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Zonare z.onepro User guide

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ZONARE
z.one
Ultrasound System
pro
Service Manual
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pro
Service Manual
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SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD.
Mindray Building, Keji 12th Road South, High-Tech Industrial Park, Nanshan, Shenzhen, 518057,P.R.China
Shanghai international Holding Corp. GmbH(Europe)
Eiffestraβe 80, 20537 Hamburg, Germany
©2019 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. All rights Reserved. ZONARE, the ZONARE logo, ZS3 and z.onepro are all trademarks of shenzhen mindray Bio-Medical Electronics Co., Ltd. All other trademarks are the property of their respective holders.
The z.onepro Ultrasound System is covered by one or more of the following patents: 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
CAUTION: United States Federal Law restricts this device to sale by or on the order of a licensed physician or licensed veterinarian.
January 2019
For information and pricing on ZONARE system upgrades, transducers, accessories, and new features, please call 1-877-966-2731, ext. 3.
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TABLE OF CONTENTS
1 INTRODUCTION ........................................................................................................................................... 8
TECHNICAL SUPPORT ........................................................................................................................................ 8
EMAIL: TECHSUPPORT@ZONARE.COM ........................................................................................................ 8
SALES SUPPORT: 1-877-966-2731, SALESSUPPORT@ZONARE.COM .................................................... 8
2 PURPOSE ...................................................................................................................................................... 9
Product Overview ............................................................................................................................................. 9
Definitions/Acronyms ....................................................................................................................................... 9
Documentation Conventions ......................................................................................................................... 11
3 SAFETY ....................................................................................................................................................... 13
WARNINGS & Cautions ............................................................................................................................... 13
4 SYSTEM SPECIFICATIONS .................................................................................................................... 22
General system specifications ...................................................................................................................... 22
Display .............................................................................................................................................................. 24
Battery Pack Specifications ........................................................................................................................... 24
Standards and Compliance ........................................................................................................................... 27
5 SYSTEM OVERVIEW ................................................................................................................................ 29
Major System Assemblies ............................................................................................................................. 29
User Interface Overview ................................................................................................................................ 30
Keyboard Functions ....................................................................................................................................... 34
KEY ...................................................................................................................................................................... 34
SYSTEM CONTROL ......................................................................................................................................... 34
DESCRIPTION ................................................................................................................................................... 34
On-Screen “Dashboard” System Status ICONs ........................................................................................ 36
Accessory Components ................................................................................................................................. 39
Rear I/O Panel................................................................................................................................................. 40
6 SYSTEM UNCRATING & INSTALLATION PROCEDURES – UPDATE ENTIRE SECTION ....... 41
Product Shipment ........................................................................................................................................... 41
Electrical Requirements ................................................................................................................................. 41
Environmental and Space Requirements ................................................................................................... 41
Uncrating .......................................................................................................................................................... 41
Mechanical Inspection ................................................................................................................................... 44
System Installation ......................................................................................................................................... 45
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ZONARE MODULE COVER INSTRUCTIONS ............................................................................................. 45
z.one
System Verification .......................................................................................................................... 46
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7 BASIC SYSTEM CONFIGURATION ....................................................................................................... 49
Entering “Institution” Name ........................................................................................................................... 49
Configuring “Barcode” Scanner .................................................................................................................... 50
Configuring “Audio/Video” ............................................................................................................................. 51
Entering “Time/Region” Information ............................................................................................................. 52
Entering “Trackball” Configuration ............................................................................................................... 53
Configuring “Imaging” Parameters ............................................................................................................... 54
8 ARCHIVE MENU FUNCTIONS ................................................................................................................ 56
“Media” & “Store/Print” Setup ....................................................................................................................... 56
“Exam Export” Options ................................................................................................................................... 59
“Exam Management” Setup .......................................................................................................................... 60
Archive “Export” Options ............................................................................................................................... 65
“Serial Port” Setup - (Export Calc Report Data) ......................................................................................... 66
9 DICOM CONFIGURATION ....................................................................................................................... 69
Overview .......................................................................................................................................................... 69
Parameter Definitions ..................................................................................................................................... 70
Pre-Install Survey Form ................................................................................................................................. 73
“DICOM” Configuration Procedure - Menus ............................................................................................... 77
“Network” Setup .............................................................................................................................................. 85
“FTP” Setup ..................................................................................................................................................... 86
10 ADVANCED SYSTEM SETUP CONFIGURATION .............................................................................. 89
“Security” Setup Menus ................................................................................................................................. 89
“Power Save” Setup Menu ............................................................................................................................ 90
11 FUNCTIONAL DESCRIPTIONS .............................................................................................................. 92
System Capabilities ........................................................................................................................................ 92
Major FRUs ...................................................................................................................................................... 92
12 SYSTEM DIAGRAMS ................................................................................................................................ 95
Power Block Diagram ..................................................................................................................................... 96
Cabling Diagram ............................................................................................................................................. 97
System Block Diagram ................................................................................................................................... 98
13 PERIPHERALS & ACCESSORIES ......................................................................................................... 99
CD/DVD Drive ................................................................................................................................................. 99
Black & White Printer ................................................................................................................................... 101
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Color Printer .................................................................................................................................................. 110
Network Report Printer ................................................................................................................................ 111
Pedal Footswitch........................................................................................................................................... 116
14 SOFTWARE PROCEDURES ................................................................................................................. 117
Backup Operations ....................................................................................................................................... 117
RESTORE Operations: ................................................................................................................................ 118
Standard Software Installation Procedure ................................................................................................ 120
“Clean” Software Install Procedure ............................................................................................................ 122
ZONARE FTP Site ........................................................................................................................................ 123
“DIAGNOSTIC” Panel Operations.............................................................................................................. 123
15 SYSTEM MAINTENANCE ...................................................................................................................... 132
User Diagnostics Panel ............................................................................................................................... 133
(Exam) Preset Mgmt/System Setup................................................................................................................. 136
Software Upgrade/Installation ..................................................................................................................... 138
Installing System Software .......................................................................................................................... 139
Basic System Care ....................................................................................................................................... 139
Transducer Maintenance ............................................................................................................................. 142
16 SYSTEM TROUBLESHOOTING ........................................................................................................... 146
Technical Support Contact Information ..................................................................................................... 146
TECHNICAL SUPPORT .................................................................................................................................... 146
EMAIL: TECHSUPPORT@ZONARE.COM .................................................................................................... 146
SALES SUPPORT: 1-877-966-2731, SALESSUPPORT@ZONARE.COM ................................................ 146
Troubleshooting ............................................................................................................................................ 147
System Status LED & Error Code Definitions .......................................................................................... 152
Battery Performance – Charge Times - Reconditioning ......................................................................... 161
17 REPLACEMENT PROCEDURES .......................................................................................................... 163
Recommended Tools ................................................................................................................................... 163
z.one
Module – Removal/Replacement................................................................................................. 164
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17” Display – Removal/Replacement ........................................................................................................ 168
Power Module – Removal/Replacement ................................................................................................... 176
User Interface – Removal/Replacement ................................................................................................... 180
OLED Assembly (UI Assy) – Removal/Replacement ............................................................................. 186
Dock Module - Removal/Replacement ...................................................................................................... 190
Gas Spring – Removal/Replacement ........................................................................................................ 194
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DVD Drive – Removal/Replacement ......................................................................................................... 198
Transducer TCON Board – Removal/Replacement ................................................................................ 200
System ............................................................................................................................................................ 202
Display ............................................................................................................................................................ 203
Accessories ................................................................................................................................................... 204
Transducers ................................................................................................................................................... 205
User Interface ................................................................................................................................................ 207
Module & Cart Electronics ........................................................................................................................... 208
Internal Cabling ............................................................................................................................................. 209
Power Module ............................................................................................................................................... 210
Miscellaneous Cart Items ............................................................................................................................ 211
Peripherals ..................................................................................................................................................... 211
Options and Upgrading Package ............................................................................................................... 212
18 INDEX ......................................................................................................................................................... 213
DOCUMENT TITLE: Z.ONE
SERVICE MANUAL ............................................................................... 215
PRO
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TABLE OF FIGURES
FIGURE 1: MAIN SHIPPING CONTAINER REMOVAL .................................................................................................................................. 42
FIGURE 2: LOADING RAMP LOWERING ................................................................................................................................ .................... 42
FIGURE 3: REMOVABLE SECTION OF SHIPPING BASE ............................................................................................................................. 42
FIGURE 4: REMOVING PROTECTIVE STORAGE BAG ................................................................................................................................ 43
FIGURE 5.1 & 8.2 : DIRECTIONAL AND BRAKE RELEASE ....................................................................................................................... 43
FIGURE 6.1: DIRECTIONAL/SWIVEL CASTER FIGURE 7.2: (X3) BREAKING CASTER ....................................................................... 94
FIGURE 8: HEIGHT ADJUSTMENT MECHANISM....................................................................................................................................... 94
FIGURE 9: CD/DVD PART NUMBERS ....................................................................................................................................................... 99
FIGURE 10: PRINTER BRACKET MOUNTING TO Z.ONE
FIGURE 11: CABLE CONNECTIONS (UP-D711) ................................................................................................ ....................................... 102
FIGURE 12: OPERATOR CONTROLS (UP-D711) ...................................................................................................................................... 105
FIGURE 13: TRANSDUCER IMMERSION LIMITS ...................................................................................................................................... 145
FIGURE 14: TRANSDUCER CONNECTOR PIN DAMAGE – (EXAMPLE) .................................................................................................. 147
FIGURE 15: SYSTEM CIRCUIT BREAKER .............................................................................................................................................. 168
FIGURE 16: DISPLAY COVER FIGURE 21: DISPLAY COVER REMOVED........................................................................................ 169
CART .............................................................................................................. 102
PRO
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1 INTRODUCTION

Address:
Mindray Building, Keji 12th Road South, High-tech industrial park, Nanshan, Shenzhen 518057,P.R.China
Website:
www.mindray.com
E-mail Address:
service@mindray.com
Tel:
+86 755 81888998
Fax:
+86 755 26582680
........................................................
ZONARE Contact Information
SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD.
Mindray Building, Keji 12th Road South, High-Tech Industrial Park, Nanshan, Shenzhen, 518057,P.R.China

Technical Support

North America:
Phone support: 877-913-9663 or 650-316-3199

Email: techsupport@zonare.com

Sales support: 1-877-966-2731, salessupport@zonare.com

www.zonare.com
Europe and Asia:
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2 PURPOSE

This manual provides information to assist service personnel in performing maintenance, and repair procedures that may be required to support z.one
Ultrasound System.
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The ZONARE z.one
is used for ultrasound evaluation of the following applications: Fetal, Abdominal,
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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. Please refer to the z.one
Ultrasound Platform Instructions For
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Use for more information.
The z.one
consists of two major components: 1) Cart; and, 2) Transducer(s). The Cart contains the software
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driven imaging electronics and user interfaces (keyboard, monitor, handles, etc.). It houses the microprocessor, memory, amplifiers and power supplies 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.
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.
Note: The availability of options may be limited based on country or region of use.

Product Overview

The system consists of a limited number of Field Replaceable Units (FRU’s). The FRU’s for this unit are:
17” Display User Interface Assembly System Module Power Module Z-PAK Battery Pack Misc cables and mechanical assemblies

Definitions/Acronyms

2D: .................. Two dimensional (B-Mode, Color mode)
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BMP: .............. Bit MaP
C-Mode: ......... Color Flow Mode (Doppler)
D-Mode: ......... Doppler (Pulsed Wave) Mode
DICOM: ......... Digital Imaging and COmmunication in Medicine
DSP: ............... Digital Signal Processing
ESD: ............... Electro Static Discharge
EV: ................. Endo Vaginal
FPGA: ............ Field Programmable Gate Array
FRU: ............... Field Replaceable Unit
LCD: .............. Liquid Crystal Display
LED: ............... Light Emitting Diode
M: ................... M-Mode (Motion Mode - Tissue)
NTSC: ............ National Television Standards Committee (video standard)
PAL: ............... Phase Alternation by Line (video standard)
PRF: ............... Pulse Repetition Frequency
PW: ................ Pulsed Wave Mode (Doppler)
Retrospective: .. Post-processing performed on frozen images from memory
DGC: .............. Depth Gain Compensation
USB: ............... Universal Serial Bus
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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 Mindray or the distributor from whom you purchased the system.

Documentation Conventions

The following alert conventions are used in this manual:

2.1.1 SYMBOLS

The following symbols may be used in this manual or elsewhere in product labeling.
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Symbol
Description
Consult the Instructions for Use
ZONARE serial number
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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3 SAFETY

It is extremely important to read the following definitions of WARNING information, prior to beginning
any service on any sub-system within the system. As you see applicability of each of these noted
WARNINGs, during the course of the servicing process, be prepared to avoid harm to persons and equipment by proper adherence.

