ZONARE, the ZONARE logo and z.zone, Convertible Ultrasound™, Zone Sonography™, and Channel Domaine™ are all trademarks of ZONARE Medical Systems Inc. All other trademarks are the property of their respective holders.
Z.ONE ULTRASOUND SYSTEM : (2.0)
OPERATOR MANUAL
premium compact performance
Zone Sonography Technology
Z.ONE
ZONARE• i
• i
ZONARE, the ZONARE logo and z.one, Convertible Ultrasound™, Zone Sonography™, and Channel
Domain™ are all trademarks of ZONARE Medical Systems Inc. All other trademarks are the property of
their respective holders.
z.one Convertible Ultrasound™ System is covered by one or more of the following Patents:
The
6,251,073; 6,569,102; 6,866,631; 6,618,206; 6,773,399; 6,663,567; 6,685,645; 6,733,455; 6,866,632
United States Federal Law restricts this device to sale by or on the order of a physician, licensed
by the law of the jurisdiction in which they practice, to use or order the use of this device.
The ZONARE z.one is the world’s first Convertible Ultrasound™ system,
easily converting from a full-featured SuperCart (or miniCart) to a portable
Scan Engine. This flexibility gives the clinician a software-controlled alldigital ultrasound system using Zone Sonography
The z.one acquires and displays Brightness Mode (B-mode), Motion Mode
(M-mode), Color Doppler, Power Doppler, and Pulsed Wave (PW) Doppler
diagnostic images. Features include Sound Speed Compensation and Auto
DGC (option), cine review, image zoom, real time triplex, annotation and
body patterns, measurements and calculations, image archive and r eview,
DICOM connectivity (option), image retrospective processing, printing, and
recording capabilities. Images are stored on internal flash memory or
exported to network-attached devices. Presets, selected by the exam type,
make operation convenient and efficient.
The software-controlled architecture of Zone Sonography
advantages: compact premium performance; reduced cost of ownership;
simple software upgrades; and more comprehensive Channel Domain
image data used to form images.
™ technology.
z.one
™ provides major
™
The z.one easily converts from the full-featured SuperCart (or miniCart) to the
portable Scan Engine. This configuration gives the clinician the flexibility to
acquire the same premium quality ultrasound images in a conventional cartbased configuration or a small compact unit, depending on the requirements
of the clinical workflow.
The prudent use of ultrasound requires a constant consideration of the riskbenefit ratio for the patient, along with employment of the ALARA principle.
ALARA is an acronym for the principle of prudent use of diagnostic
ultrasound by obtaining the diagnostic information at a power output that is
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Introduction to the ZONARE z.one
“As Low As Reasonably Achievable.” Before using the z.one, refer to
“ALARA Principle” on page 9-9.
Intended Use
The z.one is the world’s first Convertible Ultrasound™, instantly converting
from the full-featured SuperCart (or miniCart) to the portable Scan Engine.
This flexibility gives the clinician a diagnostic ultrasound imaging system that
is intended to be used for the following types of sonographic examinations:
■ Obstetrics
■ Gynecology
■ Abdomen
■ Neonatal/Pediatrics
■ Small parts and superficial structures
■ Vascular, peripheral and deep
■ Needle guided procedures
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z.one Components
SuperCart
LCD Display Controls
LCD Display
Introduction to the ZONARE z.one
1
Gel Holder
Control Panel
Transducer
Holders
Control Panel
Height Adjust
Microphone
Speakers
Scan Engine Eject
Scan Engine
Power On/Off
Scan Engine
Scan Engine
Pocket
Footrests
Transducer
Connector
Transducer
Connector Holders
Brake Pedal
Figure 1-1. SuperCart with Scan Engine Docked (Front View)
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Introduction to the ZONARE z.one
Print
Expose
USB
Audio (In)
L
R
R
Audio (Out)
Composite
Video (Out)
Composite Video
(In)
L
SVHS (Out)
SVHS (In)
LP-2 (Printer Port)
(future use)
VGA (Out)
LCD Display Controls
9 Pin Serial
“Female” DCE
(future use)
LEDs
9 Pin Serial
“Male” DTE
(future use)
Ethernet
(networking)
AC Distribution
Access
AC Power Cord
Wrap Mounts
Circuit Breaker
Figure 1-2. SuperCart with Scan Engine Docked (Back View)
The SuperCart is a full-function ultrasound workstation with a 13-inch LCD
Display, a full-featured control panel, transducer storage, and peripheral and
DICOM connectivity. It is smaller and lighter than conventional systems of
equivalent image quality, and therefore can be used in situations where a
conventional ultrasound system simply would not fit.
