Zonare Z.one Ultra User manual

Z.ONE

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 pr operty of their respective holders.

Z.ONE ULTRASOUND SYSTEM : (2.0)

OPERATOR MANUAL

premium compact performance

Zone Sonography Technology

Z.ONE

ZONARE • i

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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.

ii • z.one OPERATOR MANUAL, Version 2.0 ZONARE

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Contents

List of Figures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ix

1 Introduction to the ZONARE z.one . . . . . . . . . . . . . . . . 1-1

Intended Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2

z.one Components. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3

SuperCart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3

miniCart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8

Scan Engine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-13

USB Memory Sticks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-16

Transducers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-16

SuperCart Peripherals . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-18

miniCart Peripherals . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-18

DICOM Connectivity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-18

Contact and System Information . . . . . . . . . . . . . . . . . . . . . . . 1-18

2 Getting Started . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1

SuperCart & miniCart Moving Cautions . . . . . . . . . . . . . . . . . . . . 2-1

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1

Security Locking of the Scan Engine . . . . . . . . . . . . . . . . . . . . . . 2-4

Docking and Undocking the Scan Engine . . . . . . . . . . . . . . . . . . . 2-4

Powering On and Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7

Inserting and Removing USB Memory Stick Media. . . . . . . . . . . . . 2-11

Installing and Removing a Battery . . . . . . . . . . . . . . . . . . . . . . 2-12

Checking Battery Charge. . . . . . . . . . . . . . . . . . . . . . . . . . 2-13

Battery Charger, 2-Bay: Connection & Use . . . . . . . . . . . . . . . . . . 2-14

AC Power Adapter: Connection & Use . . . . . . . . . . . . . . . . . . . . 2-17

Connecting and Disconnecting a Transducer. . . . . . . . . . . . . . . . . 2-19

Applying a Transducer Cover . . . . . . . . . . . . . . . . . . . . . . . . . 2-20

Attaching a Biopsy Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-20

Mechanical Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-21

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Contents

miniCart Enhanced Keyboard Access . . . . . . . . . . . . . . . . . . . . . 2-24

SuperCart Rear I/O Panel. . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-24

miniCart Rear I/O Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-25

User Controls. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-26

SuperCart User Interface Functions . . . . . . . . . . . . . . . . . . . . 2-26

SuperCart Keyboard Functions . . . . . . . . . . . . . . . . . . . . . . 2-30

miniCart Enhanced Keyboard Functions . . . . . . . . . . . . . . . . . 2-33

Scan Engine User Interface Functions. . . . . . . . . . . . . . . . . . . 2-36

Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-38

Tabs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-40

3 Imaging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1

Preparation for Imaging. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1

Patient Information Form. . . . . . . . . . . . . . . . . . . . . . . . . . 3-1

DICOM Worklist. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4

Beginning a New Exam. . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4

Presets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6

Function Keys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-10

Live and Frozen Images . . . . . . . . . . . . . . . . . . . . . . . . . . 3-11

Brightness Mode (B-mode) Imaging . . . . . . . . . . . . . . . . . . . . . . 3-11

B-mode Menu - (SuperCart & Scan Engine) . . . . . . . . . . . . . . . 3-12

B-Mode Touchscreen Menu - (miniCart) . . . . . . . . . . . . . . . . . 3-12

Working with B-mode Imaging . . . . . . . . . . . . . . . . . . . . . . 3-13

“DUAL” Imaging Mode - Introduction . . . . . . . . . . . . . . . . . . 3-13

“DUAL” Imaging Mode - Activation . . . . . . . . . . . . . . . . . . . 3-13

Simultaneous DUAL Operation . . . . . . . . . . . . . . . . . . . . . . 3-14

Optimize Feature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14

B-mode Controls. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-16

Motion Mode (M-Mode) Imaging . . . . . . . . . . . . . . . . . . . . . . . 3-22

M-Mode Menu. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-23

Working with M-mode Imaging . . . . . . . . . . . . . . . . . . . . . . 3-23

M-mode Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-24

Color and Power Doppler Imaging . . . . . . . . . . . . . . . . . . . . . . 3-27

Color Doppler Menu (SuperCart & Scan Engine) . . . . . . . . . . . . 3-28

Color Doppler Touchscreen Menu - (miniCart) . . . . . . . . . . . . . 3-28

Working with Color and Power Doppler Imaging. . . . . . . . . . . . 3-29

“DUAL” Imaging Mode - Introduction . . . . . . . . . . . . . . . . . . 3-29

“DUAL” Imaging Mode - Activation . . . . . . . . . . . . . . . . . . . 3-30

Simultaneous DUAL Operation . . . . . . . . . . . . . . . . . . . . . . 3-30

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Contents

Color Doppler and Power Doppler Controls . . . . . . . . . . . . . . 3-32

Pulse Wave (PW) Doppler Imaging . . . . . . . . . . . . . . . . . . . . . . 3-38

Working with PW Doppler Imaging . . . . . . . . . . . . . . . . . . . 3-38

PW Doppler Controls. . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-40

Duplex Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-45

Triplex Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-46

4 Annotations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1

Annotation Types . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2

Free-form Text . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2

Programmed Orientation Text (POT) . . . . . . . . . . . . . . . . . . . . 4-2

List Text Entries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2

Arrow Graphic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3

Body Pattern Graphics . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3

Annotation Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3

Working with Annotations. . . . . . . . . . . . . . . . . . . . . . . . . . 4-7

Working with Graphics. . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-9

5 Measurements and Calculations . . . . . . . . . . . . . . . . . . 5-1

Introduction to Measurements and Calculations . . . . . . . . . . . . . . . 5-1

Exam Types and Measurement Menus . . . . . . . . . . . . . . . . . . . 5-2

Calculation Packages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2

Tools for Measurements and Calculations . . . . . . . . . . . . . . . . . . . 5-5

Freeze Menu. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5

Measure Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5

Calipers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6

Data Display Box (DDB) . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7

Generic Measurements Procedures . . . . . . . . . . . . . . . . . . . . . . . 5-7

B-Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7

M-Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-11

PW Doppler Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-12

OB Calculation Package . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-20

OB Worksheets and Reports . . . . . . . . . . . . . . . . . . . . . . . . 5-22

Procedures for OB Calculation Packages. . . . . . . . . . . . . . . . . 5-24

Additional Calculation Packages . . . . . . . . . . . . . . . . . . . . . . . 5-26

Gyn and Follicular Package . . . . . . . . . . . . . . . . . . . . . . . . 5-26

Vascular Packages. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-26

Carotid Calc Package . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-26

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Contents

Upper Extremity Arterial Calc Package . . . . . . . . . . . . . . . . . 5-27

Lower Extremity Arterial Calc Package . . . . . . . . . . . . . . . . . 5-27

Lower Extremity Venous Calc Package . . . . . . . . . . . . . . . . . . 5-28

Upper Extremity Venous Calc Package . . . . . . . . . . . . . . . . . . 5-28

Worksheet and Report Pages . . . . . . . . . . . . . . . . . . . . . . . . . . 5-29

z.one Measurement Accuracy . . . . . . . . . . . . . . . . . . . . . . . . . 5-30

2D Measurement Accuracy. . . . . . . . . . . . . . . . . . . . . . . . . 5-30

Elapsed Time or Rate Measurement Accuracy . . . . . . . . . . . . . . 5-31

Color Doppler Registration Accuracy. . . . . . . . . . . . . . . . . . . 5-32

PW Doppler Velocity Measurement Accuracy . . . . . . . . . . . . . . 5-32

Numeric Display Accuracy. . . . . . . . . . . . . . . . . . . . . . . . . 5-33

6 Archive and Review . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1

Tools for Archive and Review . . . . . . . . . . . . . . . . . . . . . . . . . 6-2

“Media” Configuration - Compression Settings:. . . . . . . . . . . . . 6-2

“Media” Configuration - (Clip Store) Duration Setting:. . . . . . . . . 6-2

“Storage Media”: Tools - Maintenance: . . . . . . . . . . . . . . . . . . 6-3

Store/Print Keys: Paper Printing (B/W or Color) to Sony Printers . . 6-3

Store/Print Keys: Still Image & Clip Image Stores. . . . . . . . . . . . 6-6

Keyboard Keys (SuperCart & miniCart) . . . . . . . . . . . . . . . . . 6-8

Archive and Review Menu Items . . . . . . . . . . . . . . . . . . . . . 6-9

Viewing Images in an Archived Exam . . . . . . . . . . . . . . . . . . 6-14

Deleting Images and Exams . . . . . . . . . . . . . . . . . . . . . . . . 6-15

Storing Archived Exams to DICOM Devices (SuperCart or miniCart) 6-20

Restarting an Exam . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-20

Importing/Exporting of Exams: USB Memory Sticks . . . . . . . . . . 6-22

7 Peripherals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1

Sony UP-897MD B&W Video Printer . . . . . . . . . . . . . . . . . . . . . 7-2

Setup: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2

Operation: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2

Sony UP-21MD Color Video Printer.. . . . . . . . . . . . . . . . . . . . . . 7-3

Operation: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3

Panasonic LQ-MD800 DVD Video Recorder . . . . . . . . . . . . . . . . . 7-4

Recording: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-4

Finalizing (Burning) DVD For Viewing: . . . . . . . . . . . . . . . . . 7-4

Sony UP-D897 Digital (USB 2.0) B&W Printer (miniCart). . . . . . . . . . 7-5

Operation: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-6

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8 DICOM Connectivity. . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1

Configuring DICOM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1

DICOM menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2

DICOM Configuration Parameters . . . . . . . . . . . . . . . . . . . . . 8-3

DICOM Pre-Installation Survey Form . . . . . . . . . . . . . . . . . . . 8-6

9 Safety. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-1

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-1

Symbols. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-1

Regulatory Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-3

Device Classification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-3

Safety Standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-3

Warnings and Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-3

Electrical Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-8

Medical Ultrasound Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-9

Acoustic Output. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-9

General Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-11

B-Mode Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-12

Color Doppler Controls . . . . . . . . . . . . . . . . . . . . . . . . . . 9-12

Transducers: Performance (Measured) . . . . . . . . . . . . . . . . . . 9-13

Transducers: Acoustic Power Output. . . . . . . . . . . . . . . . . . . 9-15

Display Accuracy and Precision. . . . . . . . . . . . . . . . . . . . . . 9-47

Guidance Documents. . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-48

Product Labeling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-50

10 User Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-1

Touchscreen Calibration (Scan Engine) . . . . . . . . . . . . . . . . . . . . 10-3

PRESETS - SYSTEM: Backup/Restore. . . . . . . . . . . . . . . . . . . . . 10-4

Backing-Up System/Presets . . . . . . . . . . . . . . . . . . . . . . . . 10-4

Restoring System/Presets . . . . . . . . . . . . . . . . . . . . . . . . . 10-5

Software Upgrade/Installation Procedure . . . . . . . . . . . . . . . . . . 10-6

User Diagnostic Panel Menu: Operations. . . . . . . . . . . . . . . . . . . 10-8

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-8

Main AC Power Fuse Replacement (miniCart). . . . . . . . . . . . . . . 10-10

Basic System Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-11

Checking the Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-11

Battery Charging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-11

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Contents

Battery Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-12

Cleaning the z.one. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-12

Cleaning and Care of Transducers . . . . . . . . . . . . . . . . . . . . . . 10-16

Cleaning and Disinfecting . . . . . . . . . . . . . . . . . . . . . . . . 10-16

Shipping and Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-19

Disposal. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-19

11 Troubleshooting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-1

Contact Information for ZONARE Service and Technical Support. . . . . 11-1

United States and Canada . . . . . . . . . . . . . . . . . . . . . . . . . 11-1

Europe and Asia. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-1

User Troubleshooting Procedures . . . . . . . . . . . . . . . . . . . . . . . 11-2

