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Z.one Loaner
User manual
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Zonare Z.one Loaner User manual

ZONARE
z.one
(Including Special Procedures interface option)
Ultrasound System
pro
Instructions for Use
©2014 ZONARE Medical Systems Inc. All rights reserved. Printed in the USA.
ZONARE Medical Systems Inc. 420 N. Bernardo Avenue Mountain View, CA 94043 USA
MedPass International Ltd. Windsor House Bretforton, Evesham Worcestershire, WR11 7JJ United Kingdom
ZONARE, the ZONARE logo, ZS3 and z.one
are all trademarks of ZONARE Medical Systems Inc. All other
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trademarks are the property of their respective holders. The ZS3 Ultrasound Platform and products derived there from (for example, but not limited to, the ZS3 and the
z.one
with and without the SP UI option) is covered by one or more of the following patents:
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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; 7,352,570; 7,361,145; 7,510,529; 7,627,386; 7,382,309; 7,699,781; 8,002,705; 8,226,561; D461,814; D462,446; D467,002; D469,539; D469,877
Technical Support
North America and Asia:
Phone support: 1-877-913-9663 or 1-650-316-3199 Email: techsupport@zonare.com Sales support: 1-877-966-2731, salessupport@zonare.com
www.zonare.com
Europe:
Phone support: +49 (913) 1974-9412 Email: service@zonare.de
www.zonare.de
CAUTION: United States Federal law restricts this device to sale by or on the order of a licensed healthcare practitioner (USA).
Part Number Q00350-00 Rev D October 2014
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Table of Contents
1. Introduction ........................................................................................................................................ 5
Indications for Use ................................................................................................................................. 5
Device Description ................................................................................................................................. 5
Key to Symbols ....................................................................................................................................... 8
2. Getting Started ................................................................................................................................. 11
Overview of Console, System and Features ..................................................................................... 11
Quick Start Guide – Full Featured User Interface ........................................................................... 14
Quick Start Guide – Special Procedures User Interface .................................................................. 16
Moving the z.one
Height adjustment................................................................................................................................ 19
3. Imaging (Mode Controls) ............................................................................................................... 20
2D/B-Mode Controls ........................................................................................................................... 20
M-Mode Controls ................................................................................................................................. 22
Color Doppler/Power Doppler Mode Controls .............................................................................. 23
Strip Doppler Mode Controls (Pulsed Wave and Continuous Wave) ......................................... 24
Physio Controls .................................................................................................................................... 25
Contrast, Elastography & 3D/4D ...................................................................................................... 26
system ................................................................................................................. 19
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4. Transducers ....................................................................................................................................... 27
TEE Transducer (P8-3TEE) ................................................................................................................. 33
5. Measurements and Annotation ..................................................................................................... 36
Measurements....................................................................................................................................... 36
Annotations ........................................................................................................................................... 38
6. Archiving and Review..................................................................................................................... 40
Image Print and Storage ...................................................................................................................... 40
Review ................................................................................................................................................... 40
DICOM Connectivity ........................................................................................................................... 40
Wireless (Option) ................................................................................................................................. 41
7. Advanced Features .......................................................................................................................... 43
Contrast ................................................................................................................................................. 43
Elastography ......................................................................................................................................... 44
8. 3D & 4D Imaging (Option) ............................................................................................................. 45
Softkeys .................................................................................................................................................. 45
Menu Items ........................................................................................................................................... 47
Post-processing modes ........................................................................................................................ 48
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9. Maintenance ...................................................................................................................................... 51
User Diagnostic Panel .......................................................................................................................... 51
System Care and cleaning ................................................................................................................... 51
10. Safety.................................................................................................................................................. 53
Safety Standards ................................................................................................................................... 53