WARNINGS & Cautions

It is not possible for ZONARE to anticipate every condition and situation in which ZONARE ultrasound system will be used. The following warnings and cautions represent typical situations that require special attention. User knowledge and experience with a specific application and environment must also be taken into consideration in order to help ensure the safety of personnel and equipment.
Safety Standards
All ZONARE instruments, cables, and diagnostic ultrasound imaging transducers have been designed to meet the essential requirements contained in 93/42/EEC (Medical Device Directive), and all appropriate requirements contained within UL 60601 (Standard Medical Electrical Equipment, Part 1: General Requirements for Safety), IEC 60601 (Medical electrical equipment - Part 1: General requirements for basic safety and essential performance), IEC 60601-2-37 (Medical electrical equipment - Part 2-37: Particular requirements for the safety of ultrasonic medical diagnostic and monitoring equipment) and JIS-T-1501 (General Methods of Measuring the Performance of Ultrasonic Pulse-Echo Diagnostic Equipment), including limits for current leakage and isolation from a primary power line. Testing for compliance with the essential requirements of the Medical Device Directive has been performed. The following is a comprehensive list of the Warnings & Precautions associated with the use of ZONARE’s z.one
Ultrasound System and compatible transducers.
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Warnings
Do not remove any of the System covers other than the module cover. Other than the scan module
there are no user-serviceable parts internal to the system. Only trained ZONARE service personnel should access the system’s internal electronics.
The ultrasound systems contain no operator-serviceable components within the enclosures. To avoid
electrical shock, do not remove covers. As with any other electrical equipment, always observe care when operating this instrument. For service issues, contact Mindray Technical Support. Failure to follow these restrictions may void your warranty or service contract coverage.
To reduce the risk of electric shock, DO NOT connect the z.one
system input or output
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connections to equipment that is not properly connected to an Earth ground
To achieve proper grounding reliability, the ultrasound system power plug must be fully inserted
into a receptacle marked “hospital grade.” Do not remove the grounding wire. If there is any question of power outlet or power cord integrity, do not proceed. Obtain qualified assistance
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To maintain proper grounding reliability, use only ZONARE-recommended peripherals and
accessories. Use of non-specified peripherals and accessories could result in risk of electrical shock or injury
The ultrasound systems represent a potential explosion hazard if used in the presence of flammable
anesthetics.
The system does not contain a user-serviceable lithium ion battery. The optional ZPAK cart battery is not a user serviceable item. Contact Mindray’s Technical Support
group for assistance with the ZPAK battery.
Follow guidelines provided by IEC 60601 when connecting peripherals. The USB Memory Sticks supplied by ZONARE are the recommended brand, type, and sizes for use
in the z.one
Systems. They have been verified for optimum reliability and performance.
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No modification of the system is permitted. Modifying the system may subject the operator or
patient to hazardous conditions.
To reduce the risk of electric shock, do not connect the z.one
input or output connections to
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equipment that is not properly connected to an Earth ground.
The z.one
ultrasound system represents a potential explosion hazard if used in the presence of
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flammable gases or oxygen rich environment.
Use only transducers that are specifically approved and licensed for the ultrasound system. If the
proper identification of a connected transducer is not displayed on screen, do not proceed with its use.
Transducers covers may be contaminated and must be handled accordingly. Inspect the transducer and Ultrasound System before each use. Inspect the transducer face, housing,
cable, connectors, and cases. Do not use the unit if damage is detected.
Bent, broken, or missing pins on the transducer connector may cause poor image quality, including
possible mirror image artifact. Be sure to check pins before connecting transducer to the ZONARE ultrasound system. If pins are bent, broken, or missing, do not use the transducer and call ZONARE Technical Support.
To avoid electrical shock, always unplug the ultrasound system AC power cord from wall outlet
before cleaning any part. Do not immerse the transducer past the specified cleaning/disinfection level, as specified in Transducer Cleaning and Disinfection. Do not immerse the transducer for longer than the specified cleaning/disinfecting time. Do not use any transducer that has been immersed beyond the maximum limit or has been soaked longer than the maximum specified time.
Do not allow disinfectant to contact metal surfaces. Always use protective eyewear and clothing
when cleaning or disinfecting device
Disinfectant wipes and topical spray products are not FDA cleared high-level disinfectants and do
not provide adequate protection should the transducer become cross-contaminated.
The transducer must be removed from patient contact before application of a high-voltage
defibrillation.
The system is not intended for use in conjunction with high frequency (HF) surgical equipment
(tissue ablation devices). Do not use transducers connected to the ultrasound system on patients while HF surgical devices are in use.
If using IEC 60601 compliant equipment that was not provided by ZONARE, it is required that total
leakage currents be tested and validated to be below the IEC 60601 limits.
This equipment must only be connected to a supply main with protective earth.
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Validate that measured and calculated results shown in Calc Package reports reflect the clinical
observations.
Auto-Dop Trace is intended to serve as an adjunct to the diagnostic process in evaluating blood flow
during PW Doppler examinations. When using the Auto-Dop Trace feature, please evaluate the results to verify that you are in agreement before committing the values to the Calc Report Package.
Always examine transducers for damage, such as cracks, splitting, holes, or fluid leaks. If damage is
evident, discontinue use of the transducer and contact Mindray.
Prior to initiating any disinfection process, disconnect the transducer from the ultrasound system. Ensure that any connected external equipment, such as external monitors, printers and peripherals;
comply with relevant standards such as IEC60601-1 and IEC60601-1-2.
If an external video monitor is connected to the z.one
ferrite is clamped to the cable as close to the z.one
system, it is necessary to ensure that an RF
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system as possible. Use a ferrite such as Fair-
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Rite Products Corp. 0431167281 (or an equivalent).
The potential equalization terminal, located by the AC Mains connection, is connected to the system
chassis. It can be connected to corresponding terminals on other equipment to eliminate potential differences. Do NOT use it for additional protective grounding
Damage to the system may cause poor image quality, including possible imaging artifacts sometimes
referred to as ‘halo’ or ‘headlight’ artifacts. Regularly inspect the system for damage and know how
to recognize imaging artifacts.
There are many types of system use and system error messages that might be displayed during the
use of the z.one
Ultrasound System. If a message is encountered that is not self explanatory,
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contact Mindray service for assistance.
Do not touch any of the connector contacts while performing a patient examination to prevent the
possibility of a hazardous current path.
Warnings - Ocular Imaging
To avoid injury to the patient, use only the Ocular Preset when 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
Warnings – Battery
To avoid electrical shock, do not touch the battery contact. To avoid risk of fire, explosion, or burns:
Do not disassemble or alter the battery. Do not short-circuit the battery by directly connecting the positive and negative terminals with
metal objects.
Do not heat or discard the battery in a fire. Do not expose the battery to temperatures above 65° C (150° F). Do not charge the battery near a heat source. Do not leave the battery in direct sunlight. Do not use a damaged battery. Charge the battery at room temperature. The battery should only be charged within the z.one
charger.
System or a ZONARE provided battery
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Inspect the battery for damage before charging or placing the battery in the z.one
System.
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Do not connect battery to an electrical power outlet. Do not continue to recharge the battery if it does not recharge fully after 4 hours.
To avoid electrical shock, do not touch the battery contact.
Warnings – ECG
The ECG and the Respirometer functionality are not intended for ECG diagnosis. It must not be used
for intraoperative applications of the heart. Use only the recommended patient cable supplied by ZONARE. Make sure that bare parts of the electrodes and the patient do not come in contact with conductive parts, such as metal examination beds, trolleys, and similar items.
Before defibrillation, always disconnect the ECG cable connector from the system and make sure the
connector does not come in contact with other persons or conductive surfaces, such as metal examination beds, trolleys, and similar items.
Operating your system with ECG signals below 0.25 mV may cause inaccurate results.
Warnings – TEE Transducer
The multiplane TEE transducer should be used only by a qualified physician who has received
appropriate training in proper operation of the probe and in endoscopic techniques as dictated by current relevant medical practices.
Electrical Hazard: Any evidence of damage indicates the probe cannot be used and should be
returned to ZONARE for evaluation and repair.
Biological Hazard: Adequate cleaning and, if necessary, disinfection are carried out to prevent
disease transmission. It is the responsibility of the user to verify and maintain the effectiveness of the procedure used. A single-use, sterile disposable sheath for TEE purposes can be used.
Inspect the transducer connector pins for contamination or damaged pins that might interrupt signal
flow through the connection. Be sure to check pins before connecting transducer to the ZONARE ultrasound system. If pins are bent, broken, or missing, do not use the transducer and call ZONARE Technical Support.
Immediately replace a transducer that exhibits any damage symptoms. Before introducing the probe, do not rub or spray the tip of the probe with an anesthetic agent. Avoid forceful manipulations and excessive force in using the probe that could result in patient
injury.
Withdraw the probe only with the deflection control in the unlock mode and with the distal end of
the probe straight.
The use of a biteguard is mandatory. Failure to use the biteguard may result in damage to the probe,
which could result in a safety hazard. Damage to the probe due to biting is not covered by the probe's warranty.
Check if the maximum deflection of the tip is 90° to 120° upward, 60° to 90° downwards and 30° to
45° left/right. If the deflection shows an unwanted amount of free play or exceeds the maximal deflection angles given above, do not use the probe. Contact the service organization to re-adjust the steering of the probe. In this way, the risk of "buckling" or "U-turning" of the probe in the esophagus is minimized.
Avoid damage to the probe by allowing nothing to protrude beyond the case when closing the lid.
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Prior to cleaning any device, turn off the system and disconnect power cord from AC power source
to avoid electrical shock.
Always use protective eyewear and clothing when cleaning or disinfecting the transducers. Do not allow the disinfectant to come in contact with metal surfaces (transducer connector). Use a
soft cloth and warm soapy water to remove any disinfectant that remains on metal surfaces.
Keep the control handle and transducer connector out of any cleaning or disinfection solutions. The
control handle and cable may be cleaned with a damp cloth, but only the distal end of the probe up to the 100cm marker on the shaft may be placed into a disinfection solution.
Do not use other disinfection methods like Iodine, Steam, Heat or Ethylene Oxide. When servicing the z.one
System, always be sure to turn the circuit breaker to the OFF position.
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Precautions
Transducers are individually licensed according to system configuration. Only the following
transducers are available without an advanced feature configuration: C4-1, C6-2, C9-3, C9-3sp, E9-4, L8-3, L10-5, L14-5w, P4-1c and P8-3TEE. The A2CW and A5CW transducers are enabled if the system is configured with either the Echocardiography or the Advanced Vascular Imaging Feature Sets. Attempting to use any other transducers will result in an error message.
Be aware of the potential hazards associated with the environment where the ultrasound systems will
be used. The systems and/or the external equipment can be damaged if signal levels are not appropriate. If peripheral equipment not specifically authorized by ZONARE is to be connected to the system, it must meet all applicable electrical safety standards that apply to the system in order to maintain ZONARE’s safety integrity. Any equipment not supplied by ZONARE must be approved by ZONARE. Use of non- Mindray -approved equipment may result in an unsafe condition, impair operation of the ultrasound system, impair diagnostic capabilities, and void your warranty or service contract coverage.
ZONARE transducers have a specific range of acceptable application use. Users are advised to
restrict each transducer’s use to those applications. Excessive bending, twisting, pulling, dragging, or compression of transducer cables may cause failure or intermittent operation of the system. Avoid rolling the cart wheels over cables. Use of cable hooks is recommended to minimize chance of damage to cables.
If a transducer that has not been approved and licensed for use with the ultrasound system to which it
is connected, or if a licensed transducer is not properly connected, the corresponding transducer identification data will not display on the LCD Display. Imaging will be disabled. Resolve this issue before continuing use.
The ultrasound system and/or the transducer could be damaged if a nonapproved transducer is
connected.
Improper cleaning or disinfection of patient applied parts may cause permanent damage. Carefully
review the manufacturer’s directions for any component used with ZONARE ultrasound systems.
zonare assumes no liability with respect to single-use devices that are reused, reprocessed, or resterilized and makes no warranties, expressed or implied (including the warranties of merchantability or fitness for a particular use), with respect to such devices.
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Use of peripherals or other equipment not provided by ZONARE may result in system damage or
degraded performance. Carefully review the labeling of any such equipment before connecting to the ZONARE system.
Improper setting of imaging controls may obscure diagnostically valuable information in the display.
The factory default preset maps were preselected as appropriate for most imaging circumstances. Improper user configuration of custom presets may obscure diagnostically valuable information.
ZONARE ultrasound systems are manufactured in compliance with existing electromagnetic
immunity (EMI) and electromagnetic compatibility (EMC) requirements. Use of the systems in the presence of an electromagnetic field can cause degradation of the ultrasound image.
Electrostatic discharge (ESD), or static shock, is a naturally occurring phenomenon. ESD is common
in low humidity, which can be caused by heating or air conditioning. ESD shock occurs when electrical energy is discharged from one body, to a differently charged body. To lessen the occurrence of ESD, use antistatic spray on carpets and flooring, and antistaticmats.
To minimize potential ESD damage and electrical contact contamination, avoid touching the metal
contacts for the transducer connections, at both the z.one
If the z.one
humidity, allow the z.one
System has been moved between environments with extremes of temperature and/or
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System to rest for at least 30 minutes in a controlled environment before
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port and the transducer connector.
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using.
Do not use the ultrasound system if any error message displays on the screen. Do not block airflow to any ventilation holes on the system. Do not submerge the transducer past the points indicated in ‘ZONARE Transducers Cleaning and
Disinfection.
Do not spill liquid on the systems or transducers. Using a non-recommended cleaning or disinfectant solution, incorrect solution strength, or
immersing the transducer deeper or longer than indicated can damage the transducer. Damages linked to the use of disapproved chemicals are not covered under product warranty or service contract.
The use of non-shielded cables may result in increased emissions and decreased immunity to
external signals
Operating the systems in the presence of external electromagnetic fields can degrade the quality of
the ultrasound image. High-frequency devices, such as electro-surgical devices, can produce image artifacts. If required, a review of the local electromagnetic environment may be required to minimize the sources of external noise generators.
The use of non- Mindray approved cables and accessories may result in increased radiated emissions
as well as decreased immunity to external signal fields.
Before beginning to image a new patient, be sure to conclude any in-progress patient exam by
pressing the New Patient key. Failure to do so will result in any subsequent storing of images being mistakenly written to the previous patient exam directory.
Some components or devices such as transducer covers used with ZONARE systems are for single-
patient use only. Reuse, reprocessing, or re-sterilization of these devices may compromise their structural integrity.
Any image sets stored on the system, that are not identified by patient name and number, will be
stored with a unique number based off of the system ID.
Exercise care in adjusting all settings to avoid obscuring low-level signals that may have diagnostic
value. Improper settings can seriously degrade image quality.
Do not touch exposed metal of transducer connector.
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Validate all entries in the Measurement Summary. Ultrasound imaging capabilities can vary from patient to patient. Ultrasound should be used as one
component in a comprehensive diagnostic plan.
Never leave a probe in the disinfection solution for more than 45 minutes. Please refer to the
instructions for use that came with the disinfectant for minimal required exposure times. Do not forget to rinse the probe directly after disinfection.
Only use water-soluble acoustic coupling gel. Other coupling gels can cause probe damage. Long-term exposure to ultrasound should be minimized. Although there have been no confirmed
adverse effects produced by diagnostic levels of ultrasound, unnecessary patient exposure to ultrasound energy should be avoided, especially in the Doppler mode.
Use of a non-compatible USB Memory Stick may result in file corruption or long file transfer times.
Please confirm proper operation of any memory stick prior to attempting to use for clinical data.
Make sure the z.one
collecting log data to the USB Memory Stick before removing it from the z.one
System has fully completed downloading upgrades, importing/exporting, or
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System. Failure to
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do so will result in loss of data.
Wide variability in CD and DVD quality may prevent the system from reliably writing to and
reading from some commercially available discs. ZONARE has tested the CD and DVD in the table below and currently recommends their use. For up-to-date CD/DVD recommendations, go to:
http://www.zonare.com/support/accessories/media.
Before deleting any Exam data from the z.one
System, always verify that data was successfully
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transferred to the CD/DVD by viewing it on an external reader/player..Review the user maintenance section of the instructions for use for proper technique and approved agents for cleaning the external surfaces of the system.
Review the z.one
DICOM conformance statement before integrating with any PACS system.
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Validate Structured Report export prior to clinical use. Use-time from the optional z.one
battery pack will vary depending on the system usage and
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battery conditioning. Ensure the battery is adequately charged before starting a procedure without AC main power.
Export patient studies in a timely manner. Do not use the system storage as the sole location of
patient studies for an extended period of time.
IQ scan data should not be relied on for primary storage of diagnostic data. Use of IQ scan data
across software versions is not guaranteed.
Diagnostic data exported to CD/DVD should be verified on an external system before deleting that
data from the z.one
system.
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The system is not indicated for differentiation between malignant and benign breast lesions.
USB Memory Stick CAUTIONs
USB Memory Sticks that are purchased from outside sources (besides ZONARE) may not be compatible for use with a system. USB Memory Sticks which are labeled as “U3 Smart
Technology” on their label or packaging will NOT be recognized (or function) by a system.
In the case of having one of these incompatible format USB Memory Sticks. There are freeware U3
Smart Technology “Removal” programs available on the internet, that can be downloaded and run to
make the USB Memory Sticks useable in the system.
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Precautions – TEE Transducer
TEE: Perform an electrical leakage test prior to each use of the transducer. See the TEE
Maintenance Guide or the TEE Leakage Test Quick Reference Guide for details.
TEE: Examine the transducer prior to each use. See the TEE Maintenance Guide or the TEE Quick
Reference Guide (K90056) for details.
TEE: Clean and disinfect after each use. TEE: Always use a bite guard. TEE: Always use single-use probe sheath. TEE: Ensure articulation locks are disengaged and straighten mechanism during device insertion or
extraction from patient.
TEE: Remove the transducer from the patient prior to defibrillation. TEE: Handle with care, very delicate instrument. TEE: Do not store the disinfected transducer in the carrying case. Only use the case for
transportation.
TEE transducer is a delicate medical instrument, handle with care. The multiplane TEE probe is a precision instrument, which must be handled with care. It may be
damaged when dropped or abused. In particular, do not allow the ultrasonic window in the tip to come into contact with a sharp object. Do not touch this window unnecessarily. Never exert force onto the acoustic window.
The transducer connector is not watertight, and should always be kept dry. The control handle,
although spray-watertight, should not be immersed.
This equipment contains no operator serviceable components. To prevent electric shock, do not
remove any covers or panels.
Never manually deflect the distal tip of the probe; use only the deflection control wheels. Do not kink, tightly coil, or apply excessive force on the probe cable or shaft. Insulation failure may
result.
Under normal conditions at full acoustic power the temperature of the tip does not exceed 43°C. Be
sure to check at least monthly that the temperature increase of the tip is within limits:
Connect the probe to the Ultrasound system. Adjust the acoustic power to the highest value possible. Select Color Doppler mode. Wait for 2 minutes. Feel at the distal end of the probe if there is a temperature increase that could be harmful for the
patient.
When a brush is used for cleaning the transducer, use only a soft brush; coarse/stiff-bristle brushes
may cause transducer damage
Keep the control handle and transducer connector out of any cleaning or disinfection solutions. The
control handle and cable may be cleaned with a damp cloth, but only the distal end of the probe up to the 100cm marker on the shaft may be placed into a disinfection solution.
During immersion disinfection, never immerse the transducers longer than 45 minutes. Damage may
occur to the transducer housing and/or components if disinfection times exceed these recommended limits.
Precautions – Panoramic Imaging
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Measurements on a panoramic image are limited in accuracy by the acquisition of the image by the
user
Measurements out of plane are potentially less accurate. A good B Mode/2D image is important for a high-quality panoramic image.
Precautions – 3D/4D Imaging
3D: Measurements out of plane are potentially less accurate due to movement of tissue. A good B Mode/2D image is important for a high-quality 3D/4D image.
Precautions - WIRELESS
WIRELESS: The ZONARE Wireless option device is an RF Receiver and Transmitter, operating
using industry standard 802.11 b/g protocols. Use of the wireless option, in the presence of other high energy RF radiating devices may interfere with the transmission of data to the network interfaces.
WIRELESS: The ZONARE Wireless option device supports several industry standard security
protocols and should be enabled to reduce the chance of patient data, transmitter over the wireless interface from the possible undesired interception of the data.
WIRELESS: Data transmission and reception rates are limited to by the bandwidth of the user’s
network infrastructure. A Quality of Service (QOS) level is determined by the number of users on the network, the data being transferred by the users, distance of the ZONARE system to the wireless access point and other factors.
Electrical Safety
ZONARE systems meet IEC 60601, Class I powered equipment requirements. The z.one
ultrasound system complies with the applicable medical equipment requirements
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published in the European Norm (EN) and International Electronics Consortium (IEC) Harmonized Standards.
The transducers, when used with the z.one
system, are certified to be in compliance with IEC
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60601 as Type BF or Type CF applied patient parts. Each transducer or port is labeled accordingly.
Contrast Imaging Cardiac rhythm disturbances during perfusion studies using gas ultrasound contrast agents have been observed
in the diagnostic range of MI values. See the Instructions For Use that came with contrast agent being used for details.
Medical Ultrasound Safety - General Anyone using ZONARE ultrasound systems for human exams of any kind should thoroughly understand the
implications of such use. The American Institute of Ultrasound in Medicine (AIUM) has published a document titled Medical Ultrasound Safety (AIUM 1994). ALARA is an abbreviation for the principle of prudent use of diagnostic ultrasound by obtaining the diagnostic information at a power output that is as low as reasonably achievable.
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Diagnostic ultrasound is a technique-dependent imaging modality. To obtain the best possible patient care from
Type
Parameter
Value
Electrical
Power requirements
100-240V~, 50-60Hz, 6A max
Power consumption (no peripherals – max)
180W (616 BTU/hr)
Power consumption (with peripherals – max)
470W (1608 BTU/hr)
Environmental (operating)
Cooling requirements
See power consumption above
Air temperature
0-35C (32 – 95F)
Humidity
15-80% noncondensing
Pressure
700-1060 hPa
Environmental (storage)
Air temperature
-20-60°C (-4-140°F)
Humidity
15-90%, noncondensing
Pressure
500-1060 hPa
Physical (weight)
z.one
pro
system
65.3 kg (144 lbs.)
Power cord
0.6 kg (1.4 lbs.)
USB printer & bracket
3.4 kg (7.6 lbs.)
Battery & bracket
4.1 kg (9.1 lbs.)
Operating weight subtotal
73.4 kg (162.1 lbs.)
System shipping container
41.5 kg (91.6 lbs.)
Total shipping weight
114.9 kg (253.7 lbs.)
Physical (dimensions)
Height, max (in operating use)
157.5 cm (62 in.)
any ultrasound equipment, the system must be operated by personnel trained in ultrasound image acquisition and interpretation. Users must become familiar with each of their imaging systems.
Always make sure appropriate transducer is used for study being performed Always make sure active preset is appropriate for study being performed Know how to recognize acoustic artifacts in image Consult AIUM recommended protocols & equipment specifications

