ZONARE
z.one
ultra
and z.one
ultra sp
Ultrasound Systems
Operator Manual 4.7
ZONARE, the ZONARE logo and z.one
Systems Inc. All other trademarks are the property of their respective holders.
ultra
, and Convertible Ultrasound™ are all trademarks of ZONARE Medical
The z.one
6,251,073;6,569,102;6,618,206;6,663,567;6,685,645;6,733,455;6,773,399;6,866,631;6,866,632;6,896,658;6,936,008;
6,980,419;6,997,876;7,022,075;7,087,020;7,226,416;7,238,157;D461,814;D462,446;D467,002;D469,539;D469,877
ultra
Convertible Ultrasound™ System is covered by one or more of the following Patents:
CAUTION: United States Federal Law restricts this device to sale by or on the order of a licensed physician
or licensed veterinarian.
Part Number Q00239A
Software Revision 4.7 March 2011
© 2011 by ZONARE Medical Systems Inc.
All rights reserved. Printed in the USA.
For information and pricing on ZONARE system upgrades, transducers, accessories, and new
features, please call 1-877-966-2731, ext. 3.
Contents
Figures................................................................................................. xvii
1 Introduction.................................................................................... 1-1
z.one ultra Convertible Ultrasound Systems............................................... 1-1
z.one ultra Ultrasound Systems .................................................................. 1-1
Intended Use.......................................... ..................................................... 1-2
In This Manual............................................................................................. 1-2
2 The Basics: SmartCart & SmartCart sp....................................... 2-1
z.one ultra Systems: SmartCart .................................................................. 2-1
z.one ultra Systems: SmartCart sp ............................................................. 2-1
SmartCart/SmartCart sp Features .............................................................. 2-4
LCD Display.............................................................................................. 2-4
Video Level Adjustment............................................................................ 2-6
To Adjust LCD Display Video Settings ..................................................... 2-6
Microphone............................................................................................... 2-6
External Video Mode................................................................................ 2-7
Control Panel............................................................................................ 2-7
Transducer Holders.................................................................................. 2-7
Internal Cart Hard Drive (CartHD) ............................................................ 2-7
CD/DVD Burner........................................................................................ 2-7
Barcode Reader ....................................................................................... 2-8
Multi-Transducer Port (Option)................................................................. 2-8
Backup ZPak Battery (Option).................................................................. 2-8
Printers & Other Peripherals..................................................................... 2-8
Docking/Undocking Scan Engine/Scan Module.......................................... 2-8
To Dock Scan Engine/Module on SmartCart/SmartCart sp ..................... 2-9
To Undock Scan Engine/Module from SmartCart/SmartCart sp .............. 2-9
Security Lock............................................................................................... 2-9
Powering ON/OFF........ .... ... ... ... .... ... ... ... ................................................... 2-10
To Power ON the SmartCart/SmartCart sp ............................................ 2-10
To Power OFF the SmartCart/SmartCart sp .......................................... 2-11
Height Adjustment......................................... ... ... ...................................... 2-12
To Adjust Height of User Interface Panel ............................................... 2-12
LCD Display Position .................................................... ... ... .... ... ... ... ... .... .. 2-12
Wheels & Brakes................. ... ... .... ... ... ...................................................... 2-12
Moving the SmartCart/SmartCart sp......................................................... 2-13
To Prepare the SmartCart/SmartCart sp for Moving .................. ... ... .... .. 2-13
To Move SmartCart/SmartCart sp.............................................. ... ... .... .. 2-14
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Contents
Footswitch (Option)................................................................................... 2-14
Rear I/O Panel.............................. ... .... ... ... ... .... ... ... ... ... .... ........................ 2-14
USB Memory Sticks.................................................................................. 2-15
To Insert a USB Memory Stick............................................................... 2-15
To Remove a USB Memory Stick .......................................................... 2-15
3 Imaging Controls: SmartCart & SmartCart sp............................ 3-1
Control Panels............................................................................................ 3-1
SmartCart/SmartCart sp Keyboard............................................................. 3-4
Imaging Screen................................ .... ... ... ... .... ... ... ... ... .... ... ....................... 3-7
Status Icons.............................................................................................. 3-8
Non-Imaging Status................................................................................ 3-11
SmartCart/SmartCart sp - System Navigation........ ... ... .... ... ... ... ............... 3-14
To Access Frequently Used Menus.................................................. ... .. 3-14
To Navigate System Menus................................................................... 3-16
Menu Items ............................................................................................ 3-17
Trackball Sensitivity...................... ... .... ... .................................................. 3-17
To Configure Trackball Sensitivity.......................................................... 3-17
Softkeys........................... ... .... ... ... .......................................................... .. 3-19
To Activate a Softkey............................................................................. 3-19
Set Time, Date, and Language................................................................. 3-19
To Set Time, Date, and Language......................................................... 3-19
Sleep and Shutdown................................................................................. 3-20
To Set Sleep and Shutdown Parameters............................................... 3-20
Password Protection................................................................................. 3-20
To Assign a Password ............... ... ......................................................... 3-21
Barcode Reader (Option)..................................... ... ... ... .... ... ... ... .... ........... 3-21
To Configure Barcode Reader................................................ .... ........... 3-21
Using the Barcode Reader..................................................................... 3-22
New Patient or Exam ............................................................................. 3-22
Exam in Progress................................................................................... 3-23
Patient Information Form for a Patient is Already Open......................... 3-23
4 The Basics: Scan Engine & Scan Module................................... 4-1
Scan Engine ............................................................................................... 4-1
Internal Archive Storage........................................................................... 4-3
Scan Engine (Undocked)......................................................................... 4-3
To Power ON the Scan Engine................................................................ 4-3
To Power OFF the Scan Engine.............................................................. 4-3
USB Memory Sticks.......................................................... ... ... ... ................. 4-4
To Insert Removable Media.............................. ... ... ... .... ... ... ... .... ... ... ... ... . 4-4
To Remove Removable Media................................ ... .... ... ... ... .... ... .......... 4-4
Scan Engine Battery................................................................................... 4-4
To Install Battery...................................................................................... 4-5
To Eject Battery........................................................................................ 4-5
Checking Scan Engine Battery Charge.................................................... 4-5
Scan Engine Battery Operating Range................................ ... .... ... ... ... ... . 4-6
Scan Engine Battery Level Messages ..................................................... 4-7
Scan Engine Battery Charger ........................ ... ... ... ... .... ... ... ... ................. 4-7
To Charge a Battery................................................................................. 4-8
ii z.one ultra and z.one ultra sp OPERATOR MANUAL 4.7
Contents
To Recalibrate a Battery........................................................................... 4-8
AC Power Adapter ...................................................................................... 4-9
To Connect the AC Power Adapter ........................................................ 4-10
Scan Module ............................................................................................. 4-10
1
5 Imaging Controls: Scan Engine ................................................... 5-1
Scan Engine LCD Display........................................................................... 5-1
Virtual Keyboard (VKB) ............................................................................ 5-2
To Display the Scan Engine VKB............ ... ... ... ... .... ... ... ... .... ... ... ... ... .... ... . 5-2
User Controls .............................................................................................. 5-3
Scan Engine Control Panel ...................................................................... 5-3
System Navigation ........................... ... ... .... ... ... ........................................... 5-5
To View Main System Menu..................................................................... 5-5
To Navigate System Menus ..................................................................... 5-5
Menu Icons............................................................................................... 5-7
Tabs.......................................................................................................... 5-7
6 Transducers & MTP Option .......................................................... 6-1
ZONARE Transducers ................................................................................ 6-1
Connecting/Disconnecting........................................................................ 6-2
To Connect a ZONARE Transducer......................................................... 6-2
To Disconnect a ZONARE Transducer .................................................... 6-3
Multi-Transducer Port Option...................................................................... 6-3
To Connect the MTP to the Scan Engine/Scan Module........................... 6-3
To Disconnect the MTP from the Scan Engine/Scan Module .... ... ... .... ... . 6-4
To Activate MTP Transducer Softkeys..................................................... 6-4
Transducer Protective Sheath..................................................................... 6-4
To Apply a Transducer Protective Sheath................................................ 6-4
