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ACUSON S

EQUOIA

™

512 U

LTRASOUND

S

YSTEM

ACUSON S

EQUOIA

™

C512 E

CHOCARDIOGRAPHY

S

YSTEM

ACUSON S

EQUOIA

™

C256 E

CHOCARDIOGRAPHY

S

YSTEM

Administrator Manual

Siemens Medical Solutions USA, Inc. 1230 Shorebird Way Mountain View, CA 94043-1344 U.S.A. 800 498 7948 650 969 9112 CE Declaration

This product is provided with a CE marking in accordance with the regulations stated in Council Directive 93/42/EEC of June 14, 1993 concerning Medical Devices. Siemens is certified by Notified Body 0123 to Annex 11.3. Full Quality System.

Authorized EC Representative: Siemens Aktiengesellschaft Medical Solutions Henkestraße 127 D-91052 Erlangen Germany 10031047-ABS-001-04-04

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No part of this publication may be reproduced, transmitted, transcribed, stored in retrieval systems, or translated into any language or computer language, in any form or by any means, electronic, mechanical, magnetic, optical, chemical, manual, or otherwise, without the prior written permission of Siemens.

Siemens reserves the right to change its products and services at any time. In addition, this manual is subject to change without notice. Siemens welcomes customer input on corrections and suggestions for improvements to this manual.

Although Siemens has attempted to ensure accuracy throughout this manual, Siemens assumes no liability for any errors or omissions, nor for any damages resulting from the application or use of this information.

TRADEMARKS ACUSON AcuNav, Aspen, Aspen Advanced, Cypress, Sequoia, DELTA, MultiHertz, Native, Perspective, RES, SpaceTime, XP, 128XP, 128XP/4, 128XP/10, and AEGIS are registered trademarks of Siemens. 128/10c, Axius, Axius auto Ejection Fraction,

Axius Quantitative Synch Tool technology (QST), Axius Velocity Vector Imaging, Cadence, CCD, Clarify, Convergent, CWS3000, DBPro, DIMAQ, DS3000, DTI, EF, eUltrasound, fourSight, FreeStyle, Imag

e

gate, microCase, MICROSON, Multizone, Native, NewView, PerformancePlus, OBPro, QuantX, Quik-Clip, Solo, Signature, Signature II, SST, SwiftLink, TCE, TEQ, WorkPro, WebPro, WS3000, ViewPro, ViewPro-Net, and Xpress are trademarks of Siemens. Remote First is a service mark of Siemens.

All other product names are trademarks of their respective companies.

Siemens or its suppliers retain(s) ownership of and title to any computer program supplied with the equipment and to the trade secrets embodied in such computer programs. Subject to the Buyer’s acceptance and fulfillment of the obligations in this paragraph, Siemens grants the Buyer a personal, non-transferable, perpetual, non-exclusive license to use any computer program supplied with the Equipment that is necessary to operate the Equipment solely on the medium in which such program is delivered for the purpose of operating the equipment in accordance with the instructions set forth in the operator’s manuals supplied with the Equipment and for no other purpose whatsoever. Buyer may not reverse-assemble, reverse-compile or otherwise reverse-engineer such computer programs nor may Buyer make a copy of such program or apply any techniques to derive the trade secrets embodied therein. In the event of a failure by Buyer to comply with the terms of this license, the license granted by this paragraph shall terminate. Further, because unauthorized use of such computer programs will leave Siemens without an adequate remedy at law, Buyer agrees that injunctive or other equitable relief will be appropriate to restrain such use, threatened or actual. Buyer further agrees that (i) any Siemens supplier of software is a direct and intended beneficiary of this end-user sublicense and may enforce it directly against Buyer with respect to software supplied by such supplier, and (ii) no supplier of ACUSON shall be liable to buyer for any general, special, direct, indirect, consequential, incidental, or other damages arising out of the sublicense of the computer programs supplied with the equipment.

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Using the Setup Menu 25 Customizing 2-D Controls 27 Customizing AEGIS Software 28 Customizing Annotation Keys 28 Customizing Auto-Doppler 30 Customizing Begin/Study Type 33 Customizing Body Markers 36 Customizing Calipers/Trace 37 Customizing Cardiac Calculations 38 Customizing Color Doppler Imaging 38 Customizing the Footswitch 38 Customizing GYN Calculations 39 Customizing Monitor Brightness 39 Customizing OB Calculations 40 Customizing the Output Display 40 Customizing Presets 40 Customizing Printing 41 Customizing Screen Options 46 Using the Service User Interface 48 Customizing Strip Modes 48 Customizing the System Clock and Memory Allocation 52 Customizing System Lighting 53 Customizing Tissue Equalization 54 Customizing Vascular Calculations 56 Customizing VCR and External Video 56

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Chapter 3 Customizing Presets

57

Overview 58

Exam Presets 59

Turning Exam and Image Presets ON and OFF 60 Recalling Exam Presets 60 Recalling Image Presets 61 Creating a New Preset 62 Deleting Presets 63 Setting Default Exam Presets 63 Customizing Categories 64

Chapter 4 Customizing OB Calculations

67

Customizing OB Calculations 68 OB Calc Equation and Table Editors 71 Customizing Equations 72 Customizing Tables 78

Chapter 5 Customizing Gynecology Calculations

83

Overview 84

Customizing GYN Calculations 84

Chapter 6 Customizing Cardiac Calculations

93

Customizing Cardiac Calculations 96 Calculation Formulas 97 ProtoCALL Result Deletion Pathways 105 Reference Articles 110 Copyright Notice for Axius Auto Ejection Fraction 133 Abbreviations 134

Chapter 7 Customizing Vascular Calculations

145

Customizing the Vascular Calculation Report 146 Selecting Studies to Include in the Report 146 Customizing Study Names and Site Names 147 Storing Customizations to an Exam Preset 147 Vascular Calculation Formulas 148

Chapter 8 VCR and Printer Setup

149

Setting Up Video Controls 150 Video Cassette Recorder Compatibility 151 Connecting a Sony SVO-9500MD VCR 151 Connecting a Mitsubishi HS-MD3000 VCR 154

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Chapter 9 Using the Service User Interface

161

Main SUI Menu 162 Hardware Diagnostics Suite 163 Performing Data Backup 164 Performing Data Restore 164 Reviewing Customer Information 165 Working with Network Configurations 166

Appendix A

OB Calculation Formulas

171 Appendix B

Calculation Data Transmission

239

Overview 240

Connecting to the RS-232 Cable 241 Data Transmission Protocol 242

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P

REFACE

Siemens is pleased to welcome you to the ACUSON Sequoia Ultrasound System, made possible by the invention of ACUSON Sequoia technology. Unlike conventional ultrasound, your new system uses multiple beam formers and a coherent image former to utilize information from 512 (on Sequoia 512 and C512 systems) or 256 (on Sequoia C512 and C256 systems) digital processing channels. This proprietary technology produces an ultrasound image with exceptional detail, contrast and temporal resolution throughout the entire field of view.