4 SYSTEM SPECIFICATIONS

This section contains system and accessory specifications. For information on the specifications for ZONARE authorized peripherals, refer to the manufacturers’ documentation.

General system specifications

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Height, min (in operating use)
128 cm (50.5 in.)
Height, min (display lowered for transport)
104 cm (41 in.) Width
51 cm (201.in.)
Depth
72 cm (28.2 in.)
Type
Parameter
Value
IO connectors
Ethernet (1 port)
RJ-45 – 10/100BaseT
USB 2.0 (3 ports)
USB-Type A (Vbus 5.0V, 0.5A max)
Serial Port
eSATAp
External Video (1 port)
HDMI 1280X1024
Wireless Option
Manufacturer
B&B Electronics / Quatech
Manufacturer PN:
ABDG-ET-DP501
Wireless Technology
IEEE 802.11b/g, WiFi compliant
Wired Interface
10/100 Ethernet (auto sense), RJ­45 Plug
Frequency
DSSS, CCK, OFDM
Modulation Technology
DSSS, CCK, OFDM
Modulation Type
DBPSK, DQPSK, CCK, BPSK, QPSK, 16QAM, 64QAM
Network Access Modes
Infrastructure, Ad Hoc
Channels
USA/Canada: 11 channels Europe: 13 channels France: 4 channels Japan: 14 channels (13 channels for 802.11g)
Wireless Data Rate
802.11b = 11, 5.5, 2, 1 Mbps
802.11g = 54, 48, 36, 24, 18, 12, 9, 6 Mbps
MAC
CSMA/CA with ACK, RTS, CTS
Network Protocols
TCP/IP, ARP, ICMP, DHCP, DHS, HTTP, UDAP Discovery, TFTP, UDP, PING
Receive Sensitivity
54Mb/s = -69dBm 6 Mb/s = -86dBm 1Mb/s = -86dBm
Wireless Security
Disabled, WEP 64 & 128bit, WPA (TKIP), WPA (AES), WPA2
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Type
Parameter
Value
(AES),
802.1x (EAP), Supports WPA & WPA2 Enterprise, EAP­TLS/MSCHAPV2, EAP-TTLS/MSCHAPv2, EAP-TTLS(MD5), EAP-PEAPv0/MSCHAPv2, LEAP
- Zero host security footprint
- Supports Certificate, delivery and management
Network Addressing Translation (NAT)
ABDG-BR-DP501, Client Bridge ABDG-ET-DP501, NAT 3 Router
Antenna
ABDG-BR-DP501, Client Bridge ABDG-ET-DP501, NAT 3 Router
Regulatory Compliance
Worldwide Certificate Support­FCC Part 15 Class B Sub C Modular Approval, IOC, CE, ETSI EN300 328, ETSI 60950-1, ROHS and WEEE Compliant
Parameter
Value
Display size
17”
Resolution
1280 x 1024
Pixel pitch
0.264 mm
Contrast Ratio
500(min)
Connectors
Mini-HDMI (video), mini-DIN (power)
Rotation
+/- 85 degrees
Brightness and contrast adjustments
Via on-screen system menus
Type
Parameter
Value
Electrical Power rating
15.6V, 16Ah = 250 Wh
Chemistry
NiMh
Physical
4kg (10 lb.)

Display

Battery Pack Specifications

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(weight)
Operational
Operating time duration (fully charged)
Up to 1.5 hours
Physical (dimensions)
Height
75 mm (3 in.)
Width
260 mm (10 in.)
Depth
355 mm (14 in.)
Transducers
C9-3 .......................(I.D. 130)
Penetration Depth 18 cm Number of Elements 128 Field of View 67 degrees Radius of Curvature 33 mm Ultrasound Bandwidth 9-3 MHz
C9-3sp ....................(I.D. 131)
Penetration Depth 18 cm Number of Elements 128 Field of View 67 degrees Radius of Curvature 33 mm Ultrasound Bandwidth 9-3 MHz
C6-2 .......................(I.D. 129)
Penetration Depth 24 cm Number of Elements 128 Field of View 65 degrees Radius of Curvature 50 mm Ultrasound Bandwidth 6-2 MHz
C4-1 .......................(I.D. 2)
Penetration Depth 30 cm Number of Elements 64 Field of View 80 degrees Ultrasound Bandwidth 4-1 MHz
L14-5W ................ (I.D. 71)
Penetration Depth 10 cm Number of Elements 192 Field of View 55 mm Ultrasound Bandwidth 14-5 MHz
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L10-5..................... (I.D. 64)
Penetration Depth 10 cm Number of Elements 128 Field of View 38 mm Ultrasound Bandwidth 10-5 MHz
L8-3 ...................... (I.D. 65)
Penetration Depth 10 cm Number of Elements 128 Field of View 38 mm Ultrasound Bandwidth 8-3 MHz
E9-4 …………….(I.D. 144)
Penetration Depth 14 cm Number of Elements 128 Field of View 135 degrees Radius of Curvature 12 mm Ultrasound Bandwidth 9-4 MHz
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P4-1c .......................(I.D. 6)
Penetration Depth 30 cm Number of Elements 64 Field of View 84 degrees Ultrasound Bandwidth 4-1 MHz
A2CW .....................(I.D. 514)
Number of Elements 2 Ultrasound Frequency 2.0MHz Ultrasound Bandwidth n/a
A5CW .....................(I.D. 513)
Number of Elements 2 Ultrasound Frequency 5.0MHz Ultrasound Bandwidth n/a
P8-TEE ...................(I.D. 8)
Penetration Depth 8 cm Number of Elements 64 Ultrasound Bandwidth 8-3 MHz

