Juniper 4VETJ User Manual

USER’S MANUAL
Copyright ©February 2018 Juniper Systems, Inc. All rights reserved. Information is subject to change without notice.
Juniper Systems® is a registered trademark of Juniper Systems, Inc. 4VetJ Ultrasound Scanner™, EmberEquine Ultrasound Reproduction Solution™, EmberEquine Field Software™, and Mesa 2 Rugged Tablet™ are recognized trademarks of Juniper Systems, Inc.
Windows, Windows 10, and the Windows logo are trademarks or registered trademarks of Microsoft Corporation in the United States and/or other countries.
Adobe® Acrobat® and Adobe® Reader® are registered trademarks of Adobe Systems Incorporated in the United States and/or other countries.
The names of other companies and products mentioned herein may be the trademarks of their respective owners.
WARNING! This symbol indicates that failure to follow
!
directions could result in serious injury.
CAUTION: This symbol indicates that failure to follow
!
directions could result in damage to equipment or loss of information.
Part Number 27208-00
The 4VetJ is jointly manufactured by Dramiński S.A., ul.
Owocowa 17, 10-860 Olsztyn, Poland and Juniper Systems, Inc. It is distributed by Juniper Systems, Inc. in the U.S.
tel: 435.753.1881
1132 W. 1700 N. Logan, UT 84321
ii 4VetJ Ultrasound Scanner User’s Manual
web: www.junipersys.com
l
Contents
1 Getting Started 1
System Over view 2 Features of the 4VetJ Ultrasound Scanner 3 Probes 4 Battery Pack and AC Power Supply 5 Display and Touchscreen 6 Perform Initial Tasks 6 Clean and Disinfect the 4VetJ and Components 10 Prepare the Animal 11 Safety of Use 11
2 4VetJ Settings and Functions 13
Elements of the Basic Panel 14 Active Fields 16 Imaging Modes 16 Optimize Image Parameters 19 Freeze 22 Cine Loops 22 Measurements 22 Optimization of B+M and M modes 31 Saving and Uploading Images and Cine Loops 31 Patient Data Function 34 Needle Echo Enhancement Tool 36 Full Screen 36 Printing Images 36 Presets 37 Look 39 Clinic 40 Info 40 Time 42 Display 42
Contents iii
Audio 43 Measurements 43 DICOM 44 Wi-Fi 45 Troubleshooting 46
A Clean, Store, Transport, and Recycle 49
Clean and Disinfect 50 Store 51 Transport or Ship 51 Recycle 52
B Warranty and Repair Information 53
Limited Product Warranty 54 Repairs, Upgrades, and Evaluations 57
C Warnings, Regulatory Information, and
Licensing 59
Product Warnings! 60
D Specications 63
Index 67
iv 4VetJ Ultrasound Scanner User’s Manual
CHAPTER

Getting Started

1
Getting Started

System Overview

The Draminski 4VetJ Ultrasound Scanner™ from Juniper Systems is a diagnostic tool used in veterinary medicine. Clear ultrasound images and other parameters can be captured on the resistive touchscreen during an exam and saved.
The compact dimensions and ergonomic design allow the 4VetJ to be used as a mobile or stationary device. Use the
4VetJ to evaluate the physiological condition of specic
organs during gynecological and obstetrical exams as well as conduct exams of the musculosketetal system, lungs, etc.
The standard 4VetJ includes the following components:
 Ultrasound scanner
 Endorectal linear probe and cord for obstectrical exams
(other probes are available as options)
 Rechargeable Li-Ion battery pack (internal)
 AC power supply and charger
 Stylus and tether
 Durable carrying case
You can also attach a keyboard, mouse, printer, or extra monitor to the 4VetJ using the appropriate connector ports.
The 4VetJ can be used as a stand-alone unit or as part of our EmberEquine Ultrasound Reproduction Solution™.
This manual focuses on the 4VetJ Ultrasound Scanner.
EmberEquine Ultrasound Reproduction Solution
An EmberEquine solution includes the 4VetJ and a Mesa 2 Rugged Tablet™ running EmberEquine software. Exams are performed on mares using the 4VetJ ultrasound to view and save images with measurements. This information is transferred to the Mesa 2 running EmberEquine software. Exam records and images are saved on the Mesa 2 and can be pushed to the Microsoft Cloud for secure storage and to provide wide access to animal data.
2 4VetJ Ultrasound Scanner User’s Manual