Biopsy Guide.......................................... .... ... ... ... ... .... ... ... ........................... 6-5
To Attach a Nondisposable Biopsy Guide (E9-4 Transducer Only) ......... 6-5
To Attach a Disposable Biopsy Guide (E9-4 Transducer Only) ............... 6-5
TEE Transducer (P8-3TEE)........................................................................ 6-6
Intended Use ............................................................................................ 6-6
Visual Examination................................................................................... 6-7
General Safety.......................................................................................... 6-7
Preparation for Use................................................................................... 6-8
Patient Selection....................................................................................... 6-8
Deflection and Scan Plane Rotation Control............................................ 6-9
Scan Plane Indicator .............................................................................. 6-11
Temperature Indicator............................................................................. 6-11
Examination............................................................................................ 6-13
TEE – Care and Maintenance.................................... ... ... ... .... ... ... ............ 6-13
Inspecting Transducer ............................................................................ 6-13
Cleaning & Disinfecting TEE Transducer ............................................... 6-14
Wipe Method . ... ... ............................................................. .... ... ... ... ......... 6-15
Immersion Method......................................... ... ... .... ... ... ... .... .................. 6-15
TEE Transducer Cleaning and Disinfecting Solutions............................ 6-16
Leakage Safety Testing.......................................................................... 6-16
Leakage Test Setup .. .... ... ... ... .... ... ... ... .... ... ... ... ...................................... 6-17
Storing the TEE Transducer................................................................... 6-19
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Transporting TEE Transducer................................................................ 6-19
Transducer Applications........................................................................... 6-19
7 Imaging........................................................................................... 7-1
Patient Information Form............................................................................ 7-1
Softkeys ................................................................................................... 7-2
DICOM Worklist ....................................................................................... 7-2
To Edit Patient Information Form............................................................. 7-3
Exam Basics: Begin, Close, Restart........................................................... 7-4
To Begin a New Exam ............................................................................. 7-4
To Begin a New Exam From a DICOM Worklist ...................................... 7-5
To Close an Exam......................... .... ... ... ................................................. 7-6
To Restart a Closed Exam................... ... ... .... .......................................... 7-6
Presets........................................................................................................ 7-6
To Select a Preset (from Imaging Screen)............................................... 7-6
To Create a New User Preset........................ ... ... ... ... .... ... ... ... .... ... .......... 7-6
To Modify an Existing Preset ................................................................... 7-7
To Set a Default Exam Type and Preset.................................................. 7-7
To Enable/Disable a Factory or User Preset in Menu.............................. 7-8
To Configure Softkey Display of Available Presets.................................. 7-8
To Back Up User Presets to USB Memory Stick ..................................... 7-9
To Backup System Configuration to USB Memory Stick ......................... 7-9
Programmable Keys................................................................................... 7-9
To Configure Function Keys................................................................... 7-10
To Configure Mode Keys (SmartCart only)............................................ 7-11
Live and Frozen Images......................................................... ... .... ... ... ... .. 7-11
Live Images............................................................................................ 7-11
To Operate Acoustic Zoom.................................................. ... .... ... ... ..... 7-11
To Operate Image Width.. .... ... ... ... .... ... ... ... .... ... ... ... ... .... ... ... ... .... ... ... ... .. 7-12
Frozen Images....................................................................................... 7-12
Clip/Image Store (Protocol Button - SmartCart only) ............................. 7-12
To Use Protocol Button.......................................................................... 7-12
To Operate Pan Zoom ...................... ... ... ... .... ... ... .................................. 7-13
Brightness Mode (B-Mode/2D) Imaging .............. ... ... ... .... ... ... .................. 7-13
Working with B-Mode Imaging............................................................... 7-14
Virtual Apex Array Format...................................................................... 7-15
To Toggle Virtual Apex Array Format On/Off....................... ... .... ... ... ... .. 7-15
Dual Mode.............................................................................................. 7-16
To Activate Dual Mode........................................................................... 7-16
To Enter Dual Mode From Frozen 2D/B-Mode Image........................... 7-17
To Freeze and Pan Zoom Independently on Either Image.................... 7-17
Simultaneous Dual Mode....................................................................... 7-17
To Activate Simultaneous Dual Mode........................ .... ... ... ... .... ... ... ... .. 7-17
To Enter Strip Modes (M or PW) Directly from Simul Dual Mode.......... 7-17
Dual Annotations.................................................................................... 7-17
Optimize Feature.................................................................................... 7-17
To Configure Optimize Button.............................................. ... .... ... ... ... .. 7-18
To Activate Automatic Overall/DGC Gain Optimization ......................... 7-19
To Activate Sound of Speed Correction................................................. 7-19
iv z.one ultra and z.one ultra sp OPERATOR MANUAL 4.7
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To Exit Optimize Functions..................................................................... 7-19
Compound Imaging................................................................................ 7- 19
To Activate Image Compounding (SmartCart/SmartCart sp only).......... 7-20
To Activate Image Compounding (SmartCart/SmartCart sp & Scan
Engine)........... ... ... .......................................................... .... ... ... ... ... .... .. 7-20
To Deactivate Image Compounding (SmartCart/SmartCart sp &
Scan Engine) ....................................................................................... 7-20
Needle Viz Preset (Linear array transducers)......................................... 7-20
B-Mode Controls..................................................................................... 7-20
Motion Mode (M-Mode) Imaging............................................................... 7-29
Working with M-Mode Imaging............................................................... 7-29
M-Mode Controls.................................................................................... 7-30
Color and Power Doppler Imaging............................................................ 7-34
Working with Color and Power Doppler Imaging.................................... 7-35
To Access Color Doppler Imaging Mode................................................ 7-35
To Access Power Doppler Imaging Mode ............................... ... ... ... .... .. 7-35
Dual Imaging Mode ................................................................................ 7-36
Simultaneous Dual Mode........................................................................ 7-36
To Activate Dual Mode ........................................................................... 7-36
To Activate Simultaneous Dual Mode .................................................... 7-37
Color Doppler and Power Doppler Controls ........................................... 7-38
Pulsed Wave (PW) Doppler Imaging......................................................... 7-43
Working with PW Doppler Imaging......................................................... 7- 44
To Initiate PW Doppler Imaging.................. ... ... ... .... ... ... ......................... 7-44
PW Doppler Controls.............................................................................. 7-45
Duplex Mode .......................................................................................... 7-50
To Turn ON the Update Option ............................................... ............... 7-50
To Turn OFF the Update Option.............................................. ... ... ......... 7-50
Triplex Mode........................................................................................... 7-51
Auto-Dop Trace...................................................................................... 7-51
To Activate/Deactivate Auto-Dop Trace .............. .... ... ... ... .... ... ... ... ......... 7-52
To Temporarily Remove Trace and Redisplay....................................... 7-52
Continuous Wave (CW) Doppler Imaging.. ... ... ... ... .... ... ............................ 7-52
To Activate CW Doppler Imaging ............... ... ... ... ................................... 7-52
To Activate Aux CW Doppler Imaging........ ............................................ 7-53
CW Doppler Controls.............................................................................. 7-53
3D & 4D (Real-Time 3D) Imaging ................. ... ... ... .... ... ... ......................... 7-55
Setup................................... ... .... ... ......................................................... 7-55
Enter 3D Mode ....... ... .... ... ... ............................................................. .... .. 7-56
Enter 4D Mode ....... ... .... ... ... ............................................................. .... .. 7-56
EXAMPLE: Fetal Face Surface Rendering............................................. 7-56
Postprocessing Modes........................................................................... 7-58
3D/4D Imaging Controls......................................................................... 7-61
Elastography.................................... ... ... .... ... ... ......................................... 7-64
Configure Mode/Function Key................................................................ 7- 64
Display Formats...................................................................................... 7-65
Strain Acquisition.................................................................................... 7-65
Elastography User Controls.................................................................... 7-67
Elastography Measurements.................................................................. 7-71
1
z.one ultra and z.one ultra sp Systems
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Contents
To Access Measurements for Elastography .............. .... ... ... ... .... ........... 7-71
To Do an Area (trace or ellipse).............................. ... .... ... ... ... .... ........... 7-71
