Accutome B-Scan Plus User manual

Accutome
B-Scan Plus
User’s Guide
24-6110
Rev D

Federal law restricts this device to sale by or on
the order of a physician.
FEDERAL COMMUNICATIONS COMMISSION (FCC)
UNINTENTIONAL EMITTER PER FCC PART 15
This device has been tested and found to comply with the limits for a
Class B digital device, pursuant to Part 15 of the FCC rules. These
limits are designed to provide reasonable protection against harmful
interference in an office installation. This equipment generates,
uses, and can radiate radio frequency energy and, if not installedand
used in accordance with the instructions in the user manual, may
cause harmful interference to radio or television reception. However,
there is no guarantee that interference will not occur in a particular
installation. If this equipment does cause interference to radio and
television reception, which can be determined by turning the
equipment off and on, the user is encouraged to try to correct the
interference by one or more of the following measures:
Reorient or relocate the receiving antenna
Increase the separation between the equipment and
receiver
Connect the equipment to an outlet on a different circuit
from that to which the receiver is connected
Consult Accutome Ultrasound, Inc or an experienced
radio/TV technician for help.
This device complies with Part 15 of the FCC Rules. Operation of
this product is subject to the following two conditions: (1) this device
may not cause harmful interference, and (2) this device must accept
any interference received, including interference that may cause
undesired operation.
CAUTION:
Changes or modifications not expresslyapproved by Accutome, Inc. could void
the FCC compliance and negate your authority to operate the product.
Authorized Representative in Europe (for regulatory affairs only):
The B-Scan Plus is manufactured by:
Accutome, Inc.
3222 Phoenixville Pike
Malvern, PA 19355
Toll free (U.S.A): 800.979.2020
International: 610.889.0200
Fax: [phone]

i
Contents
Introduction - - - - - - - - - - - - - - - - -1
Accutome B-Scan Plus Overview - - - - - - - - - -1
Features - - - - - - - - - - - - - - - - - - - -2
Adjustable TGC Curves- - - - - - - - - - - - - 2
Gamma Settings - - - - - - - - - - - - - - - 2
Gain Adjustment - - - - - - - - - - - - - - - 2
Automatic Image Orientation Labeling - - - - - - 2
Image Playback - - - - - - - - - - - - - - - - 2
Measurements - - - - - - - - - - - - - - - - 3
Patient Data Storage and Retrieval- - - - - - - - 3
Reports and Printouts - - - - - - - - - - - - - 3
Components - - - - - - - - - - - - - - - - - - -3
About This Manual - - - - - - - - - - - - - - - -4
Safety - - - - - - - - - - - - - - - - - - - -7
Safety Information - - - - - - - - - - - - - - - -7
Safety Issues to Consider When Using the Accutome 
B-Scan Plus- - - - - - - - - - - - - - - - - - 7
Indications for use- - - - - - - - - - - - - - - 7
Disposal Requirements - - - - - - - - - - - - - -8
Disposal of the product within the EU - - - - - - - -8
Symbol Definitions for the Accutome - - - - - - - -8
Safety Precautions - - - - - - - - - - - - - - - -9
Disinfection of the Probe - - - - - - - - - - - - 9
Cleaning of the Probe - - - - - - - - - - - - - 11
Electrical Hazard and Safety - - - - - - - - - - 11
Avoiding Equipment Damage - - - - - - - - - - 12
Avoiding Electromagnetic and Other Interference - 13
Getting Started - - - - - - - - - - - - - - - 15

ii
Accutome B-Scan Plus User Guide
Assembling the Accutome B-Scan - - - - - - - - 15
What you need - - - - - - - - - - - - - - - - 15
PC- - - - - - - - - - - - - - - - - - - - - 16
Probe - - - - - - - - - - - - - - - - - - - 16
Printer - - - - - - - - - - - - - - - - - - - 16
Footswitch - - - - - - - - - - - - - - - - - 16
Installing the Software - - - - - - - - - - - - - 17
Installation - Phase One - - - - - - - - - - - 17
Installation - Phase Two - - - - - - - - - - - 19
Installation - Phase Three- - - - - - - - - - - 19
Probe - - - - - - - - - - - - - - - - - - - - - 21
Footswitch Setup - - - - - - - - - - - - - - - - 22
Basic Operation - - - - - - - - - - - - - - - - 23
Starting Accutome B-Scan Plus Program - - - - - 23
How to Start a New Patient Exam - - - - - - - - 24
Entering Patient Exam Information- - - - - - - 25
Operation - - - - - - - - - - - - - - - - - - 32
Scanning - - - - - - - - - - - - - - - - - - 35
How to Print an Exam - - - - - - - - - - - - - 35
How to Save Patient Exams - - - - - - - - - - - 36
Setup - - - - - - - - - - - - - - - - - - - 37
Setting Up the B-Scan Plus - - - - - - - - - - - 37
How to Access Setup - - - - - - - - - - - - - - 37
Setup Menu Selections - - - - - - - - - - - - - 38
Facilities - - - - - - - - - - - - - - - - - - - 39
How to Add New Facilities - - - - - - - - - - - 39
Deleting Facilities - - - - - - - - - - - - - - - 41
Duplicate Facilities from Selected - - - - - - - - 42
Set Selected Facility as Default - - - - - - - - - 42
Save- - - - - - - - - - - - - - - - - - - - - 42
Restore - - - - - - - - - - - - - - - - - - - 43
Users - - - - - - - - - - - - - - - - - - - - - 44
How to Add a New User - - - - - - - - - - - - 44
Deleting Users - - - - - - - - - - - - - - - - 46
Set Selected User as Default - - - - - - - - - - 47
Save- - - - - - - - - - - - - - - - - - - - - 47

