Philips 7500, 5500 User Guide

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SONOS 7500/5500
Using Integrated Digital Interface
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User’s Guide
Using Integrated Digital Interface (IDI)
Philips SONOS 7500 Philips SONOS 5500
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© 2002 Philips Electronics North America Corporation
All rights are reserved. Reproduction in whole or in part is prohibited without the prior written consent of the copyright holder.
Publication number M2424-30000-id-02
Edition 4
Published November, 2002 Printed in U.S.A.
Warra nt y
The information contained in this document is subject to change without notice.
Philips Ultrasound makes no warranty of any kind with regard to this material, including, but not limited to, the implied warranties of merchantability and fitness for a particular purpose.
Philips Ultrasound shall not be liable for errors contained herein or for incidental or con­sequential damages in connec­tion with the furnishing, performance, or use of this ma­terial.
This product may contain re­manufactured parts equivalent to new in performance or have had incidental use.
WARNING
Electrical Shock Hazard
Do not remove system covers. To avoid electrical shock, use only supplied power cords and connect only to properly grounded (3-hole) wall outlets.
Explosion Hazard
Do not operate the system in the presence of flammable an­esthetics.
Safety Information
Before you use the Philips ul­trasound system for the first time, be sure to read the Safety and Standards guide.
Pay special attention to the “Warnings” and “Cautions”. The warnings explain the dan­gers of electrical shock and ex­plosion hazard, the safety of ultrasound, applications, guidelines for fetal use, and guidelines for setting controls that affect acoustic output and accuracy of clinical measure­ments.
The cautions explain potential dangers to equipment.
Warning Symbol used in the Text:
WARNING
Caution Symbol used in the Text:
CAUTION
Symbols used on the System:
!
Instruction manual symbol : the product will be marked with this symbol when it is neces­sary for the user to refer to a user guide.
Dangerous voltage symbol : the product is marked with this symbol to i ndicate potential for electrical shock.
Monitor Radiation
The monitor used in this sys­tem complies with the FDA regulations that were applica­ble at the date of manufacture (21 CFR Subchapter J).
Prescription Device
The United States Food and Drug Administration requires the following labeling state­ment:
Caution - Federal Law restricts this device to use by or on the order of a physician.
Important
marking is for
0123
Council Directive 93/42/EEC.
This system complies with the Medical Device Directive.
Authorized EU Representative:
Philips Medizin Systeme Boeblingen GmbH Hewlett-Packard-Str. 2 71034 Boeblingen Germany
Philips Ultrasound 3000 Minuteman Road Andover, MA 01810-1099 USA 978 687 1501 www.medical.philips.com
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Printing History
Edition Date Software Revision
Edition 1 April 1999 B.0
Edition 2 June 2000 B.1
Edition 3 June 2002 C.0
Edition 4 November 2002 D.0
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v
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Preface
This guide describes the Integrated Digital Interface (IDI) network option to the Philips SONOS 7500 or SONOS 5500 system.
Use this guide in conjunction with the following books:
System Basics—Describes the basic operation of the Philips SONOS 7500 and SONOS 5500 systems.
Controls Reference—Provides a detailed description of all system controls.
Safety and Standards Guide—Provides information on safety issues.
Measurements and Calculations Reference—Provides information on measurements and calculations that you can perform on your ultrasound system.
Transducer Reference—Provides information on the operation, care, and cleaning of transducers.
Additionally, several specialty guides and multimedia products describe SONOS imaging applications and optional packages:
Using Contrast Imaging
Using Stress Echocardiography
• Using 3-Dimensional and BiPlane Imaging
• Using Acoustic Quantification
Using Acoustic Densitometry
SONOS Live 3D Cardiac Echo: Features and Fundamentals (a CD guide to Live-3D cardiac imaging)
LVO and Contrast CK: A Practical Approach (a video guide to SONOS contrast echocardiography detection techniques)
Stress Audio CD (a spoken guide to performing SONOS stress echocardiography studies)
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Preface
Conventions Used in This Guide
The following conventions are used in this guide:
• Touch-panel and rotary control names appear in bold text. For example, Acquire Loop.
• Function keys appear in a box. For example,
Enter
.
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Contents

Preface. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v
Integrated Digital Interface at a Glance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1
Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2
IDI Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4
Disk Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Loop Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
How-To Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Integrated Digital Interface Tips and Troubleshooting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Conventions Used in This Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vi
About This Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2
Product Description. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4
Physical Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4
Image Storage and Transfer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5
Operation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Digital Storage and Network Transfer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8
Setup Controls. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
Setting Up the Hard Disk . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Enabling the Optical Disk as the Storage Device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Retrieving Patient Information (EnConcert or DICOM Modality Worklist Server) . . . . 31
Entering a New Patient (EnConcert or DICOM Modality Worklist Server) . . . . . . . . . .34
Editing Existing Patient Information (EnConcert or DICOM Modality Worklist Server)36
Adding and Editing Patient Information Without EnConcert or DICOM . . . . . . . . . . . . 39
Transferring Studies to the Network Server or Printer . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Retrieving Studies from the Hard Disk. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
Transferring Studies from the Optical Disk to the Network. . . . . . . . . . . . . . . . . . . . . . . 44
Rescuing an Untransferred Study . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Reconciling the Hard Disk . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Rebuilding the Database . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
Deleting Studies from the Hard Disk . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Copying Studies to the Optical Disk. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Tips for Digital Storage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
IDI Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Contents-i
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Using Integrated Digital Interface (IDI)

Integrated Digital Interface at a Glance

Studies listed based on current patient ID
Indicates that images were saved in a study format and the date of the study
The type of study is listed here
Jones
Name Comment Date Description
Jones Stress 3 Stage Apr 04, 01 STUDY
Jones CLR Standard Jan 10, 01 STUDY
Select multiple items
Okay
Cancel
Change PatientList Contents
Init
Disk
Rebuild
Database
System
Generate
Disk
End
Study
Rescue
Study
Delete
File
Store
All Loops
Copy to
Optical
Disk
Space
List
Files
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Introduction

Introduction
The Philips SONOS 7500 or SONOS 5500 equipped with the Integrated Digital Interface (IDI) enables the sending of digital images directly to a magnetic-optical disk, network storage server, or DICOM-compliant printer via a standard LAN. Images (loops, frames, analysis reports, and Acoustic Quantification reports) acquired on the Philips SONOS 7500 or SONOS 5500 are sent to any of the following devices:
• EnConcert network storage server (stored in DSR-TIFF format)
• Network storage server (sent using DICOM format)
• Magnetic optical disk (stored in DSR-TIFF format)
• DICOM-compliant printer
About This Guide
This guide is divided into four sections:
•IDI Overview
•IDI Controls
•How-To Instructions
•IDI Troubleshooting
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Introduction
IDI Overview: Provides an overview discussion of the IDI. Included are
discussions of the physical characteristics and an overview look at how the IDI operates within the Philips SONOS 7500 or SONOS 5500 ultrasound system.
IDI Controls: Lists and describes the controls that appear on an ultrasound system equipped with IDI.
How-To Instructions: This section describes tasks you are expected to be able to perform in order to use the IDI. This section gives you information on how to perform each task quickly and efficiently without having to deal with lots of details.
IDI Tips and Troubleshooting: Provides usage tips and solutions to performance symptoms.
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IDI Overview

IDI Overview

Product Description

The IDI is an intelligent interface that connects the SONOS system to a magnetic­optical disk, network storage server, or DICOM-compliant printer located on a local area network (LAN). The IDI is an option to the Philips SONOS 7500 or SONOS 5500 system.
The IDI receives digital image studies that have been stored on the SONOS hard disk. These stored studies can be sent, over a standard 10/100BaseT LAN, to the following devices:
• EnConcert network storage server
• DICOM network storage server and a DICOM printer (optional)
• SONOS system’s optical disk

Physical Description

The IDI works on a personal computer (PC). It includes a hard disk that is shared between the PC and the ultrasound system. The IDI is connected to the ultrasound system via a SCSI cable and to the network via a network connector located on the back of the system. The hard disk is used as a storage buffer before transferring studies to the magnetic-optical disk, network storage server, or DICOM-compliant printer. The hard disk also provides short-term local storage for “portable” ultrasound studies (studies that are conducted while the ultrasound system is physically disconnected from the network). All IDI operations are performed using the function keys and touch panel controls on the ultrasound system.
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IDI Overview

