Esaote mylab 30 gold User manual

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Quick reference guide

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Quick reference guide
This Quick Guide describes only the basic operating procedures for all diagnostic
ultrasound MyLab25 Gold and MyLab30 Gold models, named in the following
chapters as MyLab.
The precautions and detailed operating procedures are described in the
operator’s manuals (Getting Started, Safety & Standards, Transducers &
Consumables and Advanced Operations) provided with the system. Carefully
read the operator’s manuals provided with the system before operating
the system.
In this manual control panel keys and software keys are graphically
differentiated:
Control Panel Key- Indicated directly by BLUE CAPITAL LETTERS or by the key
icon.
Software Key- Indicated by BLACK CAPITAL LETTERS
The enter and context menu keys are respectively indicated as ENTER and
UNDO keys in this manual.
The user should understand and observe each of the cautions and warnings.
A CAUTION describes the precautions which are necessary
to protect the equipment.
CAUTION
In this operation guide a WARNING pertains to possible
injury to a patient and/or the operator.
WARNING
Introduction

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Index
STARTING AN EXAM
1. Turning the System ON
2. Battery
3. Starting an Exam
4. Changing the Settings during the Exam
5. Screen Lay-Out
6. Trackball Functions
PERFORMING AN EXAM
7. Working in B-Mode
8. Working in M-Mode
9. Working in CFM and Power Doppler
10. Working in Doppler
11. Multi View and Zoom
12. Frozen Images
13. Saving Images and Clips during the Exam
14. Reviewing Saved Exam Images and Clips
MEASUREMENTS, BODY MARKS AND ANNOTATIONS
15. Measurements
16. Body Marks
17. Entering Annotations
18. Printing Images
ENDING AND ARCHIVING AN EXAM
19. Ending the Exam
20. Reviewing the Archive

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Starting an Exam
Starting
an Exam

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1- Turning the System ON
Portable configuration
Mobile Configuration
1. Verify that the Main button, placed
on the left side of the trolley, is
lighted. If the Main button does
not light up, check the power cable
and the main switch placed on the
rear of the system.
2. Press the Main button and then the
ON/OFF button. The Exam Start page
appears after a certain time.
Procedure
Main button
System ON/OFF
Switch
1.Check that the power cable is
connected. Switch the system on
by pressing the main button, placed
on the rear panel, and then the
ON/OFF button.
2.The Exam Start page appears after
a certain time.
Procedure
Battery
Status Led

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Starting an Exam
Note
Some time is required before the Exam Start page is displayed on the screen
after the power is turned ON.
Do not turn the system off during the initialization phase: the
hard disk could be damaged by this operation.
CAUTION
Turning the System OFF
1. Press the ON/OFF button to shut down the system.
Procedure
Note
At power-up, the system prompts the operator to archive the last exam performed if
the system was switched off without first closing the exam in progress.
This is a PC based system; data loss or driver damage may occur
if the system is turned off while working. It is MANDATORY that
the operator interrupts any pending PC operation prior to
turning the system off. Make sure that no heading archival
system icon has a flashing yellow frame.
CAUTION

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MyLab can be equipped with an internal battery pack, composed of two
batteries, working when no mains power is available.
2- Battery
When MyLab is equipped with its internal battery, do not leave
the system exposed to direct sunlight.
WARNING
If some smell is noticed on a MyLab equipped with its internal
battery, stop immediately using it and contact Esaote personnel.
CAUTION
A fully charged battery ensures more than one hour of scanning.
The battery discharging time could be less than one (1) hour
when the battery pack is worn out.
CAUTION
The battery status led colour indicates both the status of the battery and
the main power connection.
MyLab is either connected to the main power with its
main switch on ON or the battery isn’t under charge
MyLab is connected to the main power and the battery
pack is under charge
Either MyLab is not connected to the main power or,
the main switch is on OFF
Status Led Colour Meaning
GREEN
YELLOW
OFF
The led color of the ON/OFF button indicates MyLab powering status.
MyLab is on
MyLab is powered (through the battery and/or the
mains) and can be switched on. The lighting intensity
indicates the powering source (more intense through
the mains, less intense if through the battery)
MyLab is not powered (neither through the mains nor
through the battery)
ON/OFF Button Meaning
GREEN
ORANGE
OFF

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Starting an Exam
Carefully read the “Getting Started” manual to correctly manage and charge
the battery.
When the battery pack is installed, the battery icon changes depending on
its charging status.
The residual charge (indicated in percentage) is displayed below the battery
icon and continuously updated.
Once the minimum threshold of the working condition
is reached, the residual operating time, indicated in
minutes, is displayed besides the icon, surrounded by
a flashing yellow frame.
Carefully read the “Getting Started” manual for battery error messages.
Fully charged
battery Partially charged battery Discharged battery

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1. Patient Data
2. Application
3. Preset
4. Probe
5. Application Data
At power-up, at the end of the initial auto-test and at the start of every new
exam (START END key) the system shows the following screen.
1
5
2
3
4
3- Starting an Exam

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Starting an Exam
Procedure
The CURRENT key retrieves the patient data of the last exam. If a patient
is already in the archive, the EXAM LIST retrieves his/her data from an
archived exam.
1. Using the trackball place the cursor into the first Patient Data field
and press ENTER.
2. Enter the patient's data using the keyboard.
3. The Back Space key is used to remove input characters.
4. To rapidly move through the different items, use the Tab key.
5. Place the cursor on the desired application and press ENTER to confirm.
6. Place the cursor on the desired preset and press ENTER to confirm.
7. Place the cursor on the desired probe and press ENTER to confirm.
8. When required, enter the additional application data.
9. Place the cursor over OK and press ENTER to start the exam.