Power-On Problems. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-2

System Start-Up Problems . . . . . . . . . . . . . . . . . . . . . . . . . 11-3

Peripheral Problems. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-3

Transducer Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-4

Imaging Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-4

General Operation Problems. . . . . . . . . . . . . . . . . . . . . . . . 11-5

12 Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-1

EMC Standards Compliance . . . . . . . . . . . . . . . . . . . . . . . . 12-4

Electro-Medical Compliance . . . . . . . . . . . . . . . . . . . . . . . . 12-4

A Glossary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1

Glossary. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1

Terms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1

Acronyms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-5

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List of Figures

Figure 1-1. SuperCart with Scan Engine Docked (Front View) . . . . . . 1-3

Figure 1-2. SuperCart with Scan Engine Docked (Back View). . . . . . . 1-4

Figure 1-3. SuperCart LCD Display . . . . . . . . . . . . . . . . . . . . . 1-5

Figure 1-4. SuperCart Control Panel: Overview . . . . . . . . . . . . . . 1-6

Figure 1-5. miniCart with Scan Engine Docked (Front View) . . . . . . . 1-8

Figure 1-6. miniCart LCD Display . . . . . . . . . . . . . . . . . . . . . . 1-9

Figure 1-7. miniCart Scan Engine Display Backstop . . . . . . . . . . . 1-10

Figure 1-8. miniCart Enhanced Keyboard & Scan Engine Controls:

Overview 1-11

Figure 1-9. Scan Engine with Transducer (Front View) . . . . . . . . . 1-13

Figure 1-10. Scan Engine (Back View) . . . . . . . . . . . . . . . . . . . . 1-14

Figure 1-11. Scan Engine LCD Display Layout. . . . . . . . . . . . . . . 1-15

Figure 1-12. USB Memory Sticks. . . . . . . . . . . . . . . . . . . . . . . 1-16

Figure 1-13. Transducer . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-16

Figure 2-1. Height Release Lever Positioning (SuperCart & miniCart). . 2-1

Figure 2-2. LCD Display Position. . . . . . . . . . . . . . . . . . . . . . . 2-2

Figure 2-3. Do’s for Transducer Cables . . . . . . . . . . . . . . . . . . . 2-2

Figure 2-4. User Position During Normal Cart Movement . . . . . . . . 2-3

Figure 2-5. Cart Wheel Position over Obstacles. . . . . . . . . . . . . . . 2-3

Figure 2-6. User Position During Cart Movement over Obstacles . . . . 2-3

Figure 2-7. Scan Engine Security “Locking” in SuperCart or miniCart. . 2-4

Figure 2-8. Scan Engine Docking in SuperCart . . . . . . . . . . . . . . . 2-5

Figure 2-9. Scan Engine Docking in miniCart. . . . . . . . . . . . . . . . 2-6

Figure 2-10. Scan Engine Undocking from miniCart . . . . . . . . . . . . 2-7

Figure 2-11. Scan Engine Power Button and SuperCart Circuit Breaker. . 2-8

Figure 2-12. ZONARE Start-up Screen . . . . . . . . . . . . . . . . . . . . 2-8

Figure 2-13. Access Control Screen . . . . . . . . . . . . . . . . . . . . . . 2-9

Figure 2-14. Scan Engine Power Button. . . . . . . . . . . . . . . . . . . 2-10

Figure 2-15. USB Memory Stick and Scan Engine (Rear View) . . . . . . 2-11

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• ix

List of Figures

Figure 2-16. z.one Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-12

Figure 2-17. Battery Charger, 2-Bay . . . . . . . . . . . . . . . . . . . . . 2-14

Figure 2-18. LED Status Indicator Definitions . . . . . . . . . . . . . . . 2-16

Figure 2-19. AC Power Adapter - 2.0 Scan Engine . . . . . . . . . . . . . 2-17

Figure 2-20. z.one Transducer. . . . . . . . . . . . . . . . . . . . . . . . . 2-19

Figure 2-21. Brake Pedal (SuperCart) . . . . . . . . . . . . . . . . . . . . 2-21

Figure 2-22. Brake Levers (miniCart). . . . . . . . . . . . . . . . . . . . . 2-22

Figure 2-23. Height Adjustment Release Lever . . . . . . . . . . . . . . . 2-22

Figure 2-24. LCD Display Positioning (SuperCart). . . . . . . . . . . . . 2-23

Figure 2-25. LCD Display Rotation & Locking (miniCart). . . . . . . . . 2-23

Figure 2-26. miniCart Enhanced Keyboard Access. . . . . . . . . . . . . 2-24

Figure 2-27. SuperCart Rear I/O Panel . . . . . . . . . . . . . . . . . . . 2-24

Figure 2-28. miniCart Rear I/O Panel (USB Hub) . . . . . . . . . . . . . 2-25

Figure 2-29. SuperCart User Interface Layout. . . . . . . . . . . . . . . . 2-26

Figure 2-30. SuperCart Keyboard Layout . . . . . . . . . . . . . . . . . . 2-30

Figure 2-31. miniCart Enhanced Keyboard Layout. . . . . . . . . . . . . 2-33

Figure 2-32. Scan Engine User Interface Layout . . . . . . . . . . . . . . 2-36

Figure 2-33. Imaging Tab Menu with Selections . . . . . . . . . . . . . . 2-38

Figure 2-34. Presets Menu Tab with Selections . . . . . . . . . . . . . . . 2-40

Figure 2-35. Patients Menu Tab with Selections. . . . . . . . . . . . . . . 2-41

Figure 3-1. Patient Information Form with Exam Type Selection List. . 3-1

Figure 3-2. DICOM Worklist. . . . . . . . . . . . . . . . . . . . . . . . . 3-4

Figure 3-3. Function Key Configuration Screen . . . . . . . . . . . . . . 3-10

Figure 3-4. B-mode Image Display Format. . . . . . . . . . . . . . . . . 3-11

Figure 3-5. B-Mode Menu (Imaging Tab) - SuperCart & Scan Engine. . 3-12

Figure 3-6. B-Mode Touchscreen Menu - miniCart . . . . . . . . . . . . 3-12

Figure 3-7. M-Mode Image Display Format . . . . . . . . . . . . . . . . 3-22

Figure 3-8. M-Mode Menu (Imaging Tab) - SuperCart & Scan Engine . 3-23

Figure 3-9. Color Mode & Power Doppler Display Format . . . . . . . 3-27

Figure 3-10. Color Doppler Menu (Imaging Tab) - SuperCart & Scan Engine

3-28

Figure 3-11. Color Doppler Touchscreen Menu - miniCart . . . . . . . . 3-28

Figure 3-12. Pulse Wave (PW) Doppler Image . . . . . . . . . . . . . . . 3-38

Figure 4-1. Annotation Keys. . . . . . . . . . . . . . . . . . . . . . . . . 4-1

x • z.one OPERATOR MANUAL, Version 2.0 ZONARE

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List of Figures

Figure 4-2. Top Row of the Keyboard (SuperCart or miniCart) Keys. . . 4-1

Figure 4-3. Text Menu & Virtual Keyboard (Scan Engine). . . . . . . . . 4-2

Figure 5-1. Calculation menus . . . . . . . . . . . . . . . . . . . . . . . . 5-2

Figure 5-2. Freeze Menu on the Scan Engine . . . . . . . . . . . . . . . . 5-5

Figure 5-3. Measure Menu. . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5

Figure 5-4. Calculations Menu . . . . . . . . . . . . . . . . . . . . . . . 5-20

Figure 5-5. OB Worksheet (page 1) . . . . . . . . . . . . . . . . . . . . . 5-22

Figure 5-6. OB Worksheet (page 2) . . . . . . . . . . . . . . . . . . . . . 5-22

Figure 5-7. OB Worksheet (page 3) . . . . . . . . . . . . . . . . . . . . . 5-23

Figure 5-8. OB Worksheet (page 4) . . . . . . . . . . . . . . . . . . . . . 5-23

Figure 5-9. OB Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-24

Figure 6-1. Storage Media Configuration Menu . . . . . . . . . . . . . . 6-3

Figure 6-2. DICOM Print/Store Button Configuration Menu. . . . . . . 6-4

Figure 6-3. Internal CompactFlash Icon Active and Inactive . . . . . . . 6-6

Figure 6-4. SuperCart & miniCart Keyboard Keys . . . . . . . . . . . . . 6-8

Figure 6-5. Archive/Review keys . . . . . . . . . . . . . . . . . . . . . . 6-9

Figure 6-6. Patient Selection Table . . . . . . . . . . . . . . . . . . . . . 6-12

Figure 6-7. Exam Selection Table Heading Configuration . . . . . . . . 6-12

Figure 6-8. ARCHIVE Main Menu (EXPORT - IMPORT Option). . . . 6-22

Figure 6-9. EXPORT Main Menu . . . . . . . . . . . . . . . . . . . . . . 6-23

Figure 6-10. EXPORT “Options” Menu . . . . . . . . . . . . . . . . . . . 6-24

Figure 6-11. ARCHIVE Main Menu (EXPORT - IMPORT Option). . . . 6-25

Figure 6-12. IMPORT Main Menu . . . . . . . . . . . . . . . . . . . . . . 6-26

Figure 7-1. Sony UP-897MD B/W Video Printer . . . . . . . . . . . . . . 7-2

Figure 7-2. Sony UP-21MD Color Video Printer . . . . . . . . . . . . . . 7-3

Figure 7-3. Panasonic LQ-MD800 DVD Video Recorder. . . . . . . . . . 7-4

Figure 7-4. Sony UP-D897 B&W USB Printer . . . . . . . . . . . . . . . . 7-5

Figure 8-1. Network Icon Active and Inactive . . . . . . . . . . . . . . . 8-2

Figure 8-2. DICOM Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2

Figure 8-3. NETWORK Configuration Screen. . . . . . . . . . . . . . . 8-10

Figure 8-4. DICOM General Configuration Screen . . . . . . . . . . . . 8-11

Figure 8-5. DICOM Network Storage Administration Screen. . . . . . 8-11

Figure 8-6. DICOM Network Storage New/Edit Screen. . . . . . . . . 8-12

Figure 8-7. DICOM MPPS Administration Screen . . . . . . . . . . . . 8-13

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List of Figures

Figure 8-8. DICOM MPPS Manager New/Edit Screen . . . . . . . . . . 8-14

Figure 8-9. DICOM Printer Administration Screen . . . . . . . . . . . . 8-15

Figure 8-10. Printer New/Edit Screen . . . . . . . . . . . . . . . . . . . . 8-15

Figure 8-11. DICOM Worklist Configuration . . . . . . . . . . . . . . . . 8-17

Figure 8-12. DICOM Print/Store Buttons Configuration Screen . . . . . 8-18

Figure 9-1. The z.one Scan Engine- Model/Serial No. (with appropriate

SN/PN entries) 9-50

Figure 9-2. z.one Battery - Model/Serial No.(with appropriate SN/PN

entries) 9-50

Figure 9-3. 100-120V SuperCart Rear Panel - Model/Serial No. (with

appropriate SN/PN entries) 9-50

Figure 9-6. 200-240V SuperCart Backpack Outlet Strip Label . . . . . . 9-51

Figure 9-4. 200-240V SuperCart Rear Panel - Model/Serial No. (with

appropriate SN/PN entries) 9-51

Figure 9-5. 100-120V SuperCart Backpack Outlet Strip Label . . . . . . 9-51

Figure 9-7. miniCart Rear Panel - Model/Serial No. (with appropriate SN/

PN entries) 9-52

Figure 9-8. Linear Array Transducer Labels (with appropriate SN/PN

entries) 9-52

Figure 9-9. Curved Array Transducer Labels (with appropriate SN/PN

entries) 9-52

Figure 9-10. EV Transducer Labels (with appropriate SN/PN entries) . 9-53 Figure 9-11. Phased Transducer Labels (with appropriate SN/PN entries) 9-

Figure 9-12. AC Power Adapter Label (with appropriate SN/PN entries) 9-

Figure 9-13. AC Battery Adapter Power Supply Label. . . . . . . . . . . 9-53

Figure 10-1. Touchscreen Calibration Screen . . . . . . . . . . . . . . . . 10-3

Figure 10-2. Power on the Scan Engine . . . . . . . . . . . . . . . . . . . 10-7

Figure 10-3. Insert USB Memory Stick . . . . . . . . . . . . . . . . . . . . 10-7

Figure 10-4. User Diagnostic Panel. . . . . . . . . . . . . . . . . . . . . . 10-9

Figure 10-5. miniCart Main AC Fuse Replacement. . . . . . . . . . . . 10-10

Figure 10-6. Immersion Level Limits. . . . . . . . . . . . . . . . . . . . 10-17

xii • z.one OPERATOR MANUAL, Version 2.0 ZONARE

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Introduction to the ZONARE z.one

Introduction to the

ZONARE

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

ZONARE Introduction to the ZONARE z.one • 1-1

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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

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)

Audio (Out)

Composite Video (Out)

Composite Video

(In)

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).