The Sequoia 512 Ultrasound system is designed to help you perform radiology, obstetrics, gynecology, cardiac, and/or vascular exams. The Sequoia C512 Echocardiography system is optimized for specialty cardiovascular exams. The Sequoia C256 Echocardiography system is optimized for cardiovascular exams. These systems offer a wide range of standard and optional operating modes and transducer formats.

Sequoia systems have an exceptional record of dependability and our customer service network is ready to respond to your individual needs. Additional advances in technology are currently under development. For information, please consult your Siemens Sales Representative.

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H

O W

T O

U

S E

T H I S

M

A N U A L

This Administrator Manual contains information you use to customize your system. In addition, it also provides reference information such as Preset charts, obstetrical calculation charts, vascular and cardiac calculation formulas and references, and a Medical Ultrasound Safety publication.

O

T H E R

M

A N U A L S

This manual is part of a set that also includes:

• The User Manual, which contains information that you use regularly as you perform ultrasound exams. It introduces you to the basic functions of the system and identifies each operating mode and exam function.

• A Safety Manual, which provides important safety information for all Sequoia systems. Be sure to read the Safety Manual before using the system.

• A Transducer Specifications Manual, which provides a list of available transducers, power values, and approved disinfecting and

sterilizing solutions.

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Conventions

C

O NV E N T I O N S

This manual uses several special symbols to refer to the controls on the system or to indicate a procedure. The following table shows the symbols and their descriptions:

Siemens provides special alphanumeric keys and annotation terms for labeling images in different languages. This manual uses English labels for all keys and annotation terms. To convert your system to another language, contact the Siemens Uptime Service Center.

SYMBOL DESCRIPTION

◆

A diamond-shaped bullet indicates steps to follow to perform a procedure.

CALC A term in bold, uppercase font represents a key, knob, switch, or toggle control on the system’s keyboard. The example at left represents the CALC

key.

CODE + CLEAR

A plus sign (+) used this way means to hold down the CODE key and press the indicated key (in this example, the CLEAR key).

[LEFT] A term in brackets represents a soft key.

When you see the single click icon (()) in a soft key label (for example, [()END TRACE], you can select that menu item by clicking either SELECT KEY once. If you see the double-click icon ((())), you can select that item by quickly clicking either SELECT KEY

twice.

[OPT 1 / OPT 2] An italicized term in brackets represents a soft key with multiple options. The active or available soft key option is highlighted. Selecting the soft key highlights the next soft key option. When the last soft key option has been selected, the first soft key option becomes the next active or available option.

MENU OPTIONS _{A term in bold face font represents an on-screen}

menu option that requires an action or selection by the user. Use the trackball and select keys to click on a menu option.

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C

HAPTER

1

C

USTOMIZING

AEGIS S

OFTWARE

Customizing AEGIS Protocols 2

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Customizing AEGIS

Protocols

This chapter explains how to customize onboard AEGISreview and clip capture protocols. There are two types of protocols: Free-form and Staged. You can define the characteristics of each protocol, and set up different sets of capture parameters within each protocol. You can then switch between sets to change capture parameters during an exam.

◆

To customize onboard AEGIS software functions:

1 Select AEGIS from the Setupmenu to display the AEGIS dialog box.

Figure 1-1 AEGIS Setup

2 Select a Playback Mode for stored clips.

3 Select a Playback Speed for stored clips from the pop-up menu. The options are percentages of actual (real-time) speed.

NOTE: When using the Pharm Stress QSI Exam Preset, Siemens highly recommends using the default “sh” (“shortest”) Playback Speed setting of

50% sh instead of the Playback Speed setting of 50%. (The system lists the “sh” playback speed settings when you select the Loop-aligned playback mode.) For more information on “sh” playback speeds, see Chapter 37 of the User Manual.

4 Turn Save on Select on to save clips that you mark as selected. The effect of this option depends on a protocol’s Save on Capture setting. See “Customizing Free-Form Protocols,” next, “Customizing Staged Protocols” on page 8, and “Setting Up Network Storage Servers” on page 18.

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Customizing AEGIS Protocols

NOTE: A Sequoia system that is running In-Progress Store and that is networked to a DICOM storage server, also running Save on Capture or Save on Select may effect the network transfer rate. See the following table for the setting combination results:

5 Select a Protocol Type: Free-form or Staged, and click Define next to your chosen protocol type to customize the protocol.

For more information, see “Customizing Free-Form Protocols” on page 4 and “Customizing Staged Protocols” on page 8.

About Acoustic Capture Protocols for CINE and Clips

NOTE: You can save acoustic capture protocols to exam presets.

Acoustic capture protocols are free-form or staged protocols that have the following Clip Setting enabled: Cine R-R Capture (1,2, or3). Acoustic capture protocols capture all frames to the CINE buffer when the frame rate is higher than 30 Hz. When all frames are captured in the

CINE buffer, you can store a clip containing all the frames.

When you capture frames to the CINE buffer using an acoustic capture protocol and then play the CINE frames, the system automatically adjusts the playback speed to allow storage of all captured frames to a clip.

SAVE ON SELECT

SAVE ON

CAPTURE RESULT

OFF OFF _{Clips are not saved when you end a study. For}

more information about Save on Capture, see “Customizing Free-Form Protocols” on page 4 and “Customizing Staged Protocols” on page 8.

ON OFF _{Clips are saved only if you mark them as selected}

during review. Upon closing a study, the Sequoia system deletes all unselected clips!

OFF ON _{Clips are saved automatically. Unwanted clips}

must be manually deleted from review before closing a study.

These setting combinations may result in slow transfer to network and server. Clip capture quantity and size, network, server, and workstation capabilities affect transfer rate.

ON ON _{All captured clips are saved.}

Default Acoustic Capture Protocols Exam Preset Containing

Acoustic Frame Protocol(s) by Factory Default

Acoustic Capture Protocol(s) (Factory Default)

Cardiac 1 Beat Ac. Capt Cardiac Difficult 1 Beat Ac. Capt

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Customizing Free-Form Protocols

You use a free-form protocol for exams that do not necessarily require a structured sequence. You can customize the free-form protocol to have several Capture Types, each with different capture parameters. You can then use the protocol key to switch between Capture Types during an exam to change capture parameters.