Image Storage and Transfer

The SONOS system creates and stores an image, calibration data, and measurement and calculation data. The system can send data in DICOM format or DSR-TIFF format (to an EnConcert network). Image data sent to an EnConcert network includes calibration data and measurement data. Image data sent in DICOM format includes only calibration data. The same image data transfers in either case, though the image file format differs.
Storing digital studies to disk: You can choose between the SONOS system’s optical disk or hard disk to store studies. However, image storage saves to the hard disk by default when the IDI option is present, to enable studies to be transferred to a network storage server. See “Enabling the Optical Disk as the Storage Device” on
page 30.
Retrieving patient information: You can choose a study that has been on either EnConcert or a DICOM Modality Worklist Server, depending on the system options. See “Retrieving Patient Information (EnConcert or DICOM Modality
Worklist Server)” on page 31.
Storing calibration data: Calibration data provided by the ultrasound system for an image is embedded in the image data that is transferred to either the EnConcert or DICOM network storage server.
Storing numeric measurement data: QuickCalcs and Analysis measurements performed on an image are stored on the hard disk. QuickCalcs measurements are stored with the images on the EnConcert network storage server. Analysis measurement data are stored—with their labels—with the images on the EnConcert network storage server. You can display these measurements or include them in an analysis report on an EnConcert network storage server. If your system is connected to a DICOM network storage server, measurement information is not included.
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IDI Overview
Disk Manager: A Philips service representative sets the Disk Manager function
based on customer preference during system installation.
•If Disk Manager Auto is selected, studies are automatically deleted once they are transferred to the network storage server.
•If Disk Manager Off is selected, these studies remain on the hard disk until they are manually deleted.
•If Disk Manager Defer is selected (default), studies are not deleted after transfer but remain on the hard drive. The system monitors hard drive storage capacity. When near-full capacity level of the hard drive is reached, the system automatically deletes the studies previously transferred to the network. You can retrieve studies that are still on the local hard disk and review them on the ultrasound system. You cannot retrieve a study once it has been deleted from the hard disk.
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IDI Overview

Operation

IDI Availability: IDI takes longer to power up than the ultrasound system, so some
IDI functions may not be immediately available. The status message reads: “The Network Interface is powering up. This normally takes several minutes. Please wait and try again.”
• You receive the above status message if you attempt to perform any of the following functions during the power-up cycle:
• Initialize a hard disk or an optical disk
• Format a hard disk or an optical disk
• Copy images from the hard disk to the optical disk using the Copy to Optical
control
• Rescue a study using the Rescue Study control
You can retry these operations until you no longer receive the error message and you are able to complete the storage operation.
• You receive the following status message if you attempt to end a study using the End Study control during the power-up cycle:
The network interface is not powered-up yet:
* You may wait a few minutes and select “Retry Send.”
* If you cannot wait, select “Save Locally” to
leave the study on the hard disk. To send this
untransferred study at a later time, use
“Rescue Study.”
Retry Send
Save Locally
You should wait for the IDI to complete its bootup sequence and try again. You can start a study and acquire images during this time, but you cannot complete the study using the End Study control.
• You receive the message “The disk is not ready. Please try again later.” if the IDI PC is not working or if it is running a disk-check (Chkdsk) operation.
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IDI Overview

Digital Storage and Network Transfer

Device Selection: The Enable Optical control is part of the Disk control set.
Setup
By default, it is not highlighted when IDI is present—that is, the optical disk is not enabled. This configuration follows the assumption that users who have an ultrasound system with IDI will use the network storage server (rather than the optical disk) to store studies. However, if you touch Enable Optical to highlight it, you can choose between the system’s internal hard disk and the optical disk for storage or retrieval. Once you make a selection, all subsequent digital storage is automatically sent to that device until the study is ended or another study is started.
Disk
Format
Maximize
Transfer
Study Mode
Enable Optical
Disk
Delete
Options
Network
Autosend
Comment
Options
When you accept the next acquired loop, if Enable Optical is enabled, the Target Disk Selection window appears. It gives you the option of saving the loop to your hard disk or your optical disk.
Target Disk Selection
Hard Disk
Optical Disk
Okay
Note that if Enable Optical is turned off in the middle of a study on the hard disk, all subsequent disk operations for that study operate on the hard disk. If Enable Optical is turned off during a study on the optical disk, that study is ended and future disk operations are performed on the hard disk. Enable Optical is a system wide setting—once you set it remains on until you disable it.
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IDI Overview
Patient ID Information: Before you start your study, you enter patient information
by pressing Patient ID. If your system is connected to a DICOM Modality Worklist server or an EnConcert network storage server, and the study is ordered, you are presented with a patient selection list. When you choose the patient from the selection list, the Patient Information screen appears with the data filled in. Otherwise a blank Patient Information screen appears and you can enter the patient data manually.
NOTE
After choosing a patient from the Patient Selection list, the Medical Record Number (MRN) field and the accession number on the Patient Information are grayed out to indicate that you cannot modify this information on the SONOS system.
End Study: The End Study Control is part of the Disk and Stress control sets. When you touch the End Study control, IDI:
•Completes the transfer of the study from the IDI internal hard disk to the network storage server
•Writes analysis data to the disk (with DSR-TIFF format)
•Clears all Patient ID information including analysis data and annotation text
•Clears all loops from loop memory
You must touch End Study at the end of each study, even portable studies, or the study does not transfer properly. If you do not press End Study, you are presented with the following dialog box when attempting to start a new study by pressing the “New Patient” key. (Neither the End Study nor the Save Locally option causes analysis data to be lost.).
You have changed to a new patient but have not
ended the previous study:
* To end that study, select “End Study.”
* To leave that study on the hard disk, select
“Save Locally.” To send this untransferred
study at a later time, use “Rescue Study.”
End Study
Save Locally
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IDI Overview
When you touch End Study, all Disk controls are unavailable until the study has been stored to disk. Once the study has begun its transfer to the network storage server, an icon appears displaying the transfer status. What icon appears depends on the network settings and the network activity. The possible icons are shown in the following table.
Icon Network Activity
When storing loops to disk, the icon indicates the percent progress of the transfer. When several loops are queued, the percentage indicates the storage progress. If a single
99%
frame is being transferred, the percent complete value is not displayed.
With Network Autosend on, the icon indicates that the network is available.
With Network Autosend on, the icon indicates that the network is unavailable.
With Network Autosend off, the icon is blank.
If the network is unavailable, for example, during a portable study, or the network is disconnected during a study, IDI simply queues studies for transfer to the network storage server or printer for a later time. In the background, the system periodically attempts to re-connect to the network storage server or printer. All studies are properly transferred once the network becomes available. If network activity is abruptly aborted (for example, by an On/Off/On power cycle), all studies are properly transferred when the network connection is re-established.
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IDI Overview
When you indicate that a study is over by touching End Study, one of the following actions occur:
•If Disk Manager Off is selected, studies remain on the hard disk even after they are transferred to the network storage server. This configuration gives you the ability to retrieve the studies at any time and edit and review them at the ultrasound system. (See the System Basics guide for information on reviewing a study.) However, you must manage the internal hard disk space by routinely checking disk space and deleting studies.
•If Disk Manager Auto is selected, studies are automatically deleted once they are transferred to the network storage server. This configuration enables IDI to automatically manage the hard disk space. However, since the studies are deleted from the hard disk after they have been successfully transferred they are not available for retrieval and review at the ultrasound system. (The studies are available for retrieval until they are deleted.)
•If Disk Manager Defer (default) is selected, studies remain on the hard disk even after they are transferred to the network storage server. This configuration lets you retrieve, edit, and review the studies at any time on the ultrasound system. (See the System Basics guide for information on reviewing a study.) The system automatically manages the internal hard disk space by routinely checking disk space and deleting studies when the available disk space is too low.
Although a file has been automatically deleted from the hard disk, under certain conditions an entry may remain in the database. If you attempt to retrieve a file that has been deleted, the following message may appear:
“File does not exist. Press Disk. Select Rebuild Database. Choose the Reconcile Option.”
Reconciling the database gives you an accurate list of studies that are on the hard disk.
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IDI Overview
When either Disk Manager Auto or Disk Manager Defer is enabled, the internal hard disk does not fill up unless:
• A large number of “portables” are performed before the LAN cable can be reattached
• A large number of studies are stored on the hard disk
• Studies with large amounts of data are stored on the hard disk
When Disk Manager Off is selected, you are responsible for ensuring that the hard disk does not fill up. If the disk does reach capacity, the optical disk can be used for storage.
Untransferred Studies: There are certain rare conditions under which a study can become “stranded” on the hard disk. Stranded means that the study has been saved to the hard disk, but the study has not been queued for transfer to the network storage server. In this case it must be transferred to the network storage server using the Rescue Study control.
NOTE
After you touch End Study, the patient information is removed from the screen while the study transfers to the network DICOM or EnConcert server. This is not an indication the data transfer is complete. You must wait until End Study functionality returns to the touch screen before powering off the SONOS system. The study is then transferred to disk at the next power-up.
When the End Study touch control returns, the study has been sent to the hard disk drive. This has no correlation with the network transfer status. To monitor network transfers, open the Stat us box and wait for the Network Done message to indicate that transfer is complete.
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IDI Overview
If the system was Reset/Power-On without ending a study that was in progress, the SONOS system displays a warning dialog box. When storing to the hard disk, the following warning message appears:
A study was in progress before the system was reset:
* To end that study, select “End Study.”
* To leave the study on the hard disk, select
“Save Locally.” To send this untransferred study
at a later time, use “Rescue Study.”
End Study
Save Locally
This message gives you the option to:
End Study—This ends the study and queues it for transfer from the IDI hard disk to the network storage server.
Save Locally—This leaves the study on the hard disk. You can transfer the hard disk study to the network storage server using the Rescue Study control at a later time.
NOTE
It is best to choose End Study when possible.
If the Reset/Power-On situation storing to the optical disk, the following warning dialog box message appears.
A study was in progress before the system was reset:
* To store the analysis data to the optical disk,
select “End Study.”
* To delete the analysis data, select “Discard.”
End Study
Discard
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IDI Overview
This message gives you the option to:
Tip: Many disk controls can be preset. Be sure to save all your changes to a preset after you complete these steps.
End Study—This ends the study and queues analysis and images to the optical disk.
Discard—This applies only when writing to the optical disk rather than to the IDI hard disk. You would discard the analysis data if you did not need the analysis data for use with EnConcert labeled measurements.
Disk Retrieve and Disk Utilities: You can retrieve studies while they are still on the hard disk, but cannot retrieve them once they have been deleted from it. You can either select a study from a list of studies that match the current Patient ID, or you can retrieve another study by selecting Change Patient. If Enable Optical is highlighted, you can choose to retrieve studies from the optical or hard disk. If Enable Optical is not highlighted, Disk Retrieve and the other disk utilities operate on the hard disk.
Format Disk: The hard disk is pre-formatted. If you need to format an optical disk, you must power cycle the ultrasound system after the operation is complete. This is necessary before any further digital storage and retrieval operations can be attempted. If you do not power cycle the ultrasound system, the following message appears:
“A Format Disk has been done. The system must be powered off and powered back on before using Disk operations.”
This error message occurs even if the format operation fails. For example, the error message will appear if you attempt to format a write-protected optical disk.
CAUTION
Initialize Disk: Initializing a disk prepares the pre-formatted disk for storage and
retrieval. The hard disk is already initialized. You must initialize each side of an optical disk before using it for the first time. If the disk is already formatted, initialization is preferable to formatting because initialization takes much less time.
When you initialize or format a disk, you are always prompted with a screen to select the target device, regardless of whether Enable Optical is on.
Do not format or initialize the hard disk unless a Philips service representative has requested you to do so. Formatting or initializing an optical or hard disk erases all information on the disk.
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Disk Controls

