Sonosite Mircomaxx User Manual
MicroMaxx
®
Ultrasound System
User Guide
MicroMaxx
Ultrasound System
User Guide
SonoSite, Inc.
21919 30th Drive SE
Bothell, WA 98021
USA
T: 1-888-482-9449 or 1-425-951-1200
F: 1-425-951-1201
SonoSite Ltd
Alexander House
40A Wilbury Way
Hitchin
Herts SG4 0AP
UK
T: +44-1462-444800
F: +44-1462-444801
Caution:
Federal (United States) law restricts this device to sale by or on the order of a
physician.
MicroMaxx, SiteLink, SonoCalc, SonoMB, SonoRES, and SonoSite are registered trademarks or trademarks of SonoSite, Inc.
CompactFlash is a registered trademark of Symbol Technologies.
DICOM is the registered trademark of the National Electrical Manufacturers Association for its standards publications relating to digital
communications of medical information.
Non-SonoSite product names may be trademarks or registered trademarks of their respective owners.
The SonoSite product(s) referenced in this document may be covered by one or more of the following patents: 5722412, 5817024,
5893363, 6135961, 6203498, 6364839, 6371918, 6383139, 6416475, 6447451, 6471651, 6569101, 6648826, 6575908, 6604630, 6817982,
6835177, 6962566, 7169108, D456509, D4618 95, D509900, D538432, D544962, D558351, D559390. Patents pending. Other international
patents may also apply.
P06435-07 07/2008
Copyright 2008 by SonoSite, Inc.
All rights reserved.
ii
Contents
Introduction 1
About the User Guide 1
Intended Uses 1
Conventions 4
Symbols and Terms 4
Upgrades and User Guide Updates 4
Customer Comments 4
Contact Information 5
About the System 6
About the System Software 8
Getting Started 9
Healthy Scanning Guidelines 9
System Preparation 11
Installing or Removing Battery 11
Installing or Removing CompactFlash Card 12
Using AC Power/Charging Battery 13
Turning System On/Off 14
Connecting or Removing Transducer 15
System Controls 16
Screen Layout 19
General Interaction 20
Touchpad 20
On-Screen Menus 21
Menu Controls 21
Annotation and Text 22
Forms 23
System Setup 24
Set Security Settings 25
Audio and Battery 31
Cardiac Calculations 32
Connectivity 33
Date and Time 35
Delta Key and Annotation 36
Display Information 38
IMT Calculations 39
OB Calculations Authors 40
OB Custom Measurements 42
OB Custom Tables 43
Presets 45
System Information 47
Network Status 48
iii
Imaging 49
Patient Information 49
Transducer, Exam Type, and Imaging Mode 52
Transducer Preparation 55
General Use 56
Invasive or Surgical Use 56
Modes 57
2D Imaging 57
M Mode Imaging 61
Color Doppler Imaging 63
Pulsed Wave (PW) and Continuous Wave (CW) Doppler Imaging 65
Clips 68
Clip Acquisition Delay 69
Image and Clip Storage 70
Save to CompactFlash 70
Print to Local Printer 72
Image and Clip Review 72
Patient List 72
Patient Images and Clips 73
Annotations 74
ECG Monitoring 76
Footswitch 77
Bar Code Scanner 78
Needle Guidance 78
Measurements and Calculations 79
Measurements 79
2D Measurements 79
M Mode Measurements 83
Doppler Measurements 85
Calculations 89
Percent Reduction Calculations 90
Volume Calculation 92
Volume Flow Calculation 94
Small Parts Calculations 96
Gyn Calculations 97
OB Calculations 100
Vascular Calculations 108
IMT Calculations 110
Transcranial Doppler Calculations (TCD) 114
Cardiac Calculations 117
Patient Report 135
Connectivity and Configuration 141
System Connectivity Setup 141
iv
System Configuration for SiteLink 141
Configuring SiteLink for Ethernet 142
Configuring SiteLink for Wireless 143
System Configuration for DICOM 147
Creating Backup for DICOM Settings 147
Configuring Locations 148
Configuring Archivers 154
Configuring Printers 157
Configuring Worklist Servers 161
Configuring Procedures 164
Importing and Exporting Configurations 165
Reviewing the Network Log 166
DICOM Usage 167
DICOM Image Archive and Print 169
Patient Information 171
DICOM Worklists 172
Troubleshooting and Maintenance 175
Troubleshooting 175
