................................................................................................................................. 4-16

Adjusting depth and gain ...............................................................................................................................4-20

Depth ............................................................................................................................................................... 4-20

Gain .................................................................................................................................................................. 4-21

Freezing, viewing frames, and zooming .................................................................................................4-22

Freezing the image .................................................................................................................................. 4-22

Viewing the cine buffer .......................................................................................................................... 4-22

Zooming in on the image ..................................................................................................................... 4-23

Visualizing needles ............................................................................................................................................. 4-24

Needle size and angle ............................................................................................................................4-27

Additional recommendations .............................................................................................................. 4-27

Labeling images ...................................................................................................................................................4-28

Adding text labels ..................................................................................................................................... 4-28

Adding arrows ............................................................................................................................................4-29

Adding pictographs .................................................................................................................................. 4-29

Setting the home position .................................................................................................................... 4-30

Labeling during review ........................................................................................................................... 4-30

Entering patient information ......................................................................................................................... 4-31

Editing patient information ................................................................................................................... 4-31

Entering patient information manually ........................................................................................... 4-32

Entering patient information from the worklist .........................................................................4-32

Ending the exam .......................................................................................................................................4-35

Patient form fields .....................................................................................................................................4-35

Images and clips ..................................................................................................................................................4-38

Reviewing .....................................................................................................................................................4-38

Printing images ........................................................................................................................................... 4-41

Archiving and exporting ........................................................................................................................ 4-41

Saving images and video clips ........................................................................................................... 4-44

DVR recording .......................................................................................................................................................4-47

Image Gallery ........................................................................................................................................................ 4-48

ECG ............................................................................................................................................................................ 4-49

5. Measurements and calculations

Measuring .................................................................................................................................................................. 5-1

Calipers .............................................................................................................................................................. 5-1

Viewing and deleting measurement results ..................................................................................5-2

Basic measurements in 2D ..................................................................................................................... 5-2

Basic measurements in M Mode ......................................................................................................... 5-3

Basic measurements in Doppler ..........................................................................................................5-4

Assigning measurements to calculations ........................................................................................ 5-8

About calculations ................................................................................................................................................5-8

Overview ..........................................................................................................................................................5-9

Percent reduction calculations ............................................................................................................5-11

Volume calculation .................................................................................................................................... 5-12

Volume flow calculation ......................................................................................................................... 5-12

Exam-based calculations ................................................................................................................................5-13

Abdominal calculations .......................................................................................................................... 5-13

Arterial calculations ..................................................................................................................................5-14

Cardiac calculations .................................................................................................................................. 5-18

Gynecological calculations ................................................................................................................... 5-35

Obstetrics calculations ..........................................................................................................................5-38

Small Parts and MSK calculations ..................................................................................................... 5-44

Acute Care calculations .......................................................................................................................... 5-45

Transcranial Doppler and Orbital calculations ............................................................................ 5-49

Worksheets and reports .................................................................................................................................. 5-52

Report preview ...........................................................................................................................................5-53

Acute Care and MSK worksheets ....................................................................................................5-54

Printing reports and worksheets ....................................................................................................... 5-56

Displaying reports after the exam has ended ............................................................................ 5-56

Customizing worksheets ....................................................................................................................... 5-56

Measuring during review ...................................................................................................................... 5-57

6. Measurement references

Measurement accuracy ......................................................................................................................................6-1

Sources of measurement errors ...........................................................................................................6-3

Measurement publications and terminology ...........................................................................................6-4

Cardiac references .......................................................................................................................................6-4

Obstetrical references ............................................................................................................................. 6-14

General references ................................................................................................................................... 6-20

7. Troubleshooting and maintenance

Troubleshooting ...................................................................................................................................................... 7-1

Software licensing ................................................................................................................................................. 7-2

Maintenance ............................................................................................................................................................. 7-5

System backups ............................................................................................................................................7-5

Servicing ........................................................................................................................................................... 7-6

8. Cleaning and disinfecting

Before getting started .........................................................................................................................................8-1

Determining the required cleaning and disinfecting level ................................................................8-2

Spaulding classifications ...........................................................................................................................8-2

Clean and disinfect system and transducer to a high level (semi-critical uses) ......... 8-3