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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Introduction to the ZONARE z.one

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

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.

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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Introduction to the ZONARE z.one

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.

Figure 1-7. Audio/Video Configuration Screen (miniCart)

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

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.

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Introduction to the ZONARE z.one

miniCart Controls

Figure 1-9. miniCart Enhanced Keyboard & Scan Engine Controls: Overview

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

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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Introduction to the ZONARE z.one

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

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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Introduction to the ZONARE z.one

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

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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Introduction to the ZONARE z.one

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

connect a z.one transducer” on page 2-19.

Table 1-1.

Transducer Exam Type Biopsy Guide

C5–2 Abdominal

E9–4 Obstetrics

L8-3 Peripheral Vascular

L10-5 Thyroid

P4-1 Deep Abdominal

P10-4 Neonatal

Yes Abdominal Vascular Obstetrics Fetal Heart Gynecology

Yes Gynecology

Yes Pediatric Hips Difficult Small Parts

Yes Breast Scrotum Pediatric Hips Small Parts Peripheral Vascular

To be rele ased

Trauma Abdominal Vascular Obstetrics Fetal Heart Gynecology

To be rele ased

Pediatric Head - Abdomen Vascular Intraoperative

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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SuperCart Peripherals

ZONARE offers a number of optional medical grade (conform to the requirements of IEC 60601-1) peripherals. The peripherals currently offered for the SuperCart consist of the following:

■ Sony UP-897MD B&W Thermal Video Printer

■ Sony UP-21MD Color Thermal Video Printer

■ Panasonic LQ-MD800 DVD Video Recorder

Instructions for proper use of each peripheral are covered in the manufacturer’s instructions for use documents.

miniCart Peripherals

ZONARE offers an optional medical grade (conforms to the requirements of IEC 60601-1) peripheral. The only peripheral device currently offer ed for the miniCart consists of the following:

Introduction to the ZONARE z.one

■ Sony UP-D897 B&W USB Digital Printer

Instructions for proper use of peripherals are covered in the manufacturer’s “Instructions For Use” documents.

DICOM Connectivity

DICOM connectivity is an optional software feature on the z.one. When activated and configured, DICOM connectivity enables the medical image and associated patient and exam data to be transmitted over the institution’s network. The connectivity provided by DICOM enhances the efficiency of the storage and output of medical imaging data. Refer to DICOM store and print information in “DICOM Connectivity” on page 8-1 for more information. When DICOM is activated and configured, DICOM Store, DICOM Print, and DICOM Worklist functions may be enabled.

Contact and System Information

If you have any questions, see ZONARE’s Web site at www.zonare.com.

ZONARE Medical Systems Inc. 1061 Terra Bella Avenue Mountain View, CA 94043-1839

To contact Tech Support, call: 650-316-3199

ZONARE Introduction to the ZONARE z.one • 1-19

• 1-19

Introduction to the ZONARE z.one

For other contact numbers, refer to “Contact Information for ZONARE

Service and Technical Support” on page 11-1.

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Getting Started

SuperCart & miniCart Moving Cautions

Introduction

Getting Started

The information in this section is intended to provide recommendations and cautions for the user to follow when moving (rolling) the SuperCart or miniCart over a variety of possible surfaces.

To move the SuperCart or miniCart

NOTE: ALWAYS follow these precautions when moving the SuperCart or miniCart.

1. Lower the adjustable height to MINIMUM.

CAUTION: To m aximize the stability o f the SuperCart or miniCart during movement

across irregular surfaces , the user sh ould use the r elease lever to adjust the hei ght o f the User Interface/LCD Display assembly to its LOWEST possible position, PRIOR to relocation of the unit.

Lever

SuperCart

Figure 2-1. Height Release Lever Positioning (SuperCart & miniCart)

miniCart

2. Fold the LCD Display down to a horizontal position.

ZONARE Getting Started • 2-1

• 2-1

Getting Started

CAUTION: To prevent possible damage to the LCD Display on the SuperCart or

miniCart, during transport of the unit, always rotate the LCD Display to the facing- forward position and then fold it downward into a horizontal position (as shown in

Figure 2-2).

YES

Figure 2-2. LCD Display Position

3. Ensure that the transducer cables are wrapped over the cable hooks.

CAUTION: To prevent possible damage to the cables of the transducer s, from the

wheels of the SuperCart or miniCart during movement of the unit, ensure that they are wrapped over the cable hooks (provided at the front of the system) such that they are suspended above the floor (as shown in Figur e 2-3).

YES

Figure 2-3. Do’s for Transducer Cables

YES

4. For movement over normal smooth surfaces, push the SuperCart or

miniCart from the rear handle(s), with the pivoting front wheels

leading.

CAUTION: To ensure maximum maneuverability and stability (to prevent potential

tipping) of the SuperCart, wh en moving th e SuperCart over normal sm ooth surfaces it should be pushed with the pivoting wheels leading, and the fixed wheels trailing.

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Getting Started

YES

Figure 2-4. User Position During Normal Cart Movement

5. When moving th e SuperCart or miniCart over obstacles, alw ays pull the Cart from the front (or back); do not push.

CAUTION: To prevent possible tipping of the SuperCart or miniCart, anytime it is

being moved over a surface that has an elevation change (doorway lip, pavement seam, etc.), the user must ensure that the Cart is pulled across (the operator leading the Cart over the obstacle), rather than pushed.

YES

Figure 2-5. Cart Wheel Position over Obstacles

YES

Figure 2-6. User Position During Cart Movement over Obstacles

ZONARE Getting Started • 2-3

• 2-3

Getting Started

Security Locking of the Scan Engine

To ensure the security of the Scan Engine (from possible theft, etc), a removable key locking mechanism is provided on the z.one. The key lock will enable/disable the removal of the Scan Engine from the pocket of the SuperCart, or the lily pad on the miniCart.

The key lock is located, as shown in the pictures below.

SuperCart Key Lock

Figure 2-7. Scan Engine Security “Locking” in SuperCart or miniCart

Docking and Undocking the Scan Engine

To en sure th e security o f the Scan En gine (fr om possible th eft, etc), a To work with either the SuperCart or the miniCart, the Scan Engine must be docked. The docking two mechanisms are quite different; this section will describe the docking mechanism of the two

All imaging functions are available on the Scan Engine when it is undocked from either the SuperCart or the miniCart.

To dock the Scan Engine in the SuperCart

Hold the Scan Engine with the front panel facing down into the Scan Engine pocket on the SuperCart. Line up the track on the bottom surface of pocket with the tracks on the bottom of the Scan Engine. Gently push it into place until a positive “click” is heard.

miniCart Key Lock

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Figure 2-8. Scan Engine Docking in SuperCart

Getting Started

To undock the Scan Engine from the SuperCart

Press the ejection latch above the Scan Engine pocket. The Scan Engine is ejected partially out of the pocket. Grasp and remove the Scan Engine.

ZONARE Getting Started • 2-5

• 2-5

Getting Started

To dock the Scan Engine on the miniCart

Hold the Scan Engine centered (horizontally) and rearward above the lily pad on the miniCart. Line up the tracks on the top surface of lily pad with the tracks on the bottom of the Scan Engine. While resting flat on the lily pad surface, gently slide the scan engine directly towards you (forward), to engage it on the docking latches. Continue to slide the Scan Engine towards you, until a positive audible "click" is heard.

Open the I/O access door at the rear of the Scan Engine, and connect the docking connector cable assembly to the mating connectors on the Scan Engine.

Lily Pad & Docking

Connector

Scan Engine Docking “IN”

Figure 2-9. Scan Engine Docking in miniCart

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Getting Started

To undock the Scan Engine from the miniCart

Disconnect the docking connector cable assembly from the mating connectors on the rear of the Scan Engine.

Figure 2-10. Scan Engine Undocking from miniCart

Slide (press rearward) the ejecti on latch (located in the upper left corner of the lily pad), to release the Scan Engine from the lily pad. Grasp the Scan Engine and slide it away from you (rearward) to release it from the docking latches. Lift the Scan Engine to remove it from the miniCart.

Powering On and Off

Please read and understand all Warnings and Cautions in “Warnings and

Cautions” on page 9-3 before powering on the z.one.

Powering on the z.one

SuperCart:

1. Locate the circuit breaker (located at the left/rear of the SuperCart) on the SuperCart and move it to the On (up) position. Refer to

Figure 2-11.

miniCart:

NOTE: The miniCart does not have a separate power switch or circuit breaker

2. Locate the power button on the back left of the Scan En gine . Press th e button. Refer to Figure 2-11.

ZONARE Getting Started • 2-7

• 2-7

Getting Started

Power Button

AC Power Receptacle Circuit Breaker

Figure 2-11. Scan Engine Power Button and SuperCart Circuit Breaker

3. The z.one will take approximately one minute to complete the normal power on sequence.

4. To verify successful power on, check the SuperCart display to ensure the following.

The ZONARE start-up screen displays while the system is initializing. When initializing is complete, the system is ready for B-mode imaging.

Figure 2-12. ZONARE Start-up Screen

NOTE: If the start-up screen does not display, the system failed to power on.

Completely eject the Scan Engine from th e SuperCart pock et an d visu ally in spect the Scan Engine. Reinsert the Scan Engine and try to power on. Refer to “Contact

Information for ZONARE Service and Technical Support” on page 11-1.

Password Protection (Access Control)

Password protection can be enabled on the z.one to pr event unauthorized use of the system. The Access Control menu is used for configuring the log-on password.

CAUTION: If password protection (Access Control) is elected to be used to restrict

access to the retained in a safe place by the System Administrator.

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z.one, it is extremely important that the user-assigned password be

Getting Started

If Access Control is configured by the User in this menu, and the user-assigned password is subsequently lost or forgotten; no master password is available for recovering access to the z.one for normal operation. A complete r e-installation of

system software will be required to regain normal use of the

z.one.

Figure 2-13. Access Control Screen

1. If password log-on has been configured, a log-on screen will appear.

Enter the previously configured password to enable system operation.

2. To connect a transducer, refer to “To connect a z.one transducer” on

page 2-20.

3. To install a USB Memory Stick, refer to “Inserting and Removing USB

Memory Stick Media” on page 2-11.

A USB Memory Stick icon is displayed on the right of the screen. If a USB Memory Stick is not installed, the icon is displayed with an X through it. Verify that the card has sufficient storage memory available to store exam images. To install a USB Memory Stick or check the available memory , refer to “Inserting and Removing USB Memory Stick Media” on

page 2-11.

If the screen is blank or is otherwise not the default display, check the transducer connections and, if necessary, reconnect the transducer. If a normal display is still not present, connect a different transducer. If the normal display is not present with the second transducer, power the system off and call Tech Support. Refer to “Contact Information for

ZONARE Service and Technical Support” on page 11-1.

To power off the SuperCart

NOTE: Normally the SuperCart’s main AC circuit breaker power is left on, even when

the z.one has been shutdown from normal use (using the Scan Engine power on/off switch). However, any time the SuperCart is being moved the following SuperCart power off sequence should be followed.

ZONARE Getting Started • 2-9

• 2-9

Getting Started

1. Press the Scan Engine power button. The Scan Engine takes about 10 seconds to perform a normal shutdown sequence, and then powers off.

2. Move the SuperCart circuit breaker (located at the left/rear of the SuperCart) to the off (down) position.

To power on the Scan Engine (undocked)

1. Ensure that the Scan Engine battery is charged. Refer to “Installing

and Removing a Battery” on page 2-12.

2. Locate the power button on the back of the Scan Engine, and press the button.

Power Button

Figure 2-14. Scan Engine Power Button

3. To check the Scan Engine display, ensure the following:

– The ZONARE start-up screen displays while the system is initializing.

When initializing is complete, the system is ready for B-mode imaging.

– If the screen is blank or is otherwise not the default display, check the

transducer connections and reconnect the transducer. If a normal display is still not present, connect a different transducer. If the normal display is not present with the second transducer, power the system off and call Tech Support. Refer to “Contact Information for

ZONARE Service and Technical Support” on page 11-1.