Standards and Compliance

The z.one
system has been designed, manufactured, tested, and certified to comply with the following
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internationally recognized standards.
IEC 60601-1:1988 +A1: 1991 + A2:1995: Medical electrical equipment part 1: General requirements for safety. IEC 60601-2-37:2001+A1: 2004 + A2:2005: Medical electrical equipment part -37: Particular requirements for
the safety of ultrasonic medical diagnostic and monitoring equipment.
IEC 60601-1:2005: Medical electrical equipment part 1: General requirements for basic safety and essential
performance. Including US deviations UL 60601-1:2003 R6.03 and Canada deviations CAN/CSA-22.2 No.
601.1-M90
IEC 60601-1-2: 2007: Medical electrical equipment part 1-2: General requirements for basic safety and
essential performance. Collateral standard: Electromagnetic compatibility - Requirements and tests.
IEC 60601-2-37:2007: Medical electrical equipment part 2-37: Particular requirements for the basic safety and
essential performance of ultrasonic medical diagnostic and monitoring equipment.
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IEC 60601-1-2: 2007 Certification
Specification
Compliance
CISPR 11 – RF emissions
Group 1, Class A The z.one
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system is suitable for use in all establishments other
than domestic and those directly connected to the public low­voltage power supply network that supplies buildings used for domestic purposes.
IEC 61000-3-2 harmonic emissions
Class A
IEC 61000-3-3 voltage fluctuations/flicker emissions
Complies
IEC 61000-4-2 electrostatic discharge (ESD)
Compliance level:
±6 kV contact ±8 kV air Electromagnetic environment guidance: Floors should be wood, concrete, or ceramic tile. If floors are covered with a synthetic material, the relative humidity should be at least 30%.
IEC 61000-4-3 Radiated Field Immunity
Compliance level:
80MHz - 2.5GHz 3V/m, 80%@2Hz
IEC 61000-4-4 electrical fast transients (EFT)
Compliance level:
±2 kV for AC Mains ±1 kV for I/O lines Electromagnetic environment guidance: Main power quality should be that of a typical commercial or hospital environment.
IEC 61000-4-5 surge
Compliance level:
±1 kV differential mode ±2 kV common mode Electromagnetic environment guidance: Main power quality should be that of a typical commercial or hospital environment.
IEC 61000-4-6 Conducted Immunity
Compliance level:
0.15MHz - 80 MHz 3Vrms @ 2Hz
IEC 61000-4-8 power frequency (50/60 Hz) magnetic field immunity
Compliance level:
3A/m, 50/60Hz
Electromagnetic environment guidance:
Power frequency magnetic fields should be at levels characteristic of a typical commercial or hospital environment.
IEC 61000-4-11 voltage dips, short interruptions, and voltage variations on power supply input lines
Electromagnetic environment guidance: Main power quality should be that of a typical commercial or hospital environment.
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System Overview
Speakers
User Interface
Cable management Hooks
2 USB ports
17” Display
Storage Bins
Gel Bottle Holder/
Transducer holders
Control Panel Height Adjust
Left front wheel (black) And rear wheels – Wheel lock
Power Button
Multi-Transducer
Port (MTP)
Right Front Wheel (Green)
Swivel lock orientation
(Directional lock)

5 SYSTEM OVERVIEW

Major System Assemblies

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User Interface Overview

Figure 1.1 - z.one
Full Featured User Interface is shown above.
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Figure 1.2 - z.one
Special Procedures (SP) User Interface is shown above.
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5.1.1 USER INTERFACE FUNCTIONS

Note: Not all controls are available on the SP user interface. Features and functions not directly accessible via hard key are still available however, via menus.
System Control Description
Setup Used to bring up the SYSTEM SETUP configuration menu
F1 –F4 Function keys, user configurable in System Setup menu
M-mode Press to enter M-mode; Rotate to adjust gain
D-mode Press to enter Doppler mode; Rotate to adjust gain
ZOOM Initiates the variable image magnification process
C-mode Press to enter Color Doppler mode; Rotate to adjust gain
B-mode Press to enter B-mode (2-D) ; Rotate to adjust gain
Exam Type Brings up Exam Type/Presets configuration menu, and six user Preset
setting to OLED display windows
Transducer (MTP) Used to bring the available transducers to the OLED display windows, for
selection of a desired transducer from the 3-Port MTP panel.
DEPTH Adjusts (Up/Down) the imaging depth of the display
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FREQUENCY Enables increasing/decreasing transmit frequency
Menu Press to display menu list.
STORE2 Press to store the displayed image to the alternate storage device.
STORE1 Press to store the displayed image to the primary storage device.
SET “SET” Used to toggle the function of active items on display
FREEZE Halts or re-starts active imaging on the display
OPTIMIZE Dual function: “ZST” Sound Speed Correction and/or “AutoOpt” (DGC)
MEASURE Multi function key:
1) Brings up dynamic caliper (live) or Calc menu (frozen)
2) Toggles on/off the Auto-Dop Trace function, in PW Doppler mode
CALC Brings up the Calculations menu page.
ENTER (Calc) / Shared function key:
1) Ends the current Calculation process, and produces a result
2) Toggles between the (A) or (B) image, as the “Active” (selected) image, in DUAL mode
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Undo (Calc) Deletes active Calculation tool from the display
REPORT (Calc) Brings up the Calculation report page
Trackball Used for positioning the cursor, defining size/position of ROI in color
mode, positioning measurement tools, reviewing cine-loop images and navigating form/tables/worksheets/reports
HARMONICS Activates tissue harmonics imaging mode
DGC DGC Slide pots Changes gain of image at discrete depths
PRINT Sends current image to device(s) previously specified in System Setup
menu (Local Printer, DICOM printer, DICOM store).
DUAL Mode Activates/deactivates DUAL imaging mode
Image Width Enables changing the width (angle) of the active scanning area of the B-
Mode sector, to maximize frame rate
Annotation Press to display the Annotation softkeys for the selected exam/preset and
transducer.
Protocol Used to enable controls for selecting timing (time or cardiac cycle) for Cine
Clip stores.
Programmable (3) Three programmable mode keys
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Key
System Control
Description
1
NEW PATIENT
This is a toggle key. The first press will display the Patient Information page. The second press will return to the imaging display.
2
CURRENT EXAM
If there is an exam in progress, pressing this key will display the in-progress exam's images, most recently stored image displayed first. If there is no exam in progress, pressing this key will have no effect.
3
PG BACK
This key only works when in in-progress exam review or archived exam review. Pressing this key will display the previous image, or page of images if in a multi-image display format. Once the first page is reached, the key press will have no effect.
4
PG FWD
This key only works when in in-progress exam review or archived exam review. Pressing this key will display the next image, or page of images if in a multi­image display format. Once the last page is reached, the key press will have no effect.
5
FIRST LAST
This key only works when in in-progress exam review or archived exam review. Pressing this key will toggle between the first stored image (or first page of images in a multi-image display format) and the last stored image (or last page of images in a multi-image display format).
6
DELETE
This key only works when in in-progress exam review or archived exam review. When an image has been selected, pressing the Delete key will tag the image for deletion by drawing a red X through it. If the selected image already has been tagged for deletion (red X) pressing the Delete key will remove the red X, untagging the image.

Keyboard Functions

Figure 2: z.one
keyboard keys and function
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KEYBOARD: SPECIAL FUNCTION CONTROLS
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Key
System Control
Description
7
FORMAT
This key only works when in in-progress exam review or archived exam review. Pressing this key will toggle between the following image formats: 2 x 2, displaying 2 rows of 2 images (4 images); 3 x 2, displaying 2 rows of 3 images (6 images); and a full-size image.
8
ARCHIVE
This is a toggle key. The first press will display the Patient Selection Table. The second press will return to imaging.
9
END EXAM
When an exam is in progress, pressing the End Exam key will close the exam. If no exam is in progress, pressing this key will have no effect.
10
DICOM QUEUE
This is a toggle key. The first press will display the DICOM queue. The second press will return to imaging.
11
ECG
CARDIAC Option Systems ONLY: This is a toggle key. The pressing of this key will activate ECG operation and display the ECG trace on the monitor. A repeat press will turn off this function.
12
SERVICE
This is a dual-function key. A “quick” momentary press is a shortcut to bring up the USER DIAGNOSTIC PANEL screen. An “extended” press will trigger a capture of a set of current LOG files to the internal archive
13
BX GUIDE
This is a toggle key. The first press will display the biopsy needle path guide. The second press will remove the biopsy needle path guide.
14
BODY PATTERN
This is a cycling key. Pressing the Body Pattern key will display a Body Pattern for the Exam Type in use. Pressing the key will cycle through available Body Patterns, including a blank.
15
DEL TEXT | DEL WORD
Pressing Del Text will remove all text annotations and arrow graphics displayed. Pressing Shift+Del Word will delete the most recently entered text annotation, whether it be free text, POT, or List entry.
16
SET | HOME
Pressing Home will move the text annotation cursor to its default home position. Pressing Shift+Set Home will set the current cursor position as the new Home position.
17
ALT GR
Alternate Graphics. Used in conjunction with the QWERTY keyboard, to enable access to international characters.
18
TEXT
Pressing Text will display the text annotation cursor. Pressing Text again will remove the text annotation cursor.
19
ARROW
This is a toggle key. It works when the image is live or frozen. Pressing the key displays an arrow graphic in the middle of the display. Up to 15 arow may be displayed simultaneously.
20
LONG TRANS SAG COR
This is a cycling key. Pressing this key will cycle between displaying LONG, TRANS, SAG, and COR, for selection as pre-created text annotation.
21
RT LT
This is a cycling key. Pressing this key will cycle between displaying RIGHT and LEFT, for selection as pre-created text annotation.
22
PROX MID DIST
This is a cycling key. Pressing this key will cycle between displaying PROX, MID, and DIST, for selection as pre-created text annotation.
23
LIST 1
Pressing List1 key will display a list of text items entered in List 1.
24
LIST 2
Pressing List 2 key will display a list of text items entered in List 2.
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Icon
Function
Status Description
Battery Status
System running on AC Power, and Battery is fully charged.
Battery Status
System running on AC Power, and Battery is currently charging.
Battery Status
Battery is currently undergoing a “Reconditioning” process (approx 12 hours)
Battery Status
Battery status is currently unknown
Battery Status
System running on Battery source power (more than 25% remaining charge)
Battery Status
System running on Battery source power (10%-25% remaining charge)
Battery Status
System running on Battery source power (less than 10% remaining charge)
Cart Storage
Solid state drive is initializing for image storage
Cart Storage
Solid state drive is storing images
Cart Storage
>20% of solid state drive storage capacity remaining
Cart Storage
>5% - <20% of solid state drive storage capacity remaining
Cart Storage
<5% of solid state drive storage capacity remaining

On-Screen “Dashboard” System Status ICONs

If the system is equipped with the on-board battery option, a battery icon will be displayed in the upper­left hand corner of the LCD display of the z.one
pro
.
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Icon
Function
Status Description
DVD Media
DVD media inserted, but not available for image storage
DVD Media
DVD media inserted and is available for image storage
DVD Media
Image storage to DVD media is occurring
DVD Media
DVD is inserted but is FULL
Removable Media (USB)
Removable storage media (USB) is being initialized
Removable Media (USB)
Storage operation is actively in-process to removable storage media (USB)
Removable Media (USB)
>20% of capacity of removable storage media (USB) still remains
Removable Media (USB)
5-20% of capacity of removable storage media (USB) still remains
Removable Media (USB)
<5% of capacity of removable storage media (USB) still remains
USB Local Printer
Local USB printer is connected/active
USB Local Printer
Local USB printer has a printing job in progress
USB Local Printer
Local USB printer has an error condition (job will not print)
USB Generic Device
Generic USB device attached to system (e.g. barcode reader, etc.)
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Icon
Function
Status Description
Network
Network connected and active
Network
Network disconnected Network
Network transfer has an error (Re-Queuing of job, etc) preventing transfer
Wireless Network
Wireless network connected and active
Wireless Network
Wireless Network disconnected
Wireless Network
Wireless Network transfer has an error (Re-Queuing of job, etc) preventing transfer
Wireless Network
Wireless signal strength: 1% – 20%
Wireless Network
Wireless Network Wireless signal strength: 21% – 40% Wireless
Network
Wireless Network Wireless signal strength: 41% – 60%
Wireless Network
Wireless Network Wireless signal strength: 61% – 80%
Wireless Network
Wireless Network Wireless signal strength: 81% –100%
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Accessory Components

Footswitch Option
An optional remote two-pedal footswitch is available for the z.one
system.
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The footswitch connects to the system using any one of the free USB ports on the cart. The left and right pedals may be individually configured to one of forty-four possibilities including
Freeze and Store .
USB Memory Sticks
The z.one
Software installer and user preset; system backup Patient image archive
NOTE: You can insert a USB memory stick while the z.one
To Insert USB Memory Stick
1. Plug the USB memory stick into any available USB port.
2. Make sure the stick is correctly oriented for the port. When a USB memory stick is plugged in to a USB port, a status icon is displayed on the top left of the
imaging screen.
system uses removable media (e.g., USB memory sticks) for two purposes:
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system is powered on or off.
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To Remove USB Memory Stick
1. Make sure the z.one
system has fully completed downloading upgrades, importing/exporting, or
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collecting log data to the USB memory stick before removing it. Failure to do so results in loss of data.
2. Firmly grasp the USB memory stick and pull it out all the way.
WARNING: The USB memory sticks supplied by ZONARE are the recommended brand, type, and size for use in z.one
systems. They have been verified for optimum reliability and performance. If
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you purchase your own USB memory stick, ZONARE is not responsible for any errors associated with file corruption or file-transfer time increases. For a list of USB memory sticks approved by ZONARE, go to www.zonare.com/support/accessories.
WARNING: USB memory sticks designated on the labeling as U3 Smart
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Rear I/O Panel

Figure 3: Rear I/O Panel

5.1.2 FUNCTIONS: I/O CONNECTORS

# Function Direction
1 Ethernet 10/100BaseT - (Network) Input/Output
2 Serial Port - eSATAp Input/Output
3 USB Port Input/Output
4 HDMI Connector (video and audio) Input/Output
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6 SYSTEM UNCRATING & INSTALLATION PROCEDURES – UPDATE ENTIRE SECTION

Product Shipment

Shipping containers should be inspected for damages, and the “Tip-n-Tell” indicator for signs of mishandling during shipment. If any problems are found, make notes of any discrepancies and immediately report to the shipping carrier and to ZONARE’s shipping department representative.
All installation and set-up of equipment should be done following this official ZONARE product installation procedure.

Electrical Requirements

Medical Grade Receptacles grounded (3-Prong) 110-120 VAC, 15 amp, 60Hz. wall outlets (or proper 220-240 VAC outlets for systems configured for these power requirements) are required for the z.one
ultrasound
pro
system.

Environmental and Space Requirements

The z.one
ultrasound system may be located anywhere within the facility, as long as there is appropriate
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power outlets and appropriate network connectivity (at facilities utilizing a DICOM device hook-up).