Software Licensing 177
Upgrading the System and Transducer Software 177
Upgrading Triple Transducer Connect (TTC) 183
Obtaining a License Key 184
Installing a License Key 185
Maintenance 186
Recommended Disinfectant 186
Safety 186
Cleaning and Disinfecting Ultrasound System 187
Cleaning and Disinfecting Transducers 188
Sterilizing Transducers 190
Cleaning and Disinfecting Transducer Cables 190
Cleaning and Disinfecting Battery 192
Cleaning Footswitch 192
Cleaning and Disinfecting ECG Cables 192
References 201
Display Size 201
Caliper Placement 201
2D Measurements 201
Sources of Measurement Errors 203
Acquisition Error 203
Algorithmic Error 203
Terminology and Measurement Publications 203
Cardiac References 204
Obstetrical References 210
Gestational Age Tables 211
v
Growth Analysis Tables 214
Ratio Calculations 215
General References 216
Specifications 219
System Dimensions 219
Display Dimensions 219
Transducers 219
Imaging Modes 220
Image Storage 220
Accessories 220
Hardware, Software, and Documentation 220
Cables 221
Peripherals 221
Temperature and Humidity Limits 221
Electrical 222
Battery 222
Electromechanical Safety Standards 222
EMC Standards Classification 223
Airborne Equipment Standards 223
DICOM Standard 223
HIPAA Standard 223
Safety 225
Ergonomic Safety 225
Electrical Safety Classification 225
Electrical Safety 226
Equipment Safety 228
Battery Safety 228
Biological Safety 230
Electromagnetic Compatibility (EMC) 230
Manufacturer’s Declaration 232
The ALARA Principle 235
Applying ALARA 235
Direct Controls 236
Indirect Controls 236
Receiver Controls 236
Acoustic Artifacts 236
Guidelines for Reducing MI and TI 237
Output Display 239
Mechanical and Thermal Indices Output Display Accuracy 240
Factors that Contribute to Display Uncertainty 240
Related Guidance Documents 241
Transducer Surface Temperature Rise 242
Acoustic Output Measurement 243
In Situ, Derated, and Water Value Intensities 243
vi
Tissue Models and Equipment Survey 244
About the Acoustic Output Table 245
Acoustic Output Tables 246
Acoustic Measurement Precision and Uncertainty 283
Labeling Symbols 283
Glossary 287
Terms 287
Acronyms 289
vii
viii
Chapter 1: Introduction
Please read the information in this user guide before using the SonoSite® MicroMaxx® ultrasound
system. It applies to the ultrasound system and transducers.
About the User Guide
The MicroMaxx Ultrasound System User Guide provides information on preparing and using the
ultrasound system, on upgrading the system and transducers, and on cleaning and disinfecting the
system and transducers. It also provides references for calculations, system specifications, and
additional safety and acoustic output information.
The MicroMaxx Quick Start Cards, located in the back of the user guide, provide an overview of basic
system functions.
The user guide is designed for a reader familiar with ultrasound techniques; it does not provide
training in sonography or clinical practices. Before using the system, you must have ultrasound
training.
See the applicable SonoSite accessory user guide for information on using accessories and
peripherals. See the manufacturers’ instructions for specific information about peripherals.
Intended Uses
The intended uses for each exam type are contained here. See the intended transducer for exam type
in Table 2, “Transducer, Exam Type, and Imaging Mode” on page 53.
Introduction
Abdominal Imaging Applications
This system transmits ultrasound energy into the abdomen of patients using 2D, M Mode, color
Doppler (Color), color power Doppler (CPD), Tissue Harmonic Imaging (THI), and pulsed wave (PW)
Doppler to obtain ultrasound images. The liver, kidneys, pancreas, spleen, gallbladder, bile ducts,
transplanted organs, abdominal vessels, and surrounding anatomical structures can be assessed for
the presence or absence of pathology transabdominally.