Disk Controls
Tip: If your system has the Stress option and you select a stress study to retrieve, the Stress control is automatically activated. This control replaces the Loop control on the left touch panel.
Comment rotary
Lets you select a disk storage comment. In Disk Setup, the comment can be set to System Generate, Manual Entry, or an
Exam-type. System Generate is the default.
Copy to Optical
Copies studies or images from the hard disk to an optical disk. These studies or images remain on the hard disk until you delete them manually. If you select Copy to Optical and no optical disk is in the drive, an error message appears.
Delete File Lets you select and delete images or studies from the hard or optical
disk.
Disk Space Shows the amount of remaining space on the disk, in kilobytes
(KB) and the approximate number of loops.
End Study Closes the current study and stores all loops, frames, and analysis
data to disk. Patient ID information is cleared. All loops are deleted and analysis data is erased. If the system has the IDI option, all files from the ended study are sent to the network. Also is displayed as part of the Stres s controls.
Init Disk Prepares a formatted disk for file storage and retrieval. Also erases
all information on the hard disk or optical disk. The hard disk is pre-initialized.
List Files Shows the names of studies stored on the disk.
Loop Display If the Disk or Loop control is highlighted, Loop Display indicates
that an image from the disk is displayed on the screen. Touch Loop Display or 2D to return to live imaging. This control displays on
the right touch panel.
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Using Integrated Digital Interface (IDI)
Disk Controls
NOTE
Rebuild Database
Allows you to choose whether to reconcile or rebuild the database on the hard disk or optical disk.
The Reconcile option scans the database for the studies that are supposed to exist on the disk. If a study no longer exists on the disk, the study is removed from the database. The Reconcile option is quick, since the entire disk does not need to be scanned.
The Rebuild option scans the entire disk looking for studies and images, and creates a new database with references to each study and image found on the disk. The Rebuild option can be time consuming, since the entire disk must be scanned.
Rescue Study
Store All Loops
Sends untransferred studies on the hard disk to the network storage server.
Displays the Store All Loops screen, which gives you the option of storing all unstored loops to the current study, storing all loops to a new study, or storing all bookmarked loops to a new study for the current patient.
If Store All L oops or Bookmarked Loops is selected, the Patient ID information is cleared after being stored with the current patient information. If Unstored Loops is selected, the Patient ID information remains. See the System Basics guide for more information on storing loops.
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Tip: Your hard disk comes preformatted.
Using Integrated Digital Interface (IDI)
Disk Controls

Setup Controls

Touch Disk and press to adjust these controls. Press again to return to live imaging.
Setup Setup
Tip: You can customize the comment list and save it to a Preset.
Tip: You can use the Comment rotary control to select a comment from your list, or you can use the keyboard to manually enter a comment.
Comment Options
Comment Option Description and Usage
Exam-Type List
System Generate Generates a comment automatically for the
Manual Entry Allows you to enter a comment for each
Lets you choose the option of either Exam-Type, System Generate, or Manual Entry comments, which is located in the top part of this dialog box. These comments display when you store a file. The table below explains the different commenting options. When you touch Comment Options, the following dialog box appears:
Disk Storage Comment Options
Storage Comment Type
Exam-Type List
System Generate
Manual Entry
Automatic Commenting Comment Auto-Advance
View Exam Comments
Okay Cancel
Selects a comment from a customizable comment list. Can be used in conjunction with Comment Auto-Advance. Highlight View Exam Contents to view and edit the comment list.
acquired image. Comments are unique and include references to Exam Type, Preset, system Mode, and a unique counter (e.g., Vas Carotid PW01).
acquired image if Auto Commenting is off.
Also allows you to choose Auto Commenting on or off, which is located in the bottom part of this dialog box.
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Using Integrated Digital Interface (IDI)
Disk Controls
Comment Option Description and Usage
Auto Commenting on Disables the Digital Storage and Retrieval
Auto Commenting off Enables the DSR comment box, which
Comment Auto-Advance onUsed only in conjunction with Exam-Type
(DSR) comment box. The image is stored with the current comment automatically applied to the file. Select the comment using the Comment rotary control before storing the loop.
appears on the screen when storing a loop. Displays the comment that will be saved when the image is stored to disk. You can edit the comment before the file is stored.
commenting. On each subsequent loop/ frame store, the comment is advanced to the next item on the exam-type list. If the Auto-Advance feature is off, the comment remains the same unless it is changed with the Comment rotary control.
NOTE
Delete Options
Lets you choose:
• Whether to automatically delete an acquired loop from loop memory after it is stored to disk
• Whether to delete an acquired loop from the disk after it is manually deleted from loop memory
Delete All Pages will only delete from loop memory, not from the disk.
If you do not delete the loop from loop memory, you can take advantage of reviewing and editing your studies at the ultrasound system. (See the System Basics guide for more information on reviewing a study.)
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Disk Controls
CAUTION
Enable Optical
Lets you select the optical disk as the target device when both a hard disk and optical disk are installed. All system data is stored to the optical disk. When Enable Optical is off, the hard disk is the target device for all disk operations except Init or Format Disk. This control is defaulted off (not highlighted). Enable Optical is a system-wide control—when you select it, it remains set until you change it.
Format Disk
Formats the hard or optical disk for storage and retrieval. The hard disk is pre-formatted, and many manufacturers provide preformatted optical disks. Each side of an optical disk must be formatted separately. If you format an optical disk you must restart the SONOS system before any further storage or retrieval operations.
Do not format or initialize the hard disk unless a Philips service representative has requested you to do so. Formatting or initializing an optical or hard disk erases all information on the disk.
Maximize Transfer/ Frames
Study Mode
Works in conjunction with the Acquire: Max 120Hz/300Hz control in 2D imaging setup. Maximize Frames acquire images up to 300 Hz. Maximize Transfer acquires images up to 120 Hz.
Selects a subdirectory storage format (study format) for saving images to disk. Storing and retrieving images with Study Mode on facilitates study management. Study Mode must be on to transfer studies to the network storage server. This control is “on” (highlighted) by default. Study Mode is a control that is stored as a preset.
Network Autosend
Available under the Disk controls when you press . Sending a complete study to a network can take some time. When you
Setup
enable Network Autosend, as soon as an image is stored to the local disk, IDI begins sending the image to the network server. When Network Autosend is not enabled, the IDI system does not start sending the study to the network server until you press .
End Study
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Using Integrated Digital Interface (IDI)