Ocular Preset............................................................................................ 7-73
To Select Ocular Preset....................... ... ... .... ... ... ... ... .... ... ... ... .... ... ... ... .. 7-73
Contrast Imaging .................... ... ... ... .... ..................................................... 7-74
To Activate Contrast Imaging................................................................. 7-74
Contrast Imaging User Controls ............................................................. 7-75
8 Annotations.................................................................................... 8-1
Annotation Types........................................................................................ 8-1
Free-Form Text......................................................................................... 8-1
Programmed Orientation Text (POT) ....................................................... 8-1
List Text Entries........................................................................................ 8-2
Arrow Graphic.......................................................................................... 8-2
Body Pattern Graphics............................................................................. 8-2
List Keys/Annotation Configuration............................................................. 8-2
To Configure List Keys............................................................ .... ... ... ... ... . 8-2
Define Lists .............................................................................................. 8-3
To Add Item to a List......................... ... ... ... .... ... ... ... ................................. 8-4
To Remove Item from a List..................................................................... 8-4
To Move Item Up or Down in List............................................................. 8-5
To Rename a List..................................................................................... 8-5
Working with Annotations - All Systems..................................................... 8-5
POTS and Lists........................................................................................ 8-6
Delete Word and Delete Text ................................................................... 8-6
Insert Mode and Overwrite Mode............................................................. 8-6
Block Text Manipulation ........................................................................... 8-7
Annotation Procedures - SmartCart/SmartCart sp ....... .... ... ... ... .... ... .......... 8-7
Annotation Button (SmartCart only) ......................................................... 8-7
To Place Annotations................. ... .... ... ... ... .... .......................................... 8-7
To Enter Free-Form Text ......................................................................... 8-7
To Enter Programmed Orientation Text (POT) ........................................ 8-7
To Enter List Text . ... ... ... ... .............................................................. ... ... ... . 8-8
To Enter List Text From QWERTY Keyboard .......................................... 8-8
To Enter List Text From List Softkeys...................................................... 8-9
To Delete All Text, POT Values, List Values, and Arrow Graphics.......... 8-9
To Exit Annotations .......................... ... ... ... .... ... ... ... ... .... ... ... ... ................. 8-9
Annotation Procedures - Scan Engine....................... ............................... 8-10
To Place Annotations................. ... .... ... .................................................. 8-10
To Enter Free-Form Text ....................................................................... 8-10
To Enter Programmed Orientation Text (POT)...................................... 8-10
To Enter List Text . ... ... ... ... .... ... ............................................................. .. 8-11
To Exit Annotations....................... .... ... ... ... .... ... ... ... ... .... ... ... ... .... ... ........ 8-11
Graphics Procedures - SmartCart/SmartCart sp...................................... 8-12
To Activate Display of Body Patterns..................................................... 8-12
To Change Body Patterns...................................................................... 8-12
To Position Transducer Graphic ............................................................ 8-12
To Position Probe Graphic Using the Trackball..................................... 8-12
To Position Probe Graphic Using the Softkeys.................... ... .... ... ........ 8-12
vi z.one ultra and z.one ultra sp OPERATOR MANUAL 4.7
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To Remove Body Patterns From Display ................ ... ............................ 8-12
To Use Arrows............................................ ............................................ 8-13
To Clear All Annotations, Arrows, and Body Markers ............................ 8-13
Graphics Procedures - Scan Engine....................................... ... ... ... ... .... .. 8-14
To Activate Display of Body Patterns ......... ............................................ 8-14
To Change Body Patterns ...................................................................... 8-14
To Position Probe Graphic ..................................................................... 8-14
To Remove Body Patterns From Display ................ ... ............................ 8-14
To Use Arrows............................................ ............................................ 8-14
To Clear All Annotations and Arrows...................................................... 8-15
To Clear All Annotations, Arrows, And Body Markers............................ 8-15
Dual Imaging Annotations - All Systems................................................. .. 8-16
To Enable Dual Imaging Annotations..................................................... 8-16
Using Annotations During Dual Imaging................................................. 8-16
1
9 Measurements & Calculations...................................................... 9-1
Exam Types and Measurement Menus....................................................... 9-1
Tools for Measurements and Calculations .................................................. 9-2
Freeze ...................................................................................................... 9-2
Measure and Calcs Menus....................................................................... 9-2
Calipers .................................................................................................... 9-3
Data Display Box (DDB)........................................................................... 9-3
Calculation Packages.................................................................................. 9-4
Customizing Calc Packages..................................................................... 9-4
Worksheets and Reports............................................................................. 9-6
Data Fields................................................................................................ 9-6
Editing Worksheets................................................................................... 9-7
Selecting Worksheet and Report Displays............................................... 9-7
User Customizable Worksheets ................................................................. 9-7
Setup........................................................................................................ 9-7
Assigning User Worksheets to Presets.................................................... 9-8
To Assign User Worksheets to Exam Presets.......................................... 9-8
Ending & Restoring Exams..................................................................... 9-10
Import & Export....................................................................................... 9-11
Backup, Restore, Rebuild & Clean Install............................................... 9-11
Printing Reports......................................................................................... 9-11
To Configure Report Printing.................................................................. 9-11
Printing OB & GYN Reports...................................................................... 9-13
To Set Up OB/GYN Report Direct Printing............................................. 9-13
To Print Reports ..................................................................................... 9-13
Exporting Report Data to Serial Device............................... .... ... ............... 9-14
To Setup Serial Port ............................................................................... 9-14
To Set Up Export/Import......................................................................... 9-14
To Export Data . ... ... ................................................................................ 9-15
Generic Measurement Procedures ............... ... ......................................... 9-15
B-Mode................................................................................................... 9-15
To Measure Depth......................................... ... ... .... ... ... ......................... 9-15
To Measure Distance ........................................................... ... ... ............ 9-15
To Measure Ellipse Circumference/Area.................................... ... ... .... .. 9-16
z.one ultra and z.one ultra sp Systems
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Contents
To Measure Trace Circumference/Area................................................. 9-17
To Measure Volume... ... ... .... ... ... ... .... ... ... ... ............................................ 9-18
M-Mode.................................................................................................. 9-18
To Measure Depth ..................... ... .... ... ... ... .... ... ... .................................. 9-18
To Measure Distance........................... ... ... .... ... ... ... ... .... ........................ 9-19
PW Doppler Mode.................................................................................. 9- 20
To Measure Velocity ..................... .... ..................................................... 9-20
To Measure Resistive Index (RI).................... ... ... ... ... .... ... ... .................. 9-20
To Measure Pulsatility Index (PI)...................................................... ... .. 9-22
To Measure Acceleration (Accel)............................... .... ........................ 9-23
To Measure Systolic/Diastolic (S/D) Ratio.................................. ... ... ..... 9-24
To Measure A/B Ratio... ... .... ... ... ... .... ..................................................... 9-25
OB Calculation Package........................................................................... 9-26
OB Worksheets and Reports.................................................................. 9-28
OB Calculation Trending........................................................................ 9-31
To Enter OB Trending Data .................... ... .... ... ... ... ... .... ... ... ... .... ... ... ..... 9-31
Procedures for OB Calculation Packages.............................................. 9-33
To Acquire GS Calculation ... ... ... ... .... ..................................................... 9-33
To Calculate Heart-Rate (HR)................................................................ 9-34
Additional Calculation Packages ............................ ... ... .... ........................ 9-35
Abdominal Package............................................................................... 9-36
Gyn and Follicular Package................................................................... 9-38
Pediatric Hip Package............................................................................ 9-39
To Acquire Pediatric Hip Angle................................................... ... ... ... .. 9-39
Vascular Packages.................................... ............................................... 9-41