Uncrating

1. Prior to opening any packaging, inspect the “Tip-n-Tell” indicator (attached to the outside of the main shipping box) for signs that the system has been subjected to shock or tilt conditions during shipment.
2. Also inspect the shipping container for any visual signs of rough handling or abuse during shipment.
3. If any discrepancies from shipment are noted, follow the instructions listed in the “Product Shipment” section above.
4. Remove all banding straps surrounding the cardboard main shipping container.
5. Lift off the top cover portion of the main cardboard shipping container, and set aside.
6. Remove the small boxes (containing the transducers) from the inner storage box area (resting atop the z.one
7. Lift the inner storage box upwards, and remove it from the main shipping container.
8. Grasping the sides, slide the cardboard main shipping box upwards, exposing the z.one Continue lifting until the cardboard box can be completely removed, and set aside.
System).
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system.
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Figure 1: Main shipping container removal
9. Remove the clear packing tape that is used to secure the foldable wooden loading ramp in its upward­facing shipping position. Lower the ramp on its hinges.
Figure 2: Loading ramp lowering
10. Remove the clear packing tape that secures the front support to the base during shipping. Grasp the removable front support section of the wooden shipping base (at the bottom-front of the system), pull it directly outwards away from the z.one
system, and set aside.
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Figure 3: Removable section of shipping base
11. Remove the plastic packaging bag to expose the z.onepro system.
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Figure 4: Removing protective storage bag
12. Locate the left front caster on the z.one
and press down on the upper black tabs to release the break.
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(Figure 8.2). You can leave the directional lock caster as is (right front/green)
Figure 5.1 & 8.2 : Directional and Brake release
on wheels for z.one
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13. Rotate the wheels from their 90 degree angled storage position, to be in line with the loading ramp and enable rolling the system out of crate.
14. Being careful to control the system’s momentum, roll the z.one
system down the ramp, and out of
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crate.
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15. Remove all protective plastic wrap and foam packaging materials.
16. If the trackball has been shipped separately (will be in a foam “basket” in the gel/transducer holder:
Remove the trackball cover ring from the trackball assembly by applying pressure with your fingers and turning counter clockwise. This will expose the retention ring which is removed by also turning counter clockwise. It should come out easy with finger pressure, but if it does not, you can use 2 pens (or other blunt objects) in the detents on either side of the retention ring for leverage.
Place the trackball in the assembly and reverse the steps to install the retention ring and trackball cover ring. Note: The retention ring has very thin threads, take care not to damage them during installation.
17. Inspect the entire z.one
18. Move the z.one
system to the installation area.
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Mechanical Inspection

Ensure wheels and brakes function properly Raise and lower the Cart height adjuster (pull release lever located on the right of the system), to
verify smooth operation and positive locking
Ensure the LCD display monitor rotates and adjusts properly Ensure the z.one Immediately report any mechanical discrepancies to ZONARE.
system for damage, paying close attention to the LCD display on the Cart.
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module is securely attached in the Cart.
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System Installation

ZONARE MODULE COVER INSTRUCTIONS

WARNING
Ensure system is powered OFF. Place AC circuit breaker, located at the rear of the cart in the off “0” position.
Disconnect the main AC power cord from the rear of the cart or unplug from the wall
source.
Ensure cart wheels are in the locked position.
Fig 1 Fig 2
Step 1
The system is designed to power on only if the module cover is installed.
In order to install the cover correctly, attach the top portion first. Make sure the top
edge of the cover is pressed in and sits under the top metal plate as in above photo Fig 1.
Step 2
Proceed to push the bottom half of the module cover in place by using thumbs to press on indented
thumb tabs at bottom as in Fig 2 and push in until cover snaps in place. Plug in the power cord and
switch the circuit breaker on the back in the ON position. Now press the power button at top of the
module cover (Fig 1). The system should now start. If not, contact technical support.
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1.
Gently press plunger in
Check to ensure all peripherals, software level, and serial numbers correspond with sales
order. Make note of any missing items or discrepancies, and immediately report to ZONARE.
WARNING
To prevent possible damage to the electronics of the system from condensation, the following warning must be observed:
If the system has been subjected to an environment during shipping/transport that differs greatly in temperature and/or humidity, from the environment where it has been moved for installation/intended operation, the unit should be allowed to stand for a period of no less than 30 minutes prior to powering on.
NOTE: The Module will normally come already installed in the cart when shipped. However if the Module is removed
for any reason, refer to section 17 of this manual for installation instructions.
WARNING
To maintain the integrity of the electronic equipment within the z.one
ultrasound system, it is
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critically important that a specific sequence be followed at all times, for turning ON or OFF system power. The sequences listed below should always be followed.
z.one
System Verification
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1. If the Z-PAK battery pack option is installed, the circuit breaker should come engaged (pressed in) from the
factory. If it is not, the circuit breaker can be closed by ‘gently’ pushing the plunger straight into the pack.
When the breaker is closed, the white ring around the plunger is not visible.
LED#3 will flash indicating the Cart Power microcontroller is operating.
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2. Verify the socket of the AC power cord is fully inserted into the inlet in the back of the cart.
3. Connect the plug of the AC power cord into a Hospital Grade receptacle.
4. Make sure the AC Main Circuit Breaker on the z.one
position (see illustration below).
LED Status
1. LED #1 should illuminate indicating AC power is present.
2. LED #2 will flash if the cart battery is installed and charging.
3. LED #5 will illuminate indicating the main 24VDC supply is On
System is in the “1” (ON, pushed in on the LEFT)
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NOTE: The z.one
ultrasound system has the ability to be powered by AC or battery (IF the Z-
pro
PAK battery pack “Option” is ordered). When fully charged the battery should allow for normal system operation up to 1.5 hours.
5. Locate the grey power button at the top/right on the module. Press and release the On/Off button to
power on the z.one
ultrasound system (as shown below).
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On/Off Button Status
The Green backlight for the button will
begin to flash as the system boots-up.
Once the system is booted, the Green
Backlight will be steady On.
Abnormal conditions will be indicated
with an Amber colored backlight.
6. Verify that the System is functioning correctly by performing a basic test. This test is comprised of the following:
Attach a transducer (if not already connected)
Verify LCD display is functioning correctly by watching the boot and verifying that normal imaging
is displayed after fully booted.
Verify Audio from the Display assembly – Enter PW, turn up the PW Gain and increase volume Verify that the User Interface keys are functioning correctly Test USB ports on front of system Test and Verify Network Connectivity (if applicable)
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Test and Verify USB Peripheral Connectivity and Functionality (if applicable)
7. Verification is complete – return system to normal operation.
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7 BASIC SYSTEM CONFIGURATION

Entering “Institution” Name

1. Press the “SETUP” key on the User Interface and use the trackball to select Tools menu.
TOOLS Menu
2. Using the trackball to backlight SYSTEM SETUP selection, and press one of the SET keys to
bring up this menu.
SYSTEM SETUP Sub-Menu
3. Within the Display selection, use the trackball to backlight Institution selection, press one of the Set
keys to bring up this menu.
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DISPLAY Sub-Menu INSTITUTION Sub-Menu
4. Using the alpha-numeric keyboard, enter Institution name (Note: Field is limited to 20 character
positions)
5. Place the arrow cursor over the APPLY soft-button displayed in this menu, and press one of the SET
keys to save new settings.

Configuring “Barcode” Scanner

1. Within the Display selection, use the Menu Control to backlight Barcode selection, press one of Set
keys to bring up this menu.
DISPLAY Sub-Menu BARCODE Sub-Menu
1. Under the Barcode Reader Device Assignment pull-down menu, select the listed device
corresponding to the active barcode reader currently attached to the USB ports on the system.
2. Under the Barcode Data Settings pull-down menu, select the desired parameter to be linked to for
tracking patient exams:
Patient ID Accession Number
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Operator ID
3. If the system is setup to interface with a DICOM Worklist server for populating patient exam
scheduling, check the “Worklist Cache” option , within the Barcode Worklist Option selection. Enabling this option will result in the system using the scanned-in barcode parameter (Patient ID,
Accession Number, or Operator ID) for identifying the patient, to reference the cached Worklist data for auto-populating various fields in the Patient Information page.
4. Place the arrow cursor over the APPLY soft-button displayed in this menu, and press one of the SET
keys to save new settings.

Configuring “Audio/Video”

1. Within the Display selection, use the Menu Control to backlight Audio/Video selection, press one of
the SET keys to bring up this menu.
DISPLAY Sub-Menu AUDIO/VIDEO Sub-Menu
2. Select the desired A/V setup parameters from the menu. This is done by using the trackball to move
the arrow pointer (in conjunction with the SET key), the ENTER key to make selections.
System Display Mode:
This selection configures the format of the on-screen video. The selections allow for increasing the amount of screen area used for the display of the main ultrasound image. This enables increasing/decreasing the size of the image to suit the User. The two external video format options available are:
Standard: Standard image size with Dashboard and Thumbnail images displayed Image Only: Expanded image size (1280 x 1024) occupying entire 17” display (no
Dashboard/Thumbnails shown)
3. External Video Mode:
This selection configures the format of the digital video that will be produced at the external HDMI connector (DVI video), on the rear panel of the system. The output format is configurable to allow for
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matching the target peripheral device (external DVI monitor, etc). The two external video format options available are:
Standard: 1280 x 1024 format (entire screen of z.one
pro
)
Image Only: 800 x 600 format (image area only)
4. Once all the desired values have been selected, place the arrow cursor over the APPLY soft-button
displayed in this menu, and press one of the SET keys to save new settings.

Entering “Time/Region” Information

1. Within the Display selection, use the Menu Control to backlight Time/Region selection, press one of
the SET keys to bring up this menu.
DISPLAY Sub-Menu TIME (DATE) Sub-Menu
2. Using the alpha-numeric keyboard, enter in the current date/time information. The TAB key on the
alpha-numeric keyboard is used for advancing to each successive field.
3. Place the arrow cursor over the APPLY soft-button displayed in this menu, and press one of the SET
keys to save new settings.
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Entering “Trackball” Configuration

1. Within the Display selection, use the Menu Control to backlight Trackball selection, press one of the
SET keys to bring up this menu.
DISPLAY Sub-Menu TRACKBALL Sub-Menu
Cine Trackball Configuration:
This menu allows for configuring the behavior of the trackball to users preferences, independently for a variety of Cine modes. The configurable usages are as listed below:
Menu Scroll Sensitivity
On the Cart, scrolling through menus and manipulating the settings for selected menu offerings can be performed using the trackball.
The following two configurable options allow for customizing the sensitivity of the trackball response during those menu operations on the Cart.
Menu Scroll Up/Down:
Description: Threshold for speed of trackball movement by User when moving up/down through
offered menu selections.
Menu Scroll Left/Right:
Description: Threshold for speed of trackball movement by User when moving in a left/right direction,
for altering the setting of a currently selected menu function.
Cine Scroll Sensitivity
2D Cine Trackball: (B-Mode or B-Mode/Color modes)
Description: Controls the number of frames that are advanced in response to each sweep of trackball
movement by the User.
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Strip Cine Trackball: (M-Mode or Spectral Doppler modes)
Description: Controls the rate at which the time axis sweep is advanced in response to each sweep of
trackball movement by the User.
Cursor Sensitivity
Strip Cursor: (PW/CW Doppler modes)
Description: Controls the sensitivity of the movement of the PW cursor line, via trackball movement by
the User.
Reset Factory Defaults::
Description: Restores all trackball setting in this menu, for Cine access, back to factory defaults.

Configuring “Imaging” Parameters

1. Using the page trackball to advance menu screen to select Tools menu.
TOOLS Menu
2. Using the trackball scroll down to backlight SYSTEM SETUP selection, and press one of the SET
keys to bring up this menu, then select IMAGING sub-menu.
SYSTEM SETUP Sub-Menu IMAGING Sub-Menu
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1. For each Transducer type in the pull-down menu, configure the power-up default application type and
preset type that are desired.
2. Select the desired behaviors to occur post transducer change: Preserve Exam & Preset If checked, the system will retain the current Exam Type and Preset,
when transitioning to selection of a different active transducer.
If unchecked, the system will use the user assigned default Exam Type
and Preset for each subsequent transducer, as it is activated.
Display Preset Menu If checked, the OLED display panel will default to showing Exam
Preset options in the windows, upon a transducer change.
If unchecked, the OLED display panel will default to showing
transducer selection options in the windows, upon a transducer change
3. Select the desired default Doppler settings.
4. Select the desired default Auto-Opt/ZST settings
5. Select the desired “DUAL” mode preset behavior setting
6. Select whether TEE temperature sensor reading is desired for on-screen display
7. Place the arrow cursor over the APPLY soft-button displayed in this menu, and press one of the SET
keys to save new settings.
8. Repeat the process above for all additional transducer types.
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8 ARCHIVE MENU FUNCTIONS

“Media” & “Store/Print” Setup

1. Using the TAB button advance the menu screen to select TOOLS
2. Using the Menu Control, arrow down to backlight the Archive selection, and press one of the SET
keys to bring up this menu.
SYSTEM SETUP Sub-Menu ARCHIVE Sub-Menu
In addition to configuration of the Archive functions, the following operations are also accessed under this menu path.
LOCATION (site) specific configuration Media storage configuration Store/Print button configuration DICOM setups Exam Export FTP Store settings Network Exam Management Serial Port/USB report configuration Ejecting of DVD/CD
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“MEDIA” CONFIGURATION

1. Within the ARCHIVE selection, use the trackball to backlight Media selection, press one of the SET
keys to bring up this menu.
ARCHIVE Sub-Menu STORAGE MEDIA Sub-Menu
2. Make any changes desired to the settings for still and clip image compression, and defined modality. In
most cases using the factory default settings will perform well on a customer system.
3. To save the new settings, select APPLY from the main menu, and press one of the SET keys to
save new settings.
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“STORE/PRINT” BUTTON CONFIGURATION

1. Within the ARCHIVE menu, use the Menu Control to backlight Store/Print selection, press one of the
SET keys to bring up this menu.
ARCHIVE Sub-Menu IMAGE STORE/PRINT BUTTONS Sub-Menu
2. Based upon what functions are desired to occur when the PRINT and STORE buttons on the
z.one
are pressed, configure the settings in this menu.
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3. In order to have the ability to transfer all aspects of the image data captured using the 3D technology
transducer, the “3D Volume Data” box must be checked for the corresponding STORE/PRINT button.
4. In order to have the ability to capture raw IQ data images, the “IQ Scan Data” box must be checked
for the corresponding STORE/PRINT button.
5. Using the “Live Capture” option, the STORE/PRINT buttons can be configured to disable capture of
“CLIP” storage, in the case that the button is pushed while the system is NOT in “Freeze” mode.
Clip If checked, the system will capture live clips when the corresponding
STORE/PRINT key is depressed while the system is in live imaging (“Freeze” not pressed) mode.
Still If checked, the system will ONLY grab a single still frame, when the
corresponding STORE/PRINT key is depressed while the system is in live imaging (“Freeze” not pressed) mode.
6. Using the “Still Image Type” option, the STORE/PRINT buttons can be configured to determine the
amount of display area that is captured when pressed.
Image If checked, only the ultrasound image window (800 x 600 area) is captured. Screenshot If checked, the entire screen area (1280 x 1024), including the dashboard and
thumbnail area, is captured.
7. Configure the “Image Transfer Mode” selection to reflect the desired image transfer behavior on the
Customer’s system.
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Exam in Progress: Results in each new DICOM image immediately being placed into the DICOM
Queue for transfer to the target network/print device, each time the corresponding STORE/PRINT key is depressed.
Exam Completed: Images are buffered during each STORE key depression, and later placed as a
group into the DICOM Queue for network/print transfer. The process for beginning the transfer of the images is automatically started when the Operator ends the current exam.
8. Reports: If SR (Structured Report) sending was enabled on the Network Store page for any PACS
devices, select the desired target device in the pull-down menu.
9. To save the new settings, select APPLY from the main menu, and press one of the SET keys to
save new settings.

