B-K Medical bkSpecto Assembly instructions

16-01642-01
August 2018 For Professional Users Only
bkSpecto Ultrasound System
Advanced User Guide

LEGAL MANUFACTURER
BK Medical Aps
Mileparken 34
DK-2730 Herlev
Denmark
Tel.:[phone]/Fax:[phone]
www.bkultrasound.com
Email: [email protected]
The serial number label on a BK Medical product contains information about the year of manufacture.
BK Medical Customer Satisfaction
Input from our customers helps us improve our products and services. Your opinions are important to
us. You are always welcome to contact us via your BK Medical representative or by contacting us
directly.
Scanner Software
• NOT FAULT TOLERANT . THE SOFTWARE IS NOT FAULT TOLERANT. BK Medical HAS
INDEPENDENTLY DETERMINED HOW TO USE THE SOFTWARE IN THE DEVICE, AND MS HAS
RELIED UPON BK Medical TO CONDUCT SUFFICIENT TESTING TO DETERMINE THAT THE
SOFTWARE IS SUITABLE FOR USE.
• EXPORT RESTRICTIONS . You acknowledge that Windows 8 Embedded is of US-origin. You agree to comply
with all applicable international and national laws that apply to Windows 8 Embedded, including the U.S. Export
Administration Regulations, as well as end-user, end-use and country destination restrictions issued by U.S. and
other governments. For additional information on exporting Windows 8 Embedded, see http://
www.microsoft.com/exporting/
• The bkSpecto Ultrasound System is closed. Any modification of or installation of software to the system may
compromise safety and function of the system. Any modification of or installation of software without written
permission fromBK Medical will immediately void any warranty supplied by BK Medical. Such changes will also
void any service contract and result in charges to the customer for restoration of the original bkSpecto Ultrasound
System.
Trademarks:
DICOM
®
is the registered trademark of the National Electrical Manufacturers Association for its standards
publications relating to digital communications of medical information.
FireWire™ is a trademark of Apple Computer, Inc.
Microsoft
®
and Windows
®
are registered trademarks of Microsoft Corporation in the United States and other
countries.
bkSpecto = [Ref] 1300
© 2018 BK Medical
Information in this document may be subject to change without notice.

3
Contents
Chapter 1 Before You Begin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Chapter 2 Getting Started . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
The bkSpecto System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Before You Start . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Height Adjustment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Turning System On and Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Connecting Transducers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Creating a User . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Starting an Exam . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Monitor and Touch Screen Display. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Basic Touchscreen Buttons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Mode Button Backlight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
User Preferences . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Documents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Measurements and Image Data. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Chapter 3 Controls on the Touchscreen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
2D Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Color Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
PW Doppler Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
M-Mode Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Elastography Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Power Mode Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
3D Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
3D Rev. Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Chapter 4 Working with the Image . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Selecting the Imaging Plane . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Freezing the Image . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Partial Freeze and the Dual View Button . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Split Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Simultaneous Imaging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Linked Dual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Labels, Bodymarks and Arrows . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Bodymarks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Arrows . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
Cine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
Using Cine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Using Cine in Doppler Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Video Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
Chapter 5 Making Measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Measurements and Calculations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

4
Making a Measurement – General Procedure . . . . . . . . . . . . . . . . . . . . . . . 46
2D and Color Mode Measuring Tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Doppler Mode Measuring Tools. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
Chapter 6 Documentation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
What are Documents? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
HIPAA Compliance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Saving Documents – Capturing Images and Video Clips . . . . . . . . . . . . . . . . . . 55
Capturing Images . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Local Patient Archiving System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
Reviewing Documents. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
The Document Browser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
The Review Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
Viewing and Editing Video Clips . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Viewing Exported Documents on the System . . . . . . . . . . . . . . . . . . . . . . . 57
Viewing Exported Documents on an External Computer . . . . . . . . . . . . . . 58
Exporting Data. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
HIPAA Compliance and Exporting Data . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Exporting documents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Patient List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
Deleting Documents or Exams from the System . . . . . . . . . . . . . . . . . . . . . 60
Pausing and Later Resuming an Examination . . . . . . . . . . . . . . . . . . . . . . . 61
Password Protection of the Patient Archiving System . . . . . . . . . . . . . . . . . 61
Hard Disk Quota. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Reports. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Creating a Report. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Editing a Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Preview the Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Printing a Report. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Saving a Report to the Local Patient Archiving System . . . . . . . . . . . . . . . 64
Printing Documents or Images on the Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . 64
Printing Thumbnail Images . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64
Printing Images Displayed on the Monitor. . . . . . . . . . . . . . . . . . . . . . . . . . 64
Chapter 7 Imaging Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
Imaging Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
Adjusting the Thermal Index Limit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
2D (B-Mode) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
Focus. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
Gain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
Auto Gain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
Zoom. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Depth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Grayscale Map . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Combination Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
Tissue Harmonic Imaging (True Echo Harmonics – TEH) . . . . . . . . . . . . . 69
Needle Enhancement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
Activate Needle Enhancement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
Color Mode and Power Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72

