Siemens X300 Reference Manual

ACUSON X300 Ultrasound Imaging System System Reference

10348704-VFT-001-01-01

Siemens Medical Solutions USA, Inc. 10348704 REV 01

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

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

ii SYSTEM REFERENCE

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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.

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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

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

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

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

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

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

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

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

+ 104 hidden pages

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