iii
Contents
Restore - - - - - - - - - - - - - - - - - - - 47
Sequences - - - - - - - - - - - - - - - - - - 48
How to Create Sequences - - - - - - - - - - - 48
How to Add New Sequences- - - - - - - - - - 49
How to Define the Sequence Scan - - - - - - - 52
Edit Current View Selections- - - - - - - - - - - 53
How to Add Another Sequence Scan - - - - - - 55
Deleting Sequences - - - - - - - - - - - - - - 60
Duplicate Sequences from Selected - - - - - - - 61
Set Selected Sequence as Default - - - - - - - - 61
Save- - - - - - - - - - - - - - - - - - - - - 62
Restore - - - - - - - - - - - - - - - - - - - 62
Options - - - - - - - - - - - - - - - - - - - - 63
Folders of Exams - - - - - - - - - - - - - - - 64
Main Folder - - - - - - - - - - - - - - - - - 64
Restored Folder - - - - - - - - - - - - - - - 66
Exam Name Combination - - - - - - - - - - - 68
Probe Control - - - - - - - - - - - - - - - - 69
Frequency - - - - - - - - - - - - - - - - - - 69
Depth - - - - - - - - - - - - - - - - - - - - 70
Cine Buffer - - - - - - - - - - - - - - - - - - 71
Start/Stop - - - - - - - - - - - - - - - - - - 72
Power - - - - - - - - - - - - - - - - - - - - 72
System Defaults - - - - - - - - - - - - - - - - 73
Info On Images - - - - - - - - - - - - - - - 73
Info to Show - - - - - - - - - - - - - - - - - 73
Measurement Data Position - - - - - - - - - - - 73
File and Print - - - - - - - - - - - - - - - - 74
Show Name on Snapshot Filename - - - - - - - - 74
Print Format - - - - - - - - - - - - - - - - - 74
Image Controls - - - - - - - - - - - - - - - - 75
TGC - - - - - - - - - - - - - - - - - - - - 76
Gamma Settings - - - - - - - - - - - - - - 77
Preset Gamma - - - - - - - - - - - - - - - - 77
Contrast - - - - - - - - - - - - - - - - - - - 78
Brightness - - - - - - - - - - - - - - - - - - 78
Gain - - - - - - - - - - - - - - - - - - - - 79
Adjusting the Gain - - - - - - - - - - - - - - - 79
Image Controls System Defaults - - - - - - - - - 81
Reset All to Defaults - - - - - - - - - - - - - - 82

iv
Accutome B-Scan Plus User Guide
Save- - - - - - - - - - - - - - - - - - - - - 82
Restore - - - - - - - - - - - - - - - - - - - 83
Exiting Setup - - - - - - - - - - - - - - - - - 83
Physicians - - - - - - - - - - - - - - - - - - - 84
How to Add a New Physician - - - - - - - - - - 84
Deleting Physicians - - - - - - - - - - - - - - 86
Set Selected Physician as Default - - - - - - - - 87
Save- - - - - - - - - - - - - - - - - - - - - 87
Restore - - - - - - - - - - - - - - - - - - - 87
Performing Exams - - - - - - - - - - - - - 89
Overview - - - - - - - - - - - - - - - - - - - 89
Exam Steps- - - - - - - - - - - - - - - - - - 89
How to Start a New Exam - - - - - - - - - - - - 90
No Probe Found - - - - - - - - - - - - - - - - 90
Initial Exam Screen - - - - - - - - - - - - - - 91
Entering Information on Initial Exam Screen - - - 92
Entering Data - - - - - - - - - - - - - - - - 92
Moving Between Fields - - - - - - - - - - - - 92
Selecting Items from a Drop Down List - - - - - 92
Patient Info- - - - - - - - - - - - - - - - - - 93
Required Fields - - - - - - - - - - - - - - - 93
First Name - - - - - - - - - - - - - - - - - 93
Last Name - - - - - - - - - - - - - - - - - 93
Medical Record # - - - - - - - - - - - - - - 93
Date of Birth - - - - - - - - - - - - - - - - 93
Gender- - - - - - - - - - - - - - - - - - - 95
Indication of Scan - - - - - - - - - - - - - - 95
Probe Info - - - - - - - - - - - - - - - - - - 96
Frequency - - - - - - - - - - - - - - - - - 96
Default Range- - - - - - - - - - - - - - - - 96
Gain - - - - - - - - - - - - - - - - - - - - 96
Sweep Angle - - - - - - - - - - - - - - - - 96
Serial Number - - - - - - - - - - - - - - - 96
Exam Info - - - - - - - - - - - - - - - - - - 97
Exam ID - - - - - - - - - - - - - - - - - - 97
Facility - - - - - - - - - - - - - - - - - - - 97
Physician - - - - - - - - - - - - - - - - - - 98