Clean and disinfect system and transducer to a low level (non-critical uses) ............ 8-8

Storing the transducer ..................................................................................................................................... 8-11

Transporting the transducer .......................................................................................................................... 8-11

Accessories ............................................................................................................................................................ 8-13

Cleaning and disinfecting accessories ............................................................................................ 8-13

Cleaning and disinfecting the stand or Triple Transducer Connect (TTC) .................. 8-14

Cleaning the footswitch ....................................................................................................................... 8-14

Cleaning and disinfecting the ECG cable and slave cable ...................................................8-15

9. Safety

Ergonomic safety ................................................................................................................................................... 9-1

Position the system ....................................................................................................................................9-2

Position yourself ...........................................................................................................................................9-2

Take breaks, exercise, and vary activities .......................................................................................9-3

Electrical safety ....................................................................................................................................................... 9-3

Electrical safety classification .................................................................................................................9-5

Isolating the SonoSite SonoSite X-Porte ultrasound system from power .................... 9-6

Equipment safety ................................................................................................................................................... 9-6

Clinical Safety ...........................................................................................................................................................9-8

Electromagnetic compatibility ......................................................................................................................... 9-9

Wireless transmission ............................................................................................................................. 9-10

Electrostatic discharge ............................................................................................................................ 9-11

Separation distance .................................................................................................................................. 9-12

Compatible accessories and peripherals ....................................................................................... 9-12

Manufacturer’s declaration ................................................................................................................... 9-15

Labeling Symbols ................................................................................................................................................ 9-19

Specifications ........................................................................................................................................................ 9-23

Dimensions ...................................................................................................................................................9-23

Environmental limits ................................................................................................................................9-24

Electrical ......................................................................................................................................................... 9-25

Imaging modes ........................................................................................................................................... 9-25

Image and video clip storage capacity ..........................................................................................9-25

Standards ................................................................................................................................................................ 9-25

Electromechanical safety standards ................................................................................................9-25

EMC standards classification ............................................................................................................... 9-26

DICOM standard ........................................................................................................................................9-26

HIPAA standard .......................................................................................................................................... 9-26

10. Acoustic output

ALARA principle .................................................................................................................................................. 10-1

Applying the ALARA principle ........................................................................................................... 10-1

Direct, indirect, and receiver controls ............................................................................................. 10-2

Acoustic artifacts ................................................................................................................................................. 10-3

Guidelines for reducing MI and TI .............................................................................................................. 10-3

Output display ......................................................................................................................................................10-7

MI and TI output display accuracy ................................................................................................... 10-8

Factors that contribute to display uncertainty ...........................................................................10-9

Related guidance documents ............................................................................................................. 10-9

Transducer surface temperature rise ..................................................................................................... 10-10

Acoustic output measurement ................................................................................................................. 10-10

Tissue models and equipment survey ........................................................................................10-12

Acoustic output tables .................................................................................................................................. 10-13

Acoustic measurement precision and uncertainty ............................................................... 10-69

Terminology in acoustic output tables ........................................................................................ 10-70

vii

11. IT Network

Functions .................................................................................................................................................................11-1

Network for connecting the device ........................................................................................................... 11-1

Specifications for the connection ...............................................................................................................11-1

Hardware specification ........................................................................................................................... 11-1

Security .......................................................................................................................................................... 11-1

Data flow .......................................................................................................................................................11-2

IT network failure recovery measures .....................................................................................................11-3

Glossary

Terms ............................................................................................................................................................................A-1

Abbreviations ...........................................................................................................................................................A-2

Index .....................................................................................................................................B-1

viii

Introduction

About the SonoSite X-Porte User Guide

The SonoSite X-Porte User Guide provides information on preparing and using the SonoSite X-Porte ultrasound system and on cleaning and disinfecting the system and transducers. It also provides system specification, and safety and acoustic output information.

Note We highly recommend you read the entire user guide before

using the system.

The user guide is intended for a user familiar with ultrasound. It does not provide training in sonography, ultrasound, and clinical practices. Before using the SonoSite X-Porte ultrasound system, you must complete such training.