Cardiac Imaging Applications
This system transmits ultrasound energy into the thorax of patients using 2D, M Mode, color Doppler
(Color), Tissue Harmonic Imaging (THI), pulsed wave (PW) Doppler, pulsed wave tissue Doppler (TDI
PW), and continuous wave (CW) Doppler to obtain ultrasound images. The heart, cardiac valves, great
vessels, surrounding anatomical structures, overall cardiac performance, and heart size can be
assessed for the presence or absence of pathology.
The patient’s electrocardiogram (ECG) may be obtained and is used for timing of diastolic and systolic
function.
WAR NIN G:
The ECG is not used to diagnose cardiac arrhythmias and is not designed for long term
cardiac rhythm monitoring.
Chapter 1: Introduction 1
Gynecology and Infertility Imaging Applications
This system transmits ultrasound energy in the pelvis and lower abdomen using 2D, M Mode, color
power Doppler (CPD), color Doppler (Color), Tissue Harmonic Imaging (THI), and pulsed wave (PW)
Doppler to obtain ultrasound images. The uterus, ovaries, adnexa, and surrounding anatomical
structures can be assessed for the presence or absence of pathology transabdominally or
transvaginally.
Interventional and Intraoperative Imaging Applications
This system transmits ultrasound energy into the various parts of the body using 2D, color Doppler
(Color), color power Doppler (CPD), Tissue Harmonic Imaging (THI), and pulsed wave (PW) Doppler to
obtain ultrasound images that provide guidance during interventional and intraoperative
procedures. This system can be used to provide ultrasound guidance for biopsy and drainage
procedures, vascular line placement, peripheral nerve blocks, spinal nerve blocks and taps, ova
harvesting, amniocentesis and other obstetrical procedures, and provide assistance during
abdominal, breast, neurological surgery, and vascular intraoperative procedures.
Obstetrical Imaging Applications
This system transmits ultrasound energy into the pelvis of pregnant women using 2D, M Mode, color
Doppler (Color), color power Doppler (CPD), Tissue Harmonic Imaging (THI), and pulsed wave (PW)
Doppler to obtain ultrasound images. The fetal anatomy, viability, estimated fetal weight, gestational
age, amniotic fluid, and surrounding anatomical structures can be assessed for the presence or
absence of pathology transabdominally or transvaginally. CPD and color Doppler (Color) imaging is
intended for high-risk pregnant women. High-risk pregnancy indications include, but are not limited
to, multiple pregnancy, fetal hydrops, placental abnormalities, as well as maternal hypertension,
diabetes, and lupus.
WAR NIN G:
2 Chapter 1: Introduction
To prevent injury or misdiagnosis do not use this system for Percutaneous Umbilical
Blood Sampling (PUBS) or in vitro Fertilization (IVF) The system has not been
validated to be proven effective for these two uses.
CPD or Color images can be used as an adjunctive method, not as a screening tool,
for the detection of structural anomalies of the fetal heart and as an adjunctive
method, not as a screening tool for the diagnosis of Intrauterine Growth Retardation
(IUGR).
Pediatric Imaging Applications
This system transmits ultrasound energy into the pediatric patients using 2D, M Mode, color Doppler
(Color), color power Doppler (CPD), pulsed wave (PW) Doppler, pulsed wave tissue Doppler (TDI PW),
and continuous wave (CW) Doppler to obtain ultrasound images. The pediatric abdominal, pelvic and
cardiac anatomy, pediatric hips, neonatal head, and surrounding anatomical structures can be
assessed for the presence or absence of pathology.
Prostate Imaging Applications
This system transmits ultrasound energy into the prostate of an adult male using 2D, M Mode, color
power Doppler (CPD), color Doppler (Color), and pulsed wave (PW) Doppler to obtain ultrasound
images. The prostate gland can be assessed for the presence or absence of pathology.