◆

To define a free-form protocol:

1 In the Protocol Type section of the AEGIS dialog box, select Free-form and click Define to display the Free-form Protocol dialog box.

2 Use the Capture Type Control options, Capture Type Settings options, Clip Settings, and Trig Clip Settings options to define capture types as described in the following sections.

Figure 1-2 AEGIS Free-form Protocol

Pediatric Echo • 1 Beat Ac. Capt Pharm Stress QSI • Baseline Ac. Capt

• Low Dose Ac. Capt • Peak Ac. Capt • Recovery Ac. Capt Default Acoustic Capture Protocols Exam Preset Containing

Acoustic Frame Protocol(s) by Factory Default

Acoustic Capture Protocol(s) (Factory Default)

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Capture Type Control

◆

To use Capture Type Control options:

PREREQUISITE: Display the Free-form Protocol screen: press SETUP, select Aegis, select Free-Form, and click Define.

1 In the Capture Type text field, enter the name of the Capture Type you want to create or change.

2 Use the buttons in the top section of the Free-form Protocol dialog box to add, remove, and display Capture Types. These buttons work as follows:

If a button is disabled, its function is not currently available. For example,

Add and Insert are disabled when the protocol contains the maximum allowable number of Capture Types.

BUTTON FUNCTION

Add _{Creates a new Capture Type with all settings as they are}

currently displayed, and adds it to the end of the list of existing Capture Types, which you name.

Insert _{Creates a new Capture Type with all settings as they are}

currently displayed, and inserts it into the list of existing Capture Types, immediately before the last one displayed.

Remove _{Removes the current Capture Type from the protocol.} Prior _{Displays the name and settings for the Capture Type that is}

immediately before the current one.

Next _{Displays the name and settings for the Capture Type that is}

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Capture Type Settings

◆

To specify settings for the current Capture Type:

PREREQUISITE: Display the Free-form Protocolscreen: press SETUP, select Aegis, select Free-Form, and click Define.

1 Select a Maximum Capture Frame Rate:

• NTSC: 60 (ROI captures only), 30, 20, 15, 10,5, 2, or 1 Hz

• PAL: 50 (ROI captures only), 25, 17, 12, 8, 5, 2, or 1 Hz

2 Select a Clip Size: Full, Condensed, or ROI (region of interest).

3 Select a JPEG Compression level: Low, Medium, or High.

4 Turn Save On Captureon or off to specify whether the clip is automatically saved when captured.

NOTE: If Save on Capture is turned off and Save on Select is on, clips are saved only if you mark them as selected during review. If Save on Select

is also turned off in the main AEGIS dialog box, clips are not saved at all.

Time Decimated Capture Select a Maximum Capture Frame Rate in the Capture Type Settings section of the protocol setup screen.

Clip Settings

◆

To specify clip settings:

1 Select a number of Clips per Capture: 1, 2, 4, 8, or Indefinite.

2 Enter a number of Segments Per Clip from 0 to 99.

3 Select a unit type (msec, beats, or ultrasound frames) from the pop-up menu and enter a Segment Length from 0 to 9999.

4 Enter an Alternate Segment Length to use when the correct heart rate is not reached in a staged protocol, or when an alternate time is desired in a free-form protocol.

5 To enable acoustic capture for CINE and clips, select the

Cine R-R Capture option (1,2, or3) that corresponds to the number of heart cycles required for the clip.

6 Turn Enable R-Wave Gated Capture on to trigger from the R-Wave of the ECG and enter a Trigger Delay, if delay is desired.

7 Click Add or Insert to create a Capture Type with the name you entered and with the Capture Type Settings and Clip Settings as you set them.

8 Press [PRIOR] or click Exit to return to the AEGIS dialog box.

9 Enter up to 10 names in the Protocol View Names text fields. Use the scroll bar to view the whole list.

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Trigger Clip Settings You can customize a free-form protocol for clips stored while the system’s extended trigger function is active. When the extended trigger function is active, frames are stored at each trigger point, according to the Trigger Clip Setting.

◆

To specify Trig Clip Settings:

1 Click Trig Clip Settings.

2 Select a unit type from the pop-up menu and enter a Segment Length

from 0 to 9999.

3 Enter an Alt Segment Lengthfrom 0 to 9999 and select a unit type from the pop-up menu.

R-wave Decimated Capture

◆

To set up R-wave decimated capture:

1 Click Trig Clip Settings.

2 Select the R-wave Decimated Capture check box.

3 Define the ultrasound frames segment length by entering the required number of frame segments in the Ultrsnd Frms box.

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Customizing Staged Protocols

You use a Staged protocol to perform exams that have a set protocol or sequence such as an exercise or pharmacological stress exam. You proceed through a Staged protocol exam one Stage at a time, acquiring images with the Capture Settings of each Stage.

◆

To define a staged protocol:

1 Select Staged and click Define in the AEGIS dialog box to display the Staged Protocol dialog box.

2 Use the Stage Control options, Stage Settings options, Clip Settings options, and Trig Clip Settings to define stages as described in the following sections.

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Stage Control

◆

To use Stage Control options:

1 In the Stagetext field, enter the name for the Stage you want to create or change.

2 Use the buttons in the top section of the Staged Protocol dialog box to add, remove, and display Stages. These buttons work as follows:

If a button is disabled, its function cannot currently be carried out. For example, Add and Insert are disabled when the protocol contains the maximum allowable number of Stages.

BUTTON FUNCTION

Add _{Creates a new Stage with all settings as they are currently}

displayed, and adds it to the end of the list of existing Stages, which you name.

Insert _{Creates a new Stage with all settings as they are currently}

displayed, and inserts it into the list of existing Stages, immediately before the last one displayed.

Remove _{Removes the current Stage from the protocol.} Prior _{Displays the name and settings for the Stage that is}

immediately before the current one.

Next _{Displays the name and settings for the Stage that is}

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Capture Type Settings

◆

To specify settings for the current stage:

1 Select a Maximum Capture Frame Rate:

• NTSC: 60 (ROI captures only), 30, 20, 15, 10, 5, 2, or 1Hz

• PAL: 50 (ROI captures only), 25, 17, 12, 8, 5, 2, or 1 Hz

2 Select a Clip Size: Full, Condensed, or ROI (region of interest).

3 Select a JPEG Compression level: Low, Medium, or High.

4 Turn Display Stage Timeon or off to specify whether the Stage timer appears.

5 Turn Save On Captureon or off to specify whether the clip is automatically saved when captured.

NOTE: If Save On Capture is turned off and Save On Select is on, clips are saved only if you mark them as selected during review. If

Save On Selectis also turned off in the main AEGIS dialog box, clips are not saved at all.

