Siemens X300 Reference Manual

Download

Page 1

ACUSON X300 Ultrasound Imaging System System Reference

10348704-VFT-001-01-01

Siemens Medical Solutions USA, Inc. 10348704 REV 01

Page 2

Software Version 3

Siemens Medical Solutions USA, Inc. Ultrasound Division 1230 Shorebird Way Mountain View, CA 94043-1344 U.S.A.

(800) 498-7948 (650) 969-9112

February 2008 Printed in the Republic of Korea.

Siemens ACUSON X300, THI, MultiHertz, DIMAQ, microCase, QuickSet, SuppleFlex, Evolve Package, SynAps, TGO, DTI, 3-Scape, Axius, Clarify, SieClear, SieScape, Velocity Vector Imaging, AcuNav, and SwiftLink are trademarks or registered trademarks of Siemens AG or its subsidiaries and affiliates.

Windows, CIDEX, CIDEX Plus, CIDEX OPA, Milton, Virkon, STERRAD and Gigasept FF are registered trademarks of their respective owners.

Siemens reserves the right to change system specifications at any time.

CE Declaration This product is provided with a CE marking in

accordance with the regulations stated in Council Directive 93/42/EEC of June 14, 1993 concerning Medical Devices. Siemens Medical Solutions USA, Inc. is certified by Notified Body 0123 to Annex II.3 – Full Quality System.

Authorized EC Representative: Siemens Aktiengesellschaft Medical Solutions Henkestraße 127 D-91052 Erlangen Germany

Page 3

Chapter 1 System Presets Instructions for using the options in the Presets screen to customize the system.

Chapter 2 Documentation Devices

Information on documentation and storage devices, including procedures for storing and retrieving system presets and QuickSets.

DICOM Connectivity Option Chapter 3 Explanation of the Digital Imaging and Communications in Medicine (DICOM)

Connectivity option. This option works in conjunction with the DIMAQ-IP integrated workstation to provide digital image transfer using a DICOM network for both storage and printing.

Chapter 4 Network Export Function

A description of setting up and using the network export function. This function copies patient data to a password-protected shared folder on a destination device (export host) for offline-analysis.

Chapter 5 Data Transmission Specifications

Guidelines for transmitting data from the ultrasound system through the serial ports to a personal computer (PC).

Chapter 6 Cardiac References

Chapter 7 Obstetrical References

Note: Not all features and options described in this publication are available to all users. Please

check with your Siemens representative to determine the current availability of features and options.

SYSTEM REFERENCE i

Page 4

ii SYSTEM REFERENCE

Page 5

About the User and Reference Manuals

The user and reference manuals consist of the following publications.

Publication Includes

Instructions for Use  Technical description of the ultrasound system

 Safety and care information for the system and compatible transducers  Descriptions of all system controls  Procedures for system setup, examination fundamentals, and the biopsy

function

 Acoustic output data

Features and Applications Reference*

System Reference*  Description of customizable system settings

Electromagnetic Emissions and Immunity: Guidance and Manufacturer's Declaration*

*Languages supported by the user interface include a translation of this publication.

 Descriptions of image acquisition and optimization, including optional imaging

features

 General and exam-specific measurements and calculations  Data management  Explanation of the clinical software programs for use on the ultrasound system

 Information about DICOM connectivity, network capabilities, and external

devices

 Clinical references  Information regarding the electromagnetic compatibility (EMC) testing of this

system

SYSTEM REFERENCE iii

Page 6

Conventions

Take a moment to familiarize yourself with these conventions.

Warnings, Cautions, and Notes

Cross-References

Customizable System Settings

Keys and Controls Keys and controls located on the control panel are identified by uppercase,

On-screen Objects On-screen objects such as menu selections, soft key selections, and buttons are

Selection of On-screen Objects

WARNING: Warnings are intended to alert you to the importance of

following the correct operating procedures where risk of injury to the patient or system user exists.

Caution: Cautions are intended to alert you to the importance of following

correct operating procedures to prevent the risk of damage to the system.

Note: Notes contain information concerning the proper use of the system and/or correct execution of a procedure.

Examples: See also: Biohazards, Safety and Care, Chapter 2, Instructions for Use

See also: Documentation Devices, Chapter 2, System Reference

1 System Presets

Setting General Preferences.............................................................................. 3

Using the System Presets .............................................................................3

Making Screen Selections...................................................................... 4

Presets Screen .............................................................................................. 5

General 1 — System Configuration Selections.............................................. 6

General 2 — System Configuration Selections.............................................. 7

Customizing the Sequence of Data Entry for the Patient Data Form...... 8

Peripheral — System Configuration Selections............................................. 9

Customize Keys — System Configuration Selections ................................... 9

Customizing the Display of Soft Key Selections................................... 12

Storage — System Configuration Selections............................................... 13

Display — System Configuration Selections................................................ 13

Exam Configuration — System Configuration Selections............................ 15

User-Defined Exam List — Exam Configuration Selections ........................16

Text Annotation — System Configuration Selections ..................................17

Customizing Text Annotations.............................................................. 18

Pictogram List — System Configuration Selections..................................... 20

Customizing Pictograms.......................................................................20

M & R Configuration 1 — Configuration Selections ..................................... 22

Customizing the Measurement and Report Preset Settings ................. 22

M & R Configuration 2 — Configuration Selections ..................................... 29

Summary — Configuration Selections......................................................... 29

Service — Serviceability Selections ............................................................ 30

Stress Echo — Options Selections.............................................................. 30

SieScape — Options Selections.................................................................. 31

DICOM — Options Selections ..................................................................... 31

DIMAQ Utility — Options Selections............................................................ 31

Clip Capture — Options Selections ............................................................. 32

Network Export — Options Selections......................................................... 32

Authorization ........................................................................................ 32

Archive .................................................................................................34

Printer — Options Selections....................................................................... 34

Customizing OB and Early OB Measurements, Calculations, and Reports 35

Item & Reference Selection, Standard OB ..................................................35

2D-Mode, M-Mode, Doppler, Ratio, and Growth Analysis Tabs........... 35

EFW / USMA Tab.................................................................................37

Item & Reference Selection, Early OB......................................................... 37

Display Item, Standard OB / Early OB......................................................... 37

Growth Analysis Graphs, OB and Early OB................................................. 38

Standard OB / Early OB User-Defined Formulas......................................... 39

Standard OB / Early OB User-Defined Tables............................................. 41

User-Defined Label, OB and Early OB ........................................................ 44

SYSTEM REFERENCE 1 - 1

Page 8

1 System Presets

Customizing Vascular Measurements, Calculations, and Reports .............. 45

Display Item — Cerebrovascular (C-Vascular)............................................ 45

Display Item — Peripheral Vascular (P-Vascular) ....................................... 46

Display Item — Venous ............................................................................... 46

Customizing Gynecology Measurements, Calculations, and Reports......... 47

Display Item — Gynecology ........................................................................47

Customizing Cardiac Measurements, Calculations, and Reports ................ 48

Measurement Order — Cardiac................................................................... 49

Heading Tab.........................................................................................49

Label Tab .............................................................................................49

Display Item — Cardiac............................................................................... 51

User-Defined Label — Cardiac....................................................................52

Customizing Emergency Medicine Measurements, Calculations, and

Reports ..............................................................................................................

Calculation Item — Emergency Medicine.................................................... 54

Customizing Fetal Echo Measurements, Calculations, and Reports........... 55

Display Item — Fetal Echo .......................................................................... 55

1 - 2 SYSTEM REFERENCE

Page 9

1 System Presets

Setting General Preferences

When the ultrasound system is installed at your site, all system settings are factory-defined. You can use the options and settings available in the system presets to set up the ultrasound system with your preferences for imaging. System presets define the configuration of the system software whenever you power on the system.

Using the System Presets

You can use the system presets at any time to change the factory (default) settings or modify your own presets.

Note: After powering on the system, you must wait until the system completes the series of self-diagnostic and calibration tests before making any changes to the system presets. These tests last a few minutes, after which the system presets are ready for use.

Siemens recommends that you back up your system presets and QuickSets onto external storage media to prevent accidental loss of your information.

To use the system presets:

1. Press the Presets key on the keyboard.

The system displays the Presets screen, with menu items on the left and selections on the right.

2. Roll the trackball to the required menu item on the left of the screen and then press the SET key on the control panel.

The system displays selections for the selected menu item.

To save changes and exit the system presets:  Select the Save button at the bottom of the screen.

To discard changes and exit the system presets, choose a method:

 Select the Cancel button at the bottom of the screen and then select No in the

displayed confirmation message.

 Press the Presets key on the keyboard and then select No in the displayed

confirmation message.

SYSTEM REFERENCE 1 - 3

Page 10

1 System Presets

Making Screen Selections

Use the following techniques to make selections on the right of the Presets screen. You can typically roll the trackball to position the trackball pointer on a menu item or setting and then press the SET key to complete the selection.

 Drop-down menus – To open the menu, roll the trackball to position the

pointer on the arrow and then press the SET key. To make a selection, roll the trackball to highlight the selection and then press the SET key.

 Spin buttons – To set a higher or lower numeric value, roll the trackball

to position the pointer on the up or down arrow and press the SET key until the desired value displays.

 Check boxes – The option is selected when a checkmark displays

inside the box and de-selected when the box is clear. To select or clear the check box, roll the trackball to position the pointer in the box and then press the SET key.

 Buttons – To select a labeled button, roll the trackball to position the

pointer on the button or the label and then press the SET key. In some places, only one button can be selected at a time.

 Text entry – Roll the trackball to position the cursor in the field and then

press the SET key. Use the keyboard to enter text. When finished, use the Tab key to move to another field or roll the trackball to reposition the cursor and then press the SET key.

Drop-down menu.

Spin button.

Check box.

Option button.

Text entry.

1 - 4 SYSTEM REFERENCE

Page 11

1 System Presets

Presets Screen

The left side of the Presets screen lists the following menu items:

Menu Item Allows you to...

General 1

General 2

Peripheral

Customize Keys Assign functionality to documentation controls, User-Defined keys, and the optional

Storage

Display

Exam Configuration

User-Defined Exam List

Text Annotation

Pictogram List M & R Configuration 1

M & R Configuration 2

Summary

Service Stress Echo Access a new screen. Displays the Maintenance dialog box, from which the system

SieScape

DICOM

DIMAQ Utility

Clip Capture

Network Export

Authorization

General 1 — System Configuration Selections

The General 1 item on the Presets screen provides the following selections:

Selection Option(s) Allows you to...

Organization

Hospital Name

Format

Language English

Date Format Month / Day / Year

Date & Time Settings

Height & Weight Format

Audio

--- --text entry Enter the name of your hospital or clinic using up to

25 characters. You can modify this entry at any time.

--- --Designates the system language.

German French Spanish Italian Chinese Russian

Select the format for the date. The selected format is used in the

Day / Month / Year

image screen, the Patient Data form, and the patient reports.

Year / Month / Day

--- Access a new screen. Enter the current date and time.

Metric U.S.

Select the format for the display of the patient's height and weight used in the Patient Data entry form.

--- ---

Beep on Key Press

Beep after Store

on, off Select this check box to enable the beep to sound when a key is

on, off Select this check box to enable the beep to sound when storage

Completes Beep Volume 1 through 4,

in increments of 1

Line-in Volume Off, 1 through 25

Trackball Behavior

Trackball Travel Speed

--- ---

Low Medium High

Annotation Type

--- ---

Default Type Anatomy

Position

Boot Up

--- ---

Active Transducer LC1

LC2 LC3

pressed.

is completed. Set the volume of the beep. Option 1 is the quietest, Option 4 is

the loudest. Adjusts the volume of video playback.

Select the responsiveness of the system to trackball movement. Low repositions an object a short distance with minimal trackball

movement. Medium repositions an object a moderate distance with minimal

trackball movement. High repositions an object a long distance with minimal

trackball movement.

Specify the library initially displayed for the list of annotations on the screen.

Select a linear or curved array transducer port to be active when you power on the system.

Supported languages are dependent on regional availability.

1 - 6 SYSTEM REFERENCE

Page 13

1 System Presets

Selection Option(s) Allows you to...

Power Off Shutdown

Confirmation Dialog Power Off

Select the system response when the partial power on/off switch (

) is pressed.

Shutdown Confirmation Dialog — Displays a confirmation dialog box when powering off the system.

Power Off — Powers off the system directly.

General 2 — System Configuration Selections

The General 2 item on the Presets screen provides the following selections:

Selection Option(s) Allows you to...

Patient ID

AutoStore New Patient Form

Hide Patient Information

Customize Entry Order…

Common Mode

Delete Pictogram on Unfreeze

Delete Text on Unfreeze

Default Annotation Library

Pictogram Location Upper Right

Font Size 12, 14, 16, 18, 20

Arrow Size Small (Type1)

Patient Registration Original

Measurement Result Display Size

--- ---

on, off Automatically store a screen representation of the completed

patient data form to the registered patient's study.

on, off Display or hide the patient demographic.

--- Access a new screen. Customize the order entry sequence in the patient data form.

--- - - -

on, off Select this check box to erase an on-screen pictogram after an

image is unfrozen.

on, off Select this check box to erase on-screen text annotation after an

image is unfrozen.

On Off

Displays the list of annotations on the screen when you activate the annotation function.

Displays the pictogram at the selected screen location.

Lower Right

Select the point size of the font used for annotations. Select the size and the type of the directional arrows used for

Small (Type2)

annotations.

Small (Type3) Medium (Type1) Medium (Type2) Medium (Type3) Large (Type1) Large (Type2) Large (Type3)

Original uses the standard patient registration form with

e-entry

conventional requirements for data entry and with modified requirements for data entry:

 Automatically entered year for History fields with OB,

Early OB, GYN, EM and Fetal Echo exam types (when month and day are entered).

 Editable fetal age (Age field for OB, Early OB, EM and

Fetal Echo exam types).

e-entry displays an overlay of patient identification fields on the image screen.

Small

Select the size of display for the measured results.

Medium Large

SYSTEM REFERENCE 1 - 7

Page 14

1 System Presets

Customizing the Sequence of Data Entry for the Patient Data Form

Note: This selection applies to the original patient data form only. To display an abbreviated patient

registration form, use the system presets to select the e-entry form.

During patient registration, pressing the Tab key on the keyboard moves the text cursor to the beginning position of the next entry field in the patient data form. You can change the order entry sequence by restricting the Tab key to move through only the fields selected in the Customize Entry Order screen.

The Customize Entry Order screen has two columns: Selectable Entries on the left (the factory-default is blank) and Entry Order on the right (the factory-default lists all fields on the patient data form). The order of the entries in the Entry Order column indicates the order of the cursor in the patient data form when the Tab key is pressed.

Although you can customize the movement of the Tab key through the fields on the patient data form, the layout of the fields on the form is unchanged.

Note: You can use the trackball and SET key to move to any field on the patient data form.

To use the Customize Entry Order screen:

1. Press the Presets key on the keyboard to display the system presets and then select General 2 from the left of the screen.

2. Select the Customize Entry Order from the right of the screen.

3. To remove a field from the Entry Order column, select the name of the field and click Delete.

4. To remove all fields from the Entry Order column, click Delete All.

5. To insert a field from the Selectable Entries column, select the name of the field and click Add.

6. To change the order of fields in the Entry Order column, select the name of the field and click Move Up or Move Down.

7. To restore the factory default settings, select the Default button at the bottom of the screen and then select the Yes button in the displayed message box to confirm the action.

1 - 8 SYSTEM REFERENCE

Page 15

1 System Presets

Peripheral — System Configuration Selections

The Peripheral item on the Presets screen provides the following selections:

See also: Data Transmission Specifications, Chapter 5, System Reference

Note: The system does not allow identical options (except Off) for the External RS-232C Port #1 and the External RS-232C Port #2 selections. If you select an option for this selection (other than Off) that is identical to the option currently selected for the External RS-232C Port #1 selection, then the system sets the External RS-232C Port #1 selection to Off.

Selection Option(s) Allows you to...

Video

Video Format NTSC

Video Input Source Composite

External RS-232C Port #1

External RS-232C Port #2

VCR / DVR

Device Type Mitsubishi MD3000

Key Function Record / Pause

--- ---

PAL

S-VHS

Off PC2 VCR / DVR Color Printer

--- ---

JVC BD-X201 None

Record / Stop

Select the video format for output to the onboard printer.

Assign video input functionality.

Composite: Black and white video source S-VHS: Color video source.

Assign functionality to the serial port on the input / output panel of the ultrasound system.

PC2 enables data transmission through the serial port to an external personal computer (PC) or a workstation.

VCR / DVR enables the video recording device. Color Printer enables the color printer.

Assign functionality to the serial port on the input / output panel of the ultrasound system.

PC2 enables data transmission through the serial port to an external personal computer (PC) or a workstation.

VCR / DVR enables the video recording device. Color Printer enables the color printer.

Select the VCR / DVR device.

Assign functionality to the VCR / DVR key.