v
Contents
Operator - - - - - - - - - - - - - - - - - - 99
Exam Setup - - - - - - - - - - - - - - - - 100
Create Date/Time - - - - - - - - - - - - - 100
Scan Group- - - - - - - - - - - - - - - - 100
Protocol - - - - - - - - - - - - - - - - - 101
Description - - - - - - - - - - - - - - - - 101
Exam Screen Features - - - - - - - - - - - - 103
Exam Information Displayed above Image - - 104
Current View - - - - - - - - - - - - - - - 104
All Views - - - - - - - - - - - - - - - - - 104
Tools Palette - - - - - - - - - - - - - - - - 105
Probe and Scan Controls - - - - - - - - - - 105
Probe Settings - - - - - - - - - - - - - - - - 105
Scan/Stop and Save Cine - - - - - - - - - - - - 105
Adjusting the Power - - - - - - - - - - - - - - 106
TGC Adjustments - - - - - - - - - - - - - 107
Gamma Adjustments- - - - - - - - - - - - 108
Cine Adjustments/Playback - - - - - - - - - 109
Add View- - - - - - - - - - - - - - - - - - 110
Edit Current View - - - - - - - - - - - - - - 110
Probe Orientation - - - - - - - - - - - - - 110
Axial - - - - - - - - - - - - - - - - - - - - - 110
Longitudinal- - - - - - - - - - - - - - - - - - 111
Transverse - - - - - - - - - - - - - - - - - - 111
Edit Exam Info - - - - - - - - - - - - - - - 111
Analyze - - - - - - - - - - - - - - - - - - 112
Menu Buttons- - - - - - - - - - - - - - - - 112
New Exam - - - - - - - - - - - - - - - - 112
Main Menu - - - - - - - - - - - - - - - - 112
Exit - - - - - - - - - - - - - - - - - - - 112
Probe Usage in Scanning - - - - - - - - - - - -113
How the B-Scan Probe Works - - - - - - - - - 113
Probe Operation- - - - - - - - - - - - - - - 114
Marker Alignment - - - - - - - - - - - - - 115
Probe Positions - - - - - - - - - - - - - - - 116
Axial Probe Positions - - - - - - - - - - - - 116
Longitudinal Probe Positions- - - - - - - - - 117
Transverse Probe Positions - - - - - - - - - 117
How to Scan - - - - - - - - - - - - - - - - - -118

vi
Accutome B-Scan Plus User Guide
Using the Probe Trigger Button - - - - - - - - 118
Using the Footswitch- - - - - - - - - - - - - 118
Scanning with a Predefined Protocol - - - - - - 119
Scanning without a Protocol- - - - - - - - - - 120
Proceed with the Next Scan- - - - - - - - - - 122
Adding a View - - - - - - - - - - - - - - - 123
Adjusting the Gain- - - - - - - - - - - - - - 124
Changing the Scan View - - - - - - - - - - - 125
Macula Scans - - - - - - - - - - - - - - - - -129
Horizontal Macula - - - - - - - - - - - - - - 129
Longitudinal Macula - - - - - - - - - - - - - 129
Labeling Macula Scans - - - - - - - - - - - - 129
A-Vector - - - - - - - - - - - - - - - - - - -132
Completing Patient Exam - - - - - - - - - - - -134
Main Menu - - - - - - - - - - - - - - - - - 134
New Exam - - - - - - - - - - - - - - - - - 134
Exit - - - - - - - - - - - - - - - - - - - - 134
Analyze - - - - - - - - - - - - - - - - - - 134
Patient Image Analysis - - - - - - - - - - 135
Overview - - - - - - - - - - - - - - - - - - -135
Selecting Images for Analysis - - - - - - - - - -135
How to Select an Existing Exam - - - - - - - - 135
Analyze Screen - - - - - - - - - - - - - - - -137
Analyze Screen Features - - - - - - - - - - - 137
Exam Information Displayed above Image - - - 138
Current View - - - - - - - - - - - - - - - - 138
Current View Orbital Locators - - - - - - - - 138
Editing Current View Info - - - - - - - - - - - 139
Views to Review- - - - - - - - - - - - - - - 139
Play Controls - - - - - - - - - - - - - - - - 139
Zoom Controls - - - - - - - - - - - - - - - 139
TGC Adjustments - - - - - - - - - - - - - - 139
Gamma Adjustments- - - - - - - - - - - - - 139
Edit Exam Info - - - - - - - - - - - - - - - 140
Menu Buttons- - - - - - - - - - - - - - - - 140
Main Menu - - - - - - - - - - - - - - - - 140
Rescan- - - - - - - - - - - - - - - - - - 140