6 Turn Auto-Reviewon or off to automatically review captures at the end of the capture.

7 Turn Auto-delete Unsaved Captureson or off to automatically delete unsaved captures when you exit the current stage.

Time Decimated Capture Select a Maximum Capture Frame Rate in the Capture Type Settings section of the protocol setup screen.

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Clip Settings

◆

To specify clip settings for the current stage:

1 Select a number of Clips per Capture: 1, 2, 4, 8, or Indefinite.

2 Enter a number of Segments Per Clip from 0 to 99.

3 Select a unit type (msec, beats, or ultrasound frames) from the pop-up menu and enter a Segment Length from 0 to 9999.

4 Enter an Alternate Segment Length to use when the correct heart rate is not reached in a staged protocol, or when an alternate time is desired in a free-form protocol.

5 To enable acoustic capture for CINE and clips, select the

Cine R-R Capture option (1,2, or3) that corresponds to the number of heart cycles required for the clip.

6 Turn Enable R-Wave Gated Capture on to trigger from the R-Wave of the ECG and enter a Trigger Delay, if desired.

7 Click Add or Insert to create a Stage with the name you entered and with the Stage Settings and Clip Settings as you set them.

8 Press [PRIOR] or click Exit to return to the AEGIS dialog box.

9 Enter up to 10 names in the Protocol View Names text fields. Use the scroll bar to view the whole list.

Trigger Clip Settings You can customize a staged protocol for clips stored while the system’s extended trigger function is active. When the extended trigger function is active, clips are stored at each trigger point.

◆

To specify Trig Clip Settings:

2 Select a unit type from the pop-up menu and enter a Segment Length

from 0 to 9999.

3 Select a unit type from the pop-up menu and enter an Alt Segment Lengthfrom 0 to 9999.

R-wave Decimated Capture

◆

To set up R-wave decimated capture:

2 Select the R-wave Decimated Capture check box.

3 Define the ultrasound frames segment length by entering the required number of frame segments in the Ultrsnd Frms box.

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Customizing a Stress Echo Protocol

A stress echo protocol is a type of staged protocol.

◆

To customize a stress echo protocol:

Follow the procedures for customizing AEGIS protocols (See

“Customizing AEGIS Protocols” on page 2) and customizing a staged protocol (see “Customizing Staged Protocols” on page 8), with the following guidelines:

1 In the AEGIS dialog box, click Loop aligned for Playback Mode.

2 Select Playback Speed of 50%.

NOTE: When using the Pharm Stress QSI exam preset, Siemens recommends using the default “sh” (“shortest”) Playback Speed setting (such as 50% sh). Do not select the “sh” settings for other exam presets.

3 Click Staged for Protocol Type.

4 Enter the names you want in each of the Protocol View Names text fields. Enter names in the order of desired acquisition during IM POST stage (i.e., 4CH, 2CH, PLAX and PSAX).

5 Click Define.

The Staged Protocol dialog box appears.

6 Enter the name you want for the first Stage (i.e., REST).

7 Select ROI for the Clip Size.

8 Select 30 Hz for the Maximum Capture Frame Rate.

9 Select LOW for the JPEG Compression.

10 Turn on Auto Review.

11 Select 2 or 4 for the Clips Per Capture.

12 Enter 1 for the Segments Per Clip.

13 Enter 400 (or other preferred number) for the Segment Length.

14 Select msec in the Segment Length unit pop-up menu.

15 Click Add to store the new Stage.

16 Enter the name you want for the second Stage (i.e., IM POST).

17 Turn on Display Stage Timer.

18 Select Indefinite for the Clips per Capture.

19 Enter 350 for the Segment Length.

20 Click Add to store subsequent Stages. Your settings from the previous stage are copied. Make changes where appropriate.

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Customizing DICOM Network Features

Customizing DICOM

Network Features

To customize DICOM network features, choose AEGIS from the Setup menu and then set options as described in this section.

• Click Define Printers to set up network printers. See “Setting Up Network Printers” on page 14.

• Click Define Serversto configure the system to use network storage servers. See “Setting Up Network Storage Servers” on page 18.

• Click Define Worklist to set up the system to connect to a network worklist server. See “Setting Up a Worklist Server” on page 20. These features are typically set up once for your network environment and seldom changed. Normally, a system administrator or a network administrator sets up these features. If you are not an administrator, you don’t need to read the following sections. Your system should have been set up for you.

System Requirements and Efficiency

The following circumstances may slow network and server transfer rate:

• Simultaneously reconstructing a clip and executing Store In-progress to a network.

• Simultaneously executing move and store operations.

• DICOM store error caused by external sources.

• Servers that accept only uncompressed clips (Agfa Impax 3.5 PACS).

• Network bandwidth or traffic.

• Review stations may not be able to load or handle clips (Agfa Impax 3.5 requires special setup and EFilm review station is incompatible with clips).

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Setting Up Network Printers

To set up network printers, click Define Printers from the AEGIS Setup screen and set options as described in this section. When you finish making changes, press [PRIOR] to return to the AEGIS Setup screen or click EXIT to leave the Setup function.

Figure 1-4 Network Printing Screen

• In the Network B&W Printer and Network Color Printerareas, use the pop-up menus to select the network black-and-white and color printers that you want to print to. For each printer, select the print format, paper size, and print media from the pop-up menus.

• In the Send B-Color to area, choose a type of printer, Color Printer or

B&W Printer, for B-Color images.

• In the Send 2-D CD w/strip toarea, choose a type of printer, Color

Printer or B&W Printer, for combined 2-D/strip images.

• In the Auto Print area, turn on one of the automatic printing options.

In Progress – sends images to the network printer as you press the

STORE key during an exam.

On Study Close – sends all of the images at once when you end the exam.

Off – turns off the automatic printing feature. If automatic printing is turned off, you can use the Study Utilities function to print a study. See the User Manual for instructions.

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DICOM Auto Print and Auto Store Interface

Using auto print or auto store DICOM settings, directly affects which soft keys are displayed for DICOM interface. These soft keys display when you press BEGIN END.

If your printer is set up to print multiple images per page (or sheet of film), then In Progress automatic printing doesn’t occur until the correct number of images have been sent to the printer. When you close the study, the remaining images are printed, regardless of whether they fill a page. When you print On Study Close, the printer prints all images, in order, according to the image-per-page format set up for the printer. If there are not enough images to fill the last page, it prints anyway. The printer does not wait for additional images from a different study.