Carotid Calc Package ............................................................................ 9-41
Upper Extremity Arterial Calc Package.................................................. 9-41
Grafts Submenu Selections................................................................... 9-42
Lower Extremity Arterial Calc Package.................................................. 9-42
Lower Extremity Venous Ca lc Package................................................. 9-43
Upper Extremity Venous Ca lc Package................................................. 9-43
Venous Measurements .......................................................................... 9-44
To Measure AP and Transverse Vein Diameters.............. ... ... .... ... ... ... .. 9-44
Auto-Dop Trace ........................................................................................ 9-44
Default Settings...................................................................................... 9-45
To Configure Default Settings................................................................ 9-45
Activate/Deactivate Auto-Dop Trace...................................................... 9-45
To Activate.............................................. ... .... ... ... ... ............................... 9-45
To Deactivate....................... ... ... ... .... ... ... ... .... ........................................ 9-46
To Remove/Redisplay Auto-Dop Trace .................. ... .... ... ... .................. 9-46
Auto Parameters.................................................................................... 9-46
To Access Auto Params Menu................................ ... .... ... ..................... 9-47
Automeasure.......................................................................................... 9-47
Volume Flow........................................................................................... 9-49
To Measure Volume Flow...................................................................... 9-49
Auto Doppler Volume Flow Grafts/Shunts (Vasc Calc) .......................... 9-50
To Measure Volume Flow Grafts/Shunts (Vasc Calc).................... ........ 9-50
Measurement Accuracy............................................................................ 9-50
2D Measurement Accuracy.................................................................... 9- 50
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Elapsed Time or Rate Measurement Accuracy...................................... 9-51
Color Doppler Velocity Measurement Accuracy..................................... 9-53
Velocity Accuracy in CD ......................................................................... 9-53
Registration Accuracy in CD................................................................... 9-53
PW Doppler Velocity Measurement Accuracy........................................ 9-53
OB Tables Accuracy ............................................................................... 9-54
Diagnostic Calculation Accuracy ............................................................ 9-54
Numeric Display Precision...................................................................... 9-54
1
10 Echocardiography Option .......................................................... 10-1
Cardiac Calculation Package.................................................................... 10-1
To Configure the Cardiac Calculation Package...................................... 10-1
Cardiac Imaging and Related Functions................................................... 10-5
ECG........................................................................................................ 10-5
To Use ECG Function ............................................................................ 10-6
To Activate ECG Trace..... ... ... ................................................................ 10-6
Sweep Speed......................................................................................... 10-7
M-Mode Calculations.............................................................................. 10-8
To Perform M-Mode Cardiac Calculations . ... ... ... .... ... ... ... .... ... ... ... ... .... .. 10-8
2D (B-Mode) Calculations ...................................................................... 10-8
To Perform 2D Calculations ................................................................... 10-8
2D Calculations (Trace/Mark Function).................................................. 10-9
To Perform 2D Calculations (LV Function, LA Volume) ......................... 10-9
Doppler Calculations ............................................................................ 10-10
To Perform Doppler Calculations .. ... ... .... ... ... ... ... .... ... ... ... .... ... ... ... ... .... 10-10
Heart Rate Measurements.................................................................... 10-11
To Perform Heart Rate Measurements ................................................ 10-11
Clip/Image Store (Protocol Button)....................................................... 10-11
Image Width Button (SmartCart only)................................................... 10-12
To Use Image Width Button ................................................................. 10-12
PW/CW/TDI (Pulsed Wave/Continuous Wave/Tissue Doppler
Imaging)............................................................................................. 10-13
To Select Desired Doppler Mode ......................................................... 10-13
z.one ultra and z.one ultra sp Systems
11 Archive & Review ........................................................................ 11-1
Preparation for Archive & Review ............................................................. 11-2
Storage Media Screen................................................. ... ... .... ... ... ... ... .... .. 11-2
To Select Compression Level................................................................. 11-4
To Automatically Store to Cart HD .......................................... ... ............ 11-4
To Store to FTP...................................................................................... 11-5
Store/Print Button Configuration.................................................. ... ... .... .. 11-8
To Access Image Store/Print Buttons Screen .................. ...................... 11-8
To Configure Store/Print Button ........................................................... 11-10
Still & Clip Image Store.......................................................................... 11-11
To Store Single-Frame Image (SmartCart/SmartCart sp/Scan
Engine)............................................................................................... 11-11
To Store Clip Image (SmartCart/SmartCart sp/Scan Engine) .............. 11-11
IQ Scan Data........................................................................................... 11-12
To Store IQ Scan Data ......................................................................... 11-12
To Store 2D and Color Doppler Clips - IQ Scan................................... 11-12
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To Store Strip (PW or M-Mode) Mode - IQ Scan................................. 11-13
To Review Cine IQ Data: Strip (PW or M-Mode) or 2D Modes........... 11-13
3D/4D Volume Data................................................................................ 11-13
To Open a Stored 3D/4D Volume Set.................................................. 11-13
To Configure Store Button for 3D/4D Volume Data ............................. 11-13
Keyboard Keys ....................................................................................... 11-14
SmartCart/SmartCart sp....................................................................... 11-14
Scan Engine......................................................................................... 11-14
Current Exams: Review Procedures............................. .... ... ... ... .... ... ... ... 11-14
To View Images in Current Exam: SmartCart/SmartCart sp................ 11-14
To View Images in Current Exam: Scan Engine.................................. 11-15
To Play a Clip Image From Review...................................................... 11-16
Archived Exams: Review Procedures..................................................... 11-16
SmartCart/SmartCart sp....................................................................... 11-16
To Set Up Archive Exam Selection Table............................................ 11-16
To Open an Archived Exam for Review............................................... 11-17
To View Images in an Archived Exam ................................................. 11-18
To Exit Archived Exam Review............................................................ 11-18
Scan Engine......................................................................................... 11-18
To Set Up Archive Exam Selection Table............................................ 11-18
To Open Archived Exam for Review (Scan Engine)............................ 11-18
To View Images in an Archived Exam ................................................. 11-19
To Exit Archived Exam Review............................................................ 11-19
Deleting Images and Exams................................................................... 11-19
SmartCart/SmartCart sp....................................................................... 11-19
To Delete Images................................................................................. 11-19
To Delete Single or Multiple Exams..................................................... 11-20
To Delete All Exams (SmartCart/SmartCart sp)................................... 11-20
Scan Engine......................................................................................... 11-20
To Delete Images................................................................................. 11-20
To Delete Single or Multiple Exams..................................................... 11-21
To Delete All Exams................................ ... .... ... ... ... ... .... ... ... ... .... ... ...... 11-21
Storing Archived Exams to DICOM Devices........................................... 11-22
To Store Archived Exams to DICOM Storage Devices........................ 11-22
Restarting an Exam................................................................................ 11-22
To Restart an Exam (SmartCart/SmartCart sp)................................... 11-22
To Restart an Exam (Scan Engine) ..................................................... 11-23
Annotations and Measurements............................................................. 11-23
Exporting Exams..................................................................................... 11-23
To Export Exams to Cart Hard Drive (CartHD) .................................... 11-23
To Export Exams to FTP Site............................................................... 11-24
To Export Exams to USB Memory Stick .................... .... ... ...... .... ... ... ... 11-24
To Export Exams to SmartCart/SmartCart sp Built-in CD/DVD Drive.. 11-24
Export Options ..................................................................................... 11-25
To Customize Archive Exam Export Options....................................... 11-26
Showcase® CD/DVD Viewer Basics...................................................... 11-29
To View Studies on Exported CD/DVD................................................ 11-30
To Export Clips and Set AVI Compression .......................................... 11-35
Importing Exams..................................................................................... 11-36
x z.one ultra and z.one ultra sp OPERATOR MANUAL 4.7
Contents
To Import Exams from USB Memory Stick........................................... 11-36
To Import Exams from SmartCart/SmartCart sp CD/DVD Drive .......... 11-37
Patient Exam Management Screen ........................................................ 11-38
To Access the Patient Exam Management Screen.............................. 11-38
Emergency System Backup... ................................................................. 11-40
To Backup System Data to USB Memory Stick.................................... 11-40