5
Color Submodes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
Color Coding of Flow. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
Independent D-Mode/C-Mode Steering . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
Color Box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
Color Scales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
Elastography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74
Color Box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
Color Map. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
Quality Indicator. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
Strain Ratio Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
Diameter Comparison Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
Doppler Mode – Spectral Doppler . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
Turning Doppler Mode On or Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
Adjusting the Doppler Mode Image . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
Doppler Indicator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
Independent D-Mode/C-Mode Steering . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
Doppler Trace (Automatic Curve Tracing) . . . . . . . . . . . . . . . . . . . . . . . . . 79
Sweep Speed. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
M-Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
The M-Mode Image . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80
M-Mode Line . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
M-Mode Image Ruler . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
Saving a Preset . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82
Default Exam Types and Presets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82
Chapter 8 Exam Types . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
Before You Begin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
If You Perform a Puncture Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
What Is an Exam Type? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
Presets. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
Measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
Doppler Measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Reduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
RI and PI (Resistance Index and Pulsatility Index) . . . . . . . . . . . . . . . . . . . 87
Real-Time Measurements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
Calculations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
Using the Brachytherapy Exam Type . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
Patient Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
Calculating Volumes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
Performing a Biopsy or Puncture Procedure (including Brachytherapy). . . 91
Chapter 9 Urology Prostate Exam Type . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
Diagnostic Presets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
Setting up the Patient – Patient ID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94
Imaging Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94
2D (B-mode). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94
To Change Transducer Planes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95
Biopsy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95

6
Annotations – Labels, Bodymarks and Arrows. . . . . . . . . . . . . . . . . . . . . . . . . . 96
Labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96
Bodymarks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98
Arrows . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99
Measurements and Calculations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100
Calculation of Prostate Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100
User Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101
Capturing and Documenting Images . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101
Cine Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101
Capturing Images . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101
Copying and Archiving . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102
Printing Images. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102
Customization Example. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102
Saving a New Preset . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102
Default Exam Types and Presets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103
Where to Find More Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103
Chapter 10 3D Imaging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .105
Introduction to 3D Ultrasound. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
3D License. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
Controlling Transducer Movement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
System-Controlled Positioning. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106
The Magnetic Wheel Mover. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106
Untracked Freehand Acquisition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106
3D Imaging Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107
Preparations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107
Adjusting the Image Capture Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107
ROI (3D Region of Interest). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107
3D Capture Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108
Acquisition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108
Viewing a 3D Data Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109
Enhancing a 3D View. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109
3D Layout Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109
Working with the 3D Image . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110
Manipulating the Volume. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110
Annotating a 3D View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111
The 6 3D Views. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112
Cube View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112
Render View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113
MIP View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115
Transparency View. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115
4-Up View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116
6-Up View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116
Chapter 11 DICOM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .117
DICOM on the System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117
New Patient Information from a DICOM Worklist . . . . . . . . . . . . . . . . . . . . . 117
Saving or Printing to a DICOM Network . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117
Filenames of Documents Exported in DICOM Format . . . . . . . . . . . . . . . 117

7
Exporting to a PACS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118
Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118
Deleting a Document . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119
Appendix A Glossary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121
Appendix B Measurement and Calculation Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127
Appendix C Setting Up and Customizing Your System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131
System Window. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132
Header Tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132
Display Tab. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133
Patient Data Tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134
Misc Tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134
Preset Window. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135
Available Tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135
Default Tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135
Manage Tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135
Measure & Calc Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 136
General Tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 136
Calc List Tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 136
Results Tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137
Preferences Tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 138
Labeling Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 138
Labels Tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 138
Bodymarks Tab. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139
Needle Guide Tab. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140
Configure Layout Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147
Store/Network Window. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 148
Store/Clip Tab. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 148
Printers Tab. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 148
DICOM/PACS Tab. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 149
Wi-Fi Tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 149
Security Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 150
General Tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 150
User Manager Tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151
3D/4D . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154
Service Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154
General Tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154
License Tab. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154
About Tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155
TP Licenses Tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155
Index 157
English source version
16-01642-01