– A USB Memory Stick icon displays on the right of the screen when a

stick is installed. Verify that the stick has sufficient storage memory available to store exam images. To install USB Memory Stick media or check the available memory, refer to “Inserting and Removing USB

Memory Stick Media” on page 2-11.

4. To log in to the z.one, enter the password in the Password data field. If password protection is enabled on the system, the log-on screen displays.

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Getting Started

5. To connect a transducer, refer to “To connect a z.one transducer” on

page 2-20.

6. To install a USB Memory Stick, refer to “Inserting and Removing USB

Memory Stick Media” on page 2-11.

To power off the Scan Engine

Press the Scan Engine power button. The Scan Engine takes about 10 seconds to perform a normal shutdown sequence, and then powers off.

Inserting and Removing USB Memory Stick Media

The z.one utilizes removable USB Memory sticks for two (2) specific purposes.

■ Software Installer & User Preset - System Backup

■ Patient Image Archive

12V, 5A

USB Connector Port

Figure 2-15. USB Memory Stick and Scan Engine (Rear View)

Rear access bay door

USB Memory Stick

To install a USB Memory Stick

A USB Memory Stick can be installed while the z.one is powered on or off.

ZONARE Getting Started • 2-11

• 2-11

Getting Started

1. Open the rear bay door.

2. Position the USB Memory stick in front of the USB connector port of the Scan Engine.

3. To insert the USB Memory Stick, hold it with the proper orientation. Push the USB Memory Stick gently all the way into the USB port slot.

To remove a USB Memory Stick

CAUTION: It is important to ensure that the Scan Engine has fully completed

accessing (writing/editing/deleting) data on USB Memory Stick, PRIOR to removing it from the Scan Engin e . Failur e to observe this caution, by ejectin g th e USB M emo ry Stick at any time that it is being accessed, will result in loss of data!

1. To eject th e USB Memory Stick, firmly grasp the USB Memory Stick on either side with your fingers, and pull it out all the way.

Installing and Removing a Battery

Figure 2-16. z.one Battery

To install a battery

NOTE: Ensure that the Scan Engine has been removed from the SuperCart before

installing/replacing the battery.

1. To verify th e char ge on th e battery, refer to “Checking Battery Char ge” on page 2-13.

2. To in stall th e battery, locate the battery pocket on the left side of th e Scan Engine. Line up the prominent groove on the battery with the correspondin g ton gue on the left insid e surf ace of the battery pocket.

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Push the battery in until it is fully seated and latched in place. The battery charge indicators (on the Scan Engine to the right of the battery pocket) light up.

To eject a battery

Push the battery release latch to the right of the battery pocket.

Checking Battery Charge

A charge indicator on the labeled surface of the battery has four LEDs lined up with four small holes in the label. To check the charge on a battery, press the circle to the left, which is the Charge Indicator test button.

Another charge indicator on the front panel of the Scan Engine has four LEDs that light up briefly when the battery is installed.

Charge remaining Indicator

Getting Started

<25% 1 LED

25–49% 2 LEDs

50–74% 3 LEDs

≥75%

The battery operating range is as follows:

Usage Duration (approximate values)

Active use 30-60 Minutes

Standby mode 2.0–3.0 hours

Storage mode (in Scan Engine)

4 LEDs

(dependent on modes and display brightness)

3 weeks

ZONARE Getting Started • 2-13

• 2-13

Getting Started

When the Scan Engine is powered on, the percentage of battery charge remaining is displayed in the Status area of the screen. When the charge becomes low, the battery icon in the Status area changes color and on-screen messages display as follows:

Charge remaining Indicator

<25% Battery icon turns amber.

<5% Battery icon flashes, followed by a system

Battery Thermal Protection

WARNING: To protect the z.one battery from potential thermal damage, the

system monitors the temperature of the battery at all times. If the battery is detected as exceedin g the maximum safe operating temperature, a warning message will appear on the display of the z.one.

shutdown message.

The Operator should immediately complete all active operations, in preparation for the system automatically initiating a power-down sequence.

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Battery Charger, 2-Bay: Connection & Use

Getting Started

Figure 2-17. Battery Charger, 2-Bay

The battery pack inside the z.one Scan Engine is recharged during normal use, when the Scan Engine is docked in the SuperCart, and the SuperCart has AC power applied.

During standalone (undocked) operation, the Scan Engine will require replacement with a freshly charged battery pack after approximately 1 hour of continuous use. The 2-Bay Battery Charger should be used for maintaining the charge of spare battery packs, and occasional recalibrating ( reconditioning), of the z.one battery packs to maximize their operational efficiency.

The two functions of the 2-Bay Battery Charger are:

■ ""Charge" mode:The battery receives a single full charging cycle

■ ""Recalibration" mode:The battery is discharged -> charged -> discharged

again - final charged

ZONARE Getting Started • 2-15

• 2-15

Getting Started

Recalibrating (Reconditioning) a Battery Pack

1. Connect the AC power cable to an active wall outlet, and connect the DC power cable between the power supply and the 2-Bay Battery Charger

2. Insert the battery pack into the LEFT bay o f th e 2-Bay Battery Char g er (Note: Only the LEFT bay performs "Recalibration")

3. Press the "Recalibrate" button on the 2-Bay Battery Charger

During the "Recalibrate" process, the left status LED flashes ORANGE. Once the "Recalibrate" process is completed, this same LED will intermittently flash between ORANGE and GREEN.

NOTE: The "Recalibrate" process may require 14 hours to fully complete

The battery pack should NOT be removed prior to completion of the "Recalibrate" process, as the battery will be at an unknown level of charge

Charging a Battery Pack

1. Connect the AC power cable to an active wall outlet, and connect the DC power cable between the power supply and the 2-Bay Battery Charger

2. Insert the battery pack into the EITHER bay of the 2-Bay Battery Charger

3. The charging cycle on the docked battery pack will automatically begin to execute

4. During the "Charging" process, the corresponding status LED flashes GREEN. Once the "Charging" process is completed, this same LED becomes solid GREEN.

NOTE: The "Charging" process, in the two bays of the unit, is performed in a

"sequential" fashi on. If two battery packs ar e docked into the 2-Bay Battery Char g er at the same time, the charger will perform the complete charging sequence on one battery pack, before starting the charging sequence on the second battery

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LED Status Indicators: Battery Charger

Getting Started

Figure 2-18. LED Status Indicator Definitions

ZONARE Getting Started • 2-17

• 2-17

Getting Started

AC Power Adapter: Connection & Use

Figure 2-19. AC Power Adapter - 2.0 Scan Engine

For extended (more than 1 hour) standalone (undocked) use of the Scan Engine, the AC Power Adapter should be used. The AC Power Adapter is plugged into the +12VDC power connector, located inside the rear panel access door at the back of the Scan Engine.

To connect the AC Power Adapter

NOTE: Ensure that the Scan Engine has been removed from the SuperCart before

using the AC Battery Pack

1. Power off the Scan Engine, and ensure it is being used remotely (ejected) from the SuperCart.

2. Connect the DC Power Cable to the +12VDC connector at the rear of the Scan Engine (located inside the rear access door).

3. Connect the output connector o f the DC P ower Cable (out of th e P ower Supply) to the DC Adapter Cable's mating connector

4. Plug the AC Power Cable's female connector into the socket on the Power Supply

5. Plug the other end of the AC Power Cable into an active AC wall outlet

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Getting Started

6. Inspect the Power-On indicator lamp on the Power Supply, to ensure

power is applied and the unit is on

7. Power on the Scan Engine and begin normal operation

ZONARE Getting Started • 2-19

• 2-19

Getting Started

Connecting and Disconnecting a Transducer

Transducer

Locking Knob

Figure 2-20. z.one Transducer

Locked

Connection Port

Transducer Connection Board

To connect a z.one transducer

A transducer can be connected or disconnected while the z.one is powered on or off.

1. Verify the integrity of the transducer and the connectors.

WARNING: Before each use the transducer must be inspected to avoid risk of

injury. Inspect the transducer face, housing, cable, connectors, and cases. Do not use the unit if damage is detected.

2. Insert the tran sducer’s connector into the alignm ent hole on the Scan Engine’s transducer connection board, and ensure it is fully seated.

3. Turn the locking knob on the transducer connector one quarter turn clockwise, to lock the transducer in place. Refer to Figure 2-20.

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Getting Started

4. Verify a proper connection, by the presence of an initial “initializing

transducer” messag e which should appear on the LCD Display. This also indicates that th e tran sdu cer has been pr operly recognized by th e z.one.

5. After approximately 10 seconds, the system should automatically

begin actively operating the transducer in B-mode. A basic B-mode image should now be displayed in the Image area of the LCD Display.

To disconnect a z.one transducer

1. To disconnect the transducer from the Scan Engine, turn the locking

knob one quarter turn counter clockwise and r emove the transducer connector from the transducer connection port. Refer to Figure 2-20.

NOTE: A “No transducer connected” message should be displayed on the LCD

Display.

2. To store the transducer, place it in the transducer connection holders

on the SuperCart. Refer to Figure 1-1.

Applying a Transducer Cover

To apply a transducer cover

1. To prepare the cover, remove it from the packaging. Apply water-

based ultrasound gel to the inside of the cover.

2. To place the cover on the transducer, pull the cover secure ly over the

transducer and remove any wrinkles or air bubbles. Secure the cover to the transducer with plastic bands.

ZONARE Getting Started • 2-21

• 2-21

Getting Started

Attaching a Biopsy Guide

To attach a reusable (nondisposable) biopsy guide

1. To attach th e biopsy gui d e to the tr an sd u cer, refer to the biopsy guid e product information.

2. To apply a sterile transducer cover, refer to “Applyin g a Transducer

Cover” on page 2-21.

3. To attach a disposable sterile needle guide attachment to the biopsy guide, the transducer cover remains in place, and the needle guide is attached over it.

4. To activate the on-screen biopsy needle guide graphics, do the following:

SuperCart: Press Bx Guide (top row of SuperCart keyboard keys). Scan Engine: Activate the Imaging tab. On the B-mode menu, select

Biopsy Guide. The relative path of the needle (2 lines or more) displays on the sonogram.

Refer to the biopsy-needle instructions enclosed with the biopsy guide.

To attach a disposable biopsy guide (EV exam only)

1. To apply a sterile transducer cover, refer to“Applying a Transducer

Cover” on page 2-21.

2. To attach a sterile disposable biopsy guide, attach the biopsy guide over the transducer cover. A disposable biopsy guide is a needle and needle guide in one piece. Ensure that the biopsy guide is locked.

3. Apply another sterile transducer cover (optional).

4. To activate the on-screen biopsy needle guide graphics, do the following:

SuperCart: Press Bx Guide (top row of SuperCart keyboard keys). Scan Engine: Activate the Imaging tab. On the B-mode menu, select

Biopsy Guide. The relative path of the needle (2 lines or more) displays on the sonogram.

Refer to the biopsy-needle instructions enclosed with the biopsy guide.

Mechanical Controls

Brakes SuperCart: The brake mechanism of the SuperCart allows the user to lock

rotation and swivel (in 90-degree increments) of the front wheels, to prevent

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Getting Started

undesired movement during system operation. Pressing downward fully on the brake pedal will lock the front wheels on the SuperCart from rolling. In addition, the front wheels may be rotated to a 90-degree angle prior to locking the brake, if desired, to provide additional stability during shipping. Pr essing the brake pedal downward a second time will release the wheels.

Figure 2-21. Brake Pedal (SuperCart)

miniCart: The brake mechanism of the miniCart allows the user to lock rotation (brake) of the front wheels, to prevent undesired movement during system operation. Pressing “Down” fully on the brake lever, on each of the two front wheels, will lock them from rolling. Lifting “Up” on each of the brake levers, will release the wheels.

Figure 2-22. Brake Levers (miniCart)

Height

adjustment

ZONARE Getting Started • 2-23

The z.one SuperCart and miniCart include a hydraulic lift 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.