vii
Contents
Exit - - - - - - - - - - - - - - - - - - - 140
Selecting an Existing Exam - - - - - - - - - - -141
How to Edit Exam Info - - - - - - - - - - - - 143
Drop Down Lists- - - - - - - - - - - - - - 143
Text Fields - - - - - - - - - - - - - - - - 143
Restore - - - - - - - - - - - - - - - - - 144
Cancel - - - - - - - - - - - - - - - - - - 145
Done - - - - - - - - - - - - - - - - - - 145
Exams - - - - - - - - - - - - - - - - - - - 146
Playing an Exam - - - - - - - - - - - - - - - -147
Stopping an Exam - - - - - - - - - - - - - - 148
Pause - - - - - - - - - - - - - - - - - - - 149
Forward - - - - - - - - - - - - - - - - - - 150
Backward - - - - - - - - - - - - - - - - - 151
TGC Adjustment - - - - - - - - - - - - - - - -152
How to Adjust the TGC - - - - - - - - - - - - 152
Image Enhancement Gammas - - - - - - - - - -154
Linear - - - - - - - - - - - - - - - - - - - 155
S-Curve - - - - - - - - - - - - - - - - - - 156
Log - - - - - - - - - - - - - - - - - - - - 157
Color - - - - - - - - - - - - - - - - - - - 158
Changing Gamma Settings - - - - - - - - - - 159
How to Use Zoom - - - - - - - - - - - - - - -160
Reset Zoom- - - - - - - - - - - - - - - - 161
How to Move Image - - - - - - - - - - - - - -162
How to Take a Measurement on an Existing Image -163
Measurement Types - - - - - - - - - - - - - 163
Taking Distance Measurements - - - - - - - - 163
Taking Area Measurements - - - - - - - - - - 165
Delete Current - - - - - - - - - - - - - - - 166
A-Vector - - - - - - - - - - - - - - - - - - -167
Comments on Image - - - - - - - - - - - - - -169
Printing Images and Reports - - - - - - - 173
Overview - - - - - - - - - - - - - - - - - - -173
Printing Images - - - - - - - - - - - - - - - -173

viii
Accutome B-Scan Plus User Guide
How to Print an Image - - - - - - - - - - - - -174
Selecting Patient Exam- - - - - - - - - - - - 174
Selecting a Frame - - - - - - - - - - - - - - 174
Adjusting Images - - - - - - - - - - - - - - 175
Executing Print - - - - - - - - - - - - - - - 175
Creating Reports - - - - - - - - - - - - - - - -177
Selecting Patient Exam- - - - - - - - - - - - 177
Capturing Snapshots- - - - - - - - - - - - - 178
Reports Tool - - - - - - - - - - - - - - - - 179
Snapshot List - - - - - - - - - - - - - - - 180
Deleting Snapshots - - - - - - - - - - - - 181
Executing Manage Reports - - - - - - - - - - 182
Create a New Report- - - - - - - - - - - - - 183
Report Form - - - - - - - - - - - - - - - 184
Selecting Snapshots - - - - - - - - - - - - - 185
Inserting Selected Snapshots - - - - - - - - 186
Alternate Method for Selecting & Inserting Snapshots
186
Print or Save Report- - - - - - - - - - - - - 187
Archive and Restore - - - - - - - - - - - 191
Overview - - - - - - - - - - - - - - - - - - -191
Archive Screen - - - - - - - - - - - - - - - -192
Archive to CD or DVD - - - - - - - - - - - - - -193
Selecting Patient Exams - - - - - - - - - - - 193
Selecting Individual Exams - - - - - - - - - 193
Select All - - - - - - - - - - - - - - - - - 195
Clear All - - - - - - - - - - - - - - - - - 196
Burn Disc - - - - - - - - - - - - - - - - - 197
Archive to a Local/Net Hard Disk - - - - - - - - -199
Selecting Patient Exams - - - - - - - - - - - 199
Selecting the Backup Tool - - - - - - - - - - 199
Selecting the Destination Folder - - - - - - - - 200
Locating Destination Folder - - - - - - - - - 201
Additional Archive Features - - - - - - - - - - -204
Delete Selected Exams - - - - - - - - - - - - 204
Disc Tool Features- - - - - - - - - - - - - - 205

ix
Contents
Save Reports Only- - - - - - - - - - - - - 205
Erase Disc - - - - - - - - - - - - - - - - 205
Abort Proc. - - - - - - - - - - - - - - - - 205
Disc Info - - - - - - - - - - - - - - - - - 206
Verify Burn - - - - - - - - - - - - - - - - 207
Check to Fit the Media - - - - - - - - - - - 207
Eject Disc - - - - - - - - - - - - - - - - 207
Load Disc- - - - - - - - - - - - - - - - - 208
Local/Net Hard Disk - - - - - - - - - - - - - 208
Checking System Free Space - - - - - - - - 208
Space Required - - - - - - - - - - - - - - 208
If Name Conflict Found - - - - - - - - - - - 208
Check Name Conflict - - - - - - - - - - - - 208
Abort Backup - - - - - - - - - - - - - - - 208
Verify - - - - - - - - - - - - - - - - - - 209
Restore Screen - - - - - - - - - - - - - - - -209
Restore from DVD or CD - - - - - - - - - - - -211
Selecting Patient Exams - - - - - - - - - - - 211
Selecting Individual Exams - - - - - - - - - 212
Select All - - - - - - - - - - - - - - - - - 215
Clear All - - - - - - - - - - - - - - - - - 216
Restore - - - - - - - - - - - - - - - - - - 217
Restore Local/Network Hard Disk - - - - - - - - -219
Selecting the Local/Network HD Tool - - - - - - 219
Selecting the Folder for Restoring Exams - - - - 221
Selecting Patient Exams - - - - - - - - - - - 223
Executing Restore - - - - - - - - - - - - - - 224
Additional Restore Features - - - - - - - - - - -226
Exams on Backup Features - - - - - - - - - - 226
Select All - - - - - - - - - - - - - - - - - 226
Clear All - - - - - - - - - - - - - - - - - 226
Total Space Needed - - - - - - - - - - - - 227
Check Conflict- - - - - - - - - - - - - - - 227
Overwrite Old Exams- - - - - - - - - - - - 227
Exams on Destination - - - - - - - - - - - - 228
Select All - - - - - - - - - - - - - - - - - 228
Clear All - - - - - - - - - - - - - - - - - 228
Remove Selected Exams - - - - - - - - - - - 229