The Scan Engine serves as the main processing device (“brains”) for the
SuperCart. For the SuperCart to function, the Scan Engine must be docked
(placed on the docking plate of the SuperCart). Refer to Figure 1-1. When the
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Scan Engine Docking
Introduction to the ZONARE z.one
Scan Engine is docked, the user can acquire images and carry out
retrospective processing (gain adjustment, sweep speed, etc.) using the fullfeatured control panel. Patient images can be archived (saved) to the internal
flash memory; and if ethernet connectivity is enabled, images can be saved to
the network (DICOM) archive device. Images archived to internal flash
memory can later be recalled for post-study analysis. The user can annotate
images and perform basic measurements.
The Scan Engine pocket, in the SuperCart, is the docking station for the Scan
Engine. It houses the electronic connections between the two z.one
components. When the Scan Engine is docked and the SuperCart main circuit
breaker is powered on, the Scan Engine’s battery is being recharged.
The Scan Engine is the main processing component of the z.one. The push
button power-on/off switch, on the Scan Engine (when the Scan Engine is
docked in the pocket of the SuperCart), serves as the normal power on/off
user control for the z.one. The circuit breaker, located at the rear of the
SuperCart, is normally left in the “On” (up) position at all times (unless the
SuperCart is being prepared for transport or service).
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SuperCart LCD Display
Figure 1-3. SuperCart LCD Display
The SuperCart has a 13-inch LCD Display, which shows a full-screen view of
the ultrasound image, plus patient and imaging information in designated
areas of the screen. The brightness and contrast settings for the LCD Display
on the SuperCart are adjustable by the user, using the rotary dials located on
the left side of the LCD Display. Refer to Figure 1-8. When an on-screen setup
menu is called up by exercising one of the LCD Display control dials, a
corresponding menu appears briefly in the Control area on the left of the
screen.
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The LCD display controls include the following:
–Top dial: Controls brightness.
–Middle dial: Controls contrast.
–Bottom dial-push button: Displays a full menu control of monitor
NOTE: For the top and mid dle di als , th e r ecomm en d ed (f actory d ef ault) settin g s are
indicated by an
SuperCart Control Panel
Patient Data/
Archive/Review Row
settings (for use by ZONARE service personnel only).
✱ next to the numeric value on the progress bar.
Keyboard
Annotations Row
Doppler Area
Function
Keys
Menu
Controls
Trackball
Cluster
Mode
Keys
TGC
Figure 1-4. SuperCart Control Panel: Overview
The SuperCart control panel features include the following:
■ The keyboard for annotating. This keyboard has additional contr o l keys in
the top and bottom rows for accessing image annotation, archive and
review, and other special functions.
■ The trackball and associated keys, used to position the cursors and to
define the region of interest (ROI) and the Pulsed Wave (PW) gate in the
image area.
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AC Distribution
Transducer storage
Introduction to the ZONARE z.one
■ The Menu area, containing the Menu Control and keys for navigating
1
menus.
■ The Doppler area, with controls for optimizing color, power, and pulse
wave Doppler images.
■ The Mode keys, for entering and exiting M-mode, Color Doppler mode,
and PW Doppler mode.
■ The 2D control area with toggle/rocker keys, knobs, and Tissue Gain
Compensation (TGC) for image optimization.
The AC Distribution area, at the rear of the SuperCart, houses the I/O cables
for the peripherals, an AC accessory outlet box, and the main circuit breaker
for the SuperCart.
Safe storage for approved z.one transducers is provided on both sides of the
SuperCart.
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Introduction to the ZONARE z.one
miniCart
LCD Display
Docking
Connector
Scan Engine
LCD Display
Gel Bottle
Holder
Enhanced Keyboard
Sony UP-D897
B/W Printer
(Option)
Locking/Swivel Wheels
Transducer
Holders
Transducer
Lift Release
Handle
Scan Engine
Swivel Wheels
Figure 1-5. miniCart with Scan Engine Docked (Front View)
The miniCart is a compact ultrasound workstation with a 13-inch LCD
Display, full-sized enhanced keyboard, transducer storage, and USB ports to
support peripheral devices and networking (via a USB-to-Ethernet dongle).
