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ACUSON P500™ Ultrasound System, FROSK Edition
Quick Reference Guide
siemens.com/ultrasound
Page 2
Contents
Smart Cart Overview 3
System Overview 10
Control Panel 16
Touch Screen 20
Patient Exam 22
2D 26
Doppler 30
Annotation / Body Marker 36
Analysis 38
Review 42
Reports 46
Export / Import 50
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Page 3
Smart Cart Overview
Press leaver and push down or pull up to
adjust height.
Smart Cart Height Adjustment
Smart
Cart
Overview
System
Overview
Control
Panel
Touch
Screen
Patient
Exam
2D Doppler
Annotation
/ Body
Marker
Analysis Review Reports
Export /
Import
3
Page 4
Locking and Unlocking the Wheels
1. There are two lock positions.
2. Press large tab down to lock.
3. Lift large tab up to unlock.
Lock Unlock
Smart Cart Overview
4
Page 5
1. Ensure lever lock is in the down unlocked
position.
2. Align the connector and press into the
system port.
3. To lock, place the lever in the up position.
4. Connecting transducers to the MTM follows
the same process.
Attaching the Multiple Transducer Module (MTM)
2
1
4 4 4
Control
Panel
Touch
Screen
Patient
Exam
2D Doppler Analysis Review Reports
Export /
Import
Annotation
/ Body
Marker
Smart
Cart
Overview
System
Overview
5
Page 6
Cable Management
1. Transducers can be placed in the holders
located at each side of the Smart Cart.
2. When transporting the cart with transducers,
place the cables through the provided hook
to prevent damage.
TIP
Instructions for removal of the ACUSON P500 system from
the cart are located by the back handle of the Smart Cart.
Smart Cart Overview
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Page 7
Input / Output Connections Accessory Power Connection
HDMI
Cart Power Peripheral Power
Peripheral USB
LAN DC Out
Located on the upper back of the Smart Cart. Located on the lower back of the Smart Cart.
Smart
Cart
Overview
Control
Panel
Touch
Screen
Patient
Exam
2D Doppler Analysis Review Reports
Export /
Import
Annotation
/ Body
Marker
System
Overview
7
Page 8
Smart Cart Overview
Removing the Transducer Holder
◾ Press the tab located at the back of the holder.
◾ Pull the holder towards the floor to remove.
◾ Clean with mild detergent.
◾ Insert into transducer holder pressing upward
until you hear a click.
Cleaning the Smart Cart
Use only approved disinfectants.
For a complete list see the ACUSON P500 system Help menu.
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Page 9
Control
Panel
Touch
Screen
Patient
Exam
2D Doppler Analysis Review Reports
Export /
Import
Annotation
/ Body
Marker
Smart
Cart
Overview
System
Overview
9
Page 10
System Overview
Attaching a Transducer
1. Ensure lever lock is in the down, unlocked
position.
2. Align the connector and press into the
transducer port.
3. Place the lock in the up position.
4. Once the system detects the transducer, the
name displays to the right of the image.
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Input / Output Connector
1 2 3 4
1. Local area network (LAN) cable connection.
2. High-Definition Multimedia Interface (HDMI)
connection.
3. Universal Serial Bus (USB) ports.
4. Audio Jack (Headphones).
Smart
Cart
Overview
Control
Panel
Touch
Screen
Patient
Exam
2D Doppler Analysis Review Reports
Export /
Import
Annotation
/ Body
Marker
System
Overview
11
Page 12
Control Panel Workflow Controls
Control Function
2D Button: Starts 2D mode. Dial: Adjusts the 2D gain.
C Button: Starts or ends Color Mode. Dial: Adjusts the Color gain.
M Button: Starts or ends M-mode. Dial: Adjusts the M-mode gain.
PW Button: Starts or ends PW spectral Doppler Mode.
Depth / Zoom
Button: Press to start or end Zoom.
Dial: Adjusts the scanning depth or amount of magnification of the image.
Angle
Button: Changes the PW Doppler angle in 60 degree increments.
Dial: Changes the PW Doppler angle in 1 degree increments.
Invert
Moves the spectral tracing or color Doppler to above or below the baseline.
Starts or stops Tissue Equalization Technology (TEC) processing.