1
12 Printers & Peripherals................................................................. 12-1
AVED - Audio-Video Extension Device..................................................... 12-1
Status LED.............................................................................................. 12-3
AVED Video Output ................................................................................ 12-3
Microphone Recording ........................................................................... 12-3
To Set Up Function Key for Microphone Use......................................... 12-3
Sony UP-D897 Digital (USB 2.0) B&W Printer.......................................... 12-3
To Operate .... ... ............................................................. ......................... 12-4
Sony UP-D25MD Digital (USB) Color Printer............................................ 12-4
To Set Up .. .... .......................................................... ... ... ... .... ... ... ............ 12-5
To Operate .... ... ............................................................. ......................... 12-5
Setting Up or Adding a Local (USB) Printer.............................................. 12-5
To Set Up or Add a Local USB Printer ................................................... 12-5
To Configure Print Button for This Printer .............................................. 12-6
Postscript Level 3 Network-Capable Color Printer.................................... 12-7
To Set Up .. .... .......................................................... ... ... ... .... ... ... ............ 12-7
To Print Reports ..................................................................................... 12-7
z.one ultra and z.one ultra sp Systems
13 DICOM Connectivity.................................................................... 13-1
Network........ .... ... ... .......................................................... ... .... ... ... ... ... ...... 13-1
To Configure Network Parameters....................................................... .. 13-1
Wireless Network Connectivity............ ...................................................... 13-3
Storage Media........................................ .... ... ... ... ... .... ... ... ... ...................... 13-3
Location............... ... ... ... .... ... ...................................................................... 13-4
To Create a Location........................................................................ .... .. 13-4
DICOM Menu ............................................................................................ 13-6
General .. ... ... .... ... ... ... .......................................................... .... ... ... ... ... .... .. 13-6
To Configure General DICOM Parameters ............................................ 13-6
Printers...................................... .... ... ... ... ................................................... 13-8
To Configure a DICOM Printer ............................................................... 13-8
Network Storage...................................................................................... 13-10
To Configure a DICOM Network Storage Destination.......................... 13-10
DICOM Structured Reports..................................................................... 13-14
To Configure DICOM Structured Reports............................................. 13-14
MPPS...................................................................................................... 13-15
DICOM Worklist....................................................................................... 13-17
To Configure DICOM Worklist.... ... ... ... .... ... ... ... ... .... ... ... ... .... ... ... ... ... .... 13-17
Store/Print Buttons.................................................................................. 13-19
To Configure Store/Print Buttons for DICOM Storage...................... .... 13-20
To Configure Store/Print Buttons for DICOM Printing .......................... 13-20
To Configure Image Transfer Mode ..................................................... 13-20
z.one ultra and z.one ultra sp OPERATOR MANUAL 4.7 xi
z.one ultra and z.one ultra sp Systems
Contents
14 User Maintenance........................................................................ 14-1
Scan Engine Touchscreen Calibration ................ ... ... ............................... 14-2
Touchscreen Calibration Procedure........................... .... ... ... ... .... ... ........ 14-3
To Calibrate the Touchscreen................................................................ 14-3
User Diagnostics Panel .......................................................................... .. 14-3
To Access the User Diagnostics Panel...................... .... ........................ 14-4
Settings.................................................................................................. 14-5
To Access the Settings Screen......................... ... ... ... .... ... ..................... 14-5
Maintenance........................................................................................... 14-5
To Access the Maintenance Screen ....... ... .... ... ... ... ... .... ... ... ... ............... 14-5
(Exam) Preset Mgmt/System Setup: Backup/Restore.............................. 14-6
Backing-Up (Exam) Preset Mgmt/System Setup................................... 14-6
To Backup (Exam) Preset Mgmt............................................................ 14-6
To Backup System Setup....................................................................... 14-7
Restoring (Exam) Preset Mgmt/System Setup ...................................... 14-7
To Restore (Exam) Preset Mgmt ........................................................... 14-7
To Restore System Setup....................... ... ............................................ 14-7
Restoring Factory Presets...................................................................... 14-8
To Restore Factory Presets.................................................... .... ... ... ... .. 14-8
Software Upgrade/Installation................................................................... 14-8
Verifying Current System Software Revision......................................... 14-9
To Verify Current Software Revision...................................................... 14-9
System Software Installation.................................................................. 14 -9
To Install System Software (Scan Engine)............................................. 14-9
To Install System Software (SmartCart/SmartCart sp) ........................ 14-11
Basic System Care................................................................................. 14-11
SmartCart/SmartCart sp Backup ZPak Battery (optional).................... 14-11
Checking the Battery (Scan Engine).................................................... 14-12
To Check the Battery ........................................................................... 14-12
Battery Charging (Scan Engine) .......................................................... 14-12
Battery Maintenance (Scan Engine) .................................................... 14-12
Internal Storage Media Maintenance................................................... 14-13
LCD Display Cleaning (SmartCart/SmartCart sp)................................ 14-13
To Clean the Front Glass..................................................................... 14-13
To Clean the External Case................................................................. 14-14
Transducer Maintenance........................................................................ 14-15
Inspecting Transducers........................................................................ 14-15
Verifying Imaging Performance............................................................ 14-15
Cleaning and Disinfecting Transducers.................................................. 14-16
General Cleaning................................................................................. 14-16
Cleaning & Disinfecting........................................................................ 14-17
Wipe Method.............................. ... .... ................................................... 14-17
Immersion Method ..................... ... .... ... ... ... .... ... ... ... ............................. 14-17
ZONARE-Approved Transducer Disinfectants..................................... 14-19
System Mechanical & Visual Inspection................................................. 14-19
Verifying System Display...................................................................... 14-19
Verifying System Controls.................................................................... 14-19
Verifying Wheel & Brake Operation...................................................... 14-19
Verifying Cable & Peripheral Connectivity............................................ 14-19
xii z.one ultra and z.one ultra sp OPERATOR MANUAL 4.7
Contents
System Functionality.... .... ... ... ... .... ... ... ... .... ............................................. 14-20
Verifying System Controls .................................................................... 14-20
Verifying System Operation.................................................................. 14-20
Verifying Peripherals............................................................................... 14-20
B/W and Color Printer........................................................................... 14-20
Print Reports......................................................................................... 14-20
Shipping and Storage.............................................................................. 14-20
Disposal................................................................................................ 14-21
1
15 Troubleshooting .......................................................................... 15-1
ZONARE Contact Information................................................................... 15-1
United Sta tes, Canada, and Asia............................................................ 15-1
Europe.................................................................................................... 15-1
Subsidiaries............................................................................................ 15-2
User Troubleshooting Procedures............................................................. 15-2
Power-ON Problems............................................................................... 15-2
SmartCart/SmartCart sp (With Docked Scan Engine/Scan Module)
Fails To Power ON............................................................................... 15-2
Scan Engine (Undocked) Fails To Power ON ........................................ 15-3
System Start-Up Problems..................................................................... 15 -3
Scan Engine (Undocked) Fails To Properly Boot................................... 15-3
Peripheral Problems............................................................................... 15-3
Peripheral(s) Fails To Power ON............................................................ 15-3
Color or B/W Printer Fails to Print .......................................................... 15-4
Printer Error Messages........................................................................... 15-4
Transducer Problems ............................................................................. 15-4
Transducer Not Recognized By System (No B-Mode Imaging) ............. 15-4
Imaging Problems................................................................................... 15-5
No (or Poor Quality) B-Mode Image....................................................... 15-5
No (or Poor Quality) Color Mode Image or PW Doppler ........................ 15-5
No (or Poor Quality) CW Doppler........................................................... 15-5
No ECG Operation ................................................................................. 15-6
General Operation Problems .................................................................. 15-6
Function (F1-F4) Key(s) Do Not Operate ............................................... 15-6