The miniCart is smaller and lighter than conventional ultrasound systems of
equivalent image quality, and therefore can be used in situations where a
conventional ultrasound system simply would not fit.
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Scan Engine Docking
Introduction to the ZONARE z.one
The Scan Engine serves as the main processing device (“brains”) for the
miniCart. For the miniCart to function, the Scan Engine must be docked
(placed on the docking plate of the miniCart). Refer to Figure 1-1. Patient
images can be archived (saved) to the internal flash memory; and if ethernet
connectivity is enabled, images can be saved to the network (DICOM) archive
device. Images archived to internal flash memory can later be recalled for
post-study analysis. The user can annotate images and perform basic
measurements.
Patient images can also be imported or exported to/from the internal
CompactFlash memory of the Scan Engine, utilizing a USB Flash Stick device.
The USB Flash Memory device can be plugged directly into the USB port of
the standalone Scan Engine, or into one of the USB ports on the miniCart
(when the Scan Engine is docked).
The Scan Engine pallet, on the miniCart, is the docking station for the Scan
Engine. It houses the electronic connections between the two z.one
components. When the Scan Engine is docked and the miniCart is powered
on, the Scan Engine's battery is being recharged.
1
The Scan Engine is the main processing component of the z.one. The push
button power-on/off switch, on the Scan Engine serves as the normal power
on/off user control for the z.one.
miniCart LCD Display - Video Level Adjustment
Figure 1-6. miniCart LCD Display
The miniCart has a 13-inch LCD Display, which shows a full-screen view of
the ultrasound image, plus patient and imaging information in designated
areas of the screen.
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Unlike the SuperCart, the LCD Display on the miniCart does not have any
manual adjustment control knobs. All adjustments of the LCD Display on the
miniCart are performed from an on-screen setup menu on the z.one.
The available adjustments are:
–Brightness
–Contrast
–Color Temperature (Red, Green, Blue)
The adjustment of the video settings on the LCD Display, are accomplished by
performing the following steps.
1. Power on the z.one and allow it to fully boot.
2. Select Tools | System Setup | Display | Audio/Video|, to access the
audio/video configuration menu.
3. Using the trackball, place the cursor arrow to the desired position on
the sliding bar scale (o f th e desire d display contr ol), and pr ess the Set
key to mark the setting.
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4. Repeat the steps above for any additional display settings that are
desired for change.
5. To s ave the new settin gs and ex it, select Apply from the men u, to save
the configuration and return to the Audio/Video menu.
6. Visually inspect the output of the LCD Display, to confirm the desired
video levels are achieved. Repeat the above steps, if required.
Cart Scan Engine Display Backstop
Introduction to the ZONARE z.one
1
Figure 1-8. miniCart Scan Engine Display Backstop
The miniCart incorporates a custom display backstop that serves to hold the
Scan Engine Touchscreen display in place while in use. Without the backstop,
a user pushing on the Touchscreen display would soon find the display
positioned in an undesirable use position.
The miniCart backstop can slide up and down the miniCart display column to
allow the user to change the angle of the Scan Engine LCD display.
In the miniCart configuration of the z.one system, mode selections, user
menus and most basic operations are performed using trackball and buttons
on the control panel of the Scan Engine. In addition to the control panel, the
Scan Engine’s flip-up display serves as a touchscreen for the user to quickly
activate a number of the z.one system functions.
An enhanced keyboard is also included in the miniCart configuration of the
z.one system. The enhanced keyboard is located beneath the miniCart's
scanning pad, on a pull out shelf. The enhanced keyboard contains standard
text keys for annotating, as well as dedicated function keys (in the top and
bottom rows) for accessing image annotation, archive/review, and other
special system operations.
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AC Distribution
The miniCart has an AC inlet and fuse holder. The miniCart also contains an
AC plug, available for use with the Sony UP-D897 Black & White Printer.
The only AC powered peripheral permitted to be used with the miniCart
supplied AC plug is the Sony UP-D897 B&W printer. Any other peripheral's
usage would require that the user validate the usage to IEC60601.
Fuse Replacement:
Use T6.3A 250V slo-blow fuses when operating the miniCart in a 100-120VAC
environment. Use Littlefuse part number 021806.3HXP or equivalent.