Warnings ............................................................................................................................................... 53
Precautions ............................................................................................................................................ 57
Electrical Safety .................................................................................................................................... 63
Contrast Imaging .................................................................................................................................. 63
Medical Ultrasound Safety - General ................................................................................................ 63
11. Acoustic Output ............................................................................................................................... 64
ALARA Principle ................................................................................................................................. 64
Applying ALARA ................................................................................................................................ 64
Direct Controls...................................................................................................................................... 65
Indirect Controls .................................................................................................................................. 65
Receiver Controls ................................................................................................................................. 66
General Controls .................................................................................................................................. 66
B-Mode Controls .................................................................................................................................. 67
M-Mode Controls ................................................................................................................................. 67
Color Doppler Controls ....................................................................................................................... 68
Color Doppler Triplex Controls ......................................................................................................... 68
PW Doppler Controls .......................................................................................................................... 69
CW Doppler Controls .......................................................................................................................... 70
12. Transducers Performance ............................................................................................................... 71
13. Transducers: Acoustic Power Output ........................................................................................... 81
Ophthalmic Use .................................................................................................................................... 81
Acoustic Power Output Terms & Definitions .................................................................................. 82
Symbols used in the tables .................................................................................................................. 83
Acoustic Power Output Tables .......................................................................................................... 83
14. Display Accuracy and Precision .................................................................................................. 144
15. Guidance Documents .................................................................................................................... 146
16. Standards and Compliance........................................................................................................... 147
17. Product Labeling ............................................................................................................................ 150
18. Specifications .................................................................................................................................. 157
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United States Federal Law restricts this device to sale by or on the order of a licensed healthcare practitioner, licensed by the law of the jurisdiction in which they practice, to use or order the use of this device. Only qualified personnel should perform ultrasound scanning of human subjects for medical diagnostics.
1. Introduction
ZONARE ultrasound systems meet the acoustic output emission guidelines established by the U.S. Food and Drug Administration (FDA). Acoustic output quantities have been measured, and are displayed, in accordance with the standards listed under Guidance Documents.
Indications for Use
This device is intended for use by a qualified physician for ultrasound evaluation of Ophthalmic; Fetal/obstetric, gynecological; Abdominal (renal, GYN/Pelvic; Intra-operative (abdominal, thoracic, and vascular), Intra-operative neurological; Pediatric; Small organ (thyroid, breast, testes, etc), Adult & Neonatal Cephalic; Trans-rectal, Trans-vaginal, Trans-cranial, Trans­esophageal (non-cardiac and cardiac); Musculoskeletal (conventional & superficial); 3D/4D; Cardiac – Adult/ Pediatric/ Fetal; Echo, Intra-Cardiac; Pelvic; Peripheral vascular; harmonic tissue and contrast imaging and Tissue elasticity.
Device Description
The ZONARE ZS3 Ultrasound Platform and products derived there from (for example, but not limited to, the ZS3 and the z.one evaluation of the following applications: Fetal, Abdominal, Intraoperative, Pediatric, Ophthalmic, Small Organ/Parts (breast/testes, thyroid, etc), Transvaginal, Transrectal, Transcranial, OB/GYN, Cardiac, Pelvic, Neonatal/Adult Cephalic, Vascular, Tissue Elasticity, Contrast Imaging, Musculoskeletal, Superficial Musculoskeletal and Peripheral Vascular applications. Users include ultrasound imaging technicians (sonographers) and physicians. ZONARE Ultrasound Imaging Systems may be used in a hospital (e.g. imaging laboratory, emergency room, patient bedside, operating room), medical clinic, physician’s office or a mobile imaging center.
The ZS3 Ultrasound Platform consists of two major components: 1) Cart; and, 2) Transducer(s). The Cart contains the software driven imaging electronics and user interfaces (keyboard, monitor, handles, etc.). It houses the microprocessor, memory, amplifiers and power supplies
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with and without the SP UI option) is used for ultrasound
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Features
ZS3
z.one
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SP *
2D/B-Mode
X X X
M-Mode
X X X
Color Doppler
X X X
Power Doppler
X X X
Continuous Wave (CW) *
X X
Physio Controls *
X X
Contrast *
X X
Elastography
X
3D/4D X
for the microprocessor. It sends electrical currents to and receives electrical pulses from the compatible ZONARE transducers. The Cart performs the calculations involved in processing the data to produce the displayed ultrasound images. Cart options include, but are not limited to, echocardiography (which includes continuous wave (CW), physiologic signals (ECG and respiration) and the cardiac calculation package), advanced vascular (which includes CW) and the streamlined Special Procedures user interface.