Unable to Modify Existing User Preset (Grayed Out)............................. 15-6
Unable to Access DICOM Configuration Menus (Grayed Out) .............. 15-6
Send Log Files to ZONARE ...................... ... ... ... ... .... ............................... 15-6
To Send Log Files .................................................................................. 15-7
z.one ultra and z.one ultra sp Systems
16 Specifications .............................................................................. 16-1
Component Specifications......................................................................... 16-1
17 Glossary, Abbreviations & Body Pattern Graphics.................. 17-1
Glossary....... .... ... ... ... ... .... ......................................................................... 17-1
Abbreviations ................................................... ... ... ................................... 17-4
Body Pattern Graphics............................................................ ... ... ... ... ...... 17-9
Index........................................................................................................ A
z.one ultra and z.one ultra sp OPERATOR MANUAL 4.7 xiii
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Figures
Figure 2-1. z.one ultra Convertible Ultrasound System ...........................................2-2
Figure 2-2. z.one ultra Ultrasound System (nonconvertible)....................................2-3
Figure 2-3. z.one ultra sp Convertible Ultrasound System ......................................2-3
Figure 2-4. z.one ultra sp Ultrasound System (nonconvertible)...............................2-4
Figure 2-5. SmartCart/SmartCart sp LCD Display...................................................2-5
Figure 2-6. Full-Screen Image Display ....................................................................2-5
Figure 2-7. Audio/Video Configuration Screen (SmartCart Example)......................2-6
Figure 2-8. Docking/Undocking Scan Engine/Scan Module....................................2-9
Figure 2-9. SmartCart/SmartCart sp Keylock Location..........................................2-10
Figure 2-10. Power ON/OFF Button (SmartCart/SmartCart sp)..............................2-10
Figure 2-11. ZONARE Startup Screen.....................................................................2-11
Figure 2-12. AC Circuit Breaker (SmartCart/SmartCart sp)..................................... 2-11
Figure 2-13. Height Adjustment Release Lever.......................................................2-12
Figure 2-14. Wheel Locking/Brake Pedal (SmartCart/SmartCart sp) ......................2-13
Figure 2-15. SmartCart/SmartCart sp LCD Display Position for Transport..............2-13
Figure 2-16. Cable Hooks........................................................................................2-14
Figure 2-17. SmartCart/SmartCart sp I/O Panel......................................................2-14
Figure 3-1. SmartCart Control Panel ......................................................................3-1
Figure 3-2. SmartCart sp Control Panel...................................................................3-2
Figure 3-3. SmartCart/SmartCart sp Keyboard........................................................3-4
Figure 3-4. SmartCart/SmartCart sp Image Screen.................................................3-7
Figure 3-5. Image Screen - Description of Layout...................................................3-7
Figure 3-6. Menu on LCD Display..........................................................................3-16
Figure 3-7. Trackball with Set Buttons...................................................................3-16
Figure 3-8. Trackball: Highlight and Select ON/OFF Item .....................................3-16
Figure 3-9. Trackball Configuration Screen...........................................................3-18
Figure 3-10. Softkey Display - Generic....................................................................3-19
Figure 3-11. Date & Time Configuration Screen......................................................3-20
Figure 3-12. Access Control Screen........................................................................3-21
Figure 3-13. Barcode Reader Configuration Screen................................................3-22
Figure 4-1. Scan Engine with Transducer (Front View)...........................................4-2
Figure 4-2. Scan Engine (Back View)......................................................................4-2
Figure 4-3. Scan Engine Example: Rear View - Removable Media Port.................4-4
Figure 4-4. Scan Engine Battery Slot.......................................................................4-5
Figure 4-5. Scan Engine Onscreen Battery Charge Icon.........................................4-6
Figure 4-6. Scan Engine Battery Charger................................................................4-8
Figure 4-7. AC Power Adapter.................................................................................4-9
Figure 4-8. Scan Module........................................................................................4-10
z.one ultra and z.one ultra sp Systems
z.one ultra and z.one ultra sp OPERATOR MANUAL 4.7 xvii
z.one ultra and z.one ultra sp Systems
Figures
Figure 5-1. Scan Engine LCD Display......................................................................5-1
Figure 5-2. Scan Engine VKB ..................................................................................5-2
Figure 5-3. Scan Engine Control Panel....................................................................5-3
Figure 5-4. Main System Menu and Tabs - Tools Tab is Highlighted ......................5-5
Figure 5-5. Scan Engine Tools Menu.......................................................................5-6
Figure 5-6. System Setup Submenu ........................................................................5-6
Figure 5-7. Menu Items with Options and Items Below............................................5-6
Figure 5-8. Presets Tab Menu..................................................................................5-8
Figure 5-9. Patient Tab Menu...................................................................................5-8
Figure 5-10. Tools Tab...............................................................................................5-8
Figure 6-1. Transducer.............................................................................................6-1
Figure 6-2. Scan Engine and Transducer ................................................................6-2
Figure 6-3. Bent, Broken, or Missing Pins on Transducer... ... ... .... ... ... ... .... ... ... ... ... .. 6-2
Figure 6-4. Multi-Transducer Port (attached to Scan Engine)..................................6-3
Figure 6-5. MTP Transducer Softkeys .....................................................................6-4
Figure 6-6. P8-3TEE Transducer .............................................................................6-6
Figure 6-7. Tip Deflection Control Wheels ............................................................. .. 6-9
Figure 6-8. Friction Lock Operation - Right/Left .....................................................6-10
Figure 6-9. Friction Lock Operation - Anterior/Posterior.........................................6-10
Figure 6-10. Scan Plane Rotation ............................................................................6-11
Figure 6-11. Scan Plane Indicator............................................................................6-11
Figure 6-12. Temperature Indicator at 40.5°C..........................................................6-11
Figure 6-13. Temperature Indicator at 41.5°C..........................................................6-12
Figure 6-14. Temperature Warning at 41.5°C..........................................................6-12
Figure 6-15. Temperature Indicator When Max Temp Exceeded............................6-12
Figure 6-16. Temperature Warning When Max Temp Exceeded.............................6-12
Figure 6-17. TEE Transducer - Connector and Pins ................................ ................6-14
Figure 6-18. Typical Leakage Tester Setup.............................................................6-17
Figure 6-19. Leakage Tester....................................................................................6-18
Figure 7-1. Patient Information Form .......................................................................7-1
Figure 7-2. DICOM Worklist Selection Table ...........................................................7-2
Figure 7-3. Patient Worklist Query Screen...............................................................7-3
Figure 7-4. Enable/Disable Presets Screen .............................................................7-8
Figure 7-5. Preset Customization Configuration Screen..........................................7-9
Figure 7-6. Function Key Assignments Screen......................................................7-10
Figure 7-7. Function Key Assignment Options.......................................................7-10
Figure 7-8. B-Mode Image Display Format ............................................................7-14
Figure 7-9. B-Mode Menu (Imaging Tab)............... ................................................7-14
Figure 7-10. Linear Array and Virtual Apex Array Formats for Same Image............7-15
Figure 7-11. B Format: Select LIN or VA..................................................................7-15
Figure 7-12. Linear and Virtual Apex Array Icons and Softkeys...............................7-16
Figure 7-13. Imaging Configuration Screen (detail) - OPTIMIZE Button Setup .......7-18
Figure 7-14. Menu Access - Compounding Function...............................................7-20
Figure 7-15. M-Mode Image Display Format................................................... .........7-29
Figure 7-16. M-Mode Menu (Imaging Tab) ..............................................................7-29
Figure 7-17. Color Mode & Power Doppler Display Format .................................. ...7-34
Figure 7-18. Color Doppler Menu (Imaging Tab) .................................. ... .... ... ... ... ...7-34
Figure 7-19. Pulsed Wave (PW) Doppler Image......................................................7-43
Figure 7-20. Auto-Dop Trace - Automeasure...........................................................7-51
xviii z.one ultra and z.one ultra sp OPERATOR MANUAL 4.7
Figures
Figure 7-21. Auto-Dop Trace Configuration Screen ................................................7-52
Figure 7-22. Doppler Mode Softkey (far right on softkey panel)..............................7-53
Figure 7-23. 3D/4D Preprocessing Softkey Display.................................................7-56
Figure 7-24. 3D Setup Mode Status Field................................................................7-57
Figure 7-25. 3D ROI with Cut Line...........................................................................7-57
Figure 7-26. 3D Render Mode (Surface) ........................................... .... ... ... ............7-58
Figure 7-27. MPR Mode Display..............................................................................7-59
Figure 7-28. MPR Mode - Thick Slice......................................................................7-60
Figure 7-29. Tomo Mode Display.............................................................................7-60
Figure 7-30. Tomo Mode - One-Up Display with Measurements.............................7-61
Figure 7-31. Elastography Default Image Display - Dual.........................................7-65
Figure 7-32. Elastography Softkeys - SmartCart/SmartCart sp...............................7-67
Figure 7-33. Elastography Maps..............................................................................7-70
Figure 7-34. Elastography Measurement Options ...................................................7-71
Figure 7-35. Area Ratio: First Trace/Ellipse - B-Mode.............................................7-72
Figure 7-36. Area Ratio: Second Trace/Ellipse - Elastography ...............................7-72
Figure 7-37. Ocular Preset.......................................................................................7-73