SuperCart: Pull inward on the release lever, located on the inside of the right- front handle assembly on the SuperCart, allows the height of the SuperCart to be adjusted. Releasing the spring-loaded release lever locks the assembly into the current vertical position.

miniCart: Bracing your palm against the rubber handre st, pull upwards on the release lever, located on the right side of the miniCart, to release the mechanism. Hold the lever in the up position, until the desired height is

• 2-23

Getting Started

achieved. Releasing the spring-loaded release lever locks the assembly into the current vertical position.

LCD Display

position

SuperCart

miniCart

Figure 2-23. Height Adjustment Release Lever

The LCD Display is mounted to a swivel mechanism that allows for rotation and tilting, to enable the user to optimize visibility of the screen. The tilt angle may be adjusted by grasping the sides of the LCD Display and pivoting to the desired viewing angle. The LCD Display should be tilted fully forward to a horizontal position when the SuperCart is being transported.

NOTE: The LCD Display contains an internal tilt-angle sensor switch that is used to

blank the screen (g o in to a sleep mode) when the LCD Display is folded forwar d past an angle of approximately 60 degrees. This automatic blanking (and unblanking) of the LCD Display, while tilting it fore-aft, is normal on the z.one SuperCart.

Figure 2-24. LCD Display Positioning (SuperCart)

In addition, the LCD Display may be rotated on its sw ivel base to allow better viewing when the user is positioned on either side of the SuperCart while performing a patient examination.

miniCart:

On the miniCart, for exclusively using centralized (centere d) viewing, or for locking the LCD Display from rotating during transport, a spring loaded center-locking pin is provided. The knob for positioning the locating pin, is located below the display pedestal. For unrestricted rotation, the centerlocating pin can be positioned into a constant Off (retracted) position, by pulling fully down on the knob and rotating it approximately 90 degr ees.

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Repeating the rotation of the knob to one of the two 180 degree release positions, will restore the center-locking operation.

Figure 2-25. LCD Display Rotation & Locking (miniCart)

miniCart Enhanced Keyboard Access

To provide full functionality, when the Scan Engine is docked, the miniCart includes an Enhanced Keyboard. The Enhanced Keyboard is mounted to a retractable shelf that allows for stowage during system transport. To access the Enhanced Keyboard, grasp either edge of the retractable shelf, and slide it towards you.

Getting Started

Figure 2-26. miniCart Enhanced Keyboard Access

ZONARE Getting Started • 2-25

• 2-25

Getting Started

SuperCart Rear I/O Panel

On the rear of the SuperCart, there is an input/output (I/O) panel for connecting peripheral devices.

910

Figure 2-27. SuperCart Rear I/O Panel

Table 2-1 explains the connector functions.

Table 2-1. Connector Functions

Jack # Function Direction

1 Remote Print “Expose” (External Printer Trigger) Output 2 Parallel Printer (currently not supported) Output 3 RS-232 Serial Port A (Export Calc Data) Input/Output 4 RS-232 Serial Port B (Export Calc Data) Input/Output 5 Ethernet 10/100BaseT - (Network) Input/Output 6 SVGA Video - (External Monitor) Output 7 S-Video, NTSC/PAL - (OUT = bottom, IN = top) Input/Output 8 Composite Video, NTSC/PAL - (OUT = bottom,

IN = top)

9 Audio, LEFT - (OUT = bottom, IN = top) Input/Output 10 Audio, RIGHT - (OUT = bottom, IN = top) Input/Output 11 USB (2.0) Port (to be supported 2.0> Software) Input/Output

Input/Output

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miniCart Rear I/O Panel

The miniCart includes an integrated USB 2.0 compliant hub. Two of the hub’s ports are brought out to external connections for operator use.

Figure 2-28. miniCart Rear I/O Panel (USB Hub)

Getting Started

USB Hub

ZONARE Getting Started • 2-27

• 2-27

Getting Started

User Controls

The “User Control” on the z.one includes keys, menu items, Menu Control, and a trackball. Detailed information on the control, relevant to each system operating modality, are discussed in the respective chapter and section.

SuperCart User Interface Functions

Figure 2-29. SuperCart User Interface Layout

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2-28 •

Number System Control Description

1 TGC Slidepots Changes gain of image at discrete depth.

Getting Started

GAIN

DEPTH

FREQUENCY

HARMONICS

FREEZE

Changes master gain of Tissue image in B-Mode and M-Mode.

Rocker switch enables increasing/decreasi n g im ag ing depth of the display.

Rocker switch enables increasing/decr easing transmit frequency.

Toggles the activation/deactivation of tissue harmonics imaging mode.

Halts or restarts active imaging on the display.

Sends current image to device(s) pr eviously specified in System Setup menu (internal compactflash, DICOM printer, DICOM store). When external printer is selected, key press initiates external print trigger signal to B/W printer .

STORE

OPTIMIZE

MEASURE

SET

CALC

DELETE (Calc)

NOTE: The PRINT key may also be configured to initiate the same storage operations as the STORE key.

Stores current still image, or clip store sequence, to device(s) previously specified in System Setup menu (internal c ompactflash, DICOM printer , DICOM store). When external printer is selected, key press also initiates external “print trigger” signal to the external printer.

Enables Auto DGC and Sound Speed Correction

Brings up dynamic caliper (live) or calculation menu (frozen).

Used to toggle the function of active items on display.

Brings up Calculation tools on the display.

Deletes active Calculation tool from the display.

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• 2-29

Getting Started

Number System Control Description

REPORT (Calc)

Displays the Calculation Worksheet/Report for the active Exam Type.

DUAL

ENTER (Calc) / DUAL:Toggle

ZOOM

DUAL

TAB

Shared function key:

Calc Ops: Key ends the current Calc process, and produces a result. DUAL Mode: Toggles between two side-by-side displayed images, in

selecting which will be “Active”/”Selected” Color (Doppler) Mode, activates/deactivates.

Pulsed Wave (Doppler), activates/deactivates.

M-mode (tissue motion), activates/deactivates.

Initiates the variable image magnification process.

Activates the DUAL imaging (side-by-side) mode

Advances through four on-screen menus (Imaging, Presets, Patient Info, Tools).

25 26

Menu Control

SELECT

BACK

F1-F4

VOLUME-MIC

Trackball

COLOR/DOPPLER CONTROLS

GAIN

Functions like a computer mouse or joystick, for scrolling through the on-screen menu selections

Up/Down arrows scroll to selections Left/Right arrows toggle through values

Activates currently highlighted selection in the on-screen menu.

Returns back one window, in the on-screen display menu.

Function keys, user configurable in System Setup menu. Push-button (in center) turns on/off microphone activation. Rotary

knob (outer ring) changes the on-board speaker volume.

Used for positioning the cursor , de fining size/position of ROE in color mode, positioning measurement tools, reviewing clip store images, and navigating form/tables/worksheets/reports.

Changes master gain for Color and PW Doppler modes.

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Number System Control Description

ANGLE CORRECT

Push-button activates/toggles Doppler angle correction tools. Rotary knob makes fine adjustments to angle correction.

Getting Started

BASELINE

SCALE

FILTER

INVERT

STEER

UPDATE SIMULTANEOUS

(DUAL):

Changes Doppler Velocity (PW and Color) zero reference baseline.

Changes Doppler Velocity (PW and Color) range.

Changes high-pass filter, used in Color and PW.

Switches the blood flow mapping direction, in Color and PW.

Toggles through 3 (center, left, right) steered Doppler options for Linear transducer(s).

Shared function key: Toggles Doppler update modes, or toggles Simultaneous sub-set operation in DUAL mode

PW Doppler: Toggles between three possible update modes.

1) Simultaneous live updating of the PW and 2D imaging mode(s) (Bmode in duplex, and B-mode and Color in triplex)

2) Live updating of PW strip with a frozen 2D reference image

3) Live updating of 2D mode image with a frozen PW strip DUAL Mode: Toggles On/Off Simultaneous (side-by-side) update

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• 2-31

Getting Started

SuperCart Keyboard Functions

Figure 2-30. SuperCart Keyboard Layout

Table 2-2. SuperCart Keyboard Functions

Key System Control Description

NEW PATIENT This is a toggle key. The first press displays

the Patient Information page. The second press returns to the imaging display.

CURRENT EXAM If there is an exam in progress, pressing this

key displays the in-progress exam's images, with the most recently stored image displayed first. If there is no exam in progress, pressing this key has no effect.

PG BACK This key only works when in an in-progress

exam review or in an archived exam review. Pressing this key displays the previous image or a page of images if in a multiimage display format. If there are no further images, the key press has no effect.

PG FWD Same as PG BK, except the image advances

in direction.

FIRST LAST This key only works when in an in-progress

exam review or in an archived exam review. Pressing this key toggles the display 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).

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Table 2-2. SuperCart Keyboard Functions

Key System Control Description

DELETE This key only works when in an in-progress

exam review or in an archived exam review. When an image has been selected, pressing the Delete key tags 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 removes the red X, untagging the image.

FORMAT This key only works when in an in-progress

exam review or in an archived exam review. Pressing this key toggles the display 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)]

■ A full-size image

ARCHIVE This is a toggle key. The first press displays

the Patient Selection Table. The second press returns to imaging.

Getting Started

END EXAM When an exam is in progress, pressing the

End Exam key closes the exam. If no exam is in progress, pressing this key has no effect.

DICOM QUEUE This is a toggle key. The first press displays

the DICOM queue. The second press returns to imaging.

EXT VIDEO External Video. This is a toggle key. There

are three options:

■ The first press selects external S-Video (from the rear I/O panel) to display on the SuperCart’s monitor.

■ The second press selects external composite video in (from the rear I/O panel) to display on the SuperCart’s monitor.

■ The third press returns to using internal z.one system video (VGA) to display on the SuperCart’s monitor.

BX GUIDE Biopsy guide. This is a toggle key. There are

two options:

■ The first press displays the biopsy needle path guide.

■ The second press removes the biopsy needle path guide.

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• 2-33

Getting Started

Table 2-2. SuperCart Keyboard Functions

Key System Control Description

(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 arrows may be displayed simultaneously.

BODY PATTERN This is a toggling key. Pressing the Body

Pattern key displays a Body Pattern for the Exam Type in use. Pressing the key again removes the displayed Body Pattern W hen a Body Pattern is displayed, pressing left/ right on the Omni will cycle through all available Body Patterns.

DEL WORD | DEL TEXT Pressing Del Text removes all text

annotations and arrow graphics displayed. Pressing Shift + Del Word deletes the most recently entered text annotation, whether it is free text, POT, or List entry.

SET | HOME Pressing Home moves the text annotation

cursor to its default home position. Pressing Shift + Set Home will set the current cursor position as the new Home position.

A/B | TEXT Pressing Text will display the text

annotation cursor. Pressing Text again will remove the text annotation cursor. Shift + A/B Text is not implemented.

ALT GR Used in conjunction with the QWERTY

keyboard to support international characters.

LONG TRANS SAG COR This is a cycling key. Pressing this key will

cycle between displaying LONG, TRANS, SAG, and COR.

RT LT This is a cycling key. Pressing this key will

cycle between displaying RIGHT and LEFT.

PROX MID DIST This is a cycling key. Pressing this key will

cycle between displaying PROX, MID, and DIST.

LIST 2 | LIST 1 This is a cycling key. Pressing List1 will

cycle between displaying items entered in List1. Pressing Shift+List2 will cycle between displaying the items entered in List2.

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miniCart Enhanced Keyboard Functions

Getting Started

Figure 2-31. miniCart Enhanced Keyboard Layout

Table 2-3. miniCart Enhanced Keyboard Functions

Key System Control Description

NEW PATIENT This is a toggle key. The first press displays

CURRENT EXAM If there is an exam in progress, pressing this

PG BACK This key only works when in an in-progress

PG FWD Same as PG BACK, except the image

the Patient Information page. The second press returns to the imaging display.

key displays the in-progress exam's images, with the most recently stored image displayed first. If there is no exam in progress, pressing this key has no effect.

advances in forward direction

FIRST LAST This key only works when in an in-progress

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• 2-35

Getting Started

Table 2-3. miniCart Enhanced Keyboard Functions

Key System Control Description

DELETE This key only works when in an in-progress

FORMAT This key only works when in an in-progress

exam review or in an archived exam review. Pressing this key toggles the display 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)]

■ A full-size image

ARCHIVE This is a toggle key. The first press displays

the Patient Selection Table. The second press returns to imaging.