Refer to the applicable FUJIFILM SonoSite accessory user guide for information on using accessories and peripherals. Refer to the manufacturer’s instructions for specific information about peripherals.

Changes in version 1.2

Feature Description

Hardware updates New clinical monitor, stand, control panel, dock, and

mobile printer.

Document conventions

 A WA RN ING describes precautions necessary to prevent injury or loss of life.

 A

Caution describes precautions necessary to protect the products.

CHAPTER 1

 A

Note provides supplemental information.

 Numbered and lettered steps must be performed in a specific order.

 Bulleted lists present information in list format but do not imply a sequence.

Introduction 1-1

Symbols and terms used on the system and transducer are explained in “Labeling Symbols” on page 9-19 and the “Glossary” on page A-1.

Getting help

In addition to the SonoSite X-Porte User Guide, the following are available:

 Visual Guide videos. See “Visual Guide videos” on page 2-23.

 On-system Help: tap MORE, and then tap Help.

 SonoSite X-Porte

 Service manual.

 FUJIFILM SonoSite Technical Support

Phone (U.S. or Canada) (877) 657-8118

Phone (Outside U.S. or Canada)

Fax (425) 951-6700

E-mail ffss-service@fujifilm.com

Web www.sonosite.com

Europe Service Center Main: +31 20 751 2020

Asia Service Center +65 6380-5589

Getting Started Guide.

(425) 951-1330, or call your local representative

English support: +44 14 6234 1151 French support: +33 1 8288 0702 German support: +49 69 8088 4030 Italian support: +39 02 9475 3655 Spanish support: +34 91 123 8451

1-2 Introduction

Getting started

WARNI N G Do not use the system if it exhibits erratic or inconsistent

behavior. Such behavior could indicate a hardware failure. Contact FUJIFILM SonoSite Technical Support.

About the system

The SonoSite X-Porte is a portable device that acquires and displays high-resolution, real-time ultrasound images. Features available depend on your system configuration, transducer, and exam type.

Figure 2-1 and Figure 2-2 display the SonoSite X-Porte in kiosk mode. The ultrasound

core can be detached from the kiosk to provide a desktop configuration.

CHAPTER 2

Getting started 2-1

Figure 2-1 X-Porte front view Figure 2-2 X-Porte rear view

1. Clinical monitor, 2. Touch panel, 3. Platform,

4. Hook (4), 5. Transducer connector, 6. Locking wheel (4), 7. Height-adjustment pedal,

1. Ports on dock, 2. Power cord connector, 3. Battery charge indicator, 4. Ports on dock

8. Basket, 9. USB ports (3),10. Power button

A license key is required to activate the software. See “Software licensing” on page 7-2.

Basic operating steps

1 Connect a transducer. See “Connecting transducers” on page 2-11.

2 Turn on the system. See “Turning on the system” on page 2-3.

3 Select the transducer and exam type (or use the default selections). See “Selecting a transducer and

exam type” on page 2-14.

4 (Optional) Enter patient information. See “Entering patient information” on page 4-31.

5 Scan. See “Imaging modes” on page 4-1.

2-2 Getting started

Accessories and peripherals

The system supports various accessories and peripherals. See “Compatible accessories and peripherals” on page 9-12.

Preparing the system

Turning on the system

WAR NI NG S  Verify that the hospital supply voltage corresponds to the power supply voltage

range.

 Plug the system only into a grounded hospital-grade outlet.

 Use only power cords provided by FUJIFILM SonoSite with the system.

Cautions  Do not use the system if an error message appears on the clinical monitor. Note

the error code and turn off the system. Call FUJIFILM SonoSite or your local representative.

 When using AC power, position the system to allow easy access to disconnect it.

To turn on the system

The system can be powered by the internal battery or by AC power.

1 If you are operating the system using AC power, connect the AC power cord to the stand, and then

connect the AC power cord to a hospital-grade outlet.

2 Press the power button.

The power button turns green when the system is ready for scanning.

If the system does not maintain expected battery charge, or if the battery icon on the clinical monitor does not display the battery charge status, disconnect and reconnect the system to AC power.

Connect the system to AC power to maintain battery charge, especially if the system will not be used for several days.