• In the Print Default area, choose whether the system prints all stored images (All Statics) or only images included in the select set

(Select Set). When you choose Select Set, the system prints only the images marked as selected. Study Utilities will print all images, regardless of the selected set. For more information on marking images as selected or using Study Utilities, see the User Manual.

Select Set option is useful at sites that do not rely on reading images from film. AEGIS SETUP AUTO PRINT AUTO

COPY SOFT KEYS

Servers only

— OFF Copy to server. — ON Not available. Printers

only

OFF — [PRINT STUDY]

ON — [PRINT NOW]

Printers and Servers

OFF OFF [DICOM SERVICES] which accesses:

[COPY TO “SERVER”] and [PRINT STUDY]

ON OFF [DICOM SERVICES] which accesses:

[PRINT NOW] and [COPY TO “SERVER”]

OFF ON [PRINT STUDY]

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Print Now The Auto Print feature has a new Print Now soft key option. This option is available when the Auto Print Setup page selection is either In-Progress or On Study Close. When the Auto Print feature is turned off, one of the following two soft keys is displayed:

• [DICOM SERVICES] when both a printer and server are configured to the Sequoia system.

• [PRINT STUDY] when a printer only is configured to the Sequoia system.

Print Now invokes printing upon selecting [PRINT NOW], and before the preselected Auto Print option executes. Auto Print executes when the number of captured images matches the film format printer selection. If the film format selection is 3 X 5, then Auto Print will execute the print function when 15 images have been captured. Print Now interrupts the capture process to print an image immediately, and then allows you to return to capture process. This is a very useful feature in emergency situations when time is a factor.

Access [PRINT NOW] from an open study Patient Demographic page.

◆

To access the Print Now function: 1 Press SETUP.

2 Select AEGIS from the Setup menu.

3 Select [DEFINE PRINTERS...].

4 Select either In-Progress or On Study Close from the Auto Print area.

5 Select [EXIT].

6 Press BEGIN/END to start a new study. The following soft keys display on the Patient Demographic page:

[RESTART LIST][BEGIN IMAGING]

7 Begin a study and start acquiring images.

8 Press BEGIN/END to interrupt the study. The following soft keys display:

[START NEW PT] [MODIFY STUDY] [RESUME STUDY] [PRINT NOW] 9 Select [PRINT NOW].

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Auto Retry When you turn on the Auto Retry option, the system maintains a list of studies waiting to be printed. The system checks this list whenever it is powered on, and automatically sends waiting studies to the printer. If you use your system for portable studies (disconnected from the network), toggle Auto Retry on to automatically print images from those portable studies. Toggle Auto Retry on before you reboot the system and after reconnecting to the network.

For both networked and portable studies, this feature helps ensure that printer problems (for example, no paper or paper jam) don’t prevent studies from printing. Any study that is unable to print or is partially printed is sent to the Auto Retry que. Auto Retry initiates by one of two ways:

1 Persistent – While the Sequoia system is being used to perform other tasks, Auto Retry attempts print or store studies and images in the Auto Retry que at regular intervals, until the print or store function has been completed.

2 Power Cycle – Upon power on or shut down, Auto Retry attempts print or store studies and images in the Auto Retry que. If a server connection cannot be established, or a printer problem not fixed, the next print or store attempts are made on the next shut down or power on cycle. Once a server connection can be established, or a printer problem fixed, the next print or store attempts are made at regular intervals, until the print or store function has been completed. Studies that were partially printed resume printing from where they stopped. The system does not display a message indicating a failed image transfer.

NOTE: If a study is unable to print because of a printer problem, the system maintains all subsequent images in the current study in the list of unprinted images (it doesn’t try to print again). The system will re-associate with the printer on the next new patient. Unprinted images from the former study will not be printed until the system is powered off and on.

When you turn off this feature, the system does not maintain the list of unprinted studies. You must print prior studies using the Study Utilities function (as described in the User Manual).

• In the Jobs Kept text field, enter the number of days to keep the list of unprinted studies.

NOTE: The Auto Retry option detects the studies that have not been printed. It does not prevent a study from being removed from the system hard disk (either manually or automatically when the hard disk becomes full) before it has been printed.

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Setting Up Network Storage Servers

Network storage servers store saved images, clips, patient information, and calculation information in studies. To set up network storage servers, click Define Servers from the AEGIS Setup screen and set options as described in this section. When you finish making changes, press [PRIOR]

to return to the AEGIS Setup screen or click EXIT to leave the Setup function.

Figure 1-5 Network Server Setup

• Use the pop-up menus to select a primary (Storage Server 1) and secondary (Storage Server 2) storage server and to assign a priority to each server. Your Siemens Customer Engineer configures your system to connect to storage servers.

• In the AutoCopy area, turn on one of the automatic copying options.

In Progress stores images (one at a time) to the network server during an exam (as they are stored to the local hard disk). On Study

Close copies all of the images at once when you end the exam. Off turns off the automatic copy feature. When automatic copy is off, you can use the Study Utilities function to copy studies to a server. See the

User Manual for instructions on storing studies on a

networked server.

• When you turn on the Auto Retry option, the system maintains a list of studies waiting to be stored. The system checks this list whenever it is powered on, and automatically sends waiting studies to the storage server.

When you turn off the Auto Retry feature, the system does not maintain the list of unstored studies. You must manually store prior studies using the Study Utilities function (as described in the

User Manual).

If you use your system for portable studies (disconnected from the network), turn on Auto Retry to automatically store images from those portable studies when you power on the system after reconnecting to the network. When portable, a 30 second delay occurs until the system determines there is no network connection.

NOTE: It is recommended to turn Status Line Messages off when using portable Auto Retry to prevent Status Line Messages from interrupting a current study.

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For both networked and portable studies, this feature helps ensure that server or network problems don’t prevent studies from being stored. Any study that is unable to be stored or is partially stored is saved and automatically stored the next time that the system starts up and detects that the storage server is OK.

NOTE: If a study is unable to be stored because of a server or network problem, the system maintains all subsequent images in the current study in the list of unstored images (it doesn’t try to store again for the current study). The system will reassociate with the storage server on the next new patient. Unstored images from the former study will not be stored until the system is powered off and on.

NOTE: If the study has been successfully stored to only one of the two listed storage devices, the system will not attempt to send the study to the other storage device via Auto Retry.

• In the Jobs Kept text field, enter the number of days to keep the list of unstored studies.