8

bkSpecto Advanced User Guide (16-01642-01) BeforeYou Begin 9
Chapter 1
Before You Begin
This is the advanced user guide for the bkSpecto
1
Ultrasound System.
The bkSpecto User Guide includes an overview of all the documentation available
for the system, including different user guides.
NOTE: You must read the Safety chapter in the bkSpecto User Guide before working
with the system.
This guide takes you deeper into the functionality and potential of the bkSpecto
Ultrasound Systems.
NOTE: Some of the functionality and options described in this guide may not be
available with your version of the system.
1. The bkSpecto has not been licensed by Health Canada.
Questions About the System Where to Find the Answers
What are the various parts of the monitor
display?
“Getting Started” on page 11
Is there an alphabetical list of all the
controls on the system?
“Controls on the Touchscreen” on page 25
How do you make measurements and
calculations for an image, and what
measurement tools are available?
“Making Measurements” on page 45
How do you manage the images, clips, 3D
data sets, and reports that are made on the
system?
“Documentation” on page 55
What imaging modes are available on the
bkSpecto?
“Imaging Modes” on page 65 and “3D
Imaging” on page 105
What is an examination type, and how does
it help with imaging?
“Exam Types” on page 83
How does DICOM
®
work with the bkSpecto? “DICOM” on page 117
What do various abbreviations mean? “Glossary” on page 121
Can the bkSpecto be customized and how? “Setting Up and Customizing Your System”
on page 131.

10 Chapter 1 August 2018 bkSpecto Advanced User Guide (16-01642-01)

bkSpecto Advanced User Guide (16-01642-01) Getting Started 11
Chapter 2
Getting Started
The bkSpecto System
Monitor
Transducer
Touch screen
Scanning engine
Transducer
Front handle with
release paddles
sockets
holders
Lockable wheels
Battery Preserve Switch
Power connector
USB
Connectors

12 Chapter 2 August 2018 bkSpecto Advanced User Guide (16-01642-01)
Before You Start
Before you turn on the system, make sure that the installation has been approved by
a qualified electrician or by hospital safety personnel. Plug the power cord into a
grounded wall outlet and make sure that you can get to it easily when you need to
turn off/unplug the system.
Height Adjustment
The paddles underneath the keyboard lets you adjust the height and the angle of the
system. Lift the right paddle to adjust the height , and the left paddle to turn
the system so you can operate it without the wheels getting in your way.
Turning System On and Off
When you turn the system on or off, you must give the system enough time to save
and recover open files and unsaved data. Otherwise, a serious system failure may
occur that requires technical support.
The system has two power buttons, one on the monitor and one on the scanning
engine:
Figure 2-1. The power button on the monitor and on the scanning engine, respectively.
This switch helps you to preserve the battery when the system is stored or otherwise
not in use for a period.
To turn the system on:
Press the power button once , then wait until startup screen disappears.
To turn the system off:
Make sure system is running. Press the power button once .
Note that if you purchase the battery version of bkSpecto, it also has a Battery
Preserve Switch located underneath the scanning engine:
Figure 2-2. Battery Preserve Switch. See location at “The bkSpecto System” .
This switch is described in the Battery Support section of the bkSpecto User Guide.

bkSpecto Advanced User Guide (16-01642-01) Getting Started 13
Connecting Transducers
Figure 2-3. Transducer sockets.
To connect:
1 Insert transducer plug into socket with locking lever to the right.
2 Turn locking lever on socket to the left.
To disconnect:
1 Freeze image.
2 Turn locking lever on socket to the right.
3 Remove plug from socket.
Creating a User
Only system administrators can create new users. See “Security Window” on
page 150.
WARNING Exam-w2b
If, after beginning an exam without entering any Patient information, you want to save an
image, you must verify that the system auto-created a properly configured Patient ID
before exiting the exam. Whenever possible, BK recommends that you also enter a
complete Patient Name.