Note (*): The availability of options may be limited based on country or region of use.
System Features/Transducers & Options Matrix
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Transducers
ZS3
z.one
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z.one
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SP *
A2CW * X X
A5CW * X X
C4-1 X X
X
C6-2 X X
X
C8-3 3D X
C9-3 X X
X
C9-3sp X
C10-3 X X
X
L14-5w X X
X
L14-5sp
X X X
L10-5 X X
X
L20-5 X L8-3 X X
X
E9-3 3D X
E9-3 X X
X
E9-4 X X
X
P4-1c X X
X
P8-3TEE
X X X
P9-3ic X
Note (*): The availability of options may be limited based on country or region of use.
Available with the system are one or more ZONARE Curvilinear, Endocavity, Linear, or Phased array transducers allowing for many clinical applications. Accessories include, but are not limited to the ZONARE ZPAK Battery and off-the-shelf components: bar code reader, foot pedal, printers, biopsy guides, ECG cables and a wireless Ethernet interface. Case studies can be stored to USB memory stick, DVD, and other industry standard archiving devices.
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Symbol
Description
Information that may relate to safety of the patient, the operator, or the equipment
A type BF patient-applied part (B= body, F= floating applied part)
A type CF patient-applied part (C= cardiac, F= floating applied part)
Alternating current (AC)
Direct current (DC)
Date of manufacture
Manufacturer
Caution: ESD sensitive
Recyclable material
V
Voltage
Hz
Cycles per second
Waste Electrical & Electronic Equipment Standard Applies to EU Member States only: this system should not be treated as household
waste. ZONARE meets the WEEE Standard. For more information on returning or recycling this
system, please contact ZONARE Inc. or the distributor from whom you purchased the system.
Consult the Instructions for Use
ZONARE serial number
Key to Symbols
The following symbols may be used in this document or elsewhere in product labeling.
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Symbol
Description
Authorized representative in the European Community
Catalog number
Shipping & Storage: Fragile
Shipping & Storage: Keep dry
Shipping & Storage: Temperature limits
Shipping & Storage: This side UP Shipping& Storage: Do not stack above this container
Shipping & Storage: Humidity limits
Shipping & Storage: Pressure limits Federal law restricts this device to sale by or on the order of a licensed healthcare
practitioner (USA).
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2. Getting Started
Speakers
User Interface
Gel Bottle Holder
Multi-Transducer
Port (MTP)
Power button
Control Panel
height adjust
17 inch display
Front Wheels
(swivel lock orientation)
Storage Bins
Cable management hooks
2 USB Ports
Please read this document carefully before using the z.one
Overview of Console, System and Features
ultrasound system.
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z.one
Figure 2.1: z.one
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System Components
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LCD Display
The z.one
17-inch LCD Display shows the ultrasound image, plus patient and imaging
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information in designated areas of the screen.
Overall screen display = 1280 x 1024 pixels  Imaging area = 800 x 600 pixels
Full Screen Image Display
The z.one
allows you to enlarge the imaging portion of the monitor to use the full (1280 x
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1024) display. You can easily go from the imaging portion display of (800 x 600) to (1280 x
1024) with the push of a Function Key.
Video Adjustment
An on-screen set-up menu provide access to all video adjustment options.
Control Panel
The z.one
has a full –featured control panel/ user interface (see Quick Start Guide below).
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Multi-Transducer Port
The multi-transducer port (MTP) allows up to three transducers simultaneously connect to the system. You can easily activate any of the transducers connected to the cart.