NOTE: The Auto Retry option detects the studies that have not been stored. It does not prevent a study from being removed from the system hard disk (either manually or automatically when the hard disk becomes full) before it has been stored.

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Setting Up a Worklist Server

The Siemens system can retrieve patient information from a Hospital Information System (HIS) or Radiology Information System (RIS) worklist server. To specify a worklist server, click Define Worklist from the AEGIS Setup screen and set options as described in this section. When you finish making changes, press [PRIOR] to return to the AEGIS Setup screen or click EXIT to leave the Setup function.

Figure 1-6 Dicom Worklist Server Setup Screen

• The DICOM Modality Performed Procedure Step (MPPS) feature allows the Sequoia system to report back to the HIS/RIS that a study (retrieved from the worklist server) has been completed. The

HIS/RIS can then remove the study from the list of procedures to be done, start the billing process, and so on. If the worklist server and the HIS/RIS support MPPS, then a list of servers appears in the

MPPS Server pop-up menu. Choose the appropriate server.

• Choose the worklist server from which you want to retrieve patient information from the Worklist Server pop-up menu.

When you choose On from the Pre-Fetch pop-up menu, the system automatically queries the worklist server for the list of scheduled studies when you start a new patient study (by pressing

[START NEW PATIENT]). It stores the list of scheduled studies on its internal hard drive. This option is useful for portable studies where there may not be a network connection. You connect the system to a network at the beginning of the day, retrieve the day’s patient information, and then have that information available during portable studies.

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NOTE: If the network connection is lost during an active Pre-Fetch query, the system may lock-up and require that you restart the Sequoia system.

• When this option is Off, the system connects to the worklist server only when you press [QUERY] on the patient demographic page. It does not automatically save the study list on the internal hard disk. For more information using the Query function see “Studies”, Chapter 3 in the User Manual.

• Choose On from the Worklist pop-up menu to turn on the worklist retrieval function. Choose Off to turn off this function.

• Choose a maximum number of studies from the Max Entries pop-up menu. This option limits the number of studies that the system retrieves from the worklist server.

• Choose On from the Sent U/S Studies Onlypop-up menu to retrieve only ultrasound studies. When you choose Off, all modalities or exam types are retrieved.

• Choose Off from the Filter Worklistpop-up menu to retrieve all studies for an Ultrasound department. Choose On to retrieve only studies assigned to this ultrasound system.

NOTE: A new Study Type can only be created on the Begin Study Type set up page.

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DICOM Modality Worklist Guidelines

Use the following guidelines to setup Modality Worklist for Patient Demographic pages:

CREATE NEW

STUDY TYPE GUIDELINES Study Type/

Procedure Names Characters

You can enter up to 64 characters for Study Type names, but only the first 16 characters will be displayed on the Patient Demographic page.

IMPORTANT: Never use backslashes “\”. Using a backslash in anexam procedure name will lock-up the Sequoia system and require that you restart the Sequoia system.

Study Type/ Procedure Names HIS/ RIS Queries

Procedure names on the Sequoia system study type list must match with those on the modality worklist server, including punctuation. A procedure name mismatch may cause a stored study to be unavailable on a workstation server. Delete punctuation in HIS/ RIS names to allow an exact match on Sequoia system. If there is a mismatch, then Unknown Study Type is displayed on the Patient Demographic page.

Messages Unknown Study Type: displays on the Patient Demographic page if the Sequoia system study type list is not an exact match with those on the modality worklist server.

An “Unknown Study Type” message invokes the last used Study Type name and Patient Demographic page layout.

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Using the Setup Menu 25

Customizing 2-D Controls 27

Customizing AEGIS Software 28

Customizing Annotation Keys 28

Customizing Auto-Doppler 30

Customizing Begin/Study Type 33

Customizing Body Markers 36

Customizing Calipers/Trace 37

Customizing Cardiac Calculations 38

Customizing Color Doppler Imaging 38

Customizing the Footswitch 38

Customizing GYN Calculations 39

Customizing Monitor Brightness 39

Customizing OB Calculations 40

Customizing the Output Display 40

Customizing Presets 40

Customizing Printing 41

Customizing Screen Options 46

Using the Service User Interface 48

Customizing Strip Modes 48

Customizing the System Clock and Memory Allocation 52

Customizing System Lighting 53

Customizing Tissue Equalization 54

Customizing Vascular Calculations 56

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Using the Setup Menu

Using the

Setup Menu

The Setup menu contains a list of functions that you can customize by setting the function’s parameters. The list of functions depends on your system type and the options installed on your system. The following illustration shows the Setup menu for a system with all options installed.

NOTE: The screenshots shown in this manual are for reference only. Refer to your ultrasound system for the actual options and selections available for use with the Setup function.

Figure 2-1 Setup menu

◆

To use the Setup menu:

1 Press SETUP to display the Setup menu.

2 Select the function you want to change.

3 In the dialog box that appears, set the options you want. See the instructions for specific functions, later in this chapter.

4 Use the following controls to customize system functions:

CONTROL USE

[HIDE MENU] Temporarily remove a dialog box that is obscuring the image, and change the soft key label to [SHOW MENU].

[SHOW MENU] _{Display the dialog box.}

[PRIOR] Apply your changes and return to the prior menu, either a dialog box or the Setupmenu.

[EXIT] or SETUP Apply your changes and leave the Setup function.

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Working with Setup Dialog Boxes

The Setup dialog boxes contain pop-up menus, option buttons, text fields, and command buttons that you use to customize a function. Figure 2-2 shows a sample dialog box.

Figure 2-2 Dialog Box Components

Use the following techniques to set options in dialog boxes.

• Use the trackball to move the arrow cursor in the dialog box.

• To display a pop-up menu, move the arrow cursor over the menu and click a trackball SELECT KEY. To select an option from the menu, move the trackball to highlight that option and click a trackball

SELECT KEY.

• To select or deselect an option button, move the arrow cursor over the option button and click a trackball SELECT KEY. Buttons that are selected are darkened. Sometimes a set of option buttons are mutually exclusive; if you select one, all others in that set deselect automatically.

• To enter text in a text field, click to select inside the text field and then use standard text editing techniques.

• To choose a command, move the arrow cursor over the command button and click one of the trackball SELECT KEYS. You see another dialog box in which you can specify additional options.

Pop-up Menu. Displays choices. Option Button. Darkened buttons are selected. Command Button. Displays additional options.

Exit button. Applies changes and leaves the Setup function.

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Customizing 2-D Controls

Customizing 2-D

Controls

Use 2-D Options Setup to customize parameters that control the appearance of the 2-D image.