x
Accutome B-Scan Plus User Guide
Exams on System - - - - - - - - - - - - - - 230
DVD/CD Features - - - - - - - - - - - - - - 231
Free Space On The System - - - - - - - - - 231
Select Folder - - - - - - - - - - - - - - - 231
Information of Media- - - - - - - - - - - - 232
Eject- - - - - - - - - - - - - - - - - - - 232
Load- - - - - - - - - - - - - - - - - - - 232
Abort - - - - - - - - - - - - - - - - - - 232
Available Exams- - - - - - - - - - - - - - 233
Local/Net Hard Disk - - - - - - - - - - - - - 233
Select Folder - - - - - - - - - - - - - - - 233
List Exams in the Folder - - - - - - - - - - 233
Abort - - - - - - - - - - - - - - - - - - 233
Main Menu and Exit - - - - - - - - - - - - - -233
Maintenance - - - - - - - - - - - - - - - 235
General Maintenance - - - - - - - - - - - - - -235
Specifications - - - - - - - - - - - - - - 237
Overview - - - - - - - - - - - - - - - - - - -237
Physical Specifications - - - - - - - - - - - - -237
Environmental Specifications - - - - - - - - - -239
Computer Specifications - - - - - - - - - - - -240
Operating Modes - - - - - - - - - - - - - - - -241
Storage/Range Specifications - - - - - - - - - -242
Acoustic Output - - - - - - - - - - - - - - - -243
Warranty & Repairs - - - - - - - - - - - 245
Warranty - - - - - - - - - - - - - - - - - - -245
Product Returns - - - - - - - - - - - - - - - -246
Service and Repair - - - - - - - - - - - - - 246
All Other Returns - - - - - - - - - - - - - - 246
Non-Returnable Merchandise - - - - - - - - - 246
Replacement Parts - - - - - - - - - - - - - - -247
Documentation - - - - - - - - - - - - - - - -247

xi
List of Figures
Figure 1 Accutome B-Scan Plus Components - - - - - - - - - - - - - 1
Figure 2 Accutome B-Scan Plus Probe - - - - - - - - - - - - - - - - - 21
Figure 3 Accutome B-Scan Plus Footswitch - - - - - - - - - - - - - 22
Figure 4 Accutome B-Scan Plus Desktop Shortcut - - - - - - - - - 23
Figure 5 Main Screen Starting New Exam - - - - - - - - - - - - - - - 24
Figure 6 New Exam Info Screen - - - - - - - - - - - - - - - - - - - - - - 25
Figure 7 Entering New Patient Information - - - - - - - - - - - - - - 26
Figure 8 Selecting Facility - - - - - - - - - - - - - - - - - - - - - - - - - - 27
Figure 9 Selecting Physician - - - - - - - - - - - - - - - - - - - - - - - - 28
Figure 10 Selecting Scan Group and Protocol - - - - - - - - - - - - - 29
Figure 11 Starting a New Exam - - - - - - - - - - - - - - - - - - - - - - - 30
Figure 12 Exam Screen - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 31
Figure 13 Tools Palette and Current View - - - - - - - - - - - - - - - - 32
Figure 14 Probe Tab Active - - - - - - - - - - - - - - - - - - - - - - - - - - 33
Figure 15 Cine Tab Active - - - - - - - - - - - - - - - - - - - - - - - - - - - 33
Figure 16 TGC Tab Active - - - - - - - - - - - - - - - - - - - - - - - - - - - 34
Figure 17 Gamma Tab Active - - - - - - - - - - - - - - - - - - - - - - - - 34
Figure 18 Selecting Setup - - - - - - - - - - - - - - - - - - - - - - - - - - - 37
Figure 19 Setup Facilities Tab - - - - - - - - - - - - - - - - - - - - - - - - 38
Figure 20 Selecting "New" Facility - - - - - - - - - - - - - - - - - - - - - 39
Figure 21 New Facility Information Active - - - - - - - - - - - - - - - - 40
Figure 22 Saving New Facility - - - - - - - - - - - - - - - - - - - - - - - - 41
Figure 23 Update Restore Point Dialog - - - - - - - - - - - - - - - - - 42
Figure 24 Restore Facilities Dialog - - - - - - - - - - - - - - - - - - - - - 43
Figure 25 Users Screen - - - - - - - - - - - - - - - - - - - - - - - - - - - - 44
Figure 26 New User Information Active - - - - - - - - - - - - - - - - - - 45
Figure 27 Saving New User - - - - - - - - - - - - - - - - - - - - - - - - - - 46
Figure 28 Update Restore Point Dialog - - - - - - - - - - - - - - - - - 47
Figure 29 Restore Users Dialog - - - - - - - - - - - - - - - - - - - - - - 47
Figure 30 Sequences Screen - - - - - - - - - - - - - - - - - - - - - - - - - 48
Figure 31 Adding New Sequence - - - - - - - - - - - - - - - - - - - - - - 49
Figure 32 Adding New Sequence - - - - - - - - - - - - - - - - - - - - - - 50