UD 1,2 User-define keys.
System Overview
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Control Function
Print Store 1,2 User-define keys for print and store functions.
Activates general and exam-specific measurement packages.
Stores a cine clip.
Scale
Increases or decreases the scale (PRF) in the pulsed and continuous wave, and
color Doppler modes.
Baseline
Increases or decreases the baseline in the pulsed and continuous wave, and
color Doppler modes.
Freeze pauses or resumes scanning.
User-programmable key for ending a study.
Activates the Body Marker menus available for the active preset.
Activates the annotation menus for the active preset.
Smart
Cart
Overview
Control
Panel
Touch
Screen
Patient
Exam
2D Doppler Analysis Review Reports
Export /
Import
Annotation
/ Body
Marker
System
Overview
13
Page 14
Control Panel
◾ Turn off and unplug system.
◾ Moisten clean lint-free cloth with mild detergent or approved disinfectant.
◾ Ensure touch pad and slide controls are free of gel.
◾ Dry surface with lint-free cloth.
Monitor
◾ Moisten clean lint-free cloth with mild detergent or water.
◾ Wipe monitor to clean.
◾ Dry surface with lint-free cloth.
Cleaning the ACUSON P500 System
Use only approved disinfectants.
For a complete list see the ACUSON P500 system Help menu.
System Overview
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Smart
Cart
Overview
Touch
Screen
Patient
Exam
2D Doppler Analysis Review Reports
Export /
Import
Annotation
/ Body
Marker
Control
Panel
System
Overview
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Control PanelControl Panel
1. Power on / off
2. Rocker Soft Key buttons
3. DGC
4. Depth / Zoom
5. Measure
6. Clip Store
7. Print Store 1
8. Print Store 2
9. Freeze
10. TEQ
11. Touch pad keys
12. Touch pad
13. 2D push / rotary gain
14. Color push / rotary gain
15. M-mode push / rotary gain
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3
4
5 6
7
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10
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12
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14
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16. Pulsed wave push / rotary gain
17. Invert
18. Baseline
19. Scale
20. User Defined 1
21. User Defined 2
22. Angle push / rotary
23. Workflow Controls
24. Arrow
25. Alternate keyboard
26. End Exam
27. Clear Screen
28. Text / Annotation
29. Body Marker
30. Alphanumeric keyboard
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18
21
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22
23
242725
282629
30
20
17
Smart
Cart
Overview
Patient
Exam
2D Doppler Analysis Review Reports
Export /
Import
Annotation
/ Body
Marker
Control
Panel
Touch
Screen
System
Overview
17
Page 18
Control Panel
Control Panel Workflow Controls
Control Function
Patient Opens the ‘New Patient’ and ‘Edit Patient Data’ page.
Exam Opens and closes the ‘Exam Selection’ page.
Review Opens the page to review an exam, create a slide show or teaching file.
Report Opens the report screen to view the results and close the study.
Browser
Allows viewing of the patient studies, start a new exam, restart an exam and
delete studies.
Config Opens menus for user customization of the system.
Help Opens the user manual menu for the ‘Help’ menu.
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Action Result
Tap
Activates functions assigned to the surrounding keys.
Activates selected button on a form i.e., reports page.
Anchors caliper when measuring.
Slide
Moves or changes on-screen functions such as a caliper or color box.
Scrolls through a list i.e., thumbnails.
Pinch and spread Changes the size of an on-screen function i.e., Doppler gate.
Touch Pad
Smart
Cart
Overview
2D Doppler Analysis Review Reports
Export /
Import
Annotation
/ Body
Marker
Patient
Exam
Control
Panel
Touch
Screen
System
Overview
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Touch Screen
1. Mode indicators
2. Patient banner
3. System status bar
4. Thumbnail panel
5. Soft keys
6. Touch pad
7. Soft keys
8. Left panel controls
9. Imaging parameters
10. Transducer orientation
indicator
11. Thumbnail editing tools
12. Doppler tracing
13. 2D reference image
2D
Physio
Settings
Biopsy
<< Steer
L/R FlipLU/D Flip
U
Steer >>
PW
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xx_xx_xxxx_xx_xx_xx
xACUSON
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xxxx-xxxxxxxxxxxx
VF13-5
Small Parts ธ
Tx Power 100%
MA 0,59
ASC 2
DTCE Low
Dyn R 75 dB
THI 8.9 MHz
26 dB
45 tps
Dual
Focus
Position
MultiHertz
8.9 MHz
Update
Position Position
Dyn R
76 dB
THIOnGate0Image
Presets
Gen
Edge
OTCE
Adv: SieCl...