Features of the 4VetJ Ultrasound Scanner

Front View
1
1 Resistive Touchscreen
2 Handle
3 Probe Cord Strap
4 Stylus with Tether
2 3
4
5
6
7
8
5 Door to Connector Ports
6 Stylus Holder
7 Speaker
8 On/O Button
Connector Ports
1
2
3 4
5
1 Ethernet Port
2 HDMI Port
3 USB 2.0 Port
4 USB 3.0 Port (higher speed)
5 Door to Connector Ports
Chapter 1 Getting Started 3
Back View
1
2
3
4
6 7 8
5
9
1 Battery Charge Indicators
- green = fully charged
- orange = charging
- red = external power applied
2 Power Input Jack
3 Battery Pack (internal)
4 Tilt Stand (adjustable)
5 Probe
6 Cord Strap
7 Probe Connector (attached
to socket)
8 Probe Cord Wrap
9 Probe Connector Lock
(locked position)

Probes

A standard 4VetJ comes with an endorectal linear probe, 4-9 MHz, for pregnancy and gynecological exams on large animals like cattle or horses.
4 4VetJ Ultrasound Scanner User’s Manual
There is a 7.6 foot long cord with the probe on one end and a probe connector on the other end. The 4VetJ is shipped with the probe connector attached to the probe socket and the cord wrapped around the probe cord wrap.
We also offer the following probes for varying veterinary needs (contact your sales representative):
 Convex, 2–8 MHz
 Microconvex, 4–9 MHz
 Linear, 60 mm 5–10 MHz
 Linear, 40 mm 6–14 MHz

Battery Pack and AC Power Supply

The 4VetJ has an internal, rechargeable, Li-Ion battery pack that lasts 6 + hours. It is not user replaceable. An AC power supply and charger is included. The battery can be charged during use.
CAUTION: Always use the AC power supply included with
!
the 4VetJ to charge the battery pack or power the unit. The use of any other power supply unit can cause harm to the user or permanently damage the device.
All maintenance work must be carried out when the power supply is disconnected.
In order to avoid the risk of an electric shock, the device must be connected to a power outlet with protective grounding.
Chapter 1 Contents 5

Display and Touchscreen

The high quality LCD display produces clear, high resolution images in a variety of conditions. The resistive touchscreen enables the operation of the 4VetJ software with a gloved hand or a stylus. Many tasks, like measurements, are best performed with the stylus.
Note: If you are using your ngers, make sure you are
pressing hard enough on the touchscreen for your selections and measurements to be recognized. Use a light touch when the stylus is used.

Perform Initial Tasks

Before you use the 4VetJ for an exam, perform the tasks described in this section.
Review Documentation
Owner’s manuals (4VetJ, EmberEquine, Mesa 2), quick start guides, videos, Windows and Ember license agreements, release notes, and other documents are available on our website at: www.junipersys.com/emberequine/support. If you have an EmberEquine system, the manuals are also located on the Mesa 2 Rugged Tablet in the Ember Help folder tile located in the Windows Start menu. View, download, and print documents as desired. (You need a PDF reader on the device you are viewing documents with. Options include the Windows 10 Edge browser and Adobe Reader, which is available from Adobe’s website at: www.
adobe.com.)
Documentation will be updated during the lifetime of the products. Compare version numbers on the inside covers to see if a document has changed.
Charge the Battery Pack
When you rst receive the 4VetJ, we recommend that you
fully charge the internal battery pack. Follow these steps:
1. Turn the 4VetJ off while the battery pack is being charged to shorten the time it takes to reach a full charge.
6 4VetJ Ultrasound Scanner User’s Manual
2. Use the AC power supply included with the 4VetJ to charge the battery pack or power the unit. Plug the AC adapter into a wall socket. Plug the power input end into the DC power input jack on the back of the 4VetJ. Verify that the red and orange battery charge indicators are on.
3. Charge the battery pack at room temperature (68° F or
20° C) for 6 hours for the rst charge.
Power Options
You can operate the 4VetJ while you are charging it, but it takes longer to charge the battery pack. If the 4VetJ is off, a completely discharged battery pack takes about 4 to 5 hours to charge. If the 4VetJ is in use while charging, it takes about 20% longer to fully charge the battery.
Battery Indicators
When the 4VetJ is turned on, the battery charge level shown on the status bar at the top of the display does not report the correct charge until the battery pack is fully charged
for the rst time. After the battery pack is fully charged, the
indicator shows the correct charge.
A low battery message might be shown in the middle of the screen that tells you to charge the battery pack.
There are three battery charge indicators on the back of the 4VetJ that indicate the following:
 Off: The LEDs are always off when the AC power adapter
is not applied.
Chapter 1 Contents 7
 Red: When the power supply is plugged in, the red LED
immediately lights up.
 Orange or Green: Within a few seconds either the orange
or green LED lights up. Orange indicates that the battery pack is charging. Green indicates a full charge.
Note: If the 4VetJ is left on when it is not being used and it is not being powered by the AC adapter, the battery pack is completely discharged and the 4VetJ automatically shuts off.
Attach or Remove a Probe
To remove or replace a probe, follow these steps:
1. The 4VetJ can be on or off when a probe is removed or replaced.
2. Unhook the probe and cord strap, and unwind the probe cord from the cord wrap.
3. Unlock the probe by turning the probe connector lock counter-clockwise to a horizontal position (see the symbols near the lock).
!
CAUTION: Handle the probe, connector, and cord with care to avoid mechanical damage. Do not drop, hit, or scrub the probe head. Protect the probe connector from dirt and moisture (it is not waterproof). Avoid
excessive force, bending, and pulling of the cord.
8 4VetJ Ultrasound Scanner User’s Manual
4. Pull the probe connector free from the socket. A message saying Probe OFF appears on the display.
With the probe removed, certain functions are no longer
available.
Note: If you are not going to have a probe attached to the 4VetJ, slide the socket cover closed to keep out debris.
5. Attach the probe connector into the socket for the probe you are attaching.
6. Lock the probe in place by turning the lock clockwise to a vertical position. The probe type is recognized automatically by the system. A message saying Probe
ON appears on the display.
Note: It can take a minute or more for the new probe to be recognized. You might need to restart the 4VetJ.
7. Wrap the probe and cord around the probe cord wrap and hold it in place with the cord strap. The probe is ready to be used or stored.
Note: The cord wrap is designed for the endorectal linear probe. The cord length of other probes requires
Chapter 1 Contents 9
the cord to be doubled back near the probe to allow the probe to be held in place under the cord strap.
!
CAUTION: The crystals in the probes have a limited life. If the 4VetJ is running but no exam is being done, either turn the unit off or unhook the probe from the probe socket. This helps extend the life of the crystals.