Transducer Holders
The safe storage for ZONARE transducers is provided on both sides of the z.one
system
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(Figure 2.1).
Internal Cart Hard Drive (Cart HD)
All current exam images are initially captured and archived to the hard drive. This data can be automatically saved to the internal hard drive (cart HD), transferred using the Export function, or retrieved from the drive using the Import function. The minimum size of the internal hard drive is 120 GB.
NOTE: The internal hard drive is not intended for use as a long-term archive. Back up exam and other data on the hard drive regularly.
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CD/DVD Burner
The built-in CD/DVD burner allows you to import/ export exams from the system. Note: Before deleting any exam data from the cart hard drive, always verify that data was successfully transferred to the CD/DVD by viewing it on an external reader/ player.
When exams are exported onto the CD/DVD, a DICOM viewer program (Showcase®) and its user’s manual are simultaneously exported onto the CD/DVD, allowing the exams to be opened, annotated, and saved in several formats on any commercial PC.
Barcode Reader (option)
Patient accession numbers or patient ID numbers can be entered via a selection of ZONARE­approved barcode readers that can connect to a system USB port.
Foot Pedal (option)
A remote 2-pedal footswitch is optionally available for connection to the system via any available USB port. The left pedal activates Freeze and the right pedal activates Store.
Backup ZPak Battery (option)
A backup battery may be ordered that can power the system for up to 1 ½ hours of normal use in the absence of a connection to an active AC power outlet, depending on usage. The battery allows the system to be operated in normal use without connection to an active AC Power outlet.
The backup is mounted at the base of the system and is automatically kept charged by the DC power suppliers within the system. The battery is charged (as needed) whenever the z.one
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system is connected to active AC power.
Printers and Other Peripherals
ZONARE offers a number of optional medical-grade (IEC 60601 compliant) peripherals. Detailed instructions, for proper peripheral use, are covered in the manufacturer’s instructions provided at the time of shipment.
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1. Connect transducer(s) (cable point up).
2. Press On button (above-right of transducer connectors).
3. Press New Patient
4. Enter patient information and select Exam/Pres on this
screen.
5. Press Freeze to begin imaging.
6. Press Transducer to display softkeys. Press softkey for
desired transducer.
7. Press Exam Type, then select softkey for desired
exam/preset.
8. Begin scanning and acquire desired image.
9. Adjust Depth.
10. Press Optimize to provide best image automatically.
11. Press Freeze to stop live scanning.
12. Use Store/Print to capture images/clips.
Quick Start Guide – Full Featured User Interface
Figure 2.2: z.one
Powering On/Off
1. Press and release the Power button to turn the system on. The system takes approximately
30 seconds to complete the normal power on sequence.
2. Check the z.one
display to ensure the ZONARE startup screen is shown. When initialization is
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complete, the system is ready for imaging.
3. To Power Off press and release the Power button. NOTE: When servicing the z.one
always be sure to turn the circuit breaker to the Off position.
Basic Measurements (Meas Button)
1. Press Meas while image is frozen.
2. Select desired measurement on menu & press Set.
3. Position first caliper with Trackball & press Set.
4. Position second caliper with Trackball & press Set.
Basic Calculations (Calc Button)
1. Press Calc while image is frozen.
2. Select desired calc on menu & press Set.
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Control Panel
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system,
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3. Position caliper with Trackball & press Set.
4. Position additional caliper(s) with Trackball & press Set. Calc will display on screen.
5. Press Enter or Store to store the result.
6. Press Report to display calcs you’ve recorded.
Export Exams to USB or CD/DVD
1. Press Archive (back row of QWERTY keyboard).
2. Point to Export. This will open Archive Exam Export.
3. Point to Destination. Then click Export at bottom of screen.
4. On next screen, click Options. Archive Exam Export Options screen displays:
5. Select Non-DICOM. Select JPEG or TIFF.
6. Click Apply.
7. Click Export on next screen. Verify export (Yes/No) at prompt.
If Yes, exam exports to USB/CD/DVD but is not deleted from hard drive.