14 Chapter 2 August 2018 bkSpecto Advanced User Guide (16-01642-01)
Starting an Exam
The first 3 steps for imaging are:
1 Enter the patient information.
2 Select a transducer.
3 Select an exam type and a preset.
Do as follows:
1 Tap the Patient button on the touch screen.
2 Enter patient information. The Patient ID is filled in automatically with a
date/timestamp, but you can change this to a relevant ID.
Figure 2-4. Patient window.
3 If you select Store Images of Patient Details , an image of the patient details
will be stored in the document browser and the review window.
4 Tap Next to select transducer. All connected transducers will be displayed in the
Transducer window.
Figure 2-5. Transducer window.
5 Tap Next to select Exam Type and Preset in the Preset window.

bkSpecto Advanced User Guide (16-01642-01) Getting Started 15
.
Figure 2-6. Preset window.
6 Tap Start Exam to start the exam.
You can also start the exam immediately after entering Patient Details . Tap Start
Exam and select transducer using the transducer control button. The system will use
the default exam type and preset.
Figure 2-7. Start Exam
The exam ends when you tap End Exam :
Figure 2-8. End Exam.

16 Chapter 2 August 2018 bkSpecto Advanced User Guide (16-01642-01)
Monitor and Touch Screen Display
Figure 2-9. Monitor (clinical display).
1 Patient 5 Measurement data
2 Hospital name (logo) 6 Battery indicator and Snowflake
icon to show that image is frozen
3 Exam type/transducer 7 Document Browser
4 Image data 8 Wi -F i and Storage Indicators

bkSpecto Advanced User Guide (16-01642-01) Getting Started 17
Figure 2-10. Touchscreen.
There are three types of parameter buttons:
Toggle buttons that are selected/dese-
lected by a tap, e.g.
Auto Gain
Scale buttons marked by a slider that you
hold and slide to adjust parameters, e.g.
Dynamic Range
Buttons with drop-down menus to select
from. These are marked by a number of
dots related to the number of menu
items, e.g.
Res Enhance .

18 Chapter 2 August 2018 bkSpecto Advanced User Guide (16-01642-01)
Basic Touchscreen Buttons
Figure 2-11. The basic touchscreen buttons

bkSpecto Advanced User Guide (16-01642-01) Getting Started 19
Table 2-1. Basic Touchscreen Buttons explained.
Button Functionality
3D Turn on 3D imaging. Tap to turn off.
PW Turn on Pulsed Wave Doppler. Tap to turn off.
COL Turn on Color mode. Tap to turn off.
2D
Turn on 2D imaging. Double-tap the 2D button to exit all modes
and return to 2D mode only.
Home
Tap the Home button to return to default settings for the current
exam type.
TGC Displays the TGC sliders.
Depth
Flick the bar to adjust image depth. Flick backward to increase
depth and forward to decrease it. Tap either end to
increase/decrease incrementally.
Focus
Flick the bar to adjust focus. Tap either end to adjust
incrementally.
Gain
The Gain bar is located underneath the mode buttons. Slide this
bar to adjust Gain.
Cine bar
Slide the Cine bar to scroll forwards and backwards. Tap either
end to move one image at a time.
Optimize Resets the TCG and optimizes Doppler.
Dual View
Toggles between the two images in dual mode. Only appears
when dual mode is active.
Trackpad Positions the pointer, measurement calipers and labels.
Measure
Generic measurements. Tap the trackpad once to place each
caliper.
Calc
Specific measurements for the individual presets. Tap the
trackpad once to place each caliper.
Label
Opens the Keyboard region with virtual keyboard, labels,
bodymarks and arrows to label the clinical images.
Clear
Clears a measurement or a calculation. Only appears when
Measure or Calc is active.
Back Trace
Erases backwards on a freehand drawing. Only appears when a
freehand trace is active.
Print Only appears when a printer is attached.
Freeze
Freezes/unfreezes live imaging. A snowflake icon is displayed on
the monitor when the image is frozen.
Pointer
Displays a pointer on the monitor. Use the trackpad to move the
pointer.
Store
Tap Store to save an image. When the image is stored, it will be
displayed as a thumbnail at the bottom of the monitor.
Clip
Tap Clip to record a video clip. After recording, it will be displayed
as a thumbnail at the bottom of the monitor.

20 Chapter 2 August 2018 bkSpecto Advanced User Guide (16-01642-01)
The buttons and window elements are highlighted in green when selected.
Mode Button Backlight
The mode buttons are backlit according to their state:
Table 2-2. Mode button backlight
User Preferences
When you tap your user name on the touchscreen, a drop-down menu is displayed:
Figure 2-12. User preferences drop-down menu.
User Profile
Select User Profile .
Mode selected. Note the white line from the mode button to the
Gain bar.
Mode button enabled, but not selected. This mode is part of a
combination mode.
Mode not selected.
Mode not available.