Clean and Disinfect the 4VetJ and Components

The 4VetJ and probe should be cleaned and disinfected before each use and before they are stored, transported, or sent to our service department for servicing or repairs.
CAUTION: It is important to note that the 4VetJ and the
!
probe connector are not waterproof. Use caution when cleaning or disinfecting them.
In addition to the information below regarding the cleaning and disinfecting of the 4VetJ and components, refer to Appendix A, Clean, Store, Transport, and Recycle.
4VetJ
The 4VetJ must be powered off and unplugged for thorough cleaning. Use warm water or a mild cleaning solution on the casing. Remember that the 4VetJ is not waterproof.
Touchscreen
For dr y cleaning of the touchscreen, rub it with a soft cloth. Avoid substances that can scratch or damage the screen. For damp cleaning use a spray or foam agent designed for such use, warm water, or a mild detergent.
Probe
Clean and disinfect the probe before each examination. The probe and cord are waterproof. The probe connector (which attaches to the probe socket) is not waterproof, so use caution when you are cleaning or disinfecting the area near it. Do not scrub the head of the probe. Clean it gently with a soft cloth and a mild cleaning solution approved for ultrasound probes. Do not use concentrated, aggressive, or abrasive agents or substances like alcohol or bleach that could deteriorate the probe head.
10 4VetJ Ultrasound Scanner User’s Manual

Prepare the Animal

Preparing animals for ultrasonography varies depending on the animal, the type of exam being done, and the type of probe being used.
WARNING! It is assumed by Draminski and Juniper Systems,
!
Inc. that the user of this equipment is properly trained to safely and correctly perform ultrasonography on animals.
Special, certied gel designed for ultrasound examinations
must be used. Using other substances may be dangerous for the animal and cause undesirable effects. It can also
have a negative inuence on the head of the probe. Proper
gelling improves penetration of the signals and helps obtain correct and more legible images.
For external probes, prepare the skin of the animal in the area to be examined. You might need to shave fur and wipe the area with a disinfecting agent. Cover the skin of the patient with the gel.

Safety of Use

Review the following list of safety issues before using the 4VetJ. More safety information is located in Appendix C, Warnings, Regulatory Information, and Licensing.
 The 4VetJ ultrasound is only for use on animals. It is not for
human use.
 The 4VetJ is a mobile computer with solid construction.
Handle the touch panel, probe, and other components carefully to avoid mechanical damage.
To limit the inuence of acoustic energy emitted by the
ultrasound probe on the operator and the animal, follow the recommended standards of ultrasound examinations.
 Technical inspection of the 4VetJ by the manufacturer
every two years is recommended to help guarantee the highest level of performance and safety.
 Carry out periodic inspections of the probe, cable
and the connector. If mechanical damage is found or suspected, it is necessary to send these components to the manufacturer for servicing.
Chapter 1 Contents 11
 Do not modify the device.
 The warranty is void if unauthorized repairs are done.
 The 4VetJ should be used for diagnostic purposes only.
 The device is not recommended for esophageal
examinations.
 Do not use the 4VetJ near explosive devices.
 Ultrasound exams should not be carried out in
conjunction with a debrillator.
 Avoid exposing the device to strong sunlight or heat for
extended periods of time.
 During examinations the device should not be
connected to LAN (via Ethernet).
 In order to avoid the risk of electric shock, never mix
water and electricity. Install Ground Fault Circuit Interrupters (GFCI). Make sure you’re using the right size circuit breakers and fuses.
 Before transporting or shipping the 4VetJ and
components, they must be protected against damage. The carrying case offers protection when it is properly packed and securely closed and latched.
 Make sure that nothing is touching the touch panel
except for the carrying case lid during shipping or severe screen damage can occur. Put the stylus in the stylus holder and place the stylus tether where it won’t touch the screen.
12 4VetJ Ultrasound Scanner User’s Manual
2CHAPTER
4VetJ Settings and
Functions
4VetJ Settings and Functions
This chapter discusses the 4VetJ settings and functions that can be used for ultrasound examinations.
WARNING! Ultrasound examinations using the 4VetJ and
!
probesmustbeconductedbyqualiedandproperly
trained personnel.
Press and release the on/off button . It takes about 60 seconds for the system to load, then the basic panel is shown.