Customize Keys — System Configuration Selections

The Customize Keys item on the Presets screen provides the following selections:

Selection Option(s) Allow you to…

Key Direction

Depth CW

Zoom CW

Focus CW

--- ---

CCW

Assign the direction of rotation to the DEPTH control for increasing the depth. (CW = Clockwise, CCW = Counterclockwise)

Assign the direction of rotation to the ZOOM control for increasing the magnification factor. (CW = Clockwise, CCW = Counterclockwise)

Assign the direction of rotation to the FOCUS control for decreasing the depth of the focal zone marker (to the near field). (CW = Clockwise, CCW = Counterclockwise)

SYSTEM REFERENCE 1 - 9

Page 16

1 System Presets

Selection Option(s) Allow you to…

Key Function

--- ---

Soft Menu Customize… Access a new screen. Displays the Soft Menu screen,

from which the system allows you to customize the display of soft key selections.

Print/Store 1 Key B/W Print

Color Print PC Printer USB B/W USB Color Disk Store Volume Store Clip Capture DICOM B/W Print

Assign functionality to the PRINT/STORE1 key. Note: The selections for USB printers (for example,

PC Printer or Disk Store & USB B/W) are available

when you select a USB printer (located in the Printer section of the Printer presets screen).

DICOM Color Print Disk Store & B/W Print Disk Store & Color Print Disk Store & PC Printer Disk Store & USB B/W Disk Store & USB Color

Print/Store 2 Key B/W Print

Color Print PC Printer USB B/W USB Color Disk Store Volume Store Clip Capture

Assign functionality to the PRINT/STORE2 key. Note: The selections for USB printers (for example,

PC Printer or Disk Store & USB B/W) are available

when you select a USB printer (located in the Printer section of the Printer presets screen).

DICOM B/W Print DICOM Color Print Disk Store & B/W Print Disk Store & Color Print Disk Store & PC Printer Disk Store & USB B/W Disk Store & USB Color

Clip Store Key Disk Store

Assign functionality to the CLIP STORE key.

Volume Store Clip Capture

Left Pedal Freeze

B / W Print Color Print Disk Store Clip Capture Rotate 90° Clockwise (TEE) Rotate 90° Counter

Assign functionality to the left pedal of the optional footswitch.

Note: The selections for USB printers (for example, PC Printer or Disk Store & USB B/W) are available

when you select a USB printer (located in the Printer section of the Printer presets screen).

Clockwise (TEE) Caliper Update/View Escape/Timer 4B Split TGO Update U/D Flip L/R Flip USB B/W USB Color

1 - 10 SYSTEM REFERENCE

Page 17

1 System Presets

Selection Option(s) Allow you to…

Right Pedal Freeze

B / W Print Color Print Disk Store Clip Capture Rotate 90° Clockwise (TEE) Rotate 90° Counter Clockwise (TEE) Caliper Update/View Escape/Timer 4B Split TGO Update U/D Flip L/R Flip USB B/W USB Color

User-Defined 1 Key 4B

Split Sector U / D Flip L / R Flip Full Size Full D Full M Dir Power ECG Exam Report Graph Arrow Clip Capture Biopsy Volume Store Clarify VE None

User-Defined 2 Key 4B

Split Sector U / D Flip L / R Flip Full Size Full D Full M Dir Power ECG Exam Report Graph Arrow Clip Capture Biopsy Volume Store TGO Update Clarify VE None

Assign functionality to the right pedal of the optional footswitch.

Note: The selections for USB printers (for example, PC Printer or Disk Store & USB B/W) are available

when you select a USB printer (located in the Printer section of the Printer presets screen).

Assign functionality to the USER DEFINE 1 key.

Assign functionality to USER DEFINE 2 key.

SYSTEM REFERENCE 1 - 11

Page 18

1 System Presets

Selection Option(s) Allow you to… NEW Key Not Used

Close Study

Close Study and reload boot-up setting

Exchange Key Functionality

Exchange Functionality of Set and Escape key

--- ---

on, off

Select the system response when the NEW key is pressed.

Not Used disables the NEW key. Close Study closes the current study. Close Study and reload boot-up setting closes the

current study and resets the system with the boot-up setting.

Exchange the functionality of the SET key and

ESCAPE key on the control panel.

Customizing the Display of Soft Key Selections

You can rearrange or remove the soft key selections available for the following modes of operation:

 2D-mode  Color Flow  Power  M-mode  Doppler  3D imaging

Each mode has a tab for real-time imaging selections (Live [Lv]) and a tab for system freeze selections (Frz). Each tab has multiple "pages" of soft key selections. The soft key selections are represented as buttons on the Soft Menu screen in the system presets.

Note: An asterisk (*) indicates there are unsaved changes on a tab.

To remove soft key selections from buttons:

1. To remove a single soft key selection: a. Select the button representing the soft key selection.

The system displays a drop-down list of available options below the selected button.

b. Select Blank.

Blank displays on the selected button.

2. To remove a page of soft key selections, select the << or >> button to access the page and then select the Delete Page button.

The system removes the labels from all buttons on the page.

3. To remove a tab of soft key selections, select the Delete All button. The system removes the labels from all buttons on all pages of the tab.

1 - 12 SYSTEM REFERENCE

Page 19

1 System Presets

To assign a new soft key selection to a button:

1. Select the required button representing the soft key selection. The system displays a drop-down list of available options below the selected

button.

2. Select the required label. The button displays the new soft key option.

3. Repeat steps 1 and 2 as required.

To reset the soft key selections to factory default settings:  Select the Default button at the bottom of the screen and then select the

Yes button in the displayed message box to confirm the action.

Storage — System Configuration Selections

The Storage item on the Presets screen provides the following selections:

Selection Option(s) Allows you to…

Image Store

Image Store Format TIFF (tagged-image

--- ---

file format)

Select the format for storing the image and patient data to the disk drive.

Note: This selection indicates the image store format used by the system.

Image Store Format with Caliper

Size Full Screen (1024x768)

on, off Select whether to store caliper (measurement) information

with the image. Selects the storage size of the image screen.

Diagnostic Window Only (800x600)

Display — System Configuration Selections

The Display item on the Presets screen provides the following selections:

Selection Option(s) Allows you to…

Monitor

Enable Screen Saver

Screen Saver Delay 5

Screen Saver Type Black

Display

Video Invert

--- --on, off Select this check box to activate or uncheck to deactivate

10 15 20

SIEMENS

--- --on, off Select the polarity of the video display for the main image

the screen saver. Select the time delay (in minutes) before the system

activates the screen saver.

Select the background for the screen saver.

screen. Text is always white against gray or gray against white.

On (checked) displays a white image area against a black background.

Off (cleared) displays a black image area against a white background.

SYSTEM REFERENCE 1 - 13

Page 20

1 System Presets

Selection Option(s) Allows you to…

DGC

DGC Invert with Image Invert

DGC Curve Display Off

--- --on, off Select this check box to invert the DGC graphic on the

image screen when you rotate the image. Select when the DGC graphic displays on the image screen.

Always On Time Out

Off prevents the DGC from displaying on the image screen. Always On displays the DGC continuously on the

image screen. Time Out removes the DGC from the screen three seconds

after you adjust the curve. When you adjust the DGC controls again, the curve reappears on-screen.

DGC Control Max image depth

Select the image depth setting.

Current image depth

Thermal Index Display(Neo Head Exam only)

Doppler / M-Mode

Bypass M / D Cursor Display

TIS / TIB TIC

Select whether to display TIS / TIB (Soft Tissue Thermal Index / Bone Tissue Thermal Index) or TIC (Cranial Bone Thermal Index) during neonatal head exams.

--- --on, off

Select the system response when the M or D control is pressed. Select this check box to immediately display M-mode or Doppler. De-select the check box to initially display an M-mode or Doppler cursor in the 2D-mode image; the M or D control must then be pressed a second time for M-mode or Doppler to display.

Doppler Search Mode

on, off Select this check box to activate Doppler Search Mode by

pressing the D control, and audibly interrogate vessels with Doppler in 2D-mode before displaying the Doppler spectrum.

Doppler Frequency / Velocity

Frequency Velocity

Display frequency (Hz) or velocity (cm/s) as a unit in the Doppler spectrum.

1 - 14 SYSTEM REFERENCE

Page 21

1 System Presets

Exam Configuration — System Configuration Selections

The Exam Configuration item on the Presets screen provides the following selections:

Selection Option(s) Allows you to...

Exam Abdomen

OB Early OB GYN MSK Breast Thyroid Testicle Urology Cardiac Orthopedic P-Vascular C-Vascular Venous Renal Fetal Echo Ped Abd Ped Echo Penile Neo Head Sup MSK TCD Digital EM Small Parts OB(J) TEE

Automatic Freeze Response

Caliper Arrow Text Cine Pictogram

Seamless Dual On

Off

Steer Angle Type (VF10-5 Only)

2D/M & 2D/Doppler Display Format

FOV-1 FOV-2

1/2 2D – 1/2 trace 1/3 2D – 2/3 trace 2/3 2D – 1/3 trace Side by side

Default Doppler Update Style

2D-Frz / D-Lv 2D-Lv / D-Lv D-Lv / 2D-1s D-Lv / 2D-2s D-Lv / 2D-4s D-Lv / 2D-8s D-Lv / 2D-EOS

Select an exam for customization.

Select the system response when the FREEZE key is pressed. Cine activates the CINE function. Caliper activates the measurement function.

Text activates the annotation function. Arrow activates the arrow function.

Activate seamless display of dual and split images.

Specify the steering angle for the VF10-5 transducer.

Specify the image screen layout when two imaging modes are active.

1/2 2D – 1/2 trace presents 2D-mode on the right side of the upper 1 / 2, with M-mode or Doppler in the lower 1/2.

1/3 2D – 2/3 trace presents 2D-mode on the right side of the upper 1 / 3, with M-mode or Doppler in the lower 2/3.

2/3 2D – 1/3 trace presents 2D-mode on the right side of the upper 2/3, with M-mode sweep or Doppler spectrum in the lower 1/3.

Side by side presents 2D-mode in the left 40 percent of the screen and either the M-mode sweep or the Doppler spectrum in the right 60 percent of the screen.

Select display of real-time 2D image during update or select the update interval for the 2D image during update.

The update interval for D-Lv / 2D-EOS is the end of the sweep.

SYSTEM REFERENCE 1 - 15

Page 22

1 System Presets

Selection Option(s) Allows you to...

Linear Steer Color Invert

Auto Invert of Color and Spectrum

On Off

Select On to automatically invert the color velocity scale when you steer the ROI.

Select On to invert the Doppler spectrum and the color bar together in 2D-mode with Color / Doppler when the

INVERT key is pressed.

2D-Mode Steer with Cursor

Physio Management

ECG Display

On Off

Select On to allow the 2D-mode display to be steered by moving the Doppler cursor.

--- --on, off Select this check box to display the related trace when the

selected exam is activated. ECG trace displays from the ECG input.

Indicate R-Wave

on, off Select this check box to identify R-wave triggers in CINE

and also to indicate poor detection of an R-wave.

Auto FOV with Color Activation

On Off

Automatically adjust the 2D-mode field of view (FOV) to the color region of interest (ROI).

User-Defined Exam List — Exam Configuration Selections

The User-Defined Exam List item on the Presets screen provides the following selections:

Note: The currently activated exam is unavailable (dithered). The default exam for each transducer will continue to display in the Exam list when an exam is de-selected in the User-Defined Exam List screen.

Selection Option(s) Allows you to...

Enable Exam

Abdomen OB Early OB GYN MSK Breast Thyroid Testicle Urology Cardiac Orthopedic P-Vascular C-Vascular Venous Renal Fetal Echo Ped Abd Ped Echo Penile Neo Head Sup MSK TCD Digital EM Small Parts OB(J) TEE

--on, off

on, off on, off on, off on, off on, off on, off on, off on, off on, off on, off on, off on, off on, off on, off on, off on, off on, off on, off on, off on, off on, off on, off on, off on, off on, off on, off

Customize the list of available exams for some items in the Presets screen.

1 - 16 SYSTEM REFERENCE

Page 23

1 System Presets

Text Annotation — System Configuration Selections

The Text Annotation item on the Presets screen provides the following selections (below the title Customize Text Annotation):

Selection Option(s) Allows you to...

Exam & QuickSet Abdomen

Text Annotation Anatomy

(text box) --- Enter a user-defined annotation or change the selected

Modify

Add

Delete

Move Up

Move Down

OB Early OB GYN MSK Breast Thyroid Testicle Urology Cardiac Orthopedic P-Vascular C-Vascular Venous Renal Fetal Echo Ped Abd Ped Echo Penile Neo Head Sup MSK TCD Digital EM Small Parts OB(J) TEE

Position

--- Replace the selected annotation with the characters

--- Insert the annotation that is displayed in the text box into

--- Remove the annotation that is displayed in the text box

--- Shift the selected annotation to the next highest position

--- Shift the selected annotation to the next lowest position

Select an exam type or QuickSet for customization.

Display the selected list (library) of annotations.

annotation.

displayed in the text box.

the displayed list (library).

from the displayed list (library).

within the list (library).

SYSTEM REFERENCE 1 - 17

Page 24

1 System Presets

Customizing Text Annotations

Each exam type has a list of text annotations for anatomical structures and body positions.

You can display a library of annotations for an exam type or QuickSet, use the scroll bar to display additional selections, insert, edit, and remove annotations, change the position of annotations within the library, and reset the annotation library to factory defaults.

To display a library of annotations for an exam type or QuickSet:

1. Press the Presets key on the keyboard to display the system presets and then select Text Annotation from the left of the screen.

The system displays the Customize Text Annotation screen.

2. Select the exam type or QuickSet from the Exam & QuickSet drop-down list.

3. To exit the system presets without saving changes, select the Cancel button at the bottom of the screen and then select No to confirm the action.

To display additional selections when a scroll bar is displayed:

1. Roll the trackball to the up or down arrow on the scroll bar to the right of the selections and press and hold the SET key.

2. Roll the trackball until the required selections are displayed and then release the

SET key.

To insert an annotation into the displayed library:

1. To specify the location for the new annotation, select an existing annotation within the library.

The system highlights the selected annotation and displays the annotation in the text box.

2. Use the keyboard to delete the text in the text box and then enter the new annotation into the text box.

Note: You can enter up to 25 characters.

3. Select the Add button.

The system inserts the new annotation below the selected existing annotation within the library.

4. To save changes and exit the system presets, select the Save button at the bottom of the screen.

1 - 18 SYSTEM REFERENCE

Page 25

1 System Presets

To edit an annotation in the displayed library:

1. Select the annotation within the library. The system highlights the selected annotation and displays the annotation in the

text box.

2. Use the keyboard to edit the annotation in the text box.

3. Select the Modify button.

The system replaces the selected annotation with your edits.

4. To save changes and exit the system presets, select the Save button at the bottom of the screen.

To remove an annotation from the displayed library:

1. Select the annotation within the library. The system highlights the selected annotation and displays the annotation in the

text box.

2. Select the Delete button.

3. To save changes and exit the system presets, select the Save button at the bottom of the screen.

To change the position of an annotation within the displayed library:

1. Select the annotation within the library.

The system highlights the selected annotation and displays the annotation in the text box.

2. To shift the annotation to the next highest position within the library, select the Move Up button.

3. To shift the annotation to the next lowest position within the library, select the Move Down button.

4. To save changes and exit the system presets, select the Save button at the bottom of the screen.

To reset annotations for the selected exam type or QuickSet to factory defaults:  Select the Default button at the bottom of the screen and then select the

Yes button in the displayed message box to confirm the action.

SYSTEM REFERENCE 1 - 19

Page 26

1 System Presets

Pictogram List — System Configuration Selections

The Pictogram List item on the Presets screen provides the following selections (below the title Customize Pictogram List):

Selection Option(s) Allows you to...

Exam & QuickSet Abdomen

All Pictograms

Selected

Add

Delete

Move Up

Move Down

OB Early OB GYN MSK Breast Thyroid Testicle Urology Cardiac Orthopedic P-Vascular C-Vascular Venous Renal Fetal Echo Ped Abd Ped Echo Penile Neo Head Sup MSK TCD Digital EM Small Parts OB(J) TEE

--- Display the pictograms available on the system.

--- Display the library of pictograms for the selected

--- Insert the selected pictogram into the displayed

--- Remove the selected pictogram from the displayed

--- Shift the selected pictogram to the next highest

--- Shift the selected pictogram to the next lowest

Select an exam type or QuickSet for customization.

exam type or QuickSet.

library.

position within the library.

Customizing Pictograms

Each exam type has pictograms that can be selected when the exam type is active. The pictograms are stored in libraries that you can edit for each exam type. The first available pictogram in the library displays on the screen when you press the PICTOGRAM key on the control panel.

You can display the library of pictograms for an exam type or QuickSet, use the scroll bar to display additional selections, insert and remove pictograms, change the position of pictograms within the library, and reset the pictogram library to factory defaults.

1 - 20 SYSTEM REFERENCE

Page 27

1 System Presets

To display the library of pictograms for an exam type or QuickSet:

1. Press the Presets key on the keyboard to display the system presets and then select Pictogram List from the left of the screen.

The system displays the Customize Pictogram List screen.

2. Select the exam type or QuickSet from the Exam & QuickSet drop-down list.

3. To exit the system presets without saving changes, select the Cancel button at the bottom of the screen and then select No to confirm the action.

To display additional selections when a scroll bar is displayed:

1. Roll the trackball to the up or down arrow on the scroll bar to the right of the selections and press and hold the SET key.

2. Roll the trackball until the required selections are displayed and then release the

SET key.

To insert a pictogram into the displayed library:

1. Select the new pictogram from the All Pictograms section of the screen.

2. Select the Add button.

The system places the new pictogram at the bottom of the list in the Selected section of the screen.