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Figure 33 Assigning Name to New Sequence - - - - - - - - - - - - - 51
Figure 34 New Sequence - New View Active - - - - - - - - - - - - - - 52
Figure 35 First Scan Editing View - - - - - - - - - - - - - - - - - - - - - - 54
Figure 36 Adding a New Sequence Scan - - - - - - - - - - - - - - - - 55
Figure 37 New Sequence Scan (View) Added - - - - - - - - - - - - - 56
Figure 38 Change Probe Orientation - - - - - - - - - - - - - - - - - - - 57
Figure 39 Change Probe Orientation - - - - - - - - - - - - - - - - - - - 58
Figure 40 Saving New Sequence - - - - - - - - - - - - - - - - - - - - - - 59
Figure 41 Deleting a Sequence - - - - - - - - - - - - - - - - - - - - - - - 60
Figure 42 Duplicating Current Sequence - - - - - - - - - - - - - - - - - 61
Figure 43 Update Restore Point Dialog - - - - - - - - - - - - - - - - - 62
Figure 44 Restore Sequences Dialog - - - - - - - - - - - - - - - - - - 62
Figure 45 Options Screen - - - - - - - - - - - - - - - - - - - - - - - - - - - 63
Figure 46 Selecting Main Exam Folder - - - - - - - - - - - - - - - - - - 64
Figure 47 Windows Browser - Locate Exam Folder - - - - - - - - - 65
Figure 48 Selecting Restored Exam Folder - - - - - - - - - - - - - - - 66
Figure 49 Windows Browser - Locate Exam Folder - - - - - - - - - 67
Figure 50 Selecting Exam Name Combination - - - - - - - - - - - - - 68
Figure 51 Selecting Probe Frequency - - - - - - - - - - - - - - - - - - - 69
Figure 52 Selecting Probe Depth - - - - - - - - - - - - - - - - - - - - - - 70
Figure 53 Selecting Probe Cine Buffer - - - - - - - - - - - - - - - - - - 71
Figure 54 Adjusting the Power Level - - - - - - - - - - - - - - - - - - - 72
Figure 55 Image Settings Before Adjustment - - - - - - - - - - - - - - 75
Figure 56 TGC Adjustment - - - - - - - - - - - - - - - - - - - - - - - - - - 76
Figure 57 Selecting a Preset Gamma - - - - - - - - - - - - - - - - - - - 77
Figure 58 Adjusting Contrast and Brightness - - - - - - - - - - - - - - 78
Figure 59 Image Settings after Adjustments - - - - - - - - - - - - - - 79
Figure 60 Selecting Gain Adjustment - - - - - - - - - - - - - - - - - - - 80
Figure 61 Adjusting Gain - - - - - - - - - - - - - - - - - - - - - - - - - - - - 81
Figure 62 Restore All to System Defaults - - - - - - - - - - - - - - - - 82
Figure 63 Update Restore Point Dialog - - - - - - - - - - - - - - - - - 82
Figure 64 Restore Options Dialog - - - - - - - - - - - - - - - - - - - - - 83
Figure 65 Exiting Setup (Cancel) - - - - - - - - - - - - - - - - - - - - - - 83
Figure 66 Physicians Screen - - - - - - - - - - - - - - - - - - - - - - - - - 84
Figure 67 Physician Name Entered - - - - - - - - - - - - - - - - - - - - 85
Figure 68 Saving New Physician - - - - - - - - - - - - - - - - - - - - - - 86
Figure 69 Update Restore Point Dialog - - - - - - - - - - - - - - - - - 87
Figure 70 Restore Physicians Dialog - - - - - - - - - - - - - - - - - - - 87
Figure 71 Starting a New Exam - - - - - - - - - - - - - - - - - - - - - - - 90