“Exam Export” Options

The EXAM EXPORT menu allows for configuring the formatting (Compression, Color Model, etc) for images “Exported” to the target media device.
Press Setup and use the trackball to advance menu screen to select TOOLS menu; then select SYSTEM SETUP, then select ARCHIVE.
SYSTEM SETUP Menu ARCHIVE Menu
7. Use the trackball and scroll down to backlight EXAM EXPORT selection, and press one of the SET
keys to bring up this menu.
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EXAM EXPORT Sub-Menu
.
8. Configure the Exam Export Options settings to reflect the desired formatting for the target images upon
export.
9. To save the new settings, select APPLY from the main menu, and press one of the SET keys to
save new settings.

“Exam Management” Setup

The EXAM MGMT menu allows for configuring the functionality of the system when “Restarting” exams, and also provides access to low-level service functions for managing a variety of Archive media.
1. Use the Setup button and trackball to advance menu screen to select TOOLS menu; then select
SYSTEM SETUP, then select ARCHIVE.
SYSTEM SETUP Menu ARCHIVE Menu
2. Using the trackball and scroll down to backlight EXAM MGT selection, and press one of the SET
keys to bring up this menu.
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EXAM MGMT Sub-Menu
.
3. Configure the “Exams are Restarted Using” selection to reflect the desired grouping of images upon
restarting of a previous exam on the Customer’s system.
Prior Series: Appends new images onto the series of images previously captured.
IMPORTANT
“Prior Series” selection is NOT available (“New Series” only) if the system has an active DICOM MPPS
server enabled on the DICOM MPPS configuration page.
New Series: Creates a new series of images, utilizing only the Patient info from
the earlier exam series.
4. Configure how many days prior to the current date that the Users will be allowed to “RESTART”
(add/delete images) internally archived patient exams.
5. Select the granularity desired when initiating patient exam database rebuild operations.
6. Using the Menu Control, arrow down to backlight Apply selection in the main menu, and press the
SELECT button to save any exam “RESTART” configuration setup changes, and exit
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ARCHIVE SERVICE FUNCTIONS:
WARNING
Due to the deletion of the original (assumed corrupted) database file during the “REBUILD PATIENT EXAM DATABASE” process, it should be noted that Patient information updates made to initially started exams (i.e. changing Patient name info, etc, after the first image for a study has already been
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stored) will only be retained in post-rebuilt exam, if the “READ” option for the Helper files is “unchecked”.
Rebuild Patient Exam Database - Content:
This option allow for specifying the granularity of the exam database rebuild process that is initiated with the “REBUILD” menu selection below.
NOTE: The exam database content granularity selections (described below) does not have any effect
(is not applicable) for rebuilds where the targeted device (via the pull-down selection) is an “External” media (i.e. USB memory sticks, CD/DVD, etc) device.
Minimum: Rebuilds the study/exam table ONLY. Additional rebuilding, of the other tables,
will occur later, as each individual study is accessed. (fastest)
Complete: Completely rebuilds all exam database tables, including exam/study table, series
table, image/IQ/key image note table. (longer)
Patient Exam Database Rebuild “Helper” Files:
These settings allows for specifying how the database “Helper” files will be affected/utilized, when the “REBUILD” operation is performed.
NOTE: Default is both boxes selected (“checked”):
Read: When checked: Tells the system to look for (read) the existence of a valid
single “HELPER” file (most current patient/exam information for entire study)
for each exam, and use its content exclusively for the database rebuild operation (fastest)
When unchecked: The system will scan all files in each exam folder, looking
for the most current data to be used for creation/update of the “HELPER” file.
(longer)
Create/Update: When checked: Instructs the system to generate a current “HELPER” file for
each exam, during the execution of the “Rebuild” process. Once completed,
subsequent “Rebuilds” should run much more quickly (as long as the “READ”
option box is also checked)
When unchecked: The system will not create or make any updates to existing
“HELPER” files, when the “Rebuild” operation is performed.
Rebuild Patient Exam Database:
Clicking on this menu item initiates the database “Rebuild” process. The “Rebuild” process is intended to be used in cases where exam access to the patient image ARCHIVE of the internal exam storage, or other archive media (remote USB media, CD/DVD, etc) becomes problematic.
Selecting the “REBUILD” box will regenerate the database’s index file (directory) and potentially resolve the problem. Select the desired media device, using the provided pull-down menu, prior to initiating the “Rebuild” process.
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Erase All Patient Data:
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WARNING
Initiating the “ERASE” function will completely delete ALL patient exams (all stored images) on the
internal ARCHIVE storage. DO NOT perform this function unless the system’s User has confirmed that all needed exams/images have been exported/transferred to another medium, or are no longer needed.
Due to this operation performing individual “deletes”, the “ERASE” operation may take an extended
period of time to complete if the selected Archive media contains an extensive number of patient exams.
In extreme cases where the system is totally unable to access the ARCHIVE on either the system or other media (USB media, etc.), selecting the “ERASE” function will completely clear (erase) the following:
All stored patient exams (images) All patient exams pending DICOM transfer in DICOM QUEUE (if C drive selected)
Select the desired media device using the provided pull-down menu.
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Format Storage Media:
NOTICE
Initiating the “FORMAT” function will result in removing ALL of the contents of the target media
device.
Patient exams System Logs DICOM Queue jobs Some Transducer file
To prevent Users from accidentally performing this operation a “Service Password” prompt will appear prior to this “FORMAT” operation activating. Contact Mindray Technical Support in order to obtain the service
password and assistance with this operation.
Due to the erasing of some transducer files, reloading of system software will be required after performing this “FORMAT” operation.
In extreme cases where the system is totally unable to access the internal storage media or other media (USB media), selecting the “FORMAT” function will completely reformat the media; erasing all contents.
Due to the operation being a complete” FORMAT” where no individual files are accessed, it is completed
very quickly. Select the desire media device using the provided pull-down menu.
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Diagnostics:
The diagnostic function provides the ability to perform a database screening of the selected archive media device to verify its integrity. The media devices available for diagnostic testing are:
Two different options are offered to define the granularity level of the diagnostic testing.
Minimum: ...................Basic level diagnostic screening of target media device (quick)
Cart SSD (J:) – Solid-state Drive
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Full: .............................Comprehensive screening of target media device (longer)
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Study Description Option:
Auto Update
The “Auto Update” option being selected results in the “Study Description” field (DICOM Tag: 0008,1030), on the Patient Demographics page, being automatically populated with source information
provided from the DICOM Worklist server (if info is provided). If no auto-populated source information is provided for this field (or this box is unchecked), the information
can be manually entered by the User on the Patient Demographic page.
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Archive “Export” Options

The EXPORT function on the ARCHIVE page includes a special OPTIONS page. This page allows for customizing the steps that will be performed, and the data formatting, that will occur during the export. The export options are as shown in the menu below:
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General Export Options
External Media Image Format:
DICOM: Exam data stored on output device in native DICOM format (may be re-imported
later).
Non-DICOM: Exam data stored on output target device in a non-DICOM (cannot be re-imported
or viewed on ZONARE) format, as selected in non-DICOM export option area.
Hard Drive Verify Options:
Minimum: Basic level checksum verification only (fastest) Maximum: Full file system data verification (longest)
CD/DVD Verify Options:
On: Comprehensive data validation operation at end of data export (longest) Off: No advanced data validation, but basic data checking still performed (fastest)
Remove embedded icon/thumbnail image:
When checked, the small icon/thumbnail images will be removed from all images
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Remove Identity of Patients:
Assign a unique patient identity to each exam (DCOM only): Assign a common patient identity to each exam (DCOM only):
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DICOM Export Options
Compression Type:
Pull-down menu selection of different data compression (file size reduction) options
Color Model:
Pull-down menu selection of different options for color mapping data format
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Non-DICOM Export Options
Still Image File Format Type:
JPEG: Saves images as JPEG standard computer format TIFF: Saves images as TIFF standard computer format
Include Patient Name in Export Folder:
When checked, the export folder naming convention will include patient name
ZIP Exported Exam Folders:
When checked, WINZIP compression of the final exam folder will be performed:
In extreme cases where the system is totally unable to access the ARCHIVE on system drive or other media (USB media), selecting the “ERASE” function will completely clear (erase) the following:
IMPORTANT
For use of DVD media type for Exports, only one brand/model of DVD media has been tested and approved to be compatible for use with the ZONARE system. The approved DVD media type is as listed below:
- Taiyo Yuden brand DVD media ONLY!

“Serial Port” Setup - (Export Calc Report Data)

The SERIAL PORT configuration menu allows for configuring the system to be able to “EXPORT” report data to 3rd-Party external report generator equipment, via a “USB” port connection on the system.
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The three (3) types of Calc report data that can be exported, via the USB ports, are as listed below. Configuring which report type(s) will be exported is performed on the SYSTEM SETUP ->CALCS -> EXPORT/PRINT menu.
OB/GYN Calc Output VASCULAR Calc Output CARDIAC Calc Data
System Setup -> Calc -> Export/Print
1. Use the Setup button and trackball to advance menu screen to select TOOLS menu; then select
SYSTEM SETUP, then select ARCHIVE.
SYSTEM SETUP Menu ARCHIVE Menu
2. Using the trackball scroll down to backlight SERIAL PORT selection, and press one of the SET keys
to bring up this menu.
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SERIAL PORT Sub-Menu
3. If desired, check the box to select the USB port as the target for EXPORT function of OB/GYN report
data.
4. If desired for report data to be exported in sync with DICOM image transfers to the PACS system over
the network, check the box for “Link Serial Connect to Ethernet Connect”.
5. Using the Menu Control, arrow down to backlight Apply selection in the main menu, and press one of
the SET keys to save the serial port configuration setup, and exit
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9 DICOM CONFIGURATION

Overview

Prior to system installation at any medical facility utilizing a DICOM network environment, a “Pre-Install Survey Form” (ZONARE P/N: F00044) should have been completed. This form is used for obtaining, in advance, detailed networking and DICOM configuration values (IP addresses, AE Titles, etc.) from the IT/PACS System Administrator at the facility. These site-specific values/parameters are required prior to programming the entries in the DICOM configuration menus on the system.
A copy of this “Pre-Install Survey Form” is included on the following pages, as a backup resource.
IMPORTANT
Once all of the DICOM parameters have been configured into the required DICOM setup
menus, it will be necessary to power down and reboot the system in order to initialize the new
network connections with the target devices.
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Network Address Info Requirements:
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The following information, defining the system’s identity on the local network at the medical facility must be assigned by the facility’s IT/PACS Network Administrator, prior to beginning the setup of the DICOM
configuration menus on the system.
Definition Assigned Value Example Only
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(IP Address): _ _ _ . _ _ _ . _ _ _ . _ _ _ 10.94.1.105
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(Gateway Address): _ _ _ . _ _ _ . _ _ _ . _ _ _ 10.94.1.1
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(Subnet Mask): _ _ _ . _ _ _ . _ _ _ . _ _ _ 255.255.255.0
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DICOM Configuration
Definition:
AE Title e.g., “Zonare1”
The official “name” (Application Entity) assigned to the system (by the network administrator) to identify it on the network.
Association Acceptor
Configuration options to enable cases where the z.one
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is desired to be configured to serve as a DICOM host for accepting DICOM association requests and store requests from other DICOM devices
Color Model
Defines the method that will be used (Grayscale, RGB color, etc.) by the receiving device (DICOM PACS system) for interpreting the different bit level values of the data, within the transferred images
Selections include:
- Palette Color
- True Color (RGB) - Color by Pixel
- True Color (RGB) - Color by Plane
- Grayscale (Monochrome2)
Compression
None RLE Lossless JPEG Lossy
Enables the ability to compress image files for the purpose of reducing file size and transfer times.
RLE Lossless automatically reduces the size of the transferred image, yet retains all source content.
Provide the highest level of image file size reduction (compression) of all the options. User selectable “Quality” setting (between 85-100%) determines resultant file size.
Date Range
Specify the number of days back (Today, 2, 7, All) that the DICOM worklist will reference scheduled examinations.
Enable Debug (Structured Reports)
Activates a function where a copy of the SR report file (with patient info filtering) is captured to the Log file directory, for SR transfers (service)
Filter Cached Entries
Checking box results in same modality type (i.e. US, XA, etc) filtering of the downloaded worklist superset when system is off network and worklist sourced from cached file
Gateway IP Address
A designated TCP/IP address (i.e 10.1.1.254) that is required in cases where the
system is to be connected to target devices that are outside the primary host
network (FTP remote access, for example).
ICON Image
A sub-sampled (miniature size) version of the image created for each patient image on the system. Options are to either retain or remove these images from
DICOM image transfers to the target device. (default is “retain”)
IP address
Internet Protocol address. A unique Internet address for devices attached to an IP network (TCP/IP network).
Keep Alive Timeout
Specify the duration (in seconds) that an established DICOM connection will be maintained, after completion of the last transfer.
Key Image Note/Key Object Selection Document
Specifies the sending of Key Image Note electronic “Post-It” note info, as Key Object Document content during the DICOM-DICOM SR transfers to the PACS system.