3. To save changes and exit the system presets, select the Save button at the bottom of the screen.

To remove a pictogram from the displayed library:

1. Select the pictogram from the Selected section of the screen.

The system outlines the selected pictogram.

2. Select the Delete button.

3. To save changes and exit the system presets, select the Save button at the bottom of the screen.

To change the position of a pictogram within the displayed library:

1. Select the pictogram from the Selected section of the screen.

The system outlines the selected pictogram.

2. To shift the pictogram to the next highest position within the library, select the Move Up button.

3. To shift the pictogram to the next lowest position within the library, select the Move Down button.

4. To save changes and exit the system presets, select the Save button at the bottom of the screen.

To reset pictograms within the displayed library to factory defaults:  Select the Default button at the bottom of the screen and then select the

Yes button in the displayed message box to confirm the action.

SYSTEM REFERENCE 1 - 21

Page 28

1 System Presets

M & R Configuration 1 — Configuration Selections

The M & R Configuration 1 item on the Presets screen provides the following selections:

Selection Option(s) Allows you to…

Measurement and Report Preset

Report Data Auto Store

(Drop-down list)

--- ---

on, off Select the check box to automatically store the patient report and

measurement data to the DIMAQ-IP integrated workstation when studies are ended.

Change measurement and report settings for the selected exam type.

Customizing the Measurement and Report Preset Settings

The Measurement and Report Preset section allows you to customize each exam type.

Measurement Method

(For use with all exam types)

Use this selection to establish a shortcut to a specific measurement method.

The upper section of this screen allows you to select the method activated when the system first enters the measurement function for the specified imaging mode.

The lower section of this screen allows you to select a specific method for automatic activation when a general measurement method is selected in the measurement function. For example, if Ellipse is selected in the Area field, selecting Area from the list of general measurement methods automatically activates the Ellipse method.

1 - 22 SYSTEM REFERENCE

Page 29

1 System Presets

To select the Default Measurement Method by Mode:

1. For each imaging mode, roll the trackball to the arrow on the right side of the method field and then press the SET key.

The system displays a pull-down menu of available measurement methods for this imaging mode.

2. Roll the trackball to highlight a measurement method and then press the SET key.

The highlighted method becomes the default for this imaging mode.

To select the Default Measurement Method:

1. For each measurement method category, roll the trackball to the arrow on the right side of the method field and then press the SET key.

The system displays a pull-down menu of specific methods.

2. Roll the trackball to highlight a measurement method and then press the SET key.

The highlighted method becomes the default for this method category.

Customize Keys

(For use with all exam types)

You can customize the display of soft key selections for use during the measurement function for the following modes:

 2D-mode  M-mode  Doppler

See also: Customizing the Display of Soft Key Selections, p. 1-12

SYSTEM REFERENCE 1 - 23

Page 30

1 System Presets

General Configuration

(For use with all exam types)

Selection Option(s) Allows you to…

General Caliper

Caliper Default Position

Caliper Pattern x

Caliper Size Small

Measurement Results Background

Measurement Result Display

2D-Mode Top

Doppler/M-Mode Top

--- Change general settings that apply to all exam types.

Center Menu Depth

Medium Large

On Off

--- ---

Bottom Left Right

Assign trackball control to the pointer or measurement marker when the measurement function is initiated.

Center displays the first marker in the center of the image screen. A depth value does not display.

Menu displays the trackball pointer in the Measurement Menu if a label is available. For exam types with no labels, the trackball pointer remains in the center of the image screen when Menu is selected.

Depth displays the first marker in the center of the image screen, with a dotted line representing the depth from the skin line. A depth value displays in the Measured Results area of the image screen until you anchor the first marker.

Specify the shape of the caliper. You can specify one shape at a time for the entire system. Multiple measurements use the same shape, but are differentiated by number.

Specify the size of the caliper for use by the entire system. A smaller size may make a larger number of calipers easier to view.

Activate or deactivate a background for the Measured Results section of the image screen.

Displays the Measured Results at the selected screen location in 2D-Mode.

Displays the Measured Results at the selected screen location in Doppler or M-Mode.

Measurement Order

(For use with the following exam types only: GYN, P-Vascular, C-Vascular, Fetal Echo, Penile, TCD,)

Use this selection to add and delete labels and to rearrange the order in which labels appear in the Measurement Menu. The Measurement Order screen presents two columns of entries: Selectable Label on the left and Measurement Order on the right. Add labels from left to right or delete labels from right to left. User-defined labels initially appear on the left.

To select an imaging mode (GYN, Fetal Echo, TCD exam types only):

 Roll the trackball to the down arrow for the Mode drop-down menu, select the

required imaging mode and then press the SET key.

1 - 24 SYSTEM REFERENCE

Page 31

1 System Presets

To add labels:

1. Roll the trackball to a selectable label on the left and then press the SET key. The system highlights the label.

2. Roll the trackball to the Add button and then press the SET key.

The label is moved to the bottom of the Measurement Order list on the right.

3. Repeat steps 1 and 2 for other labels, as required.

To delete labels:

1. Roll the trackball to a label in the Measurement Order list on the right and then press the SET key.

The system highlights the label.

2. Roll the trackball to the Delete button and then press the SET key. The label is moved to the bottom of the Selectable Label list on the left.

3. Repeat steps 1 and 2 for other labels, as required.

To rearrange labels:

1. Roll the trackball to one of the labels in the Measurement Order list on the right and then press the SET key.

The system highlights the label.

2. Roll the trackball to the Move Up or Move Down button and then press the SET key.

The label moves up or down one space in the list.

3. Repeat steps 1 and 2 as required to create a restructured Measurement Order list.

To reset labels back to factory default positions:

1. Roll the trackball to the Default button and then press the SET key.

The system prompts you to confirm your choice.

2. Roll the trackball to the Yes button and then press the SET key to continue.

SYSTEM REFERENCE 1 - 25

Page 32

1 System Presets

Follicle Measurement Method – Gynecology Exam

The gynecology exam Measurement Order screen contains an extra field for specifying the Follicle Measurement Method.

To select the Follicle Measurement Method (Gynecology exam):

1. Roll the trackball to the arrow on the right of the Follicle Measurement Method field and then press the SET key.

The system displays a drop-down menu of available selections.

2. Roll the trackball to highlight one of the selections and then press the SET key. The highlighted selection becomes the new Follicle Measurement Method.

LV (Left Ventricle) Measurement Method – Fetal Echo Exam

The fetal echo exam Measurement Order screen contains an extra field for specifying the LV Measurement Method.

To select the LV Measurement Method (Fetal Echo exam):

1. Roll the trackball to the arrow on the right of the LV Measurement Method field and then press the SET key.

The system displays a drop-down menu of available selections.

2. Roll the trackball to highlight one of the selections and then press the SET key. The highlighted selection becomes the new LV Measurement Method.

Display Item

(For use with the following exam types only: Urology, Orthopedic, Emergency Medicine, Penile, TCD)

Use this selection to control display of various items on the measurement screen and in the patient report. The Display Item screen is unique for each exam type.

Selection Option(s) Allows you to... Measurement Screen

Abbreviated Display of Results

Hip Angle Graph (Ortho exam only)

Report

Performing MD

Referring MD

--- --on, off Select this check box to display only labels with assigned measurement

values in the Measured Results. De-select the check box to display all labels on the Measurement Menu in the Measured Results.

on, off Select this check box to display the sonographic hip angle graph when an

Ortho exam measurement has been completed.

--- --on, off Select this check box to include the Performing MD entered in the Patient

Data form at the bottom of the report page.

on, off Select this check box to include the Referring MD name entered in the

Patient Data form at the bottom of the report page.

1 - 26 SYSTEM REFERENCE

Page 33

1 System Presets

User-Defined Label

(For use with the following exam types only: GYN, P-Vascular, C-Vascular)

Use this selection to designate special measurement labels.

See also: User-Defined Label, OB and Early OB, p. 1-44

M & R Configuration 2 — Configuration Selections

The M & R Configuration 2 item on the Presets screen provides the following selections:

Selection Option(s) Allows you to...

Heart Rate Tool

Number of Heart Cycles for Heart Rate

--- --1, 2, 3, 4, 5

Select the number of heart cycles.

Summary — Configuration Selections

The Summary item on the Presets screen provides the following selections.

Selection Option(s) Allows you to...

Site Information

Logo

Load

Delete

Text 1

Text 2

Text 3

Font

Display Items for Summary

Images On, Off Enable or disable the Images section on the Summary. Summary On, Off Enable or disable the Summary section on the Summary. Recommendations On, Off Enable or disable the Recommendations section on the

Signature On, Off Enable or disable the Signature section on the Summary.

--- --on, off

--- Select an image from the USB-compatible device.

--- Delete the selected image. (text entry) (text entry) (text entry)

--- Access a dialog box to customize the display of text (for example,

Insert an image in the Letter Header section.

Enter text to display in the Letter Header section. Enter text to display in the Letter Header section. Enter text to display in the Letter Header section.

type, style, or size).

Summary.

SYSTEM REFERENCE 1 - 29

Page 36

1 System Presets

To modify the Letter Header of the Summary:

 Press the Presets key on the keyboard and then select Summary on the left of

the screen.

To Do this

Insert an image for inclusion on the summary

Delete the image Display customized text in the summary

header Modify the font type, style, or size

1. Select Load from the Logo section. The system displays a list of compatible images located in the root

directory of the inserted USB-compatible storage device.

2. Select an image. The system displays the image in the Logo section.

 Select Delete from the Logo section.  Use the keyboard to enter text in the text box.

1. Select the Font button.

2. Select the required format and then select OK.

Service — Serviceability Selections

This selection provides the system serial number and software version number, along with password-protected service protocols. The service function allows service personnel to confirm the correct operation of the system. Exiting the Service function returns the system to imaging.

Note: Text in the Siemens Service Software screen is displayed in English only.

Note: When you select Restore Factory Defaults from the Siemens Service Software screen, the

system restores the initial factory default settings for all values except Language and Video Format.

Stress Echo — Options Selections

The Stress Echo menu item in the system presets displays the Maintenance dialog box, which allows you to configure options for the optional Stress Echo feature. Options determine system behavior during acquisition, appearance of loops in the Stress Echo screen, placement of WMS (wall-motion scoring) graphics relative to the loops they represent, type of line used for creating traces, lengths of systolic duration for specific heart rates, and available protocols.

Exiting (quitting) the Stress Echo presets screen returns the system to imaging.

The Stress Echo chapter describes the setup options in detail.

See also: Stress Echo, Chapter A9, Features and Applications Reference

1 - 30 SYSTEM REFERENCE

Page 37

1 System Presets

SieScape — Options Selections

The SieScape item on the Presets screen provides the following selections:

Selection Option(s) Allows you to...

SieScape Scale On

Off

SieScape Size Best Fit, 1, 2, 3, Full Size

Automatically display a ruler along a frozen SieScape image.

Determine the scale of the SieScape image when frozen. Best Fit automatically scales the image to fit the window,

based on the selected rotation. Best Fit is the default image size.

1–3 incrementally scales the image size between Best Fit and Full Size.

Full Size displays the full (actual) size of the image in the image area.

DICOM — Options Selections

You can configure the ultrasound system and connected devices (such as servers and printers) for DICOM by creating, editing, and activating aliases (DICOM configurations).

The DICOM chapter describes the setup options in detail.

See also: DICOM Connectivity Option, Chapter 6, System Reference

DIMAQ Utility — Options Selections

The DIMAQ Utility Item on the Presets screen provides access to setup options for the DIMAQ integrated workstation.

See also: Patient Data Management, Chapter C1, Features and Applications Reference

Selection Option(s) Description

Thumbnails

Enable

Active Panel PatientInfo

Columns 1, 2, 3, 4

Rows 4 through 12

Printer None

on, off Enables the display of panels on the screen (for example,

Thumbnails and Patient Info). Displays the selected panel on the first page of the panel

Thumbnails

section. Selects the number of columns displayed in the Thumbnail

screen. Selects the number of rows displayed in the Thumbnail

screen. Selects the type of printer or storage device.

DICOM Print, BW DICOM Print, Color PC Printer USB BW Printer USB Color Printer

Note: The PC Printer, USB BW Printer, or USB Color Printer options are available when a corresponding printer is

assigned using the Printer item on the Presets screen.

SYSTEM REFERENCE 1 - 31

Page 38

1 System Presets

Clip Capture — Options Selections

The Clip Capture item on the Presets screen provides the following selections:

Selection Option(s) Description

Compression Low (8:1)

High (13:1)

Trigger Type Time Capture

Beat Capture R-Wave Only Capture

Chronology Prospective

Retrospective

Time Trigger 1, 2, 3, 4, 8*, 60*, 120*,

(user-defined)*

Beat Trigger 1, 2, 3, 4, 8*, 60*, 120*,

(user-defined)*

R-Wave Delay 0 to 480 in steps of

30 msec

Acquisition Rate normal

high

* Available when Prospective is selected for Chronology.

Select level of image resolution and file size.

Select clip capture over a period of seconds or heart beat cycles.

Retrospective selects a clip of previous images. Prospective selects a clip of succeeding images.

(Available when Time Capture is selected for Trigger Type.) Specify the duration of each clip in seconds.

(Available when Beat Capture is selected for Trigger Type.) Specify the duration of each clip in heart beat cycles.

(Available when Beat Capture is selected for Trigger Type.) Set the capture point based on a delay beyond the R-Wave.

Defines the frame rate of the acquisition.

Network Export — Options Selections

You can verify selection of an existing setup, select another setup, edit an existing setup, or create a new setup for the host or export host using the system presets on the ultrasound system.

The Network Export Function chapter describes the setup options in detail.

See also: Network Export Function, Chapter 4, System Reference

Authorization

The Authorization item on the Presets screen provides access to security options.

When you access the Authorization screen for the first time, the system prompts you to set up the administrator account.

Note: To change these selections, you must log in with an administrator account, unless otherwise noted.

Selection Option(s) Description

Change Password

Change

Administration

Password

--- ---

--- Displays a dialog box for changing your current password.

Note: This selection is available for all user accounts.

--- ---

--- Displays a login dialog box for an administrator.

1 - 32 SYSTEM REFERENCE

Page 39

1 System Presets

Selection Option(s) Description

Accounts

(user defined entries) --- Displays the defined user accounts when you log in to

Administrator

Disabled

--- ---

this screen as an administrator. You can change the settings for the selected user account.

on, off When enabled (selected), assigns administrator

privileges to the selected user account.

on, off When enabled (selected), disables the selected user

account. Note: Use this selection to reactivate a disabled user

account.

Reset…

Delete

New

CD / DVD

Import

Export

Authorization Policy

Retry Limits

--- Displays a dialog box to reset the password for the

--- Deletes the selected user account.

--- Displays a dialog box to create a new user account.

--- ---

--- Retrieves user accounts and passwords from disk media.

--- Saves user accounts and passwords to disk media.

--- ---

on, off When enabled (selected), requires a user account and

on, off When enabled (selected), causes the user account to be

Retry Period

Attempts 1 to 100 attempts in

increments of 1

Seconds 1 to 5 seconds in increments

of 1 second

Autologout

on, off When enabled (selected), automatically logs out after the

(Screen Saver)

Password Expire

on, off When enabled (selected), requires users to change

Days 1 to 1,000 days in

increments of 1 day

Password Policy

Minimum Characters

Lowercase Characters

on, off When selected (enabled), requires new passwords to

0 to 64 characters in increments of 1

selected user account.

password to access the DIMAQ integrated workstation. Selecting this option allows you to configure the Authorization Policy section.

When disabled (cleared) allows all users access to the DIMAQ integrated workstation without requiring a password.

disabled if login attempts exceed the specified limit. An administrator must reactivate the user account.

Note: The retry limit does not apply to administrator accounts.

Specifies the number of login attempts allowed before the system disables the user account.

Specifies the interval of time before allowing the next login attempt.

user account is inactive for the specified interval of time.

passwords after the specified expiration period. Specifies the expiration period for a password.

conform to specified password security restrictions. Specifies the minimum number of characters a password

must contain. Specifies the minimum number of lowercase characters a

password must contain.

SYSTEM REFERENCE 1 - 33

Page 40

1 System Presets

Selection Option(s) Description

Special Characters 0 to 64 characters in

increments of 1

Uppercase Characters

0 to 64 characters in

increments of 1

Numeric Characters 0 to 64 characters in

increments of 1

Change

--- ---

--- Allows you to use the keyboard to customize the login

Specifies the minimum number of special characters a password must contain.

Specifies the minimum number of uppercase characters a password must contain.

Specifies the minimum number of numeric characters a password must contain.

message for the DIMAQ integrated workstation.

Printer — Options Selections

The Printer item on the Presets screen provides access to setup options for installing and configuring printers.

Selection Option(s) Description

Printer

Install

Status

PC Printer USB BW Printer USB Color Printer

Note: To ensure images print correctly, select the name of the USB printer corresponding to each

installed printer from the drop-down list.

--- ---

--- Installs a USB printer.

--- Shows the status of the most recently assigned printer.

(drop-down list) Lists the installed USB printers. (drop-down list) Lists the installed USB printers. (drop-down list) Lists the installed USB printers.