END EXAM When an exam is in progress, pressing the

End Exam key closes the exam. If no exam is in progress, pressing this key has no effect.

DICOM QUEUE This is a toggle key. The first press displays

the DICOM queue. The second press returns to imaging.

EXT VIDEO External Video. This is a toggle key. There

are three options:

■ The first press selects external S-Video (from the rear I/O panel) to display on the SuperCart’s monitor.

■ The second press selects external composite video in (from the rear I/O panel) to display on the SuperCart’s monitor.

■ The third press returns to using internal z.one system video (VGA) to display on the SuperCart’s monitor.

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Table 2-3. miniCart Enhanced Keyboard Functions

Key System Control Description

BX GUIDE Biopsy guide. This is a toggle key. There are

two options:

■ The first press displays the biopsy needle path guide.

■ The second (and subsequent) presses will cycle through the display of the available needle path guide displays, removes the biopsy needle path guide after all paths have been displayed.

(Arrow) This is a toggle key. It works when the image

is live frozen. Pressing the key displays an arrow graphic in the middle of the display. Up to 15 arrows may be displayed simultaneously.

BODY PA TTERN This is a toggling key. Pressing the Body

Pattern key displays a Body Pattern for the Exam Type in use. Pressing the key again removes the displayed Body Pattern. When a Body Pattern is displayed, pressing left/ right on the Omni will cycle through all available Body Patterns.

DEL WORD Pressing Del W ord deletes the most r ecently

entered text annotation, whether it be free text, POT, or List entry.

Getting Started

DEL TEXT Pressing Del Text removes all text

annotations and arrow graphics displayed, and resets the cursor to the current Home position.

SET | HOME Pressing Home 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.

A/B | TEXT Pressing Text will display the text

annotation cursor. Pressing Text again will remove the text annotation cursor. Shift + A/B Text is not implemented.

ALT GR Used in conjunction with the QWERTY

keyboard to support international characters.

LONG TRANS SAG COR This is a cycling key. Pressing this key will

cycle between displaying LONG, TRANS, SAG, and COR.

RT LT This is a cycling key. Pressing this key will

cycle between displaying RIGHT and LEFT.

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• 2-37

Getting Started

Table 2-3. miniCart Enhanced Keyboard Functions

Key System Control Description

PROX MID DIST This is a cycling key. Pressing this key will

LIST 1 Pressing List1 will display item s entered in

LIST 2 Pressing List1 will display item s entered in

Scan Engine User Interface Functions

cycle between displaying PROX, MID, and DIST.

List1.

List 2.

Figure 2-32. Scan Engine User Interface Layout

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2-38 •

Number System Control Description

GAIN

There are two options:

■ Controls the overall gain for the active

mode: B, M, Color, PW

■ Adjusts the TGC for the selected region

when the virtual TGC graphic is displayed

TGC

Turns on the virtual TGC graphic

Getting Started

DEPTH

There are two options:

■ Adjusts the imaging depth shown on

the display

■ Changes the selected TGC region when

the virtual TGC graphic is displayed

4, 16

5, 17 STORE Stores current still image, or clip store

FREEZE

MEASURE

Halts or restarts active imaging

sequence, to device(s) previously specified in System Setup menu (internal compact flash, DICOM printer , DICO M store). When external printer is selected, key press also initiates external "print trigger" signal to the external printer

Prints the current images (s) to selected printer , by initiating an external “print trigger” signal.

NOTE: The PRINT key may also be configured to initiate the same storage operations as the STORE key.

Brings up dynamic caliper (live) or generic measurement menu (frozen)

SET

Used to toggle the currently selected item/ function on-screen

Color (Doppler) mode, activates/deactivates

Pulsed Wave (Doppler), activates/deactivates

M-Mode (tissue motion), activates/deactivates

ZONARE Getting Started • 2-39

• 2-39

Getting Started

Number System Control Description

F1, F2

Function keys, user configurable in System Setup menu

15, 16 see item 4 and 5 above 17

OPTIMIZE

TAB

SELECT

BACK

MODE

Menu Control

Trackball

Enables Auto DGC and Sound Speed

Correction

Advances through the four (4) on-screen main menus (Imaging, Presets, Patient Info, Tools)

Activates the currently highlighted selection in the on-screen menu

Returns back one window, in the on-screen display menu

Scan Engine Standalone: Brings up the active scanning mode (C, PW, M) selection screen

Scan Engine docked in miniCart: Toggles ON/OFF the Mirror Image function

Functions like a computer mouse or joystick, for scrolling through the on-screen menu selections

Up/Down arrows scroll to selections Left/Right arrows toggle through values Used for positioning the cursor, defining

size/position of ROI in color mode, positioning measurement tools, reviewing clip store images and navigating form/ tables/worksheets/reports

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2-40 •

Menus

Figure 2-33. Imaging Tab Menu with Selections

Getting Started

Menus for the z.one are accessed in the Control area of the LCD Display on both the SuperCart and the Scan Engine. On the Scan Engine, virtually all controls can be accessed from the menus. The SuperCart has more limited menu selections because more of the functions may be accessed directly via dedicated keys on the Control Panel.

NOTE: When the z.one is being operated as a SuperCart (Scan Engine in the docked

mode) the pop-up contr ol menu is automati cally hidd en during periods of non-use . If the pop-up menu is currently not displayed (due to inactivity) pressing any of the menu control keys on the SuperCart will to “wake up” (display) the menu.

All users must be familiar with the following procedure, which is abbreviated to “Select” in the operational instructions in subsequent chapters.

To select a control from a menu

1. To view the desired menu, do the following:

– To activate the menus, press any of the menu controls. – Instructions for calling up other menus are given in the context of the

related operational instructions.

2. To highlight the desired control (menu item), position the highlight using the Up and Down arrows on the Menu Control.

– The resulting behavior of the system is determined by the control

selected.

ZONARE Getting Started • 2-41

• 2-41

Getting Started

Tabs

– For menu selections that have variability, once the desired control

function is highlighted, the “LEFT” and “RIGHT” arrow functions of the Menu Control are used to change the value/setting.

– For On/Off only selections, once the desired control function is

highlighted, the “Select” key is used for toggling the state of that control.

– In some cases, selecting the control allows the user to view another

menu. All menus are navigated in the same way.

3. To return to the menu, press Back.

The four tabs are the top-level menus for the imaging modes, exam presets, patient information, and system tools. Repeatedly pressing the Tab key will sequence through the four available top level menu tabs.

Imaging tab

Presets tab

The Imaging tab menu lists the controls available in the active imaging mode. B-mode imaging is the system default, so the Imaging tab displays the B-Mode menu by default.

A Preset is a complete set of imaging parameters optimized for a specific exam type.

The Presets tab menu is a quick and convenient way to switch from one to another of the Presets defined for the exam type.

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2-42 •

Patient tab

Figure 2-34. Presets Menu Tab with Selections

Getting Started

Tools tab

Use the Patient tab to view the Patient Information form. Refer to “Patient

Information Form” on page 3-1. The Patient tab allows access to patient

demographic information. Select Exam Type and Preset when beginning a new study.

Figure 2-35. Patients Menu Tab with Selections

On the Scan Engine, the Tools tab includes access to the following functions:

■ Queue Admin (DICOM)

■ Annotate

■ Body Patterns

■ View Current

ZONARE Getting Started • 2-43

• 2-43

Getting Started

■

View Archive

■ Preset Admin

■ System Setup

The System Setup menu offers the following selections:

■ Display

– Idle mode settings – Audio/video settings – Institution name/address –Time/Date – Bar Pattern - onscreen display test pattern

■ Imaging

– Exam category (default)

■ Touchscreen (calibration)

■ Function keys (assignment of “F1-F4” keys)

■ Calcs (configuration)

■ Annotations (configuration)

■ Archive

– Media (removable media configuration) – Print/Store (key function assignment, configuration)

■ DICOM (configuration menus)

■ Network (TCP/IP network configuration)

■ Security (log-on configuration)

■ Serial Port (OB report table output to external devices)

■ Diagnostics (User Diagnostic Panel)

Menu icons

Menu items display with icons to the left, which are used to select an action associated with the control.

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Table 2-4.

Icon Control Selection and Action

There is no icon for this function

Toggle Press Select key to toggle between On and Off states. The

Press Select key to view the submen u associated with this control.

icon is green in the On state.

Getting Started

Factory Preset (toggle)

Incrementable/ Decrementable function

Cine Control Horizontal Slider

This control is used in the Preset tab only. Press Select to toggle between On and Off states. Toggling the “LEFT” (<) or “RIGHT” (>) arrows, on the

Menu Control, allow for incrementing/decrementing the associated (highlighted) operating control function.

This control used for sequencing through the frames reviewed in a clip store imaging sequence

ZONARE Getting Started • 2-45

• 2-45

Getting Started

2-46 • z.one OPERATOR MANUAL, Version 2.0 ZONARE

2-46 •

Preparation for Imaging

Patient Information Form

Imaging

Figure 3-1. Patient Information Form with Exam Type Selection List

Selecting Patient from the Patient tab displays the Patient Information form.

ZONARE Imaging • 3-1

• 3-1

Imaging

Exam record data

The Patient Information form is essentially the record of the exam (patient ID and demographic data, date and time of the exam, salient clinical details). Data from the the internal CompactFlash archive.

Patient Information form is used to name the exam directory in

Hide Info

Open an exam

Complete the patient, to ensure that the correct Exam Type and Preset are activated, and that the patient’s images and study data are stored in the correct exam directory. When images are stored, the DICOM stores the image and data files with the correct patient’s medical reco rds on the network archive.

If DICOM has been activated on the system, many data fields in the Patient

Information

patient from the DICOM Worklists.

Selecting the optional “Hide Info” box, at the top of the Patient Information form, will result in hiding all patient ID information from the active image display screen, and on all subsequent stored images sent to archive.

Storing the first image opens a new exam.

Patient Information form before beginning imaging of the

form are completed automatically, when the user selects the

Create the exam directory

Storing the first image creates the exam directory on the internal CompactFlash storage.

Select the Exam Type and Preset

Select the Exam Type and Preset from selection lists on the Patient Information form. Some data fields are Exam Type specific, so the configuration of the

Patient Information form may change after the Exam Type has been

new selected.

For those Exam Types and Presets for which there is a calculations package, selecting the Exam Type and Preset for the exam activates the measurements and calculations package.

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3-2 •

Close an exam

Selecting New from the Patient Information form and answering “Yes” to the displayed message closes an exam. Pressing the End Exam key or power cycling the system (normal power off operation) also closes an exam.

Restart a closed exam

A previously closed exam can be restarted within the same calendar day of when it was opened. An exam can be restarted from the Restart soft key of the

Patient Information form. New images and other data can be saved to the

exam directory. The

After a calendar day has ended, the exam directory is automatically archived. Image and data files in the directory are available from the archive, but no new images or data can be saved (added) to the exam directory.

Soft keys

Patien t Information form can be edited.

Imaging

Soft keys, to the left of the Patient Information form, have the following functions. Point with the trackball, and then press Set to activate the control.

New

Erases any previous data if the user confirms the message and closes any open exam.

Exit

Saves and closes the Patient Information form. For a new exam, create the exam directory. Activate imaging.

Restart Exam

Recalls a list of exams that meet the restart criteria.

Worklist

Displays the active Worklist if DICOM was configured and activated. Populates the

Patient Information form with data entered in the Worklist.

Patient Log

Displays a list of all patients whose images are stored on the internal CompactFlash storage. Populates the demographics data.

Patient Information form with

ZONARE Imaging • 3-3

• 3-3

Imaging

DICOM Worklist

Figure 3-2. DICOM Worklist

Activation of the DICOM modules enables exam scheduling data to be transmitted to, and displayed on, the z.one. The user can view an interactive Worklist, i.e., a schedule of exams and patient data. A Worklist application available on the network is configured on the z.one to match the r equirements of the department.

When a new exam is initiated from the Worklist, some data fields on the

Patient Information form are automatically completed from data in the

Worklist entry.

Beginning a New Exam

To begin a new exam

1. To view a new Patient Information form, activate the Patient tab.

SuperCart & miniCart: Press the New Patient key on the upper left of the keyboard.