Map
Tint
Tx Power
Focus Min ...
Parallel ...
Trapezoid
Print Clear Delete
1 3
57 6
2
4
8
11
9
10
13
12
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Smart
Cart
Overview
2D Doppler Analysis Review Reports
Export /
Import
Annotation
/ Body
Marker
Patient
Exam
Control
Panel
Touch
Screen
System
Overview
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Press
1. Show Files
2. Source Media
3. Search Criteria
4. Search
5. Clear Search
6. Study List
7. Send
8. Output Device
9. Delete
10. Export, Import
11. Navigation menu
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6
3 4 5
7910
11
8
Browser
Patient Exam
Patient Browser
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New Patient
◾ Press
Patient
◾ Click
New Patient
◾ Enter data
◾ Click
OK
Use ‘Tab’ to move to the next text box.
You may start the exam without
registering a patient and then update
the patient information at any time
before ending the exam.
TIP
TIP
Patient Data
Smart
Cart
Overview
Control
Panel
Touch
Screen
Patient
Exam
2D Doppler Analysis Review Reports
Export /
Import
Annotation
/ Body
Marker
System
Overview
23
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Edit Patient Data
◾ Press
Patient
◾ Click
Edit Patient Data
◾ Edit data
◾ Click
OK
Patient Exam
TIP
TIP
To change the patient data entry
fields, select short or long form on the
General 2 Configuration page.
You can start an new exam or restart
an exam from the Patient Browser
page.
Patient Data Cont.
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Smart
Cart
Overview
Control
Panel
Touch
Screen
Doppler Analysis Review Reports
Export /
Import
Annotation
/ Body
Marker
Patient
Exam
2D
System
Overview
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2D
Real-time / Post Processing Image Controls
Feature Function
Dynamic TCE™ Tissue
Contrast Enhancement
Technology – Soft Key
Reduces speckle and increases image contrast.
Dyn R – Soft Key Adjust the range (minimum to maximum) of displayed gray shades.
Map – Soft Key Changes gray-scale image based on the intensity of the signal.
Tint – Soft Key Display of a color overlay applied to the gray-scale image.
L / R Flip – Soft Key Flips the left side of the image to the right and vice versa.
U / D Flip – Soft Key Flips the top of the image to the bottom and vice versa.
Zoom / Pan – Button /
Touch Pad
Zoom enlarges the image and Pan allows movement through the
image.
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Real-time Image Controls
Feature Function
2D Image Width – Touch
Pad
Narrows or enlarges the image area.
Note: Available with curvilinear and phased-array transducers.
Advanced SieClear™
Spatial Compounding –
Soft Key
Spatial compounding.
Biopsy – Soft Key Activates biopsy angles.
Depth / Zoom – push
rotary button
Distance of the image into the body.
DGC – Slide Pots
Adjustment of brightness to adjust for dark areas on the image due
to sound absorption in the tissue.
Dual – Soft Key Displays two images in a side-by-side format.
Smart
Cart
Overview
Control
Panel
Touch
Screen
Patient
Exam
2D Doppler Analysis Review Reports
Export /
Import
Annotation
/ Body
Marker
System
Overview
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2D
Real-time Image Controls Cont.
Feature Function
Edge – Soft Key Enhances structure edges and boundaries.
Focus Position –
Soft Key
Moves the depth of the focal zone anterior or posterior.
Focal zones –
Soft Key
Changes the number of focal zones.
Image Presets –
Soft Key
Allows selection of ‘Res’, ‘Gen’, and ‘Detail’ to adjust for patient body type.
MultiHertz™
Multiple Frequency
Imaging – Soft Key
Allows the user to select frequencies in both fundamental and harmonic
modes while performing real-time 2D imaging.
Overall Gain –
rotary button
Adjusts the overall brightness of the image.