Superficial Imaging Applications
This system transmits ultrasound energy into various parts of the body using 2D, M Mode, color
Doppler (Color), color power Doppler (CPD), and pulsed wave (PW) Doppler to obtain ultrasound
images. The breast, thyroid, testicle, lymph nodes, hernias, musculoskeletal structures, soft tissue
structures, and surrounding anatomical structures can be assessed for the presence or absence of
pathology. This system can be used to provide ultrasound guidance for biopsy and drainage
procedures, vascular line placement, peripheral nerve blocks, and spinal nerve blocks and taps.
Transcranial Imaging Applications
This system transmits ultrasound energy into the cranium using 2D, color Doppler (Color), color
power Doppler (CPD), and pulsed wave (PW) Doppler to obtain ultrasound images. The anatomical
structures and vascular anatomy of the brain can be assessed for presence or absence of pathology.
Two exam types support transcranial imaging: TCD and Orb. Imaging can be used temporally,
trans-occipitally, or trans-orbitally.
Introduction
WAR NIN G:
To avoid injury to the patient, use only an orbital exam type (Orb) when performing
imaging through the eye. The FDA has established lower acoustic energy limits for
opthalmic use. The system will not exceed these limits only if the Orb exam type is
selected.
Vascular Imaging Applications
This system transmits ultrasound energy into the various parts of the body using 2D, M Mode, color
Doppler (Color), color power Doppler (CPD), and pulsed wave (PW) Doppler to obtain ultrasound
images. The carotid arteries, deep veins, and arteries in the arms and legs, superficial veins in the arms
and legs, great vessels in the abdomen, and various small vessels feeding organs can be assessed for
the presence or absence of pathology.
Chapter 1: Introduction 3
Conventions
These conventions are used in this user guide:
•A WAR NIN G describes precautions necessary to prevent injury or loss of life.
•A Caution describes precautions necessary to protect the products.
• Numbered steps in the procedures must be performed in a specific order.
• Bulleted lists present information in list format but do not imply a sequence.
• The system handle is on the front of th e system , and the battery c ompar tment is on t he back of th e
system.
Symbols and Terms
Symbols and terms used on the system and transducer are explained in Chapter 2, “Getting Started”;
Chapter 5, “Connectivity and Configuration”; “Glossary” on page 287; and Chapter 9, “Safety.”
Upgrades and User Guide Updates
SonoSite may offer software upgrades, new features, and improvements to the system performance.
User guide updates accompany the upgrade software and provide detailed information on the
enhancements.
Customer Comments
Questions and comments are encouraged. SonoSite is interested in your feedback regarding the
system and the user guide. Please call SonoSite at 1-888-482-9449. If you are outside the USA, call
the nearest SonoSite representative. You can also e-mail SonoSite at comments@sonosite.com.
4 Chapter 1: Introduction
Contact Information
For SonoSite technical support, contact us at the following numbers or addresses:
Technical Support (USA, Canada): 1-877-657-8118
Technical Support fax: 1-425-951-6700
Technical Support e-mail: service@sonosite.com
SonoSite website: www.sonosite.com and select Support
International Technical Support: Contact your local representative or call
Europe Service Center: +44-(0)1462-444-800
Introduction
(USA) +425-951-1330
e-mail: uk.service@sonosite.com
Chapter 1: Introduction 5
About the System
4
3
2
1
The ultrasound system is a portable, software-controlled, ultrasound system using all-digital
architecture. The system has multiple configurations and feature sets used to acquire and display
high-resolution, real-time ultrasound images. All are described in this user guide but not every option
may apply to your system. Features are dependent on system configuration, transducer, and exam
type.