Loop Controls

Loop Controls
The number of frames acquired in a loop varies, depending on how the loop was acquired (that is, beats versus time), the frame rate of the system, and how much memory is in the system.
Acquire
Captures a frame or the next series of frames onto a page in loop memory. You can also use the Acquire Loop touch control.
If Auto Display is enabled, press
loop and press
Press
Enter
Acquire
to accept the loop.
again to capture a new loop.
Acquire
to delete the
Acquire Loop Captures the next series of frames onto a page in loop
memory. You can also use the
Acquire
key.
Acquire Frame Captures the next frame into loop memory. You can
also use the
Acquire
key.
Align Synchronizes the start and end time of two or more
acquired loops.
Beats Sets the number of heart beats acquired per loop.
Available only when Loop Type is set to Beats.
Bookmark Loop
Marks the selected loop for display when Show Bookmarks is touched. Touch Bookmark Loop again to remove bookmarking.
Bookmark Page
Marks the selected page for display when Show Bookmarks is touched. Touch Bookmark Page again to remove bookmarking.
Border Suppresses AQ (Acoustic Quantification) borders on
looping AQ images.
Cancel Cancels loop store or retrieve operations.
Color Suppress Removes color from looping color images.
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Loop Controls
Colorize Optimizes contrast resolution by activating the current
colorization map and overlaying the grayscale image. To change the active map, turn the Colorize control.
Compare Displays a real-time image beside one or more looping
images. Available when Vsplit, Cropped or Reduced Formats are active.
Delete All Pages Deletes all pages in loop memory.
Delete Page Marks a page for deletion while in Display mode. Once
you touch Delete Page, the control changes to Undelete Page. If you change your mind, touch Undelete Page. Touching Display or Loop Display after touching Delete Page deletes a loop from loop memory.
Disk Autostore Automatically stores a loop or frame to the hard or
optical disk after you acquire and accept it. Images are stored under the current Patient ID. (When Network Autosend is enabled, Disk Autostore is forced on. The Disk Autostore button is not available.
Disk Retrieve Retrieves the selected study from the disk and displays
it. If you want to display only selected images from a study, select List Contents and highlight the images you want to retrieve.
Disk Store Stores the currently selected loop, frame, or analysis
report to disk and keeps the current Patient ID information.
Display Shows acquired loops and frames. Touch Display again
to exit display mode.
Edit End Changes the end point of a selected loop.
Edit Start Changes the beginning point of a selected loop.
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Using Integrated Digital Interface (IDI)
Loop Controls
Format Lets you select the format for acquiring and displaying
loops. Formats are:
Full—Acquires in full screen format.
Cropped —Acquires within a region of interest, the highest quad format resolution.
Reduced—Acquires a quad format that lets you display the entire imaging sector.
Vsplit—Acquires within a region of interest a side-by-side format. Can be used to compare two images side-by-side.
Note: If you turn the Format control to Full before you retrieve a study, the study is displayed in the previously stored format.
Freeze
While in live imaging:
Press to enter Quick Review. Use the
Freeze
trackball for frame review.
To display frames in a looping format:
Touch Replay. When in Replay mode, press
Freeze
and touch Acquire Frame to acquire a
frame. Press
Acquire
or touch Acquire Loop to
acquire a loop.
Frame Lock Prevents video frames from being generated with
different acoustic data on the even and odd fields. This touch control is active in CLR or Stress paused mode.
When active, loops are acquired at or below the video rate (30 Hz in the U.S.A., 25 Hz elsewhere), regardless of the acoustic frame rate. Eliminates jitter during slow motion playback. This control has no effect on acoustic cine acquisitions, which capture loops at the acoustic rate with no jitters.
Loop Display Indicates that an acquired loop is on the screen. Touch
Loop Display to return to live imaging. Appears on the right primary touch panel.
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Loop Controls
Loop Type Lets you determine the length of an acquired loop.
Choices are:
Beats—By number of heart beats
Time—By seconds
Manual Entry One of the selections available from the Comment
rotary control. Lets you type or change the disk storage comment. In Disk Setup the comment can be set to System Generate, Manual Entry or an Exam-type.
Map Changes the color flow map used for selected color
loops. Maps represent conventions and flow characteristics assigned to the active BART (Blue Away, Red Toward) or RABT (Red Away, Blue Toward) map. Displays on the primary right touch panel when a color image is displayed.
Map Invert Switches between the BART (Blue Away, Red Toward)
and RABT (Red Away, Blue Toward) color map conventions for selected color loops. (Displays on the primary right touch panel when a color image is displayed.)
Memory Gauge Turns the display of the memory gauge on and off. The
memory gauge shows you how much loop memory has been used and how much is available.
Replay Shows captured frames in a loop. Available after you
Freeze
press
during live imaging.
Same Start Makes two or more stored loops begin at the same time.
Available under the Loop Display controls.
Select Loop Outlines the selected loop on the screen, if there is
more than one loop on the page. Enables bookmarking, editing, and storing of the selected loop.
Select Off Removes the outlines from the displayed loops.
Select Page Outlines one page of loops on the screen. Enables
bookmarking, editing, and storing of the selected page.
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Using Integrated Digital Interface (IDI)
Loop Controls
Select Region Displays the markers that outline the area of the screen
to be acquired as a loop. Available only when Vsplit and Cropped formats are active. Touch Select Region again to remove the markers.
Show Bookmarks Displays only the bookmarked loops and frames. Touch
Show Bookmarks again to see all of the acquired images.
Time Sets the loop length in seconds. Available only when
Loop Type is set to Time.
T-S et A T-Set is a multiple frame triggered set of frames. The
T-Set control adjusts the number of T-Sets. The T-set control is located in the Loop panel.
Zoom Expands or contracts a frozen image during Loop
Replay on the right touch panel.
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Using Integrated Digital Interface (IDI)

How-To Instructions

How-To Instructions
How-to instructions are provided for all of the tasks you can perform while using the IDI. These tasks are reduced, as much as possible, to basic steps that are numbered and listed in the sequence they should be performed.
The following How-To task instructions are available in this section:
• Configuration
“Setting Up the Hard Disk” on page 26
“Enabling the Optical Disk as the Storage Device” on page 30
•Retrieving and Adding Patient Information
“Retrieving Patient Information (EnConcert or DICOM Modality Worklist Server)” on page 31
“Entering a New Patient (EnConcert or DICOM Modality Worklist Server)” on page 34
“Editing Existing Patient Information (EnConcert or DICOM Modality Worklist Server)” on page 36
“Adding and Editing Patient Information Without EnConcert or DICOM” on page 39
•Storing Studies
“Transferring Studies to the Network Server or Printer” on page 40
“Transferring Studies from the Optical Disk to the Network” on page 44
•Retrieving Studies
“Retrieving Studies from the Hard Disk” on page 42
•Utilities
“Rescuing an Untransferred Study” on page 47
“Reconciling the Hard Disk” on page 49
“Rebuilding the Database” on page 51
“Deleting Studies from the Hard Disk” on page 53
“Copying Studies to the Optical Disk” on page 55
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Using Integrated Digital Interface (IDI)
How-To Instructions

Setting Up the Hard Disk

The system comes with several disk controls defaulted to the correct setting for optimal network transfer. These controls are:
• Study Mode
• Enable Optical
• Delete options
• Network Autosend
• Comment Options
• Maximize Transfer/Frames
To ensure that these controls are correct or to reset them, perform the following steps:
1 Press and touch Disk on the left touch panel.
Setup
Maximize
Transfer
Study Mode
Enable Optical
Format Disk
Delete
Options
Network
Autosend
Disk
Comment
Options
2 Check that Study Mode is on. Study Mode must be on to transfer studies to the
network storage server.
3 Check that Enable Optical is off. Enable Optical must be off to automatically
store studies to the hard disk for transfer to the network.
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How-To Instructions
4 Touch Delete Options to choose the autodelete settings.
Loop Autodelete Settings
Delete loop from memory after
successful store to disk?
Delete loop from disk when
manually deleting from loop memory ?
Okay Cancel
Yes
Yes
No
No
CAUTION
NOTE
Delete options can be pre-configured depending on the selected preset. Always check setup to be sure that the Delete options are adjusted appropriately before you begin loop acquisition.
5 Use the trackball to select the Autodelete options and press . The system
Enter
defaults to No for both options. When you choose “Delete loop from memory after successful store to disk?,” Loops that have been stored on the disk are not deleted from Loop (CLR) memory. You may review and edit your studies on the ultrasound system. When you choose “Delete loop from disk when manually deleted from loop memory?,” the manually selected image is deleted from Loop memory, and the optical or hard disk simultaneously. (Touching End Study clears all loops from loop memory.)
Delete all pages will only delete from loop memory, not from the disk.
6 Highlight Okay and press .
Enter
7 To transfer a loop to the network as soon as you acquire and accept it, touch
Network Autosend. Disk Autostore is forced on.
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Using Integrated Digital Interface (IDI)
How-To Instructions
8 To uch Comment Options to choose the auto comment settings.
Disk Storage Comment Options
Storage Comment Type
Exam-Type List
System Generate
Manual Entry
Automatic Commenting Comment Auto-Advance
View Exam Comments
Okay Cancel
a. Use the trackball to select comment options from the comment options box.
If System Generate and Automatic Commenting are both on, the image is automatically stored to disk with the system generated comment. No DSR comment box appears and you can’t edit the comment.
If Manual Entry and Automatic Commenting are both on, the DSR comment box does not appear.
If System Generate is on and Auto Commenting is off, the DSR comment box containing the system-generated comment appears at the screen’s lower left corner. You can choose Okay to accept the comment;
Erase
Press and type your own comment; or turn the Comment rotary control on the left panel to select another comment.
If Manual Entry is on and Auto Commenting is off, the DSR comment box is blank. You can type in the comment or use the Comment rotary control to select a comment.
b. Select View Exam Comments to display the Disk Storage Comments
screen.
Disk Storage Comments
MMode AO MMode MV MMode LV PS LAX PS SAX AO PS SAX MV PS SAX MV
Okay Cancel
AP 4CH AP LAX
AP 2CH AP 5CH SUB 4CH SUB SAX SSN RPS DOP MV DOP AV DOP TV DOP PV
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How-To Instructions
Tip: If you want to keep these changes, save them to a preset.
c. To edit a comment:
1) Move the arrow to the comment to edit and press .
2) Type in the desired comment, highlight Okay and press to accept
Enter
Enter
the new comment list.
3) Press on the keyboard to move to the next comment.
4) Highlight the entire box and press to clear all of the comments.
Erase
9 Ensure that Maximize Transfer is enabled. When you touch this control it
toggles between Maximize Transfer and Maximize Frames. Maximize Transf er sets the maximum frame rate to 120 Hz. Maximize Frames sets the maximum frame rate to 300 Hz.
10 Press to return to imaging.
Setup
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Using Integrated Digital Interface (IDI)
How-To Instructions