Review Images in Current Exam
1. Press Current Exam (back row of QWERTY keyboard).
2. All stored images for exam appear.
3. To view an image in large format, point with cursor and press Set key.
4. Press Current Exam to exit review & return to live imaging.
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1. Connect transducer(s) with cable pointing up
2. Press ON button (above­right of transducer connectors)
3. Press New Patient
4. Enter patient information and select Exam/Preset on screen
5. Press Freeze to begin imaging
6. Press Transducer key to display softkeys. Press softkey for desired transducer
7. Press Exam Type, then select softkey for desired exam / preset
8. Begin scanning and acquire desired image.
9. Adjust Depth toggle key
10. Press Optimize button to provide best image automatically
11. Press Freeze button to stop live scanning
12. Use Store or Print buttons to capture images or clips
13. Press End Exam to close study
Quick Start Guide – Special Procedures User Interface
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Figure 2.3: z.one
SP Control Panel
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Powering On/Off
1. Press and release the Power button to turn the system on. The system takes approximately
30 seconds to complete the normal power on sequence.
2. Check the z.one
display to ensure the ZONARE startup screen is shown. When initialization is
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complete, the system is ready for imaging.
3. To Power Off press and release the Power button. NOTE: When servicing the z.one
system,
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always be sure to turn the circuit breaker to the Off position.
Basic Measurements (Meas Button)
Depth (cm)
1. During live 2D scanning, press Measure.
2. Position caliper with Trackball.
3. Depth will display on screen.
Distance (cm)
1. Press Measure while 2D or M-Mode image is frozen.
2. Select Distance on menu & press Set.
3. Position first caliper with Trackball & press Set.
4. Position second caliper with Trackball & press Set.
5. Distance between calipers will display on screen.
Basic Calculations (Calc Button)
1. Press Calc while image is frozen.
2. Select desired calc on menu & press Set.
3. Position caliper with Trackball & press Set.
4. Position additional caliper(s) with Trackball & press Set. Calc will display on screen.
5. Press Enter or Store to store the result.
6. Press Report to display calcs you’ve recorded.
Export Exams to USB or CD/DVD
1. Press Archive (back row of QWERTY keyboard).
2. Point to Export. This will open Archive Exam Export.
3. Point to Destination. Then click Export at bottom of screen.
4. On next screen, click Options. Archive Exam Export Options screen displays:
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5. Select Non-DICOM. Select JPEG or TIFF.
6. Click Apply.
7. Click Export on next screen. Verify export (Yes/No) at prompt.
If Yes, exam exports to USB/CD/DVD but is not deleted from hard drive.
Review Images in Current Exam
1. Press Current Exam (back row of QWERTY keyboard).
3. All stored images for exam appear.
3. To view an image in large format, point with cursor and press Set key.
4. Press Current Exam to exit review & return to live imaging.
Restart Closed Exam
1. Press New Patient (QWERTY keyboard).
2. Click Restart (bottom of screen).
3. Point cursor to desired exam and press Set key.
4. Click Select Exam (bottom of screen). Next, press Exit on patient form.
5. You can now resume exam & add images to the study.
6. Press End Exam (QWERTY keyboard) to end exam.
Delete Exams from Archive
NOTE: System has limited memory; delete/transfer exams weekly.
1. Press Archive (QWERTY keyboard).
2. Point cursor to desired exam & press Set key.
Click Delete (bottom of screen). Select Yes to confirm. Exam is deleted from hard drive.
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1. Lower the adjustable height to MINIMUM using the height adjustment release lever.
2. Fold the monitor display down to a horizontal position and lock in place. The monitor arm
will lock into a non-rotating position when the two parts of the articulating arm are in-line with each other AND centered with the system.
3. Ensure that the transducer cables are wrapped over the cable hooks.
4. Place the front wheels in the non-swivel position.
5. Ensure that all wheels are unlocked, and push the cart from the front when transferring from
location to location.