Parameter Definitions

The table below provides some guidance regarding the type of information required for the DICOM configuration of the various menus (“General”, “Printers”, Network Store”, “MPPS” and “Worklist”) on the
system.
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DICOM Configuration
Definition:
Limit by Modality
None US (ultrasound) 50+ additional options:
(see list of selections)
Filtering by modality (US, CT, MRI, et cetera) of scheduled patient examination data generated by the Worklist server. Set according to department requirements.
None: Show entries for all modalities. US: Show entries for ultrasound exams only. The following additional modality filter (limit) settings are available for selection:
Selections – AU, BI, CD, CR, CT, DD, DG, DX, ECG, EPS, ES, FID, GM, HC, HD, IO, IVUA, KO, LS, MG, MR, NM, OP, OT, PR, PT, PX, REG, RF, RG, RTDOSE, RTIMAGE, RTPLAN, RTRECORD, RWV, SM, SMR, SR, ST, TG, US, XA, XC
Log Level
Defines the level of detail information that will be displayed in the DICOM Queue.
Maximum entries cached Enter a number between 0 and 999
Set according to department requirements. A higher number provides access to more scheduled exams, but increases the time required to search for the exam of interest.
Minimum/Maximum Film Density
For defining Minimum/Maximum density of images on film. Value entered is expressed in hundredths of OD (optical density). A value entered of 150, corresponds with 1.5 OD. Typical acceptable values to be entered are 000-399, with 020 (for “Min”) and 300 (for “Max”) being a potential starting point.
Network Type
Allows for manual or auto setup of network speed and duplex operational state. Selections include: Auto-Negotiate, 100MB/Full-Duplex, 100MB/Half-Duplex,
10MB/Full-Duplex, 10MB/Half-Duplex
Nickname e.g., “Prep Room Printer”
An informal name to identify the device to users in the department. This name is typically assigned in the department.
Network Usage Type
Defines the interval at which DICOM images will be transferred over the network to the PACS storage device. Either immediately upon each press of STORE
(“Exam in Progress”), or at the termination of the current examination (“Exam
Completed”).
- Exam In Progress
- Exam Completed
No Color
If selected, images that are captured when the z.one
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is being operated in
modalities where no “Color” is present (B-Mode, PW Doppler, M-Mode), will be transferred to the receiving DICOM device (Network Store system) as
“Grayscale-Monochrome2. Despite this “No Color” selection being active, all images captured while in Color
Doppler mode will still be transferred to PACS using the color map selected in the Color Model field.
PDU Receive/Send Size
The size (in bytes) of the basic data packets (PDU: Process Data Unit) that will be trasferred during receive and transmit operations. (default is 16384 = 16K)
Pixel Spacing
Adds ability to assign CT/MR-specific pixel spacing to ultrasound images sent to PACS, to allow for calibrating pixels to millimeters for measurements.
Polling Interval (minutes)
None choose minutes
The frequency of automatic updates to the worklist. A short polling interval may impact system performance. Choose a preferred interval; or choose None to update the worklist only on demand.
Port number
The TCP/IP port number that is being used by the DICOM device connected to the system. Default port value is 104.
Queue Timeout (sec)
The maximum amount of time that a DICOM job will remain active in the queue, before it times out.
Queue Start Type
Defines whether the start of jobs in the DICOM queue will be performed
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DICOM Configuration
Definition:
automatically or started manually.
Reconciliation
For exams NOT YET sent to PACS. Specifies that the system will interrogate the patient information from the last stored image, prior to sending that exam to DICOM PACS device. For images in that exam having differing information, the system will reconcile (correct) those values in the DICOM headers prior to sending.
Release Association
Specifies whether to release the DICOM association (communications link between the z.one
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and the DICOM storage device) after each individual image
is transferred or maintain it until the entire exam is completed.
Remove Attributes
Specifies any DICOM attributes (i.e. Soft Tissue Thermal Index) that are desired to be removed from the DICOM image header transferred with stored images. This function is provided to allow compatibility with all DICOM target devices.
Scheduled Station AE Title
Identity (Application Entity Title) assigned to the ZONARE ultrasound system, for use in filtering patient exam scheduling data provided by the Worklist server. Value to be provided by PACs Admin, to meet department requirements.
SR Emulation - (special license req.)
Special feature (license file option required) for forced populating three fields in DICOM header for SR output to enable acceptance by Siemens “SYNGO” PACS
- (0018,1020) Software Version(s) -- PMS5.1 Ultrasound iU22_4.0.1.1
- (0020,000E) Series Instance UID -- 1.2.840.113663.1500.1.xxx
- (0008,0018) SOP Instance UID -- 1.2.840.113663.1500.1.xxx
SR Private Data
Include raw serial calc data as DICOM “Private Element” content, with SR data exported
Station Name
The user-friendly Host name that will be assigned to the system for identification on the local network. Should be provided by the Network Administrator.
Subnet Mask
The number of bits (within the 24-bit IP Address) that will be used for defining the “Network” portion vs. the “Host” portion of the TCP/IP address.
TCP Timeout (sec)
The maximum duration (in seconds) of waiting time that will be allowed for completion of transfers over the network. Set according to anticipated network type/ speed.
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SAMPLE
Level
Parameter Name
User Site Value/Setting
Default / Special Info
Required
TCP/IP Address acquisition method
Obtain Automatically (DHCP) Use Specified
Obtain Automatically
Required
Use Specified (IP Address, if fixed)
Required
Gateway IP Address (IP Address, if fixed)
Required
Subnet Mask (IP Address, if fixed)
Required
Ethernet Media Type (Speed/Duplex)
Auto Select 100MB/Full-Duplex 100MB/Half-Duplex 10MB/Full-Duplex 10MB/Half-Duplex
Auto Select
Required
MTU (size) 1500
Service
Wireless Bridge (Service-Support)
5. IP Address:
_____________________
6. Username:
_____________________
7. Password:
_____________________
Service option
Level
Parameter Name
User Site Value/Setting
Default / Special Info
User option
Application (AE) Title – (Zonare System)
ZONARE
User option
Station Name – (Zonare System)
ZONARE
User option
TCP Timeout (sec.)
30
User option
Queue Timeout (sec.)
120
User option
Queue Start Type
Automatic Manual
Automatic
User option
Keep Alive Timeout (sec.)
3600
User option
Association Acceptor
Port 104 Storage
both unchecked
User option
Log Level
Selections: (Normal, None, Debug)
Normal
User option
Structured Reports – Debug
Enable Debug
unchecked
Level
Parameter Name
User Site Value/Setting
Default / Special Info
Required
Nickname - (Printer)
Required
Application (AE) Title – (Printer)
Required
IP Address (Printer)
Required
Port Number
104

Pre-Install Survey Form

DICOM Connectivity Type at Customer Site: (Check boxes below, as applicable: Required)
DICOM” Network Store” DICOM” MPPS” DICOM” Printer Only” DICOM” Worklist” No DICOM
Network Setup Parameters
General System / DICOM Setup Parameters
Printers (DICOM) Setup Parameters (if applicable)
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SAMPLE
Level
Parameter Name
User Site Value/Setting
Default / Special Info
User option
Max PDU Receive Size
16384
User option
Max PDU Send Size
16384
User option
Color Mode
Color Grayscale
Color
User option
Number of Copies 1
User option
Print Priority
Low Med High
Med
User option
Image Display Format
Selections: (2x2, 1x1, 1x2, 2x1, 2x3, 3x2, 3x3, 3x4, 3x5, 4x3, 4x4, 4x5, 4x6, 5x4, 5x5, 5x6, 5x7)
2x2
User option
Medium Type
Default Low Medium High
Medium
User option
Film Orientation
Default Portrait Landscape
Portrait
User option
Film Size
Selections: (Default, 8x10, 8.5x11, 10x12, 11x14, 11x17, 14x14, 14x17, 24cm x 24cm, 24cm x 30cm, A4, A3
8x10
User option
Trim
Default Yes No
Yes
User option
Min Film Density
Typical acceptable value range – (000-399)
User option
Max Film Density
Typical acceptable value range – (000-399)
User option
Border Density Black
User option
Empty Image Density
Black
User option
Magnification Type
None Replicate Bilinear Cubic
Cubic
User option
Smoothing Type
Network Store (DICOM) Setup Parameters (if applicable)
Level
Parameter Name
User Site Value/Setting
Default / Special
Info
Required
Nickname - (PACS Server)
Required
Application (AE) Title - (PACS Server)
Required
IP Address - (PACS Server)
Required
Port Number 104
User option
Max PDU Receive Size
16384
User option
Max PDU Send Size
16384
User option
Color Model
Palette Color Grayscale True Color (RGB) – Color-By-Pixel True Color (RGB) – Color-By-Plane
Palette Color
User option
No Color
No Color
unchecked
User option
Remove Attributes
Selections: (iICON Image Sequence, Sequence of Ultrasound Regions, Output Power, Mechanical Index, Bone Thermal Index, Cranial Thermal Index, Soft Tissue Thermal Index, Soft Tissue Focus Thermal Index, Soft Tissue Surface Thermal Index, Depth of Scan Field,
ICON Image Sequence
User option
Pixel Spacing
Assign non-US pixel spacing from 2D US region
unchecked
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Level
Parameter Name
User Site Value/Setting
Default / Special
Info
User option
Reconciliation
Reconcile patient/exam information
- Rewrites Patient Info into all images in exam, based on last frame stored, prior to re­send to PACS
unchecked
User option
Object Type
Still/Single-Frame Image
Cine/Multi-Frame Image IQ Scan/Raw Data SR Document SR Private Data SR Emulation (special option) Key Image Note/Key Object Selection
Document
Always checked (grayed)
unchecked unchecked unchecked unchecked unchecked
User option
Release Association
After storing each image in the exam After storing the entire exam
After storing each image
MPPS (Modality Performed Procedure Step - DICOM) Setup Parameters (if applicable)
Level
Parameter Name
User Site Value/Setting
Default / Special Info
Required
Nickname - (MPPS Server)
Required
Application (AE) Title – (MPPS Server)
Required
IP Address (MPPS Server)
Required
Port Number 104
User option
Max PDU Receive Size
16384
User option
Max PDU Send Size
16384
Level
Parameter Name
User Site Value/Setting
Default / Special Info
User option
Nickname - (Worklist Server)
Required
Application (AE) Title - (Worklist Server)
Required
IP Address – (Worklist Server)
Required
Port Number 104
User option
Max PDU Receive Size
16384
User option
Max PDU Send Size
16384
User option
Scheduled Start Date
Today Last 2 Days Last 7 Days All
Today
User option
Scheduled Modality
US None Selections – Circle one if desired: (AU, BI, CD, CR, CT, DD, DG, DX, ECG, EPS, ES, FID, GM, HC, HD, IO, IVUA, KO, LS, MG, MR, NM, OP, OT, PR, PT, PX, REG, RF, RG, RTDOSE, RTIMAGE, RTPLAN, RTRECORD, RWV, SM, SMR, SR, ST, TG, US, XA, XC)
US
User option
Scheduled Station AE Title
User option
Automatic Query Type (Minutes)
Selections: (1, 3, 5, 10, 15, 30, 60, Disabled)
Every 5 Minutes
Worklist (DICOM) Setup Parameters (if applicable)
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Level
Parameter Name
User Site Value/Setting
Default / Special Info
User option
Maximum Entries Cached
200
User option
Filter Cached Entries
Filter Cached Entries
On (checked)
User option
Query on Display
Query on Display
Off (unchecked)
Media – Storage Setup Parameters
Level
Parameter Name
User Site Value/Setting
Default / Special Info
User option
General: Modality
Selections – Circle one if desired: (AU, BI, CD, CR, CT, DD, DG, DX, ECG, EPS, ES, FID, GM, HC, HD, IO, IVUA, KO, LS, MG, MR, NM, OP, OT, PR, PT, PX, REG, RF, RG, RTDOSE, RTIMAGE, RTPLAN, RTRECORD, RWV, SM, SMR, SR, ST, TG, US, XA, XC)
Assign from Modality Worklist
US
unchecked
User option
Still Image Store: Compression Level
None RLE Lossless JPEG Lossy
None
User option
Still Image Store: Compression Quality
(active only IF “JPEG Lossy” selected)
(85% - 100% selectable)
n/a
User option
Cine Image Store: Compression Level
None RLE Lossless JPEG Lossy
JPEG Lossy
User option
Cine Image Store: Compression Quality
(active only IF “JPEG Lossy” selected)
(85% - 100% selectable)
90 (%)
Level
Parameter Name
User Site Value/Setting
Default / Special Info
User option
MPPS Destination
Enable Disabled
Disabled
User option
Worklist Destination
Enable Disabled
Disabled
User option
Image Transfer Mode
Exam In Progress Exam Completed
Exam In Progress
Other DICOM/Network Related Behavior - Settings
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“DICOM” Configuration Procedure - Menus

NOTE: Refer to the “Survey Form” (on the previous pages), for detailed information of all the values that
are offered in the z.one
menus, for selection within the various fields, in each of the following
pro
configuration screens.

SITE SPECIFIC ”LOCATION” CONFIGURATION

The “Location” option supports cases where a User has a need to physically move their system from one
facility (location) to another on a regular basis. This function addresses cases where this movement includes connecting to a unique network at each location, for sending to DICOM devices, and those network connections consist of different IP addresses and/or target DICOM devices.
The “Location” feature allows for simultaneously having multiple configurations saved on the system, and
the ability to quickly toggle between those settings by merely changing “Locations” in the menu. The parameters that are saved as a unique “Location” using this feature are as listed below:
- System Setup->Display->Institution page settings (Hospital Name)
- System Setup->Archive->Network page settings (IP Address, Gateway, Netmask)
- System Setup->Archive->DICOM->General page settings (AE Title, etc)
- System Setup->Archive->DICOM->Worklist page settings (Enabled server selection)
- System Setup->Archive->Store/Print page settings for devices using Print/Store buttons
- System Setup->Archive->Serial Port page settings (Calc report data via USB port)
1. To setup a new “Location”, first go to the setup pages listed above, and configure all of the settings (IP
Addresses, AE Titles, etc) applicable to the new site location.
2. Once all the Network/DICOM/Store-Print settings have been entered in these other menus, perform the
following steps to capture those settings as a new “Location”.
--------------------------------------------------------------------------------------------------------------------
3. Use the Setup button and trackball to advance menu screen to select TOOLS menu
TOOLS Menu
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4. Using the trackball and scroll down to backlight SYSTEM SETUP selection, and press one of the
SET keys to bring up the main menu, then select the ARCHIVE option, followed by the
LOCATION option.
SYSTEM SETUP Sub-Menu ARCHIVE Sub-Menu
5. Within the Location selection, use the Menu Control to backlight Manage selection, and press one of
the SET keys to bring up this menu.
LOCATION Sub-Menu MANAGE Sub-Menu
6. Using the Menu Control, arrow down to backlight CREATE selection, and press one of the SET
keys to bring up the location creation page.
CREATE Sub-Menu
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7. Enter in the desired user-defined name to be used for the new “Location”
8. To save the new Location, select APPLY from the main menu, and press one of the SET keys
Open each of the configuration pages (Network, DICOM General, etc) for parameters that are savable under the Location manager, and enter in the desired settings. .