Enabling the Optical Disk as the Storage Device

If your system has both a hard disk drive and an optical disk drive, image storage defaults to the hard disk. However, there may be occasions when you want to store or copy a study to the optical disk.
NOTE
SONOS does not save DICOM files to storage media.
All studies stored on the optical disk are in DSR-TIFF format and can be read by an EnConcert network storage server or a SONOS System. If your system is connected to a DICOM network storage server, see “Transferring Studies from the Optical
Disk to the Network” on page 44 for information on how to read the data on the
optical disk.
1 Press , touch Disk, and then touch Enable Optical. Press to return
Setup Setup
to imaging.
Disk
Format
Delete
Options
Disk
Autosend
Network
Comment
Options
Maximize
Transfer
Study Mode
Enable
Optical
2 After entering the patient ID data, store the first frame or loop. (See System
Basics.) The Target Disk Selection screen appears.
Target Disk Selection
Hard Disk
Optical Disk
Okay
3 Select Optical Disk and Okay, and then press .
Enter
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How-To Instructions

Retrieving Patient Information (EnConcert or DICOM Modality Worklist Server)

When Studies are ordered on EnConcert or on a DICOM Modality Worklist server, the patient database is updated on all systems with IDI that are currently connected to the network. For EnConcert, this happens as soon as a new study is ordered. For DICOM Modality Worklist servers, the patient database is updated at a particular polling interval, set at installation time. The patient name appears in the Patient Selection list.
If the patient database was downloaded from EnConcert or DICOM, the Patient Selection list appears. This list displays even if your system is no longer connected to the network.
If no study was ordered, add a new patient ID. To do so, follow the steps in the section “Setting up the Exam” in the Doing Exams chapter of System Basics.
NOTE
If your ultrasound system is not connected to either EnConcert or to DICOM Modality Worklist servers, see “Adding and Editing Patient Information Without
EnConcert or DICOM” on page 39.
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Using Integrated Digital Interface (IDI)
How-To Instructions
1 Press to access patient information.
Patient ID
The Patient Selection screen appears.
PATIENT SELECTION
Okay Cancel
Name MRN DOB Description
Adams John 10007 09/23/1922 2D ECHO
Cash Beth 10011 09/23/1956 TEE
Edmonds Mark 10227 09/23/1959 CAROTID
Franklyn Sarah 24456 09/23/1978 STRESS
Gates Ken 11002 09/23/1970 2D ECHO
Hammil Margo 21997 09/23/1942 TEE
Modell Joyce 00607 09/23/1950 CAROTID
Post Zoe 30990 09/23/1988 STRESS
Seaton Evan 14331 09/23/1990 TEE
Yoways Ellen 33418 09/23/2000 STRESS
Accession: 12032190
MRN: 10007
Name: Adams, John
Sex: Male
DOB: 09/23/1922
Performed By: Jones
Physician: Smith
Indication: UNKNOWN
Location: UNKNOWN
Description: 2D ECHO
RefreshManual Entry
NEXT
NEXT
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How-To Instructions
2 Use the trackball to move the arrow to the correct patient name and press
to highlight it. Move the arrow to Okay and press .
Enter
Enter
The Patient Information screen appears with data filled in. If all data is entered correctly, go to Step 3.
If you need to make changes, type the information in the appropriate fields. You cannot modify the Medical Record Number (MRN) or the Accession number. If you modify information sent from EnConcert, check your EnConcert server to see what information is transferred to EnConcert. See the Philips EnConcert User’s Guide for details.
Patient Information Current Date mm/dd/yyyy
New
Last Name:
First/Middle:
Accession:
Location:
Physician:
Performed by:
Height:
Weight:
Edit Reset
Jones
Jerry
MRN:
100222
5882038853224394
Misc:
183.0
81.6
Prior
cm
72.0
kg
180.0
BSA via Weight only
inches
lbs
Patient List
mm/dd/yyyy
DOB:
Sex: M F
NOTE
Indication:
3 To return to live imaging, press twice quickly, or press .
Enter Patient ID
Current date shows the system setup date. This date is used to calculate the patient age for EnConcert and Analysis reports. If the date is incorrect, the patient age will be incorrect. You set the system date by pressing
Setup
and touching System. See
the System Basics guide for details.
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Using Integrated Digital Interface (IDI)
How-To Instructions

Entering a New Patient (EnConcert or DICOM Modality Worklist Server)

1 To access patient information, press .
Patient ID
If the patient database has been downloaded from EnConcert or the DICOM Modality Worklist server, the Patient Selection list appears with Manual Entry highlighted. This list displays even if your system is no longer connected to the network.
If no study has been ordered, the patient’s name does not appear on the Patient Selection list.
2 To activate Manual Entry, press .
PATIENT SELECTION
Okay Cancel
Name MRN DOB Description
Adams John 10007 09/23/1922 2D ECHO
Cash Beth 10011 09/23/1956 TEE
Edmonds Mark 10227 09/23/1959 CAROTID
Franklyn Sarah 24456 09/23/1978 STRESS
Gates Ken 11002 09/23/1970 2D ECHO
Hammil Margo 21997 09/23/1942 TEE
Modell Joyce 00607 09/23/1950 CAROTID
Post Zoe 30990 09/23/1988 STRESS
Seaton Evan 14331 09/23/1990 TEE
Yoways Ellen 33418 09/23/2000 STRESS
Accession: 12032190
MRN: 10007
Name: Adams, John
Sex: Male
DOB: 09/23/1922
Performed By: Jones
Physician: Smith
Indication: UNKNOWN
Location: UNKNOWN
Description: 2D ECHO
Enter
RefreshManual Entry
NEXT
NEXT
The Patient Information screen appears with all of the patient data fields grayed out. New is highlighted.
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How-To Instructions
3 To activate New, press . Type in the new patient information. Check your
Enter
EnConcert server to see what information is transferred to EnConcert. See the Philips EnConcert User’s Guide for details.
Patient Information Current Date mm/dd/yyyy
New
Last Name:
First/Middle:
Accession:
Location:
Physician:
Performed by:
Height:
Weight:
Indication:
4 To return to live imaging, press twice quickly, or press .
Edit Reset
Prior
Jones
Jerry
MRN:
100222
5882038853224394
Misc:
cm
183.0
81.6
72.0
kg
180.0
BSA via Weight only
Enter Patient ID
inches
lbs
Patient List
mm/dd/yyyy
DOB:
Sex: M F
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Using Integrated Digital Interface (IDI)
How-To Instructions

Editing Existing Patient Information (EnConcert or DICOM Modality Worklist Server)