6. When moving the cart over obstacles, always pull from the front.
Release lever
Moving the z.one
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When Moving
When Scanning
1. Before scanning a patient, apply the brake by fully depressing the brake pedal on each front wheel.
2. To disengage brakes, flip up the pedals.
Height adjustment
The height of the user interface console can be adjusted by squeezing the release lever located inside the right-front handle. Refer to Figure 2.4: Height Adjustment
Figure 2.4: Height Adjustment
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3. Imaging (Mode Controls)
Control
Description/Use
* Indicates this control is also available in retrospective processing.
Gain*
Adjust Gain by rotating the outer ring of the B-Mode (2D) button.
Depth
Press the Depth button UP to decrease depth; press DOWN to increase depth.
Harmonics
Press the TH button to toggle on/off tissue harmonic imaging. Hard key not available
on the Special Procedures interface.
Frequency
Press the Frequency button UP to increase transmit frequency; press DOWN to decrease transmit frequency. On the Special Procedures interface, repeated pressing of the
push button cycles through the frequency options.
NOTE: Press Frequency up or down when doing compound imaging to cycle through
Frequency and Compounding choices.
Zoom
Acoustic Zoom (live image).
The first press displays a Region Of Interest (ROI) that can be positioned/size over the anatomy of interest. The second press zooms the ROI, reconfiguring the scanner to provide enhanced
imaging in that region. Display Zoom (Frozen/Cine image) The first press zooms the image. The Depth key changes the magnification. The Trackball pans the image.
2D/B-Mode Controls
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Control
Description/Use
Menu
While B-mode is active the Menu button invokes a pop-up menu showing many secondary optimization controls including:
Maps* Tint* Dynamic Range* L/R invert* U/D invert* Persistence* Edge* Acoustic Output
Optimize*
Overall/DGC gain: Press the Optimize button to automatically balance the overall/DGC gain. The B-Mode image adjusts the brightness of the image to the default target gain value. Sound speed correction: Press and hold down Optimize to automatically compensate for the sound speed in tissue. The B-Mode image pauses momentarily, then adjusts for the detected sound speed. To exit optimize mode: Double-click Optimize to turn optimize functions off.
B Steer
NOTE: For linear array transducers only
n Turn B Steer softkey to select B Steer (0°); B Steer 10 (10° right); or B Steer –10 (10°
left).
NOTE: L8-3 transducer B Steer options: B Steer (0°), B Steer 15 (15° right), B Steer –15
(15° left).
Dual: OFF/ON
Press the Dual mode button to toggle the Dual imaging function on/off. Hard key not
available on the Special Procedures interface.
NOTE: The Dual imaging function allows for displaying two separate images on the
screen (at the same time) for concurrent comparison/analysis.
Dual: Toggle
Press the Enter button to change the selection of the active/selected image (left or right image, as displayed on screen). Hard key Toggle not available on the Special
Procedures interface.
Simul: (Dual)
Press the softkey assigned to Simul to toggle on/off the simultaneous dual imaging update modality.
NOTE: When simul dual is active, the two different images, potentially using different
modalities (i.e., color Doppler and power Doppler) are dynamically updated, simultaneously. When this function is deselected (standard dual mode) one image is static, while the other image is dynamically active.
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M Control
Description/Use
* Indicates this control is also available in retrospective processing.
Gain*
Rotate outer ring of the M-Mode button to adjust gain.
Depth
Press the Depth rocker button UP to decrease depth; press DOWN button to increase depth.
Frequency
Press the Frequency button to cycle through the transmit frequency choices. The selected value is displayed in the Image Information area. On the Special Procedures
interface, repeated pressing of the push button cycles through the frequency options.