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4- Changing the Settings
during the Exam
Procedure
1. Press the MENU key.
2. Select the “Edit ID” option.
3. Modify the desired data.
4. Place the cursor on OK and press ENTER to confirm: the changed data
are displayed on the screen.
Do not use “Edit ID” option to begin a new exam as this will
update the existing patient’s information with new entries. To
activate a new procedure, always use the START END key.
WARNING
PROBE/PRESET MENU
Changing Patient Data

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Changing the Preset and the Probe
Procedure
1. Press the PROBE PRESET key. The menu is displayed.
2. If necessary, move the cursor on the required Preset and press ENTER
to select it.
Note
The PROBE PRESET key allows the user to create, modify and save presets in
real time in any application.
Before beginning the exam, check that the active probe displayed
on the screen matches the one selected on the Exam Start page.
WARNING
Starting an Exam
The PROBE PRESET key allows the user to save all the adjustments done
in real time on the preset in any application.
3. If necessary, move the cursor on the required Probe and press ENTER to
select it.
4. Place the cursor on OK and press ENTER to confirm. The new active preset
and/or probe are displayed on the screen.

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5- Screen Lay-Out
The screen is divided in three main areas:
Heading: this area is used for displaying the icons of the following:
trackball, archival systems, configured peripheral units; it also shows
the following information: center and patient data, and the date.
Image Area: the display of the image depends on various factors such
as active mode, selected application, and transducer.
Software Keys
Active
application
Active preset
Active probe
Color ROI and
line cursors
Icons of active cursors
Software key for
menus scrolling
Software keys buttons
Software keys for controls scrolling
Battery
icon Power cable icon

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Starting an Exam
The trackball allows quickly positioning of the cursors on the screen.
Each mode automatically activates the trackball cursor:
When several cursors are present on the screen, the ACTION key scrolls
through the cursor and activates the active cursor.
ACTION key
Active icons are displayed in green, icons
to be activated are displayed in yellow.
Mode Trackball Icon
B-Mode
M-Mode,
Doppler
CFM
Transmission
focal point
LINE cursor
CFM ROI
cursor
6- Trackball Functions
Trackball
Icons

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Your Notes

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Performing an Exam
Performing
an Exam

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7- Working in B-Mode
The system switches automatically to the B-Mode format each time a
new exam is started. The B-Mode format can be redisplayed from any
other mode using the B-MODE key.
2D Format Optimization
1. Adjust the gain (B/M gain key).
Rotate clockwise to increase the gain.
Rotate counterclockwise to decrease the gain.
2. Adjust the depth (DEPTH key).
Rotate clockwise to increase depth (it reduces the image).
Rotate counterclockwise to reduce depth (it enlarges the image).
Procedure
POWERDEPTH B-MODE B/M gainFREQ

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Note
To adjust gain according to depth, use the TGC slide controls on the right of the keyboard:
move the cursors to the right to increase and to the left to decrease the gain.
3. Adjust the display format.
Press REVERSE to change the right/left or left/right orientation,
depending on the application.
Press ORIENT to change the sector orientation (high/low).
Press SIZE to change the scanning angle.
4. Adjust the frequency (FREQ key).
5. Press the TEI key to activate the TEI mode, which improves the brightness
of the image by decreasing acoustic noise.
Press FREQUENCY key to select the TEI frequency (RES value to improve
resolution, PEN to improve penetration).
6. Adjust the focus by changing its position with the trackball.
To change the number of active focuses, select the required option by
pressing the FOCUSES software key.
7. Rotate POWER to change the transmitted power, using the minimum
power compatible with a diagnostic level of the images.
Performing an Exam

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These software key commands are mainly “subjective” and patient-
dependent. The following software keys allow:
2D Image Optimization
STEER key: to steer the sector with Linear probe.
ADJUST key: to automatically optimize the image and to adjust both the general
gain and the TGC re-distribution.
XVIEW key: to enhance tissue margins and tissue resolution to increase diagnostic
confidence, eliminating speckle and noise artefacts.
MVIEW key: to obtain enhanced contrast resolution with a better tissue differentiation
and a clear visualization of organ borders and structure margins.
TPVIEW key: to activate the trapezoidal view with Linear probe, enlarging the
probe field’s of view.
DYN RANGE key: to characterize tissue structures reacting to compression echoes
(higher values smooth the image).
SHARPNESS key: to accentuate the edges and the small differences in tissues.
DENSITY key: to optimize image quality.
COLORIZE key: to select a chrominance scale.
PERSIST key: to change the persistence level (higher values increase image
perception and decrease the discrimination of moving structures).
GRAY MAP key: to change or to modify the desired post-processing curve.