Figure 7-38. Ocular Imaging Screen........................................................................7-74
Figure 7-39. Key Assignment Screen (detail): Contrast Selection...........................7-74
Figure 7-40. Contrast Imaging Softkeys ................................... ... ... ... .... ..................7-75
Figure 8-1. Annotation Preset Configuration Screen...............................................8-2
Figure 8-2. Annotation List Definition Screen ..........................................................8-3
Figure 8-3. List Dropdown Box ................................................................................8-4
Figure 8-4. New Item Added to a List ......................................................................8-4
Figure 8-5. New Name for a List..............................................................................8-5
Figure 8-6. Annotation Softkey Display (Generic)....................................................8-8
Figure 9-1. Generic Measurements by Mode ..........................................................9-1
Figure 9-2. Generic Measure Menu (example); Calcs Menu (OB example)............9-2
Figure 9-3. Examples of Calc Menus.......................................................................9-4
Figure 9-4. Calcs Menu............................................................................................9-5
Figure 9-5. Calcs – General Configuration Screen..................................................9-5
Figure 9-6. Example: Custom Reports Storage Destination....................................9-8
Figure 9-7. Select Storage Destination in Reports Box ...........................................9-8
Figure 9-8. Custom Report Pages Screen...............................................................9-9
Figure 9-9. User Worksheets Assigned to Cardiac Presets (Example)...................9-9
Figure 9-10. Printer/Export Configuration Screen....................................................9-12
Figure 9-11. Serial Port Settings Screen .................................................................9-14
Figure 9-12. Calculations Menu...............................................................................9-26
Figure 9-13. OB Worksheet (page 1).......................................................................9-28
Figure 9-14. OB Worksheet (page 2).......................................................................9-29
Figure 9-15. OB Worksheet (page 3).......................................................................9-29
Figure 9-16. OB Worksheet (page 4).......................................................................9-30
Figure 9-17. OB Worksheet (page 5).......................................................................9-30
Figure 9-18. OB Report............................................................................................9-31
Figure 9-19. OB Worksheet - Trending Page ..........................................................9-32
Figure 9-20. OB Trending - Graph Screen...............................................................9-32
Figure 9-21. Vascular Calcs Page 8 ........................................................................9-44
Figure 9-22. Auto-Dop Trace Configuration Screen ................................................9-45
Figure 9-23. Auto Params Menu..............................................................................9-47
z.one ultra and z.one ultra sp Systems
2
z.one ultra and z.one ultra sp OPERATOR MANUAL 4.7 xix
z.one ultra and z.one ultra sp Systems
Figures
Figure 9-24. Auto-Dop Trace - Automeasure (Single Cycle)....................................9-48
Figure 9-25. Auto-Dop Trace - Automeasure (Multiple Cycles) ...............................9-49
Figure 10-1. Cardiac Configuration Screen..............................................................10-1
Figure 10-2. Page 2: Cardiac Measurements ................................. ... ......................10-2
Figure 10-3. Patient Information Form: Height & Weight for Cardiac Exam.............10-2
Figure 10-4. ECG Key on SmartCart QWERTY Keyboard ......................................10-6
Figure 10-5. ECG Softkey Controls..........................................................................10-7
Figure 10-6. Sweep Speed: B-Mode (2D)................................................................10-7
Figure 10-7. Sweep Speeds: M, CW, and PW Modes.............................................10-7
Figure 10-8. Cardiac Worksheet ..............................................................................10-8
Figure 10-9. Cardiac Worksheet: Aorta, LV ....................... ... ... ... .... ... ... ... ................10-9
Figure 10-10. Cardiac Worksheet: LV Function, LA Volume....................................10-10
Figure 10-11. Cardiac Worksheet: Doppler....................................... ... ... ... .... ... ... ... .10-11
Figure 10-12. B-Mode: Full Sector Size (left); After Pressing Image Width Button
(right)..................................................................................................10-12
Figure 10-13. Color Doppler: Full Sector Size (left); After Pressing Image Width
Button (right)..................................... ... ... .... ... ... ... ..............................10-12
Figure 10-14. Doppler Mode Softkey (far right on SmartCart softkey panel) ...........10-13
Figure 10-15. Location of Doppler Data Field ..........................................................10-13
Figure 10-16. PW Doppler - Doppler Data Field & Legend........... .... ... ... ... .... ..........10-14
Figure 10-17. TDI - Doppler Data Field & Legend....................................................10-14
Figure 10-18. CW Doppler - Doppler Data Field & Legend......................................10-15
Figure 10-19. Aux CW Doppler - Doppler Data Field & Legend...............................10-15
Figure 11-1. Storage Media Screen .........................................................................11-2
Figure 11-2. Storage Media Screen - detail .............................................................11-4
Figure 11-3. Exam Export Options Screen...............................................................11-4
Figure 11-4. FTP Storage Administration Screen ....................................................11-5
Figure 11-5. FTP Storage Destination Screen.........................................................11-6
Figure 11-6. Image Store/Print Buttons Screen .......................................................11-8
Figure 11-7. Image Store/Print Button Screen (detail) - Live Capture Still.............11-11
Figure 11-8. Scan Engine Tools Tab - View Current and Submenu......................11-15
Figure 11-9. Archive Exam Selection Table...........................................................11-16
Figure 11-10. Archive Exam Selection Table Pull-Down Menu................................11-17
Figure 11-11. Archive Exam Export Screen.................. .... ... ... ... ... .... ... ... ... .... ... ... ... .11-24
Figure 11-12. Archive Exam Export Options Screen..................... .... ... ... ... .... ... ... ... .11-26
Figure 11-13. Key Icon.............................................................................................11-28
Figure 11-14. Directories Screen .............................................................................11-30
Figure 11-15. Display of Images/Clips from a Study (Series Screen)......................11-30
Figure 11-16. Enlarged Image/Clip Screen..............................................................11-33
Figure 11-17. Export Images Screen .......................................................................11-35
Figure 11-18. Choose Compressor Screen................ ... .... ... ....................................11-35
Figure 11-19. Compressor Options Drop-Down Box................................................11-36
Figure 11-20. Archive Exam Import Screen .............................................................11-37
Figure 11-21. Patient Exam Management Screen ...................................................11-38
Figure 11-22. User Break Screen.............................................................................11-40
Figure 12-1. AVED (Audio-Video Extension Device) ...............................................12-2
Figure 12-2. AVED I/O Panel ...................................................................................12-2
Figure 12-3. Sony UP-D897 B&W USB Printer........................................................12-3
Figure 12-4. Sony UP-D25MD Digital (USB 2.0) Color Printer ................................12-4
xx z.one ultra and z.one ultra sp OPERATOR MANUAL 4.7
Figures
Figure 12-5. Printer Screen......................................................................................12-6
Figure 12-6. Printer Setup Screen: Local/USB ............... ... ......................................12-6
Figure 12-7. Image Store/Print Buttons Screen: Print Section.................................12-7
Figure 13-1. Network Configuration Screen.............................................................13-2
Figure 13-2. Path: Archive | Location | Manage | Create.... .... ... ... ... .... ..................13-4
Figure 13-3. Location Profile Creation Screen.........................................................13-5
Figure 13-4. Location Menu Item and Submenu with New Location Listed.............13-5
Figure 13-5. Location Name in Current Exam Area of Imaging Screen...................13-5
Figure 13-6. DICOM Menu.......................................................................................13-6
Figure 13-7. Ethernet Connection Icon....................................................................13-6
Figure 13-8. DICOM General Configuration Screen................................................13-7
Figure 13-9. Printer Administration Screen..............................................................13-8
Figure 13-10. Printer Screen......................................................................................13-9
Figure 13-11. DICOM Network Storage Administration Screen...............................13-11
Figure 13-12. DICOM Network Storage Destination Screen ................................... 13-11
Figure 13-13. DICOM MPPS Administration Screen...............................................13-15
Figure 13-14. DICOM MPPS Destination Screen....................................................13-15
Figure 13-15. DICOM Modality Worklist Administration Screen..............................13-17
Figure 13-16. DICOM Modality Worklist Server Screen ..........................................13-18
Figure 14-1. Touchscreen Calibration Screen .........................................................14-3
Figure 14-2. User Diagnostics Panel .......................................................................14-4
Figure 14-3. User Diagnostics Panel | Settings Screen...........................................14-5
Figure 14-4. User Diagnostics Panel | Maintenance Screen ...................................14-5
Figure 14-5. ZPak Battery Status Message; Click OK to close................................14-6
Figure 14-6. Scan Engine Power Button................................................................14-10
Figure 14-7. Insert Removable Media....................................................................14-10
Figure 14-8. Bent, Broken, or Missing Pins on Transducer...................................14-15
Figure 14-9. Transducer Housing, Connector, Strain Relief, and Cable................14-17
Figure 14-10. Immersion Level Limits......................................................................14-18
Figure 15-1. User Log Information Screen... ... ... ... .... ... ............................................15-7
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2
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1
1
Introduction
Chapter 1 Introduction
z.one ultra Convertible Ultrasound Systems
The ZONARE z.one
are the world’s first convertible ultrasound
ultrasound cart and a portable
gives the clinician the flexibility to acquire the same premium-quality ultrasound
images on a conventional cart-based system or a small compact unit, depending
on the requirements of the clinical workflow.