1 - 34 SYSTEM REFERENCE

Page 41

1 System Presets

Customizing OB and Early OB Measurements, Calculations, and Reports

The Measurement and Report Presets for the OB and Early OB exams include generic and exam-specific descriptions.

Measurement and Report Preset Description

Item & Reference Selection, Standard OB See page 1-35 Item & Reference Selection, Early OB See page 1-37 Display Item, Standard OB / Early OB See page 1Growth Analysis Graphs, OB and Early OB See page 1Standard OB / Early OB User-Defined Formulas: EFW Formula, MA

Data, GA Data, Ratio Formula Standard OB / Early OB User-Defined Tables: MA Data and GA Data See page 1User-Defined Label See page 1Measurement Method See page 1Customize Keys See page 1General Configuration See page 1Comments Library for Report See page 1-

See page 1-

37 38 39

41 44 22 23 24 28

Item & Reference Selection, Standard OB

2D-Mode, M-Mode, Doppler, Ratio, and Growth Analysis Tabs

This selection allows you to edit the Measurement Item list for 2D-mode, M-mode, Doppler, ratios, and Growth Analysis.

To add or delete measurement items:

1. To add a measurement item, roll the trackball to an item in the Selectable Label list and then press the SET key.

2. Roll the trackball to the Add button and then press the SET key.

The item is placed at the end of the Measurement Item list.

3. To delete a measurement item, roll the trackball to an item in the Measurement Item list and then press the SET key.

4. Roll the trackball to the Delete button and then press the SET key. The item is placed at the end of the Selectable Label list. Any author assignment

to the item is retained.

To assign an author to a measurement item:

Note: For 2D-mode, M-mode, ratio, and Growth Analysis only.

1. Roll the trackball to the Author field to the right of the Measurement Item and then press the SET key. If the field is blank, no selections are available.

2. Roll the trackball to highlight an author and then press the SET key.

The author is now assigned to the measurement item.

SYSTEM REFERENCE 1 - 35

Page 42

1 System Presets

To add all selectable labels assigned to the same author:

Note: For 2D-mode, ratio and Growth Analysis only.

1. Under Same Author Label All Selection, roll the trackball to the unlabeled text box and then press the SET key.

2. Roll the trackball to highlight an author and then press the SET key.

3. Roll the trackball to the Add button and then press the SET key.

All selectable labels assigned to this author are added to the Measurement Item list.

To move between pages of measurement items:

Note: For 2D-mode only.

1. Roll the trackball to the Next button and then press the SET key to access a higher page number.

2. Roll the trackball to the Prev button and then press the SET key to access a lower page number.

To select display of single or averaged measurements:

Note: This task cannot be performed with the Ratio and Growth Analysis tab.

1. For each measurement item, roll the trackball to the Average button (to display an average of all measurements) or the Direct button (to display the last measurement) and then press the SET key.

2. To change all measurement items on the same page, roll the trackball to the Average or Direct button in the Same Parameter Selection All Label section and then press the SET key.

3. Access each page of Measurement Items and repeat step 1 or 2.

To reset the Measurement Item list:

 Roll the trackball to the Default button and then press the SET key. Select Yes in

the displayed confirmation message. All measurement items and author assignments are returned to factory default

settings.

1 - 36 SYSTEM REFERENCE

Page 43

1 System Presets

EFW / USMA Tab

Use this tab to select preferred authors for two EFW formulas. Both formulas display in the worksheet and the report. The EFW1 formula displays in the Measured Results when the required measurements have been made. You can also select an average USMA to be returned as measurements are made or specify that one of Hadlock's eleven regression equations be used.

For EFW1, EFW2, and USMA selections, the required measurements are listed in the associated Based Label box.

To make an EFW or USMA selection:

1. Roll the trackball to the appropriate Author field and then press the SET key.

The system displays a pull-down menu of available authors or equations.

2. Roll the trackball to highlight an author or equation and then press the SET key.

Item & Reference Selection, Early OB

The Item & Reference Selections for Early OB parallel those for Standard OB. The Ratio tab has no system-defined ratios, but shares five user-defined ratio labels with Standard OB. The EFW / USMA tab is the same as for Standard OB.

Display Item, Standard OB / Early OB

The Standard OB / Early OB Display Item screen allows you to designate items to include on the measurement screen and in the worksheet and patient report.

Selection Option(s) Allows you to...

Measurement Screen

Abbreviated Display of Results

Vertical Display of Doppler Measurement Results

Report / Worksheet

Abbreviated Display of Results

Display of Doppler Measurement Results

Performing MD

Referring MD

--- --on, off Select this check box to display only labels with

Systole Diastole S / D RI PI

--- --on, off Select this check box to display only labels with

Systole Diastole S / D RI PI

on, off Select this check box to include at the bottom of the report page the

assigned measurement values in the Measured Results. De-select the check box to display all labels on the Measurement Menu in the Measured Results.

Select each check box to display the selection as a permanent, labeled item in the Measured Results for Doppler. De-select the check box to not display the selection in the Measured Results.

assigned measurement values in the Measured Results. De-select the check box to display all labels on the Measurement Menu in the Measured Results.

Select each check box to display the selection as an item in the Doppler section of the report. De-select the check box to not display the selection in the Doppler section of the report.

Performing MD entered in the patient data form.

Referring MD name entered in the patient data form.

SYSTEM REFERENCE 1 - 37

Page 44

1 System Presets

Selection Option(s) Allows you to... HC / AC Measurement

HC with BPD / OFD Measurement

AC with ATD / ASD Measurement

Display SD / Growth

--- --on, off Automatically derive values for BPD and OFD from the

HC Measurement.

on, off Automatically derive values for ATD and ASD from the

AC Measurement.

--- ---

Percentile

Display SD / Growth Percentile

ON OFF

Enable the display of a standard deviation for each measurement:

ON — Displays the standard deviation (SD). OFF — Displays the gestational age (GA) instead of the SD.

Caution of estimated age

OFF

1.5SD

Specify the upper limit of the range for the standard deviation (SD).

2.0SD

2.5SD

3.0SD

Growth Analysis Graphs, OB and Early OB

Use this selection to set up growth curves for OB and Early OB exams.

Selection Option(s) Allows you to...

Link Files Manual

Automatic

Customize Growth

--- ---

Analysis Graphs

Graph Format Single

Quad

Graph Display Current

Graph Grid

Display All Measured

on, off Display vertical and horizontal lines on the graph. on, off Select this check box to display all measurement values from the

Label

Link files in the measurement report manually or automatically.

Select Single to display one graph to a patient report page. Select Quad to display four graphs to a page. With either option, each graph displays the growth curve for a different, user-selectable growth parameter according to a user-selectable reference (author).

Select Current to display measurement values from the current exam only. Select Previous to display values from prior OB exams. Previous requires that the exams are available on the hard drive or CD/DVD and are linked to the current study. Select both check boxes to plot current measured results with previous measurements for a parameter on a single graph.

current exam on the Obstetrical Growth Curve Graph page of the patient report when Single is selected. De-select this check box to display only the selected measurement value.

1 - 38 SYSTEM REFERENCE

Page 45

1 System Presets

Standard OB / Early OB User-Defined Formulas

Access a Standard OB / Early OB formula with one of the following selections from the Standard OB or Early OB Measurement and Report screen:

 User-Defined EFW Formula  User-Defined MA Data  User-Defined GA Data  User-Defined Ratio Formula

To access a formula screen:

1. Roll the trackball to any of these choices and then press the SET key.

2. If the system displays a confirmation window, roll the trackball to the OK button and then press the SET key.

3. For MA Data and GA Data, roll the trackball to the Formula button under Data Type and then press the SET key.

The resulting formula screens are very similar. Basic formula-building rules apply to EFW, Ratio, MA Data, and GA Data formulas. Use the following procedure for all four formula types.

To create a user-defined formula:

1. Roll the trackball to the drop-down box at the upper left corner and then press the SET key.

The system displays a list of numbered User-Defined formulas.

2. Roll the trackball to highlight one of the User-Defined formula numbers and then press the SET key.

3. In the MA Data and GA Data screens, roll the trackball to the Known Variable Label field and then press the SET key. In the Ratio Formula screen, roll the trackball to the Label Name field and then press the SET key.

The system displays a list of labels.

4. For these three screens, roll the trackball to highlight a label and then press the SET key.

5. For all screens, roll the trackball to the Reference (Author) field and then press the SET key.

6. Roll the trackball to highlight an author or use the keyboard to enter the name of an author and then press the SET key.

7. For all screens, roll the trackball to the first field in the Range section and then press the SET key.

Note: The Range section is not available for the MA Data screen when you select the Formula button under Data Type.

8. For the GA Data screen, enter the lower limit for the measurement range in millimeters and then use the trackball and SET key to move the cursor to enter millimeters for the upper limit.

SYSTEM REFERENCE 1 - 39

Page 46

1 System Presets

9. For all screens, use the trackball and SET key to advance to the date area.

10. Using the trackball and SET key between boxes, enter the week and day for the lower limit for the age range in the boxes at the left and the week and day for the upper limit in the boxes at the right.

11. For a Ratio formula screen, enter the minimum and maximum values for the ratio between the parentheses.

12. In the GA Data formula screen, roll the trackball to the SD Type field and then press the SET key.

A list of standard deviation types displays.

13. Roll the trackball to highlight one of the SD types and then press the SET key.

14. In the Result Unit section of the MA Data formula screen, roll the trackball to the Days button for a standard deviations formula or the Weeks button for a standard formula and then press the SET key.

15. For MA Data, GA Data, and EFW formula screens, roll the trackball to the upper right corner to select a conventional formula or a standard deviation limits formula.

16. Enter your formula in the field to the right of the equals sign ( = ). Use the keyboard to enter numbers and any of the operators listed in the Operation box at the bottom of the screen. Use the trackball and the SET key to select constants (see below) and variables (or values). Example: "A"*"LOG"("BPD") + "COS"("ATD") - 1.8327

Note: You can use parentheses, but do not use spaces to separate elements in your formula. Do not delete any of the quote marks entered by the system. You can enter up to 64 characters in this field. To conserve space, you can assign a letter value to a constant and enter the letter into your formula instead of the full constant.

To define a constant for a user-defined formula:

Constant

Label Value

A 1.118303 B

1. Roll the trackball to the Value column parallel with the label letter to which you want to assign the value and then press the SET key.

The system displays an entry field next to the label letter.

2. Enter a numeric value of up to 60 characters, including a decimal point if required and then press the Enter key on the keyboard.

3. To insert a constant into a formula, roll the trackball to position the pointer on the appropriate letter in the Label column and then press the SET key.

The system inserts the label letter into the formula.

1 - 40 SYSTEM REFERENCE

Page 47

1 System Presets

To delete a user-defined formula:

1. Roll the trackball to highlight one of the User-Defined numbers in the upper left of the screen.

2. Roll the trackball to the Delete Current Reference button and then press the

SET key.

To exit a user-defined formula screen:

1. To exit and save the formula, roll the trackball to the Save button and then press the SET key.

The system informs you if there is a syntax or other error in the formula. If necessary, resolve the problem and exit again.

2. To exit and not save the formula, roll the trackball to the Previous button and then press the SET key.

The system queries you to save changes by selecting Yes or discard changes by selecting No.

Standard OB / Early OB User-Defined Tables

Access a Standard OB / Early OB table with one of the following selections from the Standard OB or Early OB Measurement and Report screen:

 User-Defined MA Data  User-Defined GA Data

To access a table screen:

1. Roll the trackball to one of these choices and then press the SET key.

2. If the system displays a confirmation window, roll the trackball to the OK button and then press the SET key.

3. Roll the trackball to the Table button under Data Type and then press the SET key.

The resulting table screens are very similar for MA Data and GA Data. Basic table-building rules apply to both types. Use the following procedure for both table types.

SYSTEM REFERENCE 1 - 41

Page 48

1 System Presets

To create a user-defined table:

1. Roll the trackball to the drop-down box at the upper left corner and then press the SET key.

The system displays a list of numbered User-Defined tables.

2. Roll the trackball to highlight one of the User-Defined table numbers and then press the SET key.

3. Roll the trackball to the Known Variable Label field and then press the SET key.

The system displays a list of labels.

4. Roll the trackball to highlight a label and then press the SET key.

5. Roll the trackball to the Reference (Author) field and then press the SET key.

6. Roll the trackball to highlight an author or use the keyboard to enter the name of an author and then press the SET key.

7. Roll the trackball to the first field in the Range section and then press the SET key.

8. Enter the lower limit for the measurement range in millimeters and then use the trackball and SET key to move the cursor and enter the upper limit.

9. Use the trackball and SET key to advance to the date area.

10. Using the trackball and SET key to move between boxes, enter the week and day for the lower limit for the age range in the boxes at the left and the week and day for the upper limit in the boxes at the right.

11. In the GA Data table screen, roll the trackball to the SD Type field and then press the SET key.

A list of standard deviation types displays.

12. Roll the trackball to highlight one of the SD types and then press the SET key.

13. In the MA Data table screen, your result units of weeks and days are built into the table, so leave the default selection for the Result Unit field.

14. Create your table in the box. Use the trackball and SET key to move to each new field. Create additional lines by using the scroll bar.

The first line should contain the lower limit for the variable value and the week and day for the lower limit of the date range. The last line should contain the upper limits. The table must contain an entry for every variable value between the upper and lower limits in order for the system to display a measured value in the worksheet and the patient report. For example, if you specify a range from 10.0 to

11.0, you must create a line entry for 10.0, 10.1, 10.2...11.0. If you only create entries for 10.0, 10.2, 10.4...11.0, a measured value of 10.3 will not display.

Note: Measurements corresponding to table values that are outside the range will not be recognized. A measurement that is within the range but less than the lowest table value will only provide an MA or GA value equivalent to the lowest value. A measurement that is within the range but greater than the highest table value will only provide an MA or GA value equivalent to the highest value.

1 - 42 SYSTEM REFERENCE

Page 49

1 System Presets

15. In the Value field, enter the size in mm that indicates a specific age.

16. In the Weeks and Days field, enter the age.

17. For MA tables, enter a number in the SD Limits field. The system converts the number to days for you, such as +/- 2 d.

For GA tables, enter lower and upper limits for the value in the Lo Limit and Up Limit fields.

18. To clear contents of a cell in the table, position the cursor in the cell and then select the Clear Cell button.

19. To clear contents of an entire line in the table, position the cursor in the line and then select the Clear Line button.

20. To undo the most recent change in the table, select the Undo button.

To delete a user-defined table:

1. Roll the trackball to highlight one of the user-defined numbers in the upper left of the screen.

2. Roll the trackball to the Delete Current Reference button and then press the

SET key.

To exit a user-defined table screen:

1. To exit and save the table, roll the trackball to the Save button and then press the SET key.

The system informs you if there is an error in the table. Resolve the problem and exit again.

2. To exit and not save the table, roll the trackball to the Previous button and then press the SET key.

The system queries you to save changes by selecting Yes or discard changes by selecting No.

SYSTEM REFERENCE 1 - 43

Page 50

1 System Presets

User-Defined Label, OB and Early OB

The OB and Early OB exams share five user-defined labels for 2D-mode and another five user-defined labels for Doppler. Access a user-defined label by selecting User-Defined Label from the Standard OB or Early OB Measurement and Report screen.

To create a user-defined label:

1. Roll the trackball to the drop-down menu at the upper left corner of the 2D-mode or Doppler section on the User Defined Label screen and then press the SET key.

A list of five user-defined numbers displays.

2. Roll the trackball to highlight one of the user-defined numbers and then press the SET key.

3. Roll the trackball to the Label Name field and then press the SET key.

4. Use the keyboard to type in a label name of up to eight characters.

5. For 2D-mode labels, roll the trackball to the Measurement Method field and then press the SET key.

A list of measurement methods displays.

6. Roll the trackball to highlight a method and then press the SET key. The system assigns the appropriate unit of measure for the method.

7. For additional 2D-mode labels, repeat steps 2 through 6.

8. For Doppler labels, use steps 2 through 4 as required.

To delete a user-defined label:

1. Roll the trackball to the drop-down menu at the upper left corner of the 2D-mode or Doppler section on the User Defined Label screen and then press the SET key.

A list of five user-defined numbers displays.

2. Roll the trackball to highlight one of the user-defined numbers and then press the SET key.

3. Roll the trackball to the Delete Current 2D-Mode Label or the Delete Current Doppler Label button and then press the SET key.

1 - 44 SYSTEM REFERENCE

Page 51

1 System Presets

Customizing Vascular Measurements, Calculations, and Reports

The Measurement and Report Presets for the C-Vascular, P-Vascular, and Venous exams include exam-specific descriptions for Display Item.

Display Item — Cerebrovascular (C-Vascular)

Selection Option(s) Allows you to… Measurement Screen

Abbreviated Display of Results

Vertical Display of Doppler Measurement Results

Report

Abbreviated Display of Results

Display of Measurement Results

Calculation Label Display

Performing MD

Referring MD

--- --on, off Select this check box to display only labels with

Systole Diastole S / D RI PI

--- --on, off Select this check box to display only labels with

%Stenosis Systole Diastole S / D RI PI

ICA / CCA(S) ICA / CCA(D)

on, off Select this check box to include at the bottom of the report page

assigned measurement values in the Measured Results. De-select the check box to display all labels on the Measurement Menu in the Measured Results.