Figure 1 System Front View
Table 1: System Front Features
Number Feature
1 Control panel
2Handle
3Display
4 CompactFlash® slots: front for image storage, back for system and transducer
updates, import/export OB tables, custom annotations, and user names/passwords,
and Digital Imaging and Communications in Medicine (DICOM®) configurations
6 Chapter 1: Introduction
Figure 2 System Back View
1
23 4
Table 2: System Back Connectors
Number Feature
1 DC input connector
2 I/O connector
3Battery
4ECG connector
Introduction
Currently, the system supports the following transducers:
• C11e/8-5 MHz
• C60e/5-2 MHz
•D2/2 MHz
• HFL38/13-6 MHz
•ICT/8-5 MHz
•LAP/12-5 MHz
• L25e /13-6 MHz
•L38e/10-5 MHz
•P10/8-4 MHz
•P17/5-1 MHz
•SLA/13-6 MHz
•SLT/10-5 MHz
• TEE/8-3 MHz
Chapter 1: Introduction 7
The ultrasound system may include one or more of the following docking systems:
• Mobile Docking System enhanced (MDSe)
• Mobile Docking System (MDS)
•MDS Lite
See the applicable SonoSite accessory user guide. See Chapter 8, “Specifications” for a complete list
of all system accessories.
System peripherals include medical grade (conforming to the requirements of EN60601-1) and
non-medical (commercial) grade products. See Chapter 8, “Specifications” for a complete list of
compatible peripherals. System setup instructions for the use of peripherals are covered in “System
Setup” on page 24.
Manufacturer’s instructions accompany each peripheral. Instructions for the use of accessories and
peripherals with the system are covered in the applicable SonoSite accessory user guide.
About the System Software
The ultrasound system contains software that controls its operation. A software upgrade may be
required. SonoSite provides you with a CompactFlash card containing the software. Typically new
software provides new capabilities. A single CompactFlash card can be used to update one or more
systems. Software upgrades use the back CompactFlash slot on the right hand side of the system.
CompactFlash cards installed in the front CompactFlash slot do not upgrade the system.
8 Chapter 1: Introduction
Chapter 2: Getting Started
This chapter contains information on healthy scanning practices, basic operation, and changing
system settings.
Healthy Scanning Guidelines
These guidelines are intended to assist you in the comfort and effective use of your ultrasound
system.
WAR NIN G:
Use of an ultrasound system may be linked to musculoskeletal disorders
Use of an ultrasound system is defined as the physical interaction between the
operator, the ultrasound system, and the transducer.
When using an ultrasound system, as with many similar physical activities, you may
experience occasional discomfort in your hands, fingers, arms, shoulders, eyes, back,
or other parts of your body. However, if you experience symptoms such as constant
or recurring discomfort, pain, throbbing, aching, tingling, numbness, burning
sensation, or stiffness, do not ignore these warning signs. Promptly see a qualified
health professional. Symptoms such as these can be linked with musculoskeletal
disorders (MSDs). MSDs can be painful and may result in potentially disabling
injuries to the nerves, muscles, tendons, or other parts of the body. Examples of
MSDs include carpal tunnel syndrome and tendonitis.
While researchers are not able to definitively answer many questions about MSDs,
there is a general agreement that certain factors are associated with their
occurrence including: preexisting medical and physical conditions, overall health,
equipment and body position while doing work, frequency of work, duration of
work, and other physical activities that may facilitate the onset of MSDs
chapter provides guidelines that may help you work more comfortably and may
reduce your risk of MSDs
Getting Started
a,b,c
.
d
. This
e,f
.
a. Magnavita, N., L. Bevilacqua, P. Mirk, A. Fileni, and N. Castellino. “Work-related Musculoskeletal Complaints in
Sonologists.” Occupational Environmental Medicine. 41:11 (1999), 981-988.
b. Craig, M. “Sonography: An Occupational Hazard?” Journal of Diagnostic Medical Sonography. 3 (1985),
121-125.
c. Smith, C.S., G.W. Wolf, G. Y. Xie, and M. D. Smith. “Musculoskeletal Pain in Cardiac Ultrasonographers: Results
of a Random Survey.” Journal of American Society of Echocardiography. (May1997), 357-362.
d. Wihlidal, L.M. and S. Kumar. “An Injury Profile of Practicing Diagnostic Medical Sonographers in Alberta.”
International Journal of Industrial Ergonomics. 19 (1997), 205-216.
e. Habes, D.J. and S. Baron. “Health Hazard Report 99-0093-2749.” University of Medicine and Dentistry of New
Jersey. (1999).
f. Vanderpool, H.E., E.A. Friis, B.S. Smith, and K.L. Harms. “Prevalence of Carpal Tunnel Syndrome and Other
Work-related Musculoskeletal Problems in Cardiac Sonographers.” Journal of Medicine. 35:6 (1993), 605-610.