To connect the system to AC power (battery charge maintenance)

1 Turn off the system.

2 Disconnect the system from AC power.

Getting started 2-3

3 Check the battery switches; ensure that all three switches are depressed to the ʘ symbol, which is the

ON position.

Note The system will not charge and maintain the batteries if the battery switches are

depressed to the ·O symbol, which is the OFF position.

4 Reconnect the system to AC power.

The battery charge indicator at the base of the stand blinks green, and the battery icon on the clinical monitor displays the battery charging state.

To turn off the system

Note If the system appears unresponsive, wait several minutes before restarting it.

Restarting the system while it is performing data-intensive background activities, such as transferring patient files, can result in loss of patient data. To power down an unresponsive system, press and hold the power button until the system shuts down. This procedure may take 5 seconds or longer.

 Press the power button.

The system will power down when your data is safe. Any in-progress transfers will complete when power is restored.

Adjusting the height and angle

WA RN IN G S  Lock the wheels whenever the system is unattended or stationary.

 To avoid possible injury from an unexpected clinical monitor collapse during

system transport, collapse the clinical monitor before system transport (see “To

collapse the clinical monitor” on page 2-5).

To raise or lower the platform

 While pressing down the height-adjustment pedal, grasp both sides of the platform and push down or

pull up to the desired height.

To lock a wheel

 Press down the lever on the wheel.

To unlock the wheel, press up on the bottom of the lever.

To adjust the clinical monitor angle

 Grasping the clinical monitor on both sides, tilt or rotate it.

2-4 Getting started

To adjust the touch-panel angle

 Grasping the sides of the touch panel, pull it forward or push it backward to the desired angle.

To collapse the clinical monitor

Always collapse the clinical monitor before system transport.

1 Adjust the touch panel angle to the lowest position.

2 Grasping the clinical monitor on both sides, align it squarely above the touch panel.

3 Fold the clinical monitor downward over the touch panel. Refer to Figure 2-3 on page 2-5.

Figure 2-3 Clinical monitor collapsed for system transport

USB devices

You can use the USB ports on the system for connecting devices such as a USB printer or a USB memory stick. For a list of supported devices, see “Compatible accessories and peripherals” on page 9-12.

One of the USB ports at the back of the system is for DVR recording only. See “Ports” on page 2-20 and

“DVR recording” on page 4-47.

USB memory sticks

You can use a USB memory stick to export patient exams, import and export logs and setup configurations, and to import custom obstetric calculation tables.

Note The system does not support software-encrypted USB memory sticks.

Getting started 2-5

Cautions  To avoid damaging the USB memory stick and losing patient data from it, observe

the following:

 Do not remove the USB memory stick or turn off the ultrasound system

while the system is exporting.

 Do not bump o r otherwise apply pre ssure to the USB memory stick while it is

in a USB port on the ultrasound system. The connector could break.

 If the USB icon does not appear in the system status area on the clinical

monitor, the USB memory stick may be defective or software-encrypted. Replace the USB memory stick.

To connect a USB memory stick for importing or exporting

 Insert the USB memory stick into a USB port (see “About the system” on page 2-1).

The USB memory stick is ready when the USB icon appears onscreen.

To view information about the device, see “USB settings” on page 3-36.

To disconnect a USB memory stick

Disconnecting the USB memory stick while the system is exporting to it may cause the exported files to be corrupted or incomplete.

1 If exporting, wait at least five seconds after the USB animation icon stops.

2 Remove the USB memory stick from the port.

General interaction

Clinical monitor

WA RN I NG S  FUJIFILM SonoSite does not recommend using a monitor other than the clinical

monitor provided by FUJIFILM SonoSite. Only the images presented on the clinical monitor are validated for the intended use of the device.

 Do not use a monitor connected through the external VGA or digital video out

for medical diagnosis.

2-6 Getting started

The clinical monitor displays the ultrasound image as well as details about the exam and system status.