Select each check box to display the selection as a permanent, labeled item in the Measured Results for Doppler. De-select the check box to not display the selection in the Measured Results.

assigned measurement values in the Measured Results. De-select the check box to display all labels on the Measurement Menu in the Measured Results.

Select each check box to display the selection as an item in the Doppler section of the report. De-select a check box to not display a selection in the Doppler section of the report.

Specify calculated ratios to display in the report.

the Performing MD entered in the Patient Data form.

the Referring MD name entered in the Patient Data form.

SYSTEM REFERENCE 1 - 45

Page 52

1 System Presets

Display Item — Peripheral Vascular (P-Vascular)

Selection Option(s) Allows you to…

Measurement Screen

Abbreviated Display of Results

Vertical Display of Doppler Measurement Results

Report

Abbreviated Display of Results

Display of Measurement Results

Performing MD

Referring MD

--- --on, off Select this check box to display only labels with

Peak Systole RI PI

--- --on, off Select this check box to display only labels with

Peak Systole RI PI

on, off Select this check box to include at the bottom of the report page

assigned measurement values in the Measured Results. De-select the check box to display all labels on the Measurement Menu in the Measured Results.

Select each check box to display the selection as a permanent, labeled item in the Measured Results for Doppler. De-select the check box to not display the selection in the Measured Results.

assigned measurement values in the Measured Results. De-select the check box to display all labels on the Measurement Menu in the Measured Results.

Select each check box to display the selection as an item in the Doppler section of the report. De-select a check box to not display a selection in the Doppler section of the report.

the Performing MD entered in the patient data form.

the Referring MD name entered in the Patient Data form.

Display Item — Venous

The Display Item screen for the Venous exam presents two columns of entries: Selectable Label on the left and Report Label Order on the right. Add labels from

left to right, or delete labels from right to left.

To add labels:

1. Roll the trackball to a selectable label on the left and then press the SET key. The system highlights the label.

2. Roll the trackball to the Add button and then press the SET key.

The system moves the label to the bottom of the Report Label Order list on the right.

To delete labels:

1. Roll the trackball to a label in the Report Label Order list on the right and then press the SET key.

The system highlights the label.

2. Roll the trackball to the Delete button and then press the SET key. The system moves the label to the bottom of the Selectable Label list on the left.

1 - 46 SYSTEM REFERENCE

Page 53

1 System Presets

To rearrange labels:

1. Roll the trackball to one of the labels in the Report Label Order list on the right and then press the SET key.

The system highlights the label.

2. Roll the trackball to the Move Up or Move Down button and then press the SET key.

The system moves the label up or down one space in the list.

3. Repeat steps 1 and 2 as required to create a restructured Report Label Order list.

To reset labels back to factory default positions:

1. Roll the trackball to the Default button and then press the SET key. The system prompts you to confirm your choice.

2. Roll the trackball to the OK button and then press the SET key to continue.

The Display Item screen for the Venous exam also provides the following selections:

Selection Option(s) Allows you to...

Performing MD

Referring MD

on, off Select this check box to include at the bottom of the report

page the Performing MD entered in the Patient Data form.

on, off Select this check box to include at the bottom of the report

page the Referring MD name entered in the Patient Data form.

Customizing Gynecology Measurements, Calculations, and Reports

The Measurement and Report Preset for the Gynecology exam includes exam-specific descriptions for Display Item.

Display Item — Gynecology

The Gynecology Display Item allows you to designate items to include on the measurement screen and in the patient report.

Selection Option(s) Allows you to... Measurement Screen

Abbreviated Display of Results

Vertical Display of Doppler Measurement Results

--- --on, off Select this check box to display only labels with

Systole Diastole S / D RI PI

assigned measurement values in the Measured Results. De-select the check box to display all labels on the Measurement Menu in the Measured Results.

Select each check box to display the selection as a permanent, labeled item in the Measured Results for Doppler. De-select the check box to not display the selection in the Measured Results.

SYSTEM REFERENCE 1 - 47

Page 54

1 System Presets

Selection Option(s) Allows you to...

Enable Early OB Caliper

on, off

Select this check box to display the Early OB measurement labels in the Measurement Menu.

Report

Abbreviated Display of Results

--- --on, off Select this check box to display only labels with

assigned measurement values in the Measured Results. De-select the check box to display all labels on the Measurement Menu in the Measured Results.

Display of Doppler Measurement Results

Systole Diastole S / D

Select each check box to display the selection as an item in the Doppler section of the report. De-select a check box to not display a selection in the Doppler section of the report.

RI PI

Performing MD

on, off Select this check box to include at the bottom of the report page the

Performing MD entered in the Patient Data form.

Referring MD

on, off Select this check box to include at the bottom of the report page the

Referring MD name entered in the Patient Data form.

Customizing Cardiac Measurements, Calculations, and Reports

Note: You can also customize the measurements and calculations for use with the Ped Echo exam.

The customization of the Ped Echo exam is independent of the customization of the Cardiac exam.

The Measurement and Report Preset for the Cardiac exam includes generic and exam-specific descriptions.

Measurement and Report Preset Description

Measurement Method

Customize Keys

General Configuration

Measurement Order

Display Item

User-Defined Label

Comments Library for Report

See page 1See page 1See page 1See page 1See page 1See page 1See page 1-

22 23 24 49 51 52 28

1 - 48 SYSTEM REFERENCE

Page 55

1 System Presets

Measurement Order — Cardiac

Use the Heading tab to select and reorder headings (measurement types).

Note: Only the measurement types in the Measurement Order list on the Heading tab display on

the Display Item screen.

Use the Label tab to further customize the contents (available labels) for each heading.

Heading Tab

Note: Only the Measurement types in the Measurement Order list on the Heading tab display in the Heading field on the Label tab.

To Do this

Add a heading

Delete a heading

Rearrange headings

1. Select the required imaging mode from the Mode drop-down list.

2. Select a measurement type from the Selectable Heading list.

3. Click Add. The selection is relocated to the bottom of the Measurement Order list.

1. Select the required imaging mode from the Mode drop-down list,

2. Select a measurement type from the Measurement Order list.

3. Click Delete. The selection is relocated to the bottom of the Selectable Heading list.

1. Select the required imaging mode from the Mode drop-down list.

2. Select a measurement type from the Measurement Order list.

3. Click Move Up or Move Down. The selection moves up or down one position in the list.

Label Tab

The Label tab allows you to customize measurement order for guided and non-guided Cardiac measurements.

Customizing Guided Measurements

The Cubed, Teichholz, and Gibson selections are guided measurements for assessing left ventricular function.

The guided measurements present workflow patterns. Each pattern dictates a sequence of measurements. Select a pattern that best matches your workflow. Pattern 1 for each of the three guided measurement types includes all measurement labels. These measurements appear in the Measurement Order column on the right. Other patterns present the same sequence but with fewer measurements. Measurements not included in a pattern are listed in the Selectable Label column on the left. Measurements cannot be added, deleted, or rearranged for patterns.

SYSTEM REFERENCE 1 - 49

Page 56

1 System Presets

To select a pattern for a Cardiac guided measurement type:

Note: Only the measurement types in the Measurement Order list on the Heading tab display in the Heading field on the Label tab.

1. Select the Label tab.

2. Select a measurement type from the Heading field.

– Cubed(2D)

– Teichholz(2D)

– Gibson(2D)

– LV/Cubed(M)

– LV/Teich(M)

– LV/Gibson(M)

3. Select a sequence of measurements (pattern) from the Pattern field. The Measurement Order column displays the required measurement labels and

the order of display for the selected pattern.

4. Click Save.

Customizing Non-Guided Measurements

Note: Only the measurement types in the Measurement Order list on the Heading tab display in the Heading field on the Label tab.

To Do this

Add a label

Delete a label

Rearrange labels

1. Select the Label tab.

2. Select a measurement type from the Heading drop-down list.

3. Select a label from the Selectable Label list.

4. Click Add. The label is relocated to the bottom of the Measurement Order list.

1. Select the Label tab.

2. Select a measurement type from the Heading drop-down list.

3. Select a label from the Measurement Order list.

4. Click Add. The label is relocated to the bottom of the Selectable Label list.

1. Select the Label tab.

2. Select a measurement type from the Heading drop-down list.

3. Select a label from the Measurement Order list.

4. Click Move Up or Move Down. The label moves up or down one position in the list.

1 - 50 SYSTEM REFERENCE

Page 57

1 System Presets

Display Item — Cardiac

Note: You can also customize the measurements and calculations for use with the Ped Echo exam.

The customization of the Ped Echo exam is independent of the customization of the Cardiac exam.

The Cardiac Display Item allows you to designate items to include on the measurement screen and in the patient report.

Selection Option(s) Allows you to…

General

Default Measurement Title

Data Averaging Direct

HR Measurement Method

--- ---

2D-Mode M-Mode Doppler

Select which measurement type will be active when an imaging mode is entered.

Note: Only the measurement types in the Measurement Order list on the Heading tab display on the Display Item screen.

2D-Mode measurement types:

 None  Simpson BP  Simpson SP  Mod Simpson  Single Plane  Bi-Plane  Bullet  Cubed(2D)  Teichholz(2D)  Gibson(2D)  Mitral Valve  AV / LA  Aortic Valve  Pulmonary

 RV  LV  PISA(MR)  PISA(MS)  LV Mass T-E  LV Mass A-L  LA Vol (A-L)  LA Vol (Simp)  RA Vol (A-L)  RA Vol (Simp)  Qp/Qs

Specify whether to display the last measurement or an average of

Average

ECG

all the measurements. Select the method for measuring heart rate.

Doppler / M-mode

Valve

M-Mode measurement types:

 None  LV / Cubed(M)  LV / Teich(M)  LV / Gibson(M)  Mitral Valve(M)  AV / LA(M)  RV(M)

Doppler measurement types:

 None  Mitral Valve  Aortic Valve  Tricuspid Valve  Pulmonary Valve  Pulmonary Vein  AR  TR  PR  MR  PISA(MR)  PISA(MS)  DTI  Qp/Qs  Tei Index

SYSTEM REFERENCE 1 - 51

Page 58

1 System Presets

Selection Option(s) Allows you to…

Display of Measurement Labels

Display AOLA

AO/LA

LA/AO

Default RAP 0mmHg

Report

Performing MD

Referring MD

Measurement Type Last Used

--- --on, off Enable display of the label.

on, off Enable display of the label.

5mmHg 10mmHg 15mmHg 20mmHg 25mmHg

--- --on, off Select this check box to include at the bottom of the report page the

on, off Select this check box to include at the bottom of the report page the

Activate either the last-used measurement type or the system-default measurement type when you exit and then re-enter the measurement function during a Cardiac, Ped Echo, or TEE exam.

Select the default value for the Right Atrial Pressure (RAP) in the Measurement Menu.

You can change the value when the Cardiac measurement function is active.

Performing MD entered in the Patient Data form.

Referring MD name entered in the Patient Data form.

User-Defined Label — Cardiac

Note: You can also customize the measurements and calculations for use with the Ped Echo exam.

The customization of the Ped Echo exam is independent of the customization of the Cardiac exam.

The Cardiac User-Defined Label item allows you to create up to two measurement types to include on the measurement screen and in the patient report. Each measurement type can have up to six mode-specific measurement labels (up to two labels per imaging mode: 2D-Mode, M-Mode, and Doppler).

Selection Option(s) Allows you to… User-Defined1,

User-Defined2

Heading Name

Label

2D-Mode 1 2D-Mode 2

M-Mode 1 M-Mode 2

Doppler 1 Doppler 2

--- ---

--- Enter up to eight characters to name the user-defined

--- ---

Distance Area Disk

Distance Time Slope

Velocity Time RI Acceleration PI Trace VTI

measurement type.

Enter up to three characters to name a 2D-mode measurement label and select the default measurement method.

Enter up to three characters to name an M-mode measurement label and select the default measurement method.

Enter up to three characters to name a Doppler measurement label and select the default measurement method.

1 - 52 SYSTEM REFERENCE

Page 59

1 System Presets

To access the User-Defined Label screen for Cardiac exams:

1. Press the Presets key on the keyboard to display the Presets screen and then select M & R Configuration 1 on the left of the screen.

2. Select Cardiac from the drop-down menu in the Measurement and Report section of the screen.

3. Select the User-Defined Label button.

The system displays the User-Defined Label screen for Cardiac exams.

To create a user-defined Cardiac measurement type:

1. Access the User-Defined Label screen for Cardiac exams.

2. Select the User-Defined 1 tab or the User-Defined 2 tab.

3. Roll the trackball to the Heading Name field and then press the SET key on the control panel.

4. Use the keyboard to enter up to eight characters to name the Cardiac measurement type.

5. For each measurement label:

a. In the Label section, roll the trackball to a blank name field for the required

imaging mode and then press the SET key on the control panel.

b. Use the keyboard to enter up to three characters to name the measurement

label.

c. Roll the trackball to the drop-down menu located to the right of the name,

press the SET key to list the mode-specific measurement methods and then use the trackball and SET key to select a measurement method.

6. Roll the trackball to the Save button at the bottom of the screen and then press the SET key on the control panel.

The system saves the user-defined measurement type.

7. To exit the user-defined label screen, select the Previous button.

To delete a user-defined Cardiac measurement type:

1. Access the User-Defined Label screen for Cardiac exams.

2. Select the User-Defined 1 tab or the User-Defined 2 tab.

3. Roll the trackball to the Delete Label button and then press the SET key on the control panel.

The system clears all fields.

4. Roll the trackball to the Save button at the bottom of the screen and then press the SET key.

The system deletes the user-defined measurement type.

5. To exit the user-defined label screen, select the Previous button.

SYSTEM REFERENCE 1 - 53

Page 60

1 System Presets

To delete a measurement label within a user-defined Cardiac measurement type:

1. Access the User-Defined Label screen for Cardiac exams.

2. Select the User-Defined 1 tab or the User-Defined 2 tab.

3. Roll the trackball to the name of the measurement label and then press the SET key on the control panel.

4. Use the backspace key to remove the name of the measurement label.

5. Roll the trackball to the Save button at the bottom of the screen and then press the SET key.

The system deletes the measurement label.

6. To exit the user-defined label screen, select the Previous button.

Customizing Emergency Medicine Measurements, Calculations, and Reports

The Measurement and Report Preset for the Emergency Medicine exam includes generic and exam-specific descriptions.

Measurement and Report Preset Description

Measurement Method

Customize Keys

General Configuration

Report Tab

Calculation Item

Display Item

Comments Library for Report

See page 1See page 1See page 1See page 1See page 1See page 1See page 1-

22. 23 24 29

54. 26

28.

Calculation Item — Emergency Medicine

Use this selection to select a reference author for OB measurement labels and one or two planes for measuring bladder volume.

Selection Option(s) Allows you to…

General

Label BPD

Author

Bladder Volume

Imaged transversely

Imaged sagitally

--- ---

CRL GS

(Drop-down menu of authors)

--- --on, off Use measurements from the transverse plane. on, off Use measurements from the sagittal plane.

(Listing of measurement labels for assignment of a reference [author].)

Assign a reference [author] to the corresponding measurement label.

1 - 54 SYSTEM REFERENCE

Page 61

1 System Presets

To assign an OB reference author:

1. For each measurement label, roll the trackball to the arrow in the Author field and then press the SET key.

The system displays a pull-down menu of reference authors for the measurement label.

2. Roll the trackball to highlight an author and then press the SET key.

The system uses the selected reference author to determine an estimated menstrual age for measured results.

To reset labels back to factory default positions:

1. Roll the trackball to the Default button and then press the SET key.

The system prompts you to confirm your choice.

2. Roll the trackball to the OK button and then press the SET key to continue.

To select planes for the Bladder Volume calculation:

 Roll the trackball to select one or both plane selections and then press the

SET key.

Customizing Fetal Echo Measurements, Calculations, and Reports

The Measurement and Report Preset for the Fetal Echo exam includes exam-specific descriptions for Display Item.

Display Item — Fetal Echo

Use this selection to control display of various items on the measurement screen and in the patient report. Also the Display Item screen for the Fetal Echo exam presents two columns of entries: Selectable Label on the left and Report Label Order on the right. Add labels from left to right, or delete labels from right to left.

Selection Option(s) Allows you to... Measurement Screen

Abbreviated Display of Results

Report

Performing MD

Referring MD

--- --on, off Select this check box to display only labels with

assigned measurement values in the Measured Results. De-select the check box to display all labels on the Measurement Menu in the Measured Results.

--- --on, off Select this check box to include the Performing

MD entered in the Patient Data form at the bottom of the report page.

on, off Select this check box to include the Referring MD

name entered in the Patient Data form at the bottom of the report page.

SYSTEM REFERENCE 1 - 55

Page 62

1 System Presets

To add labels:

1. Roll the trackball to a selectable label on the left and then press the SET key. The system highlights the label.

2. Roll the trackball to the Add button and then press the SET key.

The system moves the label to the bottom of the Report Label Order list on the right.

To delete labels:

1. Roll the trackball to a label in the Report Label Order list on the right and then press the SET key.

The system highlights the label.

2. Roll the trackball to the Delete button and then press the SET key. The system moves the label to the bottom of the Selectable Label list on the left.

To rearrange labels:

1. Roll the trackball to one of the labels in the Report Label Order list on the right and then press the SET key.

The system highlights the label.

2. Roll the trackball to the Move Up or Move Down button and then press the SET key.

The system moves the label up or down one space in the list.