Scan Engine: Tab to the Patient tab, and then select New.

2. To select the Exam Type and Preset, do the following:

a. Using the trackball, point to the down arrow of the Exam data field.

Press Select to drop down the selection list. Select the correct Exam Type.

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3-4 •

Imaging

b. After selecting the Exam Type, the Presets menu automatically drops

down with the cursor on the first Preset of the menu. The

Information

Type selected.

form configuration may change, depending on the Exam

Patient

NOTE: The Presets menu will not appear unless a transducer is attached to the

system. Presets are transducer-specific. Make sure that the correct transducer is attached for the application

3. To enter the patient demographic and clinical data, do the following:

SuperCart & miniCart: Use the keyboard to enter text. Press Tab on the keyboard to advance to the next data field.

Scan Engine: View the VKB (Virtual Key Board). Using the stylus, touch keys to enter text. Press Tab on the VKB to advance to the next data field.

4. If it is desired to not show patient in formation data on the actively displayed images, select the Hide Info box at the top of the menu.

5. To save and exit, do the following:

When the form is complete, select Exit to save the Patient Information form and return to the image display. Verify that the patient’s name and the correct Exam Type and Preset display at the top of the Image area.

NOTE: NOTE: You can also Exit by pressing the Freeze key

To begin a new exam from a DICOM Worklist

1. To view a new Patient Information form, activate the Patient tab.

2. To view the Worklist, press the Worklist soft key. The open Worklist displays.

3. To select the desired exam, do the following:

Using the trackball, point to the Worklist entry for the desired exam. Press Set once to highlight the exam. Press Set again to select or highlight the exam, then move the cursor over the Select Exam softkey and press Set.

Patien t Inf orm ation form displays. Patient de mographic and some other

A data fields are automatically completed from information in the Worklist entry.

4. To complete the Patient Information form, do the following:

Complete the remaining data fields, and make any necessary changes to them.

SuperCart & miniCart: Use the keyboard to enter text. Press Tab on the keyboard to advance to the next data field.

Scan Engine: View the VKB. Using the stylus, touch keys to enter text. Press Tab on the VKB to advance to the next data field.

ZONARE Imaging • 3-5

• 3-5

Imaging

5. To save and exit, do the following:

When the form is complete, select Exit, or press Freeze, to save the form and return to the image display. Verify that the patient’s name and the correct Exam Type and Preset display at the top of the Image area.

To edit a Patient Information form

The Patient Information form can be edited only while the exam is open (i.e., within a calendar day of the beginning of the exam). In addition, you can restart and edit The within the last calendar day.

1. Press the New Patient key. Th e LCD Display displays a list o f e x ams on the intern al CompactFlash storage.

2. To select Edit under the desired exam, do the following:

SuperCart & miniCart: Use the trackball to highlight the desired entry. Press Set.

Patient Information form for any exam that was performed

Scan Engine: Use the trackball to place the cursor over the desired entry. Press Set.

Highlight cells to edit. Use the backspace key to edit, or tab through to each cell to be edited. Refer to “To Open an Archived Exam for Review

(SuperCart or miniCart)” on page 6-11.

3. To edit data fields (as requir ed), do the following:

Use the trackball to position the cursor in the desired data field. SuperCart & miniCart:

– To delete text: Use Backspace on the keyboard to delete single

characters. Highlight the entire data field and use Backspace to clear the entire data field.

– To enter text: Use the Tab key on the keyboard. Scan Engine:

– To delete text: Use Backspace on the VKB to delete single characters.

Highlight the entire data field and use Backspace to clear the entire data field.

– To enter text: Use the stylus on the VKB.

4. When the Patient Information form is complete, select Exit, or press

Freeze,

to save the form and return to the image display.

Presets

Presets are designed to optimize the ultrasound image for a particular application. Imaging Presets are exam-type specific. To ensure optimal

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3-6 •

Imaging

performance, always start by attaching the transducer that is appropriate for the application, selecting the appropriate exam type and then selecting the desired Preset.

NOTE: For information on Storing and Backing-Up of Presets, refer to “Backing-Up

System/Presets” on page 10-6of this manual.

To select the desired Preset (from the Imaging screen)

To select a Preset (on the SuperCart, miniCart or Scan Engine) go to

the Preset tab and select the desired Preset.

To create a new User Preset

1. Attach the transducer that is appropriate for the application

2. Using the Tab key, tab to the Presets tab

3. Load the factory-installed Preset to be modified.

NOTE: Choose a Preset that is the closest to your desired Preset parameters

4. Tab to the Imaging tab and modify any of the values on the factory-

installed Preset, by adjusting any desired system imaging parameters (user controls) to the values you wish to be stored to this new User Preset.

NOTE: Do this for each mode, i.e. B, C, PW, M

5. Tab to the Presets tab.

6. Select or highlight the Preset Management menu item.

7. Select Create a Preset.

8. Name the new Preset.

9. Highlight Apply in the menu, to save the new Preset.

NOTE: You can name the new Preset the same name as the Factory Preset. The

Factory Presets will have a "Z" icon next to the label. The User Presets will have a "dot" icon next to the label. These icons distinguishes the Factory from the User Presets for easy identification.

ZONARE Imaging • 3-7

• 3-7

Imaging

To set a default Exam Type

1. Tab to the Tools tab.

2. Highlight and select System Setup menu item.

3. Highlight and select Imaging menu item

4. Check the box to the left of Exam Category (Type) that you wish to become the default Exam Type for the current transducer.

5. Highlight and select Apply, to activate the new setting

This Exam Type is now the default for the current probe type.

To set a default Preset

1. Attach the transducer that is appropriate for the application

2. Tab to the Presets tab.

3. Load the desired imaging Exam Type.

4. Return to the Presets tab.

5. Select the desired Preset.

6. Select the Preset Management menu item.

7. Highlight and select Set Default.

This Preset is now the default for the selected exam type.

To Enable/Disable a Factory or User Preset in Menu

NOTE: Factory Presets are id entifi ed by a Z on are “Z ” in si d e th e bubble to th e left of

their name in the main Presets menu. Customized User Presets can be identified by an empty bubble to the left of their name.

1. Tab to the Presets tab.

2. Ensure that the desired Exam Type is currently selected

NOTE: If not, go to the Presets tab, and select desired Exam Type prior to

beginning the enable/disable steps below.

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Imaging

3. Select the Preset Management option.

4. Highlight and select Enable/Disable option.

5. Uncheck the box to the left o f an y Factory or User Pr eset that you wish

to REMOVE (Disable) from the main Presets menu.

6. Highlight and select Apply, to activate the new settings

This Preset is now the default for the selected exam type

To Backup User “PRESETS” to USB Memory Stick

1. Insert the separate USB Memory Stick, that has been allocated

exclusively for use as the User Preset/User System Backup media, into the USB port at the rear of the Scan Engine.

2. To access th e Backup/Restore functions screen, select Tools | Preset

Admin

3. Highlight and select Preset Admin

4. Highlight and select Backup Presets

The User Presets currently configured on the z.one will now begin copying to the USB Memory Stick, for backup storage.

5. At the conclusion of the backup transfer of Preset files, remove the

USB Memory Stick from the Scan Engine, and store in a safe place for future use.

To Backup “SYSTEM” configuration to USB Memory Stick

1. Repeat steps 1-3, listed in the Presets backup above , for pr eparing th e

User Preset/User System Backup media and accessing the main backup/restore (Preset Admin) menu.

2. In the Preset Admin menu, highlight and select Backup System

The customized System settings (DICOM parameters, Institution Name, Function Key operations, etc.) that are currently configured on the z.one will now begin copying to the USB Memory Stick, for backup storage.

3. At the conclusion of the backup transfer of System files, remove the

USB Memory Stick from the Scan Engine, and store in a safe place for future use.

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Imaging

Function Keys

Figure 3-3. Function Key Configuration Screen

Function Keys are unassigned keys that can be programmed by the user. The Scan Engine has two programmable Function Keys; the SuperCart has four programmable keys.

To configure Function Key assignments

1. On the Tools tab, select Sys Setup

Select Function Keys from the menu to view the Function Key

Configuration screen. Refer to the “Function Key Configuration Screen”

on page 3-10.

2. To change the Function Key assignment, do the following:

Make a selection from the Function Key Configuration screen to assign that function to the key.

There are two rocker keys available, which can be programmed to adjust a specified imaging parameter up or down.

The Scan Engine and SuperCart function keys can be individually programmed to create custom function keys.

3. To verify the newly configured function key, press the function key to ensure that the desired operation begins.

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Live and Frozen Images

Annotations, including text, arrows, and body pattern graphics can be used with both live and frozen images. Refer to Chapter 4, “Annotations.”

Live images

All imaging parameters can be changed (see mode-specific tables in the following sections). However, except for simple depth measurements in B-mode, M-mode, and Color Doppler mode, and velocity measurements in PW mode, the generic measurement tools and application-spec ific calculation packages are not available. Refer to Chapter 5, “Measurements and

Calculations”.

Frozen images (clip review)

Use the trackball to move forward or backward in the clip. Since z.one stores preprocessed data in cine memory, clip review involves retrospective processing of the stored data. The major benefit of retrospective processing is that some imaging parameters (as marked by an in the mode-specific tables in the following sections) can be changed. The generic measurement tools and application-specific calculation packages can be used. Refer to Chapter 5, “Measurements and Calculations”.

Imaging

✱

Brightness Mode (B-mode) Imaging

Figure 3-4. B-mode Image Display Format

The z.one is initialized for B-mode imaging at start-up. B-mode operation is the basis for all other imaging modes.

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Imaging

B-mode Menu - (SuperCart & Scan Engine)

SuperCart

Figure 3-5. B-Mode Menu (Imaging Tab) - SuperCart & Scan Engine

B-Mode Touchscreen Menu - (miniCart)

Scan Engine

Figure 3-6. B-Mode Touchscreen Menu - miniCart

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Working with B-mode Imaging

1. For an optimal B-mode image, begin imaging with the settings

implemented by the Preset. Then optimize the image if necessary. Refer to “Presets” on page 3-6.

2. To perform the required operations on the live image, refer to “Live

and Frozen Images” on page 3-11 for operations that can be

performed on a live image.

3. To freeze the image, press Freeze.

4. To perform r etrospective pr ocessing on th e frozen imag e , refer to “Live

and Frozen Images” on page 3-11 for operations that can be

performed on a frozen image.

“Display Mirror” Operation (miniCart only)

Imaging

In the miniCart configuration of the z.one product, the 5” LCD Display on the Scan Engine normally displays the Touchscreen controls, and the 15” LCD Display on the miniCart displays the ultrasound images.

In special cases where it is desired to temporarily display the ultrasound imaging screen on the main miniCart display, and the 5” LCD Display on the Scan Engine, a Display Mirror feature is provided.

Turning “ON” the Display Mirror function:

1. Press the Display Mirror softkey on the touchscreen.

1. Press the Mode button on the Scan Engine.

Turning “OFF” (returning to the Touchscreen) the Display Mirror function:

1. Press the Mode button on the Scan Engine, a second time.

“DUAL” Imaging Mode - Introduction

Turning on the DUAL imaging function will cause the system to display two side-by-side images (referred to as image A and image B for the purpose of

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Imaging

this document). Only non-strip imaging modes (i.e. B-mode, Color Doppler, or Power Doppler) are supported for DUAL image mode

In basic DUAL mode one of the two images displayed on the screen will be active (live updating) while the other image is static (not updating).

In addition to basic DUAL mode, a subset Simultaneous DUAL mode may be selected. In the Simultaneous DUAL mode both images (A and B) displayed on the screen will be dynamically active (live updating). During Simultaneous DUAL mode, one image will be selected as the “active” image (indicated by the “Z” Zonare logo). User controls are applied in the following manner during Simultaneous DUAL mode operation:

■ Pre-Processing functions (A Output, C, etc.) - “ACTIVE” image only

■ Post-Processing functions (Gain, Persistence) - BOTH images affected

“DUAL” Imaging Mode - Activation

1. To activate DUAL mode, do the following:

SuperCart: –Press the DUAL key.

miniCart: –Press the DUAL softkey on the touchscreen.