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List of Figures
Figure 72 No Probe Found Message - - - - - - - - - - - - - - - - - - - 90
Figure 73 Initial Exam Screen - - - - - - - - - - - - - - - - - - - - - - - - 91
Figure 74 Initial Exam Screen with Patient Name - - - - - - - - - - - 94
Figure 75 Selecting Gender - - - - - - - - - - - - - - - - - - - - - - - - - - 95
Figure 76 Selecting Facility - - - - - - - - - - - - - - - - - - - - - - - - - - 97
Figure 77 Selecting Physician - - - - - - - - - - - - - - - - - - - - - - - - 98
Figure 78 Selecting Operator - - - - - - - - - - - - - - - - - - - - - - - - 99
Figure 79 Selecting Scan Group - - - - - - - - - - - - - - - - - - - - - 100
Figure 80 Selecting Scan Protocol - - - - - - - - - - - - - - - - - - - - 101
Figure 81 Starting New Exam - - - - - - - - - - - - - - - - - - - - - - - 102
Figure 82 Exam Screen Layout - - - - - - - - - - - - - - - - - - - - - - 103
Figure 83 Probe and Scan Controls Tab Selected - - - - - - - - - 106
Figure 84 TGC Adjustments Tab Selected - - - - - - - - - - - - - - 107
Figure 85 Gamma Adjustments Tab Selected - - - - - - - - - - - - 108
Figure 86 Cine Adjustments/Play Tab Selected - - - - - - - - - - - 109
Figure 87 Edit Exam Information Window - - - - - - - - - - - - - - - 111
Figure 88 B-Scan Example - - - - - - - - - - - - - - - - - - - - - - - - - 114
Figure 89 Eye and Probe Marker Alignment - - - - - - - - - - - - - 115
Figure 90 New Exam with Selected Protocol - First Scan Complete
119
Figure 91 New Exam No Protocol - First Scan Selected - - - - - 120
Figure 92 New Exam First Scan Complete - - - - - - - - - - - - - - 121
Figure 93 New Exam Second Scan Complete - - - - - - - - - - - - 122
Figure 94 Adding a View - - - - - - - - - - - - - - - - - - - - - - - - - - - 123
Figure 95 Adjusting Gain - - - - - - - - - - - - - - - - - - - - - - - - - - - 124
Figure 96 Changing a View - Probe Position - - - - - - - - - - - - - 125
Figure 97 Changing a View - Slice Position - - - - - - - - - - - - - - 126
Figure 98 Changing a View - Global Orbit - - - - - - - - - - - - - - - 127
Figure 99 Changing a View - Done - - - - - - - - - - - - - - - - - - - - 128
Figure 100 Labeling an LMAC Scan - - - - - - - - - - - - - - - - - - - - 130
Figure 101 LMAC Scan Labeled - - - - - - - - - - - - - - - - - - - - - - 131
Figure 102 Selecting "Show A-Vector" - - - - - - - - - - - - - - - - - - 132
Figure 103 A-Vector Displayed - - - - - - - - - - - - - - - - - - - - - - - 133
Figure 104 Starting Existing Exam - - - - - - - - - - - - - - - - - - - - - 135
Figure 105 Analyze Screen - - - - - - - - - - - - - - - - - - - - - - - - - - 136
Figure 106 Analyze Screen Layout - - - - - - - - - - - - - - - - - - - - - 137
Figure 107 Selecting a Patient Exam - - - - - - - - - - - - - - - - - - - 141
Figure 108 Existing Exam Displayed - - - - - - - - - - - - - - - - - - - 142
Figure 109 Edit Exam Information Window - - - - - - - - - - - - - - - 144

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Figure 110 Restore Changes Information Dialog - - - - - - - - - - - 144
Figure 111 Exit Edit Exam Information Dialog - - - - - - - - - - - - - 145
Figure 112 Exams Tab - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 146
Figure 113 Starting Scan Play - - - - - - - - - - - - - - - - - - - - - - - - 147
Figure 114 Scan Stopped and Returned to Beginning - - - - - - - 148
Figure 115 Pausing the Scan Film Loop - - - - - - - - - - - - - - - - - 149
Figure 116 Playing the Scan Film Loop Forward - - - - - - - - - - - 150
Figure 117 Playing the Scan Film Backward - - - - - - - - - - - - - - 151
Figure 118 TGC Adjustments Displayed - - - - - - - - - - - - - - - - - 153
Figure 119 Linear Full Range Gamma Setting - - - - - - - - - - - - - 155
Figure 120 S-Curve Full Range Gamma Setting - - - - - - - - - - - 156
Figure 121 Log Full Range Gamma Setting - - - - - - - - - - - - - - 157
Figure 122 Color Gamma Setting - - - - - - - - - - - - - - - - - - - - - - 158
Figure 123 Selecting a New Gamma Setting - - - - - - - - - - - - - - 159
Figure 124 Zoom Selected - - - - - - - - - - - - - - - - - - - - - - - - - - 160
Figure 125 Zoom Changed - - - - - - - - - - - - - - - - - - - - - - - - - - 161
Figure 126 Image Move Icon - - - - - - - - - - - - - - - - - - - - - - - - - 162
Figure 127 Line 1 Measurement Selected - - - - - - - - - - - - - - - - 163
Figure 128 Line 1 Measurement Displayed - - - - - - - - - - - - - - - 164
Figure 129 Area 1 Measurement Selected - - - - - - - - - - - - - - - 165
Figure 130 Area 1 Measurement Displayed - - - - - - - - - - - - - - 166
Figure 131 Selecting "Show A-Vector" - - - - - - - - - - - - - - - - - - 167
Figure 132 A-Vector Displayed - - - - - - - - - - - - - - - - - - - - - - - 168
Figure 133 Selecting "Comments on Image" - - - - - - - - - - - - - - 169
Figure 134 Entering Comments - - - - - - - - - - - - - - - - - - - - - - - 170
Figure 135 Comments Appearing on Image - - - - - - - - - - - - - - 171
Figure 136 Printing a Frame - - - - - - - - - - - - - - - - - - - - - - - - - 176
Figure 137 Selecting Reports Tool - - - - - - - - - - - - - - - - - - - - - 179
Figure 138 Selecting Snapshot List - - - - - - - - - - - - - - - - - - - - 180
Figure 139 Deleting a Selected Snapshot from List - - - - - - - - - 181
Figure 140 Confirming Snapshot Deletion - - - - - - - - - - - - - - - - 182
Figure 141 Executing Manage Reports - - - - - - - - - - - - - - - - - - 182
Figure 142 Creating a New Report - - - - - - - - - - - - - - - - - - - - - 183
Figure 143 Report Form - - - - - - - - - - - - - - - - - - - - - - - - - - - - 184
Figure 144 Selecting Snapshots - - - - - - - - - - - - - - - - - - - - - - 185
Figure 145 Inserting Selected Snapshots - - - - - - - - - - - - - - - - 186
Figure 146 Saving a Patient Report - - - - - - - - - - - - - - - - - - - - 187
Figure 147 Selecting File Type - - - - - - - - - - - - - - - - - - - - - - - 188
Figure 148 Saving Report - - - - - - - - - - - - - - - - - - - - - - - - - - - 188