Menu
While M-mode is active the Menu button invokes a pop-up menu showing many secondary optimization controls including:
Display Format (full size and split-screen)* Sweep Speed* Maps* Tint*
Dynamic Range* Persistence* Acoustic Output
M-Mode Controls
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Color Doppler/Power Doppler Mode Controls
CD/PD Control
Description/Use
* Indicates that this control is also available in retrospective processing
Gain*
Adjust Gain by rotating the outer ring of the C-Mode button.
Softkeys
While Color Doppler is active the Softkeys at the back of the console shows many optimization controls including:
Steer (Linear transducers only) Invert* Filter* Scale Baseline* Power/Velocity Doppler
Frequency
Press the Frequency button to cycle through the transmit frequency choices. On the
Special Procedures interface, repeated pressing of the push button cycles
through the frequency options.
Menu
While Color Doppler is active the Menu button invokes a pop-up menu showing many secondary optimization controls including:
Maps* Flash Cancelation Persistence*
Edge* Acoustic Output
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Doppler Control
Description/Use
* Indicates that this control is also available in retrospective processing.
Gain*
Adjust Gain by rotating the outer ring of the D-Mode button.
Softkeys
While PW Doppler is active the Softkeys at the back of the console shows many optimization controls including:
Update:
o Update On: Only the B-mode or the Doppler strip is active, not
both. Pressing the select key toggles which is active.
o Update Off: B-mode and Doppler strip are active simultaneously.
Filter* Invert* Gate Size Baseline* Angle*
o Turning the knob changes the angle correct in 1-degree
increments.
o Pressing the knob snaps the angle correct to (-60-0-60
º)
Volume Steer (Linear transducers only)
o Turning the knob changes the steer in 1-degree increments.
Pressing the knob snaps the steer to preset angles. If CD is active then its
steer angle snaps to align.
PW/CW: See CW and Echocardiography section
Menu
While strip Doppler is active the Menu button invokes a pop-up menu showing many secondary optimization controls including:
Gate Size Dynamic Range* Sweep Speed* Display Format(full size and split-screen)*
Maps* Tint* Acoustic Output
Strip Doppler Mode Controls (Pulsed Wave and Continuous Wave)
Note: Continuous Wave Doppler imaging is available only on z.one Echocardiology or Advanced Vascular Options.
system equipped with the
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There are two mechanisms to invoke CW:
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Physio Control
Description/Use
* Indicates that this control is also available in retrospective processing.
Exit
Exits the ECG control function without changing the traces.
ECG
Enables or disable the ECG trace
Resp
Enables or disables the Respiratory trace. ECG must be active for the Respiratory trace to be active.
Sweep
Changes the sweep speed of the traces in 2D and Color. This control does not apply during strip imaging modes.
ECG Size/ Pos
Pressing this knob toggles between controlling the position and size of the ECG trace. Turning the knob changes the position or size.
Resp Size/ Pos
Pressing this knob toggles between controlling the position and size of the Resp trace. Turning the knob changes the position or size.
Exit
ECG
Resp
Sweep
ECG
Size/Pos
Resp
Size/Pos
It can be assigned to a Programmable Mode Key in System setup -> Keys. When invoked this
way the programmable mode key acts as a CW hard key and the “D” mode button is dedicated to PW.
It can have shared access with PW through the “D” mode button. When invoked, the default
Doppler mode is determined by preset. While strip Doppler is active the right-most soft key toggles between PW and CW. Subsequent invocations of strip Doppler invoke the last used Doppler mode.
The optimization controls available in CW are generally the same as in PW. See the Strip Doppler section (above) for details.
Physio Controls
The Echocardiography Option includes a physio module that supports ECG and respiratory traces. The ECG must be active to enable respiratory. Presets determine if EGG or both traces are on by default. The physio traces can be enabled/disabled and controlled through the “ECG” key in the top row of the keyboard. When the ECG function is invoked the following softkeys are displayed:
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NOTE: ZONARE recommends the following ECG patient cables and lead wires from Advantage Medical Cables (AMC) (www.advantagemed.com):
AMC LW-3700024/3I (International patient lead wire replacements) AMC LW-3700024/3A (Domestic patient lead wire replacements) AMC CB-83340 (ECG trunk cable)
AMC CB-33598-00 (Accessory cable for use without lead wires)
Contrast, Elastography & 3D/4D (Options)
Refer to Section 7: Advance Features for details on Contrast and Elastography. Refer to Section 8 for information related to 3D/ 4D Imaging.