Scan Engine:

–Using the Menu Control, scroll down to backlight the Dual: Off

selection.

–Using the Left/Right function of the Menu Control, toggle to the

initial DUAL image (A)

2. Optimize the orientation on the patient’s anatomy, user settings, and image quality, for the initial image displayed (A).

3. To toggle (activate) to the other DUAL image (B), do the following:

SuperCart: – Press the shared-use ENTER (Calc) / (DUAL:Toggle) key.

miniCart: –Press the ENTER softkey on the touchscreen.

Scan Engine: –Using the Menu Control, ensure that the backlight is selecting the

Dual function.

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–Using the Left/Right function of the Menu Control, toggle through to

the activate the (B) DUAL image

4. Optimize the orientation on the patient’s anatomy, user settings, and

image quality, for this second image displayed (B).

Simultaneous DUAL Operation

1. While already in DU AL mod e , to activate Simultaneous DU AL mod e , do

the following:

SuperCart: – Press the shared-use UPDATE / (Simul-Dual) key.

miniCart:

– Due to the touchscreen control environment on the miniCart, the

shared-use UPDATE (Simul-Dual) softkey does not exist when the system is operating in B-Mode only. In B-Mode only, in order to activate Simultaneous DUAL mode on the miniCart, one of the userdefined function keys (F1) will need to be assigned to the Update function.

Imaging

Optimize Feature

NOTE: A transducer must be attached to the Scan Engine for this control to work.

Optimize has two separate functions: 1) Overall/DGC gain adjustment; 2) Sound Speed Compensation. Both features can be activated simultaneously, or separately, depending on the configuration. Refer to the Optimize Configuration Page

1. To activate Overall/DGC Gain optimization, do the following:

– IF the system is being operated in the shared operation mode (B-

Mode/Color), press the shared-use B UPDATE / (Simul-Dual) softkey on the touchscreen

Scan Engine: –Using the Menu Control, scroll down to backlight the Simul:Dual

selection.

–Press the Enter key (or use the Left/Right function of the Menu

Control) to toggle On/Off Simultaneous DUAL imaging mode.

SuperCart & Scan Engine:

– Press the Optimize key to automatically balance the Overall/DGC

gain. The B-Mode image will adjust the brightness of the image to a Target Gain Offset value on top of the factory default brightness setting,

– The default Target Gain Offset value is user presetable via the

configuration page: (Setup>Imaging).

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Imaging

– If the B-Mode overall gain is changed while Optimize = ON, the

Target Gain value will be modified to reflect the new gain setting.

2. To activate Sound of Speed Correction, do th e following:

SuperCart & Scan Engine: – Press the Optimize key to automatically compensate for the sound

speed in tissue. The B-Mode image will pause momentarily, then adjust for the detected sound speed.

– The value for SSC is displayed as a Sound Speed Index (SSI) in the B-

Mode data display, e.g. SSI=40

miniCart: – Press the Optimize Touchscreen button or use the Optimize control

button on the Scan Engine.

3. To exit the Optimize functions, do the following:

SuperCart & Scan Engine: – A double click of the Optimize key will make Optimize = OFF

– The Overall Gain will remain at the current value – The DGC values will reset and correspond to the DGC slider locations – SSC will revert back to the preset Sound Speed Index Default (SSID)

value

– The Target Gain will remain at the current value miniCart:

– Press the Optimize Touchscreen button or use the Optimize control on

the Scan Engine

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B-mode Controls

✱ Indicates that this control is also available in retrospective processing.

To get to B-mode, refer to “B-mode Menu - (SuperCart & Scan Engine)” on

page 3-12.

Imaging

B Control

Gain ✱

SuperCart

Scan Engine

Depth

SuperCart

SuperCart & miniCart Scan Engine

SuperCart:

■ Adjust Gain using the Tissue Gain knob.

miniCart:

■ Refer to Scan Engine controls

SuperCart:

■ On the Depth rocker key, press the Up to decrease depth; press the Down to increase depth.

miniCart:

■ Refer to Scan Engine controls.

■ Adjust Gain using the Gain knob.

■ Highlight Gain. Press Left / Right function

on Menu Control to increase or decrease the desired receive gain. The selected valu e displays in the Image Information area.

■ On the Depth rocker key, press the Up to decrease depth; press the Down to increase depth.

■ Highlight Depth. Press Left / Right function on Menu Control to increase or decrease the desired imaging depth. The selected value displays in the Image Information area.

Scan Engine

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Imaging

B Control

Harmonics

SuperCart

Scan Engine

miniCart

Frequency

SuperCart

SuperCart & miniCart Scan Engine

SuperCart:

■ Press the TH key to toggle On/Off tissue

harmonic imaging. When harmonic imaging is active, an “H” displays in the Image Information area.

miniCart:

■ From the Touchscreen, press the TH key to

toggle On/Off tissue harmonic imaging. When harmonic imaging is active, an "H" displays in the Image Information area.

SuperCart:

■ On the Frequency rocker key, press the Up

key to increase the transmit frequency; press the Down key to decrease the transmit frequency for the B-Mode image. The selected value is displayed in the Image Information area.

■ Highlight Harmonics. Press Select to

toggle between selecting/deselecting harmonic imaging mode. When harmonic imaging is active, an “H” displays in the Image Information area.

■ Highlight Frequency. Press Left / Right function on Menu Control to increase/ decrease the desired transmit frequency for the B-Mode image. The selected value displays in the Image Information area.

Scan Engine

miniCart

miniCart:

■ From the Touchscreen, on the MHz key,

press the Up Arrow to increase the transmit frequency, press the Down Arrow to decrease the transmit frequency. The selected value is displayed in the Image Information area.

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Imaging

B Control

Zoom

SuperCart

Scan Engine

miniCart

SuperCart & miniCart Scan Engine

SuperCart:

■ Acoustic Zoom (During live scanning): Press Zoom key. The ROI (region of interest) box displays over the image.

Define the ROI: Use the trackball. Press the Set key to toggle between ROI position and ROI size.

Press Zoom to display the enlarged ROI. Press Zoom to return to the normal view.

■ Display Zoom (From a Frozen Image): Press Zoom key.

The image magnifies 1.5X Press Depth rocker key up to increase

magnification Press Depth rocker key down to decrease

magnification Use Tr ackball to pan the image. Press Zoom to return to the normal view

miniCart:

■ Acoustic Zoom (During live scanning): Press Zoom key. The ROI (region of interest) box displays over the image.

Define the ROI: Use the trackball. Press the Set key to toggle between ROI position and ROI size.

Press Zoom to display the enlarged ROI. Press Zoom to return to the normal view.

■ Display Zoom (From a Frozen Image): Press Zoom key.

The image magnifies 1.5X Press Depth rocker key up to increase

magnification Press Depth rocker key down to decrease

magnification Use Trackball to pan the image. Press Zoom to return to the normal view

■ Acoustic Zoom (During live scanning):

From the Touchscreen Main Menu, Press Zoom key. The ROI (region of interest) box displays over the image.

Define the ROI: Use the trackball. Press the Set key to toggle between ROI position and ROI size.

Press Zoom to display the enlarged ROI. Press Zoom to return to the normal view.

■ Display Zoom (From a Frozen Image):

From the Touchscreen Main Menu, press

Zoom Key. The image magnifies 1.5X Press Depth rocker key up to increase

magnification Press Depth rocker key down to decrease

magnification Use Tr ackball to pan the image. Press Zoom to return to the normal view

Maps ✱ Highlight Maps. Press Left / Right function on Menu Control to select the desired tissue grey-

scale map to be applied to the B-Mode image.

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Imaging

B Control

Dynamic Range ✱

L/R Invert ✱■Highlight L/R Invert. Press Select to invert the L/R orientation of the image. The probe

U/D Invert ✱■Highlight U/D Invert. Press Left / Right function on Menu Control to invert the U/D

Persistence ✱■Highlight Persistence. Press Left / Right function on Menu Control to increase or decrease

Edge ✱■Highlight Edge. Press Left / Right function on Menu Control to increase or decrease the

■ Highlight Dyn Range. Press Left / Right function on Menu Control to increase or decrease

the desired dynamic range.increase

orientation marker (Zonare “

orientation of the image. The probe orientation marker (Zonare “ the bottom of the Image area.

the desired level of frame averaging.

desired image enhancement option.

SuperCart & miniCart Scan Engine

Z”) moves from the left to the right of the Image area.

Z”) moves from the top to

DGC ✱

SuperCart

Scan Engine

SuperCart:

■ Move a DGC slider to the right to increase

gain, and to the left to decrease gain for the depth zone controlled by each slider. When TGC is being adjusted, the on-screen TGC graphic displays to the right of the image.

miniCart:

■ Refer to Scan Engine controls.

■ Press DGC key. The on-screen TGC

graphic displays to the right of the image. The green highlight shows the active “slider.” Turn Gain clockwise to increase gain and counter clockwise to decrease gain at the depth controlled by the active slider. Use the Depth rocker key to move up or down in selecting the active TGC slider for control by the Gain control knob.

■ Press DGC to save the settings and return

to the menu.

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Imaging

B Control

Optimize ✱

SuperCart & Scan Engine

Overall / DGC Gain

■ Press the Optimize key (softkey on the

miniCart touchscreen) to automatically

balance the Overall/DGC gain. The B-

Mode image will adjust the brightness of

the image to the default Target Gain value.

Sound Speed Correction

■ Press the Optimize key (softkey on the

miniCart touchscreen) to automatically

miniCart

compensate for the sound speed in tissue.

The B-Mode image will pause

momentarily, then adjust for the detected

sound speed.

To exit OPTIMIZE mode

■ A double-click of the Optimize key wil l

turn Optimize functions = OFF.

A Output ■ Highlight A Output. Press Left / Right function on Menu Control to increase or decrease

the desired transmit power output level. The curr ent transmit power level is displayed (as a

percentage; 25%, 50%, etc.) in the Image Information area. The default value is 100%.

SuperCart & miniCart Scan Engine

Overall / DGC Gain

■ Press the Optimize key to automatically

balance the Overall/DGC gain. The BMode image will adjust the brightness of the image to the default Target Gain value

Sound Speed Correction

■ Press the Optimize key to automatically

compensate for the sound speed in tissue. The B-Mode image will pause momentarily, then adjust for the detected sound speed.

To exit OPTIMIZE mode

■ A double-click of the Optimize key will

turn Optimize functions = OFF.

Biopsy Guide

SuperCart

Scan Engine

SuperCart:

■ From the QWERTY keyboard, press Bx

Guide key to toggle through the available

guide lines, and biopsy guide on/off, in

live or freeze modes.

miniCart:

■ Use either method. Both are available with

the miniCart.

Highlight Bx Guide. Press Select to toggle biopsy guide on/off.

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Imaging

B Control

Dual: Off/On

DUAL

SuperCart

Scan Engine

miniCart

Dual: Toggle

SuperCart

Scan Engine

SuperCart & miniCart Scan Engine

SuperCart:

■ Press the key labeled DUAL to toggle the

Dual imaging function On/Off.

NOTE: The Dual imaging function allows for

displaying two separate images on the screen (at the same time), for concurrent comparison/analysis.

miniCart:

■ Press the Touchscreen key labeled DUAL

to toggle the Dual imaging function On/ Off.

SuperCart:

■ Press the shared use Enter (Calc)/Dual Toggle key to change the selection of

the“Active”/”Selected” image (Left or Right image, as displayed on screen).

miniCart:

■ Press the Touchscreen key labeled Enter (Calc)/Dual Toggle softkey to change the selection of the"Active"/"Selected" image (Left or Right image, as displayed on screen)

Highlight Dual Off (On). Press Left / Right function on Menu Control to turn On/Off the dual image display function.

NOTE: In addition to turning the Dual

function On or Off, the Left / Right function on the Menu Control is used for sequencing through four (A, B, A:b, a:B) different Dual image display states.

Highlight Dual Off (On). Pressing the Left / Right function on Menu Control will sequence through four (A, B, A:b, a:B) different Dual image display states.

> A:b = Left image active / Right image static > a:B = Left image static / Right image active > A = Full sized Left image displayed > B = Full sized Right image displayed

miniCart

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Zonare Z.one Ultra User manual

Specifications and Main Features

Frequently Asked Questions

User Manual