◆

To customize the 2-D image, select 2-D from the Setup menu.

Figure 2-3 2-D Options

Customize your system by setting the options in the following table. When you are done, press [Prior] to return to the Setup menu.

OPTION DESCRIPTION

CURVED/VECTOR SCALE

Choose a scale appearance from the pop-up menu.

LINEAR SCALE _{Choose a scale appearance from the}

pop-up menu.

TISSUE EQUALIZATION

Choose Tissue Equalization options in the dialog box.

If your system has the Native TEQ option, available with software version 8.5 or higher, you can choose either TEQ or Native TEQ, and the setup screen includes additional settings for Native TEQ.

See “Customizing Tissue Equalization” on page 54, and System Setup in the Administrator

Guide. DGC CURVE

DISPLAY

Select Single to display the DGC curve when single images are displayed. Select Quad to display the DGC curve in four-image (quad) format.

IMAGE DEPTH KNOB DIRECTION

Select the behavior you want (increase or decrease) for the clockwise direction.

FOCUS DEPTH KNOB DIRECTION

Select the behavior you want (increase or decrease) for the clockwise direction.

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Customizing

AEGIS Software

See Chapter 1, Customizing AEGIS Software for information on customizing onboard AEGIS digital image and data management software functions.

Customizing

Annotation Keys

Use Annotation Keys Setup to customize the six programmable annotation keys located to the right of the SPACE BAR key. You can program each key to represent up to 15 annotation terms. Instead of typing an annotation term, you select the annotation key.

You can set up each key to display annotation terms using one of two methods: by cycling among available terms as you press the key, or by displaying a pop-up menu from which you can choose the term you want. When selecting a method, keep in mind that if you assign more than three or four terms to a key, it is usually easier to access those terms using a pop-up menu.

Siemens supplies an annotation key-cap kit with each system. The kit contains key caps with labels for common annotation groupings. When your system is installed, your Siemens Customer Engineer will help you set up the annotation keys on your system and show you how to install the descriptive key caps.

AUTOMATIC IMAGE WIDTH WITH COLOR DOPPLER ACTIVATION

Turn on AUTOMATIC IMAGE WIDTH WITH COLOR DOPPLER ACTIVATION to turn on the image width function automatically when you enter Color Doppler mode.

IMAGE WIDTH SIZE AND POSITION TIED TO COLOR

DOPPLER SIZE AND POSITION

Turn on IMAGE WIDTH SIZE AND POSITION TIED TO COLOR DOPPLER SIZE AND POSITION to size the image width box so that it matches the size and position of the Color Doppler box.

IMAGE SIZE _{Click to display the 2-D Image Size Options}

dialog box. Choose the size you want, then press

[PRIOR] to return to the 2-D Options dialog box.

RES BOX _{Click to display the 2-D RES Magnification}

Imaging Format Box dialog box. Choose the RES sizing box option you want, then press [PRIOR]

to return to the 2-D Options dialog box.

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Customizing Annotation Keys

◆

To customize the annotation keys, select Annotation from the Setup menu.

Figure 2-4 Programmable Annotation Keys

Customize your system by setting the options in the following table. When you are done, press [PRIOR]to return to the Setup menu.

ANNOTATION KEY POP-UP MENU

Choose the number (1-6) of the key you want to customize.

CYCLE ANNOTATIONS POP-UP MENU FOR ANNOTATIONS

Select the method of choosing terms for the selected key.

TERM TEXT BOXES _{In each box, type a term (up to 20 characters) to}

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Customizing

Auto-Doppler

Use Auto-Doppler Setup to customize a set of parameters for each configuration. The parameters include which measurements appear during live and frozen image acquisition.

◆

To customize the Auto-Doppler setup, select Auto-Doppler from the Setup menu.

Figure 2-5 Auto-Doppler Setup

The Auto-Doppler Setup dialog box contains activation boxes that allow you to customize up to sixteen different configurations. Some of the configurations may be pre-programmed by Siemens.

NOTE: You can turn on as many configurations as you want. However, only one configuration at a time can be active.

Customize your system by setting the options as follows. When you are done, press [PRIOR]to return to the Setup menu.

• Select the On option button next to the Configuration name to turn it on or deselect it to turn it off. If a configuration is turned on, it appears in the Auto-Doppler Options menu.

• Select the Active option button next to the Configuration name to activate it. The active configuration appears with a check mark in front of the name in the Auto-Doppler Options menu. The active configuration settings are also stored in the Exam Preset. Only one active configuration can be set for each Exam Preset.

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Customizing Auto-Doppler

• If you want to modify the parameters of a Configuration, click

Modify next to the Configuration name. The Auto-Doppler Configuration Setup dialog box appears as shown in Figure 2-6.

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Modify a configuration by setting the options in the following table. When you are done, press [PRIOR] to return to the Auto-Doppler Setup dialog box or click Exit to leave the Setup function.

Configuration Name _{Type a new name or edit the existing one.} Gap Drawing _{Use this option to determine how the maximum}

derived waveform (MAX DWF) is drawn for gaps in the spectral strip. If it is selected, a horizontal line across spectral gaps is drawn at the value of the MAX DWF for the last received spectral line. If it is deselected, a horizontal line at zero is drawn during spectral gaps.

Initial Tracking Sensitivity

Move the arrow cursor over the indicator sliding bar to select the sensitivity percentage. You can also adjust this value during an exam.

Number of Heart Beats to Average

Enter a number between 1 and 9 to specify the number of beats to average when calculating Auto-Doppler values.

Heart Rate Ranges _{Enter the ranges for this configuration. When}

you perform calculations, these values appear on the [HR RANGE] soft key.

Calculations Area _{Select a calculation to display it in the Auto}

Doppler data display box. You can select up to eight calculations for display. Acceleration and Acceleration Time values appear only when the

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Customizing Begin/Study Type

Customizing

Begin/Study Type

When you begin a new exam, you choose a Study Type, select an Exam Preset, and enter patient information on the Begin page. The Study Type that you choose determines the default Exam Preset, your other Exam Preset choices, and which patient information fields appear on the Begin page. Use the Begin/Study Type setup function to add, change, or remove a Study Type.

Creating or Changing a Study Type

◆

To create a new Study Type or modify an existing Study Type: 1 Select Begin/Study Type from the Setup menu to display the

Begin/Study Type Customization dialog box.

Figure 2-7 Begin/Study Setup

2 Select the Study Type you want to change from the Study Type pop-up menu, or select an existing Study Type to use as a basis for creating a new one.