Figure 2-4 Clinical monitor layout

Patient header 5 System status area

Measurement and calculation area 6 Imaging mode or modes, controls selected

Ultrasound image 7 Depth scale

Selected transducer, exam type, and MI

8 Orientation marker

and TI values

Getting started 2-7

VGA or digital video output

WA RN I NG S To avoid possible electrical shock or electromagnetic interference, verify proper

operation and compliance with relevant safety standards for all equipment before clinical use. Connecting additional equipment to the ultrasound system constitutes configuring a medical system. FUJIFILM SonoSite recommends verifying that the system, all combinations of equipment, and accessories connected to the ultrasound system comply with relevant installation requirements and safety standards.

 For safety, FUJIFILM SonoSite recommends isolating auxiliary video connections

with external devices; for example, optical or wireless interface adapters. Check the electrical safety of your system with a trained biomedical engineer prior to use.

WA RN I NG S  FUJIFILM SonoSite does not recommend using a monitor other than the clinical

monitor provided by FUJIFILM SonoSite. Only the images presented on the clinical monitor are validated for the intended use of the device.

 Do not use a monitor connected through the external VGA or digital video out

for medical diagnosis.

Resolution

 VGA video output resolution is 1280 x 800 at 60 Hz (non-interlaced), Reduced Blanking.

 Digital video output resolution is 1920 x 1080 at 60 Hz.

Note Digital video output is only available on the second monitor configuration. See

“Clinical monitor” on page 9-24.

Touch panel

The touch panel is where you adjust settings; select the exam type, transducer, and imaging mode; enter patient information; and more. As you adjust the image settings or controls, the results appear on the clinical monitor. When an image is frozen, the touch panel displays an outline of the image.

You interact with the touch panel the same as with many other touchscreen devices:

 Swipe: Move your finger quickly across the panel. Faster than dragging.

 Drag: Move one or two fingers across the panel, usually to move an object from one location to another.

 Ta p: Quickly touch the panel once; for example, to activate a control.

 Double-tap: Quickly touch the panel twice with one or more fingers.

 Pinch or spread: Slide two fingers together or apart on the panel.

2-8 Getting started

Use these gestures to perform these actions:

Table 2-1: Gestures and actions

Gesture Action

Swipe Steer D-line (linear transducers only)

Steer color box (linear transducers only)

Scroll through pages in forms, such as the patient form, worksheets, and thumbnails in Review

Select previous or next images in full-screen Review

Drag Adjust depth or gain

Move color or zoom box

Move calipers

Move D-line or M-line

Move Doppler baseline

With two or more fingers, drag anywhere on the touch panel to move or resize the active object, such as the Color box or the Doppler gate

Move depth marker in biopsy guide

Change the D-line angle selection

Move labels, pictograms, and transducer marker

Move through frames in the cine buffer

Move controls to the Controls bar

Pan a frozen zoomed 2D image (panning is disabled if measurements or labels exist on the frozen zoomed image)

Unfreeze a frozen image by dragging the Slide to Unfreeze slider

Getting started 2-9

Table 2-1: Gestures and actions (continued)

Gesture Action

Ta p Freeze

Adjust depth

Select calipers

Select image in dual

Select mode in split screen (2D, D-line, or Doppler trace)

Select control

Double-tap With two or more fingers, double-tap to freeze or unfreeze

Double-tap with one finger in the zoom box to zoom

Double-tap with one finger on a live zoomed image to unzoom

Pinch or spread

Sample volume size

Resize color or zoom box

Onscreen keyboard

You can enter text into text boxes (for example, on the patient form) using the onscreen keyboard.

To enter text using the onscreen keyboard

1 Tap a text box (for example, in the patient form).

The onscreen keyboard appears.

2 Tap keys as needed.

 Tap and hold the alpha keys to reveal options for selecting accented versions of the characters

 Tap the shift key to change alphabet keys to uppercase characters

 Ta p Previous to jump to previous text box

2-10 Getting started

 Ta p Next to advance to next text box

123#?

 Tap to display keys for numbers, symbols, and special characters

Note

 Tap to close the keyboard

 Tap to start a new line or advance to next text box

 Tap to delete a character on the left side of pointer

To display international characters on the keyboard, tap , and then tap the shift key.

Preparing transducers

WA RN I N G S Some transducer sheaths contain natural rubber latex and talc, which can cause

allergic reactions in some individuals. FUJIFILM SonoSite recommends that you identify your latex and talc-sensitive patients and be prepared to treat allergic reactions promptly.