Persist – Soft Key Number of frames averaged to form an image.
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TIP
You can customize the location of soft keys on the
‘Soft Keys’ tab located in the Configuration menus.
Feature Function
R / S
Allows adjustment of the balance between the image line density
(resolution) and the frame rate (speed).
Steer – Soft Key Allows steering of a linear image.
THI – Soft Key
Image optimization method that uses returning high frequencies to create
the image.
TEQ™ Ultrasound
Technology – Button
Continuously optimizes the overall gain, and DGC. Press once to activate,
twice to deactivate.
Tx Power – Soft Key Allows adjustment of the power setting.
Trapezoid – Soft Key
Increases the FOV for a linear transducer resulting in a trapezoidal shaped
image.
Smart
Cart
Overview
Control
Panel
Touch
Screen
Patient
Exam
2D Doppler Analysis Review Reports
Export /
Import
Annotation
/ Body
Marker
System
Overview
29
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Doppler
Color Doppler Controls
Feature Function
Auto Stat – Soft Key
Allows automatic measurement of user defined measurements.
Note: These do not enter into the patient report.
Invert – Button Moves the spectral or color Doppler display above or below the baseline.
Map – Soft Key
Changes spectral Doppler tracing gray-scale based on the intensity of the
signal.
Sweep – Soft Key Adjusts the speed of the spectral Doppler tracing.
Tint – Soft Key Display of a color overlay applied to the spectral Doppler tracing.
PW – Press / Rotary
button
Button: Enters / Exits PW Doppler.
Rotary: Increases / Decreases the PW spectral tracing gain.
Pulsed wave Doppler controls that can be adjusted during real-time imaging or on the frozen image.
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Color Doppler Controls
Feature Function
Color Display –
Soft Key
Removes the color box.
Flow – Soft Key Optimizes flow settings using ‘Low’, ‘Med’, and ‘High’ settings.
MultiHertz Imaging
– Soft Key
Allows user selection of the frequency.
Smooth – Soft Key Adjusts the spatial averaging for flow.
Priority – Soft Key
Adjusts the priority of the resolution of color Doppler compared to 2D.
Increasing improves the color Doppler display and decreasing improves the
2D display.
Controls shared by Color Doppler Energy (CDE), and Color Doppler Velocity (CDV) modes.
Smart
Cart
Overview
Control
Panel
Touch
Screen
Patient
Exam
2D Doppler Analysis Review Reports
Export /
Import
Annotation
/ Body
Marker
System
Overview
31
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Feature Function
C – Press / Rotary
button
Button: Enters / Exits Color Doppler.
Rotary: Increases / Decreases the Color gain.
CDE – Soft Key Enters / Exits Color Doppler Energy (Power) Doppler mode.
CDV – Soft Key Enters / Exits Color Velocity (Directional) Doppler.
CW – Soft Key
Enters / Exits continuous wave Doppler.
Note: Must have a phased array transducer attached and have PW active.
Doppler
Color Doppler Controls
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Spectral Doppler Controls
Feature Function
Angle – Push / Rotary
Button
Button: Adjusts the angle in 60° increments.
Rotary: Adjust the angle in 1° increments.
Dyn R – Soft Key Adjust the range (minimum to maximum) of displayed gray shades of gray.
Full D – Soft Key Displays the spectral tracing only.
Gate – Soft Key Increases or decreases the size of the sample volume gate.
Simult – Soft Key Displays both the 2D image and spectral tracing in real-time.
Steer Changes the D-line angle.
Update Rate –
Soft Key
Adjusts how often the 2D reference image updates during duplex imaging.
Volume – Soft Key Increases or decreases the audio of the spectral Doppler signal.
Controls used during pulsed wave (PW) Doppler real-time imaging.
Smart
Cart
Overview
Control
Panel
Touch
Screen
Patient
Exam
2D Doppler Analysis Review Reports
Export /
Import
Annotation
/ Body
Marker
System
Overview
33
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Feature Function
Auto Stat – Soft Key
Allows automatic measurement of user defined measurements.
Note: These do not enter into the patient report
Invert – Button Moves the spectral or color Doppler display above or below the baseline.