3 To have this Study Type take effect when the system is first powered on, select Power Up.

4 Choose a Default Exam Preset for the Study Type from the pop-up menu. (For more information about Exam Presets, see Chapter 3.)

5 Type the text to use as the Begin page title in the Page Title field.

6 Type the text to use as the custom field titles in the Custom Field 1

Title and Custom Field 2 Title fields.

7 Select the options fields that you want to use in the Begin page, and deselect the options you want to omit. The following table describes the available options.

Fields marked with an asterisk (*) are available on Sequoia 512 systems only.

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SELECT THIS

OPTION BUTTON: TO DISPLAY THIS ITEM: Pt. Name - Prefix Name Prefix

Pt. Name - Suffix Name Suffix

Accession Hospital-assigned ID number from hospital information system (HIS) database

SSN Social Security Number

Date of Birth Date of Birth uses the following formats: • <day> <separator> <month> <separator>

<year> • DAY: d or dd • MONTH: m or mm • YEAR: y, yy, or yyyy

• Separator: dash (-) or slash (/) • Special: ddmmyy (no separators)

Age Patient’s age

GA at Birth* Gestational age at birth (wks)

Sex Patient’s sex

Height Patient’s height Weight Patient’s weight

BSA Body Surface Area

BP Patient’s blood pressure

LMP* Patient’s last menstrual period

EDD* Estimated delivery date

Grav/Para/Abor* Patient’s OB history Gestations* Gestation number

Diag. Physician Diagnosing physician’s name Ref. Physician Referring physician’s name Sonographer Sonographer’s initials Prompt for

Exam Preset

Turn on this option to automatically display the Exam Presets pop-up menu when you begin an exam without choosing a Study Type from the Begin page.

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Customizing Begin/Study Type

8 To create a new Study Type, click New Study Type and enter a name for the Study Type in the dialog box. Click OK to continue.

9 To save your changes, click Exit or press [PRIOR].

Removing a Study Type

◆

To remove a Study Type:

1 Select Begin/Study Type from the Setup menu to display the Begin/Study Type Customization dialog box.

2 Select the Study Type you want to remove from the Study Type pop-up menu.

3 Click Delete Study Type.

You cannot delete the default (power on) Study Type. When these Study Types are selected, Delete Study Type is disabled.

4 In the dialog box that appears, click Delete to confirm the deletion or

Cancel to cancel.

Alert Unless Free Disk Space Exceeds (Mb)

The system maintains a minimum amount of free disk space. When the free space drops below the minimum, an alert message appears, and the system begins to remove old studies to make room for new ones. Use this option to change the amount of free storage space. To delete old studies without a warning, set this option 0 Mb.

Indication Indication for exam Comments Sonographer’s notes

Machine ID Ultrasound system ID number

Department Displays the department entered in this field. Custom Field 1 Displays a customizable field

Custom Field 2 Displays a customizable field Condense Pt.

Name Entry

A single field for patient name, instead of separate fields for first and last name

Display in Metric Only

Measurements in metric units (otherwise measurements display in English units) SELECT THIS

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Customizing Body

Markers

Body Markers are available on Sequoia 512 systems only.

Use Body Markers Setup to specify which body markers are available during an exam and to adjust the size of the marker and the indicator. If you perform only certain types of exams at your site, you might want to turn off the body markers that don’t apply to those exams.

◆

To customize Body Markers, select Body Markers from the Setup menu.

Figure 2-8 Body Markers

Body Markers Select the markers you want to make available for exams, and deselect the ones you want to omit. Body Marker Size Select Small or Large.

Body Marker Indicator Size

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Customizing Calipers/Trace

Customizing

Calipers/Trace

◆

To customize the caliper or trace measurement tools, select Calipers/Trace from the Setup menu.

Remove Tools When Unfrozen

Measurements can be taken only from a frozen image. To automatically remove measurement tools when you press FREEZE to return to a real-time (unfrozen) image, select this option.

Define Doppler Measurement Tools

Select GI/Vascular or Cardiac measurements. For more information, see the User’s Manual.

Enable Hip Angle _{Select to turn on the Hip Angle calculation.} Enable Ratio

Calculation

Select to turn on the Doppler ratio calculation.

Numerator _{Enter a label for the numerator of the ratio}

calculation. IC pk is the default, used for the IC/CC ratio.

Denominator _{Enter a label for the denominator of the ratio}

calculation. CC pk is the default, used for the IC/CC ratio.

Trace Method Default

Select the default trace method. You can override this default when performing a trace.

Display Slope Line _{Select one or both Display Slope Line options.} • M-mode activates the display of a slope line

between an active pair of generic calipers on a frozen strip in M-mode, Color M-mode, and DTI.

• Spectral activates the display of a slope line between an active pair of generic calipers for ∆DCAL measurements on a frozen strip in Spectral Doppler PW, CW, and

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Customizing

Cardiac

Calculations

The Cardiac Calculation package is available on Sequoia 512 systems with Cardiac option, Sequoia C512 Echocardiography systems, and Sequoia C256 systems. See Chapter 6 for detailed information on customizing cardiac calculations, including calculation formulas and references.

Customizing Color

Doppler Imaging

Use Color Doppler Imaging Setup to customize how the color Doppler pan box resizing option functions. You can set up the size to change relative to a fixed center or a fixed corner.

◆

To customize the pan box:

1 Select Color Doppler Imaging from the Setup menu to display the Color Doppler Imaging dialog box.

Figure 2-9 Color Doppler Box Sizing 2 Select a CDI Box Sizing method.

3 Click [PRIOR] to return to the Setup menu, or click Exit to exit the Setup function.

NOTE: You can also press CODE + D-COLOR at any time as a shortcut for displaying the Color Doppler Imaging dialog box.

Customizing the

Footswitch

You can program the two buttons on the footswitch to perform the functions of frequently used keyboard keys. The footswitch settings available to you depend on the options installed on your system.

◆

To customize the footswitch buttons, select Footswitch from the Setup menu.

adm_eng

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Administrator Manual

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Table of Contents

Preface

ix

Chapter 1

Customizing AEGIS Software

1

Chapter 2

Customizing System Setup

23

Chapter 3

Customizing Presets

57

Chapter 4

Customizing OB Calculations

67

Chapter 5

Customizing Gynecology Calculations

83

Chapter 6

Customizing Cardiac Calculations

93

Chapter 7

Customizing Vascular Calculations

145

Chapter 8

VCR and Printer Setup

149

Chapter 9

Using the Service User Interface

161

Appendix A

OB Calculation Formulas

171

Appendix B

Calculation Data Transmission

239

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