 Some gels and sterilants can cause an allergic reaction on some individuals.

Cautions  To avoid damage to the transducer, use only gels recommended by FUJIFILM

SonoSite. Using other gels can damage the transducer and void the warranty. If you have questions about gel compatibility, contact FUJIFILM SonoSite or your local representative.

 Clean transducers after each use (see “Determining the required cleaning

and disinfecting level” on page 8-2).

Connecting transducers

This section provides instructions to connect a transducer, with or without the Triple Transducer Connect (TTC), as well as instructions to remove a transducer.

To connect a transducer to the TTC

The TTC is a three-transducer module that lets you simultaneously connect up to three transducers to the ultrasound system. The TTC is standard with the system.

1 Pull the transducer latch handle up, and rotate it clockwise.

Getting started 2-11

2 Insert the transducer connector into one of the three TTC connector ports on the bottom of the TTC.

3 Make sure that the connector is firmly seated, and then turn the latch handle counterclockwise.

4 Press the latch handle up, securing the transducer connector to the TTC.

2-12 Getting started

To connect a transducer to the system (without a TTC)

If the TTC is not installed on your system, you can connect one transducer directly to the system.

1 Pull the transducer latch up, and rotate it clockwise.

2 Insert the transducer connector into the transducer port underneath the stand platform.

3 Make sure that the connector is firmly seated, and then turn the latch handle counterclockwise.

4 Press the latch up, securing the transducer connector to the system.

Getting started 2-13

To remove a transducer

Caution To avoid equipment damage that could lead to image quality degradation, do not

disconnect a transducer while it is in use. Either freeze the image or switch to another transducer before disconnecting.

1 Pull the transducer latch up, and rotate it clockwise.

2 Pull the transducer connector away from the system.

Selecting a transducer and exam type

WARN I N G To prevent misdiagnosis or harm to the patient, use the correct transducer for

the application. The diagnostic capability differs for each transducer, exam type, and imaging mode. Transducers are developed to specific criteria depending on their physical application. These criteria include biocompatibility requirements. Understand the system's capabilities prior to use.

Before scanning, select a transducer and exam type.

To select a transducer and exam type

1 Do one of the following:

 On the start select screen, tap SELECT if present. To set up the start select screen, see “User profile

settings” on page 3-32.

 Ta p TRANSDUCERS & EXAMS at the top of the touch panel.

Cards for the available transducers appear (see “Connecting transducers” on page 2-11).

2 On the card for the appropriate transducer, do one of the following:

 Double-tap the exam type.

 Tap the exam type, and then tap SCAN, or tap Cancel to cancel.

Scrolling the list of exam types displays any hidden items.

You can also select the exam type on the patient form (see “Entering patient information” on page 4-31).

Sheaths

WARN I N G Use market-cleared, sterile transducer sheaths and sterile coupling gel for

transrectal, transvaginal, or guided-needle procedures. Do not apply the transducer sheath and coupling gel until you are ready to perform the procedure. After use, remove and discard the single-use sheath, and clean and disinfect the transducer using a FUJIFILM SonoSite-recommended disinfectant. See the cleaners and disinfection document available at www.sonosite.com for a complete list of the most current cleaners and disinfectants.

To apply a transducer sheath

1 Place gel inside the sheath. Make sure that the gel is at the end of the sheath.

2 Insert the transducer into the sheath.

3 Pull the sheath over the transducer and cable until the sheath is fully extended.

4 Secure the sheath using the bands supplied with the sheath.

5 Check for and eliminate air bubbles between the face of the transducer and the sheath.

Air bubbles between the face of the transducer and the sheath may affect the ultrasound image.

6 Inspect the sheath to ensure that there are no holes or tears.

Ports

Two dock configurations are now available. The dock provides ports for various applications (see Figure 2-5 on page 2-20 and Figure 2-6 on page 2-21).

Figure 2-5 Back of system with first dock configuration: 1. USB 2. Digital video in 3. Audio in 4. MicroSD -

DVR software upgrade 5. USB storage - DVR 6. E-SATA (unsupported) 7. USB 8. Ethernet

2-20 Getting started

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