Map – Soft Key
Changes spectral Doppler tracing gray-scale based on the intensity of the
signal.
Sweep – Soft Key Adjusts the speed of the spectral Doppler tracing.
Tint – Soft Key
Display of a color overlay applied to the gray-scale image or spectral
tracing.
Controls that can be adjusted during real-time imaging or on the frozen image on the pulsed or
continuous wave tracing.
Spectral Doppler Shared Image Controls
TIP
To bypass the Doppler ‘Cursor Mode’ or select Frequency or Velocity display,
select the desired behavior on the ‘Display’ tab of the Configuration menus.
Doppler
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Shared Doppler Controls
Feature Function
Baseline –
Rocker Key
Moves the baseline up or down.
Filter – Soft Key Allows for removal of low level echoes close to the baseline.
MultiHertz Imaging
– Soft Key
Allows adjustment of the frequency.
Scale – Rocker Key Adjusts the pulse repetition period (PRF) of the active mode.
Steer – Soft Key Angles the D-line or color box to the left or right.
Real-time only controls shared by PW, continuous wave, CDE, and CDV modes.
TIP
You can customize the ACUSON P500 System Doppler
behavior on the ‘Exam’ tab of the Configuration menus.
Smart
Cart
Overview
Control
Panel
Touch
Screen
Patient
Exam
2D Doppler Analysis Review Reports
Export /
Import
Annotation
/ Body
Marker
System
Overview
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Annotation / Body Markers
Text Soft Keys
Body Marker Soft Keys
Feature Function
Delete Line Removes a line of text.
Delete Word Removes the last word typed.
Hide / Show Text Removes or displays text.
Home Area selected for the text to begin or cursor to return.
Set Home Position Allows selection of home position for the text cursor.
Feature Function
Change Body Marker Changes the displayed body marker.
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Smart
Cart
Overview
Control
Panel
Touch
Screen
Patient
Exam
2D Doppler Analysis Review Reports
Export /
Import
Annotation
/ Body
Marker
System
Overview
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1. Acquire a spectral tracing.
2. Press the Auto Stat soft key on the upper left of the monitor.
3. Select Above, Below, or Both.
Doppler Auto Trace
Analysis
TIP
Auto Stat functions on a real-time or frozen image.
Auto Stat measurements do not enter into the exam report.
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General Measurements
Feature Function
Measure
Launches calipers for both general and exam-specific measurements.
Touch Pad Move, anchor, and edit caliper functions.
Delete Removes one measurement starting with the last one performed.
Delete all Removes all calipers.
Smart
Cart
Overview
Control
Panel
Touch
Screen
Patient
Exam
2D Doppler
Annota-
tion / Body
Marker
Analysis Review Reports
Export /
Import
System
Overview
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Analysis
1. Press the
button.
2. The soft keys display on the bottom of the monitor.
3. Swipe the touch pad to position the caliper and press Set or tap the touch pad to anchor.
4. Position the first caliper and press Set.
5. Use the Edit button to toggle between calipers.
6. Press Set to anchor the second caliper.
The calipers and active measurements display green.
TIP
General Measurements
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Exam-Specific Measurements
1. Press the
button.
2. Select the desired measurement from the menu on the left of the monitor.
3. Place the caliper or goalpost at the desired start location.
4. Press Set.
5. Use the Edit button to toggle between calipers.
6. Press Set to anchor the second caliper.
7. Press Print Store to enter the measurement into the patient report.
TIP
You can also measure and enter information into the patient report
from an image in Review. This function only works with an open exam.
Smart
Cart
Overview
Control
Panel
Touch
Screen
Patient
Exam
2D Doppler Analysis Review Reports
Export /
Import
Annotation
/ Body
Marker
System
Overview
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Review
Feature Function
Review
Opens review on an exam in progress.
Browser
Opens a menu that allows selection of a saved exam.
Return to
Imaging
Returns to real-time imaging.
Select | Deselect
Review touch pad functions.
Play | Pause
Cine touch pad functions.
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CINE Review
1. Reset
2. First frame
3. Set Start Marker
4. Rate
5. Rewind
6. Stop / Start
7. Fast forward
8. Current frame
9. Set End Marker
10. Frame / Frame total
11. Last frame
12. Save
Cine review functions available during the exam and in Review.