1 To access patient information, press .
Patient ID
The Patient Selection screen appears with Manual Entry highlighted.
2 To activate Manual Entry, press .
PATIENT SELECTION
Okay Cancel
Name MRN DOB Description
Adams John 10007 09/23/1922 2D ECHO
Cash Beth 10011 09/23/1956 TEE
Edmonds Mark 10227 09/23/1959 CAROTID
Franklyn Sarah 24456 09/23/1978 STRESS
Gates Ken 11002 09/23/1970 2D ECHO
Hammil Margo 21997 09/23/1942 TEE
Modell Joyce 00607 09/23/1950 CAROTID
Post Zoe 30990 09/23/1988 STRESS
Seaton Evan 14331 09/23/1990 TEE
Yoways Ellen 33418 09/23/2000 STRESS
Accession: 12032190
MRN: 10007
Name: Adams, John
Sex: Male
DOB: 09/23/1922
Performed By: Jones
Physician: Smith
Indication: UNKNOWN
Location: UNKNOWN
Description: 2D ECHO
Enter
RefreshManual Entry
NEXT
NEXT
The Patient Information screen appears with all of the patient data fields grayed out and New is highlighted.
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How-To Instructions
3 Use the trackball to move the arrow to Edit and press . Make the
Enter
necessary changes. You cannot modify the MRN or Accession fields if the patient was selected from the Patient Selection List. If you modify information, check your EnConcert Study List to see what information is transferred to EnConcert. See the Philips EnConcert User’s Guide for details.
Patient Information Current Date mm/dd/yyyy
New
Last Name:
First/Middle:
Accession:
Location:
Physician:
Performed by:
Height:
Weight:
Indication:
Edit Reset
Jones
Jerry
MRN:
100222
5882038853224394
Misc:
183.0
81.6
Prior
cm
72.0
kg
180.0
BSA via Weight only
inches
lbs
Patient List
mm/dd/yyyy
DOB:
Sex: M F
4 To cancel your changes and restore the previous information, highlight Reset
and press .
Enter
NOTE
The following step applies to DICOM only.
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5 To display the previous patient’s data or add the new images to the immediate
prior study, highlight Prior and press .
Enter
The Append Study dialog box appears.
Append Study
Would you like to append this study to the prior study or create a new study?
NOTE
Append
New
• To restore the patient information of the prior study, choose New.
• To copy the prior study to the current images, choose Append.
6 To return to live imaging, press twice quickly, or press .
Enter Patient ID
Current date shows the system setup date. This date is used to calculate the patient age for EnConcert and Analysis reports. If the date is incorrect, the patient age will be incorrect. You set the system date by pressing
Setup
and touching System. See
the System Basics guide for details.
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Adding and Editing Patient Information Without EnConcert or DICOM

If your ultrasound system is not connected to EnConcert or a DICOM Modality Worklist Server, there is no Patient Selection screen. When you press the Patient Information screen appears, and you can add and edit patient information.
Patient ID
1 Press to display the Patient Information screen.
2 To enter new patient data, highlight New and press . Type in the new
Patient ID
Enter
patient information.
inches
lbs
Enter
DOB:
Sex:
Patient List
mm/dd/yyyy
MF
3 To edit patient data, highlight Edit and press . Type your changes.
Patient Information Current Date mm/dd/yyyy
New
Last Name:
First/Middle:
Accession:
Location:
Physician:
Performed by:
Height:
Weight:
Indication:
Edit Reset
Jones
Jerry
MRN:
100222
5882038853224394
Misc:
183.0
81.6
Prior
cm
72.0
kg
180.0
BSA via Weight only
4 To cancel your changes and restore the previous information, highlight Reset
and press .
Enter
5 To display the previous patient’s data, highlight Prior and press .
6 To return to live imaging, press twice quickly, or press .
Enter Patient ID
Enter
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Transferring Studies to the Network Server or Printer

NOTE
NOTE
The system must be physically connected (via LAN cable) to the network and the network storage server or printer must be running in order to store or print studies. Portable studies are automatically transferred once the system is physically connected to the network.
Before the exam: Make sure Study Mode is on and Enable Optical is off under Disk Setup. Enable Network Autosend. When Network Autosend is enabled, Disk Autostore is forced on. The Disk Autostore button is not available.
After the exam: Touch Disk then touch End Study to initiate file transfer to the network. This must be done even during portable exams (when the SONOS system is not connected to the network). End Study writes the analysis data to the disk (if storing to DSR-TIFF format), clears loop, analysis memory, and Patient information, so you are ready to start your next study. End Study is also part of the Stress control set.
After you touch End Study, the patient information is removed from the screen while the study transfers to the network DICOM or EnConcert server. This is not an indication the data transfer is complete. You must wait until End Study functionality returns to the touch screen before powering off the SONOS system. The study is then transferred to disk at the next power-up.
When the End Study touch control returns, the study has been sent to the hard disk drive. This has no correlation with the network transfer status. To monitor network transfers, open the Stat us box and wait for the Network Done message to indicate that transfer is complete.
After you touch End Study, a network icon appears and the studies are transferred to the network. You can continue imaging during the study transfer process. The following indications are displayed:
• A count down of files (images within the study) until the study transfer is
complete.
• NETWORK: DONE displays when the study has been successfully transferred.
• The NETWORK: UNAVAIL icon may display at any time, such as when
connection to the network becomes unavailable. All studies will be transferred when the network becomes available.
Wait until End Study is no longer highlighted before you power off the system.
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The following controls enable you to set up your SONOS ultrasound system to store studies in a variety of ways. See the System Basics guide for more information.
Disk Autostore—Available under the Loop controls. Automatically stores a loop or frame to the hard or optical disk after you acquire and accept it. Images are stored under the current Patient ID.
Disk Store—Available under the Loop controls after you acquire a loop. Stores the currently selected loop or frame to the hard or optical disk. Images are stored under the current Patient ID.
Store All Loops—Available under the Disk controls. Displays the Store All Loops screen, which gives you the option of storing all unstored loops to the current study, storing all loops to a new study, or storing all bookmarked loops to a new study for the current patient.
NOTE
If Store All Loops or Bookmarked Loops is selected, the Patient ID information is cleared after being stored with the current patient information. If Unstored Loops is selected, the Patient ID information remains. See the System Basics guide for more information on storing loops.
Network Autosend—Available under the Disk controls when you press .
Setup
Sending a complete study to a network can take some time. When you enable Network Autosend, as soon as an image is stored to the local disk, IDI begins sending the image to the network server. When Network Autosend is not enabled, the IDI system does not start sending the study to the network server until you touch End Study.
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Retrieving Studies from the Hard Disk

If Disk Manager Off is selected, you can retrieve all of the studies that are on the hard disk, whether or not they have been transferred to the network storage server. If Disk Manager Auto is selected, you can only retrieve the studies that have not been transferred to the network storage server. If Disk Manager Defer (default) is selected, you can retrieve all recent studies from the hard disk even after the studies are transferred to the network. The system monitors the hard drive storage capacity, and automatically deletes the studies previously transferred after reaching hard disk capacity requirements.
Once a file is either automatically or manually deleted from the hard disk, it cannot be retrieved.
To retrieve studies from the hard disk, proceed as follows:
1 To see a list of studies matching the current patient’s ID, touch Disk Retrieve in
Loop control. The system displays a list of studies that match the current Patient ID information.
2 To see a list of Patient IDs on the hard disk, select Change Patient. Then, select
Display All from the Change Patient screen.
Highlight study or file to retrieve. Press List Contents to view study contents.
Name Comment Date Description
Jones Jones CLR Standard STUDYJan 15,99 Jones Stress 2 Stage STUDYJan 18,99
Select Multiple Items
Stress 3 Stage STUDYJan 14,98
Okay
Cancel
Change PatientList Contents
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3 Use the trackball to position the arrow over the study you want to retrieve and
Enter Enter
press . Highlight Okay and press . You can also choose the study to retrieve by pressing twice quickly. All of the images in the selected study
Enter
are loaded into loop memory for review. You can start reviewing the images using the Page control before all of the images have been loaded into loop memory.
If the patient name is found but the study was already deleted, a message appears telling you that the file does not exist, and to select the Disk and Rebuild Database options to reconcile the hard disk. See “Reconciling the
Hard Disk” on page 49.
Tip: If you select a Stress study, the system automatically activates the Stress option, and the Stress control replaces the Loop control.
NOTE
4 To see a list of all of the images in the study, highlight List Contents and press
Enter
. You can then select the specific image you want to see.
Highlight study or file to retrieve.
Name Comment Date Description
Car Adlt 2d FULL BWJan 14,99 Car Adlt PW FRAME BWJan 14,99 Car Adlt AQ FRAME AQJan 14,99
Select Multiple Items
Okay
List Studies
Cancel
Select Multiple Items works only when you choose List Contents, or when the images on the disk were stored with Study Mode off. You cannot select multiple studies to retrieve.
5 To return to live imaging, touch Loop Display or 2D on the right touch panel.
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Transferring Studies from the Optical Disk to the Network

The following procedure can be used to transfer studies to the network storage server from the optical disk using the ultrasound system’s hard disk. If your network storage server has a MOD import drive and can read DSR-TIFF images (such as an EnConcert server), you may be able to input the images directly from the optical disk to the network storage server.
Maximize
Transfer
Study
Mode
Setup
Enable Optical
.
Setup
Disk
Format Disk
Delete
Options
Network
Autosend
Comment
Options
1 To uch Disk and press
2 Make sure that Enable Optical is on and press .
3 Insert an optical disk.
4 To uch Loop and Disk Retrieve and select the optical disk from the Target Disk
selection screen.
Target Disk Selection
Hard Disk
Optical Disk
Okay
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5 Highlight the study you want to retrieve, move the arrow to Okay and press
Enter
. If the study is not listed, select Change Patient.
The selected study is loaded into loop memory for review.
Files for name = Jones Highlight study or file to retrieve.
Press List Contents to view study contents.
Name Comment Date Description
Jones Jones CLR Standard STUDYJan 15,99 Jones Stress 2 Stage STUDYJan 18,99
Select Multiple Items
Stress 3 Stage STUDYJan 14,98
Okay
Cancel
Change PatientList Contents
NOTE
Select Multiple Items works only when you choose List Contents, or when the
images on the disk were stored with Study Mode off. You cannot select multiple studies to retrieve.
6 To uch Disk and Store All Loops. The following message box appears.
Store All Loops
To current study: To new study:
OkayUnstored Loops All Loops
Bookmarked Loops
Cancel
7 Highlight All Loops and press
Enter
.
The Target Disk Selection screen appears.
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8 Select Hard Disk from the Target Disk selection screen. A new study is created
for the current patient on the hard disk drive.
Target Disk Selection
Hard Disk
Optical Disk
Okay
9 To uch End Study to transfer the study to the network, clear loop memory, and
return to live imaging.
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Rescuing an Untransferred Study