Elements of the Basic Panel

During an examination, use the buttons on the basic panel and subsequent screens to set up operating parameters
and to complete specic tasks. These settings, indicators,
modes, and functions are described in more detail in this chapter.
14 4VetJ Ultrasound Scanner User’s Manual
1. Grey scale indicator / change negative - positive
2. Probe marker indicator (direction)
3. Ruler
4. Indicator of focus level
5. Gamma setting button
6. Name of practice or user and currently used preset
7. List of current working parameters
8. Information about the probe that is currently being used
9. Symbols showing communication status between 2 devices, Wi-Fi hotspot and Wi-Fi access status, date and time
10. Battery charge indicator
Control Panel
11. Gain adjustment: Gain 1 – general gain; Gain 2 – far
eld gain
12. Probe frequency adjustment
13. Scanning depth adjustment
14. Focus level adjustment
15. Zoom level adjustment
16. Postprocessing on/off (adjust this in Settings/Look)
17. Loading and saving images and cine loops
Mode Panel
18. Freeze button (freezing/unfreezing of the image)
19. Selection of imaging mode: B, B+B, 4B
20. Selection of imaging mode: M, B+M
21. Needle echo enhancement tool
22. Send Image to the Mesa 2 via Wi-Fi (option)
23. Presets
24. Full screen mode
25. Menu of measurements
26. Patient’s data
2 7. Print images
28. Settings, additional options
Chapter 2 4VetJ Settings and Functions 15

Active Fields

Active elds are areas on the image used to change parameter settings with the use of your nger or stylus
instead of using buttons located in the control panel.
Within the image sector the following active elds can be
changed:
 General gain Gain in the far eld
 Level of focus
 Depth of scanning

Imaging Modes

The basic activities associated with the operating modes are described in this section.
Modes B, B+B, and 4B
Press the B mode button. From the submenu that appears, select the mode associated with the desired screen view.
16 4VetJ Ultrasound Scanner User’s Manual
Mode Description Sample Screen View
B Starts B mode
B B From the submenu,
starts B+B mode where windows are next to each other in a horizontal position
B B
From the submenu, starts B+B mode where windows are next to each other in a vertical position
BB BB
From the submenu, starts 4B mode
Movement in the Zoom mode
In the B+B and 4B modes active elds are located in each window.
Chapter 2 4VetJ Settings and Functions 17
Switching Between Windows in B+B and 4B Modes.
To activate the next window, double click on its window. If this is done during the examination, the previous window is frozen.
When the images in both windows are frozen, switching a window causes the frozen image to relocate from the previously active window to the newly activated window.
Modes B+M and M
Press the B+M mode button. To switch to M mode, from the dropdown menu that appears, select M mode.
Mode Description Sample Screen View
B+M Starts B+M mode
M
18 4VetJ Ultrasound Scanner User’s Manual
Select from the dropdown menu

Optimize Image Parameters

To optimize the image parameters, refer to instructions that fol l ow.
Gain Levels
The [Gain 1] and [Gain 2] buttons have adjustment ranges from 1 to 8. Increases of the gain value cause the image to become brighter. Adjust gain levels depending on your needs, the type of the examination, and the depth of penetration of external light conditions.
You can also adjust gain levels with your ngers or the stylus. Gain 1 can be adjusted in the active eld located at the
top of the scanning sector. Gain 2 can be adjusted at the bottom of the sector.
Probe Frequency
The 4Vet operates with broadband probes that are able to emit signals of different frequencies.
The range of available frequencies depends on the type of the probe. Refer to Appendix D, Specications.
To change the signal frequency, use the [MHz -] and [MHZ +] buttons in the control panel.
Chapter 2 4VetJ Settings and Functions 19
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