3. Repeat steps 1 and 2 as required to create a restructured Report Label Order list.

To reset labels back to factory default positions:

1. Roll the trackball to the Default button and then press the SET key. The system prompts you to confirm your choice.

2. Roll the trackball to the OK button and then press the SET key to continue.

1 - 56 SYSTEM REFERENCE

Page 63

2 Documentation Devices

Documentation and Storage Devices ...............................................................3

Using the CD/DVD Drive..................................................................................... 3

Storing and Retrieving System Presets and QuickSets.................................. 4

File Type Descriptions ................................................................................... 6

Video Recorders ................................................................................................. 6

Video Communication Set Up........................................................................ 7

Recording Patient Data ................................................................................. 7

Using Video Playback.................................................................................... 9

Printers .............................................................................................................. 10

Report Printers ............................................................................................10

Manufacturers of Medically-Approved Isolation Transformers.............. 11

Mitigating the Risk of Connecting a Report Printer............................... 12

Patient Environment ............................................................................. 13

USB Report Printers............................................................................. 14

Connecting and Installing a USB Printer ..............................................14

Alternate USB Printer Installation ......................................................... 15

Connecting and Installing a Network Printer......................................... 16

SYSTEM REFERENCE 2 - 1

Page 64

2 Documentation Devices

2 - 2 SYSTEM REFERENCE

Page 65

2 Documentation Devices

Documentation and Storage Devices

The ultrasound system can accommodate three optional, on-board documentation devices in addition to the disk drive (CD/DVD drive) that is a standard feature of the system. Controls and keys located on the ultrasound system are used to transfer images and patient reports to a documentation device or a disk drive.

 Documentation devices include a black and white printer, a color (video) printer,

and a video recorder (VCR/DVR).

 Storage devices include a CD/DVD drive.

Using the CD/DVD Drive

To insert a disk into the CD/DVD drive on the ultrasound system:

1. Press the Patient Browser key on the keyboard to display the Study screen.

2. If the system displays the Image screen, then select the Study Screen button to display the Study screen.

3. Select the Eject button in the Export/Import section of the Study screen.

The system ejects the CD/DVD tray.

4. Place the disk onto the CD/DVD tray.

5. Select the Load button in the Export/Import section of the Study screen.

The system closes the CD/DVD tray and reads the disk.

Note: If the CD/DVD Status displays Unknown, select Load again and wait until the status displays Ready.

To eject an inserted CD/DVD:

1. Press the Patient Browser key on the keyboard to display the Study screen.

2. If the system displays the Image screen, then select the Study Screen button to display the Study screen.

3. Select the Eject button in the Export/Import section of the Study screen.

The system ejects the CD/DVD tray.

4. Remove the disk from the CD/DVD tray.

5. Select the Load button in the Export/Import section of the Study screen.

The system closes the CD/DVD tray.

SYSTEM REFERENCE 2 - 3

Page 66

2 Documentation Devices

Storing and Retrieving System Presets and QuickSets

You can save user-defined QuickSets and system presets to a CD/DVD and then retrieve the files as needed.

See also: File Type Descriptions, p. 2-6

Note: Text in the Siemens Service Software screen is displayed in English only.

To display the Backup/Restore Dialog screen:

1. Press the Presets key on the keyboard to display the Presets screen.

2. Select Service on the left of the screen.

3. Select the Service button to display the Siemens Service Software screen.

4. Delete none from the Password box and then select OK to display the user-configurable options.

5. Select Backup & Restore.

To save system presets and/or QuickSets to the inserted CD/DVD:

1. Press the eject button on the CD/DVD drive on the left side of the ultrasound system to eject the CD/DVD tray.

2. Insert a blank disk and then press the eject button again to load the disk.

3. Display the Backup/Restore Dialog screen.

4. Select Backup from the Select drop-down list.

5. Select the check box for each required QuickSet and then select Next.

6. Select the check box for each required file type and then select Backup in the

Backup dialog box.

Note: If a disk is absent, the system displays a message requesting insertion of a disk.

The system displays a progress bar during the backup process and then displays a completion message and ejects the CD/DVD tray when the process is complete.

7. Select OK to redisplay the Backup/Restore Dialog screen.

8. To redisplay the image screen:

a. Select Home on the Backup/Restore Dialog screen. b. Select Exit on the Siemens Service Software screen to display the Presets

screen.

c. Select Cancel.

2 - 4 SYSTEM REFERENCE

Page 67

2 Documentation Devices

To retrieve system presets and/or QuickSets from the inserted CD/DVD:

Note: When you retrieve system presets, the system overwrites the related settings in the system

presets. When you retrieve a QuickSet, the system overwrites any existing QuickSet that has the same name.

1. Press the eject button on the CD/DVD drive on the left side of the ultrasound system to eject the CD/DVD tray.

2. Insert a blank disk and then press the eject button again to load the disk.

3. Display the Backup/Restore Dialog screen.

4. Select Restore.

The system displays a message requesting confirmation that the backup disk is inserted.

5. Select OK to display the Restore dialog box.

6. Select the check box for each required file type and then select Restore to begin the restore process.

7. Select OK when the completion message displays.

The system displays the QuickSet Utility dialog box

8. To delete all QuickSets stored on the system and add new QuickSets:

a. Select the Clean QuickSet(s) on System check box in the Options section.

b. Select the required QuickSets in the QuickSets – Removable Media section. c. Select the Restore button.

The system deletes all QuickSets stored on the system and restores the selected QuickSet(s) from the disk media.

9. To add selected QuickSets to the system without deleting existing QuickSets:

a. Select the required QuickSets in the QuickSets – Removable Media section.

b. Select the Restore button.

The restored QuickSets display in the QuickSets – System section.

10. To exit the QuickSet Utility dialog box, select Close.

The system displays a message that power must be cycled to the system for completion of the operation.

11. Select OK.

12. Cycle power to the ultrasound system.

SYSTEM REFERENCE 2 - 5

Page 68

2 Documentation Devices

File Type Descriptions

Each file type saves a specific set of system settings.

Note: The listed file types correspond to the information stored on the system or inserted CD/DVD. For example, the Service Image file type is listed in the Backup dialog box only when service images are stored on the system.

File Type Settings Saved M&R User Defined Settings from the Measurement & Report menu item in the system

Quickset

Service Image Service images from the Service menu item in the system presets. Service Log Service logs from the Service menu item in the system presets. Service Test Report Service test reports from the Service menu item in the system presets.

System Preset

License Info User Defined Map Settings from the Modify Map screen.

presets. All QuickSets stored on the ultrasound system's hard disk and the default

setting (exam type or QuickSet) specified for each transducer.

Settings from the system presets (excludes Service information and settings accessed through Measurement & Report).

Licenses for software-based options.

Video Recorders

Caution: When the ultrasound system is expecting a video signal from a connected input/output

device, a bright band displays on the screen. The screen saver on the ultrasound system does not replace this bright band. To avoid permanent damage to the screen (phosphorus burn-in), return the system to an imaging display before leaving the monitor unattended.

Note: Please refer to the manufacturer's user manual for instructions on operating your video recorder.

Note: While the ultrasound system is designed to provide the highest quality of images to a documentation or storage device, image quality during playback is dependent on the video recorder and video media being used. Always use an S-VHS videotape for a VCR.

2 - 6 SYSTEM REFERENCE

Page 69

2 Documentation Devices

Video Communication Set Up

Connect the video recorder cables to the "Y/C Video" ports on the Input/Output panel of the ultrasound system.

Use the system presets to designate the video input port on the ultrasound system that is connected to the video recorder cables.

Peripheral > Video > Video Input Source

To designate which video input port is connected to the video recorder cables:

1. Press the Presets key on the keyboard to access the system presets.

2. Select Peripheral on the left of the screen.

3. Select an option for Video Input Source.

4. Select a recording device for Device Type.

5. Select the function for

Key Function, if required.

6. Select the Save button to store the new settings and exit the system presets.

Recording Patient Data

Use the VCR/DVR key to send examination data to the video recorder for recording on video media. Standard video signals are provided in PAL and NTSC formats.

Use the system presets to configure the VCR/DVR key function.

Peripheral > VCR/DVR > Key Function

Video status icon indicates recording status: a red icon displays during recording, and a white icon displays during pause or stop. The recording time also displays beside the icon.

SYSTEM REFERENCE 2 - 7

Page 70

2 Documentation Devices

To record patient data using a video recording device:

Note: Use the slide show capability to record all images in a study.

1. Insert the media into the video recorder and then press the VCR/DVR key on the control panel to begin recording.

The system increases the illumination of the VCR/DVR key while recording is in progress.

2. If the VCR/DVR key is configured in system presets to toggle the recording function with the pause function, then press the VCR/DVR key to pause recording. To resume recording, press the VCR/DVR key a second time.

While recording is paused, the system flashes the illumination of the VCR/DVR key and displays the video status icon on the status bar at the lower left of the screen.

3. If the VCR/DVR key is configured in system presets to toggle the recording function with the stop function, then press the VCR/DVR key to stop recording. To resume recording, press the VCR/DVR key a second time.

When recording stops, the VCR/DVR key is no longer illuminated.

4. To end the recording session, press the VIDEO I/O key to display playback soft key selections

The system automatically stops recording.

5. To eject the video media, press the toggle key for

Eject.

The video recorder powers off when the system is turned off.

2 - 8 SYSTEM REFERENCE

Page 71

2 Documentation Devices

Using Video Playback

During video playback, an image can be paused and then printed through a connected printing device.

To play back a recorded image:

1. Insert the media into the video recorder and then press the VIDEO I/O key on the control panel.

Communication between the video recorder and the imaging system is opened. The system displays soft key selections for controlling the operation of the video recorder during video playback.

2. Use the toggle keys for the following soft key selections to control viewing of the recording:

Selection Description REW (Rewind)

Eject

Play

Pause FF (Fast Forward)

Stop

Shuttle

Step Frame

Search Index

Counter Search

When playback is stopped, this selection plays the media in a backward direction at a high speed while displaying the content on the image screen.

During playback, this selection plays the media in a backward direction at low speed while displaying the content on the image screen.

Opens and closes the disk tray on the recording device. Starts playback. Pauses playback or recording. When playback is stopped, this selection plays the media in a forward direction at high

speed while displaying the contents on the image screen. During playback, this selection plays the media in a forward direction at low speed while

displaying the content on the image screen. Stops playback or recording. Uses the trackball to play the media in a forward or backward direction, at low or high

speed. When you select Shuttle, a shuttle indicator displays at the top of the screen. Before you

move the trackball in either direction, the shuttle indicator displays only a vertical line, indicating the playback of the media is paused.

To play the media in a forward direction, roll the trackball to the right. To play the media in a backward direction, roll the trackball to the left.

To play the media at a low speed, move the trackball slowly in the required direction. To play the media at a high speed, move the trackball quickly in the required direction Displays the frames one at a time in the selected direction. To move to the next frame, roll the trackball to the right; to move to the previous frame, roll

the trackball to the left. Searches in the specified direction for the specified index marker (1 to 99) you entered

using the Write Index function.

For example, if 10 is entered into the dialog box and Backward is selected, the media searches 10 index markers backward from the current display.

Searches the recording media in the selected direction for the specified counter value and displays the corresponding frame.

Note: VCRs can accept negative numbers.

SYSTEM REFERENCE 2 - 9

Page 72

2 Documentation Devices

Only DVRs have the following selections:

Selection Description

Write Index

Prev Study

Begin of Study

Next Study

Study List

Enters an index marker (bookmark) at the location of the displayed frame. You can enter any number from 01 to 99.

Plays the previous study. Restarts the current study. Plays the next study. Displays the list of studies recorded on the media.

3. To discontinue communication between the video recorder and the ultrasound system and resume real-time imaging, press VIDEO I/O again or press the

ESCAPE key.

Printers

You can print images from a current examination, a patient report, CINE data, or an image retrieved from a disk or videotape.

Note: Refer to the manufacturer's user manual for proper handling and operating instructions of the printer installed on your ultrasound system.

Report Printers

WARNING: Accessory equipment connected to the analog and digital interfaces must be

certified according to the respective EN and IEC standards (e.g., EN 60950 and IEC 60950 for data processing equipment and EN 60601-1 and IEC 60601-1 for medical equipment). Furthermore, all configurations shall comply with the system standard EN 60601-1-1 and IEC 60601-1-1. Anyone who connects additional equipment to the signal input or signal output ports configures a medical system and is therefore responsible that the system complies with the requirements of the system standard EN 60601-1-1 and IEC 60601-1-1. Siemens can only guarantee the performance and safety of the devices listed in the Instructions for Use. If in doubt, consult the Siemens service department or your local Siemens representative.

WARNING: Equipment connected to the ultrasound system and in the patient environment must

be powered from a medically-isolated power source or must be a medically-isolated device. Equipment powered from a non-isolated source can result in chassis leakage currents exceeding safe levels. Chassis leakage current created by an accessory or device connected to a non-isolated outlet may add to the chassis leakage current of the ultrasound system.

WARNING: Non-medical grade report printers cannot be used within a patient environment.

WARNING: During use of a non-medical grade report printer or when a non-medical grade

report printer is connected to the ultrasound system, the ultrasound system cannot in any way be in contact with a patient.

2 - 10 SYSTEM REFERENCE

Page 73

2 Documentation Devices

Relevant standards for some non-medical electrical equipment may have limits for enclosure leakage currents higher than required by medical standards. These higher standards are acceptable only outside the patient environment. It is essential to reduce enclosure leakage currents when non-medical electrical equipment is to be used within the patient environment. Measures for reducing leakage current include use of a medically-approved isolation transformer.

See also: Technical Description, Appendix A, Instructions for Use

The ultrasound system has printer drivers compatible with non-medical grade report printers. Siemens does not guarantee the performance and safety of any non-medical grade report printer. Non-medical grade report printers do not fulfill the following safety requirements:

 EN 60601-1-1 and IEC 60601-1-1 (Medical Electrical Equipment, Part 1: General

Requirements for Safety).

 EN 60601-1-2 and IEC 60601-1-2 (Electromagnetic Compatibility of

Medical Devices).

If a non-medical grade report printer is to be used with the ultrasound system, then you must ensure mitigation is provided to meet all safety requirements. It is the responsibility of the user to ensure that the ultrasound system in combination with the non-medical grade report printer complies with safety requirements.

 Always use a medically-approved isolation transformer with a non-medical grade

report printer.

 Mitigate risk with regard to the Electromagnetic Compatibility of Medical Devices

requirement. A non-medical grade device must be designed, manufactured, and certified to meet the same EMC (electromagnetic compatibility) requirements as the ultrasound system, or other means must ensure that the overall EMC requirements are met.

Manufacturers of Medically-Approved Isolation Transformers

Manufacturer Web Site

Tripp Lite www.tripplite.com Toroid Corporation of Maryland www.toroid.com Dale Technology Inc. www.daletech.com

SYSTEM REFERENCE 2 - 11

Page 74

2 Documentation Devices

Mitigating the Risk of Connecting a Report Printer

To fulfill EN 60601-1-1 and IEC 60601-1-1 (Medical Electrical Equipment, Part 1: General Requirements for Safety) requirements for non-medical peripheral equipment:

 The non-medical peripheral equipment must be approved according to any other

EN or IEC standard (EN XXXXX or IEC XXXXX, e.g., equipment complying with EN 60348 and IEC 60348, EN 60950 and IEC 60950, etc.).

 The connection of non-medical peripheral equipment to your ultrasound system

must adhere to the following conditions:

1. Connect the ultrasound system to an AC power outlet within a medically used

room within the patient environment. A patient environment is defined as an area in which medical examination, monitoring, or treatment of the patient takes place. The patient environment is located 1.5 meters (1.8 meters [6 feet] in Canada and the U.S.A.) around the patient location.

2. Connect the peripheral equipment AC power cable to a medically approved

isolation transformer.

3. Connect the medically approved isolation transformer to a main AC outlet

either inside or outside the patient environment. The peripheral device and medically approved isolation transformer combination can be either (a) within the same room as the ultrasound system, or (b) in a non-medically used room.

For additional information and other possible combinations, please refer to the Medical Electrical Equipment Standard EN 60601-1-1 or IEC 60601-1-1, Annex BBB.7, Scenario 3c.

Note: The above information is based on current EN 60601-1-1 and IEC 60601-1-1 standards, dated 2000-12. If your country's regulatory standards for medical equipment do not correspond to EN 60601-1 and IEC 60601-1, as well as EN 60601-1-1 and IEC 60601-1-1, your local requirements may differ.

2 - 12 SYSTEM REFERENCE

Page 75

2 Documentation Devices

Patient Environment

Example of patient environment and medically-approved isolation transformer.

1 Patient environment (represented by shading, extending exactly 1.5 meters (1.8 meters [6 feet] in

Canada and the U.S.A.) around patient and ultrasound system) 2 Ultrasound system 3 Peripheral equipment (EN XXXXX and IEC XXXXX) 4 Peripheral equipment power 5 Medically-approved isolation transformer 6 Medically-approved isolation transformer power cord 7 Printer data cable 8 Additional protective earth 9 Ultrasound system power

Example of patient environment.

1 2.5 meters (typical) 2 1.5 meters (1.8 meters [6 feet] in Canada and the U.S.A.)