Use T3.15A 250V slo-blow fuses when operating the miniCart in a 200220VAC environment. Use Littlefuse part number 02183.15HXP or
equivalent.
miniCart Mobile Transport
Introduction to the ZONARE z.one
1
To prevent potential damage to the miniCart’s LCD display monitor and
mounting hardware, from shock and vibration that may occur during mobile
transport (while loaded in a vehicle), a foam support pad should be placed
between the bottom surface of the LCD display and the lily pad docking
surface of the miniCart
The combined height of the foam support should be tall enough to hold the
LCD at a horizontal fold-down position (as shown below).
Figure 1-10. miniCart LCD Display Support (Mobile Transport)
Transducer Storage
Safe storage for approved z.one transducers is provided on both sides of the
miniCart.
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Scan Engine
LCD Display
Touchscreen
Speaker Volume Control
Speakers
Control Panel
Handle
Display
Release
Battery
Battery Eject
Battery Charge Level
Figure 1-11. Scan Engine with Transducer (Front View)
Stylus
(Behind the
LCD Display)
Contrast/
Brightness
Controls
Microphone
Power On
Indicator
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Stylus
Introduction to the ZONARE z.one
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Cooling Fan Opening
USB 2.0 Port
External Video
(DVI Port)
+12V Power In
(From AC Power Pack)
Power Switch
Figure 1-12. Scan Engine (Back View)
The Scan Engine contains the z.one system software. It can be used for
complete examinations or limited procedures. When the Scan Engine is
docked, images are processed internally using the 13” LCD Display on the
SuperCart (or miniCart). When the Scan Engine is undocked, images are
displayed on the Scan Engine’s local LCD Display and user operations are
performed on the Scan Engine’s local compact control panel.
The Scan Engine is powered by an internal rechargeable battery (or the
optional AC adapter) when the Scan Engine is being operated in an undocked
condition. The Scan Engine's internal battery is automatically being recharged
anytime the Scan Engine is docked to an AC powered Supercart or miniCart.
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Scan Engine LCD Display
Figure 1-13. Scan Engine LCD Display Layout
The Scan Engine LCD Display is divided into the Image area in the center , the
Control area on the left, and the Info area on the right. The Image area
displays the sonogram, plus patient and image information in designated
areas of the screen. Refer to Figure 1-13. The active on-screen menu displays
in the Control area.
A touchscreen keyboard, called the V irtua l Keyboard (VKB), can be displayed
on the LCD Display of the Scan Engine. The VKB enables the user to make
standard alpha-numeric data entries when the Scan Engine is being operated
in an undocked condition from the SuperCart (or miniCart).
The VKB is used for all functions requiring user data entry. Free-text
annotations and other text/data entry operations (e.g., patient data entry and
system configuration data entry) are inserted by touching virtual
alphanumeric keys on the touchscreen, with the stylus.
The bezel surrounding the display includes additional touchscreen
functionality. These functions include adjustments for brightness and contrast
of the Scan Engine’s LCD Display, and local speaker audio volume.
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USB Memory Sticks
Figure 1-14. USB Memory Sticks
The z.one uses removable USB Memory sticks as the method for storage of
patient image files and user Preset and user System configuration files. In
addition, a USB Memory Stick is used as the source media for installing/
upgrading system software on the Scan Engine.
Introduction to the ZONARE z.one
1
Transducers
There are two USB Memory Sticks that supplied at the time of system
installation, which should be maintained at each system site. It is
recommended that each USB Memory Stick ONLY be used for its own
dedicated purpose (i.e. not storing patient images on the system/preset
backup USB Memory Stick). The dedicated USB Memory Sticks that should
be maintained at each z.one customer site are:
■ 1) Software Installer & User Presets/System Backup
■ 2) Patient Image Archive
WARNING: The USB Mem ory Sticks suppli ed by ZONARE are the r ecommen ded bran d,
type and sizes for use in the z.one. These USB Memory Sticks have been tested and
verified for optimum reliability and performance. If the User outsources their own
brand and size of USB Memory Stick, ZONARE is not responsible for any errors
associated with file corruption, or file transfer time increases.
Figure 1-15. Transducer
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The z.one transducers are lightweight and have a number of ergonomic
features to maximize the ease of use for the user. These features include tactile
orientation markers and grip ridges. Transducer holders on both sides of the
SuperCart (or miniCart) provide safe and accessible storage. Refer to “To
The z.one transducers have a specific range of acceptable application of use.
ZONARE recommends that each transducer’s use be restricted exclusively to
those applications.
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