Use the steps in this section to send studies left on the hard disk to the network storage server or printer. You can use this procedure to transfer studies that were saved locally to a network storage server or printer.
NOTE
If your system is set to either Disk Manager Off, or Disk Manager Defer, you must check the EnConcert Search For Study screen to see which studies have not been transferred. See the Philips Enconcert User’s Guide for details.
1 To uch Disk and Rescue Study.
Disk
End
Study
Init
Disk
Rebuild
Database
System
Generate
Rescue
Study
Delete
File
2 Highlight the studies to rescue and press .
Highlight the untransferred studies that you want to rescue. (List contains all studies on the disk, both transferred and untransferred.)
Name Comment Date Description
Prev
Jones Black CLR Standard STUDYJan 15,99 Newton Stress 2 Stage STUDYJan 18,99
Stress 3 Stage STUDYJan 14,98
Store
All Loops
Enter
Copy to
Acquire
Frame
Optical
Disk
Space
List
Files
Prev
Cancel
3 Select Okay and press .
Enter
Okay
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4 Select Okay from the confirmation screen to send the selected untransferred
studies to the network. Select Cancel if you do not want to send the studies at this time.
A status box appears indicating the studies are transferring. A network status icon appears in the screen’s lower left corner indicating how many files are transferring. When the network status icon displays “Done,” the studies are successfully transferred to the network.
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Reconciling the Hard Disk

Reconciling your hard disk lets you get an accurate list of studies that are on the hard disk. You can delete any studies that are stored on the network from the hard disk to prevent the SONOS system database file from filling up.
If you set Disk Manager Auto, the list of files on your hard drive includes any untransferred studies, plus any studies saved locally.
If you set Disk Manager Defer, the list includes any untransferred studies, other recently transferred studies, and studies saved locally.
If your system is configured to Disk Manager Off, all of the studies remain on the hard disk until you manually delete them.
CAUTION
Do not reconcile the hard disk while the Network icon indicates that files are being transferred to the network storage server.
To reconcile the hard disk database:
1 To uch Disk on the left touch panel.
2 To uch Rebuild Database.
Disk
Disk
Space
List
Files
Init
Disk
Rebuild
Database
System
Generate
End
Study
Rescue
Study
Delete
File
Store
All Loops
Copy to
Optical
Acquire
Frame
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3 From the screen displayed, select Reconcile.
Press Reconcile to bring a database up to date, or, Press Rebuild to repair a damaged database.
This operation may take a long time to complete.
Reconcile
Rebuild
Cancel
A disk icon appears at the top of the screen while the reconcile process is in progress. The reconcile process is done when the disk icon disappears.
4 When reconcile is complete, touch Disk and List Files. Depending on how your
hard disk was configured, you will do one of the following:
Disk Manager Auto—A screen appears. If there are no studies remaining on the hard disk, a message displays telling you there are no files found. This indicates that all of the studies have been transferred to the network. If you find that there are studies that were not transferred, you can move them to the network using the Rescue Study control. See “Rescuing an Untransferred
Study” on page 47.
Disk Manager Off—Since studies remain on the hard disk until you manually delete them, a screen displays listing all of the studies that are on the hard disk. You must check the network storage server to see which studies have been successfully transferred and can be deleted from the hard disk.
Disk Manager Defer (default)—Since studies remain on the hard disk until disk capacity is reached and they are automatically deleted, a screen displays listing all the studies that are on the hard disk. Even though the studies may have already been successfully transferred over the network to the server, they are also listed. You must check the network storage server to see which studies have been successfully transferred and can be deleted from the hard disk. (See
“Rescuing an Untransferred Study” on page 47.)
NOTE
The Disk Manager settings are available for the CE to configure when your IDI is installed.
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Rebuilding the Database

You might have to rebuild the database if you have problems reading a file or if power is lost while images are being stored to the disk.
To rebuild the hard disk database:
1 To uch Disk on the left touch panel.
2 To uch Rebuild Database.
Disk
Disk
Space
List
Files
Init
Disk
Rebuild
Database
System
Generate
End
Study
Rescue
Study
Delete
File
Store
All Loops
Copy to
Optical
Acquire
Frame
3 If the Target Disk Selection screen appears, select Hard Disk and select Okay.
Target Disk Selection
Hard Disk
Optical Disk
Okay
4 From the screen displayed, select Rebuild.
Press Reconcile to bring a database up to date, or, Press Rebuild to repair a damaged database.
This operation may take a long time to complete.
Reconcile
Rebuild
Cancel
A disk icon appears at the top of the screen while the rebuild process is in progress. The rebuild process is done when the disk icon disappears.
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NOTE
Reconcile the Database or Rebuild the Database?
The Reconcile option scans the database for the studies that are supposed to exist on the disk. If a study no longer exists on the disk, the study is removed from the database. The Reconcile option is quick, since the entire disk does not need to be scanned.
The Rebuild option scans the entire disk looking for studies and images, and creates a new database with references to each study and image found on the disk. The Rebuild option can be time consuming, since the entire disk must be scanned.
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Deleting Studies from the Hard Disk

If Disk Manager Off is selected, you must maintain your hard disk by routinely deleting studies from the hard disk. If you want to delete all of the studies on your hard disk, use the Init Disk control. Initializing a disk erases all information on the disk, so make sure the studies have been transferred to the network storage server. You are prompted with the Target Selection screen and a warning message before the initialization process begins.
To delete studies from the hard disk or to delete images from within a study:
1 To uch Disk.
2 To uch Delete File.
Disk
Copy to
Optical
Acquire
Frame
Init
Disk
Rebuild
Database
System
Generate
End
Study
Rescue
Study
Delete
File
Store
All Loops
3 Move the arrow to each study you want to delete. Press to highlight each
Disk
Space
List
Files
Enter
study.
Highlight study or files to delete. Press List Contents to view study contents.
Name Comment Date Description
Jones Black CLR Standard STUDYJan 15,96 Newton Stress 2 Stage STUDYJan 15,96
Stress 3 Stage STUDYJan 14,96
Okay
Cancel
Change PatientList Contents
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4 If you want to delete images from within a study, highlight the study and select
List Contents. Highlight the images you want to delete.
5 Highlight Okay and press .
Enter
A screen appears asking you to confirm the deletion.
6 Highlight Okay and press .
Enter
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Copying Studies to the Optical Disk

To copy studies to the optical disk from the hard disk:
1 Insert an initialized optical disk into the optical disk drive.
2 To uch Disk.
3 To uch Copy to Optical.
Disk
Disk
Space
List
Files
Enter
Init
Disk
Rebuild
Database
System
Generate
End
Study
Rescue
Study
Delete
File
Store
All Loops
Copy to
Optical
Acquire
Frame
4 Move the arrow to the studies you want to copy. Press to highlight each
selection. Choose Select All if you want to copy all of the studies.
Highlight study or file to copy. Press List Contents to view study contents.
Name Comment Date Description
Jones Black CLR Standard STUDYJan 15,96 Newton Stress 2 Stage STUDYJan 15,96
Stress 3 Stage STUDYJan 14,96
Okay
Select All
Cancel
Change PatientList Contents
5 To copy images from within a study, highlight the study and select List
Contents. Highlight the images you want to copy.
6 Highlight Okay and press .
Enter
A screen appears asking you to confirm the copy.
7 Highlight Okay and press .
Enter
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NOTE
The quickest way to store a study to the optical disk before starting another study is to choose the optical disk as the storage target. Storing to optical disk is faster than storing to the hard disk followed by a Copy to Optical operation. Images on the optical disk are stored in DSR-TIFF format.
If you need to transfer this study to the network server, see “Transferring Studies
from the Optical Disk to the Network” on page 44.
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Integrated Digital Interface Tips and Troubleshooting

Integrated Digital Interface Tips and Troubleshooting

Tips for Digital Storage

• Edit loops before storing, as clinically appropriate. Shorter loops:
• Reduce the time required to save the image to IDI, thereby optimizing efficiency and reducing study time
• Reduce the network transfer time so the study is available for review sooner
• Save disk space in the permanent image archives, and on the IDI hard disk
• V-split and Cropped (CQuad) loop formats create smaller files.
• Black and white images use less memory.
See the System Basics guide for information on acquiring and editing loops.
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Integrated Digital Interface Tips and Troubleshooting