SYSTEM REFERENCE 2 - 13

Page 76

2 Documentation Devices

USB Report Printers

You can print patient reports by connecting a USB printer to one of the USB ports located on the input/output panel on the back of the ultrasound system.

You must observe all safety precautions for connecting a non-medical device to the ultrasound system.

Note: The SET key on the control panel functions as a point-and-select device (similar to a computer mouse) when used with the trackball. To select an on-screen object such as a button or a check box, roll the trackball to position the pointer (cursor) on the object and then press the SET key on the control panel.

Connecting and Installing a USB Printer

Before beginning this procedure, ensure that the USB printer is disconnected from the ultrasound system.

To connect a USB printer:

1. Press the on/off (

) switch to power on the ultrasound system.

When the power on sequence is complete, the system displays the active image screen.

2. Power on the USB printer and ensure that there is paper in the feeder tray.

3. Connect the USB cable from the printer to a USB port on the input/output panel

on the back of the ultrasound system.

After a few seconds, the system displays the Found New Hardware Wizard dialog box.

Note: If the system does not display the new hardware dialog box, it displays an error message. If this happens, use the "Alternate USB Printer Installation" procedure in the next section.

4. Press the SET key on the control panel to activate the trackball pointer.

5. Select Install from a list or specific location (Advanced) and then select Next.

The system displays a new dialog box.

6. Select Don't search. I will choose the driver to install. and then select Next.

7. Ensure that the Show compatible hardware check box is not selected.

8. Select the printer manufacturer name in the Manufacturer column and the printer

model in the Printers column and then select Next.

The system displays the Update Driver Warning message.

9. Select Yes.

The system displays the Completing the Found New Hardware Wizard message.

10. Select Finish.

The system displays the active image screen.

11. Print a report to confirm that the printer is installed correctly.

2 - 14 SYSTEM REFERENCE

Page 77

2 Documentation Devices

Alternate USB Printer Installation

Use this procedure when you have attempted to install a USB printer and the ultrasound system does not automatically display the Found New Hardware Wizard dialog box.

1. Press the SET key on the control panel to activate the trackball pointer.

2. Select the Cancel button until the system displays the message Do you want to

continue Setup without copying this file.

3. Select No.

The system displays the active image screen.

4. Press the Presets key.

5. Select Printer on the left of the screen.

The system displays the Printer screen.

6. Select Install.

The system displays the Add Printer Wizard dialog box.

7. Select Next.

8. Follow these instructions for each wizard screen presented by the Add Printer

Wizard.

Wizard Screen User Action

Local or Network Printer

Select a Printer Port 1. Select Use the following port:.

Install Printer Software

Follow this procedure if the printer is not listed:

Use Existing Driver 1. Select Keep existing driver (recommended).

1. Select Local printer attached to this computer.

2. Clear (disable) the Automatically detect and install my Plug and Play printer check box.

3. Select Next.

2. Select the down arrow on the right.

3. Select an available USB port (for example, USB001 (Virtual printer port for USB)).

4. Select Next.

1. Locate and select the printer manufacturer's name in the Manufacturer column.

2. Locate and select the printer model in the Printers column.

1. Select Have Disk.

2. Insert the Installation disk and then select Browse.

3. Select the virtual software from the Printers column.

4. Select Next.

2. Select Next.

SYSTEM REFERENCE 2 - 15

Page 78

2 Documentation Devices

Wizard Screen User Action

Name Your Printer

Printer Sharing 1. Select Do not share this printer.

Print Test Page 1. Select Yes.

Completing the Add Printer Wizard

1. Type a name for the printer.

2. Select the checkbox if you want this printer to be the default printer for the ultrasound system.

3. Select Next.

2. Select Next.

1. Select Finish.

2. Select the OK button after the test page prints.

The system displays the Printer screen.

9. Select OK.

The system displays the active image screen.

10. Print a report to confirm that the printer is installed correctly.

Connecting and Installing a Network Printer

Before beginning this procedure, ensure that you have the server path name or URL for your network printer.

To connect a network printer:

1. Press the Presets key.

2. Select Printer on the left of the screen.

The system displays the Printer screen.

3. Select Install. The system displays the Add Printer Wizard dialog box.

4. Select Next.

5. Select A network printer, or a printer attached to another computer.

6. Clear (disable) the Automatically detect and install my Plug and Play printer check box. Then select Next.

7. Select:

– Browse for a printer, if you don't know the path for the printer. – Connect to a printer, and then type the server path for the printer in the box

below.

– Connect to a printer on the Internet or on a home or office network, and

then type the URL for the printer in the box below.

8. Select Next.

9. Follow the instructions presented by the Add Printer Wizard.

10. Print a report to confirm that the printer is installed correctly.

2 - 16 SYSTEM REFERENCE

Page 79

2 Documentation Devices

Confirming Installation

To confirm installation, select a USB printer and then print a report.

Selecting the USB Printer

Use the system presets to select a USB printer as the system's report printing device.

Printer

To select a USB printer:

1. Press the Presets key on the keyboard.

2. Select Printer.

3. Select the required printer from the PC Printer drop-down list.

4. Select the Save button.

The system displays the active image screen.

Testing the USB Printer Installation

Test the installation of the printer by printing a report.

Note: You can perform this test without actual data in a report.

To test the USB printer installation:

1. Press the Exam key on the keyboard. The system displays the Exam and QuickSet screen.

2. Select an exam type with support for a patient report, such as C-Vas.

3. Press the Report key.

4. Select the Send Report button on the lower right of the screen.

The system sends the report to the selected USB printer and changes the Send Report button to Cancel.

a. To interrupt immediately, select the Cancel button.

b. To stop after the current page, press the ESCAPE key.

SYSTEM REFERENCE 2 - 17

Page 80

2 Documentation Devices

2 - 18 SYSTEM REFERENCE

Page 81

3 DICOM Connectivity Option

About DICOM ...................................................................................................... 3

Current and Previous Studies........................................................................ 3

Screens .........................................................................................................4

DICOM Storing and Printing .......................................................................... 5

Storing Studies .............................................................................................. 5

DICOM Structured Reporting......................................................................... 6

DICOM Setup....................................................................................................... 7

Configuring the System and Devices for DICOM........................................... 7

Creating and Editing Aliases ..................................................................7

Activating Aliases .................................................................................10

Deleting Aliases.................................................................................... 10

Field Descriptions for DICOM Configuration Screens.................................. 11

Fields in the Host Setup Screen........................................................... 11

Fields in the DICOM Storage Server Setup Screen ............................. 12

Fields in the Worklist Server Setup Screen .......................................... 13

Fields in the DICOM MPPS Server Setup Screen................................ 13

Fields in the DICOM Printer Setup Screen........................................... 14

Fields in the Storage Commitment Setup Screen................................. 15

DICOM Storing and Printing ............................................................................ 16

Configuring Clip Options for DICOM............................................................ 16

Configuring the System for In-Progress Store ............................................. 16

Storing Images to DICOM Storage Servers................................................. 17

Printing Images to DICOM Printers .............................................................18

Arranging Printer Layout Pages ...........................................................21

Queue Status Indicators .............................................................................. 22

SYSTEM REFERENCE 3 - 1

Page 82

3 DICOM Connectivity Option

3 - 2 SYSTEM REFERENCE

Page 83

3 DICOM Connectivity Option

About DICOM

Note: Before using the DICOM Connectivity option, familiarize yourself with the functionality of the

DIMAQ-IP Study and Image screens.

The DICOM (Digital Imaging and Communications in Medicine) Connectivity option works in conjunction with the DIMAQ-IP integrated workstation to provide digital image transfer via a DICOM network for both storage and printing. With the option installed, the ultrasound system is a DICOM Storage Class User and DICOM Print Class User.

Current and Previous Studies

This chapter describes studies as current or previous. Since the ultrasound system allows only one patient to be registered at a time, a current study is linked to that patient. You initiate a current study (examination) by registering a patient. This study remains current until you create a new study by:

 Registering a new patient after pressing the New Patient key, or  Re-registering the current patient by selecting the New button on the Study

screen.

You can also end a current study without creating a new study by:

 Selecting the Close Study button in the Image screen or the Close button in the

Study screen, or

 Shutting down the ultrasound system. A current study that has been ended in any of these ways becomes a previous study.

A previous study remains linked to its original patient data and can be accessed from the Study screen. Original patient data cannot be changed in a previous study.

SYSTEM REFERENCE 3 - 3

Page 84

3 DICOM Connectivity Option

Screens

The following screens are used with DICOM and are accessed by pressing the Patient Browser key on the keyboard:

 Image screen – Displays images for the currently selected study. When the

DICOM option is installed, includes selections for sending images to DICOM printers.

Note: In this chapter, the term "Image screen" refers to a screen within the DIMAQ-IP feature. In other chapters of the operating instructions, the use of "image screen" refers to a typical live image screen that displays real-time images as they are acquired.

 Study screen – Lists studies that are saved on the selected disk (HD or CD/DVD

or USB-compatible storage device). When the DICOM option is installed, includes selections for sending studies to DICOM printers and storage servers.

 DICOM screen – Displays tabs for pages that list current DICOM activity:

– DICOM BW Printer Layout displays black and white images assembled

according to a selected format for the DICOM Print Queue.

– DICOM Color Printer Layout displays color images assembled according to

a selected format for the DICOM Print Queue.

– DICOM Print Queue lists images sent to the DICOM printer. – DICOM Store Queue lists images sent to the DICOM storage server.

 Worklist screen (Requires the DICOM 3.0 Connectivity Option) – For automatic

entry of data on the Patient Data form.

 Procedure screen (Requires the DICOM 3.0 Connectivity Option) – Displays the

Choose Procedure screen for selection of another procedure for the currently registered patient.

 Live screen – Displays the image screen.

3 - 4 SYSTEM REFERENCE

Page 85

3 DICOM Connectivity Option

DICOM Storing and Printing

You can send images from current or previous studies to the DICOM Store Queue as follows:

 You can send all images directly from the Study screen to the DICOM Store

Queue for a previous study.

 If the Autostore to DICOM setting is selected in the system presets, you can

automatically send all images in the Image screen to the DICOM Store Queue when a current study is closed.

You can print from current or previous studies to a DICOM printer as follows:

 You can assemble individual images on a printer layout page in a current or

previous study.

 You can print single or multiple pages of images from a printer layout page in a

current or previous study.

 You can send all images from a previous study directly to a printer queue from the

Study screen.

 The following settings in the system presets also allow the ultrasound system to

print automatically when certain conditions are met:

– If the Print When Page Is Full setting is selected, a page is sent to the

DICOM Print Queue as soon as the last image required by the page layout is

added. An incomplete page is automatically sent to the DICOM Print Queue when you close a current study or select another study.

– If the Print At End Of Exam setting is selected, you can assemble multiple

pages prior to printing, and all pages are automatically sent to the DICOM

Print Queue when you close a current study or select another study.

Storing Studies

All current and previous studies on the system's hard disk are listed in the Study screen when HD is selected in the Disk box of the Study screen. All studies stored on the system's disk media are listed in the Study screen when CD/DVD is selected in the Disk box. All studies stored on a USB-compatible storage device are listed in the Study screen when USB is selected in the Disk box.

You can access images from a previous study without closing the current study.

SYSTEM REFERENCE 3 - 5

Page 86

3 DICOM Connectivity Option

DICOM Structured Reporting

Note: DICOM structured reports are available for Obstetrics, Gynecology, Cardiac and Vascular

exams only.

The system automatically generates a DICOM structured report (SR) for the current examination and stores the SR to the study on the ultrasound system's hard disk.

Note: DICOM structured reports are not listed in the DIMAQ Image screen; you must send the SR to a DICOM device to view the SR.

Use the system presets to send DICOM structured reports to DICOM devices.

DICOM

3 - 6 SYSTEM REFERENCE

Page 87

3 DICOM Connectivity Option

DICOM Setup

Prerequisite: A working knowledge of Windows networking principles is necessary and beneficial for

completing DICOM configuration.

Use the system presets to set up DICOM.

DICOM

DICOM Setup requires the following information:

 Ultrasound system (host) host name, alias, AE title, IP address, port number,

subnet mask, and default gateway

 Media type and duplex mode required for connection to the host (ultrasound

system)

 Alias, AE title, IP address, and port number for each DICOM device You must check the storage server for compatibility with the ultrasound system

settings.

To begin DICOM Setup, connect a network cable to the Ethernet port on the Input/Output panel of the ultrasound system.

Configuring the System and Devices for DICOM

You can configure the ultrasound system and connected devices (such as servers and printers) for DICOM by creating, editing, and activating aliases (DICOM configurations). You can also delete aliases.

Creating and Editing Aliases

You can create and edit aliases (DICOM configurations) for the host (ultrasound system) and other devices, such as servers and printers.

To display the DICOM configuration screen for the required alias (DICOM configuration):

Note: DICOM configuration screens cannot be displayed during a patient examination. If a patient is

registered, then close the study before beginning this procedure.

1. Press the Presets key on the keyboard and then select DICOM on the left of the screen.

The system displays the DICOM screen.

2. To edit an existing alias, select the alias from the related drop-down list and then select the Edit button to the right of the selected configuration. For example, to edit the "archive1" storage server alias, select "archive1" from the Storage Server drop-down list and then select the Edit button to its right.

The system displays the DICOM configuration screen for the selected alias, containing the existing configuration.

3. To create an alias, select the New button to the right of the related drop-down list. For example, to create a storage server alias, select the New button to the right of the Storage Server drop-down list.

The system displays the DICOM configuration screen for the selected type of alias.

SYSTEM REFERENCE 3 - 7

Page 88

3 DICOM Connectivity Option

To create or edit an alias (DICOM configuration):

1. Display the required DICOM configuration screen and then use the following instructions to change configuration:

a. Use the keyboard to enter values for the fields in the screen.

b. If the alias is a device connected to the ultrasound system (such as a server

or printer), then confirm successful connection and valid configuration information:

 To verify connection, select the Ping button.  To verify connection and configuration information, select the

Echo button.

c. To create a record of the configuration settings, print the screen: Press the

documentation control (PRINT/STORE1, PRINT/STORE2, or CLIP STORE) that is configured in the system presets for disk storage.

Note: Siemens recommends retaining a record of the configuration settings. This information is useful in identifying incomplete or incompatible entries if a communication failure occurs or during troubleshooting.

d. To save configuration changes and redisplay the DICOM screen, select the

OK button at the bottom of the DICOM configuration screen.

e. To cancel configuration changes and redisplay the DICOM screen, select the

Cancel button and then select Yes to confirm cancellation.

2. Activate the new alias by selecting the alias from the related drop-down list on the DICOM screen. For example, to activate the "archive2" storage server alias, select "archive2" from the Storage Server drop-down list.

3. Perform the following additional configuration(s), as necessary:

Alias: Do this:

Host

Storage server Select a queuing method listed below the selected storage server alias:

Storage commit server

To indicate the status of network connection in the Network section of the Study screen, select the Show network status check box below the selected host alias.

 Store During Exam adds each image to the DICOM Store Queue list when you store the

image to the study.

 Store At End Of Exam adds all images to the DICOM Store Queue list when you close the

study.

Note: To view the DICOM Store Queue list, press Patient Browser to display the Study screen, select the required study, select DICOM Screen, and then select the DICOM Store Queue tab.

To automatically send all stored images to the DICOM storage server, select the Autostore to DICOM check box below the selected storage server alias.

Select a storage method listed below the selected storage server alias: Note: Siemens recommends the After All Images are Stored selection.

 After Every Image is Stored automatically sends each image when you store the image to

the study.

 After All Images are Stored automatically sends all stored images when you close the study.

3 - 8 SYSTEM REFERENCE

Page 89

3 DICOM Connectivity Option

Alias: Do this:

Worklist server To configure the system to perform a search of all procedures on the Worklist server for the next

MPPS Server Works with the Modality Worklist server to provide exam status updates DICOM Printer Select a printing protocol listed below the selected DICOM printer alias:

24 hours, select the Streamlined Search check box below the selected Worklist server alias. Note: If performing the streamlined search from the Patient Data form, the system uses any data

entered onto the form to narrow the search.

Note: You can select a setting for the black and white printer and a setting for the color printer.

 Print When Page is Full automatically prints a page when the last image is added to the

page. The maximum images-per-page value is defined by the Display Format setting in the respective DICOM Printer Setup screen.

 Print At End of Exam automatically prints all images when the study is closed. Note: Select the more… button to display additional fields.

4. To save all configuration changes and exit the system presets, select the Save button.

If you changed any host configuration information, then the system prompts you to reboot the ultrasound system (cycle power).

5. To cancel all configuration changes and exit the system presets, select the Cancel button and then select Yes to confirm cancellation.

6. If the system prompts you to reboot the ultrasound system, or if you added or changed a host name or IP address for any aliases, then reboot the ultrasound system (cycle power) to complete the configuration.

SYSTEM REFERENCE 3 - 9

Page 90

3 DICOM Connectivity Option

Activating Aliases

You can activate existing aliases (DICOM configurations) for the host (ultrasound system) and other devices, such as servers and printers.

To activate an existing alias:

Note: DICOM configuration screens cannot be displayed during a patient examination. If a patient is

registered, then close the study before beginning this procedure.

1. Press the Presets key on the keyboard and then select DICOM on the left of the screen.

The system displays the DICOM screen.

2. Select the alias from the related drop-down list. For example, to activate the "archive1" storage server alias, select "archive1" from the Storage Server drop-down list.