Chapter 2: Getting Started 9
Position the System
Promote comfortable shoulder, arm, and hand postures:
• Use a stand to support the weight of the ultrasound system.
Minimize eye strain:
• When the exam/procedure allows, position the system within reach.
• Adjust the angle of the system/display to minimize glare from overhead or outside lighting.
Minimize neck strain:
• If using a stand, adjust the stand height such that the display is at or slightly below eye level.
Position Yourself
Support your back during an exam:
• Use a chair that has support for your lower back.
• Use a chair that adjusts to your work surface height and promotes a natural body posture.
• Use a chair that allows for quick height adjustments.
• Always sit or stand in an upright manner. Avoid bending or stooping.
Minimize reaching and twisting:
• Use a bed that is height adjustable.
• Position the patient as close to you as possible.
• Face forward. Avoid twisting your head or body.
• Move your entire body front to back and position your scanning arm next to or slightly in front of
you.
• Stand for difficult exams to minimize reaching.
Promote comfortable shoulder and arm postures for your scanning arm:
• Keep your elbow close to your side.
• Relax your shoulders in a level position.
• Support your arm using a support cushion or pillow, or rest it on the bed.
Minimize neck bending and twisting:
• Position the ultrasound system/display directly in front of you.
• Provide an auxiliary monitor for patient viewing.
Promote comfortable hand, wrist, and finger postures for your scanning arm:
• Hold the transducer lightly in your fingers.
• Minimize the pressure applied on the patient.
• Keep your wrist in a straight position.
10 Chapter 2: Getting Started
Take Breaks
Locking levers
Minimizing scanning time and taking breaks can be very effective in allowing your body to recover
from physical activity, which can help you avoid any MSDs. Some ultrasound tasks may require longer
or more frequent breaks. One way of taking a break is to stop and relax. However, simply changing
tasks can help some muscle groups relax while others remain or become active.
Vary your daily activities:
• Plan your work so there are breaks in between ultrasound exams.
• Work efficiently when performing an ultrasound exam by using the software and hardware
features correctly. Learn more about these features in Chapter 3 of this guide.
• Keep moving. Avoid sustaining the same posture by varying your head, neck, body, arm, and leg
positions.
Exercise
Targeted exercises can strengthen muscle groups, which may help you avoid MSDs. Contact a
qualified health professional to determine stretches and exercises that are right for you.
System Preparation
Installing or Removing Battery
The battery comprises six lithium-ion cells plus electronics, a temperature sensor, and battery
contacts.
Getting Started
WAR NIN G:
Figure 1 Insert Battery into System
To avoid injury to the operator and to prevent damage to the ultrasound system,
inspect the battery for leaks prior to installing.
To avoid data loss and conduct a safe system shutdown, always keep a battery in the
system.
Chapter 2: Getting Started 11
Install Battery 1 Disconnect the power supply from the ultrasound system.
2 Turn the system upside down.
3 Place the battery into the battery compartment, at a slight angle. See Figure 1
on page 11.
4 Slide the battery forward until it locks into place.
5 Push down on the two locking levers to secure the battery.
Remove
Battery
1 Push up on the two locking levers.
2 Slide the battery back.
3 Lift the battery from the compartment.
Installing or Removing CompactFlash Card
Images and clips are saved to a CompactFlash card and are organized in a patient list. The images and
clips in the patient list are organized alphabetically by the patient name and ID. Images and clips are
archived from the ultrasound system to a PC using a USB, Ethernet connection, wireless, or
CompactFlash card. Images and clips on the CompactFlash card cannot be viewed directly from a
CompactFlash reader.
Install
CompactFlash
Card
Caution:
1 Verify the ejector pin is pushed in completely.
2 Insert the CompactFlash card into the front slot on the ultrasound system. See
Figure 1 on page 6.
• The front slot is used to store images.