•The z.one
SmartCart with the Scan Engine connected to the docking deck.
•The z.one
the
SmartCart sp with the Scan Engine connected to the docking deck.
ultra
and z.one
ultra
Convertible Ultrasound™ System is the combination of the
ultra sp
Convertible Ultrasound™ System is the combination of
ultra sp
Scan Engine into one system. This configuration
Convertible Ultrasound™ Systems
systems, incorporating a full-featured
z.one ultra Ultrasound Systems
The z.one
Scan Module mounted on a SmartCart or SmartCart sp.
ultra
ultrasound systems (nonconvertible) comprise the new z.one
•The z.one
with the
•The z.one
SmartCart sp with the Scan Module connected to the docking deck.
ultra
Ultrasound™ System is the combination of the SmartCart
Scan Module connected to the docking deck.
ultra sp
Ultrasound™ System is the combination of the
ultra
NOTE: For information and pricing on ZONARE system upgrades, tr an sd uc er s,
accessories, and new features, please call 1-877-966-2731, ext. 3.
z.one ultra and z.one ultra sp OPERATOR MANUAL 4.7 1-1
1
Introduction
Intended Use
Intended Use
The SmartCart/SmartCart sp Workstations are intended to be used for the
following types of ultrasound examinations:
•Fetal
• Abdominal
• Intraoperative
• Pediatric
• Neonatal/adult
cephalic
• Pelvic
•Vascular
WARN ING: To avoid injury to the patient, use only the Ocular Preset when
performing imaging through the eye. The FDA has established lower acoustic
energy limits for ophthalmic use. The system will not exceed these limits only if
the Ocular Preset is selected. See the Safety Manual for information about the
lower acoustic energy limits established for ophthalmic use.
CAUTION: Cardiac rhythm disturbances during perfusion studies using gas
ultrasound contrast agents have been observed in the diagnostic range of MI
values. See the specific package insert for the contrast agent being used for
details.
•OB/GYN
• Transvaginal
• Transcranial
• Equine Endorectal
• Cardiac
• Transesophageal
Echocardiography
•Ocular
• Contrast Imaging
• Elastography
• Small organ/parts (including
breast/testes, thyroid, etc.)
• Transesophageal (TEE)
transducer
• Musculoskeletal (superficial
musculoskeletal and
peripheral vascular
applications)
•3D
• 4D (realtime 3D)
In This Manual
1 Introduction
2 The Basics: SmartCart and
3 Imaging Controls: SmartCart
4 The Basics: Scan Engine and
5 Imaging Controls: Scan Engine
6 Transducers and MTP Option
Chapter Overview
SmartCart sp Workstations
and SmartCart sp
Scan Module
]
Brief introduction to ZONARE z.one
systems.
Describes the hardware and its setup for
these workstations.
Describes the imaging controls for these
Carts and how to use.
Describes the hardware and its setup for
these components.
Describes the imaging controls for the Scan
Engine and how to use.
Describes ZONARE transducers, MTP
option, and how to use.
ultra
1-2 z.one ultra and z.one ultra sp OPERATOR MANUAL 4.7
Introduction
Chapter Overview
In This Manual
1
7Imaging
8 Annotations
9 Measurements & Calculations
10 Echocardiography Option
11 Archive and Review
12 Peripherals
13 DICOM Connectivity
14 User Maintenance
15 Troubleshooting
16 Specifications
Describes procedures for all imaging
modes.
Describes how to place annotations and
graphics on scan images.
Describes the measurements and
calculations that can be performed on live
and frozen images.
For z.one ultra SmartCart only: Describes
the cardiac calculation package and the
basics of cardiac imaging.
Describes the tools and procedures for
archive and review.
Describes the ZONARE-approved
peripherals.
Describes how to set up DICOM for
ZONARE systems.
Describes user maintenance proc ed ur e s.
Describes troubleshooting procedures for
common problems.
Lists the technical specifications for
ZONARE systems.
17 Glossary, Abbreviations, and
Body Markers
Describes the technical terms and
abbreviations used in this manual; provides
list of Body Markers and their associated
Exam Types.
z.one ultra and z.one ultra sp OPERATOR MANUAL 4.7 1-3
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2
2
The Basics:
SmartCart & SmartCart sp
Chapter 2 The Basics: SmartCart & SmartCart sp
z.one ultra Systems: SmartCart
■
The z.one
SmartCart with the Scan Engine connected to the docking deck (Figure 2-1).
■
The z.one
the
ultra
Convertible Ultrasound™ System is the combination of the
ultra
Ultrasound™ System is the combination of the SmartCart with
Scan Module connected to the docking deck (Figure 2-2).
z.one ultra Systems: SmartCart sp
■
The z.one
SmartCart sp with the Scan Engine connected to the docking deck
(
Figure 2-3).
■
The z.one
sp
with the Scan Module connected to the docking deck (Figure 2-4).
ultra sp
ultra sp
Convertible Ultrasound™ System is the combination of the
Ultrasound™ System is the combination of the SmartCart
z.one ultra and z.one ultra sp OPERATOR MANUAL 4.7 2-1
2
19” LCD Display
Speakers
Gel Bottleholder
Control Panel Height
Adjust
Scan Engine
Power On/Off Button
Printer in Printer Bay
CD/DVD Drive
Docking Deck
Cable Management
Hooks
Scan Engine Eject
Button
Scan Engine Lock
MTP Multi-Transducer
Port (option)
Front Wheels with 3
Swivel/Lock positions
Microphone
ECG Port (w/ CW
Doppler option only)
Aux CW Port (w/ CW Doppler
option only)
SmartCart Workstation
The Basics: SmartCart & SmartCart sp
z.one ultra Systems: SmartCart sp
.
Figure 2-1. z.one ultra Convertible Ultrasound System
2-2 z.one ultra and z.one ultra sp OPERATOR MANUAL 4.7
The Basics: SmartCart & SmartCart sp
Scan Module
SmartCart Workstation
SmartCart sp
Workstation
z.one ultra Systems: SmartCart sp
2
Figure 2-2. z.one ultra Ultrasound System (nonconvertible)
Figure 2-3. z.one ultra sp Convertible Ultrasound System
z.one ultra and z.one ultra sp OPERATOR MANUAL 4.7 2-3
2
Scan Module
SmartCart sp Workstation
The Basics: SmartCart & SmartCart sp
SmartCart/SmartCart sp Features
Figure 2-4. z.one ultra sp Ultrasound System (nonconvertible)
SmartCart/SmartCart sp Features
The SmartCart/SmartCart sp are full-function ultrasound workstations that are
smaller and lighter than conventional systems of equivalent image quality. They
can be used in situations where a conventional ultrasound system might not fit.
LCD Display The SmartCart/SmartCart sp’s full-sized 19-inch LCD Display shows the
ultrasound image, plus patient and imaging information in design ated areas of the
screen. The screen can displayed as shown in
(Figure 2-6). For complete information about the SmartCart/SmartCart sp LCD
Display, see page 3-7.
• Overall screen display = 1280 x 1024 pixels
• Imaging area = 800 x 600 pixels
Figure 2-5 or in full-screen mode
2-4 z.one ultra and z.one ultra sp OPERATOR MANUAL 4.7
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