1 2
3 4 5 6 7
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9
10
11
12
Smart
Cart
Overview
Control
Panel
Touch
Screen
Patient
Exam
2D Doppler Analysis Review Reports
Export /
Import
Annotation
/ Body
Marker
System
Overview
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Review
Creating a Slide Show
1. From an active exam press
Review
2. From a saved exam press
Browser
3. Tap images for the slide show.
4. Tap
Slide Show
5. You can
Stop
or
Start
the slide show.
6. Tap
Exit
to return to imaging.
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Creating a Teaching File
1. From an active exam press
Review
2. From a saved exam press
Browser
3. Tap images for the teaching file.
4. Tap
Teaching File
5. Enter a name.
6. Click on
New
Adding Images to a Teaching File
1. From an active exam press
Review
2. From a saved exam press
Browser
3. Select the teaching file.
4. Click on
Append
5. Add images to the teaching file.
Smart
Cart
Overview
Control
Panel
Touch
Screen
Patient
Exam
2D Doppler Analysis Review Reports
Export /
Import
Annotation
/ Body
Marker
System
Overview
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Reports
Only entered, exam-specific measurements appear in the report.
Feature Function
Report
Enters / Exits Report page.
Scrolling
Touch pad allows scrolling through reports sections.
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Drawing on a Report Diagram
1. Select
Report
2. Select
Description
3. Select Draw
4. Press Set
5. Use the pointer to draw.
6. Select Delete to erase the last area.
7. Select
Delete All
to erase all drawn areas.
TIP
Drawing function is only available in the CV exam.
Smart
Cart
Overview
Control
Panel
Touch
Screen
Patient
Exam
2D Doppler Analysis Review Reports
Export /
Import
Annotation
/ Body
Marker
System
Overview
47
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Reports
Edit a Report
Add an Image to the Report
1. Select Results.
2. Select either 2D measurements or 3D measurements.
3. Select the value for editing.
4. Enter new value.
1. Select
Summary
2. Add comments in the text box.
3. Select
Load Comments
to add preconfigured comments.
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Deleting an Image in the Report
1. Select image.
2. Press Set
Smart
Cart
Overview
Control
Panel
Touch
Screen
Patient
Exam
2D Doppler Analysis Review Reports
Export /
Import
Annotation
/ Body
Marker
System
Overview
49
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Export / Import
Send a Study
1. Press
Browser
2. Select the exam.
3. Select the Output Device.
4. Click
Send
5. The study appears in the
Queue
Import a Study
1. Press
Browser
2. Select the Source Media.
3. Select exams for import.
4. Exams appear at [D:] Local Disk.
You can only import a study in
DICOM format.
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TIP
Check the ‘De-identify’ box to export
images and studies without patient
information.
Image Export
1. Press
Browser
or
Review
2. Select patient exam.
3. Select images.
4. Click Export.
5. Select the format type.
6. Select export destination.
7. Click
Export
Smart
Cart
Overview
Control
Panel
Touch
Screen
Patient
Exam
2D Doppler Analysis Review Reports
Export /
Import
Annotation
/ Body
Marker
System
Overview
51
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Legal Manufacturer
Siemens Medical Solutions USA, Inc.
Ultrasound
685 East Middlefield Road
Mountain View, CA 94043
USA
Phone: +1-888-826-9702
siemens.com/ultrasound
Siemens Healthcare Headquarters
Siemens Healthcare GmbH
Henkestraße 127
91052 Erlangen
Germany
Phone: +49 9131 84-0
siemens.com/healthcare
ACUSON P500, MultiHertz, SieClear, TCE and TEQ are trademarks
of Siemens Medical Solutions USA, Inc.
The products / features mentioned in this document may not be
commercially available in all countries. Due to regulatory reasons
their future availability cannot be guaranteed. Please contact
your local Siemens organization for further details.
Images used in this guide are for educational purposes only.
They have been modified or compressed and may not reflect
the actual image quality of the system.
siemens.com/healthcare
Order No. A91US-356-1C-4A00 | Printed in Germany | CC 3339 1215
X. | © Siemens Medical Solutions USA, Inc., 2015
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