• The back slot is used to update systems/transducers and to import/export
DICOM configuration information, OB Tables, and annotation labels.
• The CompactFlash card is ready to use when the save icon and the image
and clip counters are displayed on the screen.
If the CompactFlash icon and image and clip counters are not displayed in the
system status, the CompactFlash card may be defective. Turn the system off and
replace the CompactFlash card.
The CompactFlash card may be restored if it is formatted on a PC. Formatting the
card erases all data. If the card is physically damaged, formatting will not restore it.
WAR NIN G:
12 Chapter 2: Getting Started
To prevent loss of data, (for example, images/clips), or damage to the CompactFlash
card, always turn off the ultrasound system before removing the CompactFlash card.
Remove
CompactFlash
Card
1 Turn off the ultrasound system before removing the card.
2 Press the ejector pin in the front card slot to position it to the outside of the
system. See Figure 1 on page 6.
3 Push in the ejector pin to eject the CompactFlash card.
4 Remove the card.
5 Push in the ejector pin to avoid damaging the ejector pin.
Using AC Power/Charging Battery
The battery charges when the system is connected to the AC power supply.
• If the system is off or in the sleep state (display off), a completely discharged battery fully charges
in 2.5 to 3.5 hours.
• If the system is on and in the freeze state, a completely discharged battery fully charges in 5 to
6 hours.
• If the system is in the imaging state, the battery is trickle charged at a very low rate and may take
over 24 hours to charge.
• To minimize recharging time, turn off the system.
Getting Started
Chapter 2: Getting Started 13
The system can run on AC power and charge the battery in two ways.
• Connected directly to the system
• Connected to a mini-dock/docking system (See the Mini-Dock User Guide, MDS User Guide, MDSe
User Guide, or MDS Lite User Guide.)
WAR NIN G:
Caution:
Operate
System Using
AC power
The equipment shall be connected to a center-tapped single phase supply circuit
when users in the United States connect the equipment to a 240V supply system.
Verify that the hospital supply voltage corresponds to the power supply voltage
range. See “Electrical” on page 222.
1 Connect the DC power cable from the power supply to the connector on the
system. See Figure 2 on page 7.
2 Connect the AC power cord to the power supply and connect to a
hospital-grade electrical outlet.
Turning System On/Off
Caution:
Turn System
On/Off
Do not use the system if an error message appears on the display. Note the error
code and turn off the system. Call SonoSite or your local representative.
1Locate the Power key on the top left side of the system. See Figure 3 on
page 16.
2 Press the Power key once to turn on and once to turn off.
Wake Up
System
14 Chapter 2: Getting Started
To conserve battery life, the system is configured to go into sleep mode. The system
goes into sleep mode when the lid is closed or if the system has not been touched
for a preset amount of time. Press any key, touch the touchpad, or open the lid to
wake up the system. To adjust the time for sleep delay, see “Audio and B attery ” on
page 31.
Connecting or Removing Transducer
WAR NIN G:
Caution:
Figure 2 Connect the Transducer
Connect
Transducer to
System
To avoid injury to the patient, do not place the connector on the patient. Operate
the ultrasound system in a docking system or on a flat hard surface to allow air flow
past the connector.
To avoid damaging the transducer connector, do not allow foreign material in the
connector.
1 Turn the system upside down (if not in docking system).
2 Pull the transducer latch up and rotate it clockwise.
3 Align the transducer connector with the connector on the bottom of the
system.
4 Insert the transducer connector into the system connector.
5 Turn the latch counterclockwise.
6 Press the latch down, securing the transducer connector to the system.
Getting Started
Remove
Transducer
1 Pull the latch up and rotate it clockwise.
2 Pull the transducer connector away from the system.
Chapter 2: Getting Started 15
System Controls
Update
M Mode
Doppler
Color
2D
Zoom
THI
Depth
Record
Enter
Delete
PictoText
Shift
Caps
Tab
Freeze
Caliper
Calcs
Print
Save
1
2
3
4
6
7
8 9 11 12 13
14
15
17
16
18
19
20
5
10
Figure 3 System Controls
Table 1: System Controls
Number
1 Power Turns system on and off.
2 Alphanumeric Use to enter text and numbers.
16 Chapter 2: Getting Started
3
4 THI Turns Tissue Harmonic Imaging on and off.
System
Control
Description
Annotation
Text Turns the keyboard on and off for text entry.