3. To save changes and exit the system presets, select the Save button. If you changed any host configuration information, then the system prompts you

to reboot the ultrasound system (cycle power).

4. If the alias is an MPPS device, then select Storage and then select the AutoStore to DICOM check box to activate automatic storage of studies to DICOM.

5. If the system prompts you to reboot the ultrasound system, or if you added or changed a host name or IP address for any aliases, then reboot the ultrasound system (cycle power) to complete configuration.

Deleting Aliases

You can delete aliases (DICOM configurations) for the host (ultrasound system) and other devices, such as servers and printers.

To delete an alias:

Note: DICOM configuration screens cannot be displayed during a patient examination. If a patient is

registered, then close the study before beginning this procedure.

1. Press the Presets key on the keyboard and then select DICOM on the left of the screen.

The system displays the DICOM screen.

2. Select the alias from the related drop-down list (such as the Storage Server drop-down list), select the Delete button to the right of the selected alias, and then select OK to confirm.

The system deletes the DICOM configuration.

3. To save changes and exit the system presets, select the Save button. If you changed any host configuration information, then the system prompts you

to reboot the ultrasound system (cycle power).

4. If prompted, reboot the ultrasound system (cycle power).

3 - 10 SYSTEM REFERENCE

Page 91

3 DICOM Connectivity Option

Field Descriptions for DICOM Configuration Screens

Fields in the Host Setup Screen

Field Settings

Alias

AE Title

Host Name

MAC Address

Use DHCP

(Use Dynamic Host Control Protocol)

IP Address

Subnet Mask

Default Gateway

Media Type Hardware Default

Duplex Mode Hardware Default

text entry text entry text entry display only (indicates the Media Access Control

address detected for the host) On (checked)

Off (cleared) text entry text entry text entry

AUTOSELECT 100BASETX 10BASET

Half Duplex Full Duplex

SYSTEM REFERENCE 3 - 11

Page 92

3 DICOM Connectivity Option

Fields in the DICOM Storage Server Setup Screen

Field Settings

Alias

AE Title

IP Address

Port Number

Write Timeout in Seconds

(timeout value for sending to the queue)

Connect Timeout in Seconds

(timeout value for an attempted connection between the host and the storage server)

Image Format

Send SR

text entry text entry text entry text entry text entry

text entry

Specifies the DICOM format used to transfer images to the storage server.

Note: Calibration information is included with the "New Ultrasound" format only.

 Automatic specifies the highest quality format that is supported

by the server: "New Ultrasound," "Old Ultrasound," or "Secondary Capture" (listed in sequence from highest quality to lowest quality).

 Old Ultrasound specifies the highest quality format that is

supported by the server: "Old Ultrasound" (highest quality) or "Secondary Capture" (lowest quality).

 Secondary Capture specifies the "Secondary Capture" format.

The "Secondary Capture" format does not support clips.

 No Monochrome conversion disables monochrome

conversion for gray scale images and clips stored to the storage server.

 Store grayscale images as Monochrome converts gray scale

images (stored to the storage server) to monochrome format. Note: The system adds the DICOM attributes for "window" and

"level" information to monochrome-formatted images.

 Store grayscale images and clips as Monochrome converts

gray scale images and clips (stored to the storage server) to monochrome format.

Note: The system adds the DICOM attributes for "window" and "level" information to monochrome-formatted images.

 Store all images as Monochrome specifies all images (stored

to the storage server) to monochrome format.

 Store all images and clips as Monochrome specifies all

images and clips (stored to the storage server) to monochrome format.

On (checked) Off (cleared)

When enabled (checked), includes the structured report when sending the study to this device.

Note: Available for Cardiac and OB/EOB exams only.

Number of Times to Retry Failure

Seconds Between Each Retry

Ping and Echo Timeout in seconds

(timeout value for basic communication tests with the host)

text entry text entry text entry

3 - 12 SYSTEM REFERENCE

Page 93

3 DICOM Connectivity Option

Fields in the Worklist Server Setup Screen

Field Settings

Alias

AE Title

IP Address

Port Number

Maximum Number of MW item

text entry text entry text entry text entry text entry

(maximum number of search results displayed on the Worklist Search screen)

Ping and Echo Timeout in Seconds

text entry

(timeout value for basic communication tests with the host)

Write Timeout in Seconds

text entry

(timeout value for sending to the queue)

Connect Timeout in Seconds

text entry (timeout value for an attempted connection between the host and the storage server)

Fields in the DICOM MPPS Server Setup Screen

Field Settings

Alias

AE Title

IP Address

Port Number

Ping and Echo Timeout in seconds

Number of Times to Retry Failure

Seconds Between Each Retry

Write Timeout in Seconds

Connect Timeout in Seconds

Store Image Format

text entry text entry text entry text entry text entry text entry text entry text entry text entry Note: Calibration information is included with the "New

Ultrasound" format only.

 Automatic specifies the highest quality format that is

supported by the server: "New Ultrasound," "Old Ultrasound," or "Secondary Capture" (listed in sequence from highest quality to lowest quality).

 Old Ultrasound specifies the highest quality format

that is supported by the server: "Old Ultrasound" (highest quality) or "Secondary Capture" (lowest quality).

 Secondary Capture specifies the "Secondary

Capture" format.

SYSTEM REFERENCE 3 - 13

Page 94

3 DICOM Connectivity Option

Fields in the DICOM Printer Setup Screen

Note: These fields are listed in the following screens: DICOM Color Printer Setup and DICOM BW Printer Setup.

Note: Select the more… button at the bottom of the screen to display all the fields.

Field Settings

Alias

AE Title

IP Address

Port Number Note: If a separate computer controls the printer, the port number may differ

from the port number used for the host and storage server.

text entry text entry text entry text entry

Write Timeout in Seconds (timeout value for sending to the queue) Connect Timeout in Seconds (timeout value for an attempted connection

between the host and the DICOM printer)

Orientation Portrait

Number of Times to Retry Failure

Seconds Between Each Retry Display Format (defines the column and row format used for assembling pages

to print)

Note: Verify that the selected format is supported by the destination printer.

Copies (number of copies to print)

Medium Type Paper

Min. Density Note: Consult the printer manufacturer for appropriate values.

Max. Density Note: Consult the printer manufacturer for appropriate values.

text entry text entry

Landscape

text entry text entry

1x1 1x2 2x2 2x3 3x2 3x3 3x5 4x5 4x6 5x6

text entry

clear film blue film transparency Current

text entry

Border Density (defines the region outside of the print area on the output medium; typically black for film and white for paper)

Trim (outlines each printed image with a box) Yes

Black White

3 - 14 SYSTEM REFERENCE

Page 95

3 DICOM Connectivity Option

Field Settings

Film Size 8in x 10in

8.5in x 11in 10in x 12in 10in x 14in 11in x 14in 11in x 17in 14in x 14in 14in x 17in 24cm x 24cm 24cm x 30cm A3 A4

Print Priority High

medium low

Film Destination Magazine

processor current

Magnification Replicate

bilinear cubic none

Smoothing Type (used with cubic magnification)

text entry

Note: This field is not required.

Empty Image Density black (typically used for

transparencies)

white (typically used for paper)

Polarity Normal

reverse

Configuration

text entry

Note: This string is sent to the printer exactly as it displays in this field.

Note: This field is not required.

Ping and Echo Timeout in Seconds (timeout value for basic communication

text entry

tests with the host)

Fields in the Storage Commitment Setup Screen

Field Settings

Alias

AE Title

IP Address

Port Number

Number of Times to Retry Failure

Seconds Between Each Retry

Write Timeout in Seconds

Connect Timeout in Seconds

Ping and Echo Timeout in Seconds

text entry text entry text entry text entry text entry text entry text entry text entry text entry

SYSTEM REFERENCE 3 - 15

Page 96

3 DICOM Connectivity Option

DICOM Storing and Printing

You can store and print images to DICOM devices.

Configuring Clip Options for DICOM

Use the system presets to configure clip options such as length and acquisition timing (retrospective or prospective).

Customize Keys > Clip Capture

With DICOM, consider the following issues when storing multiple clips:

 Multiple, longer clips can require considerable storage server memory and

transfer time.

 High compression requires less storage server memory and transfer time.  The number of clip frames in a clip is determined by two parameters: the duration,

which is selected in the system presets, and the number of clip frames to acquire per second.

Configuring the System for In-Progress Store

You can configure the system for in-progress store.

When the system is configured for in-progress store and you press a documentation key that is configured for disk storage, the system stores the image or report to the DICOM storage server and to the system's hard disk.

To configure the system for in-progress store:

Note: DICOM configuration screens cannot be edited during a patient examination. If a patient is

registered, then close the study before beginning this procedure.

1. Press the Presets key on the keyboard to display the system presets and then select DICOM on the left of the screen.

The system displays the DICOM screen.

2. Select the Store During Exam option and the Autostore to DICOM check box below the storage server alias.

3. Select the Save button to save the settings.

4. Configure one or more keys for disk storage.

a. Press the Presets key on the keyboard to redisplay the Preset screen.

b. Select Customize Keys on the left of the screen. c. Select Disk Store for one or more of the documentation keys.

d. To save changes and exit the system presets, select the Save button.

3 - 16 SYSTEM REFERENCE

Page 97

3 DICOM Connectivity Option

Storing Images to DICOM Storage Servers

You can send selected studies to a connected DICOM storage server.

You can also automatically send stored images during the current study when the system is configured for in-progress store.

See also: Configuring the System for In-Progress Store, p. 3-16

To send selected studies to a connected DICOM storage server:

Note: The studies must be stored on the hard disk.

1. Press the Patient Browser key on the keyboard.

2. If the system displays the Image screen, select the Study Screen button.

3. Select HD in the Disk section of the Study screen.

4. Select a study from the Study screen. – To select an additional study, press and hold the Ctrl key on the keyboard

and then press the SET key on the control panel.

– To select consecutive studies, press and hold the Shift key on the keyboard

and then press the SET key on the control panel.

5. Select the server from the drop-down list in the Network section (lower right of the screen) and then select the Send button.

The system sends all images from the selected study or studies to the DICOM Store Queue.

6. To verify the status of the DICOM Store Queue, select the DICOM Screen button and then select the DICOM Store Queue tab.

7. To display the live image screen, select the Back button and then select the Live Screen button.

SYSTEM REFERENCE 3 - 17

Page 98

3 DICOM Connectivity Option

Printing Images to DICOM Printers

You can send an image to a connected DICOM printer during the current study. You can also print all images or selected images from a study to a connected DICOM printer.

Note: The current number of images and the number of images necessary for each full page layout display in the lower left of the live image screen.

To send an image to a printer layout page in a current study:

1. Freeze the image.

2. Press the documentation key that is configured in the system presets for DICOM printing.

The system saves the image to the system's hard disk and copies the image to the Image screen and to the corresponding layout page.

3. Press the Patient Browser key on the keyboard. The system displays the print image and any other images in the Image screen.

4. If necessary, select additional images from the Image screen for the printer layout.

The system outlines each selected image.

5. Select the BW Print or Color Print button on the bottom of the Image screen to copy the selection to the respective printer layout page.

Note: The current number of images and the images necessary for a full page layout display next to the BW Print or Color Print button in the Image screen.

6. The print image is transferred to the DICOM Print Queue when one of the following actions occurs:

– The DICOM BW Printer Layout or DICOM Color Printer Layout page is

filled and Print When Page Is Full is selected in the system presets for DICOM.

Note: The Display Format setting for the printer determines the number of images in a full page. If display format for a printer is set to "1/1", a page fills and is sent to the DICOM Print Queue immediately with each press of a documentation key configured for DICOM printing.

– The Print Page or Print All Pages button is selected in the layout page. – The study is closed or a previous study is selected and Print At End of Exam

is selected for this printer in the system presets for DICOM.

A separate print queue entry is created for each page.

7. To verify the status of the DICOM Print Queue, select the DICOM Screen button from the Study screen and then select the DICOM Print Queue tab.

8. To change printing options for a set of printed images, select the DICOM Screen button from the Study screen, select the DICOM BW Printer Layout or DICOM Color Printer Layout tab, and then select the Change button at the top of the screen.

9. To display the live image screen, select the Back button and then select the Live Screen button.

3 - 18 SYSTEM REFERENCE

Page 99

3 DICOM Connectivity Option

To print all images from one or more studies to a DICOM printer:

Note: The studies must be stored on the hard disk.

1. Press the Patient Browser key on the keyboard.

The system displays the Study screen. If the system displays the Image screen, select the Study Screen button.

2. Select HD, CD/DVD, or USB in the Disk section of the Study screen.

3. Select a study from the Study screen. – To select an additional study, press and hold the Ctrl key on the keyboard

and then press the SET key on the control panel.

– To select consecutive studies, press and hold the Shift key on the keyboard

and then press the SET key on the control panel.

4. Select the printer from the drop-down box in the Network section on the lower right of the Study screen and then select the Send button.

The system sends all images from the selected study to the corresponding layout page(s) and to the DICOM printer queue.

5. To confirm that the study was sent to the printer, select the DICOM Screen button on the left of the screen and then select the DICOM Print Queue page.

The system lists the studies that were sent to the printer.

6. To redisplay the Study screen, select the Back button.

7. To display the live image screen, select the Live Screen button.

SYSTEM REFERENCE 3 - 19

Page 100

3 DICOM Connectivity Option

To print individual images from a study to a DICOM printer:

Note: The studies must be stored on the hard disk.

1. Press the Patient Browser key on the keyboard.

The system displays the Study screen. If the system displays the Image screen, select the Study Screen button.

2. Select HD, CD/DVD, or USB in the Disk section of the Study screen.

3. Select a study from the Study screen.

4. Select the Image Screen button. The system displays all images from the selected study in the Image screen.

5. Select an image from the Image screen.

The system outlines the selected image.

6. Print a selected image by selecting the BW Print or Color Print button on the left of the Image screen.

The image is sent to the layout page.

7. To send the layout page(s) to the DICOM Print Queue, select the Study Screen button to display the Study screen, select the DICOM Screen button to display the DICOM screen, and then select the Print Page or Print All Pages button in the DICOM BW Printer Layout or DICOM Color Printer Layout page.

Note: If a layout page becomes full and Print When Page is Full is selected in the system presets for DICOM, the system automatically sends the page to the DICOM Print Queue. If Print At End of Exam is selected in the system presets for DICOM, multiple layout pages can be assembled prior to printing. With either selection, all pages are sent to the DICOM Print Queue when the current study is closed.

8. To display the live image screen, select the Back button and then select the Live Screen button.

3 - 20 SYSTEM REFERENCE

Siemens X300 Reference Manual

Specifications and Main Features

Frequently Asked Questions

User Manual

Contents

About the User and Reference Manuals

Conventions

1 System Presets

Using the System Presets

Making Screen Selections

Presets Screen

General 1 — System Configuration Selections

General 2 — System Configuration Selections

Customizing the Sequence of Data Entry for the Patient Data Form

Peripheral — System Configuration Selections

Customize Keys — System Configuration Selections

Customizing the Display of Soft Key Selections

Storage — System Configuration Selections

Display — System Configuration Selections

Exam Configuration — System Configuration Selections

User-Defined Exam List — Exam Configuration Selections

Text Annotation — System Configuration Selections

Customizing Text Annotations

Pictogram List — System Configuration Selections

Customizing Pictograms

M & R Configuration 1 — Configuration Selections

Customizing the Measurement and Report Preset Settings

M & R Configuration 2 — Configuration Selections

Summary — Configuration Selections

Service — Serviceability Selections

Stress Echo — Options Selections

SieScape — Options Selections

DICOM — Options Selections

DIMAQ Utility — Options Selections

Clip Capture — Options Selections

Network Export — Options Selections

Authorization

Archive

Printer — Options Selections

Customizing OB and Early OB Measurements, Calculations, and Reports

Item & Reference Selection, Standard OB

2D-Mode, M-Mode, Doppler, Ratio, and Growth Analysis Tabs

EFW / USMA Tab

Item & Reference Selection, Early OB

Display Item, Standard OB / Early OB

Growth Analysis Graphs, OB and Early OB

Standard OB / Early OB User-Defined Formulas

Standard OB / Early OB User-Defined Tables

User-Defined Label, OB and Early OB

Customizing Vascular Measurements, Calculations, and Reports

Display Item — Cerebrovascular (C-Vascular)

Display Item — Peripheral Vascular (P-Vascular)

Display Item — Venous

Customizing Gynecology Measurements, Calculations, and Reports

Display Item — Gynecology

Customizing Cardiac Measurements, Calculations, and Reports

Measurement Order — Cardiac

Heading Tab

Label Tab

Display Item — Cardiac

User-Defined Label — Cardiac

Customizing Emergency Medicine Measurements, Calculations, and Reports

Calculation Item — Emergency Medicine

Customizing Fetal Echo Measurements, Calculations, and Reports

Display Item — Fetal Echo

2 Documentation Devices

Documentation and Storage Devices

Using the CD/DVD Drive

Storing and Retrieving System Presets and QuickSets

File Type Descriptions

Video Recorders

Video Communication Set Up

Recording Patient Data

Using Video Playback

Printers

Report Printers

Manufacturers of Medically-Approved Isolation Transformers

Mitigating the Risk of Connecting a Report Printer

Patient Environment

USB Report Printers