DICOM” GENERAL” CONFIGURATION

1. Use the Setup button and trackball to advance menu screen to select TOOLS menu.
TOOLS Menu
2. Using the trackball and scroll down to backlight SYSTEM SETUP selection, and press one of the
SET keys to bring up the main menu, then select the ARCHIVE option, followed by the DICOM option.
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SYSTEM SETUP Sub-Menu DICOM Sub-Menu
3. Within the DICOM selection, use the Menu Control to backlight GENERAL selection, and press the
SELECT button to bring up this menu.
DICOM Sub-Menu DICOM GENERAL Sub-Menu
4. Using the alpha-numeric keyboard, enter in the required DICOM configuration values/settings in the
appropriate fields, as specified in the information previously provided in the “Pre-Installation Site Survey Form”, by the medical facility’s IT System Administrator.
5. To save the new settings, select APPLY from the main menu, and press the SET key to save new
settings.
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DICOM “PRINTERS” CONFIGURATION

1. Within the DICOM selection, use the Menu Control to backlight PRINTERS selection, and press one
of the SET keys to bring up the DICOM Printer Administration menu.
DICOM Sub-Menu PRINTER Administration Sub-Menu
2. To create an entry for a new printer to be added to the DICOM connectivity for the z.one
, use the
pro
Menu Control to backlight NEW from the main menu, and press one of the SET keys to bring up the DICOM Printer Administration menu.
DICOM Sub-Menu PRINTER New/Edit Sub-Menu
DICOM Network Printer Setup Page
Local USB Printer Setup Page
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3. Using the alpha-numeric keyboard, enter in the DICOM configuration values/setting in the appropriate
fields, as specified in the information previously provided in the “Pre-Installation Site Survey Form”, by the medical facility’s IT System Administrator.
4. To save the new settings, select APPLY from the main menu, and press one of the SET keys to
save new settings.

DICOM” NETWORK STORE” CONFIGURATION

1. Within the DICOM selection, use the Menu Control to backlight Network Store selection, press one
of the SET keys to bring up this menu.
DICOM Sub-Menu DICOM NETWORK STORE Sub-Menu
2. To add a new network store archive, select NEW from the main menu, to bring up the following menu.
3. Using the alpha-numeric keyboard, enter in the DICOM configuration values/setting in the appropriate
fields, as specified in the information previously provided in the “Pre-Installation Site Survey Form”, by the medical facility’s IT System Administrator.
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4. To save the new settings, select APPLY from the main menu, and press one of the SET keys to
save new settings.

DICOM” MPPS” (MODALITY PERFORMED PROCEDURE STEP) CONFIGURATION

1. Within the DICOM selection, use the Menu Control to backlight MPPS (Modality Performed
Procedure Step) selection, press Select button to bring up this menu.
DICOM Sub-Menu DICOM MPPS Sub-Menu
2. To add a new MPPS destination, select the NEW from the main menu, to bring up the following sub-
menu.
3. Using the alpha-numeric keyboard, enter in the DICOM configuration values/setting in the appropriate
fields, as specified in the information previously provided in the “Pre-Installation Site Survey Form”, by the medical facility’s IT System Administrator.
4. To save the new settings, select APPLY from the main menu, and press one of the SET keys to
save new settings.
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DICOM” WORKLIST” CONFIGURATION

1. Within the DICOM selection, use the Menu Control to backlight Worklist selection, press Select
button to bring up this menu.
DICOM Sub-Menu DICOM WORKLIST CONFIG Sub-Menu
2. Using the alpha-numeric keyboard, enter in the DICOM worklist values/setting in the appropriate fields,
as specified in the information previously provided in the “Pre-Installation Site Survey Form”, by the medical facility’s IT System Administrator.
3. To save the new settings, select APPLY from the main menu, and press one of the SET keys to
save new settings.
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“Network” Setup

The “NETWORK” configuration menu allows for configuring the TCP/IP networking parameters that will be assigned to define the identity of the system on the hospital’s network.
1. Use the Setup button and trackball to advance menu screen to select TOOLS menu, then select
SYSTEM SETUP.
SYSTEM SETUP Menu NETWORK Menu
Using the trackball scroll down to backlight ARCHIVE selection, and press one of the SET keys to
bring up this menu.
Using the trackball scroll down to backlight NETWORK selection, and press one of the SET keys to
bring up this menu.
NETWORK Sub-Menu
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Using the alpha-numeric keyboard, enter in the required TCP/IP network configuration values/settings in the
appropriate fields, as specified in the information previously provided in the “Pre-Installation Site Survey Form”, by the medical facility’s IT System Administrator.
Using the Menu Control, arrow down to backlight Apply selection in the main menu, and press one of the
SET keys to save the serial port configuration setup, and exit.

9.1.1 “WIRELESS NETWORK” EQUIPMENT - SETUP

ZONARE supports wireless connectivity using the Quatech (brand) AirborneDirect (model) Wireless Ethernet Bridge (supported model is the ABDG-ET-DP501, or currently obsolete model ABDG-ET-DP101). This is a plug-and-play wireless networking solution that is compatible with all ZONARE ultrasound systems that support Ethernet connectivity. A special power cable, however, is required to supply power to the Quatech AirborneDirect device from a USB port on the ZONARE system, for portable operations.
The Quatech AirborneDirect Wireless Ethernet Bridge supports WiFi 802.11b/g wireless standards and connects to the ZONARE system through a 10 Base-T network interface. This device supports WEP (64/128 bit) and WPA encryption standards, and LEAP for network authentication (LEAP required the Quatech device to be configured with a static 128 bit key; this is known as "migration mode" and is not recommended for longterm use due to the static WEP key requirement). Before using it with the ZONARE system, the Quatech AirborneDirect device must be preconfigured for the user's networking environment – SSID, channel, encryption, and correct addressing scheme (DHCP/static).
Static IP addressing is required in order to be able to display the additional wireless status. When power is applied to a correctly configured Quatech AirborneDirect device that is connected to the Ethernet port on the ZONARE system, it will require 30 to 60 seconds to detect and then associate with the user's wireless network. Once a wireless network connection is established, the ZONARE system will reflect the connection state by showing the network ICON on screen, in an uncrossed state.
The configuration of the Wireless Bridge is done on the Network configuration screen. The source information required for wireless device configuration on the z.one
, is the static IP Address assigned (by the IT
pro
Administrator at the install site) to the Quatech AirborneDirect device and the Username and Password for the CLI interface (default is dpac for both).
For assistance with the configuration of the local network settings on the z.one
, to support that aspect of a
pro
wireless network installation, contact Mindray Technical Support.

“FTP” Setup

The “FTP” configuration menu allows for configuring the IP address and Nickname settings for direct network attached transfer (STORE) operations from the z.one
to remote storage on an FTP server, using the FTP
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protocol.
1. Use the Setup button and trackball to advance menu screen to select TOOLS menu, then select
SYSTEM SETUP.
SYSTEM SETUP Menu ARCHIVE Menu
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Using the trackball scroll down to backlight ARCHIVE selection, and press one of the SET keys to
bring up this menu.
Using the trackball scroll down to backlight FTP selection, and press one of the SET keys to bring up
this menu.
Using the trackball scroll down to backlight FTP Store selection, and press one of the SET keys to bring up this menu FTP Store Sub-Menu
Using the alpha-numeric keyboard, enter in the required FTP configuration values/settings in the appropriate
fields, as specified in the information previously provided in the “Pre-Installation Site Survey Form”, by the medical facility’s IT System Administrator.
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Using the trackball scroll down to backlight Apply selection in the main menu, and press one of the SET keys
to save the serial port configuration setup, and exit.
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10 ADVANCED SYSTEM SETUP CONFIGURATION

“Security” Setup Menus

Warning If the security password is lost or forgotten, there is NO master password available to
recover system access.
To restore use of the system, it will be necessary to perform a complete re-installation of system software. Refer to the “Advanced” Software Installation Procedure information in this manual.
1. Use the Setup button and trackball advance menu screen to select TOOLS menu.
TOOLS Menu
Using the trackball scroll down to backlight SECURITY selection, and press one of the SET keys to bring up this menu.
SECURITY Sub-Menu
Select the desired level of security control, by clicking on the bullet to the left of the desired offering in the menu.
ACCESS CONTROL Sub-Menu
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Title
Definition
Cart Battery
Configuration of power saving action when the system is being operated without AC power applied. System will be
Under the Logon Password field, enter in the desired security access password. (NOTE: You will need to enter it in a second time in the “CONFIRM” field, to ensure accuracy).
To save the new Security settings, select Apply on the main menu, and exit.

“Power Save” Setup Menu

CONFIGURING “POWER SAVE” CONFIGURATION

1. Within the System Setup screen, use the Menu Control to backlight Power Save selection, press one of
the SET keys to bring up this menu.
SYSTEM SETUP Sub-Menu POWER SAVE Sub-Menu
The three different categories of power operation mode configurations in this menu are:
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running off the z.one
pro
’s internal Z-PAK battery.
External Power
Configuration of power saving action when the system is running off AC wall power
The two configurable Power Save behaviors offered are:
Title
Function
Sleep when idle
Screen display is “Blanked”, after configured time period has
elapsed
Shutdown
System performs a complete sequenced “Power-Down” operation, after configured time period has elapsed
2. For each of the power configurations, select the desired power saving option, and enter the desired time
interval, from the menu.
NOTE: Unchecking the “Enabled” box, for either option, disables that time-out function
3. Place the arrow cursor over the APPLY soft-button displayed in this menu, and press one of the SET
keys to save new settings.
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11 FUNCTIONAL DESCRIPTIONS

System Capabilities

64-hardware - 128/192-synthetic channel system Supports B-Mode, M-Mode, Color, Power Doppler, PW 17” full-screen, 1280 x 1024 resolution, Display Full-sized alpha-numeric user keyboard Discrete function user controls Software mode assignable user controls User programmable keys Integrated stereo speakers (located in display) External I/O device connectivity
o Ethernet 10/100Base-T o eSata/USB Connector o USB port o HDMI Connector
Internal solid-state drive (image archive) Internal CD/DVD Multi-Recorder On-board Z-Pack Battery Module (Option)

Major FRUs

11.1.1 POWER MODULE ASSY, Z.ONE
VCart (power for module), +12V VDock (Monitor, UI, DVD, Printer), +12V Z-PAK battery charging circuitry Z-PAK battery fuel gauge PIC Power Supply Controller logic External system status LEDs (7)
P/N: 88012-00
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11.1.2 USER INTERFACE ASSY, Z.ONE
QWERTY keyboard OLED soft-function displays Trackball assembly DGC controls Discrete functional controls
11.1.3 DISPLAY, Z.ONE
P/N: 89051-00
pro
System display Speakers
P/N: 86700-00 (86702-00 FOR SP VERSION)
pro

11.1.4 ELECTRO AND MECHANICAL ASSEMBLIES

11.1.5 BRAKE MECHANISM - WHEEL

The system has 2 different types of casters. The front right caster (green tab) is used as a directional/swivel lock. The other 3 casters have break features. Using the bottom of your shoe to push down, press the lower tab to engage, and the upper tab to release.
With all 4 casters “unlocked” all casters will be in full swivel mode. By locking the front right (green) caster, the system will be in a directional mode. Any combination of the other 3 casters can be used to lock the system from moving.
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Press lower tab to lock and press upper tab to release break/direction feature.
Figure 6.1: Directional/swivel Caster Figure 7.2: (X3) Breaking Caster

11.1.6 HEIGHT ADJUSTMENT MECHANISM

The system utilizes a gas spring mechanism that enables the user to optimize the vertical position (height) of the user interface panel and LCD Display for optimum comfort and viewing during operation.
To raise or lower the unit, pull inward on the release lever, located on the inside of the right-front handle assembly on the system. This will allow the height of the system to be adjusted. Releasing the spring­loaded release lever locks the assembly into the current vertical position.
Figure 8: Height Adjustment Mechanism
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12 SYSTEM DIAGRAMS

BEGINS ON NEXT PAGE
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Power Block Diagram

Figure 21: Power Block Diagram
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Cabling Diagram

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Figure 22: Cabling Diagram

System Block Diagram

Figure 23: Overall System Block Diagram
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13 PERIPHERALS & ACCESSORIES

CD/DVD Drive

The system includes an internal CD/DVD burner that is used for exporting of ultrasound images. The
port for accessing the CD/DVD drive for insertion/removal of media is located just under the user
interface assembly.

13.1.1 MEDIA TYPES

Wide variability in CD and DVD quality can prevent the system from reliably writing to and reading from some commercially available discs. ZONARE has tested the CD and DVD products in Figure 13 and currently recommends their use. For up-to-date CD/DVD recommendations, go to
www.zonare.com/support/accessories/media/.
Figure 9: CD/DVD Part Numbers
IMPORTANT
For use of DVD media type for Exports, only one brand of DVD media has been tested and approved to be compatible for use with the ZONARE system. The approved DVD media type is Taiyo Yuden brand.
Before deleting any exam data from the system, always verify that the 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) is simultaneously exported onto the CD/DVD, allowing the exams to be opened, annotated, and saved in several formats on most PCs.
SPECIAL NOTE
If an incompatible type of DVD/CD media is accidentally inserted into the system drive, it will not be recognized by the system, and hence the “EJECT” function in the ARCHIVE menu will not be active (it will be “grayed-out”).
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In order to eject this type of incompatible media, it will be necessary to perform a manual
override “EJECT”. This is accomplished by holding down the “RECORD” button on the user interface panel of the z.one

13.1.2 OPERATION

, until the DVD/CD is ejected.
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The exporting/importing of exam data (images) to/from the DVD/CD burner on the z.one
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is
performed in the ARCHIVE review menu (pressing the ARCHIVE key). The DVD/CD burner is then selected as the target device; the desired exam(s) is highlighted in the Archive menu, and the “EXPORT” or “IMPORT” softkey function selected to copy the images.
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