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Refer to ZONARE’s Transducers Cleaning and Disinfection, Q00066, for directions,
cautions and warnings associated with the care and maintenance of ZONARE transducers.
Always examine transducers for damage, such as cracks, splitting, holes, or fluid leaks. If
damage is evident, discontinue use of the transducer and contact ZONARE.
Transducer
Applications
Biopsy Guide
A2CW
Cardiac, Adult Cardiac, Pediatric Pediatric
No
A5CW
Pediatric Peripheral Vascular
No
4. Transducers
The following ZONARE transducers may be available for use with the z.one system.
NOTE(1): The z.one
Ultrasound System is designed for compatibility with the following
pro
transducers. Because the availability of transducers is subject to government regulation and approval, some items included in the table may not be commercially marketed nor made available in your region of use. NOTE(2): Once approved in accordance with local government regulation, access to transducers is further controlled by individual transducer licensing as determined by purchased system configuration.
ultrasound
pro
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Transducer
Applications
Biopsy Guide
C4-1
Abdominal (includes renal, GYN/Pelvic) Cardiac, Adult Contrast Fetal Musculo-skel (conventional) Pediatric
Yes
CIVCO Infiniti™ Needle Guidance
System #698-013
C6-2
Abdominal (includes renal, GYN/Pelvic) Contrast Fetal Pediatric Peripheral Vascular
Yes CIVCO Ultra-Pro II™ Needle Guidance System #698-003
C8-33D
Abdominal (includes renal, GYN/Pelvic) Fetal Pediatric Peripheral Vascular 3D/4D
No
C9-3
Abdominal (includes renal, GYN/Pelvic) Contrast Fetal Intra-operative (abdominal) Intra-operative (vascular) Musculo-skel (conventional) Musculo-skel (Superficial) Pediatric Peripheral Vascular
Yes CIVCO Infiniti Needle Guidance System #698-009
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Transducer
Applications
Biopsy Guide
C9-3sp
Abdominal (includes renal, GYN/Pelvic) Contrast Fetal Intraoperative (Neuro, abdominal, thoracic (cardiac) and vascular (PV)) Musculo-skel (conventional) Musculo-skel (Superficial) Neonatal Cephalic Pediatric Peripheral Vascular Small Organ (Thyroid, Breast, Testes, etc)
No
C10-3
Abdominal (includes renal, GYN/Pelvic) Adult Cephalic/ trans-cranial Cardiac, Adult Cardiac, Pediatric Fetal Intra-operative (Neuro, abdominal, thoracic (cardiac) and vascular (PV)) Neonatal Cephalic Pediatric Peripheral vascular
No
E9-33D
Fetal Trans-rectal Trans-vaginal 3D/4D
No
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Transducer
Applications
Biopsy Guide
E9-3
Fetal Trans-rectal Trans-vaginal
Yes ZONARE Reusable Endocavity Needle Guidance System #Z168-00 ZONARE Disposable Endocavity Needle Guidance System #Z169-00
E9-4
Fetal Trans-rectal Trans-vaginal
Yes CIVCO Disposable Transvaginal Needle Guidance System #698-010, #698-011, #698-014 CIVCO Reusable Endocavity Needle Guidance System #698-002
L8-3
Fetal Abdominal (includes renal, GYN/Pelvic) Intra-operative (Neuro, abdominal, thoracic (cardiac) and vascular (PV)) Pediatric Small Organ (Thyroid, Breast, Testes, etc) Musculo-skel (Conventional) Musculo-skel (Superficial) Peripheral Vascular
Yes
CIVCO AccuSITE™ Needle Guidance
System #698-005
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