IDI Troubleshooting

Symptoms Suggestions
Studies take a long time to transfer to the network.
The message “The disk is not ready. Please try again later." is displayed.
The message "Network Interface is powering up. This normally takes several minutes. Please wait and try again" is displayed.
UNAVAIL appears on the network icon.
The network may be busy with other transfers. The transfer will occur as soon as the network becomes available.
You may be attempting to transfer many studies to the network. The more studies you attempt to transfer at one time, the longer the process will take.
The network connection may be breaking repeatedly. See the network administrator.
The IDI PC is not working or is running a Chkdsk operation. Try to access the disk later.
The IDI has not yet completed its start-up sequence.
Wait until the IDI has completed its start-up sequence, this takes several minutes.
If the problem is not resolved, contact your system administrator or Philips service representative.
It is normal to see this icon when you are performing a portable study and are therefore disconnected from the network.
Wait for the network to become available.
Check to make sure the LAN cable is plugged in. Plug the cable in.
Check to make sure the LAN cable is not damaged.
Verify that the network storage server is operational and is configured correctly for IDI.
If the problem is not resolved, contact your system administrator or Philips service representative.
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Symptoms Suggestions
The message "Network Interface Error. Reset recommended" is displayed.
The message “Network Interface Error during study creation. Study has been saved on the hard disk, but will not transfer over the network” is displayed.
The message “Another user on the network is accessing the hard disk. Study has been saved on the hard disk, but will not transfer over the network” is displayed.
The message “Network Interface error during copy to optical. File(s) did not copy” is displayed.
There is a communication error between the ultrasound system and the IDI.
Reset the system.
If the problem is not resolved, contact your system administrator or Philips service representative.
Your study will not be transferred to the network storage server. The study will remain on the hard disk. Proceed with
“Rescuing an Untransferred Study” on page 47.
If the problem is not resolved, contact your system administrator or Philips service representative.
The IDI hard drive is being accessed by a network user. Your study will not be transferred at this time. Proceed with
“Rescuing an Untransferred Study” on page 47.
If the problem is not resolved, contact your system administrator.
There is a communication error between the IDI and the optical disk.
Check the drive/disk compatibility.
Make sure the optical disk is not write protected.
Check disk space available on the optical disk.
If the problem is not solved, contact your system administrator or Philips service representative.
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Index

A
Acquire Frame control 20 Acquire Loop control Align control Analysis measurements and Quick Calcs Append Study selection Auto Commenting
off on
20
5
18, 28
18, 28
20
38
B
Beats control 20 Beats, number of and loop length
23
Bookmarks
Loop control Page control storing bookmarked loops
16, 41
20
20
C
Calibration data, storing 5 Cancel control Change Patient Color controls
Color Suppress
Colorize Comment controls Comment Options control 1718
20
14, 42, 45
20
21
15, 17
Comments
Auto Commenting off 18, 28 Auto Commenting on 18, 28 Auto-Advance on editing
29
entering or selecting Compare control Copying
Copy to Optical control
7, 15, 55
studies to optical disk
5556 Cropped format
18
28
21
30,
22
D
Date and patient age 33, 38 Delete controls
Delete All Pages
Delete File
Delete Options
Delete Page Deleting studies
Disk Manager settings
from hard disk DICOM Modality Worklist Server
editing patient
information
entering new patient
information
retrieving patient
information
updating patient database
31
18, 21
15, 53
18, 27
21
5354
3638
3435
3133
DICOM network storage
6
server support DICOM printer support Discard data Disk Autostore Loop control 41 Disk controls
Bookmarked Loops 41 Comment Options 1718 Comment rotary Copy to Optical Delete All Pages Delete File Delete Options Disk Autostore (Loop) 21 Disk Retrieve (Loop) 42, 44 Disk Space Disk Store (Loop) Enable Optical End Study Format Disk Init Disk List Files Loop Display Maximize Transfer/ Frames Network Autosend 27, 41 Rebuild Da tabase 51 Rescue Study Store All Loops Study Mode
Disk icons
2, 4
4
14
16,
15, 17
15, 55
18
15, 53
18, 27
21,
15
21, 41
19, 26
15
19
15, 53
15
15
19, 29
19,
16, 49,
16, 47
16, 41
19, 26
10
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Index
Disk Manager
Auto
6, 11, 12, 42, 49,
50 Defer
6, 11, 12, 42, 47,
49, 50 Off
6, 11, 42, 47, 49, 50,
53
setting up Disk Retrieve Disk Utilities Disks
copying studies to optical
disks
deleting studies from
hard disk
device selection for
storage
enabling optical as
storage device
formatting
full
hard disk use
initializing
reconciling hard disks
4952
retrieving studies from
hard disk
setting up hard disks
2629
storing studies to Display control DSR-TIFF file format
6
14
14
5556
5354
8
30
14
12
4
14
4243
21
5
30
E
Editing
comments Edit End control Edit Start control patient information
(EnConcert) Enable Optical control 26 EnConcert
editing patient
information
entering new patient
information
network storage support
2, 4
retrieving patient
information
updating patient database
31 End Study control Ending studies
End Study control
10, 40
overview of data storage
912
after Reset/Power-on Error messages
during power-up cycle
troubleshooting Exam-type control
29
21
21
36
8, 19,
3638
3435
3133
15
7, 9,
13
7
5859
15, 17
Format Disk 14 Format Disk control Format of loop
file size and selecting
Frame Lock
Loop control Frame Lock Loop control Freeze control Full format
Hard disks See Disks
Icons 10 Image storage and transfer 56 Init Disk control Initialize disk Integrated Digital Interface (IDI)
image storage and
transfer using
introduction to interface
1
operation
physical description
powering up
product description
F
19
57
22
22
22
22
22
H
I
15, 53
14
56
7
4
7
4
Index-ii
Page 73
L
List Files control 15 Loop controls
Acquire Acquire Frame Align Beats Bookmark Loop Bookmark Page Border (AQ suppress) control Cancel Color Suppress Colorize Compare Delete All Pages Delete Page Disk Autostore Disk Retrieve Disk Store Display Edit End Edit Start Format Frame Lock Freeze introduction Loop Display Loop Type Manual Entry Map Map Invert Memory Gauge Replay Same Start Select Loop Select Off Select Page
20
20
20, 23
20 20
21
21
21
21, 42, 44
21, 41
21
21
21
22
22
22
20
15, 22
23
23
23
23
23
23
23
23
23
20
20
20
20
21
21, 41
23
Select Region Show Bookmarks Store All Loops Time
24 24
T-set Unstored Loops Zoom
24
Loop Display, control
24
24
16, 41
16, 41
22
M
Manual Entry control 15, 17, 23, 28 Map control Map Invert control Maximize Frames control 29 Maximize Transfer control 19, 29 Measurements, storing Medical Record Number (MRN) Memory Gauge control
23
23
19,
5
9, 33
23
N
Network
Activity icons Autosend control 27, 41 DICOM support icons
10
patient database transferring studies to 912, 4041 transferring studies to, from optical disk untransferred studies
10
10, 19,
2, 4
31
4446
12
O
Optical disks
Enable Optical control 19, 26 support for transferring studies to network from See also Disks
2, 4
4446
8,
P
Patient ID 9, 32, 42 Patient information
adding and editing without EnConcert or DICOM age and system date 38 Change Patient 45 displaying editing editing on EnConcert entering new patient 3435 rebuilding database 5152
retrieving Patient Selection list (EnConcert) Philips SONOS System configuration Portable studies and network transfer Powering off SONOS system and stranded studies Powering up IDI
39
33,
14, 42,
9
3638
37
5, 3133, 42
31
2
10
12, 40
7
ssn February 11, 1999 C:\WINNT\Profiles\dapowell\Desktop\D.0 Books\Books for
Index-iii
Page 74
Index
Q
QuickCalcs measurement storage
5
R
Rebuild Database control 16, 49, 51
Rebuild option Reconcile option 50, 52
Rebuilding patient database 5152 Reconciling hard disks 4952 Reduced format Replay control Rescue Study control 13, 16, 47 Rescuing untransferred studies
4748
Reset/Power-On Retrieving
patient information studies from hard disk 4243
16, 52
11, 16,
22
23
7, 12,
13
5
S
Safety information ii Same Start control Save Locally Saving See Storing SCSI cable
23
13
4
Selecting
Select Loop Select Off Select Page Select Region
Setting up
Disk Manager
hard disks Setup Disk controls Show Bookmarks control Storage devices, list of supported Storing
calibration data
device selection for
file formats supported
images, after portable
studies
images, overview
loops
numeric measurement
data
5
to optical disk
Store All Loops control
16, 41
studies to disk
studies to network server
41
tips for digital storage Stranded studies Study Mode control System Generate control 17, 28
23
23
23
24
6
2629
1719
2
5
10
56
16, 41
30
5
12
19, 26
24
8
15,
30
57
T
Time control 24 Transferring
from optical disk to network
images, overview Troubleshooting T-set control
4446
56
5859
24
U
Unstored Loops control 16, 41 Untransferred studies 4748
12,
V
View Exam Comments control
28
Vsplit format
22
W
Warnings ii Warran ty
ii
Z
Zoom control 24
Index-iv
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