Picto Turns the pictographs/pictograph marker on and off.
Arrow Displays an arrow that can be moved and rotated within the
image area.
Table 1: System Controls (Continued)
Number
5
System
Control
Depth
Description
Depth Up Decreases imaging depth.
Depth Down Increases imaging depth.
6 Zoom Magnifies image 2x.
7
Gain
Adjusts the gain applied to the near field of the image.
Near
Adjusts the gain applied to the far field of the image.
Far
Adjusts the overall gain applied to the entire image.
Gain
Note: Some keyboards may have the words instead of symbols.
8AC power
indicator
9Caliper
Calcs
A steady green light indicates AC power is connected. A flashing
green light indicates the system is in sleep mode.
Activates a measurement caliper on the screen.
Turns the calculation menu on and off.
Getting Started
10 Touchpad Use to select, adjust, and move objects on the screen.
11 Select Use to switch between frozen images in duplex and dual screens,
color and Doppler menus, calipers for measurement (Calipers),
pictograph marker position/angle (Picto), and arrow position/
orientation (Arrow).
12 Print Prints the active image to the printer.
13 Save Saves an image to the CompactFlash card and saves
measurements/calculation to the report when configured in
system setup.
14 Menu controls Controls features on the on-screen menu which are adjusted
based on the system state.
Chapter 2: Getting Started 17
Table 1: System Controls (Continued)
Number
15
System
Control
Forms
Description
Setup Access to the system settings.
Report Access to the patient report and EMED worksheets.
Review Access to the patient list and saved patient images, and archive
functions.
Patient Access to patient information.
16 (Delta key) Use as a shortcut to existing functionality in the system.
17 Save Clip Saves a clip to the CompactFlash card.
Record Turns DVD/VCR record on and off.
18 Freeze Stops the live imaging and displays a frozen image.
Cine (back/
forward)
Review images stored in the cine buffer; back/forward through
last-in, first-out sequence. All mode images can be stored and
reviewed in the cine buffer.
19 Update Toggles between dual and duplex screens and image modes in
M Mode and Doppler, for example, between D-line and Doppler
spectral trace.
20
Modes
M Mode Turns M Mode on and toggles between M-line and M Mode trace.
Doppler Turns Doppler on and toggles between D-line and Doppler trace.
Color Turns CPD/Color on and off.
2D Turns 2D on.
18 Chapter 2: Getting Started
Screen Layout
1
5
4
6
11
10
9
7
3
8
2
Figure 4 Screen Layout
Table 2: Screen Layout
Getting Started
Number Item Description
1 Mode Data Displays current imaging mode information, for example, Gen,
Res, THI, and PW.
2Orientation
Marker
Provides indication for image orientation. In dual and duplex
images, the orientation marker is green on the active screen.
3 Text Displays text entered using keyboard.
4 Picto Displays pictograph to indicate anatomy and transducer
position. Opens pictograph on-screen menu allowing anatomy
and screen location selection.
5 Calcs Menu Displays available calculations.
6 Image Displays ultrasound image.
7Measurement
Displays current measurement and calculation data.
and Calcs Data
8 On-screen Menu Access to controls for each system state.
Chapter 2: Getting Started 19
Table 2: Screen Layout (Continued)
Number Item Description
9 Patient Header Displays current patient name, ID number, institution, user, and
10 System Status Displays information related to system status, for example, exam
11 Depth Marker Displays marks in .5 cm, 1 cm, and 5 cm increments depending
General Interaction
To uc h pa d
The touchpad is used to select, adjust, and move objects on the screen. For example, it controls the
caliper position, CPD/Color box position and size, floating cursor, and more. The arrow keys control
much of the same functionality as the touchpad.
date/time.
type, transducer, AC connected, battery charging, and
CompactFlash card.
on the depth.
20 Chapter 2: Getting Started
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