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List of Figures
Figure 149 Selecting Archive - - - - - - - - - - - - - - - - - - - - - - - - - 191
Figure 150 Archive Screen - - - - - - - - - - - - - - - - - - - - - - - - - - 192
Figure 151 Selecting the First Exam - - - - - - - - - - - - - - - - - - - - 193
Figure 152 Selecting the Second Exam - - - - - - - - - - - - - - - - - 194
Figure 153 Select All - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 195
Figure 154 All Exams Displayed - Clear All - - - - - - - - - - - - - - - 196
Figure 155 Burning the Disc - - - - - - - - - - - - - - - - - - - - - - - - - 197
Figure 156 Disc Burning Progress - - - - - - - - - - - - - - - - - - - - - 198
Figure 157 Selecting the Local/Net Hard Disk Tools - - - - - - - - 199
Figure 158 Launching Select Destination Folder - - - - - - - - - - - 200
Figure 159 Windows Browser - Locating Destination Folder - - - 201
Figure 160 Destination Folder Displayed - - - - - - - - - - - - - - - - 201
Figure 161 Execute Backup Exams - - - - - - - - - - - - - - - - - - - - 202
Figure 162 Backup Activity - - - - - - - - - - - - - - - - - - - - - - - - - - 203
Figure 163 Delete Selected Exams - - - - - - - - - - - - - - - - - - - - 204
Figure 164 Deleting Exam Warning - - - - - - - - - - - - - - - - - - - - 205
Figure 165 "Disc Info" - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 206
Figure 166 Verify Burn Results - - - - - - - - - - - - - - - - - - - - - - - 207
Figure 167 Selecting the Restore Screen - - - - - - - - - - - - - - - - 209
Figure 168 Restore Screen - - - - - - - - - - - - - - - - - - - - - - - - - - 210
Figure 169 Selecting the First Exam - - - - - - - - - - - - - - - - - - - - 212
Figure 170 First Exam Selected - - - - - - - - - - - - - - - - - - - - - - - 213
Figure 171 Selecting the Second Exam - - - - - - - - - - - - - - - - - 214
Figure 172 Select All Exams to be Restored - - - - - - - - - - - - - - 215
Figure 173 Selected Exams To Be Restored - Clear All - - - - - - 216
Figure 174 Restoring the Exam from the CD - - - - - - - - - - - - - - 217
Figure 175 Exam Restoring Progress - - - - - - - - - - - - - - - - - - - 218
Figure 176 Selecting the Local/Net Hard Disk Restore Tools - - 219
Figure 177 Local/Network HD Restore Tools Active - - - - - - - - - 220
Figure 178 Launching Select Folder (for Restoration) - - - - - - - 221
Figure 179 Windows Browser - - - - - - - - - - - - - - - - - - - - - - - - 222
Figure 180 Locating Source Folder - - - - - - - - - - - - - - - - - - - - 222
Figure 181 Source Folder Displayed - - - - - - - - - - - - - - - - - - - 223
Figure 182 Execute Restore Exams on Local/Network HD - - - - 224
Figure 183 Restore Activity - - - - - - - - - - - - - - - - - - - - - - - - - - 225
Figure 184 Exams on Backup Tab Active - - - - - - - - - - - - - - - - 226
Figure 185 Overwrite Warning - - - - - - - - - - - - - - - - - - - - - - - - 227
Figure 186 Exams on Destination - Restored Exams Folder - - - 228
Figure 187 Remove Selected Exams - - - - - - - - - - - - - - - - - - - 229

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Figure 188 Removing Exam from Restored Folder Warning - - - 230
Figure 189 Exams on System - Acctuome Exam Data Folder - 230
Figure 190 Free Space on The System - - - - - - - - - - - - - - - - - 231
Figure 191 Information of Media - - - - - - - - - - - - - - - - - - - - - - 232

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List of Tables
Table 1 B-Scan Computer Specifications - - - - - - - - - - - - - - - 16
Table 2 Accutome B-Scan Plus Physical Specifications - - - - 237
Table 3 Environmental Specifications- - - - - - - - - - - - - - - - - 239
Table 4 Recommended Computer Specifications- - - - - - - - - 240
Table 5 Operating Mode(s) - - - - - - - - - - - - - - - - - - - - - - - - 241
Table 6 Data Specifications - - - - - - - - - - - - - - - - - - - - - - - - 242
Table 7 Range and Accuracy- - - - - - - - - - - - - - - - - - - - - - - 242
Table 8 Acoustic Output Reporting Table for Track 1
Non-Autoscanning Mode 243
Table 9 Accutome Replacement Parts - - - - - - - - - - - - - - - - 247

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